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20,000 Days Campaign Storyboard Learning Session 3 11-12 March 2013

Healthy Hearts. 20,000 Days Campaign Storyboard Learning Session 3 11-12 March 2013. Collaborative Team. Clinical Lead: Key Contacts: Project Manager: Clinical collaborative co-ordinator: Improvement Advisor: Decision Support:. Dr Mayanna Lund Andy McLachlan Dr Andrew Kerr

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20,000 Days Campaign Storyboard Learning Session 3 11-12 March 2013

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  1. Healthy Hearts 20,000 Days Campaign Storyboard Learning Session 3 11-12 March 2013

  2. Collaborative Team • Clinical Lead: • Key Contacts: • Project Manager: • Clinical collaborative co-ordinator: • Improvement Advisor: • Decision Support: Dr Mayanna Lund Andy McLachlan Dr Andrew Kerr June Poole Katherine McLean Dr Tim Sutton Leanne Elder Sitela Vimahi Sosefo Teu Devi Ann Hall Alison Howitt Sarah Mooney Ian Hutchby Tanesha Patel & EricCuvea

  3. Aim • To improve cardiovascular health in the CMDHB population, across the continuum of care, by July 2013 by: • Reducing readmission rates from Congestive Heart Failure by 20% • And increasing the uptake of cardiac rehabilitation rates by 10% • And Improve access to inpatient Echo and catheter testing so that 70% appropriate referrals are seen within clinically agreed timeframes

  4. Change Packages – Heart Failure Pathway

  5. Change Packages

  6. Change Packages

  7. Change Packages

  8. Healthy Hearts CNS Dashboard Version 1 – 10th March 2013

  9. Patient journey

  10. Patient story: 66 year old female on W2

  11. Patient journey PDSA tree PDSA tree Run charts

  12. Most Successful PDSA Cycles?

  13. Measures Summary • Dashboard (Re-admissions, Admissions and LoS) • Interventions • Numbers hand held echo’s and outcomes • Management plans completed • Follow up phone calls completed • Patient completing titration clinic • Specialist clinics – patient numbers • Identification of patients with heart events • Numbers of patients attending/completing Rehab • Wait times for cardiac diagnostics • Non Coronary Care pts with positive biomarker

  14. Monthly volumes for Chronic Heart Failure patients are unstable and shows some element of seasonality ALOS for Chronic Heart Failure patients is predominantly showing normal variation The Readmission rate for CHF patients is stable and exhibits normal variation only 20,000 Days Healthy Hearts DashboardJanuary 2013 Since mid-November the number of successful calls per week has increased Monthly volumes for ACS patients are stable and exhibit normal variation only Average Length Of Stay for ACS patients is stable and exhibits normal variation only The Readmission rate for ACS patients is stable and exhibits normal variation only Improvement Advisor: Ian Hutchby Decision Support Analyst: Tanesha Patel/Eric Cuerva Version: 1.1 Dated: 11/02/2013 Contacts

  15. Achievements to date • Team building / shared & and agreed focus on patient journey/outcome • Evidence collection • Fitting the jigsaw pieces into a coherent and appropriate Heart Failure Pathway Efficient, empowering and co-ordinated care Patient journey

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