VISN 23 Chronic Obstructive Pulmonary Disease (COPD) Case Management Using Home Telehealth Equipment

US Department of Veterans Affairs50 enrolled

Overview

Looking at the use of home telehealth equipment and it's place in self management and education in patients who suffer moderate to severe Chronic Obstructive Pulmonary Disease (COPD). The patients in this group would be those patients who traditionally suffer from emphysema, and/or chronic bronchitis.

Patients who have been admitted to the hospital, or who have frequent urgent care visits, who also suffer from COPD exacerbations will be given a home monitoring system. Daily, the patient will respond to a series of questions. The results of the question answers will be remotely monitored by a nurse case manager. The objective is to measure compliance, resource use, and the ability for early recognition of an exacerbation of their COPD, and early implementation of therapy.

Study Type

INTERVENTIONAL

Allocation

NON_RANDOMIZED

Masking

NONE

Enrollment

Conditions

COPD

Interventions

Use of Telehealth equipment (Viterian V-100)DEVICE

Patient will daily enter answers to questions generated from a home telehealth monitor

Eligibility

Sex: ALL

Medical Language ↔ Plain English

Inclusion Criteria: * One or more hospital admissions or emergency room visits in last 2 Years. * Patient must meet the VA home telehealth guideline that the patient is determined to be at high risk for poor clinical outcomes or increased unplanned health care utilization based on disease specific criteria and/or determined by physician provider Exclusion Criteria: * Any unstable medical condition that the investigator thinks would preclude effective participation in the study, or which would be expected to reduce life expectancy to less than 1 year. * Unwilling or unable to provide consent * Uncooperative or combative * Does not have a compatible phone line * Inability to use home telemedicine equipment

Locations (2)

VA Medical Center, Minneapolis

Minneapolis, Minnesota, United States

NOT_YET_RECRUITING

VA Nebraska Western Iowa Healthcare System, Omaha

Omaha, Nebraska, United States

RECRUITING

Outcomes

Primary Outcomes

Patient compliance with utilizing home telehealth monitoring equipment in the two patient groups

Time frame: six months

The amount of Home telehealth case management time utilized to provide patient monitoring in the two patient groups

Time frame: six months

Secondary Outcomes

Patient satisfaction The role of finger oximetry in the identification of exacerbations Number of hospitalizations and urgent care visits and how they relate to the use of home telehealth equipment

Time frame: six months

Evaluate patient ease of using the home telehealth equipment in the two patient groups.

Time frame: six months

Patient satisfaction in managing their disease in the two patient groups

Time frame: six months

The number of COPD exacerbations, urgent care visits, and hospitalizations related to COPD in the two patient groups

Time frame: six months

Correlate the effect of oxygen saturation monitoring on the early identification of COPD exacerbations

Time frame: six months

Data from ClinicalTrials.gov

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