Asthma Health Outcomes Project
Overviews of Surveyed Asthma ProgramsSeptember 2005
Domestic Programs: California (cont'd)
Yes We Can: Children's Asthma Management Program and Toolkit
Community Health Works (A partnership of San Francisco State University and City College
of San Francisco)
San Francisco, CA
YES WE CAN is managed by Community Health Works, a partnership of San Francisco State University and City College of San Francisco, CA.
YES WE CAN uses a medical/social team model that aims to scale-up best practices and reduce medical system barriers for low-income children with asthma. The distinguishing feature is a multi-disciplinary team combining the clinician, a nurse care coordinator, and a community health worker from the families' own community. This assures early intervention, close follow-up, cultural competence, and real support for home self-management. The approach has been developed by and for community-based and public health clinics serving culturally and linguistically diverse, low-income communities.
YES WE CAN is a blend of best practices, combining three effective approaches: 1) a community health team model from the community health center movement, 2) risk stratification and care management strategies from Kaiser Permanente Northern California, and 3) quality improvement strategies from NICHQ. The program was developed and tested under real-world conditions at community clinics with outstanding asthma programs: 1) the Pediatric Asthma Clinic at San Francisco General Hospital/UCSF, 2) the Odessa Brown Children's Clinic in Seattle, WA, and 3) Mission Neighborhood Health Center/Excelsior Clinic in San Francisco, CA.
Pre-post evaluation results from three demonstration sites during the period 1999-2004 showed a positive impact on healthcare utilization, school absences and work loss, symptoms, medication use, and use of an asthma action plan.
The YES WE CAN Toolkit is available for widespread dissemination as a guide to implement the program and contains over 1000 pages of protocols, forms, tools, training materials, patient handouts in English and Spanish, job descriptions, a database, a clinician cue poster, performance exams and more.
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