Welcome to a proven program that changes hearts and lives.
Better adherence and clinical outcomes than have ever been reported.
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Ornish certified sites are now eligible for Medicare reimbursement
Since January 2011, after 16 years of internal and external review, Medicare has been covering Dr. Ornish’s Program for Reversing Heart Disease under a new benefit category, “intensive cardiac rehabilitation.” Medicare will reimburse certified providers of the 72 hour training program for patients who have coronary heart disease. Many private insurance companies also cover this program, reimbursing for patients who have coronary heart disease and for patients who only have risk factors for coronary heart disease.
People are empowered with a proven program that can quickly reverse their heart disease and other chronic conditions, allowing them to sustainably transform their lives for the better. Overall adherence to Dr. Ornish’s Program after one year in hospitals and clinics that have offered it has been 85‑90%.
Each site has the appropriate 6-person team on staff:
- Physician / Medical Director
- Registered Nurse Case Manager
- Exercise Physiologist
- Group Support Specialist
- Stress Management Specialist
- Registered Dietician
The site also has a:
- Program Director
- Administrative Assistant
Each site’s clinical delivery team attends a didactic & experiential training retreat.
Program Site Operations
The Dr. Dean Ornish Program for Reversing Heart Disease is offered to participants in 4-hour sessions.
Each session includes:
- 1 hour of yoga and meditation taught by a certified teacher
- 1 hour of supervised exercise, taught by an exercise physiologist
- 1 hour of a support group, led by a clinical psychologist or equivalent
- 1 hour of a group meal and a lecture, with a lecture by a dietitian or nurse
In this model, the physician acts as “quarterback” to a team that also includes a:
- Registered nurse
- Yoga and meditation teacher
- Exercise physiologist
- Registered dietitian
- Clinical psychologist or equivalent
Participants meet for 18 four-hour sessions over a 9, 12, or 18 week period (depending on the format offered at a particular site).
After the 72 hours of training, participants move into a ‘self-directed community’ in which they continue to meet on a regular basis to support the lifestyle changes.
Annual Re-Certification Criteria
- Baseline Data
- 72-hour Data
- Annual 1-year Data
On the site’s certification anniversary, each site is required to meet or exceed 80% of the annual benchmarks located in the table below (i.e. a minimum of 11 of the 14 benchmarks)
|Cholesterol (mg/dL)||< 150 mg/dL|
|LDL (mg/dL)||< 100 mg/dL|
|Triglycerides (mg/dL)||< 150 mg/dL|
|Body Mass Index (BMI)||< 24|
|Weight Loss (those with BMI>25)||
|Functional Capacity (METs)||
|Systolic Blood Pressure (mm Hg)||< 119|
|Diastolic Blood Pressure (mm Hg)||< 79|
|CES-D (Depression Scale)||< 15|
|Hemoglobin A1C (%)||< 7%|
|Exercise Adherence (minutes)||³ 180 minutes|
|Stress Management Adherence (minutes)||³ 390 minutes|
|Dietary fat (% calories from fat)||8-12%|
For Intensive Cardiac Rehabilitation (ICR), the Centers for Medicare and Medicaid Services (CMS) require statistically significant reduction in 5 or more of the following measures:
- Low density lipoprotein
- Body mass index
- Systolic blood pressure
- Diastolic blood pressure
- The need for cholesterol, blood pressure, and diabetes medications
Adherence & Clinical Outcomes
Patients have better adherence and clinical outcomes than have ever been reported from a program of comprehensive lifestyle changes.
Here are the latest findings from all of the 3,780 patients who went through our program at Highmark Blue Cross Blue Shield in Pennsylvania, Nebraska, and West Virginia as of October 2011:
- Overall attendance after 1 year was 87.9%;
- 45.2% of these patients had heart disease– 34.0% had type 2 diabetes, and the others had only risk factors (high blood pressure, cholesterol, or weight), yet adherence was comparable in all categories of patients (85-90% after 1 year);
- The average patient lost 13.3 pounds in the first 12 weeks and 15.9 pounds after 1 year;
- Significant reductions in systolic blood pressure, diastolic blood pressure, total cholesterol, triglycerides, and LDL-cholesterol after 12 weeks were still significant after 1 year;
- Exercise capacity increased from 8.7 to 10.6 METS after 12 weeks (18% increase) and to 10.8 METS after one year (24% increase);
- Significant reductions in depression and hostility (the emotions most strongly linked with heart disease) after 12 weeks that were still significant after 1 year;
- Hemoglobin A1C in diabetics decreased from 7.4% at baseline to 6.5% after 12 weeks and 6.8% after one year (complications of diabetes such as blindness, kidney failure, heart disease, and amputations can be prevented when hemoglobin A1C is less than 7.0%);
- 96.5% of patients reported improvement in severity of angina (chest pain) after 1 year.