History and Relevant Information
The development of the Asthma Register System for Resource and Patient Management System (RPMS) resulted from a quality improvement effort in FY 2001 involving nine Northwest area tribal clinics, the Childhood Asthma Study team at the University of Washington, the Boston-based National Initiative for Children's Healthcare Quality (NICHQ) and the Indian Health Service. This effort was focused on improving asthma care for pediatric patients at the participating practices.
Active case management, follow-up visits for asthma patients, and appropriate utilization of medications are essential for effective disease management.
The RPMS Asthma Register System (ARS) consists of a register with associated reports and forms for patient management, a Patient Care Component (PCC) Data entry mnemonic for capturing asthma- related data items from the PCC form, a health summary supplement, and asthma-specific health summary maintenance reminders. The Register can be auto-populated when a site begins using it, reviewing all of a facility's patients in RPMS and selecting those based on specific diagnoses and on user-defined criteria. The Register can also be set up to add new patients automatically when certain criteria are met. The following asthma-related data items are captured on a pre-printed PCC form and entered into RPMS PCC through the PCC Data Entry process:
- Severity Of Asthma
- FEV1
- FEF25-75
- PEF/Best PF
- ETS
- Particulate Matter
- Dust Mite
- Asthma Management plan
These supplemental items are stored in the Patient Care Component (PCC) database.
These values are then used in various reports to identify patients who need to have their medications reviewed and/or modified, an asthma visit scheduled, or other activities specific to treatment of their asthma.
Five healthcare reminders are included in the ARS based on detailed logic that searches diagnoses, medications, and other PCC data.
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