J Clin Outcomes Manage
Collaboration of pediatric practices and managed care organizations in educational intervention for childhood asthma
Narula P, Cataletto M, Kier C, Dalal H, Romard LA, Carney T, Little AM
Abstract Objective: To describe a pilot program that utilized patient and physician education plus collaboration with managed care organizations (MCOs) to reduce hospital admissions and emergency department (ED) visits due to asthma in children. Methods: Ten pediatric practices in suburban New York State participated. A specialist team consisting of a pediatric pulmonologist/allergist and a nurse practitioner made 7 visits to the practices over 2 years to provide education to providers. 64 patients aged 0 to 17 years from these practices who had a history of asthma-related hospital admissions were selected to receive a 2-hour initial session with the specialist team followed by monthly phone calls from the nurse practitioner. Results: There was a significant reduction in hospital admissions, from 62 (3.43/1000 members) to 28 (1.6/1000) in the first year and to 27 (1.7/1000) in the second year. ED visits were reduced from 110 (7.46/1000 members) to 66 (5.19/1000) in the first year and to 77 (6.2/1000) in the second year. Conclusion: Collaboration with MCOs to educate physicians and patients provides a promising framework for reduction of hospital admissions and ED visits due to childhood asthma.
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