title: Change of heart. How a team of North Kirklees primary care trust clinicians used performance management principles to improve coronary heart disease services.
abstract: OBJECTIVE
  North Kirklees, an urban area in the East of England, known to have a 6.8 percent incidence of Coronary Heart Disease (CHD), embarked on a nurse-led CHD primary prevention service in order to improve residents' health. This paper seeks to investigate this serice.
  
  
  METHODS
  Keen to utilise the principles of performance management, the team applied the European Foundation for Quality Management (EFQM) Excellence Model RADAR logic believing that it would strengthen their "results orientation". This paper investigates the results.
  
  
  RESULTS
  Using RADAR, the team identified baseline data for CHD health indicators. The teams were then equipped to set targets for continuous improvement, thereby increasing their potential to progress local residents' health. The case-study findings enable others to adopt a similar approach in their pursuit of excellence.
  
  
  CONCLUSIONS
  The CHD Primary Prevention team focused only on performance results in the first instance and did not look at other EFQM Excellence Model results areas.
  
  
  CONCLUSIONS
  The paper describes an original case study into how nurses applied RADAR, which gives insight into the team's experiences during their 18-month journey.
authors.affiliation: North Kirklees Primary Care Trust, Batley, UK. suejackson@excellence2000.freeserve.co.uk
authors.forename: Sue
authors.initials: S
authors.lastname: Jackson
authors.forename: Gillian
authors.initials: G
authors.lastname: Morgan
mesh_terms: D002317:Cardiovascular Agents / Q000627:therapeutic use; D003327:Coronary Disease / Q000517:prevention & control*; D015438:Health Behavior; D006801:Humans; D009726:Nurses / Q000458:organization & administration*; D017060:Patient Satisfaction; D011320:Primary Health Care / Q000458:organization & administration*; D011322:Primary Prevention / Q000458:organization & administration*; D016730:Program Development; D015397:Program Evaluation; D011785:Quality Assurance, Health Care / Q000458:organization & administration*; D012307:Risk Factors
chemical_list: D002317:Cardiovascular Agents