Better Monitoring for Better Health Cardiometabolic Monitoring in an Adult Mental Health Service: Measure What Matters Freyja Millar RN (MHN)MnP DE Better monitoring for better heath project officer Better Monitoring for Better Health

Overview Metabolic Syndrome and Cardiometabolic risk assessment. Evidence base Better Monitoring for Better Health Project description Evaluation, Research Insights Practice change measures Consumer, collaboration and recovery

Metabolic Syndrome and 2 or more of the following four criteria: Precursor to heart disease and diabetes Central obesity Waist circumference – 80cm woman 94cm men (ethnic specific) and 2 or more of the following four criteria: BP – 130/85 mmHg Triglycerides- > 1.7 mmol/L or on treatment HDL - < 1.0 men < 1.3 women or on treatment FPG – > 5.6 mmol/L or diagnosed T2DM International Diabetes Federation (2006).

Cardiometabolic Screening BP Fasting lipids HDL Triglycerides Fasting plasma glucose Waist circumference / Body Mass Index (kg/m2) . IDF(2006)

Evidence

Better Monitoring for Better Health (2010-2013) Project Officer Freyja Millar RN MnP MHN DE freyja.millar@easternhealth.org.au 0459 809 612 Eastern Health Adult Mental Health Program Funded through an unconditional education grant from Pfizer

Goals That all people who are involved with mental health services be aware of the cardio metabolic risks associated with mental illness. That all consumers are offered screening for cardio metabolic risk. That all consumers are provided with every opportunity to improve their cardio metabolic health.

The consumer drives

Not learnt my lesson yet Evaluation Not learnt my lesson yet Eastern Health HREC approval 68-1011

Cardio Metabolic Monitoring Protocol

Cardio Metabolic Monitoring Protocol

the consumer is the driver of this process H.E.A.R.T Health Promotion Education Assessment Referral Treatment & Individual Recovery Plan the consumer is the driver of this process

Evaluation Eastern Health HREC approval 68-1011

What information matters? Documentation where it counts. T&IRP is the consumers document. Evidence of collaborative care. Working together towards a consumer goal. Is rate of compliance with guidelines enough? What does this really tell us about the service we provide? Does the practice change demonstrates a meaningful benefit to the consumer? Having a blood pressure taken or receiving health promotion? Ask the consumer.

Insights How do we know if we are doing a good job? Research Vs Quality Assurance Compliance with what? Compared to what? How will this help the consumer? Evaluate using a consumer focused lens. Consumer driven process Evaluation needs to reflect this

Better Monitoring for Better Health Project Officer Freyja Millar RN (MHN) MNP DE freyja.millar@easternhealth.org.au 0459 809 612 Eastern Health Adult Mental Health Program Funded through an unconditional education grant from Pfizer

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