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 + HMV:
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
in 30-day COPD readmissions
~$1.3 million saved
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.
Evaluate the benefits of NIV usage and a post-acute, integrated disease management approach for COPD patients (398)3
in hospital readmissions
$15.3 million saved
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)
saved over 30 days
saved over 90 days
Payer base case(100,000 patients)
saved over 3 years (versus no NIV)
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.
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