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The Heart Failure Clinical Programme and it’s impact on Cardiac Rehabilitation. Karen Cradock, B. Physio , MSc. Therapy Lead. The scale of Heart Failure in Ireland ~ 300,000 people with ‘LV Dysfunction’; more than 100,000 with HF. 2. IHF 2001. The Heart Failure Pyramid.

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the heart failure clinical programme and it s impact on cardiac rehabilitation

The Heart Failure Clinical Programme and it’s impact on Cardiac Rehabilitation

Karen Cradock, B. Physio, MSc.

Therapy Lead

the scale of heart failure in ireland 300 000 people with lv dysfunction more than 100 000 with hf
The scale of Heart Failure in Ireland~ 300,000 people with ‘LV Dysfunction’; more than 100,000 with HF

2

IHF 2001

slide3

The Heart Failure Pyramid

HF patients with a history of admission

Symptomatic HF in the community

Asymptomatic Ventricular dysfunction

15,000 – Sick HF

85,000 – Stable HF

250,000 – Impending HF

slide5

Heart Failure: Problems and Solutions

Life Cycle Ideal :

85 yrs

40 yrs

Life Cycle with Heart Failure:

First

Diagnosis

At Risk

Hospitalisations

75 yrs

40 yrs

Prevention

Community Mx

Hospital

slide6

Heart Failure Solution

Life Cycle of Heart Failure in 2011:

Hospitalisations

40 yrs

75 yrs

Life Cycle with Heart Failure Programme:

76 yrs

40 yrs

overarching aim
OVERARCHING AIM

TO IMPROVE QUALITY OF LIFE FOR

PATIENTS WITH HEART FAILURE

IN IRELAND

objectives
Objectives

Access

  • Every patient with symptoms of heart failure is diagnosed correctly and without delay

Quality

  • Every patient with heart failure is managed within a structured programme
  • Implement targeted programme to prevent heart failure

Cost

  • Reduce recurrent admissions by 1,000 with additional impact on de novo admissions
  • Reduce length of stay saving 20,000 hospital days per year
implementation of programme
IMPLEMENTATION OF PROGRAMME
  • Heart Failure Clinical Lead
  • 2 WTE Heart Failure Nurses in hospitals accepting acute admissions (1.5 WTE HFN in hospitals with mainly non acute admissions and providing out patient services)
  • Administrative support available
  • Adequate clinical space to see patients available
  • Structures in place for timely access to BNP and echocardiography
  • Access to therapy services
active national programmes
Active National Programmes
  • St. Vincent’s University Hospital
  • Tallaght Hospital
  • St. James Hospital
  • Mater Hospital
  • Beaumont Hospital
  • Our Lady of Lourdes Hospital, Drogheda
  • Wexford General Hospital
  • Galway University Hospital
  • Portiuncula Hospital, Ballinasloe
units planning for implementation of the national heart failure programme sept 2012
Units planning for implementation of the National Heart Failure Programme (Sept 2012)
  • Connolly Hospital
  • Cavan/Monaghan Hospital Group
  • Mid Western Regional Hospital, Limerick
  • Sligo General Hospital
impact of programme on cardiac rehabilitation
Impact of Programme on Cardiac Rehabilitation
  • All current programme sites have cardiac rehabilitation programmes- likely to be referred- will they be included in the group sessions?
  • Can cardiac rehabilitation become integral part of this care structure?
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