North Carolina Thoracic Society 30 Day COPD Readmissions Summit Vikas Pathak, MD WakeMed Chair NC TS Practice and Education Committee

Faculty Vikas Pathak, MD WakeMed Pulmonary Amy Shaheen, MD, MSc – Internal Med UNC CH Jill Ohar, MD –Professor, Pulmonary WFU Roy Pleasants, PharmD – Duke University and Durham VA Connie Paladenech, RRT, RCP, FAARC – Cardiac/Pulm Rehab - WFU Cathy Trimby, RT Performance Improvement Consultant – Mission Health Elvin Perkins, MBA - Manager ACO Cone Health Scott Johnson, MD – FirstHealth of the Carolinas Pulmonary and Transition Care Tim Scialla, MD – Asst Professor, Duke Pulmonary and Critical Care M. Brad Drummond, MD, MHS – Assoc Prof, UNC CH Pulmonary, Obstructive Lung Disease Center Sharon Cornelison, RCP, RRT-NPS Pulmonary Translational Care Specialist - WFU

Participating Hospitals/Organizations Lexington Health, Lexington, SC Novant Health – WS Novant - Presbyterian Novant Health - Thomasville Novant Health – Salisbury Palmetto Health – Columbia, SC UNC – Chapel Hill UNC – Smithfield UNC – Rex Hospital - Raleigh Vidant Health - Greenville Wake Health – WS Wake Health – Lexington WakeMed – Raleigh Mutual Drug – NC SC Respiratory Assn- Columbia,SC Campbell University UNC Charlotte Atrium Health – Charlotte Atrium Health – Pineville Atrium Health – Concord NE Atrium Health – Union Atrium - Huntersville Carteret – Morehead City Cone Health – Greensboro Duke Health – Population Health Duke Health – Durham Duke Health – Raleigh FirstHealth – Pinehurst FirstHealth – Montgomery Co FirstHealth- Richmond Co Harnett Health – Lillington New Hanover Health – Wilmington New Hanover Health – Pender Co

Agenda 12:15 Primary care perspective – Amy Shaheen, MD 12:40 A Medical Director’s perspective – Jill Ohar, MD 1:05 Pulmonary rehabilitation perspective - Connie Paladenech, RRT, RCP 1:30 Drug therapies and exacerbations - Roy Pleasants, PharmD 1:55 Panel Discussion 2:20 Break 2:40 Mission St Joseph’s model – Cathy Trimby, RRT 2:55 Cone Health model – Elvin Perkins, MBA 3:10 FirstHealth of the Carolinas model – Scott Johnson, MD 3:25 Duke University model – Tim Scialla, MD 3:40 UNC-Chapel Hill model – Brad Drummond, MD, MHS 3:55 Wake Health model – Sharon Cornelison, RRT 4:10 Panel Discussion 4:45 Conclusion

COPD Readmissions – Randomly Selected NC Hospitals # COPD Admissions Excess Readmission ratio Raw % of Readmissions Novant Thomasville 99 0.98 19/99 (19.2%) Novant Forsyth 786 1.09 184/786 (23.4%) Moore Regional 1197 1.03 248/1197 (20.7%) Wilkes Reg Med Center 177 1.12 48/177 (27.1%) Nash General 497 1.06 110/497(22.1%) NC Baptist 341 0.97 73/341 (21.4%) New Hanover 929 1.05 190/929 (20.5%) Vidant Greenville 648 122/648 (18.8%) Vidant Edgecombe 216 1.14 53/216 (24.5%) Central Carolina Hosp 296 57/296 (19.3%) High Point Regional 401 1.04 87/401 (21.7%) https://www.medicare.gov/hospitalcompare/readmission-reduction-program.html

Yang COPD 2017

www.ncthoracic.org

NCTS Website – Useful Links

NCTS Website (Under Construction)- Practitioner Friendly Smoking Cessation in Collaboration with NC Tobacco Branch Fagerstrom Score Billing codes for smoking cessation Ask Assess Pt Ed Materials-eg Peto Diagram Of Lung Fxn Loss NC Insurance Coverage of Smoking Cessation Meds Arrange Advise Assist List of Local Smoking Cessation Resources in NC e.g Quitsmart, Tobacco Branch, NC Quitline fax form and referrals