Table 1 list of audit criteria and performance standards of the study

1

Recommendations: All COPD patients should be regularly reviewed with a pre-scheduled appointment in General Outpatient Clinic (GOPC);

Criteria 1: % of COPD patients with pre-scheduled appointments in GOPC.

85%

2

Recommendations: All smoker COPD patients should be advised on smoking cessation and referred to Smoking Counselling and Cessation Services (SCCS);

Criteria 2: COPD patients who are smokers:

a. % of COPD patients referred to SCCS before or

b. % of COPD patients ever attended SCCS before

50%

45%

3

Recommendations: All COPD patients should receive seasonal influenza vaccine (SIV) annually unless contraindicated;

Criteria 3: % of COPD patients who have received SIV in the preceding year.

45%

4

Recommendations: All COPD patients should receive pneumococcal vaccine (PCV) unless contraindicated;

Criteria 4: % of COPD patients who have received PCV before.

45%

5

Recommendations: Spirometry is recommended for all COPD cases at diagnosis or when the alternative diagnosis needs to be ruled out, and to monitor the disease progression.

Criteria 5: % of COPD patients with spirometry test done before.

50%

6

Recommendations: All efforts should be made to reduce the acute exacerbation pf COPD (AECOPD).

Criteria 6: % of COPD patients admitted to hospitals due to AECOPD.

< 15%