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Peer-reviewedCC BYDiscover Public Health

Developing an operational framework for hybrid cardiac rehabilitation in a safety-net healthcare system

  • Grace P. Chen1
  • Lailannie Vito1
  • John Croom Sueiro Rodman2
  • Alissa Maier2
  • Sonali Saluja2
  • Cameron M. Kaplan2
  • Noel C. Barragan3
  • Tony Kuo4
4 affiliations
  1. 1Cardiology Division, Rancho Los Amigos National Rehabilitation Center
  2. 2Gehr Family Center for Health Systems Science and Innovation, University of Southern California (USC)
  3. 3Division of Chronic Disease and Injury Prevention, Los Angeles County Department of Public Health
  4. 4Department of Family Medicine, University of California, Los Angeles (UCLA) David Geffen School of Medicine
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Abstract

Cardiac rehabilitation (CR) remains substantially underutilized despite its well-established clinical benefits. Hybrid models that combine in-person and virtual care have emerged as a promising strategy to improve access; however, practical guidance describing how these programs can be developed within safety-net healthcare systems remains limited. To expand access to CR, Rancho Los Amigos National Rehabilitation Center developed a hybrid program informed by published evidence, an internal review of existing CR services, and a patient needs assessment among individuals referred to the program. The assessment identified geographical distance, transportation, and scheduling conflicts as the primary barriers to participation while demonstrating broad access to smartphone technology capable of supporting video-based care. Program findings informed the development of an operational framework and accompanying program manual to support consistent delivery of hybrid CR. The approach described here may provide practical guidance for other healthcare systems seeking to expand CR availability through hybrid care models.

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Cite

BibTeXRIS
BibTeX
@article{chen2026developing,
  title = {{Developing an operational framework for hybrid cardiac rehabilitation in a safety-net healthcare system}},
  author = {Grace P. Chen and Lailannie Vito and John Croom Sueiro Rodman and Alissa Maier and Sonali Saluja and Cameron M. Kaplan and Noel C. Barragan and Tony Kuo},
  journal = {Discover Public Health},
  year = {2026},
  month = oct,
  doi = {10.1186/s12982-026-03180-7},
  url = {https://doi.org/10.1186/s12982-026-03180-7},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Developing an operational framework for hybrid cardiac rehabilitation in a safety-net healthcare system
AU  - Grace P. Chen
AU  - Lailannie Vito
AU  - John Croom Sueiro Rodman
AU  - Alissa Maier
AU  - Sonali Saluja
AU  - Cameron M. Kaplan
AU  - Noel C. Barragan
AU  - Tony Kuo
PY  - 2026
DA  - 2026/10/25
JO  - Discover Public Health
DO  - 10.1186/s12982-026-03180-7
UR  - https://doi.org/10.1186/s12982-026-03180-7
AB  - Cardiac rehabilitation (CR) remains substantially underutilized despite its well-established clinical benefits. Hybrid models that combine in-person and virtual care have emerged as a promising strategy to improve access; however, practical guidance describing how these programs can be developed within safety-net healthcare systems remains limited. To expand access to CR, Rancho Los Amigos National Rehabilitation Center developed a hybrid program informed by published evidence, an internal review of existing CR services, and a patient needs assessment among individuals referred to the program. The assessment identified geographical distance, transportation, and scheduling conflicts as the primary barriers to participation while demonstrating broad access to smartphone technology capable of supporting video-based care. Program findings informed the development of an operational framework and accompanying program manual to support consistent delivery of hybrid CR. The approach described here may provide practical guidance for other healthcare systems seeking to expand CR availability through hybrid care models.
SN  - 3005-0774
ER  -