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Capstone

Improving the quality of asthma care

1 August 2003

Abstract

Context: Asthma is a chronic disease of children and adults that has been increasing in prevalence in recent years and requires continual medical care.

Objective: To document the current level of care for asthmatics at Maple Street Clinic and provide a basis for which to implement a chronic care module.

Design: A retrospective chart review from 1/01/02 to 6/01/03 evaluating several parameters that reflect the current quality of asthma care in comparison to the National Institutes of Health Asthma Guidelines.

Setting: The study took place at the Maple Street Clinic a family practice clinic in Forest Grove, Oregon in which asthma is their second most common managed chronic illness.

Patients and other Participants: Those patients billed for asthma numbered 204 between 1/1/02 to 611103. a random sample of 100 patients was taken from the 204 charts that met the inclusion criteria.

Main Outcome Measures: The number of asthma exacerbations, emergency visits, hospitalizations, clinic visits, educational interventions, and patient monitoring.

Results: The populations more likely to have adverse outcomes are adults, women and smokers. 56% of study population did not receive educational interventions. 4% of patients had asthma action plans, and 13% had pulmonary function testing. Severity rating and ethnicity documentation were inadequate for analysis.

Conclusions: Asthma care at the Maple Street Clinic needs improvement and a preventative focus. Adherence to the National Institutes of Health Guidelines for Asthma and implementation of a chronic care module that includes an asthma registry and flow sheets would improve asthma care.


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