Regional Approach to the Management of Acute Exacerbations of COPD

Interdisciplinary teams from eight regional hospitals are working to enhance care delivered to hospitalized adults across the region.  The initial focus of the regional collaborative has been on optimizing laboratory testing for inpatients in all the participating hospitals.  This initial effort is now in its second year of activity (more info here).  

Building on the success and learning of the initial lab-testing effort, the same group of institutions and individuals has begun it second regional clinical improvement effort, focusing on improving and standardizing the care for adult patients admitted with acute exacerbations of Chronic Obstructive Pulmonary Disease (COPD).

In the same spirit of the laboratory collaborative, the COPD effort represents change not forced from the outside in, but change led from the inside out; change based on professionalism and trust among leaders across multiple disciplines who work in the trenches every day.

Acute Exacerbation of COPD Pathway

Participating hospital teams are working together to develop and implement a pathway for adult patients hospitalized with acute exacerbation of chronic obstructive pulmonary disease (COPD).  The pathway will offer a standardized, evidence-based approach to initial diagnostic testing, medical therapies, consultations, lifestyle modification, education and transitions of care in this population of patients.  The effort will leverage the opportunity of a hospital admission to provide education to patients regarding disease management and to connect them to resources in their community after discharge.  The process recognizes local variability in staffing, formularies and resources and attempts to incorporate options that work best for the patients within each community.  

We strive to optimize clinical outcomes and value by working together to augment the care we deliver across the region for patients admitted to the hospital with acute exacerbation of COPD.

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