Dr Alistair Begg

Cardiologist at Ashford Heart Centre

Cardiac Rehabilitation

• Used by less than a third of heart attack survivors

• Reasons cited include accessibility,cost,patient preference/perception,transport issues,cultural diversity,language barriers,and others

• Need for a consistent patient management system nationally

Blueprint for reform 5 point action plan

• 1.National approach to secondary heart attack prevention

• 2.Bridge the gap between hospital and primary care

• 3.Increase awareness and utilisation of existing services by patients

• 4.Develop a system for monitoring and maintaining performance

• 5.Implement a communication strategy to facilitate sustainability

Secondary prevention of coronary heartdisease in Australia: a blueprint for reform

An integrated national approach represents the greatest opportunity to further reducecardiovascular disease burdenJulie Redfern*

BSc, BAppSc(Physio), PhD,Senior Research Fellow

Clara K Chow*MB BS, PhD, FRACP,

Head, CardiacResearch Program

Better integration and utilisation of existingservices

An immediate mechanism for improving secondary preventionof CHD is through more comprehensive use of

existing services. Many health providers and patients areunaware of all the relevant services. A web-based and

updateable inventory of resources (including informationabout costs) would improve this situation. The inventorywould need to include a range of programs and schemes,

including, among others: cardiac rehabilitation; HeartFoundation programs such as Heartmoves and Walking;schemes that give access to allied health and psychology

services via chronic disease management plans and homemedicines reviews, and which attract a Medicare rebate;

Quitline; and Aboriginal and Torres Strait Islander services.The maintenance of the inventory might become an activity

of the Australian Commission for Quality and Safety inHealth Care in collaboration with state governments,

Medicare Locals or a non-government organisation (eg,the Heart Foundation).

Cardiac Rehab DVD

How did it begin?

Why do it?

Who are we ?

Who did we get to make it?

The Production Team

How did we plan it?

Heart Disease What are the symptoms? What’s happening to me? What are the risks? How should I be treated? What drugs are relevant? When is it time for surgery?

Before Surgery Why is surgery necessary? What will happen to me? How do I prepare? Who will I be dealing with? What are the risks?

Surgery What happens? Who will be in theatre? How will I prepare? How long will it take? How will I recover?

Post-operative What will I feel like after surgery? What happens next?

Rehabilitation Steps to recovery. Pharmacy. Exercises. Diet. Recipes? Motivation

What review process ?

How long did it take?

Where are we now?

What are the next steps ?

Other multimedia options

Other multimedia rehab ?

Books

Apps

https://play.google.com/store/apps/details?id=com.andromo.dev32054.app133960&feature=search_result#?t=W251bGwsMSwyLDEsImNvbS5hbmRyb21vLmRldjMyMDU0LmFwcDEzMzk2MCJd

Blogs and websites

Social media

• Facebook / Twitter / Linkedin

• Hundreds of millions of users

• Bring CR to social media

• Paradigm shifts

Talking points

• Scope of the problem

• Different learning styles

• Tailoring CR to the individual