Asthma Health Outcomes Project
Overviews of Surveyed Asthma ProgramsSeptember 2005
Domestic Programs: Michigan (cont'd)
Michigan Asthma Airways
University of Michigan
Ann Arbor, MI
William F. Bria, II, MD
Michigan Asthma Airways is managed by the University of Michigan in Ann Arbor, MI and was begun in 1995. The program seeks to decrease hospitalizations, emergency department visits, unscheduled (sick) office visits, days ill and work loss in adult patients through use of the Patient Self-Management model.
Referred patients receive four in-hospital visits with a healthcare team consisting of a nurse, asthma educator, allergist and/or pulmonologist over the course of one year that offers assessment, education, and a peak flow meter. At each visit, patients receive a written pulmonology care plan tailored to their individual health needs. Patients' primary care physician also receive identical copies of the plan. Over the course of the year in the program, patients receive telephone calls from the nurse or asthma educator one- and three-weeks post and prior to six- and 12-month visits to assess healthcare and medication utilization, metered-dose inhaler technique, patient satisfaction and medication side-effects. The telephone calls have been shown to predict actual outcomes one year post.
The program's evaluation revealed program activities had a positive impact on hospitalization use, emergency department visits, unscheduled (sick) office visits, work loss, and functional status.
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