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Improving care of patients with coronary artery disease


A general practice ensures the completion of GP management plans for patients with coronary artery disease

Please refer to the disclaimer before reading the case studies.
 

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We instituted a project at the Fairfield GP Unit to improve our care of patients who are known to have coronary artery disease (ie secondary prevention).

We focused on increasing the percentage of patients with established coronary artery disease who had a GP management plan completed in the previous 12 months. We chose this secondary outcome because we believed that if a plan had been completed, a number of issues such as smoking, hypertension, exercise and lipid control would have been addressed.
We undertake a monthly data extraction from our electronic medical records and produce a run chart of the percentage of patients with a GP management plan completed in the last 12 months. This data is then presented to the whole team at our regular monthly practice meeting.

We learned that we needed to improve our coding of patients with coronary artery disease so that we can identify who is or is not receiving good care. We suspect we still haven’t identified all our patients, given the known prevalence of coronary artery disease.
We found that recalling patients improved our figures. By making GP management plan completion rates part of the monthly meetings, we tried to make sure we keep working on this issue.
We would recommend to others to focus on a particular area for improvement and delegate a small team to work on it. An enthusiastic medical student helped us with the project. We used formal quality improvement processes such as the Langley and Nolan ‘Model of Management’ and rapid improvement (PDSA) cycles.

Dr Andrew Knight, Fairfield GP Unit, NSW


Disclaimer

The information set out in this publication is current at the date of first publication and is intended for use as a guide of a general nature only and may or may not be relevant to particular patients or circumstances. Nor is this publication exhaustive of the subject matter. Persons implementing any recommendations contained in this publication must exercise their own independent skill or judgement or seek appropriate professional advice relevant to their own particular circumstances when so doing. Compliance with any recommendations cannot of itself guarantee discharge of the duty of care owed to patients and others coming into contact with the health professional and the premises from which the health professional operates.

Accordingly, The Royal Australian College of General Practitioners Ltd (RACGP) and its employees and agents shall have no liability (including without limitation liability by reason of negligence) to any users of the information contained in this publication for any loss or damage (consequential or otherwise), cost or expense incurred or arising by reason of any person using or relying on the information contained in this publication and whether caused by reason of any error, negligent act, omission or misrepresentation in the information.

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