# The Virtual Mentored Implementation to Reduce REVISITS (Reducing Respiratory Emergent Visits using Implementation Science Interventions Tailored to Setting) Study

> **NIH NIH R01** · UNIVERSITY OF CHICAGO · 2020 · $835,983

## Abstract

PROJECT SUMMARY
Chronic Obstructive Pulmonary Disease (COPD) affects 16 million US adults, many of whom experience high
rates of emergency department and hospital COPD revisits after initial hospitalizations due to care transition
failures. These frequent COPD exacerbations lead to more rapid lung function decline and earlier mortality.
Further, hospitalizations for exacerbations highly contribute to the ~$50 billion spent annually for COPD care in
the US. Therefore, COPD revisits are now a public health crisis. It is feasible to improve COPD care and
decrease acute care revisits, as shown by published evidence of successful care transition interventions. Our
team has led efforts to identify effective care transition interventions and has successfully piloted a multi-level
COPD care transition program. Effective care transition interventions include medication reconciliation, self-
management education, and post-discharge communication. However, for wide-spread adoption to occur, we
must identify optimal intervention delivery methods based on hospitals' resources and patient care needs. For
instance, virtually-supported interventions are often more resource-friendly, and while effectiveness data on
individual virtual interventions exists, multi-level virtual programs have not yet been studied compared to in-
person programs. In addition, feasible implementation approaches to support the delivery of evidence-based
care transition programs are needed for wide-scaled dissemination and sustainability. Our team has found that
a mentored implementation model is effective for implementing multi-level, hospital-based programs across US
health systems. This approach traditionally relies on in-person site visits. The use of virtual site visits could
dramatically increase this model's reach, but has not yet been studied. In summary, for successful, wide-scale
adoption, diverse US hospitals need to have access to feasible, multi-level care transition programs and
effective implementation approaches that are aligned with site-specific care needs and resources, but currently
the optimal approach is unknown. Thus, in this proposal, we will compare the effectiveness of virtual vs. in-
person multi-level COPD care transition programs in real-world settings by concurrently studying whether
virtual or in-person mentored implementation increases programs' reach. We will collaborate with the Hospital
Medicine Reengineering Network convened for rapid discovery and dissemination to identify and enroll sites.
After conducting pre-implementation contextual assessments at all sites using the Consolidated Framework for
Implementation Research, we will conduct a Hybrid Type II Effectiveness-Implementation study to determine
effectiveness of the programs to reduce 30-day COPD revisits and of the mentored implementation to increase
program penetration. Finally, we will study programs' sustained outcomes for two years post-implementation.
Data from this study will inform the o...

## Key facts

- **NIH application ID:** 9972083
- **Project number:** 1R01HL146644-01A1
- **Recipient organization:** UNIVERSITY OF CHICAGO
- **Principal Investigator:** Valerie G Press
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2020
- **Award amount:** $835,983
- **Award type:** 1
- **Project period:** 2020-06-01 → 2025-04-30

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/9972083

## Citation

> US National Institutes of Health, RePORTER application 9972083, The Virtual Mentored Implementation to Reduce REVISITS (Reducing Respiratory Emergent Visits using Implementation Science Interventions Tailored to Setting) Study (1R01HL146644-01A1). Retrieved via AI Analytics 2026-05-21 from https://api.ai-analytics.org/grant/nih/9972083. Licensed CC0.

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