Workshop: Incorporating Telemedicine into the Integrated Care of the COPD Patient

Workshop: Incorporating Telemedicine into the Integrated Care of the COPD Patient


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This will be a workshop consisting of invited faculty, chosen for their specific expertise in their respective
areas. The output will be a workshop summary document that will be submitted for publication in a peerreviewed

The learning objectives are represented by:
1. Review the general concept of the integrated care approach to the long-term management of the COPD
patient, demonstrating how it incorporates components of the following approaches to care: the chronic
care model, disease management, supported self care, coordinated care.
2. Review how current educational efforts, including self-management, in COPD often fall short
3. Discuss the concept of telemedicine as a potential tool for facilitating integrated care in COPD
4. Discuss specific, potential applications of telemedicine in integrated care of COPD, including supporting
didactic education, self-management strategies, adherence with therapy, exercise and physical activity,
non-invasive ventilation, supplemental oxygen, disease management of the respiratory exacerbation,
management of the patient with chronic respiratory failure, and pulmonary rehabilitation. We will also
have discussion on potential privacy issues resulting from the telemedicine intervention.
The program goals are:
1. Delineate the role of telemedicine in improving the care of the COPD patient using the integrated care
2. Outline areas for future research in this area
3. Promote lines of communication among the various specialists participating in the workshop
4. Create a summary document from the proceedings of the workshop, ready for submission to a peerreviewed
journal within three months of the workshop

Day 1: Thursday, September 7th, 2017
16.30 – 16.45 Welcome, introduction and overview of workshop • C. Donner, J. Raskin
Session # 1.  Integrated care concepts
Moderator: M. Grey
16.45 – 17.30 Integrated care – micro, meso and macro levels • L. Nici, A. Silverman, M. Morgan
17.30 – 17.45 Integrated care of chronic degenerative non-communicable diseases
and rehabilitation: the odd couple? • B. Balbi
17.45 – 18.00 Discussion
Session # 2.  Telemedicine in COPD
Moderator: B. Make
18.00 – 18.15 Tele-rehabilitation: real life or utopia? • M. Vitacca
18.15 – 18.30 The potential of clinical “dashboard” monitoring systems • J.Krishnan
18.30 – 18.45 Telemonitoring and home mechanical ventilation: the European pointof view
N. Ambrosino
18.45 – 19.00 Discussion
19.00 – 19.15 Break
Session # 3.  Education and self-management concepts in COPD
Moderator: L Nici
19.15 – 19.30 COPD patients are not good at self-management • P. Meek
19.30 – 19.45 New definition of self-management • T. Effing
19.45 – 20.00 Our current model of education in COPD falls short • S. Lareau
20.00 – 20.15 Discussion
20.15 Dinner
Day 2: Friday, September 8th, 2017
08.30 – 08.45 Introduction
Session # 4.  Using telemedicine to promote patient education in COPD
Moderator: J. Krishnan
08.45 – 09.00 Using telemedicine to supplement patient education and selfmanagement
F. Blackstock
09.00 – 09.15 Discussion
Session # 5.  Using telemedicine to manage the COPD patient
Moderator: S. Singh
09.15 – 09.30 Risk stratification for telemonitoring in COPD management • L. Williams
09.30 – 09.45 Using telemedicine to better manage COPD exacerbations • J. L. Pepin
09.45 – 10.00 The vanishing stethoscope: How telemedicine might affect the patient-caregiver
relationship (pro-con) • J. Raskin, M. Grey
10.00 – 10.15 Discussion
10.15 – 10.45 Break
Session # 6.  Using telemedicine in pulmonary rehabilitation
Moderator: T. Troosters
10.45 – 11.00 Extending pulmonary rehabilitation exercise training outside its traditional
boundaries using telemedicine • F. Maltais
11.00 – 11.15 Promoting adherence with pulmonary rehabilitation using telemedicine
C. Rochester
11.15 – 11.30 Using telemedicine to promote adherence to supplemental oxygen therapy
R. Casaburi
11.30 – 11.45 Promoting physical activity using biofeedback from telemonitoring
M. Spruit
11.45 – 12.30 Discussion
12.30 – 13.30 Lunch
Session # 7.  Using telemedicine to help manage the patient with chronic respiratory failure
Moderator: N Ambrosino
13.30 – 13.45 Using telemedicine to facilitate home noninvasive ventilation • M. Dreher
13.45 – 14.00 Telemonitoring and chronic respiratory failure : cost/effectiveness • M. Vitacca
14.00 – 14.15 Discussion
14.15 – 14.30 Break
Session # 8.  Where do we go from here?
Moderators: C. Donner, J. Raskin, R. ZuWallack
14.30 – 14.45 Maintaining patient privacy with telemedicine • C. Rabbito
14.45 – 15.00 Moving forward • B. Make
15.00 – 15.30 Summary of proceedings • R. Goldstein


