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Traditionally, cardiac rehabilitation programs are conducted in hospital or health care facilities. However, low participation and high dropout rate within the first six months have resulted in alternatives for hospital based programs. A combined hospital and university program utilizing both hospital medical and university staffs provides opportunities for research interaction, student training, and a greater cost effective approach to rehabilitation. With new technology in transtelephonics, exercise monitoring of patients exercising at the university would be monitored at the hospital. Exercise prescriptions, education, and counseling could be jointly developed by hospital and university staff using physical therapy, nursing, nutrition, exercise science, health, and psychology programs. Students get valuable training in patient care. The hospital would be responsible for billing and collection of revenue to be shared by both facilities.