INSPIRED COPD Scale Collaborative
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Forming Teams
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Planning Initiative
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Launch
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Changes Tested
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Some Improvement
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Improvement
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Significant Improvement
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Sustainable Improvement
Nearly two million people in Canada live with Chronic Obstructive Pulmonary Disease (COPD)1 , and it is one of the most common reasons people are admitted to hospital.2 COPD is a progressive lung disease that includes chronic bronchitis and emphysema and characterized by breathing difficulty that worsens over time.
Most people, including those with COPD, want to be cared for in the familiarity and comfort of their home and community. Receiving care at home improves the quality of life for patients and dramatically reduces their hospital readmissions.
The INSPIRED COPD Outreach Program™ is a hospital-to-home care model that provides patients with moderate to severe COPD, and their families, the information, tools and support they need to better manage their illness in their home. INSPIRED stands for Implementing a Novel and Supportive Program of Individualized care for patients and families living with Respiratory Disease.
The Canadian Foundation for Healthcare Improvement has implemented two improvement collaboratives to spread and scale INSPIRED-like programs across the country. In the first collaborative, the INSPIRED approach was spread by 19 teams from healthcare organizations in every Canadian province. A subsequent collaborative supported six of those teams to scale the INSPIRED approach to reach even more providers, organizations and patients within their jurisdictions.
How INSPIRED contributes to better healthcare in Canada
INSPIRED shows that providing the services patients, their families and caregivers need to manage COPD in their homes has improved their quality of life, while dramatically reducing hospital readmissions and emergency department visits.
CFHI’s spread collaborative resulted in an 80 percent reduction in hospital admissions (of those 146 participating COPD patients). Prior to participating in INSPIRED, patients in this group experienced 180 hospitalizations. Following the program, the number of their hospitalizations dropped to 33.
The potential savings the INSPIRED approach can offer Canada’s healthcare system are vast. An independent analysis found that expanding the INSPIRED program to all people in Canada with COPD could save $688 million in hospital costs over five years. Put another way, every $1 invested in the program could prevent $21 in hospital-based costs3.
All six teams participating in the INSPIRED scale collaborative collected quantitative and qualitative data to help inform the evaluation of the program. Results and key learnings will be available in 2020. Subscribe to our newsletter to be one of the first to receive the results.
The Approach
The INSPIRED COPD Outreach Program™ was developed by Dr. Graeme Rocker and his colleagues in Halifax, Nova Scotia with extensive input by patients, as well as their families and caregivers. The program gives patients with COPD the information, tools and support they need to better manage their illness at home, including:
- Written action plans
- Phone calls after they’re discharged home
- Education for psychosocial support
- Advance care planning when they need it
- A phone number to call for support
A Change Package has been produced together with the Nova Scotia Health Authority and is available for free via CFHI’s Innovations, Tools and Resource repository. It provides an overview of the INSPIRED approach and the key interventions to providing more holistic, accessible, patient-centred care for those living with advanced COPD.
Timeline
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2010
INSPIRED COPD Outreach Program™
developed and implemented
(Halifax, NS)
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2014–2015
INSPIRED Spread Collaborative
19 teams from 10 provinces
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2017-2019
INSPIRED 2.0 Scale Collaborative
6 teams across Canada
The Teams
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INSPIRED Scale Collaborative Teams (2017 – 2019) +
- Alberta Health Services (Edmonton Zone), Alberta
- Health PEI, Prince Edward Island
- Horizon Health Network, New Brunswick
- Interlake-Eastern Regional Health Authority, Prairie Mountain Regional Health Authority and Winnipeg Regional Health Authority, Manitoba
- Joseph Brant Hospital, Ontario
- Nova Scotia Health Authority, Nova Scotia
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INSPIRED Spread Collaborative Teams (2014 – 2015) +
- Alberta Health Services Edmonton Zone, Alberta
- Bruyère Continuing Care, Ontario
- Central Health, Newfoundland and Labrador
- CISSS de la Montérégie-Est (formerly CSSS Pierre-De Saurel), Quebec
- CISSS du Bas-Saint-Laurent (formerly CSSS Rimouski-Neigette), Quebec
- Grey Bruce Health Services, Ontario
- Hamilton Health Sciences, Ontario
- Health PEI, Prince Edward Island
- Hôpital du Sacré‐Coeur de Montreal, Quebec
- Horizon Health Network, New Brunswick
- Institut universitaire de cardiologie et de pneumologie de Québec (IUCPQ), Quebec
- Joseph Brant Hospital, Ontario
- London Health Sciences Centre, Ontario
- Nova Scotia Health Authority – Western Zone (South Shore Health), Nova Scotia
- The Ottawa Hospital, Ontario
- Providence Health Care, British Columbia
- Saskatoon Health Region, Saskatchewan
- University Health Network (UHN), Ontario
- Winnipeg Regional Health Authority, Manitoba
INSPIRED Scale Collaborative Final Evaluation Summary Report
Download the Final Evaluation Report