1 / 25

Integrating AMI Care Across a Healthcare Service System

Integrating AMI Care Across a Healthcare Service System. Safer Healthcare Now National WebEx October 19 th , 2009 Diane Shanks and Leila Lavorato. Regionalization. Occurred in 1995 Influenced “systems” approach to care delivery Identified gaps

carol
Download Presentation

Integrating AMI Care Across a Healthcare Service System

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Integrating AMI Care Across a Healthcare Service System Safer Healthcare Now National WebEx October 19th, 2009 Diane Shanks and Leila Lavorato

  2. Regionalization • Occurred in 1995 • Influenced “systems” approach to care delivery • Identified gaps • Provided opportunities to address gaps through collaborative approach and processes

  3. Program Management • Regional administrative and quality oversight • Facilitated the standardization of policies, protocols, and equipment • Facilitated a regional approach to data collection/management and analysis • Provided clinical expertise • Provided a strong collaborative network of clinical experts to support a health “system” approach to care

  4. Multidisciplinary Committee • Membership included key departments/services/individuals influencing care delivery to the AMI patient population • Representation from across the continuum from pre-admission to community care • Regional representation

  5. Strategies • Clinical Pathway • Standardized physician order sets/forms • Staff education and training • Indicator collection and analysis

  6. Performance/Quality Indicators • Challenges of data collection • Multiple sources/care environments/sites • Resource limitations • Timeliness • Variety of indicators required • Utilization • Quality • Performance

  7. Approach and Heart Alert • Electronic databases for the collection of clinical data of acute coronary syndrome patients admitted to a healthcare facility for coronary care and procedures • Established in Alberta, but has expanded across Canada

  8. Approach and Heart Alert • Provided the opportunity: • to capture data in one system • to contribute to Provincial/National database • to improve the continuity and timely exchange of vital patient information between referral regions

  9. Implementation • Developed processes for data collection and entry in a timely manner • Implemented region wide • Implemented within current resources • Developed (with the support of Approach resources) administrative reports for our own organizational purposes • Implemented October 1, 2007

  10. BUILDING HEALTHY LIFESTYLES CARDIAC REHAB PROGRAMOur Patient’s JourneyPresented October 19, 2009Leila Lavorato

  11. Referral • Automatic - ACS pathway • Health Care provider • Self / Family • Initial Intervention • Inpatient visit / introduction • Education Package • Intervention screening

  12. Education Series • Heart CHEC • “What Now?” • “What Next?” • BHL Class Calendar – free, no referral needed • Generic • Disease specific topics • Assessment • Program Nurse • Coaching model / Motivational interviewing • Set SMART goals / Develop action plans • Consult programs / services

  13. Exercise testing/screening • BHL program referral / Pre Requisite / Physician approval • Pre Testing / Screening • 6 Minute Walk Test • Timed Up and Go • Body Composition • Establish Exercise Level I, II, III • Identify activity tolerance / physical limitations • Determine Site or Home based

  14. Exercise programming • COMMUNITY SITE • Emergency procedures • Levels I, II, III • Mixed groups • Led by RN, RT, EP • 2 / week for 3 months + home exercise • Structured, monitored moving to self managed activity • Aerobic, Muscle Strength, Stretching exercises - HOME BASED • Fit and Functional Class / Lifestyle Journal • Regular check- ins • Same follow up and testing

  15. Follow up • 3, 6, 12 months • Exercise Testing • Cardiac Rehab specific Group Visit FOR MORE INFORMATION BUILDING HEALTHY LIFESTYLES CARDIAC REHAB PROGRAM CALL TOLL FREE 1 866 506 6654 or direct 1 403 388 6329

  16. Patient/Family Health Care Provider Physician BUILDING HEALTHY LIFESTYLESPROGRAM MODEL Building Healthy Lifestyles Referral to home base - NAVIGATED Secondary / Tertiary Prevention Primary Prevention - Incident Report - Progress Report Disease Specific Programs - Assessments – Education - Management Diabetes Acute Coronary Syndrome - Cardiac Heart Function Clinic / Network Clinical Nutrition Chronic Respiratory Risk Factor Mx Weight Loss Building Healthy Lifestyle Group Classes THERAPEUTIC EXERCISE REFERRAL PRE REQUISITION COMPLETION PHYSICIAN APPROVAL DISEASE SPECIFIC PROGRAM OUTCOMES EXERCISE TESTING FIT & FUNCTIONAL Level I HOME EXERCISE Levels I, II or III - Endurance - Muscle Strength - Flexibility Level II Level III 3 month POST PROGRAM OUTCOMES 6 Month & 12 Month Testing & Follow Up COMMUNITY/HOME

More Related