Evaluation Of A Nursing-Led Telephonic Self-Management Program For Patients With Copd On Health Care Utilization

<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>

Name thesis:degree_name

Doctor of Nursing Practice (DNP)

Level thesis:degree_level

Open Access Thesis

Discipline thesis:degree_discipline

Yale University School of Nursing

Year

2021

Author dc:creator

• Pavlovsky, Esther

Contributors dc:contributor

• M. Tish Knobf

• Chronic Illness, Evidence-Based Practice, Self-Management

Repository record dc:identifier

https://elischolar.library.yale.edu/ysndt/1120

OAI identifier oai:identifier

oai:elischolar.library.yale.edu:ysndt-1119