GP with patient

PHASES Clinical Model Finalised

The PHASES Clinical Advisory Group has completed development of the intervention model that will guide how the project supports the early identification and management of cardiovascular disease (CVD) in general practice.

Designed with a whole-of-practice lens, the model outlines a proactive and systematic approach that includes:

  • Leveraging Primary Sense to identify patients at highest risk using key clinical criteria
  • Recalling patients to confirm risk using the AusCVD Risk Calculator
  • Supporting patients through tailored lifestyle advice and/or medication

Over the next three months, the Project Delivery Group will begin translating this model into on-the-ground activities, resources and support that help general practices implement the approach and achieve improvements in CVD screening and care.

This model is a key milestone for PHASES as it shifts into implementation planning, ensuring efforts are grounded in strong clinical input and scalable across the system.

Funded by the Queensland Health Clinical Research Fellowship, the PHASES Linkage project connects general practice cardiovascular disease (CVD) risk data with hospitalisation and mortality data. This study aims to better understand how CVD risk impacts hospitalisation rates and assess the accuracy of the new CVD risk prediction equation in identifying high-risk individuals within Queensland’s population. 

The project will: 

  • Estimate the number of heart attacks and strokes that could be prevented with improved treatment for high CVD risk. 
  • Identify gaps in CVD prevention to inform future care strategies. 

Running in parallel with the PHASES project, PHASES Linkage highlights the power of data-driven insights to improve cardiovascular outcomes and reduce hospitalisations.