Review of Cardiovascular Disease Programs

Australian Capital Territory

Australian Capital Territory - Appendix D - Jurisdictional Responses - Review of Cardiovascular Disease Programs

Page last updated: 03 May 2012

A number of policies were outlined as being relevant to the critical intervention points, these include:

  1. ACT Chronic Disease Strategy 2008 -2011
    This provides an overarching framework for the provision of appropriate programs and supports aimed at addressing the increasing prevalence of people at risk of, or living with, chronic disease in the ACT. The Strategy recognises the demands placed on the ACT health system and community by chronic diseases, including cardiovascular disease. A number of initiatives are included that aim to improve the prevention, detection and management of cardiovascular disease in the ACT. It is anticipated that implementation of the Strategy will positively impact on all Critical Intervention Point categories.

  2. ACT Palliative Care Strategy 2007-2011
    The ACT Palliative Care Strategy 2007-2011 provides overarching direction for the delivery of palliative care services across the ACT, in the context of the national palliative care standards drafted by Palliative Care Australia. The Strategy will have a particular positive impact upon Critical Intervention Point 34, which aims to improve timely and appropriate access to adequate palliative care services which are integrated with treatment services.

  3. Stroke Unit - Admission and Discharge of Patients
    This policy outlines procedures for the admission and discharge of acute stroke patients to and from the Stroke Unit at The Canberra Hospital. This policy assists in timely facilitation and co-ordinated care by the multidisciplinary Stroke Team and the planned discharge to an appropriate facility after the acute phase of care.
    http: //cid/c/healthintranet?a=da&did=5000151 [Broken link - valid at time of publication]

  4. Coronary Care unit Acute Bed Admission and Discharge Criteria Protocol
    This protocol defines the processes for identifying patients that require acute coronary care and for decision making to facilitate safe and timely admission to, and discharge from, an acute CCU bed. This protocol applies to cardiologists, cardiology registrars and staff in the Demand Management Unit, Coronary Care Unit and the Emergency Department, and Medical Services management.
    http: //cid/c/healthintranet?a=da&did=5000081 [Broken link - valid at time of publication]

  5. A New Way: The ACT Aboriginal and Torres Strait Islander Health and Wellbeing Plan 2006-2011
    Developed in response to the National Strategic Framework for Aboriginal and Torres Strait Islander Health (NSFATSIH), A New Way embodies the Framework’s objective of achieving coordinated, collaborative and multi-sectoral action. The Plan establishes a sound basis for truly collaborative action and provides context for the work ACT Health does.

  6. ACT Primary Health Care Strategy 2006-2009
    This strategy aims to provide direction for the efficient and effective delivery of primary health care services in the ACT, including health promotion, early intervention and chronic disease management. The Strategy includes a number of initiatives that will positively impact upon cardiovascular disease prevention, early detection and management, and will assist in attaining a number of Critical Intervention Points under all categories.

The following table provides an overview of the reported programs and strategies.

