Review of Cardiovascular Disease Programs

Appendix A - NSIF Critical Intervention Points

Appendix A - NSIF Critical Intervention Points - Review of Cardiovascular Disease Programs

Page last updated: 03 May 2012

NSIF Critical Intervention Points
Reduce Risks
1 Adopt national, state/territory, and local plans to further reduce rates of smoking using evidence based public health strategies and government actions.
2 Adopt national, state/territory, and local plans and school based education strategies to promote awareness of heart, stroke and cardiovascular risk factors, healthy eating and living, including healthy weight, in collaboration with other national health priorities and policies.
3 Establish and implement national state/territory, and local plans and incentives to Increase opportunities for physical activity through open space and urban planning norms.
4 Investigate national, state/territory economic and legislative strategies to reduce pollution exposure to known risk factors for heart, stroke and vascular disease.
5 Establish and encourage the development of systems and tools to enable absolute risk estimation in people without overt cardiovascular disease.
6 Investigate the feasibility and the benefits of achieving population-wide reductions of saturated fat and dietary salt intake in the Australian context.
Early detection, care and support
7 Promote awareness of the need for regular monitoring of blood pressure, cholesterol and of the symptoms of diabetes.
8 romote awareness of early symptom heart, stroke and vascular disease and associated conditions, and emergency response where required.
9 Develop systems that include absolute risk measurements in prescribing and treatment algorithms to help people to understand their individual risk.
10 Improve detection systems so that all people with transient ischemic attacks, attril fibrillation, suspected rheumatic heart disease, and CKD are referred appropriately and assessed promptly and effectively.
11 Ensure information about cardiovascular disease symptoms and appropriate responses will be developed and disseminated to GPs and primary care providers to be given to people with cardiovascular disease and stroke.
12 Develop effective and integrated programs to increase early detection of asymptomatic CKD in people at high risk.
13 Ensure that people will have timely and appropriate access to services including echocardiography, for the diagnosis of heart, stroke and vascular disease.
14 Provide people with appropriate information about the disease, treatment options and expected outcomes, follow-up and support services to facilitate self management of physical, psychosocial and economic impacts of their condition.
15 Processes will be in place to assess the extent to which clinical practice guidelines are adopted and to encourage their implementation.
16 Improve access to self management education programs and support groups to help people develop the knowledge, skills and confidence to self manage.
17 Establish systems of care to reinforce importance of risk reduction in people with established heart, stroke and vascular disease.
Best care and support for acute episodes
18 Develop systems to improve coordinated multidisciplinary care for people with heart, stroke and vascular disease, including appropriate care plans, defined referral pathways and designated coordinators of care.
19 All people with stroke receive stoke receive stroke unit care or in rural or remote areas alternative models of organised stroke care.
20 People attending hospital with suspected or confirmed coronary heart disease will receive timely and appropriate treatment to relieve their symptoms and reduce the risk of subsequent coronary events.
21 People who develop symptoms of stroke will have timely access to CT scanners for accurate diagnosis.
22 Improve access to treatment services for all Australians, particularly those living in regional and remote areas and Aboriginal and Torres Strait Islander people.
23 Develop approaches to monitoring all aspects of heart, stroke and vascular disease control, including safety and quality, and ensure that all agreed indicators are aligned with heart, stroke and vascular disease plans at national, state/territory, and local levels.
Best long term care and support
24 Develop and implement strategies to support a multidisciplinary team approach which promotes continuity of care.
25 People with CKD will have access to appropriate specialist care.
26 Current barriers to organ donation in Australian hospitals should be addressed.
27 Implement policies to encourage the safe and quality use of medicines.
28 Access to rehabilitation services for people with heart, stroke and vascular disease.
29 Ensure that the psychosocial needs of people with heart, stroke and vascular disease are met across the patient journey.
30 Improve access to culturally appropriate care and support for all Australians with the conditions, and in particular Aboriginal and Torres Strait Islander people, people with diverse language and literacy needs, and people in rural and remote areas.
Best care in advanced stages
31 Services will adequately inform people and caregivers about course of the illness and pathways of care.
32 People will be informed about advance directives and receive appropriate support.
33 Programs will be in place to provide information and support to caregivers and reduce caregiver and patient health problems.
34 Improve timely and appropriate access to adequate palliative case services which are integrated with treatment services.

Source: The Department of Health and Ageing, 2005. National Service Improvement Framework for Heart, Stroke and Vascular Disease, available at (Accessed 15 December 2008)