Comprehensive Respiratory Outcome Management
is Alana’s proprietary health management program for respiratory patients, designed to break the cycle of failed care by rehabilitating recently hospitalized patients and preventing readmissions and, where possible, preventing hospitalizations altogether.
Click below to learn how Alana is identifying and bridging critical gaps in patient care.
Chronic respiratory diseases account for a disproportionally large portion of health care utilization. Chronic obstructive pulmonary disease (COPD) alone is the only major fatal illness in which the age-adjusted mortality rate is increasing, growing by 283% between 1979 and 2007.
In 2010 the total annual cost of COPD was an estimated $49.9 billion, exceeding those associated with heart failure. Health care utilization is approximately 2 to 3 times higher for those with COPD, seen in hospitalizations, emergency department admissions and outpatient encounters.
Exacerbations, or flare-ups, are the primary cause of hospitalizations amongst COPD patients. When Patients experience an exacerbation, the most common reaction is to make their way to the emergency room or doctor’s office. They are treated with steroids, medications, non-invasive ventilation (BIPAP), and in cases of respiratory failure, mechanical ventilation. Shortly thereafter they begin to feel better and are discharged home.
In order to effectively and efficiently care for COPD patients, the patient needs must be
– Pulmonary Health Management
– COPD Symptom Management
– Behavior Modification / Smoking Cessation
– Medical Device Therapies
Evidence – Based
Studies have shown that integrated patient care for GOLD stage III and IV COPD patients can result in a 57% reduction in hospital ED admissions, 59% reduction in hospital admissions, 39% reduction in unscheduled general practitioner visits, 73% reduction in general practitioner visits, 20% increase in medication adherence, and a 10% improved pulmonary gas exchange.
– Clinical Assessments (Disease Status, Environmental, Care Coordination, Care Pathway)
– Patient Education
– Therapy Training & Adherence Coaching
– Outcome Monitoring & Reporting
CROM™ tracks and reports quality of life indicators for patients, satisfaction indicators for providers and health care utilization indicators for payers. Our respiratory therapists deliver CROM™ reports each month to all stakeholders in the patient’s continuum of care.
CROM™ educates and equips each patient with tools for the preventive or responsive management of COPD and related exacerbations/symptoms. Doing so prepares our patients to better self-manage their disease process, reducing the need for acute re-hospitalizations.