Preliminary Results of the Adoption and Application of the Integrated Comprehensive Care Bundle Care Program When Treating Patients with Chronic Obstructive Pulmonary Disease
Joint Authors
Bowen, James M.
Guertin, Jason R.
Gosse, Carolyn
Baltaga, Emanuel
Cox, Gerard
Johnson, Donna
Le Blanc, Brandi
Loncke, Jane
Pugsley, Stewart
Sivakumaran, Ravi
Wheatley, Laura
Smith, Kevin
Tarride, Jean-Eric
O'Reilly, Daria
Blackhouse, Gord
Source
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-10, 10 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-08-07
Country of Publication
Egypt
No. of Pages
10
Main Subjects
Abstract EN
Background.
St.
Joseph’s Health System has implemented an integrated comprehensive care bundle care (ICC) program with the hopes that it would improve patients’ care while reducing overall costs.
The aim of this analysis was to evaluate the performance of the ICC program within patients admitted with chronic pulmonary obstructive disease (COPD).
Methods.
We conducted a retrospective observational cohort study comparing ICC patients to non-ICC patients admitted to St.
Joseph’s Healthcare Hamilton for COPD being discharged with support services between June 2012 and March 2015, using administrative data.
Confounding adjustment was achieved through the use of propensity score matching.
Medical resource utilizations during the initial hospitalization and within the 60 days following discharge were compared using regression models.
Results.
All 76 patients who entered the ICC program (100.0%) were matched 1 : 1 to 76 eligible non-ICC patients (28.4%).
Length of stay (6.47 [7.29] versus 9.55 [10.21] days) and resource intensity weights (1.16 [0.80] versus 1.64 [1.69]) were lower in the ICC group within the initial hospitalization but, while favoring the ICC program, healthcare resource use tended not to differ statistically following discharge.
Interpretation.
The ICC program was able to reduce initial medical resource utilization without increasing subsequent medical resource use.
American Psychological Association (APA)
Guertin, Jason R.& Bowen, James M.& Gosse, Carolyn& Blackhouse, Gord& O'Reilly, Daria& Baltaga, Emanuel…[et al.]. 2017. Preliminary Results of the Adoption and Application of the Integrated Comprehensive Care Bundle Care Program When Treating Patients with Chronic Obstructive Pulmonary Disease. Canadian Respiratory Journal،Vol. 2017, no. 2017, pp.1-10.
https://search.emarefa.net/detail/BIM-1150860
Modern Language Association (MLA)
Guertin, Jason R.…[et al.]. Preliminary Results of the Adoption and Application of the Integrated Comprehensive Care Bundle Care Program When Treating Patients with Chronic Obstructive Pulmonary Disease. Canadian Respiratory Journal No. 2017 (2017), pp.1-10.
https://search.emarefa.net/detail/BIM-1150860
American Medical Association (AMA)
Guertin, Jason R.& Bowen, James M.& Gosse, Carolyn& Blackhouse, Gord& O'Reilly, Daria& Baltaga, Emanuel…[et al.]. Preliminary Results of the Adoption and Application of the Integrated Comprehensive Care Bundle Care Program When Treating Patients with Chronic Obstructive Pulmonary Disease. Canadian Respiratory Journal. 2017. Vol. 2017, no. 2017, pp.1-10.
https://search.emarefa.net/detail/BIM-1150860
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1150860