Australian Government: Australian Institute of Health and Welfare METeOR Home Page

Acute coronary syndromes: 6a-ACS patients with an individualised care plan

Identifying and definitional attributes

Metadata item type:Help on this termIndicator
Indicator type:Help on this termIndicator
Short name:Help on this termIndicator 6a-ACS patients with an individualised care plan
METeOR identifier:Help on this term612083
Registration status:Help on this termHealth, Standard 12/09/2016
Description:Help on this term

Proportion of acute coronary syndrome (ACS) patients provided with a written, individualised care plan (addressing factors such as gradual physical activity, smoking cessation and therapies addressing psychosocial needs).

Rationale:Help on this term

ACS patients can successfully contribute to managing their own condition.

Indicator set:Help on this termClinical care standard indicators: acute coronary syndromes Health, Standard 12/09/2016
Outcome area:Help on this termIndividualised care plan Health, Standard 12/09/2016

Collection and usage attributes

Computation description:Help on this term

Both the numerator and the denominator include patients with acute chest pain, or other symptoms suggestive of ACS.

Both the numerator and the denominator exclude patients separated on a palliative care pathway, or where adherence to a secondary prevention plan is not indicated.

For an individualised care plan to be included for a patient in the numerator, it needs to be a written plan, addressing factors specific to the patient, such as:

  • gradual physical activity (except for patients who are very debilitated)
  • attention to lifestyle factors such as smoking cessation, nutrition, alcohol moderation, and weight management, as appropriate
  • rest
  • therapies addressing psychosocial needs
  • self-administration of short-acting nitrates
  • self-administration of aspirin; unless contraindicated (most patients should already be taking aspirin)
  • calling an ambulance (e.g. dialling 000) if chest pain or discomfort is not completely relieved within 10 minutes
  • individualised clinician notification and care plan for those living in areas where an ambulance is not readily available (Acute Coronary Syndrome Guidelines Working Group 2006).

Presented as a percentage.

Computation:Help on this term

(Numerator ÷ denominator) x 100

Numerator:Help on this term

Number of ACS patients provided with an individualised care plan.

Denominator:Help on this term

Number of ACS patients separated from hospital.

Comments:Help on this term

Resources provided to patients who do not speak English may require translation into other languages.

Representational attributes

Representation class:Help on this termPercentage
Data type:Help on this termReal
Unit of measure:Help on this termEpisode
Format:Help on this term

N[NN]

Source and reference attributes

Submitting organisation:Help on this term

Australian Commission on Safety and Quality in Health Care

Reference documents:Help on this term

Acute Coronary Syndrome Guidelines Working Group 2006. Guidelines for the management of acute coronary syndromes 2006. Medical Journal of Australia 184(8):S1–S30.

My items Help on this term
Download Help on this term