{"id":1817,"date":"2026-07-01T12:45:43","date_gmt":"2026-07-01T12:45:43","guid":{"rendered":"https:\/\/michigancr.org\/?p=1817"},"modified":"2026-07-01T12:49:49","modified_gmt":"2026-07-01T12:49:49","slug":"key-takeaways-from-micrs-second-telehealth-cardiac-rehab-forum","status":"publish","type":"post","link":"https:\/\/michigancr.org\/zh\/key-takeaways-from-micrs-second-telehealth-cardiac-rehab-forum\/","title":{"rendered":"Key Takeaways from MiCR&#8217;s Second Telehealth Cardiac Rehab Forum"},"content":{"rendered":"<div id=\"pl-1817\"  class=\"panel-layout\" ><div id=\"pg-1817-0\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-1817-0-0\"  class=\"panel-grid-cell\" ><div id=\"panel-1817-0-0-0\" class=\"so-panel widget widget_sow-editor panel-first-child\" data-index=\"0\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<p>In April,\u00a0MiCR\u00a0<a href=\"https:\/\/michigancr.org\/zh\/key-takeaways-from-micrs-first-telehealth-cardiac-rehab-forum\/\"><span style=\"text-decoration: underline;\">launched a new virtual forum series<\/span><\/a> to help programs implement and sustain telehealth services under recently extended Medicare reimbursement policies. In June, MiCR offered the second forum in the series, this time featuring a demonstration of group virtual cardiac rehabilitation (CR) led by Henry Ford Health\u2019s Steven Keteyian, PhD, Director of Cardiac Rehabilitation &amp; Preventive Cardiology, and Robert Berry, MS, ACSM-CEP FAACVPR, Clinical Coordinator for Cardiac Rehabilitation. The demonstration was followed by a discussion led by MiCR\u2019s Co-Directors, Jessica Golbus, MD, MS, and Mike Thompson, PhD, MPH.<\/p>\n<p><strong>Telehealth Group\u00a0Example<\/strong><\/p>\n<p>The forum began with a live mock CR telehealth session led by Berry and Keteyian. Three actors representing patients (played by MVC Coordinating Center volunteers) were guided through a simulated telehealth group CR session. After presenter introductions, Berry began the group CR class greeting the patient actors, who each represented a specific patient profile and common cardiac condition (Figure 1).<\/p>\n<\/div>\n<\/div><\/div><div id=\"panel-1817-0-0-1\" class=\"so-panel widget widget_sow-image\" data-index=\"1\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-image so-widget-sow-image-default-8b5b6f678277-1817\"\n\t\t\t\n\t\t><h3 class=\"widget-title\">Figure 1. Patient Profiles for Cardiac Rehabilitation Mock Session <\/h3>\n<div class=\"sow-image-container\">\n\t\t<img \n\tsrc=\"https:\/\/michigancr.org\/wp-content\/uploads\/2026\/07\/Picture1.png\" width=\"538\" height=\"298\" srcset=\"https:\/\/michigancr.org\/wp-content\/uploads\/2026\/07\/Picture1.png 538w, https:\/\/michigancr.org\/wp-content\/uploads\/2026\/07\/Picture1-480x266.png 480w\" sizes=\"(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) 538px, 100vw\" title=\"Figure 1. Patient Profiles for Cardiac Rehabilitation Mock Session \" alt=\"Illustration featuring three female characters representing patients with heart conditions, each accompanied by brief medical histories and personal details. Key information includes ages, specific diagnoses like myocardial infarction, coronary artery bypass surgery, and chronic heart failure, along with lifestyle notes and emotional states, presented with distinct colors and icons for clarity.\" \t\tclass=\"so-widget-image\"\/>\n\t<\/div>\n\n<\/div><\/div><div id=\"panel-1817-0-0-2\" class=\"so-panel widget widget_sow-editor\" data-index=\"2\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<p>To begin the session, Berry checked in with each patient on the Zoom session to document the type of exercise or equipment they would be using. As Figure 2 shows, the group session looked similar to a Zoom meeting with all patients exercising simultaneously from locations they established with their instructor in advance. Each patient confirmed their exercise modality, weight, and heart rate as they engaged in their chosen activity. Throughout the exercise process, patients were asked questions about how the exercise was feeling and whether it was causing any pain or discomfort. If a patient was having symptoms, Berry would follow up with more specific questions to help pinpoint the problem area and would give advice for either modifying the exercise, utilizing intentional breathing techniques, or taking a break.