Abstract: Poster Presentations |

Nurse-led Care Coordination Reduces Hospital Utilisation in Patients with Chronic Obstructive Pulmonary Disease FREE TO VIEW

Gary M. Russell, MBBS, FCCP*; Janice Osteraas, RN
Author and Funding Information

Bendigo Health Care Group, Bendigo, Australia


Chest. 2004;126(4_MeetingAbstracts):842S. doi:10.1378/chest.126.4_MeetingAbstracts.842S-a
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PURPOSE:  To assess the effectiveness of a Nurse-led care coordination program in reducing hospital utilisation, in patients with chronic obstructive pulmonary disease (COPD).

METHODS:  We examined hospital admissions in a cohort of patients admitted to our acute hospital facility with a primary diagnosis of COPD, and who were referred for inclusion in our Nurse-led care coordination program (Program Cohort). We compared the number of admissions in the 12 months before and after referral, and also examined admission rates of a cohort of like patients, who had not been referred to the program (Standard Care Cohort). Essential elements of this program were: 1) practice redesign across the continuum of care to align practice with current guidelines; 2) capacity-building, by education of involved health professionals and patients, and by enhancement of rehabilitation and self support programs; 3) self-management monitoring by a dedicated nurse practitioner, and 4) coordination of additional service provision by the same nurse practitioner.

RESULTS:  The Program Cohort (n=78) had 164 admissions pre-program, compared to 9 post-program. Standard Care Cohort (n=65) had 124 and 59 admissions respectively during the same time frame. Admissions were reduced to a significantly greater degree in the Program Cohort (Pearson’s X 2=42.073, df=1, P<0.001).

CONCLUSION:  Participation in a Nurse-led care coordination program was associated with a signficant reduction in hospital demand for the ensuing 12 months.

CLINICAL IMPLICATIONS:  This study supports the introduction of a Nurse-led care coordination program in reducing hospital demand for patients with COPD.

DISCLOSURE:  G.M. Russell, None.

Wednesday, October 27, 2004

12:30 PM- 2:00 PM




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