Asthma Health Outcomes Project
Overviews of Surveyed Asthma ProgramsSeptember 2005
Domestic Programs: Utah
Asthma Care Management System
Intermountain Health Care
Salt Lake City, UT
David L. Larsen
The Asthma Care Management System was implemented in 2000 by the IHC Health Plans as part of Intermountain Health Care's integrated delivery system clinical quality improvement initiative, located in Salt Lake City, Utah. The program aims to improve clinical and service quality outcomes while reducing overall costs of asthma care by providing physicians with tools to track the progress of patients with asthma and providing patients with asthma education.
Patients identified through claims data are offered 3 weekly education sessions, or individual one-on-one sessions, taught by a certified asthma educator which take place in the hospital setting. They are educated using NHBLI guidelines on trigger identification and avoidance and use of their Asthma Action Plan.
Physicians that participate in the IHC Health Plans take part in Clinical Learning Days in which they learn how to use an asthma registry of their patients, decipher performance reports, and get updates on the asthma care model website. The website offers resources on asthma management for clinicians and is self-directed. Through the asthma registry, IHC Health Plans tracks medication use, prescription refills, pulmonary function test and ER visits by patients. Physicians receive performance monitoring reports that provide feedback regarding controller usage, ER and inpatient use rates and high beta-agonist usage, as well as data for personal comparisons with clinic, region and IHC system data.
A financial incentive program encourages physicians to achieve at least an 80% controller prescription rate as tracked through the asthma registry. The program attributes its success to the availability of the data and being able to provide it as feedback to physicians.
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