COPD Management Solutions

Lack of integration makes today’s COPD management unsustainable

1 in 5 COPD patients readmits within 30 days in the US

Fragmented care teams and care settings

As costs increase and interventions remain reactionary, breaking this cycle grows further out of reach.

One COPD: Philips’ commitment to integrated disease management

Creating seamless, patient-centric care throughout the care continuum

Comprehensive system of:

Technologies
Services
Care pathways

Commited to reshaping care delivery:

Monitoring of patients across settings
Proactive deployment of resources
Measurement of outcomes

Closing the gaps in care

We’re bringing unprecedented focus to continuity of care and readmission avoidance. This starts with closing gaps and enabling better data sharing and stakeholder communication across settings.

Patient care solutions for every disease severity

Respiratory drug delivery: Airway clearance

Featured solution: Threshold PEP (positive expiratory pressure) Used for airway clearance, bronchial hygiene, or as an alternative to chest physical therapy. The resistive load creates positive pressure during exhalation that helps open the airways and allows mucus to be expelled.

Respiratory muscle trainer

Featured solution: Threshold IMT (inspiratory muscle trainer) Provides consistent and specific pressure for inspiratory muscle strength and endurance training, regardless of how quickly or slowly patients breathe. This exercises respiratory muscles and improves breathing.

Nebulizers and compressors

Featured solution: InnoSpire Go A portable mesh nebulizer that delivers treatments in just 4 minutes*, utilizing clinically proven, vibrating mesh technology—to give patients more time for what matters most. It’s designed for ease of use, is lightweight and can be used by both children and adults with or without a facemask.

Spacers and holding chambers

Featured solution: OptiChamber Diamond This valved holding chamber is extraordinarily small and convenient. Its intuitive design enhances medication delivery for most patients, at home or in the hospital.
Oxygen: Featured solution: SimplyGo Mini

The smallest and lightest portable oxygen concentrator Philips Respironics has ever developed. Its impact-resistant design and extended battery life give patients the confidence to do what they want, when they want. Count on it day and night.*

_{*When used in accordance with all instructions and conditions outlined in the SimplyGo Mini user manual}

Featured solution: SimplyGo

It’s time for an oxygen concentrator to meet the needs of your patients, whether they’re at home or on the go. With the ability to offer continuous flow and pulse-dose delivery in a single device, you can now manage the therapy and lifestyle needs of nearly all of your patients. It’s compact for easy storage and travel, and is compatible with CPAP and BiPAP (bilevel positive airway pressure) machines for nighttime oxygen delivery.

Featured solution: EverFlo

It’s time for an oxygen concentrator to meet the needs of your patients, whether they’re at home or on the go. With the ability to offer continuous flow and pulse-dose delivery in a single device, you can now manage the therapy and lifestyle needs of nearly all of your patients. It’s compact for easy storage and travel, and is compatible with CPAP and BiPAP (bilevel positive airway pressure) machines for nighttime oxygen delivery.
Ventilation: Featured solution: V60/V30/Trilogy

This trio of ventilators enables consistent, reliable care across settings: from managing acute respiratory failure in the ED and ICU, to post-acute care in the general ward, to acute respiratory failure management post-discharge.

Featured solution: Trilogy with AVAPS-AE (average volume assured pressure support-auto EPAP)

Provides consistent and tailored ventilation across settings. 80% of surveyed Healthcare organizations reported Trilogy with AVAPS-AE improved quality of life for patients.* AVAPS-AE automatically and independently adjusts pressure support, expiratory positive airway pressure (EPAP), and backup rate. AVAPS is designed to automatically adjust and provide the lowest possible pressures to manage your ventilation needs.

_{*TechValidate survey funded by Philips Respironics of 114 users of: Philips Respironics Trilogy Ventilator with AVAPS-AE, n=114 https://www.techvalidate.com/tvid/705-29C-437}
Patient Interfaces: Featured solution: Philips Respironics AF541

This comfortable noninvasive ventilation (NIV) mask features interchangeable under-the-nose and over-the-nose cushions, allowing patients to achieve the benefits of NIV mask rotation with one convenient mask. After a hospital stay, the mask can easily transition home with patients to be used with their home care device.

