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Comprehensive program

Cardiac support with
clear daily guidance.

Skilled home health can help eligible patients understand symptoms, medications, activity, and the habits that support safer recovery or management of a heart condition.

Who may benefit

Adults returning home after a cardiac hospitalization or procedure, or those whose provider orders intermittent skilled care for a heart-related condition.

Know what to watch for

Nurses reinforce the provider’s instructions, help patients monitor symptoms, and teach when to contact the care team or seek urgent help.

A coordinated approach

When ordered, therapy supports safe activity, endurance, and daily function while clinicians communicate changes to the provider.

What to expect

01

Clinical review

We assess symptoms, safety, medications, and the provider’s instructions.

02

Practical teaching

Patients learn daily monitoring and when to report changes.

03

Connected care

The team tracks progress and communicates concerns promptly.

Evidence & practice

What recent research says about cardiac rehabilitation at home

New studies support structured, individualized home-based cardiac rehabilitation for appropriately screened patients—especially when exercise is combined with nursing education, clinical monitoring, and regular care-team follow-up.

· Evidence reviewed by Charity Home Health Services

Clinical takeaway

Home-based cardiac rehabilitation is more than an exercise handout. The strongest programs use individualized exercise prescriptions, objective reassessment, medication and symptom education, risk-factor support, and communication among the patient, nurse, therapist, and medical provider.

Peer reviewed · Post-PCI evidence

Functional capacity and cardiovascular measures

A 2026 systematic review and meta-analysis included 12 studies and 1,392 patients after percutaneous coronary intervention. Compared with usual care, home-based cardiac telerehabilitation improved six-minute walk distance by approximately 19 meters, peak oxygen uptake by 3.53 mL/kg/min, left ventricular ejection fraction by about two percentage points, systolic blood pressure by approximately 3 mmHg, and medication adherence. Quality-of-life improvements were small and inconsistent, and lipid and mental-health outcomes were inconclusive.1

Peer reviewed · Heart failure

Promising results, with appropriate caution

A 2026 meta-analysis of eight randomized trials involving 1,368 patients with heart failure found that mobile-supported remote, virtual, or hybrid rehabilitation improved six-minute walk distance by approximately 23 meters compared with usual care. No intervention-related deaths or serious adverse events were reported; however, the authors rated the evidence as low to moderate certainty and noted that limited events and short follow-up restrict firm safety conclusions.2

Peer reviewed · Program design

Personalization and active supervision matter

In a randomized trial after coronary intervention, a 12-week program using individualized exercise prescriptions, wearable ECG monitoring, weekly therapist supervision, and ongoing adjustments produced better aerobic-threshold capacity and selected quality-of-life outcomes than access to a general exercise library with self-monitoring alone.3

A separate 24-week randomized trial found that a nurse-led program combining structured activity, discharge education, nutrition counseling, medication-adherence support, and telephone and in-person follow-up improved cardiac quality of life and health behaviors while reducing cardiac anxiety among adults with coronary artery disease.4

How this informs Charity’s cardiac home-health approach

  • Screen for safety and clinical stability before progressing activity under the provider-ordered plan of care.
  • Use individualized activity goals rather than a one-size-fits-all exercise handout.
  • Track objective change through appropriate functional measures, vital signs, symptoms, and tolerance.
  • Combine therapy with skilled nursing education addressing medications, weight, blood pressure, edema, warning signs, and disease management.
  • Communicate changes promptly among the patient, caregivers, clinicians, and medical provider.
  • Consider frailty, fall risk, cognition, comorbidities, and the home environment when adapting the rehabilitation plan.

References

  1. Kumar S, Venjhraj F, Hageen AW, et al. “Effectiveness of home-based cardiac telerehabilitation programs in improving clinical outcomes after PCI: A systematic review and meta-analysis of randomized and non-randomized studies.” International Journal of Cardiology Cardiovascular Risk and Prevention. 2026;30:200679. Read the PubMed record
  2. Shao K, Liu C, Li T, Qu H, Zhou H. “Effects of Remote, Virtual, or Hybrid Cardiac Rehabilitation Supported by mHealth in Patients With Heart Failure: Systematic Review and Meta-Analysis.” JMIR mHealth and uHealth. 2026;14:e90422. Read the PubMed record
  3. Wu Y, Ma Y, Zhang C, et al. “Effectiveness of a digital technology-assisted personalized exercise prescription in the telerehabilitation of postoperative coronary heart disease patients: A randomized controlled trial.” International Journal of Nursing Sciences. 2026;13(1):11–18. Read the PubMed record
  4. Yaqoob A, Ladak L, Khan AH, et al. “Effect of home-based cardiac rehabilitation on quality of life, health behaviours and cardiac anxiety in patients with coronary artery disease: findings from a single-blinded randomised controlled trial.” BMJ Open. 2026;16:e114349. Read the PubMed record

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