Patients who are hospitalized at select Carolinas Healthcare System (CHS) sites with Chronic Obstructive Pulmonary Disorder (COPD) acute exacerbation symptoms will be treated per the CHS COPD Clinical Pathway. Patient outcomes will be followed, including but not limited to readmission. Patients on the pathway will also have access to navigator services.
Patients hospitalized at participating CHS sites with COPD acute exacerbation symptoms, will be treated per the CHS COPD clinical pathway. The COPD clinical pathway will include four components: (i) discrete, evidence-based care steps (ii) patient navigation, (iii) daily data driven care gap identification, (iv) monthly leadership huddles. These components are all part of usual care for patients in this population, but each component is not applied to patients consistently across the System. For this reason, the pathway will be applied consistently and completely in patients meeting COPD acute exacerbation criteria at participating sites. Patients will be followed for 60 days in total after discharge from their COPD acute exacerbation symptoms to determine the potential effectiveness of complete implementation of all 4 components in the care of COPD patients. Patients on the pathway will also have access to navigator services.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Enrollment
4,832
Treatment of patients in the usual manner based on their diagnosis and resources available at that site.
A group of 4 Usual Care components that are applied consistently and completely amongst all patients who present with COPD acute exacerbation symptoms, plus access to navigator services.
Carolinas Medical Center
Charlotte, North Carolina, United States
Carolinas Healthcare System - Pineville
Charlotte, North Carolina, United States
Carolinas Healthcare System - University
Charlotte, North Carolina, United States
Healthcare Utilization
Occurrence of Emergency Department, inpatient, or observation encounters after the initial encounter at accrual
Time frame: 60 days
Quality, Comfort, and Care (QCC) Defined Readmission Rate
Readmission to the same facility
Time frame: 30 days
Patient-centric (Protocol Defined) Readmission Rate
Readmission to any facility within Carolinas HealthCare System
Time frame: 30 days
30-day COPD Specific, Acute Care Utilization to Any Hospital Within the System
Time frame: 30 day
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Carolinas Healthcare System - NorthEast
Concord, North Carolina, United States
Carolinas Healthcare System - Kings Mountain
Kings Mountain, North Carolina, United States
Carolinas Healthcare System Lincoln
Lincolnton, North Carolina, United States
Carolinas Healthcare System - Union
Monroe, North Carolina, United States
Carolinas Healthcare System - Cleveland
Shelby, North Carolina, United States