2002 OPEN FORUM Abstracts
Respiratory Care Case Management: A Model Program
Fedrual Harrison, RRT, Chay Robinson,
Louisa Quicho, BS, RRT, & Wayne Wallace, MBA, RRT
Kaiser Permanente Harbor City Medical Center, Harbor City, CA
BACKGROUND: Kaiser Permanentes Harbor City Medical Center is an acute care hospital serving the HMOs members in the Tri-Central Service Area. There is an out-patient case management program provided by RCPs, which serves primarily adult patients suffering from chronic lung disease.
Methods: The case management program monitors the patients control of their underlying chronic lung disease either telephonically or via home visits. Patient care plans are modified using a protocol or the patients are referred to their primary physician for further care or evaluation. All information pertaining to the patient visits/calls, care plan modifications, or physician referrals are maintained in a computerized relational database.
Results: A summary of the programÕs results over the past four years is presented in tabular form below:
|Oxygen (initiated, DC, Æ)||142||107||146||280|
|Referred to Other HCP||87||61||57||110|
|Logged In Calls||1361||1425||1533||1395|
|Total # of Patients||226||305||310||397|
|Total # of Home Visits||733||864||977||1087|
|Ave # of Home Visits Per Day||4||5||5||5|
EXPERIENCE: RCPs independently assess patients and have protocols to initiate/change/discontinue therapy.
Conclusions: A model program utilizing RCPs as case managers has demonstrated its long-term feasibility for this patient population.