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Browse ATS 2021 Abstracts

HomeProgram ▶ Browse ATS 2021 Abstracts
 

ATS 2021 will feature presentations of original research from accepted abstracts. Mini Symposia and Thematic Poster Sessions are abstract based sessions.

Please use the form below to browse scientific abstracts and case reports accepted for ATS 2021. Abstracts presented at the ATS 2021 will be published in the Online Abstract Issue of the American Journal of Respiratory and Critical Care Medicine, Volume 203, May 3, 2021.

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A COPD Chronic Care Management Collaborative to Support and Improve US Hospitals’ Efforts to Implement COPD Readmission Reduction Programs

Session Title
TP19 - TP019 QUALITY, PROCESS, AND OUTCOMES IN ACUTE AND CRITICAL CARE
Abstract
A1688 - A COPD Chronic Care Management Collaborative to Support and Improve US Hospitals’ Efforts to Implement COPD Readmission Reduction Programs
Author Block: V. G. Press1, K. Randall2, A. Hanser3; 1Univ of Chicago Medicine, Chicago, IL, United States, 2Vizient, Inc, Chicago, IL, United States, 3Vizient, Inc., Chicago, IL, United States.
Introduction: Since the introduction of Medicare’s Hospital Readmission Reduction Program for excessive Chronic Obstructive Pulmonary Disease (COPD) 30-day readmissions, U.S. hospitals have had increasing interest in identifying and implementing effective interventions to address this penalty and improve care for hospitalized patients with COPD. However, there is a paucity of published effective strategies and many hospitals require coaching and education about which interventions to implement and how to do so. In response, Vizient, a member-owned performance improvement company, developed a COPD performance improvement collaborative to support enrolled hospitals through intervention implementation.
Methods: The COPD Chronic Care Management Collaborative was one of 16 “Vizient Performance Improvement (PI) Collaboratives” in 2020. The COPD Collaborative was a multi-month initiative with bimonthly virtual meetings focused on education from subject matter experts and peer-to-peer networking over two parts (Part I and II). During meetings, enrollees discussed best practices, received expert coaching, and provided progress updates on projects. Performance results were submitted for two time periods, baseline and remeasure, on one process measure and two outcome measures. The process measure was the interventions’ “reach” (i.e., % of patients who received intervention “X”). The outcome measures assessed participants’ rate of COPD-related Emergency Department (ED) revisits and hospital readmissions.
Results: Of the 47 enrolled sites, 33 completed Collaborative Parts I and II. Sites represented the diverse U.S. geographical regions with 8 participating across the Southeast, 4 from the Southwest, 21 from the Midwest, 12 from the Northeast Coast, and 2 from the Northwest Coasts, respectively. The median/mean reach across the 20 hospitals reporting process measure data was 41%. High performers (top 25%) all participated in both part I and II and attended an average of 94% of monthly calls while low performers (bottom 25%) attended an average of 50% of monthly calls. Of the participating sites, 83% of organizations saw improvement in one or both COPD-related outcome metrics. The rate of COPD-related ED revisits was reduced by 29% on average, declining from 12.7% to 9.0%. The aggregate rate of COPD-related 30-day inpatient readmissions improved from baseline to remeasure, achieving an average reduction of 23%, declining from 20.1% to 15.6%. Of the 23 sites reporting data, five organizations reduced both ED revisits and hospital readmissions, while seven each reduced only ED revisits or hospital readmissions.
Conclusion: A COPD Chronic Care Management Collaborative was successful in supporting the majority of participating hospital sites to implement interventions and realize outcome improvements.