 Chronic Obstructive Pulmonary Disease COPD, also known as emphysema, is the leading cause of hospitalization for older adults in the U.S., and a leading cause of death. Although there is no cure for COPD, a program called pulmonary rehabilitation PR, which combines exercise and education, can help decrease re-hospitalizations and improve patients quality of life. Unfortunately, very few COPD Latino and African-American patients actually get PR. These patients are unlikely to get referrals or to be able to attend PR due to lack of insurance, lack of transportation, or lack of a PR center in their area. Telehealth is a way of using computers to deliver healthcare long-distance, eliminating the need for a patient to travel to receive care. By using telehealth for PR, the patient can exercise on a stationary bike in his or her home, while being supervised by videoconference by a respiratory therapist RT. The RT can see the patient, and deliver education by videoconference, and the patient can see the RT, so the patient does not need to leave home to get PR. 