The Pathways Program Bridging your way to better breathing Advocate Health Care, Advocate Home Healt

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The Pathways Program Bridging your way to
better breathingAdvocate Health Care, Advocate
Home Health Services, Cardio-Pulmonary
Rehabilitation, and Physicians collaborating to
provide positive outcomes for patients with
chronic obstructive pulmonary disease.Connie
Polke Advocate Home Health Services
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Goals

• Decrease Frequency and Duration of
  Hospitalizations
• Improve Patient Outcomes
• Return Patient to Self Management
• Improve Patient Satisfaction
• Improve Physician Satisfaction
• Provide Necessary Home Health Services
• Reduce Symptomatic Complaints

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Program Activities

• The Pathways Newsletter
• Quarterly Patient Support Groups
• Respiratory Therapist 11 educational sessions
• Telehealth via Telephonic Assessments and support
• Respiratory Therapist ongoing evaluation of
  progress and condition
• Coordination with other care providers to
  standardize education
• Program Coordinator Case Management and Clinical
  Interventions

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Program Criteria

• Physician order
• Pulmonary Diagnosis
• Secondary Diagnosis
• Shortness of breath
• Deconditioning
• Decrease in ADLs
• Decreased Functional or Neurological Capacity
• FEV1 lt 60

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Measures

• Dyspnea as measured using Borg and ADL Scales
• Strength and Endurance as measured by the Six
  Minute Walk
• Health Status as measured by SF-36 Health Survey
• Number and Length of Hospitalizations

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Telehealth Phone Monitoring via TouchPointCare,
data collected included

• Weight
• Shortness of Breath
• Sputum Production
• Color and Amount
• Oxygen
• Change in Liter Flow
• Hospitalization
• Number of Days
• Medication

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Why We Chose Phone Monitoring

• Focus on the data to be collected, not on
  methodology
• Choose easiest method patients
• Patients like real voice connection
• Much cheaper than other telehealth approaches

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Quality of Life Scale
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Results of Six Minute Walk Results of Perceived
Exertion and Dyspnea
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Weight Change
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Number of Days Hospitalized
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Data Interpretation

• One year data indicative of improvement in the
  majority of measures
• Increase the number of patients in program and
  continue ongoing assessment
• Interpretation of data indicates need for
  increase in communication and education regarding
  program goals

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Technology Issues for Web Based Phone Monitoring
Telehealth

• Hosting eliminates IT hassles
• Available 24/7
• Secure Server
• Robust security
• Daily back-ups
• HIPAA compliant
• Easy to interface

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Project Summary

• Telehealth via TouchPointCare phone monitoring
  facilitates patient data collection
• RN not needed for data collection, (only
  assessment of data)
• Improved productivity
• Improved patient outcomes
• Phone monitoring a cost effective solution

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Contact

• Advocate Healthcare
• Connie Polke
• Connie.Polke_at_advocatehealth.com
• 630-368-6581
• TouchPointCare
• David Anderson
• danderson_at_touchpointcare.com
• 866-713-6590