Managing COPD in a Skilled Nursing facility

Chronic Obstructive Pulmonary Disease (COPD) is an umbrella term for a variety of progressive lung diseases including emphysema, chronic bronchitis, refractory asthma and cystic fibrosis.

 

COPD in SNF’s

 

“Approximately 20 percent of skilled nursing facility residents have a diagnosis of COPD and it is the third leading cause of death in the US.

COPD is often under-diagnosed and under-treated and medication adherence is poor. Physical and cognitive functions required to self-administer medications decline with age”.

 

JAMDA: COPD in Post-acute/long term care settings.

How do we “break the COPD-RTH chain” ?

Breaking the COPD Readmission “Chain”

 

On-Site Weekly Pulmonary Program for COPD

• Respiratory Therapist on-site weekly or as needed based on acuity level of patients.

• Pulmonary Assessments on admission based on Pulmonologist approved protocols based on risk of readmission.

 

• Specialized Diagnostic Equipment Included

 

• Qualifying Dx includes but not limited to COPD, Pneumonia, Acute Respiratory Distress and Post Covid-19 Lung.

• Program proven to reduce readmission and provide positive impact on CMI, PDPM and reduction in possible CMS readmission penalties.

Program provides basis for “add-on” innovative pulmonary programs.

• RT Team will review each patient weekly and recommend changes to individual treatment care plans as needed under Medical Director supervision 

SNF Benefits of Pulmonary Program

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Bedside Spirometry (Optional)

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On-Site Sleep Studies (Optional)

Pulmonary Program Diagnostic Components

Overnight Pulse Oximetry    |    CPAP/BiPAP for OSA

SNF On-Site Weekly Pulmonary Program