The Efficacy of a 1-Stop Bronchiectasis Clinic on Airway Clearance Compliance in Patients with Bronchiectasis
Care Continuum
Care Process & Redesign
National Healthcare Group Quality Improvement
National Healthcare Group
31 December 2017
Increase daily home airway clearance rate from 29% to 50% within six months for bronchiectasis patients. A dedicated clinic model effectively improves compliance and reduces hospitalizations.
Year Submitted: 2017
Published Date: 31 December 2017
Tags: Care Process ＆ Redesign, Care Continuum, Quality Improvement, Clinical Practice Improvement, Access To Care, Readmission Rate, Productivity, Cost Saving, Outpatient Care, Specialist Outpatient Care
About this Content
Aims
Increase daily home airway clearance rate from 29% to 50% within six months for bronchiectasis patients.
Background
Daily airway clearance is vital for reducing symptoms and hospitalizations, but compliance rates remain low among patients.
Methods
Added a physiotherapist and nurse to the clinic for patient education, airway clearance techniques, and lifestyle modifications; used PDSA cycles for implementation.
Results
Compliance increased from 29% to 50%; hospital admissions reduced by 24%, saving SGD 120,312 annually in hospital bed costs.
Conclusion
A dedicated clinic model effectively improves compliance and reduces hospitalizations.
Lessons Learnt
A multidisciplinary approach with regular assessments and patient education is essential for clinical success.
Additional Information
Presented at NHG Quality Day 2017/2018, ATS Conference 2018
Keywords
Bronchiectasis, Compliance, Airway Clearance, Multidisciplinary
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | National Healthcare Group |
Organization(s) Involved | Tan Tock Seng Hospital |
Platform(s) | National Healthcare Group Quality Improvement |
Healthcare Professional Group(s) | Allied Health, Medical |
Applicable Specialty or Discipline | Respiratory Therapy, Pulmonology, Physiotherapy |
Project Lead(s) | Albert Lim Yick Hou |
Project Member(s) |
Connect with this contributor!
Albert Lim Yick Hou - albert_ly_hou@ttsh.com.sg