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The Chronic Obstructive Pulmonary Disease (COPD) Improvement Collaborative has launched its interim report which sets out the progress and achievements of the Collaborative to date.
The Collaborative aims to improve the quality of care for patients living with COPD, while positively impacting the wider health system through a reduction in readmissions and length of stay in acute facilities, with associated positive impact of cost to the Irish health service.
At this half-way point the report says that some early improvement trends are visible, which is encouraging. However, the report is keen to stress that significant work is required in the second half of the Collaborative in order to sustain these changes and further analysis is planned on completion of the project.
Improvements thus far have been seen in patient experience time, that is the waiting time from first registration to first review by a member of the respiratory team, which has reduced. There has also been a positive increase in the use of the DECAF score as the standardised COPD assessment tool. Diagnosis confirmation via spirometry testing has also increased, length of patient stay reduced and the percentage of patients receiving inhaler technique review or support before discharge home increased.
The COPD Collaborative was launched in September 2018, under a joint initiative between the Clinical Strategy and Programmes (CSP), National Clinical Programme for COPD (NCPCOPD) and Royal College of Physicians of Ireland (RCPI). Eighteen consultant-led, multidisciplinary, respiratory teams from nineteen hospitals across Ireland are collaborating to improve care for patients with acute exacerbations of COPD (AECOPD). The Collaborative teams have one final Learning Session in September 2019 and teams will submit an abstract and poster in addition to continued monthly data collection to September 2019. A final Collaborative Evaluation (qualitative and quantitative) will be presented by December 2019.
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