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21 Jun 2019

The Australian Digital Health Agency, in partnership with the University of Sydney, has launched a study into the use of My Health Record in Rapid Access Cardiology care.

The pilot study will investigate how My Health Record can support the management of low to intermediate risk chest pain patients through the Rapid Access Cardiology Clinic (RACC) model, initially based at Westmead Hospital.

The pilot aims to enhance the quality, safety and efficiency of cardiology services, and if successful, may be scaled up to roll out across the country.

It is expected that this study will yield lower rates of hospital readmissions and avoid a rise in major adverse cardiac events, such as heart attacks. It could also help to develop targeted cardiovascular disease prevention programs, including lifestyle modifications to address common risk factors such as high blood pressure.

During the pilot, clinicians will access a person’s My Health Record when they present to the Rapid Access Cardiology Clinic at Westmead Hospital and draw on the information within the record to make quicker diagnoses and treatment decisions.

“Our study aims to provide greater accessibility to the information needed to better treat all Australians suffering chest pain, and to safely divert people with non‐acute chest pain from being admitted to hospital,” said University of Sydney’s Professor Clara Chow.

RACCs are outpatient clinics, located within hospitals, that provide prompt assessment and management of chest pain. Led by cardiologists, the clinics function to reduce the sizeable number of patients experiencing chest pain attending NSW hospitals.

The test will explore how My Health Record can support risk stratification of patients referred to the RACC, reduce duplicate testing, and support communication among healthcare providers via the system’s shared healthy summary function.

The study will attempt to understand and address existing barriers to the seamless flow of information along the patient journey and among healthcare providers.

The results will be used to scope the feasibility of an innovative, cardiology-specific application that is populated with information from My Health Record to optimise patient care.

“We need all Australians to be aware of the prevalence of heart disease and the work left to do in improving our heart health,” Australian Digital Health Agency CEO Tim Kelsey said.

“This program is a great example of how we can use digital technologies to meet this goal and deliver better health outcomes to all Australians.”

When appropriate, patients who attend a RACC may be given a management plan and allowed to go home without having to enter the hospital, saving emergency medical staff from admitting patients, organising urgent cardiologist assessments in the community and referring to GPs.

Not only will hospital staff benefit from the reduced burden of chest pain care, but patients now have an alternative option to heading straight into emergency departments and prolonged hospital stays depending on their condition.

Further study into the effectiveness and safety of the RACC model of care is underway to reduce the burden of chest pain on NSW hospital emergency departments.


Published: 21 Jun 2019