Asthma Health Outcomes Project
Overviews of Surveyed Asthma ProgramsSeptember 2005
Domestic Programs: Washington (cont’d)
The Asthma Outreach Project
Odessa Brown Children's Clinic
James W. Stout, MD, MPH
Since 1995, the Asthma Outreach Project in Seattle, WA, has delivered planned, population-based coordinated asthma care based on the best available clinical evidence.
The Asthma Outreach Project serves children with asthma and their families who attend the Odessa Brown Children's Clinic, an urban satellite clinic of Children's Hospital and Medical Center that serves a predominately low-income, African-American population. The project emphasizes home visits by a community-based, lay outreach worker in collaboration with an interdisciplinary clinic-based team. In the clinic setting, the community health worker functions as a case manager. The clinic uses a process of asthma care involving an asthma registry with periodic assessment and monitoring at routinely scheduled visits.
Through these activities, the Asthma Outreach Project addresses the following asthma risk factors: 1) poor coordination and follow-up between hospitals, emergency rooms, and primary care, 2) inadequate access to comprehensive and high quality medical care and poor adherence to current guidelines by medical providers, 3) patients belief and understanding regarding asthma that are inconsistent with current best management practices, 4) suboptimal family function and living circumstances that undermine adherence to organized home asthma management, and 5) patient exposure to indoor environmental allergens and irritants.
Among a study population of low income children with moderate to severe asthma, this model of care has been shown to reduce hospitalizations, emergency department use, and unscheduled clinic visits, and to increase follow-up visits.
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