The following table provides an overview of the reported programs and strategies.
| Programs / Strategies | Overview | Critical Intervention Points 101 | |||||||||||||||||||||||||||
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| ProActive Heart Trial | Pilot. An evidence-based telephone delivered disease management program for the secondary prevention of coronary heart disease to reduce hospital utilisation in patients with coronary heart disease. |
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| Go for 2 & 5 | A 4 year fruit and vegetable social marketing campaign which commenced in October 2005. It aims to help reduce the risks of obesity, poor nutrition and chronic disease through the state. Partners from the fruit and vegetable industry and non-government sector have licensed into the campaign, extending its reach and impact. In addition, a dedicated Aboriginal and Torres Strait Islander Go for 2&5 campaign will start in late 2008. To achieve this, the multifaceted campaign incorporates advertising, promotional activity, online information, media and local community initiatives. Final evaluation data not available until mid 2010. |
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| Lighten Up to a Healthy Lifestyle | A 2 month group program for adults at risk of chronic disease. The program promotes healthy eating, physical activity, self esteem, stress management and long-term weight management. The program comprises six two-hour group workshops and three individual appointments for measurements and goal setting. |
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| Living Strong People for Aboriginal and Torres Strait Islander Communities | Living Strong is a healthy lifestyle group-based program for Aboriginal and Torres Strait Islander communities, formerly known as the Healthy Weight Program. The Program encourages participants to seek a healthy lifestyle through good nutrition and physical activity and teaches them life skills to be able to do this in their daily lives. Living Strong includes optional health screenings and up to 12 workshops developed to suit community and local needs. |
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| Rheumatic Heart Disease Register and Control Program in Queensland | Funding proposal for a Rheumatic Heart Disease Register and Control Program in Queensland submitted to Australian Government's Department of Health and Ageing Chronic Disease Branch on Friday, 21/11/08. The register supports the monitoring and recall of patients with or at risk of Acute Rheumatic Fever / Rheumatic Health Disease; and to develop and implement ongoing initiatives to improve program coordination, improve patient self management, primary care worker training and community education and health promotion activities. |
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| Medical Specialist Outreach Program | Multidisciplinary cardiac teams visit multiple rural and regional sites monthly to quarterly to run cardiac outpatient clinics and conduct staff training. |
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| Medical support for heart failure services | This program is designed to improve patient access to heart failure speciality advice and to train and support local staff in providing the best evidence care. The pilot site was at Nambour, with additional sites at Roma and Bundaberg. Plans are to use this model at other sites. |
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| Inpatient Cardiac Rehabilitation Programs | This program is designed to assist patients understand the disease process, identify their modifiable risks for heart disease and begin to focus on modifying risks, assist in return to active lifestyle and help patients deal with the event. |
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| Field Triage Program | This program was initiated by Queensland Ambulance Service for patients with chest pain symptoms to identify individuals with ST elevation myocardial infarctions. This triage identifies individuals who would be candidates for field thrombolysis or immediate transfer to alerted participating cardiac catheter laboratories so that the primary Percutaneous Coronary Intervention (PCI) for the management of acute myocardial infarction can be undertaken. Trialled at Gold Coast, Royal Brisbane & Women's Hospital and The Prince Charles Hospital. |
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| Exercise benefits for patients in a heart failure disease management program | This is a Random Controlled Trial evaluating the benefits of exercise on readmissions, mortality and depression. |
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| Heart Failure Disease Management Programs | 22 Heart Failure Disease Management Programs have been established in Queensland. Specialised heart failure nurse and allied health in the hospital and the community work together to provide care that involves: patient education, medication titration facilitation, self-management strategies, pharmacy review and improved communication between community services and general practitioners. |
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| Happy Hearts | Phase 3 cardiac rehabilitation |
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| Cardiac Rehabilitation | Phase 2 and 3 cardiac rehabilitation |
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| Cardiac Rehabilitation | Phase 1 and 2 cardiac rehabilitation |
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| Cardiac Rehabilitation Outpatient Programs | 45 Multidisciplinary programs are running out of Public Community Health and hospitals and 7 programs run out of private facilities. The model of care varies to suit the location and client group eg: exercise and education, education only, fast track, rural home type programs. Programs are based on the Australian Cardiovascular Heath and Rehabilitation Association (ACRA) Guidelines for Cardiac Rehabilitation. |
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| Chest Pain Attack Media Campaign | $350,000 to Heart Foundation Queensland for Chest Pain Attack Media Campaign |
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| Heart Failure telehealth clinic between Nambour and TPCH Pilot | Trial of a heart failure telehealth clinic between Nambour Hospital and The Prince Charles Hospital in Brisbane. The rationale of the clinic is to test the concept of providing medical services remotely. Currently seeing about 8 clients per clinic. Now includes Roma and Princess Alexandra Hospital. |
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| Improved Primary Health Care Initiative | Multidisciplinary cardiovascular / chronic disease outreach clinics addressing prevention and treatment of chronic disease. |
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| Telephone Based Self-Management Approach Project | This project is in the process of developing a telephone-based approach to selfmanagement, targeting avoidable admissions to public hospital. Telephone-based cardiac rehabilitation will be a key component of this service. |
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| Indigenous Health Worker positions for cardiology and cardiac rehabilitation | Indigenous Health Worker positions for cardiology and cardiac rehabilitation have been created for Thursday Island, Cairns Base Hospital, Townsville Hospital and Mt. Isa. These positions develop stronger partnerships with the Indigenous health sector, improve inpatient education, discharge planning and coordination of ongoing follow-up care. |
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| Referral to Cardiac Clinics | Entry for non acute cardiac patient referral to cardiology services. |
