AHRQ Innovations Exchange | Case Management and Home Assessments Reduce Asthma-Related Admissions, Emergency Visits, and Missed School Days in Diverse Urban Children

Innovation Profile:

Case Management and Home Assessments Reduce Asthma-Related Admissions, Emergency Visits, and Missed School Days in Diverse Urban Children

Print E-mail Link Jump to: What They Did | Did It Work? | How They Did It | Adoption Considerations Snapshot Summary The Children's Hospital Boston's Community Asthma Initiative provides asthma case management and in-home environmental assessments for diverse, low-income urban children age 2 to 18 with poorly controlled asthma. A nurse case manager or community health worker provides medication education, develops an action plan, performs an environmental assessment, arranges for remediation strategies (such as pest extermination and distribution of equipment and supplies), and generally serves as an advocate for the children and their families. The program also provides community education and works to improve State policy with regard to asthma care. The program significantly reduced hospitalizations (by 79 percent), emergency department visits (64 percent), missed school days (41 percent), and missed parent work days (46 percent) after 1 year, and has generated a positive return on investment. Evidence Rating Moderate: The evidence consists primarily of pre- and post-implementation comparisons of key outcomes measures, including asthma-related hospitalizations, ED visits, physical activity limitations, and missed school and parent work days, along with estimates of associated cost savings and the return on investment to all stakeholders. begin doxml Developing Organizations Children's Hospital Boston Boston, MAend do Date First Implemented 2005 Octoberbegin ppxml Patient Population The program serves children age 2 to 18 who are admitted to the hospital or treated in the ED for asthma. Most of those served are Latino/Hispanic (47 percent) or African American (46 percent), with the majority (over 70 percent) being enrolled in Medicaid.Age > Adolescent (13-18 years); Race and Ethnicity > Black or African American; Age > Child (6-12 years); Vulnerable Populations > Children; Race and Ethnicity > Hispanic/Latino-Latina; Vulnerable Populations > Impoverished; Insurance Status > Medicaid; Age > Preschooler (2-5 years); Vulnerable Populations > Racial minorities; Urban populations

AHRQ Innovations Exchange | Case Management and Home Assessments Reduce Asthma-Related Admissions, Emergency Visits, and Missed School Days in Diverse Urban Children: - Enviado mediante la barra Google