Country access to cardiac health (CATCH) program: improving rehospitalisation rates and length of stay for cardiac rehabilitation using innovative telehealth delivery

Tideman, Philip; Tirimacco, Rosy; Berry, Narelle M.; Cowley, P.; Jones, S. A.; Church, Anna E.; Clark, Robyn

doi:10.1016/j.hlc.2015.06.790

Cited by 5 publications

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“…Whereby the patient's referral is forwarded nursing staff to the central referral point for CATCH and directed to the NP‐led programme. The central CATCH referral point has been shown previously (Tideman et al, ; Wilson, Peng, Clark, & Tirimacco, ) to be very successful in improving coordination of CR by providing a central referral point for all South Australians patients. Tideman et al () data outcomes demonstrated improved referral rates, less hospital admissions and shorter lengths of stay.…”

Section: Discussionmentioning

confidence: 99%

“…The central CATCH referral point has been shown previously (Tideman et al, ; Wilson, Peng, Clark, & Tirimacco, ) to be very successful in improving coordination of CR by providing a central referral point for all South Australians patients. Tideman et al () data outcomes demonstrated improved referral rates, less hospital admissions and shorter lengths of stay. Grace et al () reported the impact of an automatic referral to CR combined with a telephone call from a liaison nurse prior to the initial CR appointment increased patient CR participation from 50% to 78%.…”

Section: Discussionmentioning

confidence: 99%

“…Whereby the patient's referral is forwarded nursing staff to the central referral point for CATCH and directed to the NP-led programme. The central CATCH referral point has been shown previously (Tideman et al, 2015;Wilson, Peng, Clark, & Tirimacco, 2018) (Lawler et al, 2011).…”

Section: Discussionmentioning

confidence: 99%

“…to be very successful in improving coordination of CR by providing a central referral point for all South Australians patients Tideman et al (2015). data outcomes demonstrated improved referral rates, less hospital admissions and shorter lengths of stay Grace et al (2012).…”

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confidence: 99%

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Exploration of a nurse practitioner‐led phase two cardiac rehabilitation programme on attendance and compliance

O’Toole¹,

Chamberlain

Giles

2019

Journal of Clinical Nursing

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Aims and Objectives To evaluate the impact of a nurse practitioner‐led phase two cardiac rehabilitation and secondary prevention programme on attendance and compliance. Background Despite strong evidence for the benefits of cardiac rehabilitation, attendance/completion rates remain low. Nurse practitioner‐led services have been reported as more effective than physician‐led services at increasing patient adherence to evidence‐based recommendations. However, nurse practitioner‐led programmes are uncommon and there appears to be no current evidence examining the impact of these programmes on attendance/completion rates. Methods A retrospective audit of the Country Access to Cardiac Health (CATCH) database was undertaken to identify patients who attended a nurse practitioner‐led cardiac rehabilitation programme between April 2014 and May 2016. Data from key performance indicators were exported to Stata/SE 15.0. The study utilised the Strengthening the Reporting of OBservational Studies in Epidemiology (STROBE) Statement: guidelines for reporting observational studies to ensure quality reporting during this study (See Data S1). Results Seventy‐seven per cent (n = 199) of participants were men, and participants had a mean age of 67 years. Half (52.5%) of participants completed all CR sessions. Male participants (78%) were more likely to complete the CR programme as compared with women (67%). Participants with a family history of cardiovascular disease and a higher number of risk factors at baseline were more likely to commence and complete the programme. Attendance and completion had a positive impact on smoking cessation. Conclusions The nurse practitioner‐led programme evaluated in this study demonstrated high levels of attendance and completion rates compared to standard programmes. This high attendance/completion rate could in turn decrease the rate of subsequent cardiac events and improve mortality and morbidity rates. Relevance to clinical practice provides valuable insights into the effectiveness of nurse practitioner‐led cardiac rehabilitation and secondary prevention on attendance/complete rates. These findings could guide future research and clinical practice development.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Exploration of a nurse practitioner‐led phase two cardiac rehabilitation programme on attendance and compliance

O’Toole¹,

Chamberlain

Giles

2019

Journal of Clinical Nursing

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“…9 In 2013, the network started the Country access to cardiac health (CATCH) program to improve secondary prevention after postacute care. 10 Both programs have been effective: the difference in cardiac mortality after an acute event between rural and metropolitan areas was eliminated by 2010, and there was a substantial reduction in readmissions of patients from rural areas.…”

Section: Key Pointsmentioning

confidence: 99%

Geographic location as a modifiable cardiac risk factor

Gabb

Arnolda

2017

CMAJ

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Implementation and prospective evaluation of the Country Heart Attack Prevention model of care to improve attendance and completion of cardiac rehabilitation for patients with cardiovascular diseases living in rural Australia: a study protocol

et al. 2022

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IntroductionDespite extensive evidence of its benefits and recommendation by guidelines, cardiac rehabilitation (CR) remains highly underused with only 20%–50% of eligible patients participating. We aim to implement and evaluate the Country Heart Attack Prevention (CHAP) model of care to improve CR attendance and completion for rural and remote participants.Methods and analysisCHAP will apply the model for large-scale knowledge translation to develop and implement a model of care to CR in rural Australia. Partnering with patients, clinicians and health service managers, we will codevelop new approaches and refine/expand existing ones to address known barriers to CR attendance. CHAP will codesign a web-based CR programme with patients expanding their choices to CR attendance. To increase referral rates, CHAP will promote endorsement of CR among clinicians and develop an electronic system that automatises referrals of in-hospital eligible patients to CR. A business model that includes reimbursement of CR delivered in primary care by Medicare will enable sustainable access to CR. To promote CR quality improvement, professional development interventions and an accreditation programme of CR services and programmes will be developed. To evaluate 12-month CR attendance/completion (primary outcome), clinical and cost-effectiveness (secondary outcomes) between patients exposed (n=1223) and not exposed (n=3669) to CHAP, we will apply a multidesign approach that encompasses a prospective cohort study, a pre-post study and a comprehensive economic evaluation.Ethics and disseminationThis study was approved by the Southern Adelaide Clinical Human Research Ethics Committee (HREC/20/SAC/78) and by the Department for Health and Wellbeing Human Research Ethics Committee (2021/HRE00270), which approved a waiver of informed consent. Findings and dissemination to patients and clinicians will be through a public website, online educational sessions and scientific publications. Deidentified data will be available from the corresponding author on reasonable request.Trial registration numberACTRN12621000222842.

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Country access to cardiac health (CATCH) program: improving rehospitalisation rates and length of stay for cardiac rehabilitation using innovative telehealth delivery

Abstract: S453 Conclusion:Increased physician awareness about the benefits of CR is required and initiatives to overcome barriers to referral may improve the delivery of evidence-based care.http://dx.

Cited by 5 publications

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Exploration of a nurse practitioner‐led phase two cardiac rehabilitation programme on attendance and compliance

Exploration of a nurse practitioner‐led phase two cardiac rehabilitation programme on attendance and compliance

Geographic location as a modifiable cardiac risk factor

Implementation and prospective evaluation of the Country Heart Attack Prevention model of care to improve attendance and completion of cardiac rehabilitation for patients with cardiovascular diseases living in rural Australia: a study protocol

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