As of December 1st, 2015, all health services in Queensland must increase access to cardiac rehabilitation (CR) services and programs. This has been extended into the 17-18FY.
This Quality Incentive Payment (QIP) - Cardiac Rehabilitation incentivises patients being directed into a CR referral pathway and aligns with the new Australian Commission on Safety and Quality in Health Care National Clinical care Standards for Acute Coronary Syndrome (ACS).
This involves a completed patient journey:
- The whole journey (acute referral to outpatient cardiac rehab assessment) must be completed by both the acute referral site and outpatient DR service for each provider to be eligible for payment.
In Metro South Health this will be achieved through the delivery of the following strategies:
Criteria for 17-18FY:
Acute Hospital Referral#: In-scope cardiac patients - any overnight acute care admitted patients who:
- received an individualised care plan and timely referral to a public outpatient cardiac rehabilitation service/program if appropriate
- timely referral- within 3 calendar days of acute episode discharge
Cardiac Rehabilitation Service Assessment#: Participated in their first rehabilitation assessment appointment in a timely manner:
- timely assessment- within 28 days of hospital discharge
In Metro South Health, this will be achieved through offering flexible models of service delivery:
- Integration of an online Mobile Health Platform (a clinician portal and mobile application) for patients who are unable/un-willing to participate in standard CR programs
- Continuation of a temporary project team to ensure all required data is captured, to assist in research and identify sustainable solutions to manage increasing demand for services
- Conduct a tele-rehabilitation feasibility pilot
- Implement a revised Model of Care
- Digitalise and standardise CR patient records and data management systems including reporting of service Key Performance Indicators (KPI) and utilisation of QCOR CR module
The Cardiac Rehab project ended in June 2018 due to the achievement of all planned project objectives. The project provided enhanced patient centred care and improved health outcomes for people with cardiovascular disease in Metro South Health through: the better management of service demand; innovative health technology including a smart phone application and tele-rehabilitation services; and the implementation of electronic systems for the delivery of patient education and referral management.