The Science Journal of the American Association for Respiratory Care

2011 OPEN FORUM Abstracts

DEVELOPING AN ASTHMA MANAGEMENT PLAN TO MEET THE JOINT COMMISSION<\#U2019>S ASTHMA CARE MEASURE- 3, INCLUDING ALL SEVEN COMPONENTS.

Laurie A. Smrz, Chris Gall, Khris E. O'Brien; Respiratory Care Services, Children's Hospital of Wisconsin, Milwaukee, WI

Background: In 2007, The Joint Commission introduced 3 Children's Asthma Care (CAC) Measures • CAC-1 Use of Relievers for Inpatient Asthma • CAC-2 Use of Systemic Corticosteroids for Inpatient Asthma • CAC-3 Home Management Plan of Care (patients 2-17 with a primary diagnosis of asthma) Data collection regarding these measures for children’s hospitals began with discharges in April 2007. CAC-3 was initiated as a test measure pending endorsement and was implemented as a production measure beginning July 1, 2008. The National Heart Lung and Blood Institute, National Asthma Education and Prevention Program Expert Panel also recommends that clinicians provide a written action plan to all patients with asthma. CAC-3 was developed to address the following 7 components2: 1. Controller Medications 2. Reliever Medications 3. Methods and Timing of Rescue Actions 4. Environmental Triggers 5. Follow-up appointment (to include physician name, phone number, and appointment date/time or time frame 6. Proof that parent received a copy 7. Proof that a copy exists in the medical record Methods: A team of key stakeholders developed an Asthma Management Plan which incorporated all 7 of the mandated components. The team designed a two-ply, one page, two sided document which facilitates completion of the standard. Front page addresses: controllers, relievers, rescue actions, follow-up appointments, and proof that parent received one of the two-ply copies (one copy stays with medical record). Rear page addresses: Environmental Triggers. A picture of the document has been included. Results/Conclusion: Prior to implementation of the Asthma Management Plan, Joint Commission compliance of all 7 components was 4-11%. After implementation, compliance increased to 75-80%. The hospital goal is 95%, therefore improvement cycles continue to increase compliance. 2National Heart, Lung, and Blood Institute, National Asthma Education and Prevention Program; Expert Panel Report 3: Guidelines for the Diagnosis and Management of Asthma. Sponsored Research - None