Best Practices in Managing Patients With Chronic Obstructive Pulmonary Disease (COPD): Novant Health Case Study

This case study describes the evolution of Novant Health's Compass COPD Disease Management Program, an initiative to reduce emergency department visits and rehospitalizations in high-risk COPD patients. Of focus in this initiative are improving transitions of care; robust patient and provider education; and a high touch, intensive follow-up approach involving a multi-disciplinary care team. Reductions in both emergency department visits and hospitalizations were noted. This detailed resource will be most helpful to healthcare providers and health systems administrators looking for promising practices in readmissions reduction in high-risk populations.