Chronic obstructive pulmonary disease (COPD) is a chronic, progressive condition with exacerbating features that limits airflow in the lungs. COPD has a high incidence of multimorbidity and can be complex, disabling and negatively impact on quality of life.
The clinical aims of this initiative are to:
- reduce unwarranted clinical variation
- increase education, resources and support for COPD patients to self-manage their disease
- develop optimal care after discharge and at end of life.
Snapshot of chronic obstructive pulmonary disease in NSW
In 2016-17...
75 hospitals
across NSW admitted
patients with COPD
Model of care
3Ci model of care 2023
Organisational model of care to improve outcomes and reduce unnecessary hospitalisations for people with chronic heart failure (CHF) and chronic obstructive pulmonary disease (COPD) in NSW.
Guideline
The COPD-X Plan: Australian and New Zealand Guidelines for the Management of Chronic Obstructive Pulmonary Disease
Evidence-based guideline that shifts the emphasis from pharmacological treatment to a range of interventions including patient education, self-management of exacerbations and pulmonary rehabilitation.
For clinicians and services
What to improve
A summary of the four clinical components of the initiative:
- diagnosis
- exacerbation management
- optimising health through ongoing care
- last year of life
How to improve
Explore options for different organisational models to tailor clinical services for your local requirements:
- respiratory coordinated care program
- nurse-led models of care
- virtual health model
Additional resources
- Lung Foundation, Pulmonary Rehabilitation Clinical Practice Guidelines
- Lung Foundation, Pulmonary Rehabilitation toolkit
- Thoracic Society of Australia and New Zealand Oxygen Guidelines for Acute Use in Adults
- Monitoring and evaluation plan
- Presentation: Non-invasive ventilation in COPD
Contact the Respiratory Network
Email ACI-Respiratory@health.nsw.gov.au or visit the Respiratory Network.