Pediatrics |

Asthma CarePartners: A Home-Based Asthma Intervention Program Utilizing Community Health Workers FREE TO VIEW

Julie Kuhn, MSW; Tala Alhajj, MPH; Lourdes Reyes, BA; Barbara Hay, MA; Sheena Freeman, BA; Gloria Seals; Helen Margellos-Anast, MPH
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Sinai Urban Health Institute, Chicago, IL

Chest. 2013;144(4_MeetingAbstracts):757A. doi:10.1378/chest.1687977
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SESSION TITLE: Hot Topics in Pediatic Pulmonology

SESSION TYPE: Original Investigation Slide

PRESENTED ON: Monday, October 28, 2013 at 01:45 PM - 03:15 PM

PURPOSE: The Asthma CarePartners (ACP) program, an innovative partnership between the Sinai Urban Health Institute (SUHI) and a Medicaid managed care organization, aims to improve the health of Chicago children with asthma. Four previous asthma interventions with rigorous results and demonstrated cost savings have proven the effectiveness of SUHI’s Community Health Worker (CHW) model, facilitating the establishment of this unique partnership, and allowing for its incorporation within standard healthcare delivery.

METHODS: The ACP program utilizes CHWs making home visits to educate patients with poorly controlled asthma about the disease, its triggers and proper management. Participants receive six home visits during the year-long intervention. Education focuses on improving medical management while simultaneously addressing environmental triggers. CHWs conduct structured home environmental assessments, working collaboratively with families to reduce exposure to home triggers.

RESULTS: Since 8/16/2011, 386 patients have been referred to the program. Preliminary findings presented herein focus on children who have completed six months of the program (n=43) and provide significant evidence of improved asthma control. Specifically, ED visits were reduced by 72% between the year prior to and the year following the intervention (p=0.005). Similarly, nights on which sleep was disturbed by asthma decreased by 65% between the two week period preceding the intervention and the average over the intervention period (p<0.0001). Caregiver Asthma-Related Quality of Life Scores improved from 4.9 at baseline to 5.8 at the six-month follow-up (p=0.01), a clinically and statistically significant improvement.

CONCLUSIONS: While the data presented herein is preliminary, outcomes demonstrate an improvement in asthma control, reduction symptom frequency and a dramatic reduction in asthma related health resource utilization. Additional data supporting the program’s utility will be presented.

CLINICAL IMPLICATIONS: SUHI plans to expand the ACP program to additional healthcare management organizations, accountable care organizations, and independent physician associations. Given the reductions in healthcare utilization and resulting cost-savings, it is believed that organizations with financial risk tied to patient disease management will be eager to provide such an intervention to their members with uncontrolled asthma.

DISCLOSURE: The following authors have nothing to disclose: Julie Kuhn, Tala Alhajj, Lourdes Reyes, Barbara Hay, Sheena Freeman, Gloria Seals, Helen Margellos-Anast

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