Background:
Cardiac rehabilitation (CR) practitioners recognize that program centered processes and outcomes (POs) are important measurements of success. However there is a lack of consensus regarding the prioritization of POs and methods for their measurement. This research was designed to first identify then rate POs and ultimately rank process methods and measurements tools used in CR practice through the use of the Delphi Technique, a widely recognized and effective tool to narrow general inquiry categories to succinct and specific questions that may be accurately assessed.
Methods:
Two hundred experts (AACVPR Fellows) in CR were surveyed by mail with 3 iterations of a Delphi questionnaire to determine program success indicators in CR. Fifty-six respondents identified and rated PO indicators, then ranked method and measurement of delivery in each category. Qualitative factor analysis was used to analyze data.
Results:
Seven program success factors emerged across two levels of control, either internal or external to the program processes. Program process methods and outcome measurements evolved along either a clinical or operational orientation. Operational processes enhancing physician support and patient intake processes and clinical processes enhancing staff competency and clinical care were highly rated.
Conclusion:
This group of experts identified and rated program success indicators in CR suggesting process methods and measurement modalities.