Table 1.

Interventions to Reduce COPD Readmissions Pre-HRRP

Author	Publication Year/Countrya/No. of Patients	Intervention	Outcomes	Study Design
Bundled programs to reduce readmissions
Garcia-Aymerich et al22	2007/Spain/113 patients	Integrated care intervention: education + care coordination + improved access	Improved self-management score such as early exacerbation treatment (90% vs 66%)	RCT
Nonbundled interventions to reduce readmissions
Seymour et al23	2010/United Kingdom/60 patients	Intervention: postexacerbation pulmonary rehabilitation	Reduced acute care visits with 3 mo (7% intervention vs 33% usual care; P = .02)	RCT
Eaton et al24	2009/New Zealand/397 patients	Pulmonary rehabilitation: early inpatient-outpatient rehabilitation	Inconclusive findings	RCT
Press et al25	2012/50 patients	Inhaler education: teach-to-goal vs brief instructions	Improved inhaler technique and fewer all-cause acute care visits within 30 d	RCT
Fidahussein et al26	2014/839 patients	Follow-up visits: postdischarge visit within 30 d	Reduced mortality (hazard ratio, 0.28; 95% CI, 0.15-0.5) but not 30 d readmissions	Retrospective cohort

BPCI = bundled payment for care improvement; HRRP = Hospital Readmissions Reduction Program; RCT = randomized controlled trial.

^aUnited States unless specified.