<\/p>\n<\/div>\n<\/div><\/div><div id=\"panel-1817-0-0-3\" class=\"so-panel widget widget_sow-image\" data-index=\"3\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-image so-widget-sow-image-default-8b5b6f678277-1817\"\n\t\t\t\n\t\t><h3 class=\"widget-title\">Figure 2. Screenshot of Mock Telehealth CR Session <\/h3>\n<div class=\"sow-image-container\">\n\t\t<img \n\tsrc=\"https:\/\/michigancr.org\/wp-content\/uploads\/2026\/07\/Picture2.png\" width=\"487\" height=\"274\" srcset=\"https:\/\/michigancr.org\/wp-content\/uploads\/2026\/07\/Picture2.png 487w, https:\/\/michigancr.org\/wp-content\/uploads\/2026\/07\/Picture2-480x270.png 480w\" sizes=\"(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) 487px, 100vw\" title=\"Figure 2. Screenshot of Mock Telehealth CR Session \" alt=\"Screen capture showing what a virtual cardiac rehabilitation group session looks like. Shows three female participants and one clinical professional.\" \t\tclass=\"so-widget-image\"\/>\n\t<\/div>\n\n<\/div><\/div><div id=\"panel-1817-0-0-4\" class=\"so-panel widget widget_sow-editor\" data-index=\"4\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<p>The patients had an opportunity to ask Berry follow-up questions before the end of the session such as:<\/p>\n<ul>\n<li>How will I know when it\u2019s safe to push harder?<\/li>\n<li>Should I continue with CR exercises if my energy level is low today?<\/li>\n<li>When\/how do I share my tracked vitals and symptoms with my providers?<\/li>\n<li>How do I get in touch with you between sessions?<\/li>\n<li>Can I still participate in virtual sessions if I\u2019m at my home in Florida?<\/li>\n<\/ul>\n<p>Following the live\u00a0demonstration, Golbus and Thompson led participants in a question-and-answer discussion that further clarified how virtual and telehealth CR programs can\u00a0work. Keteyian and Berry shared that patients must be at their home address for certain payers (Medicare\/Medicaid), but patients with other insurance such as Blue Cross Blue Shield\u00a0of Michigan (BCBSM)\u00a0can be at any location within the state of Michigan.<\/p>\n<p>Some attendees wondered about confidentiality considerations during the group session. Henry Ford Health said their programming has not required participants to sign\u00a0an additional\u00a0Health Information Portability\u00a0Insurance Portability and Accountability Act (HIPAA)\u00a0release form;\u00a0however,\u00a0they do remind patients to be aware of what information they share in the presence of others during the group session. For people who may be uncomfortable sharing personal information such as weight, different wording can be used.\u00a0For example,\u00a0\u201chas your weight changed since your last visit?\u201d<\/p>\n<p>For patients who are unsure about\u00a0participating\u00a0in a virtual setting, Keteyian pointed out that they often have the patient come into the facility for the first session\u00a0to\u00a0participate\u00a0as if they were at home in a virtual environment.\u00a0This often alleviates any concerns about fully participating in a telehealth setting in the future.\u00a0For those\u00a0patients\u00a0who\u00a0do not have exercise equipment at home, Berry shared that patients can usually find some form of exercise equipment to borrow\u00a0from a family member, church, or neighbor, or will choose to\u00a0walk during their\u00a0session.<\/p>\n<p>A<strong>\u00a0<\/strong>poll\u00a0of\u00a0participants\u00a0showed\u00a0the\u00a0current\u00a0state\u00a0of\u00a0CR\u00a0programming\u00a0for sites represented at the forum (Figure 3-4), with\u00a0most\u00a0sites\u00a0indicating\u00a0an interest in\u00a0exploring both group and individual telehealth CR.