The Community Asthma Initiative is a program that
addresses asthma disparities in Boston. We’ve served 908 patients that have had hospitalizations or emergency department visits, and have provided home visiting and nurse case management and community health worker, and nurse case management home visits. What’s really remarkable is that we’ve had an 80 percent reduction in the hospital, the need for
hospitalizations for children, and 60 percent reduction in children with any emergency department visits. And we found that
for every dollar spent on the program there is $1.46 saved. When we add quality of life
in trying to estimate the cost of missed school days
or missed work days, there actually was a $1.73 return on investment. And that’s savings to
insurers and to society, not to the hospital.