the health roundtable 1-1c_hrt1215-session_tibby_tpch_qld a consumer partnership in cardiac risk...
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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
The Health Roundtable
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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The Health Roundtable
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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The Health Roundtable
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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