Featured solution: Discharge kit

To help patients maintain effective therapy as they transition out of the hospital, discharge kits include entrainment elbows, headgear, and a swivel adapter – everything needed to use the mask at home or in a lower acuity setting.

Featured solution: DreamWear System of Masks

Our portfolio of under-the-nose, gel pillow and full-face masks features a minimal design for maximum comfort. DreamWear masks connect to a patient’s ventilator and help deliver effective therapy with over-the-head tubing and modular inserts. By providing freedom of movement, they’re the closest thing to wearing nothing at all.
COPD solutions: Featured solution: Care management

Building from our multi-acuity management platform, this program helps you support advanced-stage, co-morbid COPD patients in the home setting. It focuses on patient needs as they transition between settings, to help you provide targeted care with fewer resources.

Featured solution: Connected devices

These enable your entire care team to access patient data and treatment information, so you can optimize care plans and support comprehensive management. And connecting to Care Orchestrator puts more power at your fingertips to proactively intervene.

Featured solution: Respiratory support services

These enable you to improve the quality and efficiency of care delivery by providing access to respiratory therapists and health coaches, behavioral and motivational therapies, and telehealth services.

Integration case: Seamless transitions

Ventilators that span care environments

V60

Treating exacerbations in the ED and ICU

V30

Step-down patient care in the general ward

Trilogy

Homecare maintenance

Advanced modes that span settings

BiPAP AVAPS

Provides consistent ventilation or dynamic patients in the ED and ICU

AVAPS-AE

Eases the transition from acute to chronic care

BiPAP = Bilevel positive airway pressure

AVAPS = Average volume assured pressure support

AVAPS-AE = Average volume assured pressure support – auto EPAP

Unify data access and management with Care Orchestrator

Enables bi-directional data-sharing from hospital to home, to integrate teams and harmonize care

Communicates with patients’ homecare platforms

Uploads home care data to EMR for universal access (compatiblewith all EMRs)

Enables home care teams to update care plan based on in patient records

Reports back to inpatient team on out patient programs / updates

Facilitates seamless care and accelerates discharge home

Upon readmission, enables inpatient team to immediately ID patients and diagnose cause of readmission

Finally, you and your patients can transform health, together.

Pioneering the proof in readmission avoidance

Our vision is built upon volumes of industry-leading research on evidence-based care. Philips continues to sponsor studies to identify forward-thinking strategies for integrating care and supporting better outcomes.

HOT HMV trial

Benefits in using home oxygen therapy (HOT) in addition to home mechanical ventilation (HMV) in patients with COPD and chronic hypercapnia (116 patients).¹

Median admission-free survival:

HOT:

1.4 months

HOT + HMV:

4.3 months

1. Murphy PB, Rehal S, Arbane G, et al. Effect of home noninvasive ventilation with oxygen therapy vs oxygen therapy alone on hospital readmission or death after an acute COPD exacerbation: a randomized clinical trial. JAMA. 2017;317(21):2177-2186.
Integrated COPD Care Initiative

2017 pilot program designed to increase visibility into post-acute care by deploying evidence-based care strategies, pathways and processes (>890 patients):²

Care transition management

Care coordination

Patient engagement

80% reduction

in 30-day COPD readmissions

~$1.3 million saved

70% reduction

in 30-day all-cause readmissions

~$4.4 million saved

2. Philips Respironics. The Integrated COPD Care Initiative. PDF file. 2018. Koninklijke Philips N.V. Available at: https://www.usa.philips.com/c-dam/b2bhc/master/education-resources/copd-insider/common/alabama-paper/the-integrated-copd-care-intitative-copd-insider.pdf.
Barnes study

Evaluate the benefits of NIV usage and a post-acute, integrated disease management approach for COPD patients (398)³

