1. Improving quality of COPD care through digital education
Building Healthier Lives
Improving quality of COPD care through digital education
Heartlands Hospital
Heart of England NHS Foundation Trust

2. Who are we? HEFT 3 hospital sites 1800 AECOPD admissions pa
Heartlands
Solihull
Good Hope
1800 AECOPD admissions pa
High levels of deprivation
Ethnic diversity

3. Problems: 2014 audit at Heartlands
Poor levels of smoking cessation advice
68% had a smoking status documented
42% of active smokers were given cessation advice
Pulmonary rehabilitation
17% had documents showing that rehab was considered
Of these most were referred but not all, and most referrals were made by COPD CNS
Enabling patients to self-care
4% had inhaler technique check, 19% had self-management plan
We were ok at spiro (76% cases) and resp rv (>90% cases)

4. What was our solution? Discharge care bundle SDIP 2014-15
CQUIN
Respiratory review
Smoking cessation
Inhaler technique
Self management plan
Pulmonary rehabilitation

5. Getting the bundle implemented
CNS and respiratory team v wider hospital team
Education
Mandatory for all band 6 ward nurses on selected wards
Mandatory for all physios and pharmacists on resp wards
Mixed methods of education
Ad hoc on wards
Group training
E-learning

6. The e-learning platform
Moodle
Modules require support from HEFT faculty
Can be accessed as many times as desired
MCQ must be done at least once
System logs access to the courses monthly & reports to users
Inhaler technique  videos
Smoking cessation  Podcast and slides
Pulmonary rehabilitation  videos and app

7. Private YouTube channel

9. Results 2014-15 SDIP targets Data collection Electronic where possible
Manual notes review
Baseline Q4
Heartlands
28%
82%
Solihull
14%
0%*
Good Hope
36%
56%
Baseline Q4
Heartlands
23%
50%
Solihull 4%
30%
Good Hope 7%
65%
*Only 1 current smoker
Baseline Q4
Heartlands 6%
62%
Solihull
27%
Good Hope
42%

10. Results
CQUIN focussed on AECOPD admissions >48 hours in duration
Smoking cessation
≥90% all sites PR
100% all sites
Inhaler technique
≥80% Heartlands and Solihull
47% Good Hope

11. Side effects of success
Waiting list for rehabilitation much longer
Now 25/52 on average to get into a class!
Solutions
Expansion to community sites
Business case for new staff
Home ‘app’ to expand from lung cancer to other conditions
Buddy programme for patient-patient education

12. What next? Expanding training Admission bundle pilot at Solihull
Community pharmacists
Third sector  RiPPLE project
Admission bundle pilot at Solihull
QR code pilot on patients discharge medication

13. Building Healthier Lives
Thankyou!
This project would not have been possible without our fantastic COPD MDT
Nursing: Pamela Sweeney, Karen Ebbon, Kirsty Russell, Tracey Stuart, Katie Neighbour, Emma Briggs….
Physio: Stuart Lightfoot, Helen Beadle, Jan McGowan
Pharmacy: Baljit Ahitan
HEFT Faculty: Simon Potter
Building Healthier Lives