Transcript Promise Neighborhood Response to Asthma Management

Nashville Promise Neighborhood Comprehensive
Asthma Management Program
Why is Asthma a NPN Issue?
 According to the latest information
available from the American Lung
Association, the Centers for Disease
Control and Prevention (CDC), and the
National Institute of Allergy and
Infectious Diseases (NIAID):
• Approximately 6.8 million children in
the US have been diagnosed with
asthma, one of the leading, serious,
chronic illness among children in the US.
• Asthma accounts for 13 million
absences from school each year.
• Asthma is the third-ranking cause of
childhood hospitalizations under the
age of 15.
Data on Absences
What is our approach?
• NPN Comprehensive Asthma Management Program
utilizes the implementation of a multidimensional
approach incorporating evidence based practices from
Boston Children’s Hospital Community Asthma Initiative and
The Children’s Hospital of Philadelphia Community Asthma
Prevention Program. NPN’s program will consist of peer to
peer support, in school time asthma education, and
home visitation based on 3 levels of intervention.
 It includes nurse case management and care
coordination combined with home visits
 Goal- educate families about asthma, assess the home
for asthma triggers, and provide materials and services
to improve the home environment, such as
encasements for bedding, HEPA vacuums and pest control.
Interventions Based on Level of Need
Level 1:
• Assessment of home environment and instructions on abating asthma triggers.
• Referral to community class.
• Follow up visit 6 months post enrollment with review of asthma management
• Total of 2 visits
Level 2:
• Assessment of home environment
• Instruction of environmental triggers class
• Provide supplies for environmental intervention: mattress and pillow covers, shades,
bucket, rags, cleaner, storage bins, roach bait, etc.
• Refer to community classes
• Follow up visit at 6 months with review of asthma management
• Total of 3 visits
Level 3:
• Assessment of home environment
• Series of 4 classes in the home
• Provide supplies for environmental intervention: mattress and pillow covers, shades,
bucket, rags, cleaner, storage bins, roach bait, etc.
• Monthly follow up and data collection for 6 months
• Total of 6 visits and monthly follow-ups
Community Asthma Initiative
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As of March 2012, 900 patients have enrolled. So
far their involvement has lead to:
80% reduction in the percent of patients
with any asthma related hospitalization
60% reduction in the percent of patients
with any Emergency Department visits
42% reduction in the percent of patients
with any missed school days for children
47% reduction in the percent of patients with
any lost work days for parents
Recap and Conclusion

Partnership and Data:
-Anecdotal information from school leaders and health providers
-Confirmed by Health Department and national research
 Assets:
-Strong commitment from schools and service providers
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Gaps:
 No systematic data collection at the school level to identify baseline or track impact
 Current Absence Tracking
 Funding to support project management and home-based interventions
 Resources to leverage:
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Commitment from MNPS to address environmental triggers within the school
building
Available education materials
Network of home and school providers ready to participate