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  • Quality Care at Hasbro Children's Hospital

  • Percent of Inpatient Pediatric Asthma Patients (age 2 to 17 years) Discharged from the Hospital with a Home Management Plan of Care

  • A home management plan of care addresses the following:

    • Does a plan exist?
    • Was it given to the parent/caregiver?
    • Were arrangements made for follow-up care?
    • Were asthma triggers identified?
    • Appropriate actions to take if asthma attack occurs?
    • Information about appropriate use of relievers and controllers given

    Why Is This Treatment Important?

    Asthma is the most common chronic disease in children and a major cause of morbidity and health care costs nationally (Adams, et al., 2001). For children, asthma is one of the most frequent reasons for admission to hospitals (McCormick, et al., 1999). Silber, et al., (2003) noted that there are approximately 200,000 admissions for childhood asthma in the United States annually, representing more than $3 billion dollars in expenditures.

    Under-treatment and/or inappropriate treatment of asthma are recognized as major contributors to asthma morbidity and mortality. Guidelines developed by the National Asthma Education and Prevention Program (NAEPP) of the National Heart, Lung and Blood Institute (NHLBI), as well as by the American Academy of Pediatrics (AAP) for the diagnosis and management of asthma in children, recommend establishing a plan for maintaining control of asthma and for establishing plans for managing exacerbations. Both aspects of care would include instructions related to pharmacotherapy and assessment of lung function.

    Organization of care towards patient self-management and patient/caregiver routine education on appropriate use of asthma medications, identification of symptoms of exacerbation, avoidance of environmental triggers cannot be overemphasized (AHRQ, 2005). For children, it is particularly important to involve both the patient and the caregiver in this educational component of asthma care as participation in the plan of care by both will provide the greatest opportunity to promote compliance with the treatment plan, control of asthma, and treatment of exacerbations in a safe and timely manner.

    What the Scores Mean

    A higher percentage, or score, is good because it means more patients received the recommended treatment. However, a lower score does not necessarily indicate poor care. You should consider the overall quality of a facility in addition to individual category scores.

  • Inpatients Discharged with a Home Management Plan of Care