The Health Roundtable Central Network Respiratory Coordinated Care Program Innovation Presenter: Benjamin Kwan Staff specialist respiratory and sleep medicine St George and Sutherland hospital network. Medical director of SESLHD central network RCCP (respiratory coordinated care program) : Innovation Poster Session HRT1215 – Innovation Awards Sydney 11 th and 12 th Oct

The Health Roundtable INTRODUCTION  SESLHD Central Network Respiratory Coordinated Care Program (RCCP) is a collaborative approach between respiratory physicians, nurses, physiotherapists, social workers, community services personnel and GPs.  9 Team members undertake regular home visits to improve management of chronic obstructive pulmonary disease (COPD) in community.  Monthly average of 375 chronic participants with a mean age of 76.2 years 2

The Health Roundtable KEY PROBLEM  Increased number of patient presentations to Emergency Department  Increased infective and non infective exacerbations  Access to medical services  Inadequate nursing and physiotherapist resources to meet growing community demand.  Recurrent presentations and prolonged hospital stay for COPD patients who are outside ENABLE NSW “Domiciliary Home O 2 ” criteria 3

The Health Roundtable AIM OF THIS INNOVATION  Reduce hospital admission and readmission rates  Reduce direct COPD presentations to Emergency Departments across SESLHD (STG & TSH Hospitals)  Improve access to hospital medical specialist service  Improve accuracy of stage of disease and management  Optimise participants’ respiratory condition to help them live as independently as possible in their home  Provide extra supplementary medical support to the community team 4

Triage Assessment Diagnostics to transfer to ward WardD/C RCCP Community Self Management Early identification of RCCP patient to RCCP Early identification of respiratory patients to resp. Team & RCCP Dedicated Adv/Basic trainee attached to RCCP Streamlined oxygen prescribing process Hospital oxygen lending pool Appropriate referral to RCCP Appropriate discharge via RCCP Sustained TSH RCCP patient load ratio of 1:125 Proactive clinic referral if no GP access within 5 days after dc Private Clinic Utilisation of GOLD standard Solutions design Current and New systems – RCCP GP, ED and Specialist referrals to Clinic Access LOS No. of Admissions Measurement of success No. of Readmissions (28 & 56 days) vi Quality of care in hospital vii Quality of care in the community vii i Increased RCCP capacity Qualitative Benefits No. of Presentations i ii iii iv v Med registrar home visit Rapid Access Clinic

The Health Roundtable BASELINE DATA  Describe the issue or preferably show baseline measures e.g. rate of this problem over time prior to the innovation  Mean National admissions per patient per year for COPD = 1.35(2010/2011)  Mean National hospital bed days length of stay for COPD – 6.7 (2010/2011)  The 2011 National mean number of bed days for the 375 chronic RCCP pts is 3391 hospital bed days (1.35 x 375 x 6.7 OR average of 283 bed days per MONTH) 6

The Health Roundtable KEY CHANGES IMPLEMENTED  Allocation of a medical registrar to attend home visit with RCCP staff  Newly established Rapid Access Respiratory outpatient clinic  COPD patients assessed by RCCP to require further medical input will either be referred directly to the weekly respiratory outpatient clinic or assessed on one of the weekly medical registrar accompanied home visit.  Clinic and registrar home visit days are spaced apart (Tues / Thurs) to provide a more continuous medical input throughout the working week.  GPs are notified of review outcome either by clinic letter or via direct phone call. 7

The Health Roundtable KEY CHANGES IMPLEMENTED  Provision of Home O 2 to COPD patients who are borderline outside of ENABLE criteria i.e. P mmHg in addition to 2 hospital admissions in the previous 12 months  This group made up 6% of cohort but contributed to 12% of total admissions over  Those fitting with the above criteria has hospital funded hospital for 12 months with regular medical review and monitored by RCCP. 8

The Health Roundtable OUTCOMES SO FAR  As from January to September 2012 inclusive, the provision of the aforementioned innovations have; reduced admission rates for 5 pts outside of Enable 0 2 criteria (Pre: 12 admissions, post: 2 admissions)  Based on 375 patients  Current admission rates per/pt/yr in this timeframe = 0.33 admissions/pt [126 pts] (National mean 1.35 adm/pt)  Current number of bed days = 87.5 bed days per month, i.e,. January to September(National mean of 283 bed days per month)  25% of patients [based on 240 patients] seen in the clinic between were referred directly from RCCP or ED bypassing admission with only 1 admitted directed from clinic. 9

The Health Roundtable LESSONS LEARNT  Model of care has a direct and significant effect in minimising the burden on the acute sector and preventing access block,.  Innovations circumvent hospital admissions are cost efficient, when compared to the cost of ED presentations and hospital length of stay.  Increased medical support improved disease diagnosis and management  Allows outpatient management of chronic diseases, thus enabling patient to remain as independent as possible in their familiar environment 10

Acknowledgement and Thanks  Nick Spiliopoulos (NUM of RCCP)  Dr Elizabeth Clark  Ms Mary Dunford  Central Network RCCP staffs  Central Network Department of Respiratory and Sleep Medicine  Central Network Executives  LEAD design team (from KPMG)

The Health Roundtable QUESTIONS? THANK YOU! 12