COPD is one of the leading conditions that results in re-hospitalization within 30 days of discharge. In addition, costs are consistently higher for an admission when a patient is re-admitted than the initial stay. Utilizing Remote Patient Monitoring after discharge allows the clinician to monitor oxygen level and peak flow readings as well as reported symptoms. By receiving this data in real time, the nurse can call the patient at the opportune time to coach them to determine why the symptoms are exacerbated and how they can change their behavior to improve. Education can be provided at this time or if necessary, a video visit or a visit to the MD can be initiated sooner preventing an acute exacerbation that can lead to a hospitalization.