JCHC wellness coordinator, Julia Bettinger, organizes and directs programs, people, and activities to achieve the goal of the best mental and physical health possible.

Cardiac Rehabilitation

Julia Bettinger is the JCHC Cardiac Rehabilitation Coordinator. Cardiac Rehabilitation (cardiac rehab) is a professionally supervised program that helps people recover from heart attacks, percutaneous coronary intervention (PCI), procedures such as stenting , angioplasty or heart surgery.

What Does Cardiac Rehab Involve?

Cardiac rehab doesn’t change your past, but it can help you improve your heart’s future. It’s a medically supervised program designed to help improve your cardiovascular health if you have experienced heart attack, heart failure, angioplasty or heart surgery. Think of cardiac rehab as three equally important parts:

  • Exercise counseling and training: Exercise gets your heart pumping and your entire cardiovascular system working. You’ll learn how to get your body moving in ways that promote heart health.
  • Education for heart-healthy living: Managing your risk factors, choosing good nutrition, quitting smoking…education about heart-healthy living is a key element of cardiac rehab.
  • Counseling to reduce stress: Stress hurts your heart. This part of rehab helps you identify and tackle everyday sources of stress.

Cardiac Rehab is a Team Effort

You don’t need to face heart disease alone. Cardiac rehab is a team effort. It’s a medically-supervised program in which you partner with your doctors, nurses, pharmacists — plus family and friends — to take charge of the choices, lifestyle and habits that affect your heart.

  • Ask your doctor if you are eligible for cardiac rehab.
  • If you are eligible for cardiac rehab, register for JCHC’s program.
  • In consultation with your medical team, set some heart-health goals and create a cardiac rehab plan.
  • Take an active role in your care to achieve your goals.
  • Keep taking your medicines correctly.
  • Call 911 if you experience new or worsening symptoms.

A wellness coordinator's scope may be relatively small and involve only the employees of a company or department.

In other cases, her range of influence may cover an entire community, town, or city. In either case, the ability to educate and inspire people to recognize the rewards of good health and work toward achieving those goals is vital to the success of a wellness coordinator.

Julia Bettinger and Mike Johnson

Julia Bettinger~

holds a Master's Degree in Kinesology and is the Wellness Coordinator at JCHC.  Along with directing community and employee health and wellness programs, Julia offers pulmonary and cardiac rehabilitation in her suite at JCHC.


Mike Johnson~

is a Respiratory Therapist who works in concert with Julia Bettinger to instruct and teach patients about how to improve pulmonary health.  this includes breathing techniques, education and understanding medications.  This is part of a comprehensive approach to pulmonary rehab.

Our Cardiopulmonary services include:

  • 12-lead EKGs: Electrocardiograms (EKGs) record electrical activity in the heart to evaluate the muscle’s strength
  • Holter monitoring and scanning: a 24 or 48-hour test to diagnose cardiac arrhythmias
  • Cardiac stress testing: a cardiac test using a treadmill to diagnose cardiac abnormalities
  • Cardiac rehabilitation: a 12-week program of education and exercise for people who have heart-related issues
  • Nebulizer therapy: A medication inhaled through the mouth and nose to treat asthma
  • Oxygen delivery: A direct dosage of oxygen for patients who are having difficulty breathing
  • Pulmonary function testing: diffusion and breathing tests used to diagnose lung diseases such as asthma, emphysema or bronchitis
  • Asthma education: a comprehensive program to educate about triggers, disease severity, components of the airway, managing symptoms, maintenance and acute medications
  • COPD education: An educational course teaching patients diagnosed with chronic obstructive pulmonary disease various ways they can improve lung function and quality of life


Pulmonary rehabilitation is a program of exercise, education, and support to help you learn to breathe—and function—at the highest level possible.

At pulmonary rehabilitation you’ll work with a team who will help you improve your physical condition. You will also learn how to manage your lung condition so that you will stay healthy and active long after you complete the course.

In order to qualify for pulmonary rehabilitation, you must be referred by your doctor.

Your rehabilitation team will take a complete health history, talk with you about your current level of activity, and help you set goals for what is most important to you. You will walk as they monitor your heart rate, blood pressure and oxygen level. Don’t worry if you can’t walk very far! Pulmonary rehabilitation professionals are experts at working with people with severe shortness of breath, and they’ll make sure you’re safe.

You may only be able to start out exercising at a slow pace, even for only a minute or two. That’s okay. If you need supplemental oxygen you can use it. Your oxygen level, heart rate, and blood pressure will be monitored so you can exercise safely and effectively. You will be surprised at how much you can accomplish!

At pulmonary rehabilitation, you will also learn about: breathing techniques, medications, nutrition, relaxation, oxygen, travel, how to do everyday tasks with less shortness of breath, and how to stay healthy and avoid COPD exacerbations. You’ll also learn how to cope with the changes that often come with COPD - depression, panic, anxiety, and others.