Description
KOS-Zawał is a program of annual, comprehensive specialist cardiology care in the scope of hospital treatment, outpatient treatment (with the first control visit within 14 days) and rehabilitation intended for patients after myocardial infarction. The coordination of the patient’s treatment process is handled by a dedicated Coordinator, who supports the patient throughout the program. The program consists of three stages: hospitalization including diagnostics and treatment of the MI acute phase, cardiac rehabilitation, inpatient or outpatient (selected by a cardiologist), and outpatient cardiology care, including cardiology consultations (4 visits) and detailed diagnostic tests (including echocardiography). It ends with summary advice including laboratory tests and a summary of the clinical condition. Patients receive an individual treatment plan, extensive education on lifestyle, risk factors, CV diseases, and supervision of lipid disorder treatment.Program launch date
1st October 2017Responsible entity
National Health Fund (68,000 patients benefited by end 2022, total cost PLN 1.25 billion ~300 million Euro)Available results and quality metrics
By July 2024, 112 contracts signed; >30% MI patients covered by the program. Cardiac rehabilitation started during or within 60 days post hospitalization reduced death risk by 57%. One cardiology consult reduced death risk by 30%, two or more by 37%.Limitations / comments
Still 70% MI patients not covered (facultative program); program lasts 12 months but should extend to 24-36 months based on patient risk.