Review of Cardiovascular Disease Programs

4.2 Summary of recommendations

Summary of recommendations - A Review of Cardiovascular Disease Programs

Page last updated: 03 May 2012

Summary of recommendations
Recommendation NSIF Linked Strategies or Reform Initiatives Accountable Bodies
Foundation Recommendations
F1 Use the National Health and Medical Research Council (National Institute of Clinical Studies) to manage the development and review of new and existing national clinical practice guidelines for CVD. All components Australian Government

National Health and Medical Research Council (NHMRC)
F2 Work strategically with the National Institute of Clinical Studies (NICS) within NHMRC to improve uptake of nationally standardised clinical guidelines across general practice, acute and community care. All components e-Health Australian Government

NHMRC/NICS

NEHTA

Jurisdictions

Health Services

Professional & Peak bodies
F3 Support the work of the Australian Commission for Safety and Quality in Health Care (ACSQHC) to validate its draft Operating Principles and Technical Standards for Australian Clinical Quality Registries. All components National Primary Health Care Strategy

National Health and Hospitals Reform Commission
Australian Government

ACSQHC

Jurisdictions

Professional bodies

Private health insurers
F4 Develop an implementation plan for general practice to support the implementation of Absolute Risk Assessments (ARA) to identify people at risk of heart disease, stroke, diabetes, and kidney disease and then address their risk factors through a program involving on-going management. Reduce Risk

Early detection, care and support of people with heart, stroke and vascular disease.
National Primary Health Care Strategy

National Health and Hospitals Reform Commission
Australian Government

GP Peak bodies and related organisations
F5 Hospitals to be required to undertake and report on the results of audits of CVD services, in particular heart attack and stroke, in both acute clinical care and post-acute care so that each is occurring once every two years. All components Review of accreditation processes through the ACSQHC Jurisdictions

Private health insurers

Private Hospitals

Hospital accreditation bodies
F6 Investigate the benefits of including CVD risk factors in a national health survey and investigate the benefits and costs of including biomedical risk assessments such as blood and urine collection and analysis. All components National Preventative Health Taskforce Australian Government

Australian Institute of Health and Welfare

Australian Bureau of Statistics
F7 Include specific CVD indicators, including ARA, in datasets for national and jurisdictional performance accountability frameworks. Reduce Risk National Health and Hospitals Reform Commission Australian Government

Jurisdictions
Group 1 Primary Prevention
1.1 Develop a government/industry/NGO partnership to achieve population wide reductions in saturated fat and dietary salt intake in the Australian context. Reduce Risk National Primary Health Care Strategy

National Health and Hospitals Reform Commission

National Preventative Health Taskforce
Australian Government

NGO’s

Australian Food and Grocery Council
1.2 Support the work of the National Preventative Health Taskforce in developing national policy and strategy to improve nutrition and reduce alcohol and tobacco consumption, with a focus on reducing lifestyle related risks in socially and economically disadvantaged populations. Reduce Risk National Preventative Health Taskforce Australian Government

Jurisdictions
Group 2 Addressing Indigenous health and socio-economic disadvantage
2.1 Implement culturally oriented and effective CVD rehabilitation within Indigenous communities, within mainstream and Aboriginal specific health services. Best long term care and support National Primary Health Care Strategy

COAG National Indigenous Reform Agenda
Australian Government

Jurisdictions

Aboriginal health peak bodies
2.2 Support the implementation within jurisdictions of national strategies and guidelines to address low intervention rates for Indigenous people presenting to hospital with heart disease and stroke. Best care and support for acute episodes National Health and Hospitals Reform Commission Jurisdictions

Aboriginal health peak bodies
2.3 Develop specific strategies to address poorer outcomes and lower intervention rates for people with higher levels of social and economic disadvantage. Early detection, care and support of people with heart, stroke and vascular disease.

Best care and support for acute episode

Best long term care and support
National Health and Hospitals Reform Commission Australian Government

Jurisdictions
Group 3 Primary Health Care & Community Support
3.1 Test a range of linked strategies to improve the management of patients with cardiovascular disease, involving all health sectors (General Practice, public health services, NGO’s, other private providers) within identified communities. Early detection, care and support of people with heart, stroke and vascular disease.

Best care and support for acute episodes

Best long term care and support
National Health and Hospitals Reform Commission

National Primary Health Care Strategy
Australian Government

Australian General Practice Network (AGPN)

Australian Primary Care Collaboratives

Jurisdictions

Private Health Insurers
Group 4 Acute Care
4.1 Establish comprehensive stroke services covering acute, post-acute and rehabilitation care at every hospital admitting more than 200 acute stroke patients per year and in relevant smaller hospitals and strengthen networked access to Stroke Care Units for rural hospitals. Best care and support for acute episodes Jurisdictions

Hospital Accreditation Bodies
4.2 Support public education campaigns to help people recognise the warning signs of CVD and seek emergency treatment. Early detection, care and support of people with heart, stroke and vascular disease. Australian Government

Jurisdictions

NGO’s
Group 5 Community Awareness of Risk
5.1 Support an adequately resourced education campaign to increase awareness of high blood pressure and the importance of Absolute Risk Assessment (ARA) in the community and encourage people to seek ARA from their GP. Reduce Risk National Preventative Health Taskforce Australian Government

NGO’s
Group 6 End of Life Care
6.1 Use standards defined under the National Palliative Care Strategy to review existing palliative care services in order to assess and improve their capacity to provide appropriate care and timely access to those with end stage CVD Best care in the advanced stages National Health and Hospitals Reform Commission Jurisdictions

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