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Advocate Health Care’s Approach to Adult Asthma*

Patti Ludwig-Beymer, PhD, RN; Andrew B. Greene, Jr., MD
Author and Funding Information

*From Advocate Health Care, Chicago, IL.

Correspondence to: Patti Ludwig-Beymer, PhD, RN, Care Management, Advocate Health Care, 2025 Windsor Dr, Oak Brook, IL 60523



Chest. 1999;116(suppl_2):206S-207S. doi:10.1378/chest.116.suppl_2.206S
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Extract

Advocate Health Care is an integrated delivery system located in Chicago. Several years ago, they decided to address the challenge of improving care for adults with asthma as one of their first system-wide clinical improvement efforts.

Before launching the adult asthma improvement program, Advocate Health Care set about to determine a baseline measure of the problem of asthma within the primary service areas surrounding their eight system hospitals. They decided to examine hospitalization rates for asthma compared with the goal of 160 per 100,000 population set by the “Healthy People 2000” government initiative. Advocate Health Care obtained data from the Illinois Hospital and Health Systems Association for the total number of asthma admissions for members of the communities surrounding each of the system hospitals. They also obtained total population figures using zip codes from the primary service area for each Advocate Health Care hospital. Utilization rates were calculated using hospital admissions for the numerator and total population in the primary service area for the denominator. Although there was tremendous variation among the rates of the eight hospitals, those hospitals located within the city had the highest rates and also tended to have patient populations in which there were lower socioeconomic status, a greater proportion of African Americans, and increased barriers to access to health care.


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