COPD Clinical Review Services
Complimentary to the Asthma Audit, Optimum Patient Care provides the GP with the option of engaging at no cost a second comprehensive review service to help practices manage patients with COPD. The COPD Clinical Review is an RACGP accredited activity awarded with 40 Category 1 CPD points. Practices may choose to join both programs within the same Clinical Review and, in doing so, assure the eligibility of 80CPD points!
COPD Clinical Audit - RACGP Activity Number 141607
An opportunity for GPs to review their approach to managing the care of patients with moderate to severe Chronic Obstructive Pulmonary Disease (COPD), to achieve best practice outcomes.
The objective of this clinical audit is to support GPs with optimising the quality of primary care provision to COPD patients by:
- Reviewing and improving documentation of the diagnosis, assessment and care process in patient electronic health records.
- Aligning primary care process with the national and international best practice guidelines on COPD management.
How does it work?
The OPC Clinical Audit is a hassle-free tool for GPs to be supported by leading experts, to improve the quality of care of COPD patients. The process is similar to the Asthma Clinical Audit and starts with OPC installing the extraction tool on practice computer. If the GP has already opted-in for an Asthma Review, the extraction tool would have been installed previously on the practice computer and the staff will be familiar with running the software.
De-identified data of patients with COPD are gathered fromn the practice’s electronic clinical systems and combined with data gathered from optional COPD questionnaires returned by patients. All data collected for review is anonymised at the practice, ensuring that no patient identifiable information leaves the practice in accordance with Information Governance and Data Protection laws.
A bespoke data analysis is then conducted, in accordance with national COPD guidelines and world-renowned expert advisors. OPC Australia will summarise the findings in a report for the selected patient group and provide feedback to the GP with the rates of implementation (%) of aspects of COPD management.
Upon receipt of the feedback report, the GP will be given the opportunity to reflect on and respond to feedback. The GP will have a face to face discussion with an OPC COPD expert to set own standards as a target implementation rate (%) for future care provision.
GP electronic health records will be re-audited by OPC Australia 12 months following the initial data extraction. The same key aspects of COPD management will be reviewed and analysed to compare ideal and actual performance by the GP relating to care provision of COPD patients.
Standards for Care
The audit will evaluate three depths of care provision by GPs to patients with COPD.
- Electronic recording of COPD diagnosis, monitoring and outcomes
- Review of patients’ electronic health records to evaluate the frequency with which patient COPD symptoms, COPD health status and acute exacerbations are documented, including, but not limited to:
- COPD diagnosis documented – Lung function pre- and post-bronchodilator recorded to confirm COPD diagnosis
- COPD health status recorded – using the COPD assessment test (CAT)
- Patient symptoms – mMRC score recorded
- Number of COPD exacerbations in the year before the last review recorded
- Electronic recording of reasons for poor COPD outcomes
- Evaluation of documentation within patient electronic health records for the reasons behind poor COPD outcomes, along with potential side-effects, including, but not limited to:
- COPD medications and adherence reviewed
- Smoking status
- Blood eosinophil count
- Inhaler technique checked
- Existence of comorbidities
- COPD treatment in line with COPD-X guidelines recommendations
- Electronic recording of actions targeting reasons for poor COPD outcomes
- Review of frequency of documentation indicating action was taken to target reasons behind poor COPD outcomes and/or exacerbations, including, but not limited to:
- Was a written COPD action plan developed and provided to the patient at risk of exacerbation?
- Was the treatment reviewed and amended to align with the COPD-X guidelines?
- Was education provided to help patients adhere to their medication/treatment plan?
- Was smoking cessation advice given when needed?
- Were comorbidities adequately treated?
- Was inhaler technique reviewed and education provided?
- Was spirometry performed to confirm diagnostic status?
The COPD Audit is an accredited initiative intended to assist you to better assess patients accuracy of COPD diagnosis, COPD severity, identify reasons for suboptimal COPD outcomes and patients who may be at risk of exacerbation or side-effects. With tailored reports, OPC Australia’s team of clinical experts will support GPs with recommendations for their specific patients which will support GPs in developing COPD management plans for those patients at risk.
Following completion of the clinical review, GPs will be able to:
- Assess and accurately record COPD diagnostic data, COPD health status and details of COPD exacerbations within patient electronic health records.
- Undertake a comprehensive assessment to identify patients with sub-optimal outcomes and look at interventions to improve outcomes.
- Develop and implement tailored management plans for patients with a history of COPD exacerbations.
- Review under and overtreatment of patients with COPD to maximise benefits and minimize side effects.
What you will receive
Patients, practices and CCG’s will benefit from:
- By participating in this accredited activity, GPs are eligible to obtain 40 Category 1 CPD points
- Targeted prioritisation of patient care (identification of your most at risk patients)
- Improved guideline based decision making
- Improved achievement of QOF targets
- Reduced hospitalisations
- Increased appropriate prescribing
- Identification of clinical practice needs which enable targeted initiatives
- Improvements in patient reported quality of life and self-management confidence
It takes real-life data to understand further about chronic disease management in the real world. Don’t miss your opportunity to be a part of the COPD Clinical Review initiative!
COPD Clinical Review Tools
In addition to providing support to self-improvement, the OPC Clinical Audit program will provide a variety of tools and services to participants to enhance their practice, including, but not limited to:
- Customisable disease-specific patient questionnaires. The questionnaires are designed to supplement information within the patient’s health records. Specifically, the questionnaires let the GP know how the disease or treatment affects the patient and the daily life. As the questionnaires can be done at the patient’s leisure and does not require a visit to the GP practice, it is a convenient route for the patient to update the GP on any new developments and act as a continual diary of the patient’s health.
- EHR medical templates to streamline diagnostic and care processes to align with current best practice guidelines.
- Provide referral and shared care pathways through the extensive OPC network of primary care givers and specialists, and promoting communication and collaborations between practitioners
The COPD Audit is a 40 Category 1 CPD points activity, as part of the RACGP QI&CPD Program in the 2017-19 Triennium. Activity Number 141607.