Asthma

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 Symptom Questionnaire - Child

Wake County Asthma Management Plan - English | Spanish

Parent Request & Physician’s Order Form for Medication - English

Johnston County Asthma Management Plan - English | Spanish

Childhood Asthma Control Test Ages 4-11 - English | Spanish

Asthma Control Test Ages 12 and Over - English | Spanish

Asthma Education - English


Patient Education

Priming HFA Inhalers - English

Cleaning Instructions for HFA Inhalers - English

Cleaning Instructions for HFA Inhalers (Anti-inflammatories) - English

HFA Side by Side - English

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

Clean Green - English

Recipes for pests - 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