Long-term oxygen therapy (LTOT) is the only treatment demonstrated to prolong the life of patients with chronic obstructive pulmonary disease.
In November 1994, a multidisciplinary total quality improvement (TQI) team composed of the involved hospital services was established to reorganize and improve the LTOT program at the Albuquerque Veterans Affairs Medical Center (AVAMC), Albuquerque.
From the old to the new process : The LTOT team used a process map to analyze the current process and gather information from patients and staff regarding their satisfaction with the program.
It then began working on the identified problems and streamlining the LTOT referral process.
A respiratory therapy position with the specific responsibility of serving as the home oxygen (O2) coordinator (HOC) was established and filled.
The evaluation process was to be initiated by the AVAMC physicians, following which the HOC would perform a newly standardized evaluation that would establish the patient's need for O2 and result in a psecific prescription.
Quality indicators were seleted to monitor changes in the program.
Data from chart reviews, the Veterans Affairs National Cost Containment Center, and patient surveys were used to evaluate the indicators.
Timeless of referral to the program before inpatient discharge improved, O2 prescriptions in the new program more frequently addressed activity, and the cost per patient was reduced by 37.1%. (...)
Mots-clés Pascal : Nursing, Soin, Ambulatoire, Hôpital, Economie, Ethique, Oxygénothérapie, Qualité, Coût, Santé, Economie santé, Satisfaction, Utilisateur
Mots-clés Pascal anglais : Nursing, Care, Ambulatory, Hospital, Economy, Ethics, Oxygenotherapy, Quality, Costs, Health, Health economy, Satisfaction, User
Notice produite par :
ORS Auvergne - Observatoire Régional de la Santé d'Auvergne
Code Inist : 002B30A11. Création : 11/09/1998.