An Evaluation of Post Discharge Utilization Among Patients With an Acute Exacerbation of COPD



Status:Recruiting
Conditions:Chronic Obstructive Pulmonary Disease, Pulmonary
Therapuetic Areas:Pulmonary / Respiratory Diseases
Healthy:No
Age Range:40 - Any
Updated:1/7/2018
Start Date:June 12, 2017
End Date:February 28, 2018
Contact:Daniel Howard, MD
Email:daniel.howard@carolinashealthcare.org
Phone:704-355-5375

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A Cluster Randomized, Stepped-Wedge Evaluation of Post Discharge Utilization Among Patients With an Acute Exacerbation of Chronic Obstructive Pulmonary Disorder (COPD)

Patients who are hospitalized at select Carolinas Healthcare System (CHS) sites with Chronic
Obstructive Pulmonary Disorder (COPD) acute exacerbation symptoms will be treated per the CHS
COPD Clinical Pathway. Patient outcomes will be followed, including but not limited to
readmission. Patients on the pathway will also have access to navigator services.

Patients hospitalized at participating CHS sites with COPD acute exacerbation symptoms, will
be treated per the CHS COPD clinical pathway. The COPD clinical pathway will include four
components: (i) discrete, evidence-based care steps (ii) patient navigation, (iii) daily data
driven care gap identification, (iv) monthly leadership huddles. These components are all
part of usual care for patients in this population, but each component is not applied to
patients consistently across the System. For this reason, the pathway will be applied
consistently and completely in patients meeting COPD acute exacerbation criteria at
participating sites. Patients will be followed for 60 days in total after discharge from
their COPD acute exacerbation symptoms to determine the potential effectiveness of complete
implementation of all 4 components in the care of COPD patients. Patients on the pathway will
also have access to navigator services.

Inclusion Criteria:

- Identified as having an acute exacerbation of COPD within 24 hours of admission

Exclusion Criteria:

- Death during the index encounter

- No initial discharge as of the end of the study period
We found this trial at
8
sites
Concord, North Carolina 28025
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Concord, NC
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1000 Blythe Blvd
Charlotte, North Carolina 28203
(704) 355-2000
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Charlotte, NC
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10628 Park Rd
Charlotte, North Carolina 28210
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Charlotte, NC
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8800 North Tryon Street
Charlotte, North Carolina 28262
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Charlotte, NC
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706 West King Street
Kings Mountain, North Carolina 28086
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Kings Mountain, NC
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433 McAlister Road
Lincolnton, North Carolina 28092
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Lincolnton, NC
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Monroe, North Carolina 28112
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Monroe, NC
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Shelby, North Carolina 28150
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Shelby, NC
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