Kristen S. Willard, MS1 Jamie B. Sullivan, MPH1 Byron M. Thomashow, MD2 Catherine S. Jones, PhD, APRN, ANP-C3 Leonard Fromer, MD4 Barbara P. Yawn, MD, MSc5 Alpesh Amin, MD, MBA, MACP6 Jean M. Rommes, PhD7 Rhonda Rotert, MPAS, PA-C8
Author Affiliations
- COPD Foundation, Washington, D.C.
- Division of Pulmonary, Allergy and Critical Care Medicine, Department of Medicine, Columbia University Medical Center, New York, New York
- American Association of Nurse Practitioners and Texas Woman's University, Dallas
- University of California-Los Angeles, School of Medicine, Los Angeles
- Department of Family and Community Health, University of Minnesota, Blaine
- Department of Medicine, University of California, Irvine
- Emphysema Foundation for Our Rights to Survive (EFFORTS), Kansas City, Missouri
- McFarland Clinic, Ames, Iowa
Abstract
Chronic obstructive pulmonary disease (COPD) hospitalizations and readmissions adversely impact the health and quality of life of COPD patients. Under the Hospital Readmissions Reduction Program, the Centers for Medicare & Medicaid Services reduce payments to those hospitals exceeding expected rates of COPD readmissions within 30 days of hospital discharge. It was within this climate that the COPD Foundation held its 2nd COPD Readmissions Summit in March 2015. Experts in attendance: (1) categorized challenges to optimal COPD care, ( 2) analyzed the state of care delivery and readmissions reduction strategies and (3) identified the best available evidence-based approaches to improving care delivery across the continuum, including early diagnosis via spirometry, ongoing device, oxygen and medication reconciliation, treatment that addresses comorbidities and preventive care, robust patient education, prompt post-acute follow up, home health services and pulmonary rehabilitation. Results of this collaborative event formed the basis for PRAXIS, the COPD Foundation’s initiative to improve COPD care across the health continuum and to reduce readmissions.
Citation
Citation: Willard KS, Sullivan JB, Thomashow BM, et al. The 2nd National COPD Readmissions Summit and beyond: from theory to implementation. J COPD F. 2016; 3(4): 778-790. doi: http://doi.org/10.15326/jcopdf.3.4.2016.0162