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Effective Strategies for Asthma Management: NAEPP/NHLBI Guidelines and Interventions

Learn about best practices for asthma management, including lung function measurement, pharmacologic therapy, and controlling environmental triggers. Discover the impact of patient education and challenges in delivering asthma education and environmental interventions. Explore who is currently funding these initiatives and why the health sector should prioritize asthma care. Understand the primary findings and how investing in asthma education and home-based environmental interventions can lead to cost-savings and improved health outcomes.

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Effective Strategies for Asthma Management: NAEPP/NHLBI Guidelines and Interventions

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  1. Best Practices for Asthma Management: NAEPP/NHLBI Guidelines • Lung function measurement • Comprehensive pharmacologic therapy • Control of environmental triggers • Patient education that fosters a clinician/patient partnership • Less headway made on #3 & #4

  2. Allergens Cat & Dog Dander Mice & Cockroaches Dust mites Molds Outdoor allergens Irritants ETS Indoor/outdoor fumes Wood-burning stoves Cleaning agents Fragrances Environmental Triggers in the Home

  3. Interventions for Asthma: Range of Intensities

  4. Effectiveness of Asthma Education & Environmental Interventions on Health Outcomes • Across risk levels • Increased symptom free days & other quality of life measures • Improved lung function • Reduced use of rescue medications

  5. Challenges to Delivering Asthma Education • Disease highly complex, requiring tailored education & interventions • Time in standard office or sick visit insufficient • Limited coverage for discrete asthma education visits • Range of providers not reimbursed

  6. Challenges to Delivering Environmental Interventions • Evidence of health effectiveness just emerging • Environmental interventions considered beyond the scope of medical care • Lack of trained providers of services & quality assurance • Lack of awareness among clinicians • Lack of evidence regarding cost-effectiveness

  7. Who is Currently Paying? • Federal Grants • State & Local Health Departments • Some Private Foundations • Some Health Plans (clinic-based education)

  8. Why Should the Health Sector Care? • Nationally: Asthma costs over $16 billion in direct & indirect expenses • Over 70% of costs born by the health sector • Many costs preventable

  9. Establishing a Business Case for Health Care Decision-making • Are there cost savings? • Savings from reduced health expenditures exceed the cost of the program • Is there cost-effectiveness? • Investments in a new service are reasonable for a given health outcome

  10. Primary Findings • The health sector stands to benefit from investing in asthma education & environmental interventions • Education • Services targeted to high risk patients realize cost-savings • Home-based environmental interventions • Assessment, services & supplies targeted to high risk patients are cost-effective

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