of patients with lung disease presents a number of unique problems for optimal healthcare delivery, particularly in the rural setting of Vermont. These problems stem from the episodic and unstable nature of these diseases which require frequent
adjustments in treatment. Due to the sudden onset of symptoms, patients with more severe disease often utilize inordinate amounts of health care resources (e.g. the emergency room). As a regional point of expertise, referral and quality patient
care, we strive to improve the use of health care by patients with more severe diseases.