Nurse/ Pharmacist-led, Doctor-supervised, multidisciplinary care team improves outpatient heart failure management
Project Categories
Care Process & Redesign
Workforce Transformation
Platform
National Healthcare Innovation and Productivity Medals
Cluster
National University Health System
31 December 2022
Double the percentage of Heart Failure Reduced Ejection Fraction (HFrEF) patients on target-dose GDMT. Demonstrated scalability and potential applicability to other chronic conditions beyond heart failure.
Year Submitted: 2022
Published Date: 31 December 2022
Tags: Care Process ＆ Redesign, Workforce Transformation, Quality Improvement, Clinical Practice Improvement, Job Redesign, Multi-Disciplinary
About this Content
Aims
Double the percentage of Heart Failure Reduced Ejection Fraction (HFrEF) patients on target-dose GDMT.
Background
Physician adherence to target-dose guideline-directed medical therapy was poor, leading to suboptimal heart failure care.
Methods
Created protocol-driven nurse/pharmacist-led clinics supervised by a cardiologist; expanded to manage post-MI patients.
Results
Increased capacity from 15 to 80 patients/week; target-dose beta-blockers achieved in 29%; ACE-I/ARB/ARNI in 33%.
Conclusion
Demonstrated scalability and potential applicability to other chronic conditions beyond heart failure.
Lessons Learnt
Multidisciplinary models empower healthcare teams for scalable, effective chronic care management.
Keywords
Heart Failure, Guideline-Directed Therapy, Multidisciplinary Clinic, Workforce Efficiency
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | National University Health System |
Organization(s) Involved | Ng Teng Fong General Hospital |
Platform(s) | National Healthcare Innovation and Productivity Medals |
Healthcare Professional Group(s) | Nursing, Pharmacy |
Applicable Specialty or Discipline | Cardiology, Pharmacology |
Project Lead(s) | Chan Po Fun |
Project Member(s) | Elaine Boey |
Connect with this contributor!
Dr Chan Po Fun - po_fun_chan@nuhs.edu.sg