Controlling Asthma in St. Louis CASL

1. Controlling Asthmain St. Louis (CASL) Mario Castro MD, MPH St. Louis Regional Asthma Consortium

3. Controlling Asthma in St. Louis (CASL)

4. Promoting Best Practices Committee Healthcare Provider Education (CAP) Improve PCP clinic and support staff delivery of asthma care using CQI model and standardized asthma educational material (11 public health clinics, 44+ PCPs) Based upon NAEPP guidelines severity assessment and appropriate treatment Community Asthma Program training now has PACE communication strategies incorporated Improve link to pharmacy, schools, ED/hospital CASL Implementation Plans2004 - 2008

5. Prospective, observational study One year time frame 723 children and adults with asthma 2 primary care urban clinics CAP trained clinical staff evaluated: pediatricians, nurse practitioners, family practice physicians, internists Community AsthmaProgram Improves Appropriate Prescribing in Moderate to Severe Asthma*

9. Promoting Best Practices Committee Community Pharmacist �Asthma Friendly� pharmacies (AFP) that provide brief or intense asthma intervention (Public health clinics, Walgreens/Schnucks) Provision of asthma medication assessment, device technique Link to Missouri Medicaid Disease State Management Provide link to PCP using fax communication Marketing plan of AFP CASL Implementation Plans2004 - 2008

10. Gathering of Asthma Info Committee Evaluation of CASL Assist in CAP evaluation by analyzing 3rd party payer information on CAP enrollees Development of survey of Consortium�s effectiveness Evaluation of Medicaid Pharmacy data to track outcomes CASL Implementation Plans2004 - 2008

11. CASL Implementation Plans2004 - 2008 Barriers and Resources Committee School Nurse/Student Education Implemented RGS District (12 schools); roll-out in Jennings SD (8 schools), City (75 schools) and Archdiocesan schools (25 schools) Tracking asthma-related school absences/knowledge/QOL Piloting CD educational programs (Impact, Quest) - 3 so far Provision of Medical Directorship using CAP model Utilization of existing Parent Liaisons in City schools Integration of asthma education into existing curriculum (science, math, reading) Medical Directorship includes development and support of emergency protocols, working with school nurses and linking with PCP, screening and referral to medical home, provision of asthma action plansMedical Directorship includes development and support of emergency protocols, working with school nurses and linking with PCP, screening and referral to medical home, provision of asthma action plans

12. Creating the Linkages in CASL Community Linkage among the components Capacity building - utilizing existing resources in a fragmented community Community building through Consortium Examples: CAP PCP refers pt. to AFP Pharmacy AFP Pharmacist identifies medication contraindication then contacts PCP School nurse/Medical Director referral to PCP

13. Controlling Asthma in St. Louis Team CAP/3rd Payors Mario Castro (PI) Vanessa Curtis School David Sterling Colleen Richmond Santosh Krishna Consortium Keith Willis (ED) Kristin Wilson (PD) Heather Kelly Lucy Reinhart Pharmacy Theresa Prosser Tricia Berry ED/Hosp Mitch Grayson Larry Lewis Gabe Highstein Evaluation/Data Rick Kurz Marcia Hendrix Sheniz Moonie