Michelle M. Clou Er, MD Professor Of Pediatrics, Univ Of Connec Cut .

Transcription

MichelleM.Clou er,MDProfessorofPediatrics,UnivofConnec cutDirector,AsthmaCtr,CTChildren’’sMedCtr

ProgramOverview6 Loca on:Har ord,Connec cut6 labora hena onalasthmaguidelinesintoauser- trea ngasthmaefficientlyandeffec vely.6 ServiceArea:Statewide;nowin9otherstates6 Popula onServed:Urban,suburbanandruralcommuni esthroughoutthestate6 Results:35%â â hospitaliza ons;29%â â EDvisits;19%â â urgentcareOPVs;93- ‐96%useofappropriatemedica ons;95%ofpar cipantsreceiveawri entreatmentplan.

BuildingtheSystemConductNeeds- ‐BasedPlanning19986 41%ofchildrendiagnosedwithasthma6 38%receivingcareconsistentwithNAEPPguidelines6 5%receivingawri enasthmatreatmentplanHomes6 90%arepre- ‐1950’’s6 Medianincomehasdecreasedoverthepast10years6 Overcrowdingandpestinfesta on6 80%ofchildrenwithoneormoreposi veallergyskintests

106prac cesstatewide

Evalua ngtheSystemEvaluateInterven ons6 Createdadatabaseforinforma vefeedbackEvaluateProgramImpact–3CohortStudies

SustainingtheSystemPromoteIns tu onalChangeforSustainability6 Providethebasics;with me,theywillaskformore6 Buildyourdatabasewithexpansioninmind6 Integrateprogram6 Bereadytobecome“unpopular””withyourins tu on6 Keepupwithcurrenttechnology6 WorkwithEMRcompaniestointegrateprogramintoEMRs

ecogni on6666666666MichelleM.Clou an,AE- hysicianChampionsandDataEntryPersonnelAND

The Easy Breathing CliniciansEasyBreathingIandIIThomas Agresta, MDSherry Banack, MDJeannette Belfield, APRNVictor Blankson, MDDavid L. Brown, MDSheryl Carter, PA-CTug Cologne, PAAnn Culloo, APRNLeo DiStefano, MDMary Ann Ferazi, APRNLeonard Forner, MDSobhy Ghabrial, MDRuth Goldbaum, APRNJudi Green, APRNPeter Hine, MDRichard Johnson, MDBarbara Kaye, MDSharon Kuhn, MDKerri Langevin, APRNNancy Law, MDMaury R. Luxemburg, MDPriscilla Malloy, APRNWanda Merced, MDMichelle Nanda, MDGrael O’Brien, MDChristine Ortega, MDAlpa Patel, MDLeah Post, MDAruna Ramanan, MDAlberto Rodriguez, MDMaria Sacquez, APRNLarry Scherzer, MDJennifer Schwab, MDLisa Smith, MDKathleen Sullivan, MDRobert Toscano, MDHarry C. Weinerman, MDKay-yee Wu, MDJanna Zempsky, APRNAnton Alerte, MDLeonard Banco, MDCarol Benjamin, RNFred Bogin, MDJennifer Burns, APRNAlan Cementina, MDJanice Cooley-Jacob, MDRobert Cushman, MDPatrice Donovan, APRNJoy Egbertson, PA-CJohn Fote, MDAmy Gianoli, APRNKaren Goldberg, MDMark Greenstein, MDChip Hixon, MDPat Joyce, MDCraig Keanna, MDEllen Kwan, MDGarry Lapidus, PA-CEileen Lawrence, MDDouglas MacGilpin, MDJohn Mathews, MDLisa Menillo, MDJ. Naqvi, MDMargaret O’Neill, MDLee Pachter, DOPam Ponichtera, APRNDianne Powers, APRNChristine Randazzo, PAVivian M. Rubin, MDKathleen Sardegna, MDAric Schichor, MDT. Shamm, MDLesley Solkoske, APRNCraig Summers, MDNancy Trout, MDCatherine Wiley, MDMichael Yencho, MDRobert Zavoski, MDPaula Algranati, MDDorien Barnett, APRNFrederick Berrien, MDPatricia Bouwer, APRNKaren Camera, MDAlberto Cohen, MDDella Corcoran, MDAmy Davidson-Rapport, MDCarol Erickson, APRNLuz Fisher-Flores, APRNTeresa Frank, MDLaurie Glassman, MDAnn Gorjanc, PA-CMary Guerrera, MDLee Ira Hoffman, MDJudy Kanz, APRNLaurie Kelliher, APRNJerome Lahman, MDEllis Eun min Lee, MDMichael Levine, MDDouglas MacGregor, MDMargaret McLaren, MDScott Mitchell, MDKrishnan Narasimhan, MDPeg O’Neill, MDAlex Paclorkowski, MDMariella Popa, MDKathy Pugliese, APRND. Reirden, MDPatricia Ryan-Krauss, APRNSusan Sarvay, PATricia Schroffner, APRNHilda Slivka, MDErin Springhorn, MDLynda Tagliavini, APRNCarol Vinick, APRNFelicia M. Wilion, MDElaine Yordan, MDKirsten Baker, MDIvette Becerra-OrtizPhyllis Beveridge, APRNGail Bunce, APRNLinda Carosella, APRNErik Cohen, MDVanessa Cossette, PANaseem Deen, MDHenry Feder, MDDia Flanagan, MDBruce Freeman, MDEdward Gleich, MDDeloris Green-Robinson, APRNDavid Henderson, MDMatthew Huddleston, MDEllen Kaplan, APRNEdmund Kim, MDKate Lang, APRNJohn Lavalette, MDJennifer Reese Lombardi, APRNMarianne Maio, CPNP, ALaurie McNeill, MDDonald Mordavsky, MDLynn Nochisaki, APRNEugene Orientale, MDSandra Palmer, APRNMary Porter, MDDipika Rana, MDBarbara Renshaw, APRNVandana Sacheti, MDLaurie Scheiner, MDChris Schuck, MDElizabeth Smith, MDCarrie Streim, MDJanet Tibbetts, APRNJohn Walker, MDCatherine Worthley, APRNLori Yu, APRN

