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Seattle-Denver Center of Innovation (COIN)


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COIN Investigators & Staff

COIN Investigators


Laura C. Feemster, MD, MS
Title: MD Fellowship Co-Director, Seattle
Associate Professor, Division of Pulmonary, Critical Care and Sleep Medicine, University of Washington
Location: Seattle
University of Washington webpage
See Dr. Feemster's Dimensions profile that includes: publications, grants, datasets, patents and clinical trials


Dr. Feemster is a Core Investigator and Assistant Professor, Department of Medicine, Division of Pulmonary and Critical Care at the University of Washington. Her research interests include studying the effect of patient health behaviors (e.g. smoking, alcohol use, and obesity) on clinical outcomes among patients with lung disease and improving the quality of care for patients with chronic obstructive pulmonary disease. She is currently funded through a NIH K23 award that seeks to improve quality and delivery of care provided within primary care settings. Dr. Feemster received her MD from the University of Texas, Southwestern Medical School at Dallas. She received an MS from the University of Washington, School of Public Health, Department of Epidemiology.

The following images visualize Dr. Feemster's work. The word cloud is drawn from publication titles. The research collaboration map shows research relationships (click the image to enlarge):

Dr. Feemster's publication titles indicate his primary work is care of Veterans
Word cloud from pub titles
Dr. Feemster's collaborations are primarily from the University of Washington
Research collaboration map
The following research fields have been used to summarize Dr. Feemster's publications and grants. The categories are based on 96 publications and 2 grants.
Publications Grants
Clinical Research Chronic Obstructive Pulmonary Disease
Lung Lung
Chronic Obstructive Pulmonary Disease Health Services
Health Services Clinical Research
Prevention Behavioral and Social Science
Clinical Trials and Supportive Activities Clinical Trials and Supportive Activities
Sleep Research Comparative Effectiveness Research
Tobacco Smoke and Health  

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Recent Publications



Duan KI, Donovan LM, Spece LJ, Feemster LC, Bryant AD, Plumley R, Collins MP, Au DH. Trends and Rural-Urban Differences in the Initial Prescription of Low-Value Inhaled Corticosteroids among US Veterans with COPD. Ann Am Thorac Soc. 2023 Feb 27. doi: 10.1513/AnnalsATS.202205-458OC. Epub ahead of print. PMID: 36867427.
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Spece LJ, Weppner WG, Weiner BJ, Collins M, Adamson R, Berger DB, Nelson KM, McDowell J, Epler E, Carvalho PG, Woo DM, Donovan LM, Feemster LC, Au DH, Au DH, Sayre G. Primary Care Provider Experience With Proactive E-Consults to Improve COPD Outcomes and Access to Specialty Care. Chronic Obstr Pulm Dis. 2022 Dec 5. doi: 10.15326/jcopdf.2022.0357. Epub ahead of print. PMID: 36472622.
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Fawzy A, Baker JR, Keller TL, Feemster LC, Donnelly LE, Hansel NN. Selected Bibliography of Recent Research in COPD. Am J Respir Crit Care Med. 2022 Sep 30. doi: 10.1164/rccm.202202-0335UP. Epub ahead of print. PMID: 36178396.
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Duan KI, Birger M, Au DH, Spece LJ, Feemster LC, Dieleman JL. U.S. Health Care Spending on Respiratory Diseases, 1996-2016. Am J Respir Crit Care Med. 2022 Aug 23. doi: 10.1164/rccm.202202-0294OC. Epub ahead of print. PMID: 35997678.
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Au DH, Chang JA, Davidson TA, Donovan LM, Goss CH, Feemster LC, Stapleton RD. Translating Individual Mentorship to Generalizable Action: Lessons Learned From J Randall Curtis. J Pain Symptom Manage. 2022 Jun;63(6):e641-e642. doi: 10.1016/j.jpainsymman.2022.03.014. PMID: 35595377.
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Donovan LM, Parsons EC, McCall CA, He K, Sharma R, Gamache J, Pannick AP, McDowell JA, Pai J, Epler E, Duan KI, Spece LJ, Feemster LC, Kapur VK, Au DH, Palen BN. Impact of mail-based continuous positive airway pressure initiation on treatment usage and effectiveness. Sleep Breath. 2022 Mar 26. doi: 10.1007/s11325-022-02608-z. Epub ahead of print. PMID: 35347655.
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Keller TL, Wright J, Donovan LM, Spece LJ, Duan K, Sulayman N, Dominitz A, Curtis JR, Au DH, Feemster LC. Association of Patient and Primary Care Provider Factors with Outpatient COPD Care Quality. Chronic Obstr Pulm Dis. 2021 Dec 16. doi: 10.15326/jcopdf.2021.0232. Epub ahead of print. PMID: 34915603.

