Community Referral Program Information Packet. Imagine a world free of lung disease. Together, we can make it happen.

Transcription

1 Community Referral Program Information Packet Imagine a world free of lung disease. Together, we can make it happen.

2 Community Referral Program Information Packet Through this telephonic health education and case management assistance service, we provide continuity of care that enhances patient outcomes and health literacy. Following a referral submitted by your office, our highly trained staff calls the patient and works to meet their needs by providing education, navigation, counseling, and social support. This program can also collect and report non-identifying data back to the provider, helping reach best practices and meet outcome goals. Patient assistance, education, counseling for: Lung Cancer COPD Asthma Community Resources Medications And more! Our Staff: Registered nurses, respiratory therapists, certified tobacco treatment specialists, and counselors Spanish speakers on staff Interpreting service for over 200 languages 2 Community Referral Program Information Packet

3 What We Do Provide a means for individuals to become empowered by providing health education, promoting engagement in local health programs, and assisting with case management needs. PATIENT SERVICES Asthma: Trigger identification Asthma Action Plan review Referral to local and online education Specialists can work with your patients through any Lung Disease. Our top 20 call topics showcase the diversity of topics that are regularly addressed: 1. COPD/Emphysema 11. Pneumonia COPD Navigation walks patients through: Diagnosis Treatment options Increasing quality of life End of life Referral to support groups 2. Asthma 3. Lung Cancer 4. Medications 5. Tobacco Cessation 6. Oxygen Therapy 7. Pulmonary Fibrosis 8. Sarcoidosis 9. Lung Nodules 10. Tuberculosis 12. Bronchiectasis 13. Radon 14. Chemical Sensitivities 15. Procedures 16. Lung Transplant 17. Pulmonary HTN 18. Tuberculosis 19. Flu Shot 20. Screening Certified Lung Cancer Navigators can assist in: Screening Diagnosis Treatment options Current clinical trials Referral to cancer centers Community Referral Program Information Packet 3

4 Connection to Resources Connect your patients to local resources to ensure they have continuity of care. Available resources include: Better Breathers Club No one has to live with COPD alone. These Clubs are welcoming support groups for individuals with COPD. Patients can enter into a network of social support and mutual empowerment while participating in educational presentations ranging from breathing techniques to lung transplants. Arizona Smoke-Free Living This program creates smoke-free living options in Arizona by promoting smoke-free policies in residential communities. Your patients can find smoke-free housing with this resource. Freedom From Smoking ranked as one of the most effective smoking cessation programs in the country, Freedom From Smoking is available as an online program or as a group clinic. Since quit plans are not one size fits all, both formats offer a variety of evidence-based techniques to incorporate into their own individualized quit plan. Any telephonic cessation support service requests will be redirected to Arizona Smoker s Helpline. RESOURCES Outcome and Data Reporting A wide variety of data measures can be collected for you as our health professionals interact with your patients. Reporting can be customized to each provider s needs. Below are a few examples of customizable plans. Basic Measures set Number of calls in and out from/to patients Number of patients reached Demographic Data Intermediate Measures set All points in Basic Medication compliance information Peak Flow measures Severity of symptoms Pain over time Tolerance to exercise Receipt of health education Frequency of bronchodilator use And more! Lung Force Expo an exposition in which patients and providers come together to learn about the latest trends, resources, innovations, and research surrounding lung diseases like Lung Cancer, COPD, Asthma, and more. Local programs can also be added to the library of resources to better serve your community. Inquire for more information. 4 Community Referral Program Information Packet

5 Freedom From Smoking and Better Breathers Club Locations Community Referral Program Information Packet 5

6 Overview WHAT DO WE NEED FROM YOU? 1) A referral champion to help staff utilize this service and serve as a liaison with the American Lung Association. 2) An opportunity to train staff on this service. 3) Commitment to integrate the referral into daily operations so that the opportunity to receive Meets best practices Reports to track outcomes Reduction in readmissions Providers Custom Patient Reports this extra education and support is available to each patient with lung health needs. This is a free service. The American Lung Association is a nonprofit committed to our vision of a world free of lung disease. We are thankful for your service Health Data to the community and your support of this vision. We look forward to working with you at every step to help create a better future for all. Patients Continiuty of care Improved health outcomes Improved self-efficacy Health education, navigation connection to local resource 6 Community Referral Program Information Packet

7 Community Referral Program Yes! I,, am interested in participating in the American Lung Association Community Referral Program! In order to discuss logistics and next steps, please reach out to Name Title /Phone I would like the following Data Measure Set: Basic Measures set Number of calls in and out from/to patients Number of patients reached Demographic Data Intermediate Measures set All points in Basic Medication compliance Peak Flow measures Severity of symptoms Pain over time Tolerance to exercise Receipt of health education Frequency of bronchodilator use I would like to Receive Data Reports Monthly Quarterly Annually Please return your completed form to Rocky Leng at RLeng@lungs.org CONTACT US Rocky Leng Stacey Mortenson Program Coordinator, Public Ally Program Director Ph: Ph: rleng@lungs.org SMortenson@lungs.org Community Referral Program Information Packet 7

8 102 W. McDowell Rd. Phoenix, AZ Ph: Fax: Lung HelpLine: LUNGUSA