Effect of Home Health Case Management on Asthma Morbidity
| Status: | Completed |
|---|---|
| Conditions: | Asthma |
| Therapuetic Areas: | Pulmonary / Respiratory Diseases |
| Healthy: | No |
| Age Range: | 3 - 17 |
| Updated: | 2/7/2015 |
| Start Date: | October 2011 |
| End Date: | October 2013 |
Effect of Home Health Nurse Case Management on Asthma Morbidity
The objective of our program is to evaluate the effect of home health nurse intervention and
education on hospital admissions, ER utilization and asthma control of Passport asthma
patients. The investigators hypothesize that case management and in home education by
nurses will decrease hospitalizations and ER asthma visits and improves disease control in
our population.
Our clinic population consists of primarily inner-city, low income, medicaid recipients.
This population suffers from severe asthma much more than the typical pediatric population.
Asthma remains the most frequent cause of hospital admission for our patient population.
Home health nurse asthma education and home visits have been reported to reduce asthma
triggers in the home and improve asthma control. The unique partnership between the
pediatrician and the home health nurse will give us a better understanding of the health
needs for this population, will improve quality of care and deliver more cost effective
care.
education on hospital admissions, ER utilization and asthma control of Passport asthma
patients. The investigators hypothesize that case management and in home education by
nurses will decrease hospitalizations and ER asthma visits and improves disease control in
our population.
Our clinic population consists of primarily inner-city, low income, medicaid recipients.
This population suffers from severe asthma much more than the typical pediatric population.
Asthma remains the most frequent cause of hospital admission for our patient population.
Home health nurse asthma education and home visits have been reported to reduce asthma
triggers in the home and improve asthma control. The unique partnership between the
pediatrician and the home health nurse will give us a better understanding of the health
needs for this population, will improve quality of care and deliver more cost effective
care.
Asthma patients age 3-17 enrolled in our clinic who have been seen in the ER, hospital or
clinic for an asthma exacerbation will be invited to participate. Once enrolled they will
have a home health nurse visit their home and provide medical assessment, asthma education
and determine if the patients has all needed medications available. They enrolled patient
will receive another home visit at 1, 4, and 12 months after enrollment. The medical record
will be reviewed and ER visits and hospitalizations recorded.
clinic for an asthma exacerbation will be invited to participate. Once enrolled they will
have a home health nurse visit their home and provide medical assessment, asthma education
and determine if the patients has all needed medications available. They enrolled patient
will receive another home visit at 1, 4, and 12 months after enrollment. The medical record
will be reviewed and ER visits and hospitalizations recorded.
Inclusion Criteria:
- Children age 3-17 years with asthma who attend our clinic who present with an asthma
exacerbation to the clinic, ER or hospital.
Exclusion Criteria:
- Patients with airway anomalies or tracheostomy
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