80% reduction

in hospital readmissions

$15.3 million saved

(estimated)

82% 1-year survival rate

3. Coughlin S, Liang WE, Parthasarathy S. Retrospective Assessment of Home Ventilation to Reduce Rehospitalization in Chronic Obstructive Pulmonary Disease. J Clin Sleep Med. 2015 Jun 15;11(6):663-70.
Value in health study

Evaluate the economic impact of leveraging home NIV, as part of a multifaceted intervention program for severe COPD.⁴

Hospital base case (250 patients)

$402,981

saved over 30 days

$449,101

saved over 90 days

Payer base case (100,000 patients)

$326 million

saved over 3 years (versus no NIV)

$1.04 billion

saved over 3 years (versus respiratory assist device)

4. Coughlin S, Peyerl FW, Munson SH, Ravindranath AJ, Lee-Chiong TL, Cost Savings from Reduced Hospitalizations with Use of Home Noninvasive Ventilation for COPD. Value in Health. 2017;20(3):379-387. dio:10.1016/j.jval.2016.09.2401.

Unified to changing possibilities

Philips isn’t just committed to developing transformative products and strategies. We are organizationally aligned to support you—and your efforts to enhance patient-centric care—at every step.

Fully integrated portfolio
Deep clinical education
Stakeholder empowerment at every touchpoint

Our commitment only gets greater

We’re bringing unprecedented focus to continuity of care and readmission avoidance. This starts with closing gaps and enabling better data sharing and stakeholder communication across settings.

Areas of continued focus

Ventilator platforms with advanced therapy modes

Enabling you to manage acute and chronic respiratory illness at every stage of the care continuum with standardized breathing algorithms

Connected systems

Enabling care teams to access data through transitions

Care Orchestrator

Enabling monitoring of patients and therapy from hospital to home

Care Pathway Solutions

Enabling evidence-based strategies, pathways, procedures and processes through a comprehensive care management program

Resources to help you thrive

COPD insider

Sharing solutions. Redefining care.

COPD insider is redefining care by sharing expert solutions that empower new possibilities from hospital to home. From reducing readmissions, to increasing adherence, to creating your multidisciplinary team, you’ll find valuable tips and tools that you can begin implementing immediately.

Register now

Example insider solutions for each care setting

Emergency department

How staffing an RT in the ED transformed outcomes

We saved over $700,000 the first year, which gave us some equity to operate on. It helps paint the true picture of what’s going on if you do have an ED therapist.”

Jennifer Anderson, MBA, RRT, AE-C

Director Respiratory Care and Pulmonary Function Labs AU Medical Center

ICU

The HOT HMV Trial: Key takeaways and steps for setting a new standard of care

The data from the HOT HMV trial provides hope to patients who previously had no other options.”

Dr. Nicholas Hart

St. Thomas’ Hospital

General ward

How staffing an RT in the ED transformed outcomes

We met. We brainstormed. We prototyped. We reframed what we did. We tried to fail quickly and succeed boldly. After doing that, we came up with a new model that was truly patient-centered.”

Clinical Associate Professor of Medicine

University of Pittsburgh

Discharge

Optimal discharge planning leads to a reduction in COPD readmissions

The first step to a truly effective discharge plan is to shift our thinking. Discharge is not an isolated event, but part of the entire continuum of care for the patient.”

Krystal Craddock, BSRC, RRT-NPS, AEC

COPD Case Manager

Department of Respiratory Care at UC Davis Medical Center

Post-acute

Why successful home care starts with the right device

It's not just the function of the device but the functional limitations of the patient.”

Becky Anderson, RRT

Manager, Respiratory Care Services, Sanford Medical Center

Home

Save costs by shifting patients to the least expensive care setting

There's a lot of opportunity to reach out to your patient post-discharge and affect the care we provide.”

