PURPOSE: Objectives: the Children’s Pulmonary Center uses a medical home model of care to care for our patients. Literature states that this model of care can be beneficial to chronic care conditions but there is not a lot of research on the outcomes of care using this model for the asthmatic patient. We believe this type of care has lead to improved outcomes in our patient population. The primary objective of this study was to answer the question “What is the quality of care given to the asthmatic Patient in the Children’s Pulmonary Center? A secondary goal was to answer the question does this model of care work in helping patients attain expected goals?
METHODS: This was a descriptive cohort study of all asthmatic patients followed in the Children’s Pulmonary Center starting on May 11, 2009 through October 31, 2009. Patient inclusion criteria included: 0 to 18 years of age and a diagnosis of asthma by the second interval visit in the center. May to October months were chosen to reflect those times when asthmatics tend to have exacerbations (seasonal allergy and start of school).
RESULTS: Charts were reviewed for demographic data (age range as delineated in the guidelines, gender, diagnosis, treatment plan, and adherence to guidelines, and patient’s achievement of healthy people 2010 goals.
CONCLUSIONS: The data from this study population reflect a high level of self care management, low health care resource utilization, and good asthma control. Specifically the low incidence of hospital and ER visits and the high rate of having a current asthma action plan suggest that the patients are knowledgeable about their disease process and how to handle an exacerbation. Further more the low number of steroid bursts and use of rescue inhaler coupled with the low rate of night time symptoms and activity of daily living disruption indicate that the patients are following their plans of care and that these plans are appropriate for management of their disease process and consistent with their life style needs.
CLINICAL IMPLICATIONS: This study supports the use of Medical Home Models to manage asthma care.
DISCLOSURE: The following authors have nothing to disclose: Dawn Bolyard, Gayle Cavins, Susan Bean
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