WMMC Symposium

Centers For Disease Control

What Is Chronic Obstructive Pulmonary Disease (COPD)?

COPD is the name for a group of diseases that

restrict air flow and cause trouble breathing. COPD includes emphysema and chronic bronchitis. Chronic lower respiratory disease, including COPD, is

the third leading cause of death in the United States. 1. Fifteen million Americans have been diagnosed with

COPD. 2 .Two decades ago, more than 50% of adults with poor

pulmonary function were not aware that they had COPD, therefore millions more may have it.

COPD Related Death Rates

COPD in California

About 4.6% (age-adjusted = 4.4%) of California residents surveyed in 2011 reported having been told by a health care professional that they have COPD

http://www.cdc.gov/copd/maps/docs/pdf/CA_COPDFactSheet.pdf

2011 California COPD Statistics

Respondents were more likely to report COPD (p<0.05) if they

•Were aged 65 years or older. •Were female. •Unable to work. •Were divorced, widowed, or separated. •Were a current smoker. •Had a history of asthma.

http://www.cdc.gov/copd/maps/docs/pdf/CA_COPDFactSheet.pdf

2011 California COPD Statistics

Respondents were less likely to report COPD (p<0.05) if they

•• Were aged 44 years or younger.•• Were male.•• Never smoked.•• Had a household income ≥ $75,000.•• Had never smoked.•• Had no history of asthma.

http://www.cdc.gov/copd/maps/docs/pdf/CA_COPDFactSheet.pdf

WMMC COPD Statistics

For 2012 there were 3793 encounters with a primary or secondary diagnosis

For 2013 there were 3833 encounter with a primary or secondary diagnosis for COPD

(Includes ED visits and hospital admissions)

WMMC COPD Statistics In 2012 and 2013 combined; there were just

over 420 readmissions.

Estimated cost at around 4.5 million dollars in non-chargeable patient care expenses to the hospital. This is estimated real costs to the hospital (labor, supplies, etc) per CMS from 2008.

It costs more to manage the COPD patient the second go round.

COPD

With the ever changing ways of doing patient care and keeping with cost reductions in CMS payment structures, we have been forced to rethink practices in patient care.

Managed Care and other insurance providers are following suit.

In case you didn’t know, if a patient is readmitted within 30 days, CMS will not cover the costs associated with that admission. The hospital must absorb those costs.

Why Are We Here Today? Learn how to reduce re-admissions

By better management of the signs and symptoms How to get patients into programs that will benefit

them Advantages of medical disciplines within the

hospital working together to better manage the COPD patient and keep re-admissions down

Learn about WMMC Pulmonary Rehab program.

So Lets get Started!!!