The Joint Commission's disease-specific care certification for destination therapy ventricular assist devices.

The Centers for Medicare and Medicaid Services announced that all hospitals implanting ventricular assist devices are required to have certification from the The Joint Commission for disease-specific care destination therapy with a ventricular assist device effective March 27, 2009, in order to receive Medicare reimbursement for services rendered to patients who have devices implanted for destination therapy. On February 23, 2007, The Joint Commission released the certification requirements for ventricular assist devices implanted for destination therapy in an 8-page document so that hospitals could prepare to meet the 2009 certification deadline. The Artificial Heart Program of the University of Pittsburgh Medical Center undertook a multidisciplinary project, under the guidance of the nurse coordinator, to prepare the hospital and program for a precertification survey by The Joint Commission for disease-specific destination therapy ventricular assist device certification. The Presbyterian Hospital Artificial Heart Program was awarded The Joint Commission's device-specific certification for destination therapy with ventricular assist devices in June 2008.

Supervised moderate intensity resistance exercise training improves strength in Special Olympic athletes.

The purpose of this study was to examine the effects of a moderate intensity resistance training program on Special Olympic athletes (SOAs) and similarly aged typically developed volunteers (TDs) who also served as coaches. Fifteen SOAs and 17 TDs participated (age range 19-24 years). The intervention consisted of resistance training: 1 set, 8-12 reps, over 10-12 sessions, on Med-X weight equipment. Exercises tested were seated row (SR), leg curl (LC), leg extension (LE), chest press (CP), and the abdominal crunch (AC). The weight lifted, and the amount of repetitions performed at the beginning and end of training, were used to determine the predicted 1 repetition max (1RM). A 2-way (2:group x 2:time) analysis of variance was computed for each exercise. Time main effects were detected, which indicated that predicted 1RM increased significantly for all participants. Specifically, these were the SR (F(1,30) = 99.238, p < 0.001); the LC (F(1,30) = 91.578, p < 0.001); the LE (F(1,30) = 83.253, p < 0.001); the CP (F(1,30) = 53.675, p < 0.001); and the AC (F(1,30) = 57.759, p < 0.001). The predicted 1RM values increased between 25 and 50% across the exercises tested. There were no group main effects or interactions. Thus, with minimal training time, both similar and significant strength gains can be accomplished by both SOAs and TDs, respectively. Supervised moderate intensity resistance training is recommended for the populations tested and may result in vocational and athletic performance gains.