Asthma Health Outcomes Project
Overviews of Surveyed Asthma ProgramsSeptember 2005
Domestic Programs: Vermont
Rutland Regional Medical Center Asthma Clinic
Rutland Regional Medical Center
Skip Bangley, RRT, BS
The Rutland Regional Medical Center Asthma Clinic was established in 2002 to improve the health of children with asthma age 2-15 years in Rutland, VT.
Asthma patients are referred to the clinic by the primary care physician. An asthma care plan is developed by the clinic's respiratory therapists with the primary care physician's agreement and signature. This care plan is then communicated to the area school nurses via the state of Vermont's Asthma Action Plan form.
The main component of the program includes patient education sessions. Patients meet with a respiratory therapist for a one-on-one education session and physical examination. Various teaching tools such as videos, web site tools, and a CD-ROM game are used to maintain interest and obtain the best response from the participants. Follow-up is done at one month, six months to one year, and then two years to review educational topics and assess retention and understanding. Patients use a daily diary to record symptoms and peak flow readings.
Evaluation results to date indicate that the program has had a positive impact on the following health outcomes: emergency department visits, office visits, school absences, work loss, medication use, and use of an asthma action plan.
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