Implementing a COPD care bundle- the Southend experience Dr Duncan Powrie Consultant Chest Physician March 2015.

Slides:

Advertisements

Similar presentations

WRHA Palliative Care Program February 2013

Advertisements

DIGNITY THROUGH ACTION WORKSHOP

Community Pharmacy – Call to Action Derbyshire / Nottinghamshire Area Team.

North Gwent Acute Stroke Service Our Progress So Far ………

How to Find Your Way Around

COPD Pathway and Discharge bundle

Community Hospital Review – The Clinical Model What did we recommend? Dr. David Carson, Director, The Primary Care Foundation.

Baseline Assessments Hospital: Pressure ulcer Incidence 8-13% Pilot Ward (Anglesey): Baseline incidence rate - 4.5% Nutritional assessment - 50% Pressure.

Urgent Care Planning in South Tyneside David Hambleton Urgent Care Everyone’s problem.

Respiratory Care Bundles Professor Thida Win Lister Hospital

Developing a Trust wide framework to support Nurse Facilitated Discharge to reduce length of stay Kate Pound and Sue Haines Service Redesign Manager Assistant.

Misericordia Hospital Edmonton, Alberta Delirium Collaborative.

Anne Marie Marley Respiratory Nurse Consultant BHSCT Dr Stephen Tate Respiratory Physician SET.

NCEPOD Report Caring to the end? Issues for physicians Prof IT Gilmore PRCP.

Discharge from Hospital to Care Home. What you told us! Lack of verbal communication Lack of documented communication Waiting for medicines Waiting for.

Addenbrooke’s Hospital Rosie Hospital Caring for Patients in their Last Days of Life Dr Douglas Maslin (ACF CMT1) and Dr Kate Kiln (CMT2) Supervisor: Dr.

Healthy Homes Pilot Program with SSM Hospital. Healthy Homes The purpose of Healthy Homes is to give patients, recently returning home from the hospital,

Scottish Antimicrobial Pharmacist Group SNAP-CAP& Empirical Prescribing Indicator Audit 8 th June 2010.

ROYAL WOLVERHAMPTON NHS TRUST ADULT COMMUNITY SERVICES LONG TERM CONDITIONS.

What’s New Doc? "Aiming to, provide high quality care and continuity, look after self and each other, value contributions from team, play to strengths"

IMPACT (Bath) – bringing primary and secondary care COPD services closer together Claire Bullard Respiratory Physiotherapist.

ACOVE 4: Continuity and Coordination of Care in Vulnerable Elders Continuity is ‘‘care over time by a single individual or team of healthcare professionals’’

Do Not Attempt Cardio- Pulmonary Resuscitation (DNACPR) Dr Linda Wilson Consultant in Palliative Medicine Airedale/Manorlands.

Essence of Care “Safety of patients with mental health needs in acute mental health and general hospital settings.”

SMASAC HDU Bed Report Scottish Intensive Care Society Audit Group 9 November 2007 Dr Frances Elliot.

Division of Primary Health Care An evaluation of the effectiveness of ‘care bundles’ as a means of improving hospital care and reducing re-admission for.

Corporate objectives ~Improving patient safety and the patient experience ~ supporting key national targets ~ Improving partnership working Supporting.

SNAP Scottish National Audit Project CE Bucknall Chair, Bicollegiate Physicians Quality of Care Committee, on behalf of project team.

Preparing for Winter 2011/12 Guidance Overview Stuart Low Planning Manager Scottish Govt NHSScotland Business & Performance Mgt Team.

CDDFT OUR SERVICE IN 10 MINS FRIDAY 19 TH APRIL 2013 Thelma Rosenvinge.

Developing and implementing a new approach to smoking at Kings College Hospital: a joined up approach for South Londoners Dr Irem Patel Consultant Respiratory.

MAKING CARING CONNECTIONS CONTINUITY OF CARE TRANSFER PROJECT Staff Education Presentation Hospital Presenter’s Name Date.

MAKING CARING CONNECTIONS CONTINUITY OF CARE TRANSFER PROJECT Staff Education Presentation LTC Facility Presenter’s Name Date.

Unified Assessment Implementation Strategy for Conwy and Denbighshire NHS trust.

Reducing avoidable deaths in inpatient settings (fail to rescue) from physical health conditions Mersey Care NHS Trust.

Long Term Conditions Strategy There are 3 key aims to our improvement strategy: WHCCG has already achieved: – Commissioned Diabetes education through the.

