Project Name: Service improvement for the detection and treatment of Heart Failure (“HF”) in primary care
Joint Working Project Summary:
- The principal aim of this joint working project is to improve the detection and treatment of HF in primary care via an Integrated Care Clinics (“ICCs”) solution consisting of a quality improvement program to ensure better awareness, identification and management of and outcomes for, patients with HF in primary care
- The project will promote a proactive integrated approach to HF care overall, together with a service evaluation, to deliver the benefits to patients of improved management by promoting active HF case finding, and titrating medication to optimal levels
Expected Patient Outcomes for this Project:
This program will include the following:
- increased accuracy and validity of the defined HF population in GP practices via primary care data cleansing, searches and actively identifying new HF patients and existing HF patients receiving sub-optimal care
- undertaking a virtual triage to identify patients that require optimised care within the patients’ cohort identified according to the databases searches mentioned above
- in-practice HF Medicines Optimisation Clinics for identified patient cohort that require general HF intervention
- increased integration and access to specialist HF input and intervention via community based HF specialist clinics
- increased awareness, confidence and competence particularly across ‘non-specialist’ primary care healthcare professionals in the management of HF patients
- an algorithm embedded within EMIS-systems (with triggers) to ensure sustainability of the HF patients’ management system by providing prompts/reminders for HF patient diagnosis and management
- in addition, implementation of Multi-Disciplinary Team (“MDT”) care for HF patients delivered by HF specialist, HF nurse specialist, GP, Pharmacist, Physiotherapist, Palliative Care specialist, Psychologist, Occupational Therapist and/or Administrators. The MDT will review and deliver integrated patient care which may include interventions such as clinical review, medicines management, cardiac rehabilitation, education, self-monitoring and management, telemonitoring or telephone support for the patient identified as requiring specialist intervention at the new HF Patient Optimisation Clinics
Start Date & Duration: 31st December 2018, 39 Months