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5 January 2017

Intervening for NSTEMI ACS within 96 hours Model 2 – The Hub

Azfar Zaman

The Hub model of delivery for ACS care

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Summary

Presentation from the Freeman Hospital on the organisation of care for ACS patients, focusing on models of delivering angiography +/- revascularisation within a 96 hour target. Proposed advantages of the hub model include offering a 24/7 service with immediate access and pacing on dedicated cardiology wards. Since the adoption of this model in 2008/09, the region has seen an increase in the availability of PCI to ACS patients. Median transfer time for inter-hospital referrals is 2 days, with 98.8% receiving angiography +/- PCI within 24 hours of admission to the PCI centre. Areas to focus on to improve efficiency include the same day discharge of NSTEMI patients following PCI (currently 1.2%), increase in the number of weekend lists and return of patients to the referring hospital if the procedure is performed radially.

Download

Summary

Presentation from the Freeman Hospital on the organisation of care for ACS patients, focusing on models of delivering angiography +/- revascularisation within a 96 hour target. Proposed advantages of the hub model include offering a 24/7 service with immediate access and pacing on dedicated cardiology wards. Since the adoption of this model in 2008/09, the region has seen an increase in the availability of PCI to ACS patients. Median transfer time for inter-hospital referrals is 2 days, with 98.8% receiving angiography +/- PCI within 24 hours of admission to the PCI centre. Areas to focus on to improve efficiency include the same day discharge of NSTEMI patients following PCI (currently 1.2%), increase in the number of weekend lists and return of patients to the referring hospital if the procedure is performed radially.

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