Patient-Tailored Case Management Initiative and Outcomes Among Patients in Postacute Care to Decrease 30-Day Hospital Readmissions for Chronic Obstructive Pulmonary Disease

Abstract

This is a retrospective cohort study comparing patients who received chronic obstructive pulmonary disease (COPD) standard of care (SOC) in the preintervention cohort versus the postintervention cohort who received a case manager-led COPD care bundle at a postacute care (PAC) facility. The patient sample includes patients between the ages of 65 and 85 years, who were diagnosed with an exacerbation of chronic obstructive pulmonary disease (ECOPD), hospitalized at a single-site community hospital between 2016 and 2019, and required transfer to a PAC facility at the time of discharge. The preintervention cohort involved 193 patients who received the SOC and 445 patients received tailored care with a COPD care bundle.