The Asthma Program was the first state-wide disease management program developed by the Community Care networks. The program provides resources for clinicians as they follow evidence based clinical practice guidelines in the assessment and treatment of patients with Asthma. The National Institute of Health/National Institute of Heart, Lung, Blood Institute Guidelines on the Diagnosis and Management of Asthma are used as the basis of the program. (NHLBI)
In addition, case managers can work intensively with high risk asthma patients to promote self management and adherence to recommended therapies. Case managers address the importance of using daily controller medicines, the use of spacers, nebulizers, and peak flow meters, the recognition and modification of environmental triggers of asthma, and the recognition of warning signs of worsening symptoms.
Within a year since the patient’s last office visit:
% of patients with a Continued Care Visit with assessment of symptoms
% of patients with a Written Asthma Action plan
% of patients with assessment of environmental triggers
Among patients whose chart documentation indicates persistent asthma or poor symptom control, % who have been prescribed controller therapy
% of patients with 4 or more canister fill dates of a beta-agonist rescue medicine within a 90 day period
Among patients with 4 or more canister fill dates of a beta-agonist rescue medicine within a 90 day period, % of patients with no dispensed controller medication during the measurement year.
Asthma -related Emergency Department visit rate
Asthma-related Hospitalization rate