Review of Cardiovascular Disease Programs

Queensland

Queensland - Appendix D - Jurisdictional Responses - Review of Cardiovascular Disease Programs

Page last updated: 03 May 2012

The following table provides an overview of the reported programs and strategies.

Table 7. Overview of jurisdictional programs and strategies
Programs / Strategies Overview Critical Intervention Points 101
ProActive Heart Trial Pilot. An evidence-based telephone delivered disease management program for the secondary prevention of coronary heart disease to reduce hospital utilisation in patients with coronary heart disease.
  • Reduce risks
Go for 2 & 5 A 4 year fruit and vegetable social marketing campaign which commenced in October 2005. It aims to help reduce the risks of obesity, poor nutrition and chronic disease through the state. Partners from the fruit and vegetable industry and non-government sector have licensed into the campaign, extending its reach and impact. In addition, a dedicated Aboriginal and Torres Strait Islander Go for 2&5 campaign will start in late 2008. To achieve this, the multifaceted campaign incorporates advertising, promotional activity, online information, media and local community initiatives. Final evaluation data not available until mid 2010.
  • Reduce risks
Lighten Up to a Healthy Lifestyle A 2 month group program for adults at risk of chronic disease. The program promotes healthy eating, physical activity, self esteem, stress management and long-term weight management. The program comprises six two-hour group workshops and three individual appointments for measurements and goal setting.
  • Reduce risks
Living Strong People for Aboriginal and Torres Strait Islander Communities Living Strong is a healthy lifestyle group-based program for Aboriginal and Torres Strait Islander communities, formerly known as the Healthy Weight Program. The Program encourages participants to seek a healthy lifestyle through good nutrition and physical activity and teaches them life skills to be able to do this in their daily lives. Living Strong includes optional health screenings and up to 12 workshops developed to suit community and local needs.
  • Reduce risks
Rheumatic Heart Disease Register and Control Program in Queensland Funding proposal for a Rheumatic Heart Disease Register and Control Program in Queensland submitted to Australian Government's Department of Health and Ageing Chronic Disease Branch on Friday, 21/11/08. The register supports the monitoring and recall of patients with or at risk of Acute Rheumatic Fever / Rheumatic Health Disease; and to develop and implement ongoing initiatives to improve program coordination, improve patient self management, primary care worker training and community education and health promotion activities.
  • Reduce risks
  • Early detection
Medical Specialist Outreach Program Multidisciplinary cardiac teams visit multiple rural and regional sites monthly to quarterly to run cardiac outpatient clinics and conduct staff training.
  • Early detection
  • Acute episode
  • Long term
Medical support for heart failure services This program is designed to improve patient access to heart failure speciality advice and to train and support local staff in providing the best evidence care. The pilot site was at Nambour, with additional sites at Roma and Bundaberg. Plans are to use this model at other sites.
  • Acute episode
Inpatient Cardiac Rehabilitation Programs This program is designed to assist patients understand the disease process, identify their modifiable risks for heart disease and begin to focus on modifying risks, assist in return to active lifestyle and help patients deal with the event.
  • Early detection
Field Triage Program This program was initiated by Queensland Ambulance Service for patients with chest pain symptoms to identify individuals with ST elevation myocardial infarctions. This triage identifies individuals who would be candidates for field thrombolysis or immediate transfer to alerted participating cardiac catheter laboratories so that the primary Percutaneous Coronary Intervention (PCI) for the management of acute myocardial infarction can be undertaken. Trialled at Gold Coast, Royal Brisbane & Women's Hospital and The Prince Charles Hospital.
  • Acute episode
Exercise benefits for patients in a heart failure disease management program This is a Random Controlled Trial evaluating the benefits of exercise on readmissions, mortality and depression.
  • Long term
Heart Failure Disease Management Programs 22 Heart Failure Disease Management Programs have been established in Queensland. Specialised heart failure nurse and allied health in the hospital and the community work together to provide care that involves: patient education, medication titration facilitation, self-management strategies, pharmacy review and improved communication between community services and general practitioners.
  • Acute episode
  • Long term
Happy Hearts Phase 3 cardiac rehabilitation
  • Long term
Cardiac Rehabilitation Phase 2 and 3 cardiac rehabilitation
  • Long term
Cardiac Rehabilitation Phase 1 and 2 cardiac rehabilitation
  • Long term
Cardiac Rehabilitation Outpatient Programs 45 Multidisciplinary programs are running out of Public Community Health and hospitals and 7 programs run out of private facilities. The model of care varies to suit the location and client group eg: exercise and education, education only, fast track, rural home type programs. Programs are based on the Australian Cardiovascular Heath and Rehabilitation Association (ACRA) Guidelines for Cardiac Rehabilitation.
  • Long term
