Good Shepherd Health Care System |
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“It’s a horrible way to die,” exclaimed
Home Respiratory Therapist, Sarah
Campbell, who shared that she has
held the hands of many affected
with this condition as they have
taken their last breath. “I know there
was something more we could do
about it in the outpatient setting.
After attending a conference back
east, it kindled a fire within me to
take what I had learned and apply it
to our community. After discussing
it with my manager, we decided
the benefits this program would
provide for our community were well
worth the investment. That’s when
the Rural Respiratory Program was
born,” continued Campbell.
So how exactly does this program
work? According to Home
Respiratory Therapist, Michael
Erickson, the program is designed
to work closely with an individual’s
Primary Care Provider (PCP). “A
lot of our time is spent with our
physician community. We are a
resource for physicians and are
essentially their eyes and ears in
the patients’ home. Building these
relationships with PCP’s has been
crucial to not only the success of the
program, but ultimately the success
of their patients. We make the house
calls that they are unable to do.”
According to Campbell, once they
receive a referral from a PCP, they
are fully engaged in helping their
patients achieve the outcome
they desire. “Our assessments are
extensive and spend a lot of time
Individuals suffering from
COPD often have recurring
hospital stays – termed in the
industry as hospital readmissions,
something the Center for
Medicare & Medicaid Services
(CMS) penalizes hospitals for.
Many of these readmissions
are preventable with the right
education and follow up. That
is where the Rural Respiratory
Program steps in.
with our patients on that initial
visit. We conduct a full history and
physical and educate-educate-
educate. Education is really
important to help our patients
understand where their condition
is at, how to make it better or how
to sustain the level where they are
at to not get worse. We look at
their lifestyle and provide counsel
on lifestyle, exercise, and nutrition
– sometimes there are multiple
factors that we notice in the home
that may be deteriorating a patient’s
health. We want to make sure they
understand how to make it better.”
“We work hard to build a trusting
relationship. This allows us to see if
there are any social determinants
of health that can be addressed by
colleagues in other areas,” assured
Campbell, “And, so far, it has been
working”.
Working closely with other services
within Good Shepherd Health Care
System, they have begun to build
a healthcare ecosystem focusing
on many of the components of
Population Health – better health
outcomes for patients, enhancing
the patient experience, lowering
health care costs, and improving the
clinician experience. Just what does
that mean? It means that through
working with other departments
such as Education, Community
Health Workers, Community
Paramedic, Diabetes Education,
Cardiopulmonary Rehab, Home
Health, Hospice, and Personal
Home Care – they are able to
We go into patients’ homes,
assess their situation,
provide education, help them
understand how to properly
use their home medical
equipment and follow up
with them on regular intervals
depending on what stage of
the program they are in, stage
one, two, or three.”
successfully collaborate to improve
the healthcare experience and health
outcomes of everyone from the
underserved in the community to the
sickest patients.
This collaboration was no accident,
“Our services have been aligned
for quite some time,” stated
Campbell, who continued, “But
we are recognizing that through a
coordinated effort it will ultimately
help us reduce the overutilization
of healthcare services – especially
the Emergency Room and prevent
hospital readmissions.”
According to Campbell and Erickson,
they have also been working closely
with CHI St. Anthony in Pendleton,
Morrow County Health District,
Columbia River Health, Mirasol
Family Health Center, and other
organizations to provide this service
for their patients – truly making this
service available throughout Umatilla
and Morrow Counties.
Another benefit to the Rural
Respiratory Program is that
it is available for all ages and
available to anyone with a chronic
respiratory condition.
So how does one go about becoming
a patient of the program? “Well, it’s
not as difficult as you might think.
The preferred method is always for
us to get a referral from a patient’s
physician,” shared Campbell, who
continued, “But we are willing to work
with anyone that is in need and help
them get a referral when needed.”
When asked how much this service
would cost a patient, Campbell and
Erickson shared that the service is
actually available for free.
For those interested in finding out
more about the Rural Respiratory
Program please call 541.667.3477
or visit the Good Shepherd Home
Medical Equipment retail outlet at
435 NW 11th Street in Hermiston.