A Chronic Obstructive Pulmonary Disease Pilot Using Risk Stratification to Improve Resource Allocation and Reduce Readmissions

Authors

Linda Gould, Boise State UniversityFollow

Document Type

Report

Publication Date

Spring 2022

Date of Final Presentation

3-10-2022

Committee Chair

Pamela Gehrke, EdD, RN, DNP

Committee Member

Ron Ordona, DNP, FNP-BC, GS-C

Coordinator/ Chair of DNP Program

Pamela Gehrke, Ed.D., RN, DNP

Abstract/ Executive Summary

Background: Chronic Obstructive Pulmonary Disease (COPD) impacts 250 million people, is associated with high hospital readmission rates, and costs over $50 billion annually. Purpose: Apply risk stratification identifying higher risk patients to prioritize complex, time-consuming interventions and resources. Methods: Patients hospitalized with COPD were risk stratified using PEARL. Moderate-high risk patients were referred to specialty nurse practitioners, who used real-time interventions and motivational interviewing during intense weekly visits over 30 days targeting self-management, patient-specific risks, and resources. Results: No patients were readmitted or died during the pilot using risk stratification with patient-specific tertiary preventive care to communicate resource allocation. Impact: This process provided recommendations for expansion throughout the healthcare facility, other chronic health conditions, budgets and policy for value-based care, and further research.

Recommended Citation

Gould, Linda, "A Chronic Obstructive Pulmonary Disease Pilot Using Risk Stratification to Improve Resource Allocation and Reduce Readmissions" (2022). Doctor of Nursing Practice Projects. 44.
https://scholarworks.boisestate.edu/dnp/44