Nurse/Pharmacist-Led, Doctor-Supervised, Multidisciplinary Care Team Improves Outpatient Heart Failure Therapy
Care Process & Redesign
Workforce Transformation
National University Health System Quality Improvement
National University Health System
31 December 2021
To double the percentage of HFrEF patients on target-dose guideline-directed medical therapy (GDMT) within 12 months. The multidisciplinary model effectively improved outcomes for heart failure patients and is scalable to other chronic conditions.
Year Submitted: 2021
Published Date: 31 December 2021
Tags: Care Process ＆ Redesign, Workforce Transformation, Quality Improvement, Workflow Redesign, Job Redesign, Multi-Disciplinary, Upskilling
About this Content
Aims
To double the percentage of HFrEF patients on target-dose guideline-directed medical therapy (GDMT) within 12 months.
Background
Poor adherence to GDMT for heart failure patients led to suboptimal outcomes and increased healthcare costs.
Methods
Introduced a nurse/pharmacist-led, doctor-supervised multidisciplinary team model with structured workflows and training.
Results
Increased target-dose beta-blockers from 19% to 29% and ACEI/ARB/ARNI from 22% to 33%; clinic capacity increased from 15 to 80 patients/week.
Conclusion
The multidisciplinary model effectively improved outcomes for heart failure patients and is scalable to other chronic conditions.
Lessons Learnt
Empowering non-physician staff improves efficiency without compromising safety and quality.
Additional Information
Awarded Merit in Care & Process Redesign (SHM 2021).
Keywords
Heart Failure, Multidisciplinary Care, GDMT
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | National University Health System |
Organization(s) Involved | Ng Teng Fong General Hospital |
Platform(s) | National University Health System Quality Improvement |
Healthcare Professional Group(s) | Allied Health, Nursing, Medical |
Applicable Specialty or Discipline | Cardiology |
Project Lead(s) | Chan Po Fun |
Project Member(s) | Elaine Boey |
Connect with this contributor!
Chan Po Fun - po_fun_chan@nuhs.edu.sg
Project Attachment
C161_NTFGH_QM_2021_NursePharmacist_Led_Doctor_Supervised_Multidisciplinary_Care_Team.pdf