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Asthma Health Outcomes Project

Overviews of Surveyed Asthma ProgramsSeptember 2005

Domestic Programs: Massachusetts (cont'd) Back to Index

Affiliated Pediatric Practices (APP) Asthma Disease Management Program

Affiliated Pediatric Practices (APP)/ Partners Community Healthcare, Inc. (PCHI)

Needham, MA

Shelly C. Bernstein, MD, PhD

(781) 899-4456         

shelly_bernstein@dfci.harvard.edu

Affiliated Pediatric Practices (APP) is an independent pediatric practice organization based in Needham, MA that is part of the physician network Partners Community Health Care, Inc. (PCHI).

In 2002, APP collaborated with PCHI to launch an Asthma Disease Management Program in their 15 pediatric practices in Boston and Southeastern Massachusetts. The goals of the APP Asthma Disease Management Program were to improve the care of patients with asthma within APP, improve their quality of life by improving healthcare delivery, create a sustainable prevention-based program that reduces the cost of asthma, and improve provider satisfaction in their delivery of such care.

The program followed a disease management process that included identification and outreach to all patients with asthma, risk assessment and stratification, patient education, monitoring adherence to treatment plans between visits, and measuring, tracking, and reporting outcomes.

Early evaluations indicate that the program has had a positive impact on health care utilization, school absences, medication use, and use of an asthma action plan. The program and its evaluation are ongoing, and PCHI may replicate the program to other pediatric sites.

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