Murphy RC, Mak G, Feemster LC, Hallstrand TS. Selecting the Optimal Therapy for Mild Asthma. Ann Am Thorac Soc. 2021 Dec;18(12):1955-1957. doi: 10.1513/AnnalsATS.202106-697ED. PMID: 34851246.

Heffner JL, Coggeshall S, Wheat CL, Krebs P, Feemster LC, Klein DE, Nici L, Johnson H, Zeliadt SB. Receipt of Tobacco Treatment and One-Year Smoking Cessation Rates Following Lung Cancer Screening in the Veterans Health Administration. J Gen Intern Med. 2021 Jul 19. doi: 10.1007/s11606-021-07011-0. Epub ahead of print. PMID: 34282533.

Dixon AE, Blake KV, DiMango EA, Dransfield MT, Feemster LC, Johnson O, Roy G, Hazucha H, Harvey J, McCormack MC, Wise RA, Holbrook JT. The challenge of addressing obesity in people with poorly controlled asthma. Obes Sci Pract. 2021 May 25;7(6):682-689. doi: 10.1002/osp4.533. PMCID: PMC8633940. PMID: 34877007.

LaBedz SL, Krishnan JA, Chung YC, Lindenauer PK, Spece LJ, Feemster LC, Stein EM, Buhr RG, Basu S, Prieto-Centurion V. Chronic Obstructive Pulmonary Disease Outcomes at Veterans Affairs Versus Non-Veterans Affairs Hospitals. Chronic Obstr Pulm Dis. 2021 May 11. doi: 10.15326/jcopdf.2021.0201. Epub ahead of print. PMID: 33975417.

Donovan L, Parsons E, Epler E, McCall C, He K, Sharma R, Duan K, Spece L, Feemster L, Kapur V, Au D, Palen B. 677 Impact of Remote Continuous Positive Airway Pressure Set-up on Treatment Usage and Effectiveness. Sleep. 2021 May 3;44(Suppl2):A264–A265.



Donovan LM, Palen BN, Syed A, Blankenhorn R, Blanchard K, Feser WJ, Magid K, Gamache J, Spece LJ, Feemster LC, Fernandes L, Kirsh S, Au DH. Nurse-led triage of new sleep referrals is associated with lower risk of potentially contraindicated sleep testing: a retrospective cohort study. BMJ Qual Saf. 2020 Dec 22:bmjqs-2020-011817. doi: 10.1136/bmjqs-2020-011817. Epub ahead of print. PMID: 33443226.

Duan KI, Spece LJ, Wong ES, Feemster LC, Donovan LM, Griffith MF, Keller TL, Bryant AD, Au DH. Low-value Inhaled Corticosteroids in Chronic Obstructive Pulmonary Disease and the Association with Health Care Utilization and Costs. Ann Am Thorac Soc. 2020 Dec 8. doi: 10.1513/AnnalsATS.202009-1128OC. Epub ahead of print. PMID: 33290180.

Spece LJ, Epler EM, Duan K, Donovan LM, Griffith MF, LaBedz S, Thakur N, Wiener RS, Krishnan JA, Au DH, Feemster LC. Reassessment of Home Oxygen Prescription after Hospitalization for COPD: A Potential Target for De-implementation. Ann Am Thorac Soc. 2020 Oct 19. doi: 10.1513/AnnalsATS.202004-364OC. Epub ahead of print. PMID: 33075243.

McDermott CL, Engelberg RA, Khandelwal N, Steiner JM, Feemster LC, Sibley J, Lober WB, Curtis JR. The Association of Advance Care Planning Documentation and End-of-Life Healthcare Use Among Patients With Multimorbidity. Am J Hosp Palliat Care. 2020 Oct 21:1049909120968527. doi: 10.1177/1049909120968527. Epub ahead of print. PMID: 33084357.

Press VG, Myers LC, Feemster LC. Preventing COPD readmissions under the Hospital Readmissions Reduction Program: How far have we come? Chest. 2020 Oct 13:S0012-3692(20)34897-2. doi: 10.1016/j.chest.2020.10.008. Epub ahead of print. PMID: 33065106.