Table 10. Overview of jurisdictional programs and strategies
Programs / Strategies Overview Critical Intervention Point
Health Promotion Sponsorship Funding Round $350,000 available annually for sporting, recreational, cultural and arts organisations to promote healthy messages Smoke free, Find Thirty, Go for 2 & 5, Sun smart.
  • Reduce risks (1,2,4)
Community funding round $1.2 Million available annually to fund activities related to the promotion of good health and the prevention early detection and support of chronic disease. Priority is given to projects that focus on physical activity, healthy nutrition and chronic disease prevention.
  • Reduce risks (1,2,3,4)
Health Promoting Schools Funding Round $200,000 available annually to schools and early childhood centres to adopt the Health Promoting Schools Framework. Priority is given to projects that increase the awareness of the health benefits of improved nutrition and increase participation in physical activity.
  • Reduce risks (2,4)
Measure up campaign ACT Health coordinates the ACT component of the national Measure Up campaign, which aims to raise awareness of the importance of healthy weight in the prevention of chronic disease. In the ACT the Measure Up Campaign is being supported by a direct mail out of campaign resources to ACT residents aged 45-49.
  • Reduce risks (2,5,6)
Go for 2&5 fruit ACT Health delivers the ACT component of the Go for 2&5 fruit and vegetable campaign. The objectives are to increase awareness of the need to eat more fruit and vegetables; and knowledge of the daily recommended minimum consumption levels of fruit and vegetables. Adults, who are the main food buyers and meal preparers, are the main target audience of the campaign.
  • Reduce risks (2)
School Canteen Managers’ Accreditation Program ACT Health is working with the ACT Department of Education and Training (DET) and the Canberra Institute of Technology (CIT) to develop a new ACT Schools Canteens Accreditation Course and Manual which will be piloted with canteen managers in February 2009. DET will require all ACT Government schools to comply with new accreditation system by end of 2009.
  • Reduce risks (2)
ACT Early Childhood Active Play and Eating Well Project This is a locally developed project which aims to create supportive environments in ACT Early Childhood services and related organisations to promote active play and healthy eating to families of children aged birth to 5 years in the ACT. The five key messages of the project focus on promoting breastfeeding, reducing screen time, promoting tap water and limiting sweet drinks, promoting vegetable and fruit consumption, and encouraging active play.
  • Reduce risks (2,5,6)
Find Thirty Campaign The Find Thirty campaign, adopted from WA and localised, aims to increase awareness among adults of the type and frequency of physical activity necessary for good health (thirty minutes of moderate-intensity physical activity on most, preferably all, days of the week), and demonstrate how this can be incorporated into daily life.
  • Reduce risks (2)
Cardiac Rehabilitation Program The Cardiac Rehab Program provides inpatient and outpatient education and an outpatient exercise program for medical (heart failure) and surgical (CABGs, Valve replacements and interventional cardiology procedures) cardiac patients. The exercise program is a 6 week multidisciplinary exercise and education program.
  • Reduce risks (1,2,3,4,6)
  • Early detection (7,8,9,10,11,12,13 ,14,15,16,17)
  • Acute episode (18)
  • Long term (24,29,30)
  • Advanced care (31,32)
Coronary Care Unit The Coronary Care Unit provides specialised care to patients with acute myocardial infarction, acute coronary syndrome, heart failure, dysrhythmias and patients requiring cardiological interventional procedures.
  • Reduce risks (1,3,5,6)
  • Early detection (7,8,9,10,11,12,13,14,15,16,17)
  • Acute episode (18,20,23)
  • Long term (24,25,26,27,28,29,30)
  • Advanced care (31,32,33,34)
Chronic Care Program The Chronic Care Program (CCP) was introduced to target ACT residents with Chronic Heart Failure (CHF) and/or chronic obstructive pulmonary disease (COPD) who are frequent users of the acute care system to coordinate their care. The HF CNC and COPD CNC roles were established in late 2007 to provide patient centred care and includes individualised care coordination across health settings, individualised patient management plans, patient and family education.
  • Reduce risks (1,2)
  • Early detection (7,8,10,13,14,15,16,17)
  • Acute episode (18,22,23)
  • Long term (24,27,28,29,30)
  • Advanced care (31,32,33,34)
Cardiology Department Provide Cardiovascular Care, diagnosis and treatment.
  • Early detection (7,8,9,10,11,12,13,14,15,16,17)
  • Acute episode (18,20,20,22,23)
  • Long term (24,25,27,28,29,30)
  • Advanced care (31,32,33,34)
Winnunga Nummityjah Aboriginal Medical Service Winnunga Nimmityjah Aboriginal Medical Service does not conduct programs specifically related to cardio-vascular issues; however they do offer a number of related programs. Diabetes clinics are conducted by Winnunga throughout the year – 1 day per month – and include training provided by a General Practitioner, a dietician and a podiatrist. Winnunga provides a ‘quit smoking’ program called “No Bundah”. It aims to support Aboriginal and Torres Strait Islander people who are ready to stop smoking.
  • Acute episode (22)
  • Long term (30)
Stroke Unit The Stroke Unit at the Canberra Hospital enables early recognition of stroke symptoms, coordinated intervention and prevention of associated complications. The Unit includes a team of dedicated nurses, doctors and allied health professionals. All patients are fully monitored for the first 48 hours after admission for high temperature and oxygen levels in their blood. A Stroke Liaison nurse is involved with the patient from admission to discharge.
  • Early detection (13,14,17)
  • Acute episode (18,19,21,23)
  • Long term (24,28,29)
  • Advanced care (31)
Acute Rehabilitation Unit The Acute Rehabilitation Ward at the Canberra Hospital involves the specialised techniques and interactions of members of the Rehabilitation Team. An individual care plan is developed for each patient in the Acute Rehabilitation Ward.
  • Acute episode (18)
  • Long term (24,28,29)
The Rehabilitation and Independent Living Unit RILU is an inpatient rehabilitation unit which aims to assist patients to relearn living and social skills after illness of injury. Based on a 'wellness' model, it provides early rehabilitation in a home-like environment.
  • Long term (24,28,29)

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