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Summary of the Goals of the 5 Pillar Model and Outcome Measures

There are numerous potential benefits of a coordinated community-based cardiovascular and renal specialty centre of excellence:

  • Enhanced patient satisfaction
  • Increased patient safety 
  • Increased attendance to health care visits both in specialty and primary care setting
  • Enhanced use of multi-specialty algorithms and care maps aimed at cardiovascular and renal disease therapy adherence
  • Enhanced uptake of preventative therapies proven to reduce cardiovascular and renal disease - compliance
  • Increased satisfaction of primary care practitioners with specialty care services
  • Enhanced wellness promotion – adoption of self-management strategies and home-based therapies
  • Reduced emergency room visits
  • Reduced length of stay in hospital
  • Reduced crash starts on to dialysis
  • Reduction in incidence of end-stage renal failure requiring dialysis
  • Reduction in costs related to acute care management of cardiovascular and renal disease
  • Reduction in cardiovascular events such as myocardial infarction, stroke, need for amputation and heart failure and death rates from cardiovascular and renal disease
  • Increased academic activity with enhanced research opportunities
  • Enhanced quality and coordination of outpatient medical and nursing teaching programs

Benefits to the Community

Ultimately the main benefit is reducing the incidence and progression of cardiovascular and kidney disease and reducing the rates of mortality in our region. 

Benefits to Allied Health Care Professionals

Using case managers (nursing specialists, clinical pharmacy specialists etc) within the specialty clinic that can reach out to primary care practitioners and local pharmacies and continually update them on therapeutic interventions and care plans will help coordinate care to maximize involvement of primary care practitioners to help carry out and reinforce optimal care plans. 

Benefits to Specialists

Specialists would benefit from a coordinated model if they were provided with the tools and resources to more seamlessly manage complex patients effectively while participating in a change process leading to higher levels of patient satisfaction and outcomes. Ultimately the main goal of this novel model is to transfer the greatest benefit to patients that we all serve. 

Benefits to Primary Care Practitioners

The most important and trusted healthcare provider for a majority of patients, is their primary care practitioner. They will likely have the greatest success in ensuring adoption and compliance to evidence based therapies suggested by qualified specialists.  Enhancing coordination of multispecialty care to provide primary care practitioners with comprehensive and timely care plans for the high-risk cardiovascular and renal patient will likely be beneficial in helping to reinforce and follow through on suggested therapies.

Benefits to Patients

An evidence-based, patient centred community model of care that focuses on increased patient satisfaction will translate to improved patient outcomes. This will create an atmosphere fostering greater compliance to proven strategies known to positively affect patient outcomes and result in improved quality of life in this high risk patient population.

Windsor Regional

Vascular Health and Research Institute

Kidney and Dialysis Research Institute

Benefits of the WRVHRI