Pulmonary Talk Video

Chronic Obstructive Pulmonary Disease (COPD) is a progressive disease that requires a lifetime of disease management. COPD cannot be cured, but it can be treated effectively. Hospital for Special Care (HSC) offers a comprehensive program for those living with COPD. HSC can help by providing on-going care, risk assessment, disease and self-management education. Care is adjusted as the patient’s clinical status changes. Goals include:

  • To eliminate unhealthy behaviors
  • To earn how to best manage COPD in everyday life
  • To learn relapse prevention and wellness strategies
  • To maintain a stable state of health and improve outcomes
  • To reduce exacerbations and hospital admissions
  • To reduce health care costs

Outpatient Care and Risk Mitigation to In-patient Care and Symptom Management

Outpatient Pulmonary Rehabilitation, smoking cessation, proper titration of oxygen, nutritional counseling, medication adherence, risk reduction and ongoing education and support is coordinated in communication with the community MD and home care agency(s) for each patient.

Patients who require acute hospitalization for IV therapy and around the clock nursing care may be directly admitted from a hospital emergency room, or MD office for Inpatient Care:

  • COPD treatment by *GOLD standards
  • Smoking cessation
  • Focused education on relapse prevention

*Global Initiative for Chronic Obstructive Lung Disease (www.goldcopd.org)

Maximizing Outcomes and Wellness

Many patients with COPD are frequently admitted to emergency rooms and acute care hospitals. Those with very severe disease have 47% chance of having more than 2 admissions each year. These recurrences can increase the acceleration of the disease. Patients who are enrolled will have access to COPD Disease Educators/case managers who can promptly address questions or concerns. Each patient is monitored and followed up with face to face visits, phone calls and testing according to the current status of their disease and the impact on daily life. Identifying co-morbidities, mitigating risks for relapse, improving medication adherence and addressing self-management will maximize patient outcomes and wellness.

  • Outpatient Pulmonary Rehabilitation
  • POWR (Pulmonary Outpatient Weight Reduction) and nutritional support
  • PEP Pulmonary Exercise Maintenance
  • Breathtakers Monthly Support Group
  • CT Alpha-1Antitrypsin Support Group
  • Harmaniacs - Harmonica Group

Outcomes

HSC achieves excellent results with our other pulmonary care programs.

Outpatient Pulmonary Rehabilitation Program

  • 98% had an improvement in quality of life
  • 70% had less fatigue
  • 77% had a reduced shortness of breath
  • 72% reported they are more confident in handling the disease

COPD Disease Management Program

  • 39% reduction in patient reported hospitalizations per year
  • 40% reduction in patient reported exacerbations (flare-ups) in 6 months after enrollment

PCSP Designation

The Hospital for Special Care is seeking to have its COPD Disease Management Program (“the COPD Program”) designated as a Patient Centered Specialty Program (PCSP) by the National Committee for Quality Assurance (NCQA), an accrediting organization dedicated to improving health care quality. It requires clinicians to organize care around patients - across all clinicians seen by a patient - and to include patients and their families or other caregivers in planning care and as partners in managing conditions. For our program at HSC, the PSCP designation will lead to additional improvements in quality of care, cost containment, and patient satisfaction. For more information on this designation visit www.ncqa.org.