Asthma Health Outcomes Project
Overviews of Surveyed Asthma ProgramsSeptember 2005
Domestic Programs: California (cont'd)
Community Medical Centers' Asthma Education and Management Program (AEMP)
Community Medical Centers (CMC)
Kevin D. Hamilton, BS, RRT, RCP
The Community Medical Centers’ Asthma Education and Management Program (AEMP) provides patient education and management services to people with asthma in Fresno County, California.
The stated goals of the AEMP are 1) to improve the health education of the community at large, 2) to decrease the morbidity and mortality due to asthma in the San Joaquin valley to below the national norm, and 3) to utilize a Multiphase Algorithmic Protocol (MAPc) -based program to accomplish these ends.
Patients with asthma of any age are accepted by referral into the program. Patients are seen at a clinic for an initial asthma education intervention which includes asthma education and clinical management. Findings, suggestions, and any treatment changes are communicated to the primary care provider. Patients return after one month to assess any medication and environmental changes and review PFM tracking and symptoms. If the patient has responded well to the interventions, an asthma action plan is developed and given to the patient. If the patient has not responded well, additional return visits are scheduled and further action may be taken as warranted, including home visits with intensive environmental interventions. All patients are contacted via phone (or by mail if not reached by phone) at three months, six months, and one year for assessment of asthma health and possible need for further follow-up and/or intervention.
AEMP also conducts community-wide asthma education initiatives, trains and places clinical staff throughout the region, and works to enact asthma-friendly policies.
Regular ongoing chart review is an important part of the program and is used to track health outcomes. To date improvement has been found in hospital utilization, emergency department visits, urgent care visits, unscheduled (sick) visits, school absences, work loss, symptoms, medication use, change in clinical actions, functional status, lung function and peak flows, self-management skills, and use of an asthma action plan.
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