Recommended
Recommended
More Related Content
What's hot
What's hot (20)
Similar to Improving Indigenous heart health
Similar to Improving Indigenous heart health (20)
More from NACCHOpresentations
More from NACCHOpresentations (20)
Recently uploaded
Recently uploaded (20)
Improving Indigenous heart health
- 1. © 2018 National Heart Foundation of Australia Lighthouse Hospital Project Improving health outcomes for Aboriginal and Torres Strait Islander peoples Reitai Minogue, National Foundation of Australia Anna Smith, Townsville Hospital
- 2. © 2018 National Heart Foundation of Australia We acknowledge that the Lighthouse Hospital Project is spread across many traditional lands. We pay our respects to all Traditional Owners of these lands and to Elders past, present and emerging.
- 3. © 2018 National Heart Foundation of Australia Overview 1.0 Lighthouse Hospital Project 2.0 Townsville Hospital and Townsville Aboriginal and Islanders Health Services (TAIHS) Collaborations
- 4. © 2018 National Heart Foundation of Australia Lighthouse Hospital Project Overview Scoping Phase 1 2012 - 2013 Pilot – 8 sites Phase 2 2014 - 2016 Roll out – 18 sites Phase 3 2017 - 2019
- 5. • To reduce the incidence and impact of discharge against medical advice (DAMA) for Aboriginal and Torres Strait Islander peoples with ACS. Project Aim Achieved By Supporting hospitals to: • provide care that is culturally safe and appropriate, responsive and accessible, evidence-based and clinically appropriate. • improve the experience of care for Aboriginal and Torres Strait Islander patients. • Enhance the relationships and co-ordination of care between the hospitals, Aboriginal Community Controlled Health Organisations (ACCHOs), Aboriginal Medical Services (AMSs), Primary Health Networks (PHNs) and other health-care providers. © 2018 National Heart Foundation of Australia
- 6. © 2018 National Heart Foundation of Australia Participating hospitals
- 7. © 2018 National Heart Foundation of Australia Lighthouse Hospital Project AMS Partnerships State AMS WA • BRAMS, Kimberley Aboriginal Medical Service • Moorditj Koort AMS • Ngaanyatjarra Health Service • Bega Garnbirringu Health Services • Hope Services • Derbarl Yerrigan AMS • Moorditj Koort AMS NT • Danila Dilba • Katherine West Aboriginal Health Board • Sunrise Health • Miwatj AMS • Wuli-Wurlinjang Health Service • AMSANT SA • SA Aboriginal Health Board VIC • GurniKurnai Land and Waters Aboriginal Corporation • Lake Tyers Aboriginal Corporation State AMS NSW • Tamworth Aboriginal Medical Service • Walhallow Aboriginal Medical Corporation • Orange Aboriginal Medical Service • Bila Muuji • Gandangarra Health Service • Tharawal • Awabakal • Galambila AMS QLD • Apunipima • Wuchopperen • Yarrabah • Gidgee Healing • Yuli-Barra-Ba • QAIHC • IUIH • ICOP • Inala • TAIHS
- 8. © 2018 National Heart Foundation of Australia 2.0 Townsville Hospital and Townsville Aboriginal and Islanders Health Services (TAIHS) Collaborations Anna Smith, Townsville Hospital
- 9. © 2018 National Heart Foundation of Australia Connecting the patients’ footpath from an acute setting to Primary Health Services will improve their outcomes for ACS
- 10. © 2018 National Heart Foundation of Australia Closing the Gap Medication Aim: Improve access to affordable medications post discharge, GP follow up to review medication therapeutic doses and provide education and support for patient self management.
