PRAXIS Resource Repository

Search our extensive library of COPD care and readmissions reduction resources, including best practices, research articles, educational materials and toolkits.

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Inadequate hand-off communication

Resource Type: Articles
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This Joint Commissions Sentinal Event Alert focuses on ineffective communication in the patient handoff process, whether within or between healthcare organizations. A longstanding issue that providers and administrators have sought to address, suboptimal handoffs due to inadequate...

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Performance of the LACE index to predict 30-day hospital readmissions in patients with chronic obstructive pulmonary disease

Resource Type: Research Papers
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This study of 2,662 COPD patients employed a retrospective cohort design to assess the predictive accuracy of the LACE index, a tool used to predict 30-day readmissions and mortality. In this study, the primary outcomes were 1) readmission within 30 days and death during stay...

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Examining 30-day COPD readmissions through the emergency department

Resource Type: Research Papers
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This article presents the methodology and findings of a retrospective cohort study conducted in Michigan, a state with some of the highest rates of COPD in the United States. The aims of the analysis were to examine readmission in COPD patients who came through the emergency department (ED) and predictors of length of stay for those readmitted...

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The PEARL Score Predicts 90-Day Readmission or Death After Hospitalisation for Acute Exacerbation of COPD

Resource Type: Research Papers
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In this study, researchers developed a predictive model of death without readmission and readmission in a cohort of 2,417 COPD patients hospitalized with an acute exacerbation. The final model included the following factors:

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A New Approach for Identifying Patients with Undiagnosed Chronic Obstructive Pulmonary Disease

Resource Type: Research Papers
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This article describes research recently conducted to develop a simple and straightforward COPD screening questionnaire for use in primary care. With the input of COPD patients, the authors developed and tested a five-item questionnaire that included questions about...

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Global, regional, and national deaths, prevalence, disability-adjusted life years, and years lived with disability for chronic obstructive pulmonary disease and asthma, 1990–2015

Resource Type: Research Papers Statistics
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This new The Lancet Respiratory Medicine article presents a variety of statistics related to COPD and asthma gleaned from the 2015 Global Burden of Diseases, Injuries, and Risk Factors (GBD) study. The GBD was conducted from 1990 to 2015 and examined mortality, prevalence and a variety of other factors related to 310 disease states in nearly 200 countries worldwide. Of particular interest to the COPD community will be the following...

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Under Trump, Hospitals Face Same Penalties Embraced By Obama

Resource Type: Articles Statistics
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This article outlines the findings of the newly-released 2018 Hospital Readmissions Reduction Program penalties. This year, 2,573 hospitals -- or 80 percent of hospitals included in the analysis -- failed to meet the established thresholds for preventable readmissions across six conditions...

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Online Versus Face to Face Pulmonary Rehabilitation for Patients with COPD: A Randomised Controlled Trial

Resource Type: Research Papers
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This American Thoracic Society 2017 Conference abstract presents the findings of a randomized, controlled non-inferiority study that compared outcomes from an online pulmonary rehabilitation (PR) program to those from traditional PR. Distance traveled in the 6-minute Walk Test and COPD Assessment Test...

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Unproven Stem Cell Treatments for Lung Disease—An Emerging Public Health Problem

Resource Type: Articles Educational Materials
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As part of its Public Health Information Series, the American Thoracic Society (ATS) published this educational document on the danger of unproven stem cell treatments. The two-paged PDF provides a basic description of stem cells; their theoretical potential in the treatment of respiratory disease...

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2017 Readmissions Institute Pre-Conference Readings

Resource Type: White Papers/Reports
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We're excited to see those Connecticut hospitals that will be attending our upcoming 2017 Readmissions Institute in New Haven!

The COPD Foundation and the Readmissions Institute Advisory Committee have compiled the following pre-conference readings in a variety of core areas essential to successful COPD care delivery. We hope you will find these beneficial, that they will reinforce existing practice and possibly introduce new knowledge into your practice "toolkit."

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Pulmonary Rehabilitation as a Mechanism to Reduce Hospitalizations for Acute Exacerbations of COPD

Resource Type: Research Papers
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This meta-analysis of 18 studies (10 randomized controlled trials) examined the relationship between pulmonary rehabilitation (PR) and both ED visits and hospitalizations. In overall analysis, PR graduates fared better than their non-PR counterparts. When the results were isolated by type of study, the results were less clear.

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Association between days to complete inpatient discharge summaries with all-payer hospital readmissions in Maryland

Resource Type: Research Papers
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Retrospective analysis of nearly 88,000 hospital discharges at an urban Maryland academic hospital revealed that longer time to discharge summary completion was associated with an increase in 30-day, all-cause readmissions. More specifically, for every three days...

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The Future of COPD Treatment and Management: A Multi-disciplinary Care Approach

Resource Type: Webinars
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In this hour-long webinar, a variety of speakers address the current state of COPD care and future approach improvements. A COPD patient opens the event with a discussion of his personal experience and how, in hindsight, he might have changed his communication with his physician in order to address his COPD earlier...

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New data: 49 states plus DC reduce avoidable hospital readmissions

Resource Type: Articles Statistics
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PRAXIS members will find this Centers for Medicare & Medicaid Services blog post useful in determining the trend in overall readmissions statistics between 2010 and 2015. Included in the article is a detailed figure showing readmissions totals and percentages as well as change over time, by state. Overall (non-COPD-specific) readmissions rates declined in the District of Columbia and 49 states during this time frame; changes in Vermont's readmissions rates were not significant.

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Identifying Patients With COPD at High Risk of Readmission

Resource Type: Research Papers
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Researchers used data from the Healthcare Cost and Utilization Project (HCUP) from the Agency for Healthcare Research and Quality (AHRQ) database to examine trends in COPD readmission in California between 2005 and 2011. Ultimately, data from 480 hospitals were included. Highlights of their findings include...

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