RESULTS: On average, the 132 patients had been followed in the Pediatric Pulmonary clinic for 2.8±1 years prior to intervention. Average age at time of intervention was 10±3.8 yrs. 57% were male. 63% had Medicaid based insurance. Their ED, IP, and PICU usage rates had been stable during the preceding two years. Following the home oral steroid supply intervention, there was a decline in ED visit rates from a mean of 0.67 events per patient per year in the 12 months prior to the oral steroids prescription date to 0.39 visits per patient per year in the 12 months after the intervention (P=0.001). There was a trend towards decline in IP and PICU stay rates that was not statistically significant.