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Design of the asthma treat smart system in a pediatric institution
Judith W Dexheimer1, Lijun Gu, Yuping Guo
1Divisionsof Emergency Medicine and Biomedical Informatics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Insights
AsthmaTreatSmart is a web-based tool that helps healthcare providers manage pediatric asthma. It aids in guideline compliance by assessing severity and recommending treatments for better patient action plans.
Area of Science:
- Pediatric Pulmonology
- Clinical Informatics
- Evidence-Based Medicine
Background:
- Asthma is a prevalent chronic condition in children, posing challenges for consistent, guideline-based care.
- Computerized decision support systems can potentially improve adherence to clinical guidelines for asthma management.
Purpose of the Study:
- To describe the development and implementation of the AsthmaTreatSmart application.
- To evaluate the utility of a web-based system in supporting guideline-compliant asthma care for pediatric patients.
Main Methods:
- Development of a stand-alone, web-based application, AsthmaTreatSmart, by a multidisciplinary team.
- System design based on national asthma guidelines, incorporating patient history, symptoms, and medication reconciliation.
- Application provides severity categorization, medication recommendations, and generates personalized action plans.
Main Results:
- The AsthmaTreatSmart system has been successfully deployed in six outpatient clinics.
- The application facilitates medication reconciliation and generates patient-specific asthma action plans.
- Ongoing efforts are directed towards integrating the system with electronic health records.
Conclusions:
- The AsthmaTreatSmart application offers a viable solution for enhancing guideline adherence in pediatric asthma care.
- The system's successful implementation in clinics demonstrates its potential to support providers in delivering evidence-based treatment.
- Future integration with EHRs aims to further streamline asthma management workflows.
Abstract:
Asthma is one of the most common chronic pediatric conditions. Providing evidence-based, guideline-appropriate care for asthma is complex. A computerized system may help providers with guideline compliance. The AsthmaTreatSmart application is a stand-alone web-based system developed in Pulmonary medicine with a multidisciplinary team based on national asthma guidelines. The application collects history and symptom information to assign a severity categorization. Medication reconciliation of asthma medications is performed with input from the patient. Severity and medication recommendation are provided for the provider. A personalized action plan and medication summary including medications, etc. is created. The system is successfully used in 6 outpatient clinics and current work is focused on integration with the electronic health record.
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