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Asthma Outcomes Pathway

Asthma Outcomes Pathway. Lori Palensky Saint Elizabeth Foundation Lincoln, NE 9.14.09. A-S-T-H-M-A. www.Bing.com says…

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Asthma Outcomes Pathway

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  1. Asthma Outcomes Pathway Lori Palensky Saint Elizabeth Foundation Lincoln, NE 9.14.09

  2. A-S-T-H-M-A • www.Bing.com says… • Asthma is a predisposition to chronic inflammation of the lungs in which the airways (bronchi) are reversibly narrowed. Asthma affects 7% of the population, and 300 million worldwide.

  3. Devastating chronic disease Public impact has increased over the last two decades Qualifies as a public health epidemic Nebraska-#2 BACKGROUND OF ASTHMA

  4. COMMUNITY ASTHMA EDUCATION INITIATIVE - CAEI • CAEI launched in 1998 at Saint Elizabeth Regional Medical Center- • Funding- • Asthma Coordinator • 30 Agencies -

  5. CAEI Management of Asthma 1. Healthcare Provider Education Pyramid 2. Family Asthma Adventure 3. Pharmacist Intervention 4. Asthma Awareness 5. Asthma Surveillance Developed to bridge the patient-provider communication gap.

  6. FUNDERS THROUGH THE YEARS • Saint Elizabeth Regional Medical Center • Pharmaceutical • EPA • Private and Community Based Organizations

  7. ASTHMA OUTCOMES PATHWAY Catholic Health Initiative – Mission & Ministry Fund through the Saint Elizabeth Foundation

  8. 1. Task Force formed 2. AHRQ Face-to-Face 3. Recruit partners-form liaison with ED Connection 4. Work groups assemble pathway – technical assistance Dr. Redding 5. Define barriers and embed into pathways process 6.Determine outcome measures specific to intervention 7. Finders and connectors trained with referral mechanism 8. Develop return on investment, and create audit system 9. Begin documenting 10. Build system for review and quality assurance Asthma Outcomes Pathways

  9. ASTHMA PATHWAYOutreachIdentify Patients Most at RiskAgeCensus Tract NESWSocioeconomic StatusRaceNumbersNo Medical HomeAssessmentBegin Asthma Action Plan(Intervention/Identification)

  10. ASTHMA PATHWAY CONTINUEDIntervention Specific-Education & Referral Barrier Barrier Barrier Reduction ReductionReduction    Environmental Medical Home Medical Management Assessment Review    Outcome Outcome Outcome Finalize Asthma Action Plan  Follow-up Short term – Outputs Long term – Clinical methods

  11. “Penelope” • Web-based case management • Provides connectivity for Head Start school nurses and ED case managers • Utilizes customized care algorithms • Prints vouchers and maintains inventory of funds • Stores data for outcomes and reporting

  12. Case Managers • Outcomes Pathways streamlines their workload using algorithms for protocols and readily available vouchers for barrier reduction • These “finders” are familiar and trusted by the target group • These “finders” are invested in the target groups and in connections for barrier reduction • Penelope connects Head Start, schools and Emergency Departments

  13. How is this improving access? • The medical community becomes accountable to each other – ‘ it takes a village approach’ • Bridges the communication gap • Provides an evidence based program • A kinder and gentler approach for health care with the indigent.

  14. Outcomes • Reduced duplication of services • Unites at-risk population to evidence based intervention • Identify and overcome barriers to care • Reduces exacerbation through asthma management education • Reduced number of sick days at school and work • Number of symptom free days increase • Decrease recurrent visits in Emergency Departments

  15. Asthma Outcomes PathwayFuture • Continue to add to the number of Outcomes Asthma Pathways • Foster and maintain relationships with community partners • Once the pediatrics population is saturated develop the second pathway for the elderly population • Share and mentor other communities in Nebraska.

  16. Thank You,for your time. For more information: Saint Elizabeth Foundation 6900 ‘L’ Street, Suite 100 Lincoln, NE 68510 402.219.7051 LPalensky@stez.org http://www.SaintElizabethOnline.com

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