DYNAMIC-SCOT COPD
About this good practice
Funded by the Scottish Government May 2020 - August 2021, during the COVID-19 pandemic, the DYNAMIC-SCOT COPD project offered support to patients with COPD in the community. It aimed to help avoid admissions to hospital with exacerbations of their COPD during a time when there was increased pressure on NHS staff and inpatient resources.
Chronic Obstructive Pulmonary Disease (COPD) is a group of lung conditions that cause breathing difficulties. It is to become the third leading cause of death worldwide by 2030 and mainly affects middle-aged and older adults. 20-25% of patients who have a severe exacerbation of their COPD requiring admission to hospital will die in the year following that admission.
The COPD Digital Service is a cutting edge co-management platform that enables patients to better manage their condition at home and proactively treat exacerbations before they result in hospitalisation. It makes use of detailed clinical summary and event data, patient-clinician messaging and patient-reported outcome data visualisations aggregated with patient wearable and remote-monitored therapy.
The project was built on an NHS Greater Glasgow and Clyde (GG&C) and STORM ID RECEIVER clinical trial running for 6 months prior. Having been identified as having sustained patient engagement and a reduction in clinical events, the service pivoted in response to COVID-19 and scaled up to include all patients with COPD in NHS GG&C.
Resources needed
£185,964.48 was awarded to NHSGGC
A portfolio based approach and previous technological infrastructure investment and development was critical for a rapid response to the challenges presented by the COVID-19 pandemic.
Evidence of success
Based on early data from the RECEIVER clinical trial and DYNAMIC-SCOT, it is projected to achieve at least a 28% reduction in hospital admission rates and at least 30% reduction in occupied bed days through delivery of evidence-based COPD care
A 40% reduction in the number of COPD patient related appointments and face to face contacts amongst those using the DYNAMIC-SCOT solution is anticipated. This maintains care-quality and achieves service efficiency
Potential for learning or transfer
Collaboration with stakeholders was critical to the success of the project to:
● Understand the requirements of patients to improve engagement and enable them to manage their condition
● Demonstrate the benefits of the platform to clinicians and ensure cohesion with their clinical workflow
● Provide technology providers with sufficient insight to build a platform that is fit for purpose. Equally, allow them to challenge back and shape “the ask”
● Prioritise the essential features that will accrue the most benefit the fastest, create a roadmap for future additions that are not critical
Further information
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