Design, service and infrastructure plan for Victoria’s cardiac system Design, service and infrastructure plan for Victoria’s cardiac system To receive this publication in an accessible format phone 9096 2017, using the National Relay Service 13 36 77 if required, or email
[email protected] Authorised and published by the Victorian Government, 1 Treasury Place, Melbourne. © State of Victoria, Department of Health and Human Services, May 2016 Except where otherwise indicated, the images in this publication show models and illustrative settings only, and do not necessarily depict actual services, facilities or recipients of services. This publication may contain images of deceased Aboriginal and Torres Strait Islander peoples. Where the term ‘Aboriginal’ is used it refers to both Aboriginal and Torres Strait Islander people. Indigenous is retained when it is part of the title of a report, program or quotation. ISBN 978-0-7311-6950-4 Available at www.health.vic.gov.au/hospitals-and-health-services/health-system- design-planning (1512012) ii Design, service and infrastructure plan for Victoria’s cardiac system Contents From the steering committee 1 Executive summary 2 Introduction 4 A vision for the cardiac system 5 Where we are now 6 The burden of disease 6 Impact of comorbidity 6 The current service system 9 What has been achieved 13 What we could do better 14 Priorities for system reform 16 Priority 1: Better patient access, experience and outcomes 16 Priority 2: A coordinated cardiac system of care 22 Priority 3: Effective and innovative cardiac services 31 Implementation plan 38 Appendix 1: Victorian Cardiac Plan Steering Committee 43 Appendix 2: Victorian cardiac system 44 Appendix 3: OECD comparison 47 Appendix 4: Draft cardiac system design framework 49 Abbreviations 51 Endnotes 53 iii From the steering committee On behalf of the steering committee, I am very pleased to be able to present this Design, service and infrastructure plan for Victoria’s cardiac system, which addresses the future design of the cardiac system in Victoria.