We each play a vital role in advancing our strategic priorities and achieving our vision of Exceptional care for every patient, every time. To increase awareness of the progress we are making on Strategic Plan 2026, we are sharing highlights of each strategic priority every quarter. The full list of each “Quarterly Strategic Initiative Highlights” can be found on the intranet.
Coordination and Support for Patients Who Frequently Access Hospital Services
The heart failure clinic has seen 318 referrals to date from the inception of the clinic in August 2023 to September 2024.
Patients with a primary diagnosis of heart failure (HF) are the patient population selected for this Strategic Plan initiative. In August 2023, the HF clinic established a model that connects patients who present to the Hospital with heart failure to a rapid access outpatient HF clinic to optimize treatment. Patients are identified in the Emergency Department and seen by Rajesh Talpade, NP, and Dr. Akbari to determine the best plan of care. The outpatient HF clinic operates once a week, with patients being seen by Kathryn Bill, NP, and Dr. Akbari to follow up on interventions initiated in the hospital.
Year-to-date, repeat visits for HF have decreased to 18.8%, compared to 24.2% in 2023/2024.
Next Steps
- Plans are being developed to continue and sustain the HF Clinic.
- Preparing to receive Ontario Health home monitoring platform (software and equipment) to resume remote monitoring of patients. This will further enhance care for patients with HF
For a full list of highlights from the latest quarterly update, download the document below:
Q2 Update (July 1, 2024 – September 30 2024)
