For Clinical Partners
My Heart Fitness gives clinical teams the infrastructure to prescribe, support and monitor structured exercise between visits, without requiring physicians to manage the entire exercise pathway during the clinical encounter.
Patients receive individualized exercise support. Clinical teams receive visibility into adherence, exercise dose and longitudinal progress.
Where MHF Fits
Cardiology + Specialty Care
MHF supports structured exercise prescription, patient self-management, behavioural engagement and longitudinal monitoring while the specialist maintains clinical oversight.
Primary Care + Internal Medicine
A practical pathway for patients with hypertension, dyslipidemia, diabetes, obesity, deconditioning, reduced functional capacity and multiple cardiovascular risk factors.
Cardiac Rehabilitation
Support education and self-management between encounters, reinforce prescribed exercise, and strengthen connections among the patient, rehabilitation program and referring team.
MHF is designed to complement existing clinical care, not replace it.
The Infrastructure Gap
Healthcare has spent decades advocating for exercise as part of routine medical care. Yet five practical barriers continue to get in the way.
What MHF Does
MHF provides exercise infrastructure, behavioural support, patient education and longitudinal follow-up. The clinician does not need to turn every office visit into an exercise-management encounter.
Identify the appropriate patient. Maintain clinical oversight. Let MHF support what happens between visits.A highly efficient structured workflow generates individualized prescriptions informed by baseline exercise, functional capacity, musculoskeletal limitations, symptoms, cardiovascular and safety considerations, time constraints, motivation, behavioural barriers and preferred modalities.
The workflow is designed to generate a prescription within seconds while preserving clinician review and the ability to modify or override recommendations.
Exercise-dose tracking, targeted education, progress feedback, behavioural support, reinforcement and accountability help patients act between visits. Teams retain visibility into learning, engagement and progress.
Exercise doseHow much structured exercise is completed.
AdherenceWhether the patient initiates and maintains the pathway.
TrajectoryWhether behaviour progresses, fluctuates, plateaus or disengages.
Education + engagementHow the patient participates in prevention.
MHF is designed to work within existing infrastructure and may support applicable reimbursement, care-management, service-agreement and practice-based payment models depending on jurisdiction. U.S. workflows may align with Chronic Care Management when all patient, clinical, documentation and billing requirements are met.
It may also complement cardiometabolic treatment pathways, including supporting fitness, function, muscle preservation and sustained health for patients receiving GLP-1 therapy.
MHF adds a measurable exercise-care pathway between visits.The Behavioural Edge
MHF focuses on what happens when time, motivation, fear, pain, limitations, competing priorities or loss of momentum interfere.
Teams can recognize when support may be needed before exercise disappears from the care plan.
Exercise as a Measurable Dose
MHF translates structured exercise into a longitudinal dose. Patients can see what they are achieving; clinical teams can monitor how it changes over time.
Behavioural support around that dose turns an abstract recommendation into something patients can understand, follow and work toward.
79% six-month program adherence**Within the longitudinal analytic cohort of 944 participants.
Across the Care Continuum
Incorporate structured exercise into longitudinal cardiovascular and cardiometabolic management without personally delivering ongoing support. Particularly relevant for sedentary or higher-risk patients with established disease, risk factors, reduced capacity or persistent inactivity.
Move beyond repeated advice to “exercise more” by helping patients initiate, measure and sustain structured exercise while progress remains visible to the clinical team.
Reinforce between-session self-management, engagement and monitoring; strengthen physician-CR continuity; and provide post-rehabilitation support. MHF may also serve appropriate patients who cannot access, are ineligible for, decline or are awaiting rehabilitation.
The goal is to strengthen the exercise-care continuum, not replace cardiac rehabilitation.Beyond Exercise
In published research following participation in the MHF comprehensive lifestyle program, 88.4% reported improved cholesterol and/or statin knowledge-perceptions, while 48.2% reported increased receptivity toward statin therapy.
This does not establish improved statin uptake or adherence. It suggests that structured lifestyle change may create an educational and motivational entry point into broader cardiovascular prevention.
Read the American Journal of Lifestyle Medicine studyWhat Patients Have Told Us
Across patient feedback, five themes consistently describe what helps structured exercise become sustainable.
Regular check-ins help patients stay on track.
Visible progress can reinforce the motivation to continue.
Patients learn the difference between general activity and intentional exercise.
Education supports confidence in cardiovascular self-management.
Patients build skills intended to last beyond the formal program.
Why It Matters
See initiation and adherence.
Extend the plan beyond scheduled encounters.
Identify plateauing or declining behaviour sooner.
Review exercise dose, adherence and trajectory.
Address barriers that determine success.
Strengthen continuity across the care team.
Make exercise part of longitudinal care rather than a one-time recommendation.
Built Inside Real-World Cardiovascular Care
The earlier MHF clinical model supported more than 3,019 patients through more than 20,000 clinical interactions, creating longitudinal visibility into how patients initiate exercise, progress, fluctuate, plateau and disengage.
79% six-month adherence* · 944 longitudinal participants
View Our Clinical EvidenceBuilt by a Cardiologist
Founded by Dr. David Alter, MD, PhD, GEMBA, a practicing cardiologist, cardiovascular outcomes scientist and Associate Professor of Medicine at the University of Toronto.
If exercise matters enough to recommend, it should matter enough to follow.
Why Partner Now?
We are building an early network of primary care, specialty-care and cardiac rehabilitation partners to define real-world integration across health systems and markets.
Define selection, workflow, reporting and care-team roles.
Help shape the evolution of the clinical model.
Explore research, conferences and collaboration.
Qualifying partners may receive waived implementation fees and preferred patient pricing.
Learn where MHF creates value within your care model.
We do not want to tell you how MHF creates value for your organization. We want to learn that with you.
What Could This Look Like?
Begin with a defined group of appropriate patients. MHF can support prescription, education, engagement, self-management, monitoring and clinician-facing reporting while your team maintains the clinical role.
Together, we can define patient selection, referral workflow, responsibilities, safety oversight, reporting, reimbursement, integration and measures of value.
Explore a Clinical PartnershipFor primary care, specialty practices, cardiac rehabilitation programs, physician groups and health systems.FAQ
No. MHF was designed from cardiovascular care, but primary care, internal medicine, other specialty practices and rehabilitation programs face the same longitudinal support challenge.
No. MHF complements rehabilitation through education, self-management, behavioural engagement and longitudinal visibility between and after encounters.
The initial focus is insufficiently active or sedentary patients with established or elevated cardiovascular or cardiometabolic risk who need more than general advice.
Your team identifies appropriate patients and maintains oversight. MHF provides ongoing infrastructure, education, behavioural support, monitoring and reporting.
Concise clinician-facing information around exercise dose, adherence, engagement and longitudinal trajectory.
Yes. It can reinforce self-management, support engagement, extend monitoring and provide continuity after formal rehabilitation.
No. MHF supports the clinician-patient relationship and does not replace assessment, professional judgment, diagnostic evaluation or emergency care.
Depending on patient, jurisdiction and care model, workflows may align with reimbursement or care-management pathways. Eligibility, documentation, coding and billing remain specific to each setting.
Ready to Make Exercise Visible Between Visits?
Give patients the infrastructure to follow through. Give clinical teams the visibility to know what happens between visits. Connect exercise to the broader care pathway.
