Transcript Building a Medical Home for Children with Asthma

System Change for Asthma Care
in the Medical Home
Everyone Has a Role to Play in System
Transformation from the 10-minute Asthma Visit
to the Medical Home
[Insert Name]
[Insert Title}
AAP [insert state acronym] Chapter Champion
With special thanks to:
Jennifer Lail, MD, FAAP
What is a Medical Home?
“The Medical Home is the model for 21st century
primary care, with the goal of addressing and
integrating high quality health promotion, acute
care and chronic condition management in a
planned, coordinated and family-centered
manner.”
-American Academy of Pediatrics
National Center for Medical Home Implementation
www.medicalhomeinfo.org
Building Your Medical Home Toolkit
www.pediatricmedhome.org
The Clinician’s Role:
• Create an asthma registry
• Develop an asthma care resources database
• Make asthma action plans easy to understand and
follow
• Use chart templates
• Refer to coding fact sheets for asthma and medical
home
• Invite visiting professor to practice/institution to
educate colleagues
The Specialist’s Role:
• Communicate with the medical home
• Educate referral base (eg, ICS safety, spirometry,
allergy testing, etc)
• Share asthma teaching tools
• Invite and/or be a visiting professor
The Medical Center’s Role:
• Communicate with the medical home
• Teach asthma care (including need for follow-up in
the medical home) to residents
• Provide clinical care and education for severe
asthma
• Assist local schools and day care centers in
development of asthma policy
• Assess needs of referral base
• Encourage providers to serve as visiting professors
The Policymaker’s Role:
• Insurance for all children
• Use asthma as a template for all pediatric chronic
conditions
• Advocate for stable asthma formularies
• Support funding for asthma care
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Education
Team-based care
Equipment
Chronic care management visits
Chapter Champions are Change Agents
for Asthma Care in the Medical Home
who Provide and Promote:
• Evidence-based care
• Improved access
• Registries and EMR
• Communication, collaboration, co-management
• Support resources
• Appropriate reimbursement