The Health Roundtable1-1c_HRT1215-Session_TIBBY_TPCH_QLD

Changing Traditional Cardiac Rehabilitation to:

AA Consumer Partnership in Consumer Partnership in Cardiac Risk ManagementCardiac Risk Management

Presenter: David TibbyThe Prince Charles Hosp Qld

Innovation Poster SessionHRT1215 – Innovation AwardsSydney 11th and 12th Oct 2012

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The Health Roundtable

KEY PROBLEM

The 60’s Model of Cardiac Rehabilitation evolved over 40 years ago

Then patients were admitted for 10-14 days following an MI. Treatment was more simple

We had a captive audience and were able to teach both patients and their families about cholesterol, diet, exercise

Only16% of all people discharged from acute services within Australia uptake Cardiac Rehabilitation in the community

SOMETHINGSOMETHING IS WRONG WITH THE MODEL IS WRONG WITH THE MODEL2

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AIM OF THIS INNOVATION

Redefine realistic contemporary goals -define where the duty of care finishes and community responsibility begins

Provide a climate for informed decision making - Without costing more time

Transfer appropriate responsibility to the community by a partnership

A small $$$$$$ and resource outlay in Program terms

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BASELINE DATA

Although the beneficial effects of cardiac rehabilitation have been shown, participation and adherence remain sub-optimal. Surveys across a number of countries have shown 14-43% of potential cardiac patients participate in rehabilitation programs. Davies P, Taylor F, Beswick A, Wise F, Moxham T, Rees K, Ebrahim S. Promoting patient uptake and adherence in cardiac rehabilitation. Cochrane Database of Systematic Reviews 2010, Issue 7. Art. No.: CD007131. DOI: 10.1002/14651858.CD007131.pub2.

Only approx. 16% of all people discharged from acute services within Australia uptake Cardiac Rehabilitation in the community

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KEY CHANGES IMPLEMENTED

Cardiac Rehabilitation Preference Form brochure offers cardiac rehabilitation information for the client as well as a

preference form used to assess and progress their cardiac rehabilitation requirements.

A short movie is screened on the hospital rolling education television channel that covers PCI, Heart Failure, and 4 stories of cardiac rehab.

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KEY CHANGES IMPLEMENTED

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ADD IN WAV FILE OF VIDEO

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OUTCOMES SO FAR

The Model of Care has just been implemented

We are still developing electronic referral to the community through the electronic Discharge Summary

We will continue a phone service in the acute discharge phase

We will be conducting a correlational study with another major tertiary referral centre to research: educational efficacy and reported behavior change

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LESSONS LEARNT

Assemble all of the Service Model before implementation

Rigorous stake-holding with all

Partner with your community

Feedback any research or quality

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