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Implementation of standardized asthma management programs in outpatient settings
Jessica P Hollenbach1, Melanie Sue Collins2, Caleb Wasser1
1Department of Pediatrics, Connecticut Children's Medical Center, Hartford, Connecticut.
Summary
Standardizing asthma management programs in outpatient settings requires integrated electronic health record tools and implementation science frameworks. Addressing clinician needs and workflow integration are key to improving asthma care and outcomes.
Area of Science:
- Health Services Research
- Clinical Implementation Science
Background:
- Primary care clinicians face challenges with complex asthma guidelines.
- There is a need for standardized, user-friendly asthma management tools integrated into clinical workflows.
Purpose of the Study:
- To review new approaches, facilitators, barriers, and opportunities for adopting standardized asthma management programs in outpatient settings.
Main Methods:
- Review of current literature on asthma management program adoption.
- Analysis of facilitators and barriers to implementation in primary care.
Main Results:
- Integration of clinical decision support tools within electronic health records (EHR) and specialist support can enhance program uptake.
- Barriers include lack of implementation science frameworks, insufficient consideration of organizational context, and limited clinician buy-in.
- Interventions are often labor-intensive, costly, and face EHR interoperability issues.
Conclusions:
- Simplifying guidelines, integrating EHR-based decision support, and utilizing implementation science frameworks can improve outpatient asthma care quality.
- Addressing practical implementation challenges is crucial for widespread adoption and improved patient outcomes.
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