Asthma Health Outcomes Project
Overviews of Surveyed Asthma ProgramsSeptember 2005
Domestic Programs: Michigan (cont'd)
Washtenaw County Asthma Home Visiting Program
Washtenaw County Health Department
Carol Rose Kahn
The Washtenaw County Asthma Home Visiting Program of the Washtenaw County Health Department was implemented in 2001 to decrease acute care visits and hospitalizations for clients with asthma. The program aims to improve the quality of life for the client and their family, reconnect the client with their primary care provider, increase compliance, and decrease other psychosocial or situational crises that could impact successful asthma management.
There are two main components of the program. The first is home assessment. A nurse conducts a home assessment for triggers and provides resources to rid the triggers. During the home visit the nurse provides general asthma education. The nurse follows-up with the client by phone as needed. Clients receive on average 1-2 visits. The second component is provider education. Providers in the hospital attend required lectures and meetings where asthma education is conducted by an asthma specialist. Other education messages are provided in reports sent to providers in offices. These messages include suggestions for treatment, references to the NHLBI guidelines, cues for referrals to a specialist, etc.
The program has improved the following health outcomes: hospital utilization, emergency department visits, urgent care visits, school absences, quality of life for children, symptoms, change in clinical actions, functional status, and self management skills.
Program success is attributed to asthma champions and the strength of the outcomes data.
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