Abstract
preventive cardiology at the University of Vermont College of Medicine, in Burlington. “You need a pretty high staff-topatient ratio if you want to do a good job,” Ades said. “Hospitals like cardiac rehabilitation because it’s a good public relations strategy . . . but they rarely break even.” Incorporating referral to cardiac rehabilitation into quality measures that affect reimbursement (pay for performance) could help boost referrals, said Ades, who helped write the 1995 guidelines and who is also one of the coauthors of the Suaya study. “I’m under pressure from the hospital leadership to prescribe aspirin and statins because they get graded on it,” he said. “So I think the single most important key is to make referral to cardiac rehabilitation a quality indicator.”
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