The HeartStart Experience. Jessica Auer HeartStart Cardiac Rehabilitation Program Manager Bundaberg Health Promotions Ltd

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1 The HeartStart Experience Jessica Auer HeartStart Cardiac Rehabilitation Program Manager Bundaberg Health Promotions Ltd

2 HeartStart Program Cardiac Rehabilitation Program Phase II & Phase III Maintenance Secondary Prevention of Heart Disease/ Health Promotion/Chronic Disease Management Program Services: Cornish Walking Track Program Water Aerobics Program Wellness Education Program Supported by Heart Support Australia Bundaberg Branch

3 HeartStart Program FY Expanded Contract Wide Bay Hospital & Health Service (WBHHS) Expanded Program Services: Phase II Outpatient Gym based Cardiac Rehabilitation Program Heart Failure Gym based Rehabilitation Program Re-structured Patient Education Program Continued Phase III Maintenance Programs Alternatives - Home based exercise prescription

4 Private Public Partnership Grant funding for Cardiac Rehabilitation referred patients service delivery; No limitations on number of patients or referral source. Specific funding for Heart Failure Rehabilitation referred patients. Heart Failure and Respiratory Patient Clinics provided at Bundaberg Base Hospital by NP s. Rehabilitation Services delivered through not-for-profit company(bhpl) in community setting (Branyan GP Super Clinic).

5 Private Public Partnership Bundaberg Health Promotions Ltd Mission To assist in the promotion of health in Bundaberg and its environs by supporting programs and initiatives which can particularly benefit from the joint co-operative efforts of Hospitals, support groups and lay counsellors, volunteers and health professionals in Bundaberg and its environs. To promote the prevention of disease and illness in Bundaberg and its environs. To provide a means for co-operation between Hospitals in the Bundaberg region and Health professionals with an interest and expertise in the prevention of disease. To provide a forum for the exchange of information relating to health promotion and disease prevention. To develop, promote and encourage education in techniques, procedures and programs relating to the prevention of disease. To liase and co-operate with any organization with interests in whole or in part similar to those of the Company. To promote and encourage an interdisciplinary approach to health promotion and disease prevention. To initiate, carry out and promote research in the interests of health promotion and disease prevention.

6 Private Public Partnership Clinical Rehabilitation Programs Advisory Committee Meets quarterly to oversee the clinical delivery of the Rehabilitation Programs Members NP s (WBHHS) Heart Failure Clinic, Respiratory Clinic Cardiologist (Public & Private service) Consultant Physician, General Physician Private Hospital ADON & NUM Cardiac Ward Rehabilitation Program Manager Heart Support Representative & Consumer Representative

7 Referred Patient Group Average age of referred patients 66.6 High level of co-morbidities High level of Depression, Anxiety, Stress Distance from Services Access to public transport, associated costs with travel, low education and employment levels High level of alcohol intake High rate of Obesity/Overweight >75km 0-10km Bundaberg 10-25km Wider Bundaberg / Coastal 25-75km Childers/Gin Gin/Woodgate

8 Referral Designations Local Hospitals, Public and Private Local GP s and Health Professionals Brisbane & Sunshine Coast Hospitals Local Private Cardiologists Cardiologist GP Hospital Discharge Nurse Nurse Practitioner Other Allied Practice Nurse Self Referred

9 FY Cardiac Rehabilitation Program Total Referrals % referred patients commenced rehabilitation Phase II Onsite Gym Based Rehabilitation Program 91% completion rate Average 6MWT Distance Improvement 63.67m Alternative Program CHF Rehab Home Gym rehab Track Water

10 FY Patient Feedback: High level of satisfaction with recovery and improvement in confidence to return to activities of daily life post heart event/surgery; High level of enjoyment in attending the program in community setting rather than hospital; Benefits through ongoing support in utilising maintenance programs internal & external to the program; Increased socialisation with the option to join Heart Support Regular reviews with the option of re-entry into maintenance programs

11 Positives in our Program Alternative program models & exercise delivery is necessary for our referred patient base; Rolling program eliminates waiting time for patients; Multidisciplinary approach Education sessions provided by a range of health professionals; Initial 8 week Phase II Program provides the opportunity for intervention and education but ongoing support for behaviour change is required and progression onto maintenance programs internal and external.

12 Building the Program BMI and waist circumference is the risk factor patients find most difficult to address and more support is needed for patients in this area. Education delivery to patients to be continually re-evaluated and updated to ensure adequately addressing patient needs and assisting in affecting positive behaviour change Links with CQU to undertake Research Projects into program outcomes specifically self-management. Collaboration within the Clinical Advisory Committee to encourage Clinicians to further promote patient referral and attendance at Cardiac Rehab. Increasing the prevalence and use of technology as a form of patient motivation. Establishing closer working relationships with hospitals providing patients cardiac interventions & Phase I services.

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