Genesis Heart Care has developed a predictive risk analysis based on the data from its Percutaneous Coronary Interventions (PCI) registry. Patients at high risk of an unplanned hospital readmission after PCI are now being identified by Genesis Heart Care and offered intensive health coaching available through Bupa.
Since its inception in 2004, the Cardiologists in Genesis Heart Care have focused on delivering high-quality and evidence-based medical care to their patients. Part of this journey has involved measuring and monitoring various quality indicators, including clinical outcomes for PCI, commonly called angioplasty. Bupa has been an active partner in the development and maintenance of Genesis Heart Care’s PCI database which has over 5,000 patients enrolled from around Australia.
Genesis Heart Care has reported on the overall PCI outcomes publicly with Bupa’s support and the results have been impressive and very favourable compared to databases from other countries. Unplanned readmission to hospital following a PCI is still a significant problem in Australia, however, as it is around the world. With this in mind, Genesis Heart Care has developed a predictive risk analysis based on the data from its PCI registry. Patients at high risk of an unplanned hospital readmission after PCI are now being identified by Genesis Heart Care and offered intensive health coaching available through Bupa.
The goal of the coaching program is to encourage and assist patients to achieve and adhere to cardiac risk reduction guidelines, hopefully ultimately improving their health outcomes and reducing the incidence of unplanned readmissions to hospital. Bupa’s specially-trained nursing and dietitian staff will provide the coaching. The accuracy of the predictive risk analysis and the effectiveness of the coaching program will both be assessed as part of the roll out of the program.
This evolving collaboration between Genesis Heart Care and Bupa demonstrates what can be achieved when visionary organisations have a shared commitment to the quality of healthcare delivery and improving patient outcomes, and if the results of the program prove favourable, will be a tangible demonstration of how the private sector can innovate and be leaders in the provision of high quality medical care to patients in Australia.
In a move towards improving clinical care for residents, Bupa Care Services is embedding GPs into 15 Bupa aged care homes, in order to assess the impact on quality outcomes.
The Government blue print for aged care reform Living Longer Living Better highlights the need for better connections between the health and aged care systems. In particular, improved access to GP services has been flagged as a potential area for improvement for the health system/aged care interface. “It isn’t that GPs already working with care homes are doing anything less than a good job,” says Medical Director of Bupa Care Services Australia, Dr Daniel Valle Gracia. “It’s simply that availability can be an issue.”
Bupa’s ‘Integrated Healthcare Model’, means that GPs can be on the ground and readily available to residents and their families in real time, as care decisions need to be made.
Early indications suggest the service is making a real difference for residents. Residents have a choice of keeping their own doctor or seeking help from the onsite GP. Uptake has been quite promising. Not only have residents seen improved continuity of care where that had been an issue previously but we’ve seen positive indications of improved care outcomes: the need for psychotropic medication and transfers to hospital have dropped.
“We’ve had positive feedback from families who have been particularly grateful in cases where family members have been able to receive palliative care in their ‘home’ environment and avoid the transfer to hospital,” says Valle Gracia. Formal health service research efforts are ramping up to quantify the impact of the GPs’ presence on resident outcomes, such as unplanned hospital transfers, polypharmacy, and falls.