Chronic obstructive pulmonary disease (COPD) model of care

The COPD Working Group was formed to review the implementation of the WA Chronic Respiratory Disease Clinical Services Improvement Framework (CSIF) 2005 (PDF, 135KB) which sets out standards for COPD service provision in Western Australia.

The findings of the review identified the following key areas to progress the implementation of the framework. They are:

prevention of smoking and access to smoking cessation services
optimised access to and use of spirometry
establishment of integrated, community-based COPD services including pulmonary rehabilitation
provision of management plans and service pathways across the disease progression

The working group built on the CSIF review to develop a model of care for COPD, including the following key recommendations.

Develop a statewide coordinated prevention plan to reduce smoking prevalence
Increase access to spirometry
Improve access to appropriate services with a focus on self management, exercise training and COPD action plans by
- expanding the range of community-based ambulatory services
- developing integrated referral pathways and protocols to guide access to appropriate service delivery
Build on ambulatory care services to reduce the risk of acute exacerbations and avoidable hospitalisations
Develop a model of service delivery for end of life and palliation
Enhance the capacity of the community-based health workforce through the expansion of multidisciplinary teams
Support the development of information and communication technology including clinical support services, telehealth and database sharing

Working group members are:

Name	Area
Dr Jacquie Garton-Smith (co-chair)	General Practitioner and GP Liaison Officer
Clinical Assoc Prof Peter Kendall (co-chair)	Clinical Lead, Head of Department, Respiratory Medicine, South Metropolitan Area Health Service
Shauna Gaebler	Formerly Deputy CEO, Perth and Hills Division of General Practice
Dr Fiona Lake	Respiratory Physician (corresponding member), Royal Perth Hospital (RPH)
Ailsa Mylotte	Clinical Nurse Consultant, Respiratory Medicine, South Metropolitan Area Health Service (SMAHS)
Dr Martin Phillips	Respiratory Physician, Sir Charles Gairdner Hospital
Dr Grant Waterer	Clinical Director, Chronic Disease Management
Carol Watson	Assistant Superintendent, Physiotherapy, RPH

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