Agency For Clinical Innovation

Acute Rheumatic Fever/Rheumatic Heart Disease Framework and the development of Clinical Practice Guidelines in high-risk populations

There is an imperative need to better address the prevention, diagnosis and treatment of acute rheumatic fever (ARF) / rheumatic heart disease (RHD). Cox Inall Ridgeway was given the task of ‘strengthening the diagnosis, notification and follow up of rheumatic heart disease’ across the five priority areas identified through the Better Cardiac Care for Aboriginal and Torres Strait Islander People project.

To achieve this, the project required Cox Inall Ridgeway to:

  • Finalise the Acute Rheumatic Fever/Rheumatic Heart Disease Framework
  • Develop a set of Clinical Practice Guidelines for high-risk populations using the ACI template ‘Developing and implementing clinical guidelines. This guideline will be aligned to priority five of the Better Cardiac Care for Aboriginal and Torres Strait Islander People priority areas for NSW.

Cox Inall Ridgeway facilitated a range of stakeholder consultation efforts throughout the project, including at the RHD Australia Workshop and Evening Symposium. Four consultation sessions have been held across NSW over the course of the project.

The end result of this project will see a culturally appropriate Acute Rheumatic Fever / Rheumatic Heart Disease Framework and Clinical Practice Guidelines for high-risk population that informs the management of ARF / RHD in NSW. The framework and guideline will assist health workers, practitioners and clinicians to make the best possible decisions about appropriate health care for ARF / RHD based on best practice and best available research evidence.

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