The Easy Breathing CliniciansEasy Breathing Community InitiativeVictoriano Baldovi, MDArthur Blumer, MDWilliam Currao, MDCharles Fischbein, MDAlex Geertsma, MDRichard Johnson, MDShirin Mahoot, MDMark Peterson, MDMichael Rokosky, MDLarry Scherzer, MDTeresa Szajda, MDJohn B.G. Trouern-Trend, MDSara Viteri, MDEphraim Bartfeld, MDWilliam J. Brownstein, MDAlfonso Enriquez, MDSari Friedman, MDEzzat Hafez, MDS.Jilani, Ghulam, MDNicholas Mascoli, MDFoster Phillips, MDJane Rudolph, MDGeorge Skarvinko, MDMaria Tasso, MDVictor Vega, MDLeslie B. Beal, MDFarah Choudry, MDDr. FalkHolly Frost, MDMartin Harwin, MDEllen B. Leonard, MDEllen Mascoli-Lanza, MDMark Ramirez, MDKweku Sam, MDBidarkote Somanath, MDLori Testa, MDJayashree Venkatesh, MDJeffrey Berg, MDEna Chow, MDEugene Fantl, MDAngela Geddis, MDNancy Lolyst, MDNina Livingston, MDLinda Mathews, MDOscar Ransome, MDDonald Samson, MDCindy St. Onge, MDFlorentine Thomas, MDNeil Vitale, MDEasy Breathing Statewide InitiativeNada Abdel A’al, MDRonald Angoff, MDMarilyn Bacon, MDChristine Barry, APRNWilliam Biles, MDMichael Blefeld, MDTamika Brierly, MDKim Brownell, MDElizabeth Burke-Roberts, APRNJeff Cersonsky, MDKevin Collins, MDSteven Craig, MDLynn Czekai, MDLeslie Dick, MDGillian Draper, PAAllyson Duffy, MDAlan Farb, MDBrooke Fleit, APRNLisa Gagnon, APRNFereshteh Ghofrany, MDThomas Gorin, MDAnneMarie Grossi, APRNRobert Adamenko, MDRichard Antonelli, MDElizabeth Bailey, MDCarole Battin, APRNRadha Biswas, MDHarold Bornstein, MDTerry Bronson, MDDana Buchanan, MDAnnette Cameron, MDRobert Chessin, MDAmanda Coppola, APRNPolly Cromwell, APRNElizabeth Davoren, APRNSusan Doutre, RNSheila Dubois, APRNTammy Edelkind, APRNMaria Ferreira, MDEileen Freedman, MDRichard Geller, MDAngela Glen, APRNKathryn Granville Spole, APRNAdriane Guerin, APRNSusan Adeyinka, MDTroy Allen, MDMarina Arena, MDLauren Athay, MDMaryEllen Baldino, APRNAngela Barrows, PASarah Baum, MDSusan Beris, MDJudith Blackman-Cochran, APRN John Blanton, MDChristine Briccetti, MDMichelle Brie, APRNMeredith Brown, PANancy Brown, MDOlga Bulygiha, MDJoanne Burger, MDSandra Carbonari, MDMarc Cerrone, MDJeannette Chinchilla, MDJason Citarella, DOMaria Courtney, PAMeridith Cowperthwait,APRNNancy Cusmano, MDC. Cynthia, APRNSunil Dcunha, MDKaren Dettmer, MDAndrea Douyard, APRNSamir Draa, MDAnita Ducharme, RNRobert Dudley, MDCraig Elliott, MDParvin Fadakar, MDCarol Fiftal, MDMaryEllen Flaherty-Hewitt,MDRichard Freedman, MDCecille Freilich, MDVickie Gerdon, PAGregory Germain, MDPaul Goldstein, MDTilak Gooneratne, MDRobert Greco, PADyan Griffin, MDJacqueline Hartzler, MDLois Heinemann, APRN

