Allowing you to achieve incremental and measurable changes to make a real difference to patients
Pulmonary Rehabilitation Referral (Project TWO of TWO)
QI projects are built as a TWO-PART component
Part 1 | |
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Setup Here you set up and understand the project, ensuring you have everything in place to start your project |
Part 2 | |
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Project Here you have all the tools and resources to keep track of your progress towards completing the project successfully |
Better setup, better success
Getting started
Start by working through the set-up phase of this project, setting yourself a goal according to the time you have available to dedicate to this project, ensuring your team are aware of the project and you have been given the authorisation from your practice manager to complete the project.
Progress through the Set-up phase of your QI project before moving down to the Project phase.
The aim of this Quality Improvement Project is to refer 70% or more of people patients with COPD (who are functionally disabled by breathlessness) to pulmonary rehabilitation (PR), and evidence this with the appropriate SNOMED code in their notes, by November 2021.
This is the second of two projects, which focuses on referring those patients who are functionally disabled by their breathlessness, to a formal pulmonary rehabilitation service.
This project should be completed after the first project, which focuses targeting all patients on the COPD register and letting them know that the COPDhub app, which provides them with loads of really useful advice on staying well and keeping active with COPD.
This QI project is aimed at primary care teams who have a register of COPD patients.
Data collected from GP practices across Wales suggest that only 56% of people with COPD have been referred for pulmonary rehabilitation. Pulmonary rehabilitation is one of the highest value interventions for patients with COPD; on completion of a PR programme, a high proportion of patients achieve important gains in exercise performance and/or health status.
This QI project will ensure that more patients are offered this high value intervention, and those who do not meet the criteria for pulmonary rehabilitation are advised to use the COPDhub app which contains a lot of valuable resources for patients with COPD.
Good data entry directly improves patient care, which will also help you identify gaps or errors in the patient record or diagnosis.
On completion of this QI project, you will also get a certificate for your work. You will also be able to use this QI project as evidence towards CPD and professional revalidation.
Readiness
Make sure you have the knowledge and expertise to undertake this project successfully.
If you are confident you have the skills and knowledge to manage a patient with COPD, mark this section as complete using the button below.
If you want to check your level of understanding, or need a refresher, check out the associated learning and assessments for this QI project, in line with the All Wales approach.
Long-term management of COPDNot Started
Long term management of COPD0% Complete
Your capacity
Capacity is the most important aspect for the successful completion of any project – ensure you have the capacity, time and ability to complete your project in a suitable timeframe.
Start by outlining how much time you have to commit to this project.
For example: Over the next six weeks, I will commit one 4-hour clinic (Wednesday afternoon) to completing this project.
And use the calculator provided to work out how many patients you can review in this time.
It is estimated that each patient action for this QI project will take 15 minutes, but adapt locally.
When estimating the time for each patient action on this QI project, think about how long it takes for a COPD Annual Review, and to enter the correct code into the patient’s notes.
When will my project start:
When will my project be completed by:
How much time do I have to dedicate to my project each week
Each patient action for the project will take 15 minutes
Recommended time is 15 minutes per patient.
EditPlease complete form to calculate capacity
Communication pack
It’s important that your colleagues know about the project.
You may want to include colleagues in the project, and they may need to know about other demands on your time. Let them know that you are focusing on QI with these useful resources.
Milestone Map
Keep track of your set-up progress and make sure you are on track to getting started with your project with the timeframe you have added in your capacity calculator.
Your Progress
Getting started
Readiness
Your capacity
Alignment
Communication pack
Milestone Map
Start Date
Not Set
End Date
Not Set
Project overview
The aim of this Quality Improvement Project is to refer 70% or more of people patients with COPD (who are functionally disabled by breathlessness) to pulmonary rehabilitation (PR), and evidence this with the appropriate SNOMED code in their notes, by November 2021.
This is the second of two projects, which focuses on referring those patients who are functionally disabled by their breathlessness, to a formal pulmonary rehabilitation service.
This project should be completed after the first project, which focuses targeting all patients on the COPD register and letting them know that the COPDhub app, which provides them with loads of really useful advice on staying well and keeping active with COPD.
Data collected from GP practices across Wales suggest that only 56% of people with COPD have been referred for pulmonary rehabilitation. Pulmonary rehabilitation is one of the highest value interventions for patients with COPD; on completion of a PR programme, a high proportion of patients achieve important gains in exercise performance and/or health status.
This QI project will ensure that more patients are offered this high value intervention, and those who do not meet the criteria for pulmonary rehabilitation are advised to use the COPDhub app which contains a lot of valuable resources for patients with COPD.
Good data entry directly improves patient care, which will also help you identify gaps or errors in the patient record or diagnosis.
On completion of this QI project, you will also get a certificate for your work. You will also be able to use this QI project as evidence towards CPD and professional revalidation.
Instructions
Refer patients with a score between 3-5 for pulmonary rehabilitation and code accordingly.
Step 1 – During a patient review check the patient’s MRC score
During a routine COPD review, check the patient’s MRC score:
Code the patient’s MRC score appropriately:
MRC 1
MRC 2
MRC 3
MRC 4
MRC 5
Step 2 – Make a referral
Identify any patients who are functionally disabled by their breathlessness, i.e. they have a Medical Research Council Dynspnoea Score between 3 and 5.
For those patients who have a MRC score between 3 and 5, discuss referral to Pulmonary Rehabilitation and code it accordingly:
Resources
Attached below are a selection of resources to support you through your project.
Progress
Add the number of patients that you have addressed according to this project.
You should see your progress bars increase as you get closer to your goal.
Please complete form to calculate capacity
Click on the chevrons for more information on your progress
Project data not set. Please complete your project's capacity settings.
Project data not set. Please complete your project's capacity settings.
Certificate
Your dynamic certificate can be found below. You can generate a certificate at any point during your QI project, and the certificate will be updated when you make further progress.
This QI project can be signed off by yourself.
Please sign off by clicking the button below. This will make your certificate available.
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