1. The Health Roundtable 1-1c_HRT1215-Session_TIBBY_TPCH_QLD A Consumer Partnership in Cardiac Risk Management Changing Traditional Cardiac Rehabilitation to: A Consumer Partnership in Cardiac Risk Management Presenter: David Tibby The Prince Charles Hosp Qld Innovation Poster Session HRT1215 – Innovation Awards Sydney 11 th and 12 th Oct 2012 1

2. The Health Roundtable KEY PROBLEM  The 60’s Model of Cardiac Rehabilitation evolved over 40 years ago  Then patients were admitted for 10-14 days following an MI. Treatment was more simple  We had a captive audience and were able to teach both patients and their families about cholesterol, diet, exercise  Only16% of all people discharged from acute services within Australia uptake Cardiac Rehabilitation in the community  SOMETHING IS WRONG WITH THE MODEL 2

3. The Health Roundtable AIM OF THIS INNOVATION  Redefine realistic contemporary goals -define where the duty of care finishes and community responsibility begins  Provide a climate for informed decision making - Without costing more time  Transfer appropriate responsibility to the community by a partnership $$$  A small $$$ and resource outlay in Program terms 3

4. The Health Roundtable BASELINE DATA  Although the beneficial effects of cardiac rehabilitation have been shown, participation and adherence remain sub-optimal. Surveys across a number of countries have shown 14-43% of potential cardiac patients participate in rehabilitation programs. Davies P, Taylor F, Beswick A, Wise F, Moxham T, Rees K, Ebrahim S. Promoting patient uptake and adherence in cardiac rehabilitation. Cochrane Database of Systematic Reviews 2010, Issue 7. Art. No.: CD007131. DOI: 10.1002/14651858.CD007131.pub2.  Only approx. 16% of all people discharged from acute services within Australia uptake Cardiac Rehabilitation in the community 4

5. The Health Roundtable KEY CHANGES IMPLEMENTED  Cardiac Rehabilitation Preference Form brochure offers cardiac rehabilitation information for the client as well as a  preference form used to assess and progress their cardiac rehabilitation requirements.  A short movie is screened on the hospital rolling education television channel that covers PCI, Heart Failure, and 4 stories of cardiac rehab. 5

6. The Health Roundtable KEY CHANGES IMPLEMENTED 6

7. The Health Roundtable ADD IN WAV FILE OF VIDEO 7

8. The Health Roundtable OUTCOMES SO FAR  The Model of Care has just been implemented  We are still developing electronic referral to the community through the electronic Discharge Summary  We will continue a phone service in the acute discharge phase  We will be conducting a correlational study with another major tertiary referral centre to research: educational efficacy and reported behavior change 8

9. The Health Roundtable LESSONS LEARNT  Assemble all of the Service Model before implementation  Rigorous stake-holding with all  Partner with your community  Feedback any research or quality 9