Chest Pain Attack Media Campaign $350,000 to Heart Foundation Queensland for Chest Pain Attack Media Campaign
  • Acute episode
Heart Failure telehealth clinic between Nambour and TPCH Pilot Trial of a heart failure telehealth clinic between Nambour Hospital and The Prince Charles Hospital in Brisbane. The rationale of the clinic is to test the concept of providing medical services remotely. Currently seeing about 8 clients per clinic. Now includes Roma and Princess Alexandra Hospital.
  • Acute episode
Improved Primary Health Care Initiative Multidisciplinary cardiovascular / chronic disease outreach clinics addressing prevention and treatment of chronic disease.
  • Reduce risks
  • Early detection
  • Acute episode
  • Long term
Telephone Based Self-Management Approach Project This project is in the process of developing a telephone-based approach to selfmanagement, targeting avoidable admissions to public hospital. Telephone-based cardiac rehabilitation will be a key component of this service.
  • Long term
Indigenous Health Worker positions for cardiology and cardiac rehabilitation Indigenous Health Worker positions for cardiology and cardiac rehabilitation have been created for Thursday Island, Cairns Base Hospital, Townsville Hospital and Mt. Isa. These positions develop stronger partnerships with the Indigenous health sector, improve inpatient education, discharge planning and coordination of ongoing follow-up care.
  • Reduce risks
  • Early detection
  • Acute episode
  • Long term
Referral to Cardiac Clinics Entry for non acute cardiac patient referral to cardiology services.
  • Early detection
  • Long term
Cardiac Investigation Service Referral point for cardiac investigations (ie. echo, exercise stress test).
  • Acute episode
Electrophysiology Service Five hospitals provide onsite electrophysiology service - Royal Brisbane & Women's, Princess Alexandra, Logan, The Prince Charles and Gold Coast Hospitals.
  • Acute episode
Cardiac Catheter Laboratories Diagnostic and interventional procedures performed include: Coronary Angiogram; Percutaneous Coronary Intervention; Right & Left Heart Studies; Insertion of temporary and permanent pacemakers; and Insertion of Intra Aortic Balloon Pumps. There are Cardiac Catheter Laboratories located at Cairns, Townsville, Princess Alexandra (3), The Prince Charles and Royal Brisbane & Women's, and Gold Coast Hospitals (1)
  • Acute episode
Queensland Centre for Congenital Heart Disease The Queensland Centre for Congenital Heart Disease provides diagnosis and treatment for neonates, infants, children and adolescents with congenital heart disease.
  • Early detection
Statewide Heart Failure Service RBWH and TPCH joined forces in 2006 to establish this service to better serve the needs of these patients and reduce unnecessary readmission to hospital. The Service takes a multidisciplinary team approach including input from three specialised heart failure nurses; 2 exercise specialists, pharmacists and administration support. The service offers inpatient review, phone follow up, outpatient clinics, medication titration clinics in liaison with consultant physicians and cardiologists, home visits and a 12-week multidisciplinary rehabilitation program. An optional 12-week maintenance program is an additional service available to patients to provide ongoing monitoring and to further enhance physical improvements made.
  • Acute episode
  • Long term
Phase 2 cardiac rehabilitation and education service Queensland Health has a Deed with the University of Sunshine Coast to provide Phase 2 cardiac rehabilitation and education service and to undertake research in this field. Students of the University participate in the Service.
  • Long term
Indigenous cardiac rehabilitation services / programs Cardiac rehabilitation services/programs have been established for Aboriginal and Torres Strait Islander people at Wuchopperen Aboriginal Health Service in Cairns and in the Aboriginal community of Yarrabah. Wuchopperen has Australia's first Indigenous Cardiac rehabilitation coordinator. Partnership between Queensland Health and community controlled health services.
  • Long term
Palliation of heart failure The project is using a combined cardiology and palliative care model to support patients in the last year of life.
  • Long term
  • Advanced care
Education scholarships for post graduate training (nursing and allied health) 6 scholarships for nurses funded per year.
  • Reduce risks
  • Early detection
  • Acute episode
  • Long term
  • Advanced care
Pilot Cardiac Rehabilitation for Indigenous Communities (CRIC) 4 Pilot training workshops were conducted for multidisciplinary staff working in Indigenous communities in the Cairns, Cape and Torres regions. Follow up support was provided to facilitate the implementation of models of cardiac rehabilitation for each pilot site.
  • Long term
Cardiac training program for Indigenous Health Workers Cardiac training program for Indigenous Health Workers through Cunningham Centre, Toowoomba
  • Reduce risks
  • Early detection
  • Acute episode
  • Long term
  • Advanced care
Cardiac Scientist upskillingand training Training for and up-skilling of Cardiac Scientists
  • Acute episode
Transition Program for Registered Nurses Transition to tertiary education or a professional development tool, utilised by nursing staff.
  • Reduce risks
  • Early detection
  • Acute episode
  • Long term
  • Advanced care
