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Implementing therapist-driven protocols

R M Ford1, J E Phillips-Clar, D M Burns

  • 1University of California, San Diego Medical Center, USA.

Respiratory Care Clinics of North America
|March 1, 1996
PubMed
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Implementing a patient-driven protocol program in respiratory care significantly reduced nebulizer and physical therapy use by 60%. This initiative lowered operational expenses and optimized resource utilization within the department.

Area of Science:

  • Healthcare Management
  • Respiratory Therapy
  • Clinical Protocols

Background:

  • Hospitals face pressure to reduce costs.
  • Respiratory care departments often rely on traditional therapy methods.
  • Optimizing staff skills can improve efficiency.

Purpose of the Study:

  • To describe the implementation of a patient-driven protocol program.
  • To evaluate the impact of protocols on therapy use and costs.
  • To share insights on successful change management in respiratory care.

Main Methods:

  • Implemented a patient-driven protocol program at UCSD Medical Center.
  • Focused on utilizing respiratory care staff assessment skills.
  • Operated within physician-approved guidelines.

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Main Results:

  • Achieved a 60% reduction in hand-held nebulizer therapy.
  • Significantly decreased chest physical therapy utilization.
  • Resulted in substantial operational expense reductions.

Conclusions:

  • Patient-driven protocols can effectively reduce therapy use.
  • Protocols enhance the role of respiratory care staff.
  • Successful implementation requires addressing barriers and promoting change.