In partnership with pharmaceutical company Servier, we supported Darlington CCG to optimise treatment for patients with heart failure (HF).
Enhance HF – a service provided by Servier and developed and delivered by Oberoi Consulting assists CCGs to implement local and national heart failure guideline.
The audit identified patients who needed read codes reassigning along with patients with left ventricular systolic dysfunction (LVSD) codes who did not appear on HF registers.
Patients who did not have either HF or LVSD coding, but whose medical history suggested may be appropriate for inclusion on one or both registers were also part of the audit.
Once the registers were updated, the optimisation process started.
Outcomes:
- A 38.7% increase of patients with an HF diagnosis; from 1,017 to 1,411 patients.
- A 58.9% increase of patients with an LVSD diagnosis; from 743 to 1,181 patients.
- The LVSD : HF ratio increased from 0.73 to 0.84
- All practices showed an increase in prevalence and the associated QOF point value, with a total QOF domain income increase of £95,850 across the 11 practices.
- A number of patients were optimised to triple therapy, as per the NICE guidelines.
Ultimately, the audit process led to improved care for hundreds of patients.
Clinicians were up skilled and mentored through provision of an Oberoi Heart Failure Nurse Advisor.
Anne Williams (RGN, BSc, MHSc) supported the implementation of the disease register validation, worked with the lead clinician to assess where improvements could be introduced and assisted with the development of a prioritised action plan.
Practices across Darlington CCG have since been provided with their own data sets to continue the optimisation process.
Enhance HF was also successfully implemented across Bradford Districts CCG, as shown in this video.
Request full case study from Oberoi by email: admin@oberoi-consulting.com
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