Date

3-2021

Department

School of Nursing

Degree

Doctor of Nursing Practice (DNP)

Chair

Cynthia Goodrich

Keywords

COPD, Hospitalization, Readmissions, Reduction, Prevention

Disciplines

Nursing

Abstract

Chronic obstructive pulmonary disease (COPD) is a progressive lung disease with potential to interfere with breathing ability. It is the third leading cause of 30-day readmission and death in the US, and the leading cause of mortality and morbidity worldwide. It constitutes a society burden and poor disease management leads to major health consequences such as acute COPD exacerbation resulting in frequent costly readmissions, add to its massive direct healthcare costs. Over $50 billion are spent annually in direct care alone in addition to $15 billion in hospital readmissions; with 12 million adults are being affected in the United States as of 2018. This amount in direct cost is likely to increase in the future because of co-morbid diseases, and numerous indirect costs such as absenteeism. The Centers for Medicare and Medicaid Services (CMS) as a result initiated the hospital readmission reduction program (HRRP) by imposing financial penalties on hospitals with excess readmission rates to press them on finding effective strategies to improve this population’s care quality to reduce readmissions rates affecting healthcare expenditures. Evidence-based research demonstrates that intervention programs can reduce readmission, especially those who deploy an interdisciplinary team approach, with various care interventions that were successful at enhancing the quality of healthcare. Several intervention programs had a varying success rate as depicted by different studies. This integrative review aimed at researching intervention programs supporting reduction of hospital readmissions in patients with a COPD diagnosis.

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