Overview
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.
Tools
Asthma Staging Form – child
Asthma Staging Form – child spanish
Asthma Staging Form – adult
Wake County Asthma Management Plan English -Spanish
Johnston County Asthma Management Plan-English-Spanish
Childhood Asthma Control Test Ages 4-11
Childhood Asthma Control Test Ages 4-11-Spanish.
Asthma Control Test Ages 12 and over
Asthma Control Test Ages 12 and over- Spanish.
Asthma Education
Patient Education
Priming HFA Inhalers
Cleaning Instructions for HFA Inhalers
Cleaning Instructions for HFA Inhalers (Anti-inflammatories)
HFA side by side
Dust mites handout English Spanish
Roach Handout English Spanish
Pets and Other Animals English Spanish
Chemical Irritants English Spanish
Mold and mildew English Spanish
NC Air Awareness Program English Spanish
Asthma Triggers English Spanish
Measures
As part of the Continuous Quality Improvement activities, process and outcome measures are tracked to guide network and practice level priorities and resources.
The asthma measures among patients > 5 years of age, with a diagnosis of asthma in the primary care provider’s medical record, and without a diagnosis of COPD are:
Process measures
- % with one continued care visit annually with assessment of symptoms
- % with written Asthma Action Plan
- % with assessment of environmental triggers
- % overusing Beta agonist (>5 canisters filled in 3 months)
- Among patients with beta agonist overuse, % with no controller med in pharmacy claims history
- Among patients with beta agonist overuse, % with no controller med prescription documented in chart
- Outcome measures
- Asthma ED visits
- Asthma Hospitalizations
