Key care elements | Doctor | Case manager | ICP coordinator | Spirometry technologist | Pharmacist | Physiotherapist | Medical social worker |
---|---|---|---|---|---|---|---|
1. Smoking prevention | ✓ | ✓ | ✓ | ||||
2. Smoking cessation | ✓ | ✓ | ✓ | ||||
3. Differential diagnosis | ✓ | ✓ | |||||
4. Spirometric diagnosis | ✓ | ✓ | ✓ | ||||
5. Patient education | ✓ | ✓ | ✓ | ||||
6. Drug optimisation | ✓ | ✓ | ✓ | ||||
7. Influenza vaccination | ✓ | ✓ | |||||
8. BMI assessment | ✓ | ✓ | ✓ | ||||
9. CAT | ✓ | ✓ | ✓ | ✓ | |||
10. Acute non-invasive ventilation | ✓ | ✓ | |||||
11. Supported RH/ED discharge | ✓ | ✓ | ✓ | ✓ | |||
12. Home oxygen | ✓ | ✓ | |||||
13. Advance care planning | ✓ | ✓ | ✓ |
BMI, body mass index; CAT, COPD assessment tool; COPD, chronic obstructive pulmonary disease; ED, emergency department; RH, restructured hospital.