Consider this when developing a discharge plan

Set time aside to speak with your patient and their family

Ask them what barriers to care they face at home and provide patient-centric education on how they may help reduce them before discharge. Education can be in the form of3:


  • Medication and/or proper device usage tips
  • The importance of remaining physically active
  • Helping them plan meals or identifying services that will provide meals for them


Consider this when developing a discharge plan

Assess the patient’s level of risk for exacerbations and readmissions

The GOLD rubric is an invaluable tool that will help you4:


  • Classify a patient’s FEV1 levels and COPD stage
  • Measure breathlessness with the Modified British Medical Research Council (mMRC) Questionnaire
  • Assess other symptoms with the COPD Assessment Test (CATTM)
  • Categorize patients to develop an optimal treatment plan for their needs

Consider this when developing a discharge plan

Set contact points with the patient over the first 30-day period post-discharge

Dedicate a specific team member to do this. Depending on the patient’s needs, contact points can be live, in-home visits or over the phone.