Asthma Health Outcomes Project
Overviews of Surveyed Asthma ProgramsSeptember 2005
Domestic Programs: Indiana
Indiana University Medical Group Asthma Program
Jamie Lee, BS, RRT
The Indiana University Medical Group Asthma Program, managed by Wishard Hospital in Indianapolis, IN, was started in 1996.
Patients are referred to the asthma coordinator and an initial appointment is scheduled for a complete asthma assessment and any necessary medication changes. Comprehensive asthma education is provided to the patient including basic physiology, first signs and symptoms, controlling allergens and triggers, medications and medication delivery devices. Patient is trained how to use medication delivery devices and is asked to demonstrate proper technique. A peak flow meter is provided, if applicable. A written asthma action plan is developed for each patient.
The patient is called within 7-14 days for follow up to see if medication changes have improved their condition, and these follow ups continue once or twice per month as long as needed. Patients are encouraged to call the coordinator with any questions. Patients with asthma that is not responding to treatment are asked to come in for a follow up clinic visit. Outreach classes are provided once per month at the hospital and are free of charge.
Ongoing evaluation with a sample of over 30,000 patients seen to date shows a positive impact on healthcare utilization and medication use. The program is ongoing.
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