Wenger DS, Triplette M, Shahrir S, Akgun KM, Wongtrakool C, Brown ST, Kim JW, Soo Hoo GW, Rodriguez-Barradas MC, Huang L, Feemster LC, Zifodya J, Crothers K. Associations of marijuana with markers of chronic lung disease in people living with HIV. HIV Med. 2020 Oct 6. doi: 10.1111/hiv.12966. Epub ahead of print. PMID: 33022830.

Parikh TJ, Stryczek KC, Gillespie C, Sayre GG, Feemster L, Udris E, Majerczyk B, Rinne ST, Wiener RS, Au DH, Helfrich CD. Provider anticipation and experience of patient reaction when deprescribing guideline discordant inhaled corticosteroids. PLoS One. 2020 Sep 17;15(9):e0238511. doi: 10.1371/journal.pone.0238511. PMCID: PMC7498097. PMID: 32941462.

Spece LJ, Donovan LM, Griffith MF, Keller T, Feemster LC, Smith NL, Au DH. Initiating Low-Value Inhaled Corticosteroids in an Inception Cohort with Chronic Obstructive Pulmonary Disease. Ann Am Thorac Soc. 2020 May;17(5):589-595. doi: 10.1513/AnnalsATS.201911-854OC. PMID: 31899652.

Keller T, Spece LJ, Donovan LM, Udris E, Coggeshall SS, Griffith M, Bryant AD, Casaburi R, Cooper JA Jr, Criner GJ, Diaz PT, Fuhlbrigge AL, Gay SE, Kanner RE, Martinez FJ, Panos RJ, Shade D, Sternberg A, Stibolt T, Stoller JK, Tonascia J, Wise R, Yusen RD, Au DH, Feemster LC. Association of Guideline-Recommended COPD Inhaler Regimens With Mortality, Respiratory Exacerbations, and Quality of Life: A Secondary Analysis of the Long-Term Oxygen Treatment Trial. Chest. 2020 Aug;158(2):529-538. doi: 10.1016/j.chest.2020.02.073. Epub 2020 Apr 9. PMCID: PMC7417382. PMID: 32278779.

Donovan LM, Fernandes LA, Williams KM, Parsons EC, O'Hearn DJ, He K, McCall CA, Johnson KA, Kennedy MW, Syed AS, Thompson WH, Spece LJ, Feemster LC, Kirsh S, Au DH, Palen BN. Agreement of sleep specialists with registered nurses' sleep study orders in supervised clinical practice. J Clin Sleep Med. 2020 Feb 15;16(2):279-283. doi: 10.5664/jcsm.8182. Epub 2020 Jan 13. PMCID: PMC7053017. PMID: 31992435.



Griffith MF, Feemster LC, Zeliadt SB, Donovan LM, Spece LJ, Udris EM, Au DH. Overuse and Misuse of Inhaled Corticosteroids Among Veterans with COPD: a Cross-sectional Study Evaluating Targets for De-implementation. J Gen Intern Med. 2020 Mar;35(3):679-686. doi: 10.1007/s11606-019-05461-1. Epub 2019 Nov 11. PMCID: PMC7080925. PMID: 31713043.

Stryczek K, Lea C, Gillespie C, Sayre G, Wanner S, Rinne ST, Wiener RS, Feemster L, Udris E, Au DH, Helfrich CD. De-implementing Inhaled Corticosteroids to Improve Care and Safety in COPD Treatment: Primary Care Providers' Perspectives. J Gen Intern Med. 2020 Jan;35(1):51-56. doi: 10.1007/s11606-019-05193-2. Epub 2019 Aug 8. PMCID: PMC6957635. PMID: 31396814.

Donovan LM, Coggeshall SS, Spece LJ, Griffith MF, Palen BN, Parsons EC, Todd-Stenberg JA, Glorioso TJ, Carey EP, Feemster LC, Zeliadt SB, Kirsh S, Au DH. Use of In-Laboratory Sleep Studies in the Veterans Health Administration and Community Care. Am J Respir Crit Care Med. 2019 Sep 15;200(6):779-782. doi: 10.1164/rccm.201902-0313LE. PMC7330508 PMID: 31206308.

