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Problem
Not only is asthma the leading cause of hospitalization at Children's Hospital Boston, but 70 percent of all children requiring emergency or inpatient care for their asthma come from just five communities in the city of Boston. Many communities lack the necessary resources to implement, coordinate and synergize complex asthma care initiatives.
Solution
Children's has designed a comprehensive asthma management model that benefits patients and families
and includes:
- a Community Asthma Initiative (CAI) that features customized care plans, dedicated case managers, home visits and environmental remediation
- an electronic registry that allows providers at the hospital to access detailed information about a specific child's asthma care plan and case history
- an asthma medical home program within Children's Hospital Primary Care Center (CHPCC)
- asthma nurses who provide education, coordinated care and follow-up in Children's other outpatient services
- a new, multidisciplinary Children's Pediatric Asthma Center to develop innovative care, teaching, research and community approaches
Results
Children's far-reaching approach to asthma management has resulted in a 64 percent reduction in asthma-related visits to the Emergency Department and a 79 percent reduction in hospitalization rates for children served by the CAI, as well as the establishment of consistent clinical guidelines and asthma care practices throughout Children's, including at CHPCC, the Martha Eliot Health Center, the Division of Adolescent/Young Adult Medicine, the Allergy/Immunology Program and the Division of Respiratory Diseases. A collaborative team between the hospital, other pediatric health providers and community leaders implemented Children's asthma case management model and developed novel reimbursement approaches.
More information: childrenshospital.org/cai
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