1 / 13

Designing an Admission/Discharge bundle for COPD

Designing an Admission/Discharge bundle for COPD . Elaine Bevan-Smith RGN, PhD Advanced Nurse Practitioner Clinical Lead Worcestershire COPD team . Drivers for COPD bundle. Poor results from BTS COPD discharge audit Unexplained rise in admissions and LOS 11/12

efrem
Download Presentation

Designing an Admission/Discharge bundle for COPD

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Designing an Admission/Discharge bundle for COPD Elaine Bevan-Smith RGN, PhD Advanced Nurse Practitioner Clinical Lead Worcestershire COPD team

  2. Drivers for COPD bundle • Poor results from BTS COPD discharge audit • Unexplained rise in admissions and LOS 11/12 • Remodelling of PR programme with early rehab • Opportunity for more integrative working

  3. Mapping existing services INCONSISTENCY • Dedicated respiratory ward but many COPD ‘outliers’ • Hospital respiratory nurses see patients when able • No formal smoking cessation service in hospital • Patients referred to COPD team on ad hoc basis • COPD team focussed on frequent admitters • Inaccurate diagnosis • Patients reported care good generally but lack of information about their condition

  4. Supported discharge pathway provided by COPD team • Early or routine discharges • Hospital ’in-reach’ by COPD team. • Pre- discharge consultation to optimise management. • Post discharge pathway includes exercise and self-management programme • Integration with PR • ‘Inspire4life’ self management sessions

  5. Discharge bundle: home or hospital?

  6. Unhelpful • Data input and project management • Time • Identifying A&E patients • Increase in demand for pulmonary rehabilitation

  7. Helpful • New senior hospital staff • Enthusiasm • CQUINN to deliver project • Funding agreed for audit nurse • Buy in from senior management

  8. Opportunities • Re-modelling of pulmonary rehabilitation programme. • Rotational nursing post between respiratory ward and COPD team • More integrative approach to care • Better integration between hospital and community • Better awareness of pulmonary rehabilitation • Initiation of MDT’s for complex COPD • More consideration towards palliative approach

  9. Thoughts so far: • Project management training for clinicians? • Does COPD team focus community care on frequent admitters, first time admitters, or admission prevention. • May be more Impact on frequent admissions for AECOPD than Re-admissions • Inspire4life day may affect results • Outcomes may be different to audit measure • Pre-‘discharge’ bundle may not be optimum model.

More Related