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






Improvement Report
Improvement Report: Redesigning Asthma Care
Cherry Street Health Services
Grand Rapids, Michigan, USA

Team

Chris Shea, Executive Director
Jeri Weyher, MD
Kathleen Lindhout, Physician's Assitant-Certified
Vicki Barton, RN
Cathy Ortman, Facility Manager



Aim
  • Increase the number of patients with persistent asthma who have a completed written Asthma Action Plan by 90 percent. 
  • Increase the number of patients with persistent asthma who are being treated with maintenance anti-inflammatory medication by 90 percent.
  • Decrease emergency room visits for the pilot population by 50 percent.


Measures
  • Percent of patients with persistent asthma who are being treated with maintenance anti-inflammatory medication
  • Percent of patients with persistent asthma who have a completed Asthma Action Plan
  • Percent of asthma patients with emergency room visits


Changes

The following changes were tested:

  • Identified the asthma population by chart audit and diagnosis
  • Scheduled visits for each asthma patient within the population
  • Completed an Action Plan for each asthma patient within the population
  • Educated each asthma patient within the population on what asthma is, proper use of inhalers, and how to use their Action Plan


Results
Anti-Inflammatory Medication
Percent Completed Plan
Reduction in ER Visits
 
Summary of Results / Lessons Learned / Next Steps
  • Identified Asthma patients by providers to eliminate patients with Reactive Airway Disease or other respiratory illnesses.
  • Education of patients is a major key to compliance.
  • Followed up on asthma at every scheduled visit.


Contact Information

Amy Tompkins, Office Manager
amyt@cherryhealth.com

 




What others are saying
Your comments allow others the chance to learn from your experiences with this item.

It's an easy and free way for you to share with colleagues.
View All Comments
Post Your Comments