The Science Journal of the American Association for Respiratory Care

2010 OPEN FORUM Abstracts


Susan G. Farrell, Sidnie Hess, Shane Blake, James P. Lamberti, Gerilynn Connors; Respiratory Care Services,Pulmonary Rehabilitation, Inova Fairfax Hospital, Falls Church, VA

BACKGROUND: Physician referrals are required to be admitted into a pulmonary rehabilitation (PR) program. This referral process should be routinely analyzed for quality assurance to understand the referral volume by diagnosis, physician, geographic area, and reasons why patients do not attend. Other vital information from the referrals includes: prior program attendance, wait time, program placement and program completion. METHODS: Retrospective analysis of the physician referral data was collected and entered into an excel patient database and analyzed. Data entry is performed on a monthly basis by the PR RCP III and the Pulmonary Rehabilitation Patient Administrative Representative. RESULTS: 244 patient referrals were received in 2009, 55% female and 45% male. Of these, 216, 88% were admitted to the comprehensive program. 40 % of these patients did not attend the program. Reasons for non-attendance included transportation 12.5 %, not interested 12.5%, feeling better 10%, no PFT’s 10%, etc. The average wait time was less than one month at 41%. Of those who attended, 64% completed the program. 76% of those referred to the program had never attended a PR program. The disease process categories included: Obstructive, 63%, Restrictive, 33.5%, 10% had a secondary diagnosis of PH and 4% had a combination of Obstructive and Restrictive process. CONCLUSIONS: It is important to track and analyze referral data in order to facilitate the referral process, strategically market the program to the appropriate physicians, address volume of referrals and target and resolve issues of non-attendance. It is important that the PR program is designed to meet the needs of the pulmonary patient and physician community. Sponsored Research - None