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Individualised care plan

Identifying and definitional attributes

Metadata item type:Help on this termOutcome Area
METeOR identifier:Help on this term624381
Registration status:Help on this termHealth, Standard 12/09/2016
Description:Help on this term

Before a patient with an acute coronary syndrome (ACS) leaves the hospital, they are involved in the development of an individualised care plan. This plan identifies the lifestyle modifications and medicines needed to manage their risk factors, addresses their psychosocial needs and includes a referral to an appropriate cardiac rehabilitation or another secondary prevention program. This plan is provided to the patient and their general practitioner or ongoing clinical provider within 48 hours of the patient being discharged from hospital.

Relational attributes

Indicator sets linked to this outcome area:Help on this term

Clinical care standard indicators: acute coronary syndromes Health, Standard 12/09/2016

Indicators linked to this outcome area:Help on this term

Acute coronary syndromes: 6a-ACS patients with an individualised care plan Health, Standard 12/09/2016

Acute coronary syndromes: 6b-Patients discharged on aspirin or dual antiplatelet therapy Health, Standard 12/09/2016

Acute coronary syndromes: 6c-Patients discharged on lipid-lowering therapy Health, Standard 12/09/2016

Acute coronary syndromes: 6d-Patients referred to cardiac rehabilitation or other secondary prevention program Health, Standard 12/09/2016

Acute coronary syndromes: 6e-Discharge summary provided to general practitioner or ongoing clinical provider within 48 hours of separation from hospital Health, Standard 12/09/2016

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

ACSQHC (Australian Commission on Safety and Quality in Health Care) 2014. Acute coronary syndromes clinical care standard. Sydney: ACSQHC.

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