Rapid advances in surgical and catheter techniques over the last two decades improve quality of life and survival in individuals receiving these therapies.4 Awareness of HVD and coordination of care for timely diagnosis and referral for intervention can be accelerated by coordination of care incorporating advances in cardiac techniques including echocardiography (cardiac ultrasound). [...] Many other areas of care have been developing and implementing more integrated approaches that manage the entire patient journey and support more seamless hand-offs to the benefit of the patient, and the system. [...] Some Overall Goals for moving to spoke-hub-mode model: • There is early identification of heart valve disease and diagnosis and patient-centred planning for heart valve disease patients should move more upstream and include prevention programs to reduce complications in at-risk populations) • Admissions for interventions are planned and unnecessary ED visits and admissions are prevented. [...] • Plan: identify the members of the core inter-professional care team and ensure that both health care professionals and the patient/ caregiver understand and has access to the care plan and resources. [...] In the United States, 4R models (Right information and Right care for the Right patient at the Right time) are being explored in care pathways for BC, and for optimizing teamwork and care delivery starting at diagnosis.51,52 This model is utilizes principles from business/project management and as such, manages a BC patient using having a physician and nurse team develop a care project plan (“care.
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