The Easy Breathing CliniciansEasy Breathing Statewide Initiative (continued)Michelle Henry, APRNAdriaan Herklots, MDDena Hoberman, MDJoy Hong, MDJudy Huang-Bulger, MDMichelle Hundt, APRNDouglas Idelson, MDMargaret Ikeda, MDTomiko Jackson-McArthur, MDSara Jacobson, MDSaima Jafri, MDStacey Jankowski, PALata Jayanthi, MDAnne Josephs, MDGina Juliano, APRNNorine Kanter, MDRonald Kelly, MDShannon Knaggs, APRNPamela Kolp, APRNAnnette Konicki, APRNChristina Kozar, MDLori Kulesa, APRNJaye Ladinsky, MDBrian Lamoureux, MDSusan Lelko, MDNoelle Leong, MDSophia Leonida, MDDeepa LiMaye, MDYufang Lin, MDKathryn Litwin, MDVivien Lloeje, MDLaura Lok, PADiana Lopusny, MDStephen Maddox, MDObinna Maduka, MDRadhika Malhotra, MDLaura Anne Malone, PAAsha Manaktala, MDDanielle Marachi, APRNPaul Marusov, MDKrista Matsen, MDAndrea McCullough-Hiobik, DOChristopher McDermott, MDDebra McGovern, APRNDeb McGrath, APRNSuki McLaren, PAThomas McLarney, MDJane Milberg, APRNRobert Moes, MDCarol Morrison, MDRobert Moss, MDSage Myers, MDJoseph Newell, MDLara Oneil, APRNAmmah Owusu-Ansah, MDVanessa Pacholski PA-CTherier Pagano, MSN, PNPShilpa Pai, MDSuppiah Pathmanathan, MDChristine Patterson, MDLisa Pavlovic, MDDee Pilagen, MDTerri Pisseri, APRNSharon Pool, DOAmitabh Ram, MDAmy Rapaport, MDMegan Ratchford, MDJonathan Reidel, MDMisael Rodriguez, PASusan Romano, APRNTina Rose, APRNLibia Rueda-Matik, MDFred Santoro, MDGerald Schwartz, MDRichard Segool, MDShamsa Shafi, MDTabassum Shamim, MDRichard Shea, MDMoshe Siev, MDPhanthila Singhaviranon, MDMartin Sklaire, MDMartha Small, MDRichard Smith, MDSue Smith, APRNCandra Smith-Slatas, MDTyler Stanley, APRNLeslie Sude, MDTimothy Sullivan, MDJudy Sutton, APRNJudith Tapper, MDRichard Tenczar, MDPamela Udomprasert, MDMargaret Vacek, MDLaurie Van Cott, APRNGeetika Verma-Jphri, MDAlicia Walsh, APRNAnne Willenborg, MDTamara Wrzesinski, MDRichard Young, MDJill Zabit, APRNAnna-Marie Melchreit, MDMary Paramanathan, MDAlison Wittenberg, APRNBarbara Ziogas, MD

Steven Craig, MD Polly Cromwell, APRN Nancy Cusmano, MD C. Cynthia, APRN Lynn Czekai, MD Elizabeth Davoren, APRN Sunil Dcunha, MD Karen Dettmer, MD . Thomas Gorin, MD Kathryn Granville Spole, APRN Robert Greco, PA Dyan Griffin, MD AnneMarie Grossi, APRN Adriane Guerin, APRN Jacqueline Hartzler, MD Lois Heinemann, APRN .