Asthma Health Outcomes Project
Overviews of Surveyed Asthma ProgramsSeptember 2005
Domestic Programs: Connecticut (cont'd)
Veronica Mansfield, NP
AIR Middlesex began in 1999 under the direction of Middlesex Hospital and a private contractor. Working with a case manager, patients (children and adults) learn to monitor and treat their asthma appropriately and avoid unnecessary and costly hospital visits.
In the case management component, patients are referred to a case manager who conducts a 1-2 hour initial consultation including medical history, asthma education, review of medications and equipment, and questions about the home environment. A detailed summary of this visit is sent to the patient’s provider. Follow-up visits are made depending on the patient’s needs.
Patients with severe asthma are always offered a home visit, conducted by an RN from the hospital’s home care department. The initial home visit lasts 1-2 hours and includes a visual assessment, review of medications and equipment, asthma education, and a physical exam. Follow-up visits are conducted if deemed appropriate by the RN and, ultimately, the patient’s insurance provider.
An evaluation of the case management component from 4/99-6/02 indicated several positive health outcomes: hospitalization rates, ED visits, unscheduled office visits, school absences, work loss, quality of life for children and adults, symptoms, medication use, change in medical treatment plan, functional status, self-management skills, and use of an asthma action plan.
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