Timeliness of antibiotics Timeliness of antibiotics Proportion of cases receiving RPH & sub regional tracked by rheumatic fever tracked by rheumatic fever antibiotics in timely manner by DHB representative from Actions to facilitate register (by age group) with register (by age group) with and age group paediatrics and the effective follow-up annual audit and annual audit and cardiology of identified rheumatic stakeholder meeting stakeholder meeting fever cases Annual training and Annual training and Proportion of cases notified in a timely RPH & sub regional reminders to paediatricians reminders to paediatricians manner representative from and physicians and and physicians. paediatrics and Orthopaedics, Obstetrics cardiology and ED Annual to include follow Annual audit to include Presentation of annual audit to sub RPH & sub regional up of system failure points follow up of system failure regional paediatric meeting representative from points paediatrics and cardiology Development of clinical Promotion and review of Clinical pathway completed and Sub regional pathway from diagnosis clinical pathway implemented by January 2013 and representative from through to end of bicillin disseminated to primary care paediatrics and course cardiology Improve compliance with Improve compliance with Monitoring process to be determined Cardiology ongoing medical ongoing medical management of patients management of patients with moderate to severe with moderate to severe RHD or post valvular RHD or post valvular surgery surgery
Actions to facilitate the effective follow-up of identified rheumatic fever cases Timeliness of antibiotics tracked by rheumatic fever register (by age group) with annual audit and stakeholder meeting Timeliness of antibiotics tracked by rheumatic fever register (by age group) with annual audit and stakeholder meeting Proportion of cases receiving antibiotics in timely manner by DHB and age group RPH & sub regional representative from paediatrics and cardiology Annual training and reminders to paediatricians and physicians and Orthopaedics, Obstetrics and ED Annual training and reminders to paediatricians and physicians. Proportion of cases notified in a timely manner RPH & sub regional representative from paediatrics and cardiology Annual to include follow up of system failure points Annual audit to include follow up of system failure points Presentation of annual audit to sub regional paediatric meeting RPH & sub regional representative from paediatrics and cardiology Development of clinical pathway from diagnosis through to end of bicillin course Promotion and review of clinical pathway Clinical pathway completed and implemented by January 2013 and disseminated to primary care Sub regional representative from paediatrics and cardiology Improve compliance with ongoing medical management of patients with moderate to severe RHD or post valvular surgery Improve compliance with ongoing medical management of patients with moderate to severe RHD or post valvular surgery Monitoring process to be determined Cardiology