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The Outcome of an Integrated Care Intervention at a Tertiary Hospital for Patients with Chronic Obstructive Pulmonary Disease: A Retrospective, Single Center, Cohort Study of the Connecting Care to Home Program
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A4974 - The Outcome of an Integrated Care Intervention at a Tertiary Hospital for Patients with Chronic Obstructive Pulmonary Disease: A Retrospective, Single Center, Cohort Study of the Connecting Care to Home Program
Author Block: J. Jackson1, M. Povitz2, C. Schultz1; 1Department of Medicine, Schulich School of Medicine, Western University, London, ON, Canada, 2Respirology, Western University, London, ON, Canada.
Rationale:
Chronic obstructive pulmonary disease (COPD) is a leading cause of morbidity and mortality worldwide representing an increasing economic and social burden. Globally, this burden is projected to increase in coming decades because of continued exposure to COPD risk factors and the aging population. Despite the clear burden on healthcare systems both globally and in Canada, there are few interventions that have been shown to reduce length of stay for COPD-related hospitalizations. It is well understood that optimal care for patients with COPD requires an individualized, patient-centered approach that recognizes and treats all aspects of the disease and integrates medical care both in hospital and in the community. The purpose of this study was to evaluate the effect of the Connecting Care to Home (CC2H) Program at London Health Sciences Center on length of stay for COPD-related hospitalizations. The Connecting Care to Home (CC2H) Program is a program offered to patients admitted to an academic hospital in London, Ontario with a known diagnosis of COPD. CC2H is a multi-disciplinary team consisting of a COPD Navigator (a respiratory therapist), community care coordinators and nursing staff that helps to facilitate discharge from hospital and continues patient care at home.
Methods:
This study was a single-center retrospective cohort study examining patients offered enrollment in the Connecting Care to Home program at LHSC between October 2015 and January 2017. A chart review was conducted for patients who enrolled in the CC2H program (n=97) and for patients who refused enrollment (n=45) during this timeframe. The refusal group was used as a control group for the intervention. Demographic data was collected and both crude and regression analyses were conducted.
Results:
Results demonstrate that enrollment in the CC2H program did not significantly reduce mean length of stay. Although there was a trend towards reduced length of stay in the intervention group (4.2 hospital days) when compared to the control group (5.1 hospital days), this reduction did not meet significance (p=0.16).
Conclusions:
As resources are increasingly committed to discharge programs in an attempt to reduce health care resources utilization by COPD patients, it is important to analyze the success of these programs. It is critical that we determine the commonalities and differences between successful and unsuccessful programs in order to optimize use of finite resources. Results of this study will inform further program advancement and development both locally and nationally.
Author Block: J. Jackson1, M. Povitz2, C. Schultz1; 1Department of Medicine, Schulich School of Medicine, Western University, London, ON, Canada, 2Respirology, Western University, London, ON, Canada.
Rationale:
Chronic obstructive pulmonary disease (COPD) is a leading cause of morbidity and mortality worldwide representing an increasing economic and social burden. Globally, this burden is projected to increase in coming decades because of continued exposure to COPD risk factors and the aging population. Despite the clear burden on healthcare systems both globally and in Canada, there are few interventions that have been shown to reduce length of stay for COPD-related hospitalizations. It is well understood that optimal care for patients with COPD requires an individualized, patient-centered approach that recognizes and treats all aspects of the disease and integrates medical care both in hospital and in the community. The purpose of this study was to evaluate the effect of the Connecting Care to Home (CC2H) Program at London Health Sciences Center on length of stay for COPD-related hospitalizations. The Connecting Care to Home (CC2H) Program is a program offered to patients admitted to an academic hospital in London, Ontario with a known diagnosis of COPD. CC2H is a multi-disciplinary team consisting of a COPD Navigator (a respiratory therapist), community care coordinators and nursing staff that helps to facilitate discharge from hospital and continues patient care at home.
Methods:
This study was a single-center retrospective cohort study examining patients offered enrollment in the Connecting Care to Home program at LHSC between October 2015 and January 2017. A chart review was conducted for patients who enrolled in the CC2H program (n=97) and for patients who refused enrollment (n=45) during this timeframe. The refusal group was used as a control group for the intervention. Demographic data was collected and both crude and regression analyses were conducted.
Results:
Results demonstrate that enrollment in the CC2H program did not significantly reduce mean length of stay. Although there was a trend towards reduced length of stay in the intervention group (4.2 hospital days) when compared to the control group (5.1 hospital days), this reduction did not meet significance (p=0.16).
Conclusions:
As resources are increasingly committed to discharge programs in an attempt to reduce health care resources utilization by COPD patients, it is important to analyze the success of these programs. It is critical that we determine the commonalities and differences between successful and unsuccessful programs in order to optimize use of finite resources. Results of this study will inform further program advancement and development both locally and nationally.
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