The Science Journal of the American Association for Respiratory Care

2007 OPEN FORUM Abstracts

COPD MANAGEMENT PROGRAMS CAN ACHIEVE JOINT COMMISSION’S CERTIFICATE OF DISTINCTION

N. Cadic1


Background: The Joint Commission’s Certificate of Distinction for disease specific programs began in 2002. It is available to hospitals, home care companies, and disease management service companies. These organizations can apply for certification for almost any chronic condition including Chronic Obstructive Pulmonary Disease. There are numerous benefits to being awarded Disease-Specific Care (DSC) Certification including the recognition by the public that your organization is committed to quality services. A total of 355 organizations have been awarded DSC Certification and only three are certified in COPD. Can the outcomes of a COPD Management Program be used to meet JCAHO’s DSC Certification requirements? Does the Certification have an impact on the utilization of the COPD Management Program?
Method: The COPD Management Program at Piedmont Hospital is a clinical pathway developed by a multidisciplinary team and a physician champion. The COPD Pathway was developed in 1998 based on the American Thoracic Society Standards published in 1995. The COPD Pathway orders are reviewed and updated annually and have subsequently incorporated the Global Initiative for Chronic Obstructive Lung Disease (GOLD) Clinical Practice Guidelines. Clinical Pathways report measurable outcomes that are analyzed and used to identify areas for improvement. Joint Commission evaluates how the organization uses the clinical practice guidelines to manage a medical condition. The decision to certify is based on the performance measurements and any changes that are made due to these outcomes.
Results: Clinical Pathways require the patient to receive education related to their diagnosis, which could be used as a performance measure in addition to measurable outcomes that can be either clinical or financial. JCAHO requires a minimum of four performance measures. Two of the measures must be clinical and the other two can be clinical or financial.
Conclusions: COPD Management Programs that use evidence-based clinical practice guidelines could provide organizations with the requirements to obtain JCAHO Disease Specific Care Certification. The DSC Certification did increase the awareness of the COPD Management Program, which may have improved pathway utilization.

COPD Pathway Utilization
2004
Pre DSC Certification
2005
Post DSC Certification
2006
Post DSC Certification
32%60% 54%



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