The Science Journal of the American Association for Respiratory Care

2010 OPEN FORUM Abstracts

IMPROVING COMPLIANCE WITH THE FIRST PEDIATRIC CORE MEASURE: CHILDREN’S ASTHMA CARE.

Crystal Hawkins; Respiratory Care Department, Levine Children’s Hospital, Charlotte, NC

Background:The Joint Commission identified Children’s Asthma as a new focus area in the hospital setting. The Children’s Asthma Performance Measure Set was initiated in April 2007 with the Home Management Plan of Care (HMPC) initiated in July 2008. Initial compliance scores for this HMPC were very low at a national average of 52% with our average being 27% the first quarter and 54% in the next 7 quarters. We were tasked with the goal of obtaining an compliance score above the national average. Method:Our team identified early on that our success was pivotal on the collaboration of each discipline that was assigned to our asthmatic patients. Early patient identification, adequately trained staff members, core team of educators, and the identification of champions from each unit aided in our overall success. Our asthma champions became crucial to the education process for each of our units. These champions helped to aid our team in bringing awareness to each staffing member in LCH. Results:Levine Children’s Hospital average score in late 2007 was 27% with a national average of 52%. In the first quarter of 2010 our score was 85% with the national average being 56%. Conclusion:While our ultimate goal of 93% set by Carolinas HealthCare System for compliance with the asthma core measure set has not been achieved we feel that our improvements are cause for celebration. The current national average for compliance with the HMPC is at 56% in the first quarter of 2010. The fact that our team has achieved such a sustained average well above the national is a tremendous accomplishment. The members of our team know that we have a great process improvement plan in place that will in time help us celebrate our team reaching the hospital goal of 93%. Our team will continue to concentrate on the early identification of patients requiring asthma teaching. The Asthma Champions will continue to facilitate updates to our process for their prospective units. Sponsored Research - None