- 11. © 2018 National Heart Foundation of Australia Issues: • Patients discharged without medication scripts • Patients given scripts that are not CTG • Medication education rushed or not received before discharge Closing the Gap Medication
- 12. © 2018 National Heart Foundation of Australia Solution: Trialling ward pharmacist to transfer discharge scripts to TAIHS via support from Chronic Care Coordinator Nurse and or Nurse Practice Manager to convert to CTG script for 5-7 days. Closing the Gap Medication
- 13. © 2018 National Heart Foundation of Australia Aim: Increase access to GP follow-up within 5-7 days of discharge from hospital Discharge Pathways – GP appointments
- 14. © 2018 National Heart Foundation of Australia Issues: • Rushed discharge planning • Complex information and patient education received all at once • No GP appointment booked post discharge for reviews • Inter-hospital and/or discharge to other HHS Areas Discharge Pathways – GP appointments
- 15. © 2018 National Heart Foundation of Australia Solutions: • Patient consents to book pre-discharge GP appointments • Patients discharged with discharge summary • Cardiac RMOs to inform TAIHS in ‘GP Recommendations’ of discharge summary using template Discharge Pathways – GP appointments
- 16. © 2018 National Heart Foundation of Australia Aim: Increase awareness and access to the Cardiac Rehabilitation Outpatient Program (CROP) at Community Health Services • 5 – 9 referrals per month • All other referrals sent to outreach cardiac programs in rural and remote areas • Audit of data = attendance to CROP • Alternate options available for patients researched to access Cardiac Rehabilitation Program
- 17. © 2018 National Heart Foundation of Australia Issues: • Barriers to access program • Low awareness of what the program offers and benefits • Low session attendance (12) • No exercise sessions attended Cardiac Rehabilitation Program
- 18. © 2018 National Heart Foundation of Australia Feedback from TAIHS from patients seen after 2 sessions below for discussion: • Patients did not feel comfortable • Group was too large • Can not discuss sexual health information with female and male groups • Provide a 1 page document for patients on benefits for patients to attend CROP • Alternative EPC for exercise physiology • Transport issues Cardiac Rehabilitation Program
- 19. © 2018 National Heart Foundation of Australia The Lighthouse Hospital Project supported action for Integrated Team Care Integrated Team Care Program: ITC
- 20. © 2018 National Heart Foundation of Australia Thank you. Any Questions? For further information please visit: www.heartfoundation.org.au/lighthouse or contact the Lighthouse Hospital Project team on email lighthouse@heartfoundation.org.au Follow the Project on Twitter: @Aus_Lighthouse Artwork © “Love and protect you heart” Stan Yarramunua 2011
- 21. Disclaimer The following disclaimer should appear on all documents produced that include the Heart Foundation logo, ATSI flags and endorsement: The National Heart Foundation of Australia would like to acknowledge the Traditional Owners of the land and pay respect to Elders past and present. Aboriginal and Torres Strait Islander peoples should be aware that the following information may contain images or names of deceased people and may cause distress to certain viewers. Terms of use The Heart Foundation recommends the use of the following text on all publications carrying our logo. Terms of use: This material has been developed for general information and educational purposes only. It does not constitute medical advice. Please consult your healthcare provider if you have, or suspect you have, a health problem. The health information provided has been developed by the Heart Foundation and is based on independent research and the available scientific evidence at the time of writing. The information is obtained and developed from a variety of sources including, but not limited to, collaborations with third parties and information provided by third parties under licence. It is not an endorsement of any organisation, product or service. While care has been taken in preparing the content of this material, the National Heart Foundation of Australia, its employees and related parties do not accept any liability, including for any loss or damage, resulting from the reliance on the content, or for its accuracy, currency and completeness. This material may be found in third parties’ programs or materials (including, but not limited to, show bags or advertising kits). This does not imply an endorsement or recommendation by the National Heart Foundation of Australia for such third parties’ organisations, products or services, including their materials or information. Any use of National Heart Foundation of Australia materials or information by another person or organisation is at the user’s own risk. The entire contents of this material are subject to copyright protection. Enquiries concerning copyright and permissions to use the material should be directed to copyright@heartfoundation.org.au. © 2018 National Heart Foundation of Australia
Editor's Notes
- Acknowledgement of Country We acknowledge that the Lighthouse Hospital Project is spread across many traditional lands. We pay our respects to all the Traditional Owners of these lands and to Elders both past, present and emerging.
- The Lighthouse Hospital Project is a joint initiative between the Heart Foundation and the Australian Healthcare and Hospitals Association The Project is funded by the Commonwealth Department of Health through its Indigenous Australians’ Health Program and is being been delivered across three phases. Phase1 scoping phase - ran from 2012-2013 Phase 2 testing of the project framework in 8 hospitals Current Phase 2017 - 2019
- Phase 3 – 2017 to 2019 18 Hospitals across Australia
- X34 - This is a snapshot of AMS across Australia making improvements in partnership with their local hospitals
- Continuing to build strong partnerships and communication channels with TAIHS to improve the integration of health services and care coordination.
- Specific aims of cardiac rehabilitation: i. Facilitate and shorten the period of recovery after an acute cardiac event. ii. Promote strategies for achieving mutually agreed goals of ongoing prevention. iii. Develop and maintain skills for long-term behaviour change and self-management. iv. Promote appropriate use of health and community services, including concordance with prescribed medications and professional advice.
- Poor attendance – Need to provide Data : As per the recommended framework for Cardiac Rehab with the NHFA and ACRA Secondary prevention care is informed by the Australian Cardiovascular Health and Rehabilitation Association’s (ACRA’s) Core components of cardiovascular disease secondary prevention and cardiac rehabilitation 201420 and the current Guidelines for the management of acute coronary syndromes.2-4
- Contacted TAIHS to look at satellite sites and patients attending Cardiac Rehabilitation in Charters Towers, Ayr, and patients from THHS Charters Towers: Alison – will contact to get data Ayr: Amanda Norton – monthly will contact to look at data Patient preferences for different program models and methods of delivery should be investigated and services developed.
- Care pathway and the patient journey linking them to accessing coordinated and multidisciplinary care to culturally appropriate mainstream primary care.