The Implementation of a        COPD Discharge Care Bundle:           Why, How and Who?                      Louise Sewell ...
Why?       2
Why?    UHL Local CQUIN             COPD        2012-13                  Care                                Bundle       ...
When?                                                         Operational phase             Implementation phase Sept 2011...
COPD Care Bundle Process                                                     Stage 1                                      ...
REDS Care Bundle Data:         Number of phone calls received per patient    70    60    50    40%    30    20    10     0...
COPD Care Bundle Data:                 Referrals to smoking cessation services                        COPD Care Bundle Dat...
Mean number of Pulmonary                      Rehabilitation referrals per month                120                       ...
COPD Care Bundle:                                   patient feedback.    “The information is very                     “I’m...
Thanks…          10
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Breakout 1.3 The Implementation of a COPD Discharge Care Bundle: Why, How and Who? - Louise Sewell

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Breakout 1.3 The Implementation of a COPD Discharge Care Bundle: Why, How and Who? - Louise Sewell
Clinical Lead for Pulmonary Rehabilitation
& COPD Nurse Specialists Services - University Hospitals of Leicester
Part of a set of presentations from NHS Improvement event: Better value, better outcomes held on Thursday 21 February 2013,
Guoman Tower Hotel, London
How to deliver quality and value in chronic care:sharing the learning from the respiratory programme

Published in: Health & Medicine
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Breakout 1.3 The Implementation of a COPD Discharge Care Bundle: Why, How and Who? - Louise Sewell

  1. 1. The Implementation of a COPD Discharge Care Bundle: Why, How and Who? Louise Sewell Clinical Lead for Pulmonary Rehabilitation & COPD Nurse Specialists Services Why? Who?When? How? 1
  2. 2. Why? 2
  3. 3. Why? UHL Local CQUIN COPD 2012-13 Care Bundle Care bundle Who?• CLAHRC Rehabilitation Implementation team – managed by Sally Boyce• Established team of COPD specialist nurses – REDS team• Busy Pulmonary Rehabilitation team already providing post exacerbation PR• SPACE manual developed on site• Supported by NHS Improvement Lung team and COPD Network 3
  4. 4. When? Operational phase Implementation phase Sept 2011 Jan 2012 Feb 2012 April 2012 May ’12-Mar 13•Set up task & •Contents of •REDS team •REDS team •COPDfinish group – bundle agreed begin to pilot deliver transformationalmeet regularly to bundle •Changes to bundle to all fundingdiscuss process, REDS team their patientspaperwork and •6 and 9 monthimplementation management • Local data analysis •Staff SPACE £960000 training begins CQUIN commences 4
  5. 5. COPD Care Bundle Process Stage 1 Care Bundle delivered by REDS prior to discharge Stage 2 Post discharge phone calls by REDS@ 2 days and 15 days Stage 3 Assessment for Pulm Rehab within 4 weeks of discharge So where are we? 160 137 140# pts received care bundle 127 120 105 99 90 92 93 100 85 78 80 60 49 40 20 10 0 r r st r ch r ne ay ril ly y be be be be ar gu Ju Ap ar M Ju nu m em to m Au M ce ve Oc Ja pt De No Se Total to date = 965 5
  6. 6. REDS Care Bundle Data: Number of phone calls received per patient 70 60 50 40% 30 20 10 0 0 1 2 3 4 5 6 7 8 9 10 # phone calls per patient Q1 Q2 Q3 COPD Care Bundle Data: Smoking Status 6
  7. 7. COPD Care Bundle Data: Referrals to smoking cessation services COPD Care Bundle Data: Referral to Pulmonary Rehabilitation100%80%60% missing data40% not appropriate 58 62 declined 51 53 46 73 5320% completed 28 6 0% r st No ber De ber Oc r ne ay ril ly be be gu Ju Ap M Ju m em to m Au ce ve pt Se 7
  8. 8. Mean number of Pulmonary Rehabilitation referrals per month 120 104 100referrals (n) 80 64 69 60 40 20 0 2010-2011 2011-2012 2012-2013 COPD Care Bundle Data: Length of Stay 2011-12 2012-13 8
  9. 9. COPD Care Bundle: patient feedback. “The information is very “I’m grateful for the support good and well written but and I’m going through the I feel it should have been SPACE manual with a fine done years ago as I feel tooth comb, very helpful.” it’s too late for me but will Mrs M, aged 61 benefit lots of other younger people with my condition.” Mr S, aged 82 “I think the service is really helpful and the “I think the service you SPACE book isprovide is marvellous, I have excellent…I have bought learnt so much from my some weights and am admission and feel more using them three times a confident with the week as it tells you to inmanagement of my COPD.” the book.” Mr C, aged 74 Mr S, aged 82 Summary • There is a more streamlined and efficient pathway in place for all patients with COPD. • The impact upon length of stay and readmissions currently being explored. • This is now being delivered to over 70% of COPD discharges from Glenfield. • Referrals to smoking cessation and pulmonary rehabilitation are significantly increased. 9
  10. 10. Thanks… 10

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