CVHNS

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CVHNS

• Nova Scotia Health Information Management
  Association
• Spring Workshop
• May 10, 2007

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Who We Are
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Nova Scotia Provincial Programs

• Disease/disorder-specific programs
• Cardiovascular Health Nova Scotia (CVHNS) is 1 of
  9
• Funded by, and accountable to the DOH
• Located outside the DOH in host organizations
• Provincial, not one facility/DHA

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Mandate

• Mission
• Improving cardiovascular health care of Nova
  Scotians
• Develop evidence-based standards
• Recommend service delivery models
• Facilitate continuing education
• Monitor outcomes
• Facilitate local/provincial use of data for
  quality improvement

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CVHNS Scope is Broad

• Full healthcare continuum - health promotion to
  rehabilitation
• Stroke cardiac disease

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What We Do
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Selected Activities

• Acute Coronary Syndrome guidelines
• Stroke guidelines
• Provincial stroke audit
• Provincial/DHA cardiac data
• Safer Healthcare Now! Reports to DHAs

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How We Collect Data
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Cardiac Data Collection

• Retrospective chart audit
• Trained HRTs
• Move from paper to electronic near complete
• All discharges CHF, unstable angina AMI
• Continuous cardiac data since October 1997

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Sample Of What We Can Do With Our Data
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Trends in DischargeDrug Use for AMIin Nova
Scotia
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Trends in ThrombolyticUse Door-to-Needle Time
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ACS Rates, by Place of Residence, 2002-2005
185 pts/yr 723/100,000/yr
784 pts/yr 786/100,000/yr
256 pts/yr 704/100,000/yr
327 pts/yr 600/100,000/yr
368 pts/yr 587/100,000/yr
160 pts/yr 452/100,000/yr
Nova Scotia 3971 pts/yr 555/100,000/yr Range
435 to 786/100,000/yr
1325 pts/yr 435/100,000/yr
252 pts/yr 526/100,000/yr
Individuals rates per 100,000 population gt age
20 4-year average. From ICONS Database
316 pts/yr 645/100,000/yr
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Trends in Cardiac RiskFactor Clusteringin AMI
Patients
1998
CRF smoking diabetes hypertension
hyperlipidemia overweight (BMI gt 27)
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AMI In-Hospital Mortality
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CHF Patients with LVEF Assessment In-Hospital
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Quarterly Email Bulletin
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Visit Our Website

• www.gov.ns.ca/health/cvhns