Objectives   Identify the percentage of asthmatics in Friday fellows’ clinic with an AAP in place.  Determine if clinician education can increase the number of AAP created for patients

Kaye, MD, Aaron B.

Most, MD, Jessica

Pandit, MD, Pooja

Peters, DO, Colin

Shahid, MD, Hassan

English

Jefferson Digital Commons

Background & Problem• Many asthmatics report poor symptom control or ≥1 exacerbation/year. • Asthma action plans (AAP) help patients self-manage their disease1,2. • Many patients don’t have an AAP since providers don’t know how to create one in the record. ObjectivesMethodsResultsConclusionsImproving the Use of Asthma Action PlansPooja Pandit, MD1; Aaron B. Kaye, MD1; Hassan Shahid, MD1; Colin Peters, DO1,2, Jessica Most, MD11Department of Pulmonary & Critical Care Medicine, Jane and Leonard Korman Respiratory Institute, Thomas Jefferson University, Philadelphia, PA2Department of Pulmonary & Critical Care Medicine, Reading Hospital, West Reading, PA• Identify the percentage of asthmatics in Friday fellows’ clinic with an AAP in place.• Determine if clinician education can increase the number of AAP created for patients.• Epic report: asthmatics in Friday fellows’ clinic 7/1/19 - 2/28/21.• Clinician compliance = presence of an AAP using Epic’s template.• Pre-intervention compliance:       7/1/19 - 2/20/20• Intervention: informational video about AAP creation sent to providers on 2/20/21.• Post-intervention compliance:   2/21/20 - 2/28/21• 84 patients during the study period• Pre-intervention: 10/35 patients (28%) received an AAP.• Post-intervention: 7/49 patients (14%) received an AAP.• Frequency of AAP creation was low at baseline and worsened post-intervention.Influencing factors:• Post-intervention, patients were seen for only 1 month before clinic closed during the pandemic.• Fellow graduation during the study period further reduced patient sample size.Future directions:• Video re-distribution• Ensure video meets desired goal• Identify non-clinician factors that can improve AAP formulation.References1. Kaferle JE, Wimsatt LA. A team-based approach to providing asthma action plans. J Am Board Fam Med. 2012 Apr;25(2):247–249. 2. Boulet L-P. Asthma education: an essential component in asthma management. Eur Respir J. 2015 Nov;46(5):1262–1264. 

Improving the Use of Asthma Action Plans

https://jdc.jefferson.edu/cgi/viewcontent.cgi?article=1114&context=patientsafetyconference

Improving the Use of Asthma Action Plans

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