Patients who experience an Acute Exacerbation of COPD (AECOPD) have an increased risk of mortality, and therefore, must have their management optimized to improve survival. These patients most often are evaluated and treated in their local emergency departments (EDs) for the acute episode; however, follow up care is often left to their primary care physician (PCP). The national rate of patient compliance for follow up with their PCP within the first month following an AECOPD is unknown, however, locally, it is only 30%. From this, it could be inferred that there is a poor rate for any adjustment in chronic management after an AECOPD and therefore an increased risk of future exacerbations.