# Million Hearts Cardiac Rehabilitation Change Package

Resource · id `cardio:million-hearts-cardiac-rehab-change-package` · Cardiovascular Atlas · release `5dcd9b263fe17744` (public)

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Also called: CRCP; Cardiac Rehabilitation Change Package

Browse, organ or system: Heart  
Browse, condition area: Acute care and long-term living  

## In plain language

A toolkit from Million Hearts, developed with the rehabilitation association AACVPR, for hospital and cardiac rehabilitation teams that want more eligible patients to take part. It lists changes a team can make to its processes, ideas that can be tried, and tools to adapt. The 2023 second edition added ideas such as automatic opt-out referrals and hybrid delivery models. The page advises teams to test each chosen strategy on a small scale before wider use.

## Technical summary

A pointer to a web page and PDF guide on the Million Hearts website (second edition, 2023; the first edition appeared in 2018). Its page-level reuse terms were not read, because the HHS web policies page returned HTTP 403 to a script, so this atlas restates facts in its own words and quotes nothing. The page and the guide carry ideas for change and supporting tools; none of them is restated here. This toolkit is a hospital resource and is not evidence that any strategy works.

## Claims, with the population each applies to

## Context: US national heart attack and stroke prevention initiative (Million Hearts)

Recipient: Recipient not specified; Population: The United States population; the initiative also focuses on groups experiencing inequities.; Care setting: National public health initiative.; Geography: United States; Life stage: Not stated in the source; Gestational age: Not reported; Postnatal age: Not reported; Follow-up: The current vision runs from January 2022 to December 2026.

### The Million Hearts page on its Cardiac Rehabilitation Change Package says the American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR) was a partner in developing the package, and that it lists process improvements that cardiac rehabilitation teams can make to raise the use of cardiac rehabilitation.

- Category: Description
- Evidence stage: Guidance
- Certainty: Certainty not assessed
- Applies to: Recipient: Recipient not specified; Population: The United States population; the initiative also focuses on groups experiencing inequities.; Care setting: National public health initiative.; Geography: United States; Life stage: Not stated in the source; Gestational age: Not reported; Postnatal age: Not reported; Follow-up: The current vision runs from January 2022 to December 2026.
- Limitations: This is the initiative's description of its own toolkit on a CDC-managed web page. It reports no results and is not evidence that any listed change works. The page's reuse terms were not read, so the page is cite-only and no wording from it is used here.
- Last checked: 2026-10-15
- Sources:
  1. Supports: Cardiac Rehabilitation Change Package (Second Edition) (Million Hearts) (Webpage, edition Page fetched 2026-10-15. The page carries the line Last Reviewed: February 21, 2024. It describes the second edition, published in 2023.) <https://millionhearts.hhs.gov/tools-protocols/action-guides/cardiac-change-package/index.html>
     Locator: What Is the CRCP, para 1 (partnership). Retrieved 2026-10-15T13:49:15Z. Source state: Current. Snapshot hash: 501244e34fd804d9c585c06f2d6b689e9eae3e7f22c649ed5d3ab17f52ba6597.
     How it applies: The partnership and the purpose of the package.

## Connected pages

- Hospital toolkit: Low participation in cardiac rehabilitation among eligible patients (`cardio:bottleneck-low-cardiac-rehab-participation`)
- Developed in partnership with this association, according to the Million Hearts page: American Association of Cardiovascular and Pulmonary Rehabilitation (`cardio:aacvpr`)
- Related to: Million Hearts (`cardio:million-hearts`)

## Provenance

Content hash: d7254917a429bcb26e08ee86acf1436aeff252389d6c5990d4444cb2fa9d9638
Last substantive edit: 2026-10-15
Evidence last checked: 2026-10-15