Table 1 Medical conditions and the criteria for the interventions
ConditionIntervention and criteria
Heart failure53ACEI or ARB for discharge if patient has documented or suspected left ventricular ejection fraction <40% or systolic heart failure
Bisoprolol, carvedilol or metoprolol for discharge if patient has documented or suspected left ventricular ejection fraction <40% or systolic heart failure
Spironolactone for discharge if patient has documented or suspected left ventricular ejection fraction <40% or systolic heart failure with NYHA Class III/IV symptoms
Salt restriction in-hospital orders or counselling if patient has documented or suspected left ventricular ejection fraction <40% or systolic heart failure with current or prior symptoms of heart failure with evidence of current fluid retention
Coronary artery disease54Aspirin for discharge if patient has angiographic evidence of angina, history of myocardial infarction or documentation of coronary artery disease
Ramipril for discharge if patient has angiographic evidence of angina, history of myocardial infarction or documentation of coronary artery disease
Beta blocker for discharge if patient has angiographic evidence of angina, history of myocardial infarction or documentation of coronary artery disease
Statin for discharge if patient has angiographic evidence of angina, history of myocardial infarction or documentation of coronary artery disease
Ischaemic stroke55Aspirin for discharge if patient has a history of transient ischaemic attacks or ischaemic stroke
Atrial fibrillation56Warfarin for discharge if patient has chronic or paroxysmal atrial fibrillation with CHADS2 score ⩾1
Type II diabetes57Aspirin for discharge if patient has type II diabetes with age >40 years
Statins for discharge if patient has type II diabetes with age >40 years
Ramipril for discharge if patient has type II diabetes with any of the following cardiovascular risk factors: age >55 years, coronary artery disease, stroke, dyslipidaemia, microalbuminuria, or smoking
ACEI or ARB for discharge if patient has type II diabetes with hypertension with microalbuminuria documented or ACR 2.0–20.0 mg/mmol (male) and 2.8–28.0 mg/mmol (female)
ARB for discharge if patient has type II diabetes with hypertension with macroalbuminuria documented or ACR >20.0 mg/mmol (male) and >28.0 mg/mmol (female)
Osteoporosis58Bisphosphonate and calcium and vitamin D for discharge or bisphosphonate for discharge with documentation of calcium and vitamin D counselling if patient has osteoporosis or on chronic oral corticosteroids (⩾7.5 mg prednisone or equivalent for greater than 3 months)
Smoker54 55 59Smoking cessation counselling documented or nicotine replacement products/bupropion for discharge if patient is a smoker with history of coronary artery disease, ischaemic stroke, heart failure or type II diabetes
  • ACEI, angiotensin-converting enzyme inhibitor; ARB, angiotensin receptor blocker.