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Policy
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Lack of a responsible team
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Set up of COPD audit Working Group with members from both doctors and nurse. Appointment of one doctor and one nurse from the working group as the audit coordinator.
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Lack of regular review to monitor the COPD management performance
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Quarterly review policy to monitor the process
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Lack of collaboration with SOPDs
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Collaborate with Respiratory Medicine Team, Kowloon Hospital on handling severe COPD cases and download mechanism for stable COPD cases.
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Practice
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Lack of COPD registry
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COPD case registry has been retrieved from CMS and has been updated by the working group quarterly
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Lack of guideline or protocol
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Adopt standard guidelines, development of protocol and structural COPD assessment form
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Lack of aligned workflow
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The workflow of managing COPD cases were streamlined across all 13 GOPCs in KCC.
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Lack of spirometry machine
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Purchased 5 more Spirobank machine to cater for the service demand in local GOPCs.
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Lack of drugs for COPD care, such as LAMA.
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Newly introduced LAMA to Family Medicine Specialist Clinic in 2018.
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Staff
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Lack of continuous education and training
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Improvement on education and training through workshops, clinical meetings and journal clubs.
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Lack of team work
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Sharing of workload among staffs of all ranks, including doctors, nurses, clerks, allied health workers such as physiotherapist, occupational therapist and dietitian.
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Standardized COPD management workflow
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All COPD patients were managed according to the grouping based on the latest GOLD guideline.
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Lack of feedback
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Quarterly to biannually review on the progress of the audit, deficiencies are tackled promptly.
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Patient
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Lack of awareness and knowledge and/or lack of motivation on smoking cessation
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Improve patient’s awareness and knowledge by regular health talks and nurse counselling.
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