NPS MedicineWise Learning
Audit and feedback activities – Heart Failure: taking an active role
A series of quality improvement clinical audits
Target audience: General practitioners
CPD points: Self-recorded: See details
Heart failure is a complex clinical syndrome1 affecting 480,000 Australians, and the burden of illness is expected to increase with the ageing population.2 Early diagnosis and effective management of heart failure keeps people out of hospital and helps them live better, longer lives.1
NPS MedicineWise has developed a series of three audit and feedback activities focused on the diagnosis and management of heart failure.
You can choose to complete any or all of the audit and feedback activities, although completion in a sequential order is recommended.
What do I get out of this activity?
Each audit and feedback activity allows you to assess and review your management of patients with heart failure, compared with current best practice guidelines. It is a process or cycle involving steps to collect data, feed back to health professionals and implement changes.
- Complete data collection for patients within your practice/clinic.
- Review your practice/clinic data compared to national aggregate data.
- Review individual patients’ data, against best practice clinical indicators.
- Identify and implement improvements in your practice.
Clinical resources and tools
The NPS MedicineWise Educational Visit – Heart Failure: taking an active role provides the foundation for the audit and feedback activities. If you were not able to receive an educational visit, review the supporting clinical resources available here prior to starting the audit and feedback activity.
ACEI – angiotensin-converting enzyme inhibitor
ARB – angiotensin receptor blocker
ARNI – angiotensin receptor neprilysin inhibitor
CVC – Coordinated Veterans’ Care Program
CVD – cardiovascular disease
CVE – cardiovascular events
GP – General Practitioner
GPMP – GP Management Plan
HFrEF – heart failure associated with a reduced LVEF below 50%
HFpEF – heart failure associated with a preserved LVEF of 50% or higher
HMR – Home Medication Review
IHD – ischaemic heart disease
LVEF – left ventricular ejection fraction
MRA – mineralocorticoid receptor
RMMR – Residential Medication Management Review
TCA – Team Care arrangements
Audit and feedback activities
Audit and feedback activity 1 : Heart failure – Diagnosis and documentation
This activity allows you to review your diagnosis of patients with heart failure.
Audit and feedback activity 2: Heart failure – Pharmacological management of HFrEF
This activity allows you to assess the pharmacological management of patients with heart failure with reduced ejection fraction (HFrEF).
Audit and feedback activity 3. Heart Failure – Ongoing management
This activity allows you to review ongoing management strategies for patients with heart failure.
Continuing professional development
This audit and feedback activity can be self-recorded for professional development hours. The clinical audit’s duration will vary depending on the GP, their practice and the number of patients reviewed. NPS MedicineWise recommends GPs allow approximately 6–10 hours per clinical audit. There are three clinical audits available to complete.
- Atherton JJ, Sindone A, De Pasquale CG, et al. National Heart Foundation of Australia and Cardiac Society of Australia and New Zealand: Guidelines for the prevention, detection, and management of heart failure in Australia 2018. Heart Lung Circ 2018;27:1123-208. https://pubmed.ncbi.nlm.nih.gov/30077227/.
- Chan YK, Tuttle C, Ball J, et al. Current and projected burden of heart failure in the Australian adult population: a substantive but still ill-defined major health issue. BMC Health Serv Res 2016;16:501.https://pubmed.ncbi.nlm.nih.gov/27654659/.