COPD Pathway and Discharge bundle Lets improve COPD

COPD Pathway and Discharge bundle

Let’s improve COPD patient care and self management Let’s decrease COPD readmission rates Whangarei Hospital COPD Pathway and Discharge Bundle Starts April !! Details coming over the next few weeks

COPD Whangarei ED Presentations: 2009 -2012 90 80 ED Presentations 70 60 50 40 30 20 10 0 1 2 3 4 5 6 7 8 9 101112 2009 2010 2011 Discharged Admitted 2012

6 COMPONENTS TO THE WHANGAREI HOSPITAL COPD PATHWAY AND DISCHARGE BUNDLE

1. Standardize hospital management of COPD within ED and on wards

2. Establish a bundle of care that is reliably delivered to COPD patients

3. Patients are given a Blue Card with clear steps of what to do when unwell

4. Patient is discharged with a prescription for antibiotics +/- prednisone to be filled and have available at home for an exacerbation

5. One-off Community Pharmacy visit (fully funded)

6. St John Ambulance to use a Risk Stratification Pathway that encourages patient to self manage exacerbations in conjunction with GP

BLUE INFORMATION FOLDER

How can Primary Care assist in this project? Consider using Blue card initiative coupled with action plan medication prescription, so patient always has acute medications at home Encourage COPD patients and close family to have Flu Vaccination Facilitate COPD patients into huffers and puffers low intensity exercise class. (Need GP sign off to attend on form ) Future directions – spirometry competency for training available to practice nurses and ongoing linking with St John ambulance

Let’s improve COPD patient care and self management Let’s decrease COPD readmission rates Whangarei Hospital COPD Pathway and Discharge Bundle Starts April !! Details coming over the next few weeks