# Addressing System-level Barriers to COPD Guideline Concordant Care

> **NIH NIH R01** · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · 2024 · $59,194

## Abstract

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.

## Key facts

- **NIH application ID:** 11101038
- **Project number:** 3R01HL161049-03S1
- **Recipient organization:** UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
- **Principal Investigator:** Neeta Thakur
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2024
- **Award amount:** $59,194
- **Award type:** 3
- **Project period:** 2022-02-01 → 2027-01-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/11101038

## Citation

> US National Institutes of Health, RePORTER application 11101038, Addressing System-level Barriers to COPD Guideline Concordant Care (3R01HL161049-03S1). Retrieved via AI Analytics 2026-06-08 from https://api.ai-analytics.org/grant/nih/11101038. Licensed CC0.

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