Quinn R Pack

Preventive Cardiologist, Husband and Father, Physician Scientist

[Quinn R Pack @QuinnPack]

Here are our token "prizes." Parking passes, video, water bottle, T-shirt and sweatshirt

[Quinn R Pack @QuinnPack]

Yes, at Mayo Clinic, we found that toke incentives make a substantial difference in attendance. #CardiacRehabChat

Improving cardiac rehabilitation attendance and completion through quality improvement activities and a motivationa… https://t.co/y8PDPygqgc

[Quinn R Pack @QuinnPack]

@DrMarthaGulati It was included in the model, but didn't shake out statistically. Women are not referred, but when they show up, they adhere pretty well (at least in our program.)

[Quinn R Pack @QuinnPack]

A2. #CardiacRehabChat Here is a risk model we developed to identify patients at risk. It's no perfect, but it has helped our program.

[Sherry Grace @sherrylgrace]

#cardiacrehabchat

[Quinn R Pack @QuinnPack]

@cardiac_rehab7 @MillionHeartsUS We have almost 10 volunteers who do great work for us and the program!

[Quinn R Pack @QuinnPack]

I had this on my office front door for a full year. Then I gave it to our surgeons to post in the clinic!

[Dr. Martha Gulati ♥️🫀❤️‍🩹🇨🇦 @DrMarthaGulati]

@MillionHeartsUS We have made these posters from @CardioSmart that should be in doctor’s offices and waiting rooms about #cardiac rehab #cardiacrehabchat #cardiacrehabweek

[Dr. Martha Gulati ♥️🫀❤️‍🩹🇨🇦 @DrMarthaGulati]

@MillionHeartsUS We have made these posters from @CardioSmart that should be in doctor’s offices and waiting rooms about #cardiac rehab #cardiacrehabchat #cardiacrehabweek

[Quinn R Pack @QuinnPack]

Parking passes, tote bag, t-shirt, sweatshirt. Total cost <$50.

[Quinn R Pack @QuinnPack]

I totally agree. Women are at risk, but mostly for NON-referral. Once referred, women attend at nearly equal rates.
Cardiac Rehabilitation for Women: A Systematic Review of Barriers and Solutions https://t.co/kpbiJ5DQoU

[Sol Vidal Almela, PhD 🔬 @sol_vidalalmela]

A2: I'm surprised nobody has mentioned #women as populations at risk. ♀️ attend a lower number of #cardiacrehab sessions than ♂️ and are more likely to dropout. References ⬇️⬇️ #CardiacRehabChat

[Quinn R Pack @QuinnPack]

@ABCardio1 Great work!

[Quinn R Pack @QuinnPack]

A4. #CardiacRehabChat This paper shows that we MUST create new models of delivery, due to capacity restraints!

The current and potential capacity for cardiac rehabilitation utilization in the United States. https://t.co/Fz5yvZmHGq

[Quinn R Pack @QuinnPack]

@dcscant Hi @dcscant ! Agree, although I usually find they are more engaged when they have a Target Heart Rate and we push them harder. RPE could work, but would push them to 12-15 (traditional Borg scale.)

[Quinn R Pack @QuinnPack]

#CardiacRehabChat @traynor_kate
We have (unpublished) data to suggest that 18% of the cardiac rehab eligible population are heavy drinkers. Binge drinking is a risk for non-adherence. Will publish soon!

[Quinn R Pack @QuinnPack]

@ABCardio1 This is a problem in the US. There is some NIH funding testing direct transportation interventions (Uber, Lyft, etc.)

[Quinn R Pack @QuinnPack]

@MillionHeartsUS Yes, we are just starting our "grateful patient fund" to help defray some of copay costs.

[Quinn R Pack @QuinnPack]

@ABCardio1 @FaganBarbra Retrospective data suggests that 36 sessions is the best.

[Quinn R Pack @QuinnPack]

@FaganBarbra This was in a survey and the 50% was a 5-year question. They only had to do one QI project during the past 5 years to answer yes.

[Quinn R Pack @QuinnPack]

#CardiacRehabChat Here is a paper from 2015 about data measures in cardiac rehab. Turns out, that only about half of programs know what their referral or enrollment rates are. These are the basis of any QI project.

[Quinn R Pack @QuinnPack]

my language ain't perfect either

[Quinn R Pack @QuinnPack]

@MillionHeartsUS A2: The key predictors or attendance are 1) very young or very old, 2) smokers, 3) low socioeconomic status, 4)Racial minority, 5) non-surgical qualifying diagnosis, and 5) high copays.