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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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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Don't forget the diet

Resource Type: Opinion/Editorials
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This one-page Lancet Respiratory Medicine editorial focuses on the need for clinicians to address diet and nutrition as part of their comprehensive care for COPD patients. Addressed are COPD-specific factors (e.g., the extra calorie expenditure associated with effort required...

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Vital Signs Are Still Vital: Instability on Discharge and the Risk of Post-Discharge Adverse Outcomes

Resource Type: Articles Research Papers
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Researchers examined the relationship between vital sign instability at hospital discharge and subsequent readmissions and mortality. The presence of one or more unstable vital signs (i.e., temperature, heart rate...

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The Global Emergence of Unregulated Stem Cell Treatments for Respiratory Diseases: Professional Societies Need to Act

Resource Type: Opinion/Editorials
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This editorial is written as a call to action for the respiratory and critical care communities to speak out against the international boom in unproven respiratory stem cell treatments. The authors cite the absence of an evidence base for these therapies, ones that are becoming available...

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Comorbidity as a contributor to frequent severe acute exacerbation in COPD patients

Resource Type: Research Papers
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This retrospective observational study examined the relationship between several COPD comorbidities and frequency of COPD exacerbation at follow up. The comorbid conditions studied included hypertension, ischemic heart disease, congestive heart failure, cerebrovascular disease...

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Determinants of activation for self-management in patients with COPD

Resource Type: Research Papers
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In this cross sectional study, researchers in the Netherlands examined activation for self-management in COPD patients. In other words, these researchers studied the tendency of a group of COPD patients toward taking charge of the treatment and management of their disease as well as addressing its comorbidities and psychosocial impacts. Survey and chart review data were analyzed for 290 patients with mild to very severe COPD.

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Managing comorbidities in COPD

Resource Type: Research Papers
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This article provides an overview of the most common COPD comorbidities and guideline-based treatment approaches. Respiratory, cardiovascular, metabolic, mental and other comorbidities (i.e., GERD, OSA, chronic renal failure) are addressed. The authors offer ways in which COPD and comorbidities may be linked...

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Telehealth: Mapping the Evidence for Patient Outcomes From Systematic Reviews

Resource Type: White Papers/Reports
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This 125-page Agency for Healthcare Research and Quality (AHRQ) technical brief describes the available evidence on the use of telehealth for a variety of disease states, including respiratory disease. The paper provides an in-depth account of the review methodology and outlines results of the analysis of 58 studies...

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Effectiveness of Interventions to Teach Metered-Dose and Diskus Inhaler Techniques. A Randomized Trial

Resource Type: Research Papers
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Researchers conducted a randomized clinical trial comparing impacts of inpatient teach-to-goal inhaler instruction to brief education...

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Order Set to Improve the Care of Patients Hospitalized for an Exacerbation of Chronic Obstructive Pulmonary Disease

Resource Type: Research Papers
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Researchers examined the relationship between implementation of COPD order sets and 1) accurate physician use of these standardized orders and 2) patient outcomes. Post-implementation, subsequent hospital length of stay decreased. Significantly more patients received all appropriate...

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Prompt initiation of maintenance treatment following a COPD exacerbation: outcomes in a large insured population

Resource Type: Research Papers
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In this observational study, U.S. researchers examined the relationship between initiation of approved maintenance therapy following COPD exacerbation and 1) insurance claims and medical costs as well as 2) patient health outcomes at one year. Retrospective analysis of insurance claims data...

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Meeting the challenge of COPD care delivery in the USA: a multiprovider perspective

Resource Type: Research Papers
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Presented at the 2016 American Thoracic Society conference in San Francisco, this expert report synthesizes the input of patients, family members, healthcare providers, payers, and pharmaceutical companies to highlight the COPD patient experience and address gaps in COPD care delivery.

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