Asthma Health Outcomes Project
Overviews of Surveyed Asthma ProgramsSeptember 2005
Domestic Programs: Illinois (cont'd)
Advocate Health Care Asthma Initiative
Advocate Health Care
Advocate Health Care (Advocate), a faith based health care system, is based in Oak Brook, Illinois, and serves all of the metropolitan Chicago area. Advocate is the largest fully integrated, not-for-profit health care delivery system in metropolitan Chicago and is recognized as one of the top 10 systems in the country.
Advocate consists of eight acute care hospitals, a large privately held full-service home health care company, three large physician hospital organizations, and more than 4600 affiliated physicians.
Advocate Health Care’s Asthma Initiative, uses Wagner’s Chronic Care model as its framework. There is a system-wide infrastructure in place to provide a standard of care based on the NHLBI guidelines, including: educational materials, asthma action plan, admission orders, discharge orders, asthma flow sheet for documentation, annual education for care providers, etc. The program allows for enough flexibility for each site to meet the unique needs of their individual communities.
The goals of the asthma initiative include: 1) Decrease hospital admission and 30-day readmission for patients with asthma; 2) decrease emergency department visits and repeat emergency department visits within 3 days; and 3) increase percent of asthma in-patients receiving steroids on Day 0 or 1.
The asthma initiative’s primary component is education to all asthma patients. An asthma patient is referred to a nurse (RN) or respiratory care practitioner (RCP) at one of the Advocate sites where the RCP or RN will educate the patient on asthma, symptoms, medications, equipment, triggers, asthma action plan, and resources. An asthma booklet with the above topics is provided to each patient; an asthma-coloring book is provided to young children. An asthma coordinator (one at each site) will follow-up with the patient at one-week, one-month and three-months after the initial visit.
The health outcomes evaluation for the period of January 2003 to November 2004 showed the program had a positive impact on the following health outcomes: hospitalizations, emergency department visits, scheduled (well) office visits, quality of life for children (missed days of activity), quality of life for adults (waking at night), symptoms, medication use, change in clinical action (prescriptions for Beta agonists and inhaled corticosteroids), use of asthma action plan, and peak flow meter use.
Program success is attributed to the commitment and support of all the participating sites.
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