Sustaining compliance with pediatric asthma inpatient quality measures

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Flory L Nkoy1, Bernhard A Fassl, Doug Wolfe

  • 1University of Utah School of Medicine, Salt Lake City, UT and.

AMIA ... Annual Symposium Proceedings. AMIA Symposium
|February 25, 2011
PubMed

Insights

A new asthma management system improved home care plan compliance by 16% and reduced hospital labor time by 38 hours weekly. This supports sustained quality improvement for pediatric asthma readmission reduction.

Area of Science:

  • Pediatric Pulmonology
  • Healthcare Quality Improvement
  • Clinical Informatics

Background:

  • The Joint Commission mandates home management plans of care (HMPC) for pediatric asthma patients to reduce readmissions.
  • Standard HMPC compliance tracking is resource-intensive for hospitals.

Purpose of the Study:

  • To develop and evaluate an asthma-specific "reminder and decision support" (RADS) system.
  • To assess RADS' impact on HMPC compliance, provider adherence, and labor efficiency.

Main Methods:

  • Implementation of an asthma-specific RADS system.
  • RADS integrated provider compliance tracking, discharge instructions, HMPC recording for accreditation, and automated discharge summaries with faxing.
  • Comparison of RADS with standard methods for HMPC compliance and labor time.

Main Results:

  • Sustained HMPC compliance significantly increased from 73% to 89% (p<0.01) with RADS.
  • Weekly labor time decreased significantly from 53 to 15 hours (p=0.02).
  • RADS supported multiple clinical and administrative needs, including Joint Commission accreditation requirements.

Conclusions:

  • The RADS system effectively improved HMPC compliance and reduced labor time in pediatric asthma care.
  • Decision support tools that address multiple needs while minimizing resource use are crucial for long-term quality improvement.
  • RADS facilitates efficient patient discharge and supports ongoing care coordination.

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