Focus Area: Systems Change

Change concept, change idea, tools and resources.

Systems change strategies are ways to establish foundations for effective cardiac rehabilitation (CR) utilization efforts and are likely the best place on which to focus initial quality improvement (QI) efforts. These include identifying a champion to provide leadership on focused QI efforts and making CR utilization a priority.

Note: Change concepts are general notions that are useful in the development of more specific ideas for changes that lead to improvement. Change ideas are actionable, specific ideas or strategies for changing a process. Each change idea lists evidence- or practice-based tools and resources that can be adapted by or adopted in a health care setting to improve CR utilization.

Systems Change: Change Concept

Change Idea:
Establish a hospital champion, such as a quality of care leader or a CR administrator

Tools & Resources:


Change Idea: 
Engage the care team in CR and ensure their buy-in in CR

Tools & Resources:


Change Idea:
Use CR referral, enrollment, and participation as quality of care indicators

Tools & Resources:

Bold font indicates CR programs that contributed content.

Note: References for citations on this page can be found under Additional Resources and References.

Additional Focus Areas

Learn more about the other Cardiac Rehabilitation Change Package (CRCP) focus areas:

Page last reviewed: October 24, 2019