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