Information:
The Cardiac Community Network has been set up with the aim to improve communication and collaboration between primary and secondary care services, focusing on the management of cardiac related conditions. The Education Interface Program will be delivered state-wide through a video conferencing forum.
The Education Interface Program will aim to achieve the following:
- Improve interface between primary health and secondary acute care facilities
- Enable primary health services to support and manage cardiac clients in the community setting, seeking timely secondary opinions through quality referral process
- Enhance knowledge base of evidence-based models of care relating to specific cardiac conditions
- Increase awareness of primary and secondary prevention
- Improved identification of at-risk clients (Australian Absolute Cardiovascular Disease Risk Calculator)
Description:
- Tasmanian Cardiac Network
The Tasmanian Cardiac Network is a multidisciplinary clinically-led state-wide group, reviewing the patients journey and prioritising the delivery of cardiac services across the continuum of care. The Cardiac Network was established in February 2019
The scope of the network includes all aspects of cardiac service delivery to the Tasmanian community within the THS, including the engagement, cooperation and communication with Ambulance Tasmanian, General Practice, consumers and other relevant state and national bodies. Network priorities have included the implementation of the Acute Coronary Syndrome Clinical Care Standards, introduction of the State-wide Endocarditis Pathway and improving communication between Primary, Secondary care with a focus on prevention and cardiac rehabilitation.
- Electrophysiology Service
Provision of care for Tasmania patients with arrhythmia.
Over the past 2.5 years the Royal Hobart Hospital has expanded the locally available treatment options for patients with arrhythmia. During this presentation a brief overview of the arrhythmic disease burden in Tasmania will be given as well as the current and planned services offered locally and interstate.
- State-wide ST Elevation Myocardial Infarction (STEMI) Reperfusion / Acute Coronary Syndrome (ACS) pathway / Victorian Cardiac Outcome Registry (VCOR)
The State-wide STEMI management working group have standardised STEMI management through the development of the STEMI for Thrombolysis Clinical Pathway. The introduction of this pathway, supports optimal reperfusion treatments in both acute and selected rural medical facilities. This pathway has been available since March 2018 resulting in positive patient outcomes.
The Royal Hobart Hospital Rapid Access Chest Pain Clinic (RACPAC) was established in 2014 as a partnership between General Medicine and Cardiology and has now seen over 3,000 new referrals. The clinic was designed to streamline the outpatient assessment of patients with new onset chest pain, as well as to provide certainty of timely follow up for patients being discharged from the Emergency Department. Patients are offered an appointment within 2 weeks of referral, with expedited investigation where required. Follow up is via telephone, minimising unnecessary additional clinic appointments. 90% of patients have non cardiac chest pain, and can be rapidly discharged from the service.
- Transcatheter Aortic Valve Implantation (TAVI)/Patent Foramen Ovale (PFO’s)
The THS TAVI service first commenced in June 2020, the presentation will inform the group of current statewide service, resources and procedures available to Tasmanians. Aortic stenosis, investigations, management options and triggers for referral will be discussed. In addition, investigations and management options for young patients with cryptogenic stroke, and the role of patent foramen ovale (PFO) closure in these patients.
Nine forums will be held from November 2020 to August 2021 covering the following topics:
- Top 4 Quality Improvement Initiatives in Cardiology
- ECG Workshop
- Imaging Made Easy – ECHO Workshop
- Heart Failure Management
- Atrial Fibrillation Management
- Hypertension Management
- Complications in Cardiothoracic Surgery
- Secondary prevention
- High Risk Primary Prevention
For further information contact Dr Paul MacIntyre via Amanda Conroy (Personal Assistant) – Amanda.conroy@ths.tas.gov.au or Tanya Murray tanya.murray@ths.tas.gov.au (ADON – Service Development Program)
Speakers:
Dr Paul MacIntyre – MBChB, MSc, MD, FRACP | Acute Medical Services Stream Director | Staff Cardiologist| Royal Hobart Hospital | Chair of the Tasmanian Cardiac Network
Dr Jonathan Lipton – MD, PhD, FRACP| Staff Cardiologist | Director Arrhythmia Service | Royal Hobart Hospital
Dr Andrew Black – BMedSci (Hons), MBBS (Hons), FRACP | Staff Cardiologist | Clinical Lead State-wide STEMI Management, Rapid Access Chest Pain Clinic (RACPAC) and Principal Investigator VCOR | Royal Hobart Hospital
Dr Heath Adams – BMedSci, MBBS (Hons), DipUKMP, FRACP, FCSANZ |Interventional & Structural Cardiologist |Clinical Lead for the Cardiac Catheter Laboratory & TAVI | Royal Hobart Hospital