Stage 3 involves optimising the therapy for all those on the COPD register according to the highest value interventions.
Now is the time to fully optimise patient therapy and to offer high-value interventions, such as smoking-cessation, vaccination and pulmonary rehabilitation.
What is involved?
The patient results should now guide appropriate long-term management and ongoing referral if appropriate.
- Offer smoking intervention
- Offer Flu Vaccine and Pneumovax
- Offer pulmonary rehabilitation
- Check inhaler technique
- Optimise inhaler therapy
How will I show improvement?
Following this stage, the patient diagnosed with COPD will be fully optimised. In other words, all the key elements identified within the COPD QALY pyramid are prioritised; features that may not have been utilised previously.
Completion of this three-stage QI project will help instill correct COPD diagnosis practice, identify up to 25% of patients on COPD registers that may not have the condition, and optimise the management of patients with COPD to reduce future GP attendance and hospital admissions.