Christine Cunningham, RRT

Director of Clinical Services,CHI Health at Home

PCP office

How to inspire patients to come forward in discussing COPD

Many patients are not diagnosed until late stages of COPD because they were ashamed to talk to their doctors about symptoms that they brought upon themselves.”

Krystal Craddock, BSRC, RRT-NPS, AEC

COPD Case Manager

Department of Respiratory Care at UC Davis Medical Center

Professional Education

Learn evidence-based insights and best practices on topics that span the continuum of care, including diagnostic techniques, the stages of COPD, optimal treatment of each stage, increasing patient motivation securing self-care. Our programs help your team work better to achieve better outcomes. And our clinical specialists are always available to consult on disease topics, specific technologies, and patient management.

Patient Education

To help patients manage post-discharge, Philips provides DMEs, RTs, and clinical support staff with educational information they can give their patients.

They include topics such as:

What to expect in the care journey ahead
Why NIV is so critical – and how to manage it
How to stay ahead of exacerbations
What actions to take during different clinical scenarios

Learn more about Philips’ commitment with One COPD — and how you can transform care in your institution

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References:

1. Shah T, Press VG, Hulsingh-Scheetz M, White SR. COPD Readmissions: Addressing COPD in the era of value-based health care. Chest. 2016;150(4):916-926.
2. Murphy PB, Rehal S, Arbane G, et al. Effect of home noninvasive ventilation with oxygen therapy vs oxygen therapy alone on hospital readmission or death after an acute COPD exacerbation: a randomized clinical trial. JAMA. 2017;317(21):2177-2186.

3. Philips Respironics. The Integrated COPD Care Initiative. PDF file. 2018. Koninklijke Philips N.V. Available at
https://www.usa.philips.com/c-dam/b2bhc/master/education-resources/copd-insider/common/alabama-paper/the-integrated-copd-care-intitative-copd-insider.pdf

4. Coughlin S, Liang WE, Parthasarathy S. Retrospective Assessment of Home Ventilation to Reduce Rehospitalization in Chronic Obstructive Pulmonary Disease. J Clin Sleep Med. 2015;11(6):663-70. doi:10.5664/jcsm.4780.
5. Coughlin S, Peyerl FW, Munson SH, Ravindranath AJ, Lee-Chiong TL, Cost Savings from Reduced Hospitalizations with Use of Home Noninvasive Ventilation for COPD. Value Health. 2017;20(3):379-387. dio:10.1016/j.jval.2016.09.2401.

One COPD

Transforming COPD care through integration

Lack of integration makes today’s COPD management unsustainable

Fragmented care teams and care settings

One COPD: Philips’ commitment to integrated disease management

Closing the gaps in care

Patient care solutions for every disease severity

Integration case: Seamless transitions

Unify data access and management with Care Orchestrator

Finally, you and your patients can transform health, together.

Pioneering the proof in readmission avoidance

HOT HMV trial

Integrated COPD Care Initiative

Barnes study

Value in health study

Unified to changing possibilities

Our commitment only gets greater

Areas of continued focus

Ventilator platforms with advanced therapy modes

Connected systems

Care Orchestrator

Care Pathway Solutions

Resources to help you thrive

COPD insider

Example insider solutions for each care setting

How staffing an RT in the ED transformed outcomes

Jennifer Anderson, MBA, RRT, AE-C

The HOT HMV Trial: Key takeaways and steps for setting a new standard of care

Dr. Nicholas Hart

How staffing an RT in the ED transformed outcomes

Clinical Associate Professor of Medicine

Optimal discharge planning leads to a reduction in COPD readmissions

Krystal Craddock, BSRC, RRT-NPS, AEC

Why successful home care starts with the right device

Becky Anderson, RRT

Save costs by shifting patients to the least expensive care setting

Christine Cunningham, RRT

How to inspire patients to come forward in discussing COPD

Krystal Craddock, BSRC, RRT-NPS, AEC

Professional Education

Patient Education

Learn more about Philips’ commitment with One COPD — and how you can transform care in your institution

Contact information