Nurse/ Pharmacist-led, Doctor-supervised, multidisciplinary care team improves outpatient heart failure management
Care Process & Redesign
Workforce Transformation
National Healthcare Innovation and Productivity Medals
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