Quality Improvement in relation to LTCs


2017-08-31T00:00:00 0 3
Do you have any successful Quality Improvement initiatives in relation to LTCs in a healthcare setting that others might adopt? If so, we want to hear from you in order to share your learnings with others and allow them to achieve the benefits that you have achieved.

Ideas (Publish, Detailed Submission)

Overview of Innovation:
Chronic Obstructive Pulmonary Disease (COPD) is estimated to cost the NHS £1 billion per annum (Keogh & McLean, 2016) for direct healthcare costs, and results in 115,000 emergency hospital admissions in the UK (NHS England, 2014).
 
Pulmonary rehabilitation in the form of exercise has been shown to elucidate positive effects on COPD patients (Puhan et al., 2012). Move it or Lose it! are specialists in exercise for the over 60s and have been commissioned by Birmingham CrossCity CCG to deliver exercise classes called FABS (Flexibility, Aerobic, Balance & Strength) to COPD patients in an initiative to promote health and well-being. Following a successful pilot study, the programme has been rolled out across the CCG.
 
The aims of the programme are to; 1.) improve patient health and quality of life, 2.) educate and empower patients to take control and self-manage their condition, thus reducing time for GP appointments, hospital admissions and their associated costs. and 3.) monitor and evaluate the physical and psychosocial function of the patients.
 
So far, forty-three COPD patients (mean age range 60-70 years) have completed a once weekly 45-minute exercise class, followed by educational group discussions based at their GP surgery. Timed Up and Go (TUG), 30 second sit to stand and self-report questionnaires were used to monitor and evaluate physical and psychosocial elements of health and wellbeing.
 
Results indicated mean group improvement of 44% in TUG and 150% improvement in 30 second sit to stand scores, demonstrating improved lower limb strength, functional mobility and independence. Questionnaires highlighted elevated mood and energy levels and high levels of enjoyment and social interaction. Correlation coefficient (r) scores showed strong to very strong positive correlations in results from different instructors. Patients have also reported a reduced need for medication during the 12-week programme and this was sustained after a six week follow up. 

 
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Joe Robinson 23/06/2017 - 08:21 Detailed Submission Login or Register to post comments

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