The number of hospital readmissions among people with chronic obstructive pulmonary disease COPD rose by almost a third from 2008 to 2014 an analysis has shown1 The latest National COPD Audit Programme report from the Royal College of Physicians showed that in 2014 43 of patients in England who were admitted for hospital treatment of COPD were readmitted at least once in the three months after discharge. Potential geographical differences may exist in the 30-day readmission rate in different developed countries.

Reinforced Care

These outcomes include a 10 reduction in COPD readmissions and an estimated 40 reduction in emergency department visits and hospitalizations.

Copd hospital readmission rates. 9 After discharge 10 to 20 of COPD patients are readmitted within 30 days. According to the COPD Foundation in 2013 22 patients admitted for COPD exacerbation required readmission within 30 days of discharge. COPD exacerbations are among the leading causes of hospital readmissions.

Yet despite growing pressure to reduce COPD readmissions it remains unclear how COPD readmission rates relate to hospital quality. A nationwide study in the US showed that 30-day readmission rate for COPD patients was 226. This represents a significant burden in terms of morbidity for these patients and increased cost to the healthcare system.

The Integrated COPD Care Initiative was a 2017 pilot program aimed at reducing hospital readmission rates and acute to post-acute care-associated costs in patients with COPD through ongoing health monitoring and education after hospital discharge. 1011 Patients who are readmitted following a COPD hospitalization are at greater. Each year COPD leads to more than 700000 hospitalizations.

3-6 One of these phenotypes is acute COPD exacerbations AECOPD 78 and admissions for exacerbations account for the majority of costs associated with COPD. The need to improve outcomes and control healthcare costs in patients with Chronic Obstructive Pulmonary Disease COPD has never been greater. Patients with COPD-related readmissions were younger had a higher proportion with Medicaid as the payer were more frequently discharged home without services had a shorter length of stay and had fewer comorbidities.

The development of a bundle checklist for patients with chronic obstructive pulmonary disease has helped a Maryland hospital sharply reduce its readmission rates for these patients. Yet for COPD patients there is no clear link between quality of care and 30-day hospital readmission rates and no widely studied interventions for COPD exacerbations that have significantly reduced readmission rates. 4 In addition there is no assurance that reducing readmission rates will benefit and not harm overall patient heath status and outcomes.

In the United States acute exacerbations of COPD leading to hospitalisations account for 132billion of the nearly 50billion annual direct costs for COPD. A large study of Medicare benefici - aries hospitalized for exacerbations found that 28 of readmissions within 30 days of discharge stemmed from worsening COPD. In 2012 the Centers for Medicare Medicaid Services began reducing Medicare payments for certain hospitals with excess 30-day readmissions for patients with several conditions.

They found an overall readmission rate of 17 with just under half 769 due to recurrent COPD. Because the quality of care for hospitalized patients with COPD is often inconsistent and does not always follow guideline-recommended care there is potential to reduce excessive readmissions after hospitalization for COPD exacerbations 2 3. Hospitals are financially penalized for excessive rates of avoidable 30-day COPD hospital readmissions.

Annual direct costs of COPD are close to 50 billion and hospital admissions for acute exacerbation of COPD AECOPD takes up some 132 billion of this cost. Reducing preventable hospital readmissions is a national priority for payers providers and policymakers seeking to improve health care and lower costs. Under the Hospital Readmissions Reduction Program HRRP administered by the Centers for Medicare Medicaid Services US.

Whereas 22 of AECOPD admissions are readmitted within 30 days in the United States the rate is 167 in Taiwan and between 14 and 20 in London. About 20 30 and 40 of patients hospitalized for exacerbations are readmitted at 1 3 and 12 months respectively. AHRQs tools data and research to help hospitals reduce.

The quality of care delivered to patients with COPD is known to be lacking across the care continuum and may contribute to high rates of readmission. Chronic obstructive pulmonary disease COPD is currently the third leading cause of hospital readmissions in the United States. According to the Centers for Medicare Medicaid Services website Hospital Compare the current national rate of readmission within 30 days for patients with COPD is 196 with the majority of hospitals falling in the range of 173 to 212.

Overall care quality improved for these patients while admitted. Chronic obstructive pulmonary disease COPD is the third leading cause of hospital readmissions in the United States. Scopus 66 Google Scholar.

In addition her hospital went from a net loss of 250 per COPD admission to a net gain of 1750 per patient admission following the onset of the program. COPD the nations third leading cause of death affects 127 million Americans and costing nearly 50 billion annually. If the 35 readmitted subjects had not been coded with COPD the 30-d readmission rate would have decreased significantly from 236 to 167 100 of 424 vs 65 of 389 P 01.

Chronic obstructive pulmonary disease COPD is a major cause of morbidity and mortality 12 Patients with COPD have different clinical imaging and biological phenotypes.