1. Claudio Donner, MD. Medical Director, Mondo Medico, Multidisciplinary and Rehabilitation Outpatient Clinic, Via Monsignor Cavigioli, Borgomanero (NO)- Italy (Co-chair of workshop)
2. Jon Raskin, MD. USA Pulmonologist, NYC, USA (Co-chair of workshop)
3. Richard ZuWallack, MD. St. Francis Hospital, Hartford, CT, University of CT, USA. (Co-chair of workshop)
4. Nicolino Ambrosino, MD, Volterra, Italy.
5. Felicity Blackstock, PhD. School of Science and Health, Western Sydney, University, Australia
6. Richard Casaburi, PhD, MD, Torrance, CA, USA.
7. Roberto Dal Negro, MD. Sèecialist Medical Center, Verona, Italy.
8. Michael Dreher, MD. University Hospital, Aachen, Germany
9. Tanja Effing, PhD. Repatriation General Hospital, Adelaide, Australia.
10. Roger Goldstein, MD. West Park Healthcare Centre, Toronto, Canada. Roger.Goldstein@westpark
11. Michael Grey, MD, St. Francis Hospital, Hartford, CT, University of CT, USA
12. Jerry Krishnan, MD, PhD. University of Illinois, USA
13. Suzanne Lareau, RN, MSN. Denver, CO, USA
14. Barry Make, MD, National Jewish Health, Denver, CO
15. Francois Maltais, MD, Univ Laval, Quebec, Canada.
16. Paula Meek, PhD, RN. Denver, CO, USA.
17. Michael Morgan, MD, University Hospitals of Leicester, Leicester, UK
18. Linda Nici, MD. Brown University, Providence, RI, USA
19. Jean-Louis Pepin, MD. Hôpital Nord Albert Michallon, Grenoble, France.
20. Carly Rochester, MD. Yale University, New Haven, CT, USA
21. Chiara Rabbito. Attorney, member of the Italian Working Group on Telemedicine
22. Adam Silverman, MD, Trinity Health, Hartford, CT, University of CRT, USA.
23. Sally Singh, PhD, University Hospitals, Leicester, UK.
24. Martijn Spruit, PhD. CIRO+, the Netherlands.
25. Thierry Troosters, PhD. University of Leuven, Belgium
26. Michele Vitacca. Responsabile Pneumologia Riabilitativa presso Fondazione S. Maugeri IRCCS Lumezzane, Brescia, Italy.
27. Loreen Williams, RN, DNP. COPD Management Program, St Francis Hospital, Hartford, CT, USA.


Congress venue:
Hotel Regina Palace
Corso Umberto I, 29 – 28839 Lungolago Stresa (VB)
How to reach Hotel Regina Palace and main distances
By car – A26 and exit at Carpugnino
where you’ll find a narrow road going down to Stresa (5 Km)
(Hotel Regina Palace has a private parking)
By plane – The nearest airport is Milan Malpensa: 45 Km
Linate airport: Km 110
By train – Railway Station 500 mt



Each faculty presentation, by necessity, will have to be limited in time, so ample time can be allotted to the discussion. We anticipate the discussion will be very important. In one way, the presentation can be considered a catalyst to the ensuing discussion. Accordingly, we are imposing a 7 slide limit per presentation. Additional material can be provided to the audience at the conference, and the written text output can be very thorough.

Moderators for each of the 8 sections will be responsible for managing time during the sessions, stimulating discussion, and coordinating written input from each participant in their respective sessions.
A writing committee, consisting of the three co-chairs and 1-2 additional faculty members, will put the 8 sections together into a manuscript ready for submission.