Web System for Engaging Families & Doctors in Continuous Asthma Quality Improvement
| Status: | Not yet recruiting |
|---|---|
| Conditions: | Asthma |
| Therapuetic Areas: | Pulmonary / Respiratory Diseases |
| Healthy: | No |
| Age Range: | Any - 19 |
| Updated: | 4/2/2016 |
| Start Date: | July 2015 |
| End Date: | July 2016 |
| Contact: | Barbara Howard, MD |
| Email: | bhoward@chadis.com |
| Phone: | 443-618-9104 |
Asthma, one of the most common pediatric illnesses, is optimally managed according to
National Heart Lung and Blood Institute (NHLBI) guidelines yet this is not often done in
primary care. This project is to develop and test the effects of using a module for
guideline based care in the Child Health and Development Interactive System (CHADIS) online
system by prompting and incorporating patient symptom/control and adherence data from
standard questionnaires to inform visits and providing automated patient specific education
and Asthma Action Plans in individual Care Portals.
National Heart Lung and Blood Institute (NHLBI) guidelines yet this is not often done in
primary care. This project is to develop and test the effects of using a module for
guideline based care in the Child Health and Development Interactive System (CHADIS) online
system by prompting and incorporating patient symptom/control and adherence data from
standard questionnaires to inform visits and providing automated patient specific education
and Asthma Action Plans in individual Care Portals.
We will complete the formative work collecting professional opinion to create and pilot the
initial CHADIS Asthma Intervention module (CHADIS-AI), an innovative decision support
system. CHADIS-AI content will be assembled and vetted by asthma experts and primary care
providers (PCPs). Parent and teen focus groups will vet the content and language of the
adherence materials and Care Portal. A system will also be established for points for
patient participation, to give clinicians Maintenance of Certification (MOC) credit, and
ongoing run chart reports of their patients' asthma status for continual Quality Improvement
(QI) feedback. The resulting system will be pilot tested and refined by clinician feedback.
Practices will be randomly assigned to intervention vs control. Control practices will use
CHADIS for asthma care without the A-I module. Intervention practices will be further
randomized to have remote coach support for patients or not. Outcomes will be examined of
asthma severity/control, match of severity with guideline based medication management,
numbers of Emergency Department (ED) visits, hospitalizations and oral steroid use. Effect
of remote coaching will also be assessed.
initial CHADIS Asthma Intervention module (CHADIS-AI), an innovative decision support
system. CHADIS-AI content will be assembled and vetted by asthma experts and primary care
providers (PCPs). Parent and teen focus groups will vet the content and language of the
adherence materials and Care Portal. A system will also be established for points for
patient participation, to give clinicians Maintenance of Certification (MOC) credit, and
ongoing run chart reports of their patients' asthma status for continual Quality Improvement
(QI) feedback. The resulting system will be pilot tested and refined by clinician feedback.
Practices will be randomly assigned to intervention vs control. Control practices will use
CHADIS for asthma care without the A-I module. Intervention practices will be further
randomized to have remote coach support for patients or not. Outcomes will be examined of
asthma severity/control, match of severity with guideline based medication management,
numbers of Emergency Department (ED) visits, hospitalizations and oral steroid use. Effect
of remote coaching will also be assessed.
Inclusion Criteria:
- Asthma diagnosis
Exclusion Criteria:
- Not English or Spanish speaking
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