Dementia Ward Charter Mark Dr Chris Dyer, Consultant Geriatrician Clinical Lead Older People’s Services RUH.

RML Specialty Hospital FALL PREVENTION PROGRAM NATIONAL NALTH WINNER 2006 for BEST PRACTICE.

PPG APPENDIX 2. PPG MIINUTES PATIENT SURVEY 2011 PRELIMINARY FINDINGS 1.

Quality Healthcare Includes You! Volunteer Opportunities at University Medical Center.

A Holistic Approach To Discharge Planning. Due to the regulatory guidelines and changes in healthcare for example: Bounce backs Reduced hospitalizations.

DDES CCG COPD Project 01/05/15 Dr Dilys Waller Respiratory Nurses - Susan Evison Caroline Blackburn Nichola Lowe Karen Beedle.

Acute Liaison Nurses Learning Disabilities Samantha Lovage Barbara Lewis.

PALLIATIVE CARE OF HEART FAILUE, COPD AND IN THE ACUTE TRUST (in 5 minutes!!) Dr Sharon Chadwick Macmillan Consultant in Palliative Medicine Hospice of.

Elderly Frailty Project in Teesside

Right Care in the right place, human centred care at home and in the community Sally King MSc MCSP NMP Respiratory Specialist Physiotherapist.

Audit of National DNAR Policy Implementation St. Columcille’s Hospital Dr Marie Therese Cooney & Dr Crina Burlacu On behalf of: MT Cooney, P Mitchell,

College Lane Surgery Patient Participation Group Meeting 28 th January 2016 Mrs Kirsty Farrar.

WE ARE Jackie Potts – Physiotherapist John Hayward – Social Worker from the Newport Reablement Team.

The Implementation of a COPD Discharge Care Bundle Louise Sewell Clinical Lead for Pulmonary Rehabilitation & COPD Nurse Specialists Services.

JUST GIVE IT: a 2 phase study to audit the Immediate Management of Patients with Proven or Suspected Neutropenic Sepsis by Ally Gruber Acute Oncology Clinical.

Peter Selby North Western 12 October 2010 Fracture Liaison Service Provision in the North West.

Timmins and District Hospital Critical Care Unit Delirium Collaborative November 2012.

Working for healthier lungs The Whys and Whats of Care Bundles 23 November 2012.

Misericordia Hospital Edmonton, Alberta

Improving quality of COPD care through digital education

MHA Immersion Pilot Project

OUTREACH The Gwent Experience

Cardiff and Vale Last Days of Life Care Pathway

Primary Care & Community Services

The Impact of Pneumonia Core Measure Scores on Value Based Purchasing Financial Outcomes Presented by Brenda Lee, MSN,RN.

Paediatric Orthopaedic MSK Pathways Pamela Holland

Management of Patients following a Myocardial Infarction in the Community Dr Anjali Kay GPST3, Dr Katharine Saxby GP Partner 6-8th October 2016 Introduction.

COPD, OPIOIDs, DMARDs.

Results of follow-up survey on feedback from medical appointments

Dr Tammy Rothenberg Starlight Unit Homerton University Hospital

Principal recommendations

Alcohol Care Pathway As part of medical assessment, complete AUDIT-C

Recording Care – The Nursing Challenge

Discharge Summaries Practical advice.

Presentation transcript:

Implementing a COPD care bundle- the Southend experience Dr Duncan Powrie Consultant Chest Physician March 2015

2010 discharge checklist first developed Completion rates were poor Lack of responsibility for actions No clear division between nursing and medical responsibility for tasks Discharge checklist meant often left until day of discharge Only implemented on respiratory wards

Attempted improvements Care bundle Nominated professionals for each action Column on whiteboard However when audited completion rate was only 30%

Aims 100% completion rate All wards – respiratory and GIM Involvement of community teams

COPD CQUINN Joint project with community services Bundle agreed Project manager appointed (band 6) assisted by COPD nurse Completion recorded on systmOne Community staff informed and all patients followed up and bundle completed

15 referred to LTC

100% of patients are given leaflets and education regarding COPD. 100% of patients are given advice on flu and pneumonia vaccines. 45% of patients where referred for assisted discharge (RRT). 65% of patients where referred to LTC (Although this includes all first admissions which is typically 35-40% of our overall admissions) Other bundle elements

What have we learnt? Implementing the bundle is easier said that done Ongoing education, commitment and badgering is insufficient Dedicated individual with responsibility is required