Inspiration Point-A Digital Pulmonary Rehabilitation Tool Management Interventions

Inclusion Criteria: * Participants will have physician permission and diagnosis COPD (FEV1 \>30%-80%), * Gold level A-D, and * Ability to perform the 6 Minute Walk Test (6MWT). * This means that participants must meet the standard definition of COPD and have a post-bronchodilator measurement of FEV1/FVC \< 0.7. * All COPD Assessment Test scores will be accepted. * Patients must have an mMRC score = 1-4. * Additionally, patients must have taken a Pulmonary Function Test within 1 year or they must retake (for baseline measurement) before participating in the study. * Patients must not have had a Pulmonary Rehabilitation class within the last 6 months. * If participants have had a recent cardiac event within 6 months (such as a myocardial infarction or an abnormal cardiac catheterization) they must obtain cardiologist approval before participating in the study. * In an effort to evaluate feasibility we will request that participants have their own Wi-Fi. Participants may use their own mobile device if they prefer but Blue Marble will have ample supply to provide to participants a device for the purposes of this study. * Target representativeness for gender, based on COPD demography will be \~50% women, based on recent trends indicating that women have an equal, and perhaps slightly greater risk of COPD compared to men3. * The Ethnicity/Race target recruitment, consistent with the US and the population at each site. * Participants must speak, read, and understand English at or above the 6th-grade level (as indicated by having a driver's license or self-report of completion of some high school). Exclusion Criteria for participants with COPD: * Pulmonary functional fitness that precludes participation in outpatient/home PR program (i.e. requires in-patient supervision or severity of a co-morbidity that represents a contradiction to exercise in a self-directed program) will be exclusionary. * A participant who desaturates below SaO2 \<88% during the pre-test 6MWT and does not have personal oxygen available will be referred for further evaluation and can be included once they have an O2 titration and supplemental oxygen. * Other exclusions include if a patient's oxygen use exceeds 4 liters per minute (LPM) or those who score less than 100 meters during the entry 6-minute walk distance. * Participants with coronary problems will be excluded based on specific morbidity and severity. These coronary exclusions include coronary artery disease with unstable angina. * Additional exclusions include: any respiratory disorder other than COPD that contraindicates participation in a home-based program. * The inability to learn how to use Inspiration Point * An acute neurological or cardiovascular condition such as stroke or acute heart surgery. * Active cancer with an anticipated survival of less than 6 months or treatment that will preclude them from participating in Pulmonary Rehab. * A participant with high fall risk as per physician determination. * The presence of a neurologic disorder that precludes a potential participant from following a typical COPD exercise program or demonstrating hand function sufficient to interface with the tablet. * This also includes patients with prior or current neurologic event/condition presenting fall risk or requiring assist device for ambulation will also be excluded.