Donovan LM, Malte CA, Spece LJ, Griffith MF, Feemster LC, Zeliadt SB, Au DH, Hawkins EJ. Center Predictors of Long-Term Benzodiazepine Use in Chronic Obstructive Pulmonary Disease and Post-traumatic Stress Disorder. Ann Am Thorac Soc. 2019 Sep;16(9):1151-1157. doi: 10.1513/AnnalsATS.201901-048OC. PMC6812159 PMID: 31113231.

Griffith MF, Feemster LC, Donovan LM, Spece LJ, Krishnan JA, Lindenauer PK, McBurnie MA, Mularski RA, Au DH. Poor Metered-Dose Inhaler Technique Is Associated with Overuse of Inhaled Corticosteroids in Chronic Obstructive Pulmonary Disease. Ann Am Thorac Soc. 2019 Jun;16(6):765-768. doi: 10.1513/AnnalsATS.201812-889RL. PMC6543465 PMID: 30763114.

Spece LJ, Feemster LC. Aligning Prescribing Practices with Chronic Obstructive Pulmonary Disease Guidelines: A Sisyphean Struggle?. Ann Am Thorac Soc. 2019 Feb;16(2):187-188. doi: 10.1513/AnnalsATS.201811-797ED. PMID: 30707064.

Press VG, Au DH, Bourbeau J, Dransfield MT, Gershon AS, Krishnan JA, Mularski RA, Sciurba FC, Sullivan J, Feemster LC. Reducing Chronic Obstructive Pulmonary Disease Hospital Readmissions. An Official American Thoracic Society Workshop Report. Ann Am Thorac Soc. 2019 Feb;16(2):161-170. doi: 10.1513/AnnalsATS.201811-755WS. PMC6812156 PMID: 30707066.

Donovan LM, Feemster LC, Udris EM, Griffith MF, Spece LJ, Palen BN, He K, Parthasarathy S, Strohl KP, Kapur VK, Au DH. Poor Outcomes Among Patients With Chronic Obstructive Pulmonary Disease With Higher Risk for Undiagnosed Obstructive Sleep Apnea in the LOTT Cohort. J Clin Sleep Med. 2019 Jan 15;15(1):71-77. doi: 10.5664/jcsm.7574. PMC6329538 PMID: 30621828.

Rinne ST, Wiener RS, Chen Y, Rise P, Udris E, Feemster LC, Au DH. Reply to Kardos: Extent of Overuse of Inhaled Corticosteroids in Chronic Obstructive Pulmonary Disease. Am J Respir Crit Care Med. 2019 Jan 15;199(2):249-250. doi: 10.1164/rccm.201809-1732LE. PMID: 30278144.

Donovan LM, Malte CA, Spece LJ, Griffith MF, Feemster LC, Engelberg RA, Au DH, Hawkins EJ. Risks of Benzodiazepines in Chronic Obstructive Pulmonary Disease with Comorbid Posttraumatic Stress Disorder. Ann Am Thorac Soc. 2019 Jan;16(1):82-90. doi: 10.1513/AnnalsATS.201802-145OC. PMC6344455 PMID: 30309243.

Donovan LM, Feemster LC, Billings ME, Spece LJ, Griffith MF, Rise PJ, Parsons EC, Palen BN, O'Hearn DJ, Redline S, Au DH, Kapur VK. Risk of Cardiovascular Disease Related to Smoking Is Greater Among Women With Sleep-Disordered Breathing. J Clin Sleep Med. 2018 Nov 15;14(11):1929-1935. doi: 10.5664/jcsm.7496. PMC6223561 PMID: 30373694.

Rinne ST, Wiener RS, Chen Y, Rise P, Udris E, Feemster LC, Au DH. Impact of Guideline Changes on Indications for Inhaled Corticosteroids among Veterans with Chronic Obstructive Pulmonary Disease. Am J Respir Crit Care Med. 2018 Nov 1;198(9):1226-1228. doi: 10.1164/rccm.201803-0554LE. PMC6221578 PMID: 29969041.

Spece LJ, Donovan LM, Griffith MF, Collins MP, Feemster LC, Au DH. Quality of Care Delivered to Veterans with COPD Exacerbation and the Association with 30-Day Readmission and Death. COPD. 2018 Oct;15(5):489-495. doi: 10.1080/15412555.2018.1543390. PMC6400327 PMID: 30822247.

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Grants & Funding


post-REcovery LIbEration From Oxygen in Exacerbated COPD (RELIEF)

NIH website: