VISN 23 Chronic Obstructive Pulmonary Disease (COPD) Case Management Using Home Telehealth Equipment

Study Overview
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Brief Summary
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Looking at the use of home telehealth equipment and it's place in self management and education in patients who suffer moderate to severe Chronic Obstructive Pulmonary Disease (COPD). The patients in this group would be those patients who traditionally suffer from emphysema, and/or chronic bronchitis.

Detailed Description
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Patients who have been admitted to the hospital, or who have frequent urgent care visits, who also suffer from COPD exacerbations will be given a home monitoring system. Daily, the patient will respond to a series of questions. The results of the question answers will be remotely monitored by a nurse case manager. The objective is to measure compliance, resource use, and the ability for early recognition of an exacerbation of their COPD, and early implementation of therapy.

Official Title
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VISN 23 COPD Case Management Using Home Telehealth Equipment

Conditions
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COPD

Intervention / Treatment
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* Device: Use of Telehealth equipment (Viterian V-100)


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: One or more hospital admissions or emergency room visits in last 2 Years. Patient must meet the VA home telehealth guideline that the patient is determined to be at high risk for poor clinical outcomes or increased unplanned health care utilization based on disease specific criteria and/or determined by physician provider Exclusion Criteria: Any unstable medical condition that the investigator thinks would preclude effective participation in the study, or which would be expected to reduce life expectancy to less than 1 year. Unwilling or unable to provide consent Uncooperative or combative Does not have a compatible phone line Inability to use home telemedicine equipment
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Allocation: Non-Randomized
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Oximeter arm and non-oximetry arm<br> | Device: Use of Telehealth equipment (Viterian V-100)<br>* Patient will daily enter answers to questions generated from a home telehealth monitor<br>* Other names: Viterian V-100;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Patient compliance with utilizing home telehealth monitoring equipment in the two patient groups |  | six months | 
| The amount of Home telehealth case management time utilized to provide patient monitoring in the two patient groups |  | six months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Patient satisfaction The role of finger oximetry in the identification of exacerbations Number of hospitalizations and urgent care visits and how they relate to the use of home telehealth equipment |  | six months | 
| Evaluate patient ease of using the home telehealth equipment in the two patient groups. |  | six months | 
| Patient satisfaction in managing their disease in the two patient groups |  | six months | 
| The number of COPD exacerbations, urgent care visits, and hospitalizations related to COPD in the two patient groups |  | six months | 
| Correlate the effect of oxygen saturation monitoring on the early identification of COPD exacerbations |  | six months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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telehealth, oximetry, copd