2012 OPEN FORUM Abstracts
INTEGRAL ROLE OF HOSPITAL BASED RESPIRATORY THERAPISTS IN THE EDUCATION OF INPATIENTS WITH A COPD DIAGNOSIS.
Amy Wise, Lillian ONeill; Respiratory Care, BryanLGH Medical Center, Lincoln, NE
Background: COPD has become the 3rd leading cause of death in the United States and the 4th leading cause of 30 day readmissions among Medicare beneficiaries. While focusing on the current readmissions for pneumonia at BryanLGH, it was noted that over 80% of these patients also had a secondary diagnosis of COPD. At BryanLGH Medical Center, the goal: To increase the involvement of the Respiratory Therapists in the education of inpatients with a diagnosis of COPD. Predicted outcome: To decrease readmission rates while also increasing patient satisfaction quality measures. Method: All Respiratory Therapists attended classes with instruction on: 1.) the rationale behind the process, 2.) how to utilize an education standard using the teach back method, and 3.) tools and resources. Established resources consist of care management, pulmonary rehab, palliative care and physician support. Results: Obtaining three outcomes by implementing this process. First, achieve patient satisfaction at the 80th percentile based on the Avatar question, The respiratory therapist gave me good explanation of my therapy. January 2011 May 2011, results were 67.12%, January 2012- May 2012, results were 81.44%. Second, decrease the 30 day readmission rate of pneumonia from a FY rate from 20.29% to 15.21%, June 2011 thru January 2012 readmission rate, 17.39%. Finally, to prepare for the reduction in reimbursement based on the 30 day readmission rate of the COPD patients in 2015. Conclusion: In implementing the process of educating the COPD patient, the respiratory therapy staff has felt they made a greater difference in the lives of their patients. Efforts to collaborate with current resources to improve patients quality of life continue to grow creating a continuum care and reducing readmission. Sponsored Research - None