1. North Carolina Thoracic Society 30 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
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

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
# 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%)

7. Yang COPD 2017

9. NCTS Website – Useful Links

10. 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