Cardiac education and training initiatives One-off funding ($150,000) to the Heart Foundation for a number of cardiac education and training initiatives, to be delivered across the state, including development of a training and education package for health professionals' use of resources integral to patient management. Includes developing a training and education package for health professionals in how My Heart My Life, Managing My Heart Health and Living Well with Chronic Heart Failure are integral to patient management.
  • Reduce risks
  • Early detection
  • Acute episode
  • Long term
Hospital to Home Heart Failure Training Program This program is designed to support the heart failure disease management programs.
  • Acute episode
St. Andrews Cardiac Rehabilitation Training Facilitators Course (3 days) This program is designed to assist those setting up outpatient programs and covers areas such as exercise prescription, funding, etc.
  • Long term
Cardiac Rehabilitation Training Course (7 days) This extensive cardiac rehabilitation course is the primary training course for those working in cardiac rehabilitation. Long term
Cardiac Rehabilitation Workshop This 2 day workshop was the first for Princess Alexandra Hospital and aimed to be an education and/or refreshers well as a networking opportunity for those people working in regional, rural and remote areas as well as within the city of Brisbane.
  • Long term
Heart Failure Allied Health education PAH heart failure team ran courses at Roma & Charleville. RBWH ran course at Bundaberg and Rockhampton.
  • Acute episode
Heart Failure Training programs Local training of nurses, allied health and GPs in 16 sites across Queensland.
  • Acute episode
Statewide Cardiac Clinical Network The Network was initiated in June 2006 and consists a multidisciplinary collaboration of clinicians who share a common goal for a coordinated statewide approach to identify gaps between evidence and practice in order to improve patient care. The Network addresses service improvement, planning and delivery of services and associated workforce issues. It is an advocate to promote consistency of Queensland Health strategies and plans with other key initiatives and to collaborate and negotiate with senior stakeholders to facilitate the implementation of statewide clinical service changes.
  • Reduce risks
  • Early detection
  • Acute episode
  • Long term
  • Advanced care
Clinical Services Capability Framework - Cardiac Services Module Development of a cardiac services module for 'Queensland Health Clinical Services Capability Framework (CSCF) for Public and Licensed Private Health Facilities 2005' by Planning and Coordination Branch. The CSCF provides a standard set of capability requirements for public and private hospitals, provides consistent services planning descriptors and encourages explicit risk management procedures where services do not meet minimum patient safety requirements. This cardiac services module will include review of minimum requirements for Coronary Care Units, cardiac medical services, cardiac surgical services, cardiac intervention/radiology services adaptations within the six levels and cardiac rehabilitation.
  • Acute episode
  • Long term
  • Advanced care
Heparin Intravenous Infusion Order and Administration form A standardised Heparin Intravenous Infusion Order and Administration form has been developed and implemented state-wide in Queensland Health hospitals.
  • Acute episode
Guidelines for anticoagulation using Warfarin Standardised guidelines for anticoagulation using Warfarin has been developed and implemented state-wide in Queensland Health hospitals.
  • Acute episode
Warfarin Section of the National Inpatient Medication Chart Standardised Warfarin section of the National Inpatient Medication Chart developed and implemented state-wide in Queensland Health hospitals.
  • Acute episode
Generic Skills Competency Assessment Tool for Cardiac Nurses Development and implementation of Generic Skills Competency Assessment Tool for nurses in cardiac areas
  • Acute episode
State-wide Chest Pain and Acute Coronary Syndrome Pathways State-wide Chest Pain and Acute Coronary Syndrome Pathways have been developed by Clinical Practice Improvement Centre. These pathways are standardised, evidence-based multidisciplinary management plans which identify an appropriate sequence of interventions, timeframes, milestones and expected outcomes for a homogenous patient group.
  • Acute episode
Heart Failure Pathway Currently being developed by the State-wide Heart Failure Services Steering Committee.
  • Acute episode
Primary Clinical Care Manual The Primary Clinical Care Manual (PCCM) provides clear and concise clinical care guidelines and health management protocols in accordance with the Health (Drugs and Poisons) Regulation 1996, especially for endorsed Registered Nurses, Authorised Indigenous Health Workers, Nurse Practitioners and Isolated Practice Area Paramedics, Sexual and Reproductive Health endorsed health professionals.
  • Reduce risks
  • Early detection
  • Acute episode
  • Long term
  • Advanced care
Chronic Disease Guidelines The Chronic Disease Guidelines (CDG) has been developed to guide the health practitioner in providing best practice prevention, early detection and management of chronic disease. The PCCM and CDG are developed through partnership between the Royal Flying Doctor Service (Queensland) and Queensland Health.
  • Reduce risks
  • Early detection
  • Acute episode
  • Long term
  • Advanced care
Audit Best Practice for Chronic Disease (ABCD) National action research framework supporting health services to develop continuous improvement approaches to strengthen systems for prevention and management of chronic illness.
  • Acute episode
  • Long term
  • Advanced care


101 Inferred from provided information


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