This programme has been agreed by Department of Health & Children, the Health Boards, and the Irish College of General Practitioners in collaboration with The Irish Heart Foundation.
This initial implementation phase, which will conclude at the end of 2003, is focused on secondary prevention amongst those with significant proven cardiovascular disease as defined.
The report of the Cardiovascular Strategy Group, 'Building Healthier Hearts' recommends (R6.21) that 'secondary prevention for most patients with cardiovascular disease should be provided in the general practice setting'. This programme is based on that assertion. It also presumes that most patients will normally return to the care of their GPs following a cardiovascular event without undue delay.
The programme employs a standardised approach as called for in the National Strategy. It adheres to internationally recognized cardiovascular prevention guidelines ('Prevention of Coronary Disease in Clinical Practice 1998' Second Joint Task Force of European and other Societies on Coronary Prevention.)
The guidelines are used:
The programme provides a protocol for the continuing care of eligible patients including a schedule of four visits per annum initially, and details of the risk factors to be measured with targets levels of control to be achieved.
The parties involved in setting up Heartwatch are:
The INDC serves as a national primary collection point for all data returned by doctors and their practices. The centre is independent of the ICGP, Department of Health & Children and Health Boards. The INDC is located at 4-5 Lincoln Place, Dublin 2. 90% of the data transferred from the practices to the INDC is by electronic means. This data will be available to approved bodies in amalgamated form only. Actual patient identity is not included in the individual data returned to the data centre and confidentiality and security is maintained at all times.
The National Programme Centre (NPC) is located at 4-5 Lincoln Place, Dublin 2 and comprises:
The NPC, in collaboration with all the interested parties will devise, co-ordinate and implement the programme nationally. It ensures local and national quality assurance based on regular review: