North Carolina Thoracic Society 30 Day COPD Readmissions Summit

1. North Carolina Thoracic Society30 Day COPD Readmissions Summit Vikas Pathak, MD WakeMed Chair NC TS Practice and Education Committee

2. 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

3. Participating Hospitals/Organizations • 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 • 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

4. 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

5. COPD Readmissions – Randomly Selected NC Hospitals https://www.medicare.gov/hospitalcompare/readmission-reduction-program.html

7. Yang COPD 2017

8. www.ncthoracic.org

9. NCTS Website – Useful Links

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