Decrease the Emergency Department (ED) utilization and hospitalization rate for ambulatory care patients with asthma. Asthma is the number one DRG in the ED. Adult hospializations for asthma in 2000 was 1221(14%) of total adult medicine hospitalizations. Adult asthma clinic visits-4800/year.
We tracked the asthma clinic patients utilizing the ED and or were hspitalized. We identified the factors responsible for the high ED utilization and hospitalization rates and implemented a multidisciplinary team approach to the management of clinic patients starting May 2001, with emphasis on: Standardized care according to the NHLBI guidelines; Implementation of asthma action plan on the first clinic visit; Stress on patient education including self management and smoking cessation; Expansion of asthma clinic appointment availability-open access.
Adult asthma ED visit or hospital admission rate for clinic patients with asthma decreased from 510(8.4%) for 2001 to 115(1.9%) for 2002.
A significant decrease in the number of patients with adult asthma utilizing the ED and or getting hospitalized was achieved by introducing a multidisciplinary team effort involving physicians, nurses, respiratory therapists and social services with a stress on patient education including attack plan and self management, open access and applying NHLBI guidelines.
R.J. Basir, None.