Asthma Health Outcomes Project
Overviews of Surveyed Asthma ProgramsSeptember 2005
Domestic Programs: Missouri (cont’d)
Truman Medical Center Asthma Program
Truman Medical Center
Kansas City, MO
Rita Mangold, RN, AEC
The Truman Medical Center Asthma Program in Kansas City, MO has been operating since 2001. The goal of the program is to provide superior and consistent care for the adult patient with asthma whether it is in the emergency department (ED), inpatient unit, clinic setting, research or the community. All of these systems strive together to assure that patients suffering from this frightening disease receive optimal care, support and education based on nationally and internationally accepted guidelines for the care of patients with asthma.
The program implemented protocols hospital-wide for healthcare providers to follow who treat adult patients with asthma. Patients are educated about peak flow use (given a peak flow if they don’t have one), an asthma action plan, and given asthma education materials. Referrals are made to those patients who are "high utilizers". Almost all patients are referred to the medical center's Asthma Clinic for follow-up and assessment.
The program also has user-friendly database for asthma management consistent with the asthma national guidelines. The database was designed to create asthma action plans that are shared between providers caring for patients with asthma. This new process has improved documentation of asthma action plans which are increasingly being used to assess appropriateness of care. These action plans can be queried to document compliance with accepted best practices.
Since the program was implemented, hospital admission rates have decreased, and there has been improved medication use, change in clinical action (provider behavior), and self-management skills.
The program is now expanding the current ED protocol to include a secondary protocol for continued evaluation in the ED while patients await admission. The goal is to further decrease admission rates through this secondary protocol and continued treatment, assessment and evaluation pending transfer to inpatient status.
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