RESULTS: A total of 60 patients had HV, of which 46 (77%) had noncompliance to office visits. Contact was made with 24 (52%) patients during the HV and these were subject to analyses. Mean age was 55 ± 14 years and 63% were women. Average FEV1 was 1.55L (51% predicted). 14 (58%) were active smokers and 18 (75%) had a history of drug use. There was a significant increase in compliance with office visits in the year following the HV as compared to the year before HV (68 vs 133 visits post-HV). Similarly there was a significant reduction in the ER visits post-HV (52 visits vs 31 visits post-HV), and this was associated with a significant improvement in patient adherence to maintenance inhaler use (22% versus 65% adherence, p<0.001). There was no significant change in hospital admissions post-HV.