The heart failure clinical programme and it s impact on cardiac rehabilitation
Download
1 / 21

- PowerPoint PPT Presentation


  • 75 Views
  • Uploaded on

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.

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about '' - scarlet-pennington


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.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
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 Cardiac Rehabilitation ~ 300,000 people with ‘LV Dysfunction’; more than 100,000 with HF

2

IHF 2001


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

The Heart Failure Pyramid Cardiac Rehabilitation

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


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

Heart Failure: Problems and Solutions Cardiac Rehabilitation

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


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

Heart Failure Solution Cardiac Rehabilitation

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 Cardiac Rehabilitation

TO IMPROVE QUALITY OF LIFE FOR

PATIENTS WITH HEART FAILURE

IN IRELAND


Objectives
Objectives Cardiac Rehabilitation

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 Cardiac Rehabilitation

  • 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 unscheduled visit

  • 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


Key performance indicators
Key performance indicators unscheduled visit



Training
Training Failure


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 Failure Programme

  • 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?