Chronic Obstructive Pulmonary Diseases : Journal of the COPD Foundation COPD 10 usa 2017

Text: COPD patients often experience gaps in knowledge and access to care for many reasons. Both the latest iteration of the Global Strategy for the Diagnosis, Management, and Prevention of Chronic Obstructive Pulmonary Disease (the “GOLD recommendations”) and the NHLBI COPD National Action Plan call for enhanced care coordination and patient education leading to improved self-efficacy, in an attempt to close these gaps. However, little evidence currently exists to demonstrate the impact these programs have on quality of life, psychosocial metrics, or other patient-centered functional outcomes. The WMU School of Medicine has integrated a respiratory therapist/COPD educator directly into their urban primary care clinic to act as a consultation resource, a patient educator/navigator, and care facilitator. As this clinic also serves as a resident physician training program, the presence of a “COPD clinic” on premises has the potential to be a demonstration model for the development of future medical home-type primary care practices as these clinicians complete their residencies and establish their careers. It is anticipated that this program will also serve as a research engine to support and promote the adoption of various care coordination, education, and access standards for primary care providers throughout the United States healthcare system. This poster will examine the impact that personalized care management provided by a respiratory therapist has on quality of life as measured by COPD Assessment TestTM (CAT), evaluations of inhalation device technique, social/community engagement, and other metrics. While this is a relatively new program, it appears to already be increasing access to resources like pulmonary rehabilitation, and having a positive impact on certain measures, as well as demonstrating to physicians that respiratory therapy is a valuable resource outside of the traditional inpatient setting. Effect of Gender and Menopause on Coronary Artery Calcium in the COPDGene Study Amena Keshawarz, MPH, Dawn L. DeMeo, MD, MPH, Marilyn G. Foreman, MD, MS, Sharon Lutz, MPH, PhD, Kendra A. Young, MSPH, PhD, Elizabeth Regan, MD, PhD, John E. Hokanson, MPH, PhD, Matthew J. Budoff, MD, Gregory L. Kinney, MPH, PhD