Review of Cardiovascular Disease Programs

New South Wales

New South Wales - Appendix D - Jurisdictional Responses - Review of Cardiovascular Disease Programs

Page last updated: 03 May 2012

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

Table 5. Overview of jurisdictional programs and strategies
Programs / Strategies Overview Critical Intervention Points
Clinical Services Redesign program - State-wide Cardiology Redesign Project To implement strategies that enable timely and equitable access to effective and appropriate care for adult acute cardiology patients across NSW. Solutions include 1. Chest Pain Evaluation Areas and 2. Cardiology Bed Management.
  • Acute episode (18,20)
Implementing the Chest Pain Evaluation Area (CPEA) Model of Care Chest Pain Evaluation Areas to improve processes for managing patients presenting to hospital with chest pain. As a result of this project, patients with chest pain are spending less time in the Emergency Department and having more readily available access to diagnostic testing. More patients with chest pain are now receiving timely access to relevant diagnostics and treatment; and spending a minimum amount of time in the Emergency Department.
  • Acute episode (18,20)
Cardiology Bed Management Strategy Cardiology Bed Management strategies to optimally utilise bed capacity for cardiology patients. The majority of solutions have been implemented at 12 Cardiac Catheter Laboratory hospitals enabling the optimal utilisation of their resources to deal with demand from cardiac patients.
  • Acute episode (18,20)
Cardiac Rehabilitation All Area Health Services report to the Department of Health monthly regarding Cardiovascular rehabilitation activity. The Rehabilitation for Chronic Disease Model of Care which underpins the State approach to rehabilitation is loaded on the ARCHI website
  • Early detection (17)
  • Acute episode (24)
  • Long term (28,29)
Advance Care Planning The Advance Care Planning (ACP) model works to improve the journey of patients through the health system. ACP takes into account the patient’s wishes, values and beliefs about medical treatment in order to prepare for end-of-life situations. In essence, ACP aims to reach a clear and agreed understanding between the individual, their ‘person responsible’ (if appropriate) and treating medical practitioner. A crucial component of successful ACP is that the individual understands that they have choices. As such, discussion is a focus of the model.
  • Advanced care (32)
The Chronic Care for Aboriginal People The Chronic Care for Aboriginal People (Walgan Tilly) Clinical Services Redesign project is the first Aboriginal Redesign project and was developed from a number of established NSW Health initiatives in an attempt to address the disparities in health care and improve access to and utilisation of chronic care services for Aboriginal people in NSW. The Walgan Tilly Program concerns the integration of services to improve access to chronic care services by Aboriginal Peoples.
  • Early detection (14)
Chronic Disease Self Management Support Model of Care The Chronic Disease Self Management Support Model of Care provides information and supporting documentation to facilitate the inclusion of Self management strategies in Area Health Service rehabilitation approaches. Patients would benefit from case management with a self management component. Illawarra and GWAHS have incorporated Flinders training into the management of patients with chronic disease.
  • Acute episode (18)
NSW Policies on Organ Donation NSW Health has policies on organ donation including NSW Organ Donation after Cardiac Death Guidelines 2007. Draft NSW Organ and Tissue Donation Service Plan is currently being developed for implementation in 2009.
  • Long term (26)
Rural Emergency Clinical Guidelines for Adults Guidelines outline care processes of care for acute conditions including cardiac conditions. Chest pain clinical pathways utilised to facilitate early intervention and coordinated care. Processes for assessment of competencies in place.
  • Early detection (15)
  • Acute episode(18,20)
Cardiac Catheterisation Laboratories in Rural NSW NSW Rural Health Plan provided for the establishment of Cardiac Catheter services at Tamworth, Wagga Wagga, Orange, Mid North Coast and Lismore.
  • Early detection (13)
Specialised Stroke Services Specialised stroke units have been established in metropolitan areas (23 units) and specialised stroke services in 8 sites in rural NSW. The rural service models include stroke care coordinators (all sites) and specialised stroke units (4 sites)
  • Acute episode (18,19,22)
Renal Services The NSW Renal Dialysis Services Plan to 2011 considers service planning and delivery issues such as projected service requirements; planning parameters; patient and staff education, facility guidelines for the establishment of new satellite dialysis units; and, data management and procurement of equipment, consumables and services. Since 2002, renal services have expanded across the state including dialysis services and home based training services
  • Long term (25)
Live Life Well Get Healthy - Information and Coaching Service Aims to provide individualised information, advice and behaviour change coaching in relation to physical activity, healthy eating and weight management for NSW adults; and encourage and support adults to change their behaviour to achieve recommended levels of daily physical activity eat a healthier diet and achieve or maintain a healthy weight. Service to launch in February 2009.
  • Reduce risks (5,6)
Live Life well The Live Life Well Program is joint initiative of the Australian Better Health Initiative ( Australian, State and Territory Government). It focuses on prevention and promotion of health lifestyle. A current initiative is the Prevent Diabetes Live Life Well program which is being run through three Divisions of General Practice in collaboration with the Sydney South West Area Health Service. It is the largest community-based diabetes prevention trial in NSW. This Program began in mid 2008 and will continue through to 2010.
  • Reduce risks (2,6)
  • Early detection (7,8)