SHM Converge Scientific Abstract ePoster Gallery-Breath Easy: Transforming Copd Care With a Team-Based Strategy

Pdf Summary

Northwell Health is New York State’s largest health care provider and private employer, serving communities through 23 hospitals and more than 700 outpatient facilities. Its mission includes delivering high-quality clinical care, educating future health professionals, advancing biomedical research, promoting health education, and caring for all patients regardless of ability to pay.

The document presents a quality improvement project titled <strong>“Breathe Easy: Transforming COPD Care with a Team-Based Strategy”</strong> from Glen Cove Hospital. COPD is identified as a major driver of hospital readmissions, with national 30-day readmission rates reaching 22.6% and the hospital’s own rate at 27% in 2023. The project attributes readmissions to inconsistent care protocols, poor transitions of care, and limited patient education about COPD and its management.

To address this, the team proposes a multidisciplinary initiative focused on improving care delivery and transitions. Key steps include increasing staff awareness of COPD readmissions, providing discipline-based patient education, ensuring thorough provider handoffs, implementing care transition protocols, and involving pulmonary and palliative care teams early. The plan also emphasizes collaborative structures such as a committee of key stakeholders, monthly meetings, and a discharge checklist.

Success will be measured by reduced readmission rates, along with improvements in quality indicators such as vaccination rates, smoking cessation counseling, and documentation of goals of care. The project also aims to strengthen post-discharge support through 7-day follow-up and connection to community resources. Overall, the initiative seeks to improve outcomes for COPD patients through coordinated, team-based care.

Asset Subtitle

Saumya Sharma

Meta Tag

Author List Danielle Rosemond, Saumya Sharma, Scott Bodner

Category Innovations

Concept Chronic Obstructive Pulmonary Disease

Concept Hospital Readmission

Concept Care Transition

Concept Multidisciplinary Care

Concept Patient Handoff

Distinguished Non-Finalist

Presenter Organization Northwell Health

Presenting Author Saumya Sharma

Track Quality Improvement

Keywords

Northwell Health

COPD

readmission rates

quality improvement

team-based care

patient education

transitions of care

pulmonary care

palliative care

discharge checklist

Chronic Obstructive Pulmonary Disease

Hospital Readmission

Care Transition

Multidisciplinary Care

Patient Handoff