IHI.org - A resource from the Institute for Healthcare Improvement
Header Image






Self-Management:
Follow Up and Monitor Self-Management Goals and Asthma Action Plans
  1. Train staff for follow-up.
  2. Test having different staff or volunteers do follow-up.
  3. Schedule follow-up based on dates in the Asthma Action Plan.
  4. Review and update the Asthma Action Plan every three to six months.
  5. Test follow-up mechanisms (calendar, registry, tickler file) and scripts.
  6. Include problem solving (a technique to help patients identify problems and develop solutions) in follow-up.

Tips
  • Do not skip follow-up; patients will think you do not care.
  • Make sure patients determine the follow-up date and method. Follow-up can be by phone, email, fax, home visit, clinic visit, etc.
  • Use trained, culturally informed lay people for follow-up.