Asthma Health Outcomes Project
Overviews of Surveyed Asthma ProgramsSeptember 2005
Domestic Programs: Texas (cont’d)
The Asthma Management Program
Children's Medical Center of Dallas
Karissa Luckett RN, BSN, MSW, AE-C
Children's Medical Center of Dallas developed and implemented a comprehensive outpatient Asthma Management Program in 2001. The program was designed to support the physician-patient relationship and plan of care through an orchestrated program including environmental assessment and intervention, patient and family education, and ongoing family contact and educational reinforcement. The goal of the program is for the patient to achieve a significant reduction in symptoms and exacerbations through proactive self-management. Patients were identified by community physician and insurance provider referrals, as well as internal utilization reports. Eligibility criteria include residence in a six county radius, ages 0-17, and diagnosis of asthma. An evaluation of the program showed that asthma-related ER visits significantly declined from pre-enrollment through the course of enrollment. Other program evaluations have shown that the program reduced the number of missed school or day care days, asthma-related inpatient admissions, unscheduled PCP visits related to asthma, days of caregiver missed work due to patient's asthma, and has increased quality of life for the patient after program entry.
The Children's Medical Center Asthma Management Program has been awarded certification by the Joint Commission of Healthcare Accreditation in Disease Specific Care for the pediatric asthma initiative. This program is the third in the nation to receive this designation, and the first in the state of Texas.
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