North Carolina Administrative Code › Title 10A - HEALTH AND HUMAN SERVICES › Chapter 14 - Director, Division of Health Service Regulation › Subchapter F - CERTIFICATION OF CARDIAC REHABILITATION PROGRAMS › Section .1100 - GENERAL INFORMATION: DEFINITIONS › Section 14F .1101 - DEFINITIONS

Current through Register Vol. 39, No. 2, July 15, 2024
The following definitions shall apply throughout this
					 Subchapter:
(1) "ACLS-trained" means
				  training that is current in Advanced Cardiac Life Support, by the American
				  Heart Association and who has appropriate licensure to administer advanced
				  cardiac life support.
(2) "ACSM"
				  means the American College of Sports Medicine.
(3) "Article" means Article 8 of G.S.
				  131E.
(4) "Cardiac Rehabilitation
				  Program" has the same meaning as the definition in the Article.
(5) "Certification" has the same meaning as
				  the definition in the Article.
(6)
				  "DVRS" means the Division of Vocational Rehabilitation Services, North Carolina
				  Department of Health and Human Services.
(7) "Department" means the North Carolina
				  Department of Health and Human Services.
(8) "Division" means the Division of Health
				  Service Regulation, North Carolina Department of Health and Human
				  Services.
(9) "ECG" means
				  electrocardiogram.
(10) "Graded
				  exercise test" (GXT) means a multistage test that determines a person's
				  physiological response to different intensities of exercise or the person's
				  peak aerobic capacity.
(11)
				  "Maximal oxygen consumption" means the highest rate of oxygen transport and
				  oxygen use that can be achieved at a person's maximal physical exertion, or
				  functional capacity. This is usually expressed in METs.
(12) "MET" means "metabolic equivalent," a
				  measure of functional capacity, or maximal oxygen consumption. One MET
				  represents the approximate rate of oxygen consumption by a seated individual at
				  rest: approximately 3.5 ml/kg/min. METs during exercise are determined by
				  dividing metabolic rate during exercise by the metabolic rate at
				  rest.
(13) "Nurse Practitioner"
				  means a currently licensed registered nurse approved by the NC Board of Nursing
				  and NC Medical Board to practice medicine as a nurse practitioner under the
				  supervision of a physician licensed by the Board.
(14) "Owner" means the legal owner of the
				  certified cardiac rehabilitation program.
(15) "Physician" means an individual who is
				  licensed according to G.S. 90, Article 1, by the NC Medical Board to practice
				  medicine.
(16) "Physician
				  Assistant" means an individual who is licensed and registered according to G.S.
				  90, Article 1, by the NC Medical Board to practice medicine under the
				  supervision of a physician licensed by the Board.
(17) "Premises" means "site."
(18) "Program" means "Cardiac Rehabilitation
				  Program."
(19) "Risk stratification
				  model" means a method of categorizing patients according to their risk of acute
				  cardiovascular complications during exercise as well as their overall
				  prognosis. Risk status is related primarily to the type and severity of
				  cardiovascular disease. This rating takes into account how well the heart
				  pumps, the presence of heart pain symptoms and/or changes in the
				  electrocardiogram during exercise. Guidelines concerning medical supervision of
				  patients in cardiac rehabilitation programs which are based on risk
				  stratification models are provided by: the American College of Cardiology, the
				  American College of Physicians, the American Association of Cardiovascular and
				  Pulmonary Rehabilitation, the American Heart Association, and the North
				  Carolina Cardiopulmonary Rehabilitation Association.
(20) "Simple spirometry" means an analysis of
				  air flow which provides information as to the degree and severity of airway
				  obstruction, and serves as an index of dynamic lung function. It must include,
				  at a minimum, Forced Vital Capacity and Forced Expiratory Volume in 1
				  second.
(21) "Site" means the
				  facility in which the cardiac rehabilitation program is held.
(22) "Supervising physician" means a
				  physician who is on-site during the operation of the cardiac rehabilitation
				  program.
(23) "Symptom-limited
				  heart rate reserve" means the difference between the symptom-limited maximal
				  heart rate and the resting heart rate.
(24) "Vocational Questionnaire" means the
				  document used for vocational assessment.
(25) "Vocational Rehabilitation Counselor"
				  means an individual who provides vocational rehabilitation counseling
				  services.
Authority
					 G.S.
					 131E-169;
Eff. July 1,
					 2000;
Pursuant to
					 G.S.
					 150B-21.3A, rule is necessary without
					 substantive public interest Eff. December 6,
					 2016.