Asthma Health Outcomes Project
Overviews of Surveyed Asthma ProgramsSeptember 2005
Domestic Programs: New York (cont’d)
Case Management of the Asthmatic Child
American Lung Association of Central New York
Since 2001, the Regional Asthma Coalition of the American Lung Association of central New York has conducted Case Management of the Asthmatic Child, a case management program for children with asthma age 3-13, as an integral part of their approach to increase quality of life for people with asthma.
Children are referred to the program by physicians, school nurses, or parents. After obtaining consent and completion of a brief parent questionnaire, this information is faxed to one of four contracted home health care companies. The home health care companies send an RN or RT to the child's home for a one hour visit that includes a home assessment and tailored asthma education. Topics addressed include medications, medical devices, triggers, and asthma self-management. Environmental control techniques are demonstrated and free materials are distributed.
A report is forwarded to the case management program coordinator, who then sends an informative letter to the child's physician along with forms for use during any subsequent office visit. The physician submits updated forms regarding medications, symptoms, treatment plan, and asthma action plan to the case manager on a regular basis. Ongoing follow up is provided through monthly telephone calls to the child and parent from the RN/RT as well as a repeat home visit every 3 months for one year and a final visit six months later.
A pre-post evaluation of the program based on responses from 74 children and their parents indicated a positive impact on hospital utilization, ED visits, urgent care visits, school absences, work loss, medication use, and the use of an asthma action plan.
The program is ongoing.
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