SHM Converge Scientific Abstract ePoster Gallery-Breaking the Copd Readmission Loop

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This study, conducted from June 2023 to March 2024, evaluated a quality improvement bundle aimed at reducing 30-day COPD readmissions during a multicenter national trial to lower unplanned COPD-related ED visits. COPD is a major cause of morbidity, mortality, and healthcare use, with substantial readmission rates and a significant portion thought to be preventable through better discharge planning and self-management support.<br /><br />The study included 167 admissions for acute COPD exacerbation among 137 patients. Most patients were discharged home (84%), while 11% went to skilled nursing facilities, 4% to hospice, and 1% were transferred. Among home discharges, 74% were successfully contacted after discharge, 20% were unreachable after two calls, 5% were readmitted before contact, 1% declined participation, and the average time to contact was 8 days.<br /><br />The intervention consisted of a three-part bundle: inpatient inhaler education by respiratory therapists, post-discharge medication reconciliation, and post-discharge COPD action plan review. Education included inhaler device identification, step-by-step technique, and supervised use. However, implementation was incomplete: only 30% of patients received the full bundle and 5% received no intervention. Notably, only one readmitted patient received the full bundle.<br /><br />Outcomes suggested improvement in readmissions. The pre-implementation COPD-specific 30-day readmission rate was 14.29%, compared with 11.86% during the implementation year. Overall, the findings suggest that a coordinated discharge care bundle may help reduce COPD-specific readmissions, though delivery reach was limited and further improvement in implementation is needed.

Asset Subtitle

Rabia Ali

Meta Tag

Author List Jenna Goldstein Ms., John Horiszny, Kristin Cantele, Rabia Ali, Valerie G. Press

Category Research

Concept Chronic Obstructive Pulmonary Disease

Concept Readmission

Concept Inhaler Education

Concept Medication Reconciliation

Concept COPD Action Plan

Distinguished Non-Finalist

Presenter Organization Northwell

Presenting Author Rabia Ali

Track Quality Improvement

Keywords

COPD

30-day readmission

quality improvement bundle

discharge planning

inhaler education

medication reconciliation

action plan review

acute COPD exacerbation

readmission reduction

multicenter trial

Chronic Obstructive Pulmonary Disease

Readmission

Inhaler Education

Medication Reconciliation

COPD Action Plan