Improving Outcomes for Asthma Patients

By Adem Lewis / in , , , , , , , , , , , , , , , /

The main focus is to improve asthma health
outcomes for our patients in our study, there are 550 of them between the ages of 5 and
75 and they all at study entry had poorly controlled asthma. Patients when they were
enrolled in the study were randomized to one of four boxes if you will, they either two
of those boxes they received community health worker intervention or not and in the other
direction they were either enhanced clinics that have gone through QI training or not,
and the box we were most interested in is the one where those two overlap, the community
health worker and the enhanced clinic intervention, and for that group we built a preventive asthma
template in the electronic health record that they all use called “next-gen”. One thing that has happened that I that’s
very gratifying to me is the electronic health record we were just talking about has actually
been picked up by other clinic systems that use the same vendor and without any training
or without any marketing or anything they just found it and it started using it, so
that’s a vote of confidence. Also, the two health networks that we work
with have prioritized asthma in the coming year and creating a preventive asthma flow
in their practices across their whole network systems based on our pilot work with four of their thirteen practices. If you provide perfect asthma care in a clinic
setting that’s really not enough because there’s a lot of things you can’t change about a person’s
home environment without sort of going there. If you provide perfect home visits that’s
not enough by itself because you also need the work of the clinicians to help treat properly. So it was really a sense that this is a multi-faceted
problem that requires a multifactorial solution.

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