A 10-minute introduction for Queensland Health staff ...
Transcript of A 10-minute introduction for Queensland Health staff ...
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Straight to the point of careStraight to the point of careA 10-minute introduction for Queensland Health staff
Welcome to today’s webinar - we will begin shortly
Hosted by Elena KalceffBMJ Australia
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Today’s session
● The comorbidities challenge
● About the Comorbidities tool
● Access options
● Live demo
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The comorbidities challenge● One third of the Australian population suffer
from multiple chronic conditions1, and up to 80% of those aged 65 and over have three or more chronic conditions2
● Medical education, clinical teams and clinical guidelines tend to be organised along single disease or single organ lines
● When comorbidities aren’t taken into account, patients get suboptimal care, leading to worse clinical outcomes and longer lengths of stay
1 Harrison C, Henderson J, Miller G, Britt H. The prevalence of complex multimorbidity in Australia. Aust N Z J Public Health. 2016;40(3):239–44. pmid:270279892 Australian Bureau of Statistics. National Health Survey: Summary of Results, 2007–2008. Canberra: ABS: 2009.
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Addressing the challenge
● The Comorbidities tool helps healthcare professionals to confidently treat the whole patient when managing acute conditions
● Add the patient’s comorbidities and get a tailored management plan instantly
● This means better clinical outcomes, shorter hospital stays and fewer readmissions
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About the toolCovers high priority comorbidities that:
● Have the greatest potential for harm● Are most prevalent● Incur the highest costs
It is:
● Evidence-based. Where evidence is scarce or equivocal, expert opinion is provided
● Continually updated● Practical and short - for point of care use● Based on guidelines
● Hypertension● Diabetes● Coronary artery disease● Asthma● Heart failure● COPD● Stroke● Kidney disease (CKD)● Depression● Dementia
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Desktop browser
Access options
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Demo
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The Comorbidities tool can be found in BMJ Best Practice on CKN. Access CKN via QHEPS at work or www.ckn.org.au offsite.
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All acute topics featuring the Comorbidities tool can be viewed from the ‘Comorbidities’ button on the navigation menu
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Having searched for COPD, the clinician goes to the topic summary page and selects ‘Treatment algorithm’ to find advice and guidance on management.
An 82-year-old man comes to the Emergency Department on Friday evening with cough and shortness of breath...
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A pop-up box prompts the clinician to consider their patient’s existing conditions. In this case the patient has type 2 diabetes.
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They are alerted that treatment options may be affected by the selected comorbidities.
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...and affected treatment recommendations and urgent considerations are clearly indicated by the Comorbidities symbol.
The selected comorbidities are shown at the top of the screen...
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When the clinician selects the treatment option, the adjustment is highlighted...
...with recommendations based on evidence and expert opinion
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There are also helpful tips and prompts - in this case, when to consult a senior or specialist team.
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Any questions?Elena KalceffMarketing and Training Manager, [email protected]
bestpractice.bmj.com/comorbidities
Thank you