<\/p>\n<\/div>\n<\/div><\/div><div id=\"panel-1817-0-0-5\" class=\"so-panel widget widget_sow-image\" data-index=\"5\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-image so-widget-sow-image-default-8b5b6f678277-1817\"\n\t\t\t\n\t\t><h3 class=\"widget-title\">Figure 3. Polling Question: What format of virtual CR is your site considering? <\/h3>\n<div class=\"sow-image-container\">\n\t\t<img \n\tsrc=\"https:\/\/michigancr.org\/wp-content\/uploads\/2026\/07\/Picture3.png\" width=\"494\" height=\"280\" srcset=\"https:\/\/michigancr.org\/wp-content\/uploads\/2026\/07\/Picture3.png 494w, https:\/\/michigancr.org\/wp-content\/uploads\/2026\/07\/Picture3-480x272.png 480w\" sizes=\"(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) 494px, 100vw\" title=\"Figure 3. Polling Question: What format of virtual CR is your site considering? \" alt=\"Polling bar chart showing frequency of four formats of virtual cardiac rehab being utilized: Both, Group, Individual, and Neither. Both has highest value near 19, followed by Neither at 13, Group at 8, and Individual at 7, with vertical axis ranging from 0 to 20.\" \t\tclass=\"so-widget-image\"\/>\n\t<\/div>\n\n<\/div><\/div><div id=\"panel-1817-0-0-6\" class=\"so-panel widget widget_sow-image\" data-index=\"6\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-image so-widget-sow-image-default-8b5b6f678277-1817\"\n\t\t\t\n\t\t><h3 class=\"widget-title\">Figure 4. Polling Question: What best describes your site's status on starting a virtual CR program? <\/h3>\n<div class=\"sow-image-container\">\n\t\t<img \n\tsrc=\"https:\/\/michigancr.org\/wp-content\/uploads\/2026\/07\/Picture4.png\" width=\"506\" height=\"288\" srcset=\"https:\/\/michigancr.org\/wp-content\/uploads\/2026\/07\/Picture4.png 506w, https:\/\/michigancr.org\/wp-content\/uploads\/2026\/07\/Picture4-480x273.png 480w\" sizes=\"(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) 506px, 100vw\" title=\"Figure 4. Polling Question: What best describes your site&#039;s status on starting a virtual CR program? \" alt=\"Pie chart displays stages of virtual cardiac rehabilitation (CR) implementation among organizations. Largest segment (21) represents organizations considering virtual CR, followed by 12 having conversations with staff or leadership, and smaller segments of 3 each for program development and piloting or delivering virtual CR, with color-coded legend for clarity.\" \t\tclass=\"so-widget-image\"\/>\n\t<\/div>\n\n<\/div><\/div><div id=\"panel-1817-0-0-7\" class=\"so-panel widget widget_sow-editor panel-last-child\" data-index=\"7\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<p>According to the polls,\u00a0most\u00a0workgroup participants are\u00a0still considering\u00a0CR program\u00a0development and starting to have conversations with staff and leadership.\u00a0The\u00a0MiCR\u00a0team\u00a0encouraged participants to take these poll questions back to their teams and leadership to\u00a0inspire\u00a0discussion\u00a0on\u00a0developing a hybrid or telehealth CR program.<\/p>\n<p>Those who missed it can <span style=\"text-decoration: underline;\"><a href=\"https:\/\/youtu.be\/5nOTiD6UNPI\">watch a recording of the second MiCR telehealth forum<\/a><\/span>.<\/p>\n<\/div>\n<\/div><\/div><\/div><\/div><\/div>","protected":false},"excerpt":{"rendered":"<p>In April,\u00a0MiCR\u00a0launched a new virtual forum series to help programs implement and sustain telehealth services under recently extended Medicare reimbursement policies. In June, MiCR offered the second forum in the [&hellip;]<\/p>\n","protected":false},"author":9,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_post_was_ever_published":false},"categories":[59,43],"tags":[],"class_list":["post-1817","post","type-post","status-publish","format-standard","hentry","category-meetings","category-news-and-updates"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Key Takeaways from MiCR&#039;s Second Telehealth Cardiac Rehab Forum - Michigan Cardiac Rehab Network<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/michigancr.org\/zh\/key-takeaways-from-micrs-second-telehealth-cardiac-rehab-forum\/\" \/>\n<meta property=\"og:locale\" content=\"zh_CN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Key Takeaways from MiCR&#039;s Second Telehealth Cardiac Rehab Forum - Michigan Cardiac Rehab Network\" \/>\n<meta property=\"og:description\" content=\"In April,\u00a0MiCR\u00a0launched a new virtual forum series to help programs implement and sustain telehealth services under recently extended Medicare reimbursement policies. 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