In 2010, it was estimated that the U.S. spent approximately $50 billion to treat chronic obstructive pulmonary disease (COPD). Nurse-driven interventions are essential in value-based care. The purpose of this quality improvement (QI) project is to reduce the number of preventable COPD-related admissions and emergency department (ER) visits by implementing a telephonic nurse-led evidence-based COPD self-management program. A 50-patient pilot has been initiated. A pre-and-post test will be used to evaluate the effect on preventable hospitalizations and ER visits. If the outcomes of the program are unfavorable, a root cause analysis will be conducted to obtain nursing feedback on perceived barriers to program success. Patients who have had a preventable utilization following the program will be contacted to identify any issues that contributed to the utilization to improve the model of care. The evidence suggests the program will reduce COPD-related inpatient and ER utilization. Neither the literature nor national organizations recommend a specific self-management program, which provides little guidance on the optimal way to foster self-care among COPD patients. The detailed description of our program design using review of the literature and expert panel, specific delivery components, and evaluation criteria will provide foundational strategies to reduced COPD utilization.
","abstract_html":"<p>In 2010, it was estimated that the U.S. spent approximately $50 billion to treat chronic obstructive pulmonary disease (COPD). Nurse-driven interventions are essential in value-based care. The purpose of this quality improvement (QI) project is to reduce the number of preventable COPD-related admissions and emergency department (ER) visits by implementing a telephonic nurse-led evidence-based COPD self-management program. A 50-patient pilot has been initiated. A pre-and-post test will be used to evaluate the effect on preventable hospitalizations and ER visits. If the outcomes of the program are unfavorable, a root cause analysis will be conducted to obtain nursing feedback on perceived barriers to program success. Patients who have had a preventable utilization following the program will be contacted to identify any issues that contributed to the utilization to improve the model of care. The evidence suggests the program will reduce COPD-related inpatient and ER utilization. Neither the literature nor national organizations recommend a specific self-management program, which provides little guidance on the optimal way to foster self-care among COPD patients. The detailed description of our program design using review of the literature and expert panel, specific delivery components, and evaluation criteria will provide foundational strategies to reduced COPD utilization.</p>","abstract_has_math":false,"creators":["Pavlovsky, Esther"],"institution":null,"degree_name":"Doctor of Nursing Practice (DNP)","degree_level":"Open Access Thesis","degree_discipline":"Yale University School of Nursing","degree_department":null,"school":null,"contributors":["M. Tish Knobf"],"advisors":[],"committee_chairs":[],"committee_members":[],"year":2021,"date_issued":"2021-01-01T08:00:00Z","date_published":"2021-01-01T08:00:00Z","updated_at":"2026-07-24T06:16:14Z","subjects":["Chronic Illness, Evidence-Based Practice, Self-Management"],"languages":[],"rights":[],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"https://elischolar.library.yale.edu/ysndt/1120","outbound_label":"Repository record","outbound_source":"dc:identifier"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor","label":"Contributor","values":["M. Tish Knobf"]},{"key":"dc:creator","label":"Author","values":["Pavlovsky, Esther"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"thesis:degree_discipline","label":"Discipline","values":["Yale University School of Nursing"]},{"key":"thesis:degree_level","label":"Degree Level","values":["Open Access Thesis"]},{"key":"thesis:degree_name","label":"Degree Name","values":["Doctor of Nursing Practice (DNP)"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["Chronic Illness, Evidence-Based Practice, Self-Management"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier","label":"Identifier","values":["https://elischolar.library.yale.edu/ysndt/1120"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description.abstract","label":"Abstract","values":["In 2010, it was estimated that the U.S. spent approximately $50 billion to treat chronic obstructive pulmonary disease (COPD). Nurse-driven interventions are essential in value-based care. The purpose of this quality improvement (QI) project is to reduce the number of preventable COPD-related admissions and emergency department (ER) visits by implementing a telephonic nurse-led evidence-based COPD self-management program. A 50-patient pilot has been initiated. A pre-and-post test will be used to evaluate the effect on preventable hospitalizations and ER visits. If the outcomes of the program are unfavorable, a root cause analysis will be conducted to obtain nursing feedback on perceived barriers to program success. Patients who have had a preventable utilization following the program will be contacted to identify any issues that contributed to the utilization to improve the model of care. The evidence suggests the program will reduce COPD-related inpatient and ER utilization. Neither the literature nor national organizations recommend a specific self-management program, which provides little guidance on the optimal way to foster self-care among COPD patients. The detailed description of our program design using review of the literature and expert panel, specific delivery components, and evaluation criteria will provide foundational strategies to reduced COPD utilization.
"]},{"key":"dc:title","label":"Title","values":["Evaluation Of A Nursing-Led Telephonic Self-Management Program For Patients With Copd On Health Care Utilization"]}]}],"canonical_facts":{"dc:contributor":["M. Tish Knobf"],"dc:creator":["Pavlovsky, Esther"],"dc:description.abstract":["In 2010, it was estimated that the U.S. spent approximately $50 billion to treat chronic obstructive pulmonary disease (COPD). Nurse-driven interventions are essential in value-based care. The purpose of this quality improvement (QI) project is to reduce the number of preventable COPD-related admissions and emergency department (ER) visits by implementing a telephonic nurse-led evidence-based COPD self-management program. A 50-patient pilot has been initiated. A pre-and-post test will be used to evaluate the effect on preventable hospitalizations and ER visits. If the outcomes of the program are unfavorable, a root cause analysis will be conducted to obtain nursing feedback on perceived barriers to program success. Patients who have had a preventable utilization following the program will be contacted to identify any issues that contributed to the utilization to improve the model of care. The evidence suggests the program will reduce COPD-related inpatient and ER utilization. Neither the literature nor national organizations recommend a specific self-management program, which provides little guidance on the optimal way to foster self-care among COPD patients. The detailed description of our program design using review of the literature and expert panel, specific delivery components, and evaluation criteria will provide foundational strategies to reduced COPD utilization.
"],"dc:identifier":["https://elischolar.library.yale.edu/ysndt/1120"],"dc:subject":["Chronic Illness, Evidence-Based Practice, Self-Management"],"dc:title":["Evaluation Of A Nursing-Led Telephonic Self-Management Program For Patients With Copd On Health Care Utilization"],"thesis:degree_discipline":["Yale University School of Nursing"],"thesis:degree_level":["Open Access Thesis"],"thesis:degree_name":["Doctor of Nursing Practice (DNP)"]},"updated_at":"2026-07-24T06:16:14Z"}