Planning for Action: The Impact of an Asthma Action Plan Decision Support Tool Integrated into an Electronic Health Record (EHR) at a Large Health Care System

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Introduction

Asthma is an airway obstruction disease that is prevalent among children and adults of any age triggered by different types of allergens. The treatment options for this condition have been defined according to the severity of the illness. There are guidelines that many physicians follow in order to reduce asthma exacerbation. However, there are reports from the CDC that its prevalence has been increasing in the past several years. [1] The purpose of this article is to integrate Evidence-based medicine in the EHR through a decision support tool named Asthma Action Plan (AAP). This is a tool designed for patients to assist them with self management of the disease. Although, AAP has demonstrated through other studies that this tool has helped reduce asthma exacerbation and complications, there continues to be a lack of compliance and continuity from the providers. Therefore, the goal is to streamline the EBM guidelines for Asthma through the EHR system and evaluate the effectiveness of the AAP throughout the institution.

Methods/Materials

  • Setting: Carolinas HealthCare Institution: covers 40 hospitals and over 900 care locations
  • eAAP development: This tool was developed in 4 phases.
     Phase 1: web based prototype
     Phase 2: a multidisciplinary team created to integrate this tool into the EHR.
     Phase 3: pilot study at 5 primary care settings.
     Phase 4: dissemination and implementation in over 100 primary care settings.

Results

Conclusion

Comments

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References

  1. Planning for Action: The Impact of an Asthma Action Plan Decision Support Tool Integrated into an Electronic Health Record (EHR) at a Large Health Care System,http://www-ncbi-nlm-nih-gov.ezproxyhost.library.tmc.edu/pubmed/25957371,Lindsay Kuhn, MHS, PA-C, Kelly Reeves, BSN, RN, Yhenneko Taylor, PhD, Hazel Tapp, PhD, Andrew McWilliams, MD, MPH, Andrew Gunter, MD, Jeffrey Cleveland, MD, and Michael Dulin, MD, PhD,The Journal of the American Board of Family Medicine, 28(3), 382-393