Evaluation of Telehealth for COPD: Re-design of respiratory services in Liverpool

North West CoastCardiovascular
Start Date: 1 Jul 2017 End Date: 1 Dec 2018

Telehealth is monitoring of a persons vital signs and symptoms in their own home using digital technology. In Liverpool, the monitoring uses a tablet connected via Bluetooth to equipment such as an oxygen saturation monitor and then uses mobile data to securely transfer vital sign readings to a local Nurse-led hub. If the monitoring shows adverse changes, treatment can be adjusted or a Community Matron visit arranged, with the aim of preventing unnecessary hospital admissions.

Chronic Obstructive Pulmonary Disease (COPD) is obstruction of lung airflow, known by historical terms such as Chronic Bronchitis and Emphysema. COPD is predominantly caused by tobacco smoking but is also caused by exposure to fine particles in the air, at work or from pollution. The particles cause inflammation and destruction of the supporting structure of the small airways in the lungs. This leads to airway narrowing or obstruction.

CLAHRC NWC will evaluate the impact of telehealth on: a) uptake of the most cost effective health interventions for COPD such as smoking cessation, flu immunisation and pulmonary rehabilitation compared to current population uptake; b) COPD admissions currently; and c) following the introduction of a new telehealth pathway, any increased uptake of smoking cessation and pulmonary rehabilitation. 

Ms Sue Renwick