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| Cardiac Investigation Service | Referral point for cardiac investigations (ie. echo, exercise stress test). |
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| Electrophysiology Service | Five hospitals provide onsite electrophysiology service - Royal Brisbane & Women's, Princess Alexandra, Logan, The Prince Charles and Gold Coast Hospitals. |
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| Cardiac Catheter Laboratories | Diagnostic and interventional procedures performed include: Coronary Angiogram; Percutaneous Coronary Intervention; Right & Left Heart Studies; Insertion of temporary and permanent pacemakers; and Insertion of Intra Aortic Balloon Pumps. There are Cardiac Catheter Laboratories located at Cairns, Townsville, Princess Alexandra (3), The Prince Charles and Royal Brisbane & Women's, and Gold Coast Hospitals (1) |
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| Queensland Centre for Congenital Heart Disease | The Queensland Centre for Congenital Heart Disease provides diagnosis and treatment for neonates, infants, children and adolescents with congenital heart disease. |
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| Statewide Heart Failure Service | RBWH and TPCH joined forces in 2006 to establish this service to better serve the needs of these patients and reduce unnecessary readmission to hospital. The Service takes a multidisciplinary team approach including input from three specialised heart failure nurses; 2 exercise specialists, pharmacists and administration support. The service offers inpatient review, phone follow up, outpatient clinics, medication titration clinics in liaison with consultant physicians and cardiologists, home visits and a 12-week multidisciplinary rehabilitation program. An optional 12-week maintenance program is an additional service available to patients to provide ongoing monitoring and to further enhance physical improvements made. |
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| Phase 2 cardiac rehabilitation and education service | Queensland Health has a Deed with the University of Sunshine Coast to provide Phase 2 cardiac rehabilitation and education service and to undertake research in this field. Students of the University participate in the Service. |
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| Indigenous cardiac rehabilitation services / programs | Cardiac rehabilitation services/programs have been established for Aboriginal and Torres Strait Islander people at Wuchopperen Aboriginal Health Service in Cairns and in the Aboriginal community of Yarrabah. Wuchopperen has Australia's first Indigenous Cardiac rehabilitation coordinator. Partnership between Queensland Health and community controlled health services. |
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| Palliation of heart failure | The project is using a combined cardiology and palliative care model to support patients in the last year of life. |
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| Education scholarships for post graduate training (nursing and allied health) | 6 scholarships for nurses funded per year. |
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| Pilot Cardiac Rehabilitation for Indigenous Communities (CRIC) | 4 Pilot training workshops were conducted for multidisciplinary staff working in Indigenous communities in the Cairns, Cape and Torres regions. Follow up support was provided to facilitate the implementation of models of cardiac rehabilitation for each pilot site. |
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| Cardiac training program for Indigenous Health Workers | Cardiac training program for Indigenous Health Workers through Cunningham Centre, Toowoomba |
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| Cardiac Scientist upskillingand training | Training for and up-skilling of Cardiac Scientists |
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| Transition Program for Registered Nurses | Transition to tertiary education or a professional development tool, utilised by nursing staff. |
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| Cardiac education and training initiatives | One-off funding ($150,000) to the Heart Foundation for a number of cardiac education and training initiatives, to be delivered across the state, including development of a training and education package for health professionals' use of resources integral to patient management. Includes developing a training and education package for health professionals in how My Heart My Life, Managing My Heart Health and Living Well with Chronic Heart Failure are integral to patient management. |
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| Hospital to Home Heart Failure Training Program | This program is designed to support the heart failure disease management programs. |
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| St. Andrews Cardiac Rehabilitation Training Facilitators Course (3 days) | This program is designed to assist those setting up outpatient programs and covers areas such as exercise prescription, funding, etc. |
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| Cardiac Rehabilitation Training Course (7 days) | This extensive cardiac rehabilitation course is the primary training course for those working in cardiac rehabilitation. | Long term | |||||||||||||||||||||||||||
| Cardiac Rehabilitation Workshop | This 2 day workshop was the first for Princess Alexandra Hospital and aimed to be an education and/or refreshers well as a networking opportunity for those people working in regional, rural and remote areas as well as within the city of Brisbane. |
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| Heart Failure Allied Health education | PAH heart failure team ran courses at Roma & Charleville. RBWH ran course at Bundaberg and Rockhampton. |
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| Heart Failure Training programs | Local training of nurses, allied health and GPs in 16 sites across Queensland. |
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| Statewide Cardiac Clinical Network | The Network was initiated in June 2006 and consists a multidisciplinary collaboration of clinicians who share a common goal for a coordinated statewide approach to identify gaps between evidence and practice in order to improve patient care. The Network addresses service improvement, planning and delivery of services and associated workforce issues. It is an advocate to promote consistency of Queensland Health strategies and plans with other key initiatives and to collaborate and negotiate with senior stakeholders to facilitate the implementation of statewide clinical service changes. |
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| Clinical Services Capability Framework - Cardiac Services Module | Development of a cardiac services module for 'Queensland Health Clinical Services Capability Framework (CSCF) for Public and Licensed Private Health Facilities 2005' by Planning and Coordination Branch. The CSCF provides a standard set of capability requirements for public and private hospitals, provides consistent services planning descriptors and encourages explicit risk management procedures where services do not meet minimum patient safety requirements. This cardiac services module will include review of minimum requirements for Coronary Care Units, cardiac medical services, cardiac surgical services, cardiac intervention/radiology services adaptations within the six levels and cardiac rehabilitation. |
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101 Inferred from provided information
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