Project Summary/Abstract This supplement aims to support Hewlett Pham for two years prior to medical school matriculation to help him build a strong foundation grounded in clinical research and achieve his career goals of attending medical school and becoming an independent researcher. This research fellowship will provide Hewlett with an opportunity to develop his cognitive skills to implement a care bundle with evidence-based care components, technical skills to analyze clinical data, interpret results, educate providers and patients; and additional research skills including implementation science and biostatistics. Acute Exacerbations of Chronic Obstructive Pulmonary Disease (AECOPD) have led to worse patient health outcomes and a heavy economic burden on hospital healthcare systems. Overall, the effectiveness of COPD discharge care bundles has been found to reduce hospital readmission rates; however, other health care outcomes results such as mortality rates and quality of life have been variable due to a lack of standardized bundle components and implementation. This emphasizes the need for high-quality studies to identify and implement the most evidence-based components of a COPD discharge care bundle to improve patient health outcomes. Hewlett’s research project fulfills this need and will investigate the impact of COPD discharge care bundles in a large healthcare system setting. Specific Aim 1 of the supplement will identify evidence-based components for an effective COPD discharge care bundle. Specific Aim 2 will develop a COPD discharge bundle with frontline providers and patients using PDSA cycles. Specific Aim 3 will pilot the developed COPD Discharge care bundle on hospital readmissions using an interrupted time series design. This research topic is within the scope of the parent grant, which focuses on improving the care delivery for individuals with COPD, specifically, it evaluates the benefit of a pulmonary rehabilitation program on improving COPD health outcomes. This supplement will have the added benefit of increasing awareness and referral rates to pulmonary rehabilitation by integrating this guideline recommendation into the COPD discharge care bundle.