Transcript Animated_Medical_Health

26th February 2015
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The Apodi Integrated
Care Clinics are designed
to ensure that all
necessary components
of delivering care are
available at the point of
patient presentation.

Apodi Healthcare is CQC
registered and complies
with all regulations for
patient safety and data
protection.
Patient
Diagnostic
and
education
Most
appropriate
healthcare
professional
Improved
Outcomes
"This SPAF Integrated Care Clinic Programme is funded by Bayer HealthCare as a service to medicine and
delivered by Apodi Ltd"
Item
Points
Chronic Heart Failure
1
Hypertension
1
Age 65-74
1
Age >75
2
Diabetes
1
Previous stroke or TIA or thromboembolism
2
Female sex
1
Total
9
Patients identified through GRASP AF with CHA2DS2-Vasc
score of >1 or more invited to SPAF ICC
"This SPAF Integrated Care Clinic Programme is funded by Bayer HealthCare as a service to medicine and
delivered by Apodi Ltd"
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Patient led discussion group with specialist nurse- 30
minutes
• Provide further access to additional services
• Patient questionnaire- confirmed need for further ongoing
support in the community
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Individual nurse led triage- Anticoagulation, BP, Pulse
check, Risk Assessment- CHADS2 & HASBLED
Where appropriate clinical review by doctor
Only recommendations on the day- GPs retain control of
patients. All clinicians are independent.
"This SPAF Integrated Care Clinic Programme is funded by Bayer HealthCare as a service to medicine and
delivered by Apodi Ltd"
• 99% of patients found the experience beneficial
• 99% of patients said they found the education sessions beneficial
• 99% of patients said they were given sufficient time to discuss treatment options with the
healthcare professionals
• 100% of patients said they were treated with dignity and respect
• 99% of patients would recommend the SPAF ICC to others
• 91% of patients would attend further meetings locally for ongoing support
Practice report provided following clinic- attendance,
recommendations and feedback
"This SPAF Integrated Care Clinic Programme is funded by Bayer HealthCare as a service to medicine and
delivered by Apodi Ltd"
Reassurance
my condition is
being treated
correctly
Clearly
presented with
time to ask
questions
Gave me peace of
mind. Enjoyed the
experience. Staff
very helpful and
friendly
The good thing about this
experience was that I was given
information about my
diagnosis that I wasn't told
before. The doctor informed
me of my options and allowed
me to make my own decision
Great care
taken by the
doctor to
explain my
condition
about medication.
"This SPAF Integrated Care Clinic Programme is funded by Bayer HealthCare as a service to medicine and
delivered by Apodi Ltd"
The nurses are of very high
quality and a pleasure to work
with, patient feedback to me
was fantastic
Dr Watts – Belmont Surgery
12/12/2014
Well organised. Excellent
nurse. BP, pulse, CHA2DS2
VASC all done. Patients loved it
Dr Dua – Weobley Surgery
5/4/2014
"This SPAF Integrated Care Clinic Programme is funded by Bayer HealthCare as a service to medicine and
delivered by Apodi Ltd"
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Patients attending the SPAF ICC – current management
and recommendations for management post ICC
"This SPAF Integrated Care Clinic Programme is funded by Bayer HealthCare as a service to medicine and
delivered by Apodi Ltd"
"This SPAF Integrated Care Clinic Programme is funded by Bayer HealthCare as a service to medicine and
delivered by Apodi Ltd"
Provide access to a
range of tools
Provide pre-written
MIQUEST query
libraries
Provide primary care
data expertise and
advice
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Guidance on Risk Assessment and Stroke
Prevention for Atrial Fibrillation
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Initially developed by the West Yorkshire
Cardiac Network
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NHS IQ National Priority Projects
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Suite now includes COPD and Heart Failure
audits
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Have we missed any people with known AF off
our register because we haven’t added a
morbidity code?
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Are there any people with suspected (but not
confirmed) AF in the past who might need
review for possible inclusion in the register and
treatment?
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Identifies patients who have been coded with AF
or atrial flutter
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Stratifies patients for stroke risk (CHADS2 and
CHADS2VASC)
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Assesses anti-coagulant therapy and contraindications
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Provides a summary of practice results and
patient level detail for case review
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AF registers before & after clinics
Number of high risk patients not on
anticoagulant before & after clinics
Data from 10 practices so far (of 23)
"This SPAF Integrated Care Clinic Programme is funded by Bayer HealthCare as a service to medicine and
delivered by Apodi Ltd"
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AF registers before & after clinics
2260
2313
Number of high risk patients not on
anticoagulant before & after clinics
682
583
4.2 strokes prevented
"This SPAF Integrated Care Clinic Programme is funded by Bayer HealthCare as a service to medicine and
delivered by Apodi Ltd"
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Quick Profile Centre registration to access:
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www.primis.nottingham.ac.uk/registration/
– CHART Software
– Pre-written Query Sets
– MIQUEST Instructions
– CHART Online
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Opt in to receive email updates from PRIMIS+
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Participate in the PRIMIS+ Discussion Board
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Contact your local Facilitator for direct support
www.primis.nhs.uk/index.php/about-us/find-facilitator
Herefordshire AF Pathway
Healthcare
"This SPAF Integrated Care Clinic Programme is funded by Bayer HealthCare as a service to medicine and
delivered by Apodi Ltd"
• Jacinta Meighan-Davies:Clinical Programme Manager HCCG
[email protected]
• Dr Ritesh Dua : Urgent Care GP lead HCCG
[email protected]
• Dr Dave Jeffery : Primary Care Data Quality Lead
[email protected]
• Penny Hayward – NHS Strategic Programme Manager
[email protected]
"This SPAF Integrated Care Clinic Programme is funded by Bayer HealthCare as a service to medicine and
delivered by Apodi Ltd"