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Asthma: benchmarking for quality improvement

D A Stempel1, A M Carlson, D A Buchner

  • 1Virginia Mason Medical Center, Seattle, Washington, USA.

Annals of Allergy, Asthma & Immunology : Official Publication of the American College of Allergy, Asthma, & Immunology
|January 20, 1998
PubMed
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Linked claims data reveal asthma care variations. Specialty care improves outcomes, but inhaled corticosteroid use remains low, highlighting areas for quality improvement in asthma management.

Area of Science:

  • Health Services Research
  • Public Health
  • Clinical Practice Benchmarking

Background:

  • Linked medical and pharmacy claims data are valuable tools for identifying patient populations and assessing current healthcare standards.
  • Asthma patient identification and practice benchmarking are crucial for developing effective quality improvement initiatives.

Purpose of the Study:

  • To establish baseline data for current asthma care practices.
  • To benchmark asthma management against established standards.
  • To identify areas for quality improvement in asthma care.

Main Methods:

  • A 3-year study was conducted across five health maintenance organizations.
  • Data from 870,000 enrollees were analyzed, identifying over 28,000 patients with asthma claims.

Related Experiment Videos

  • Linked medical and pharmacy claims databases were utilized.
  • Main Results:

    • Asthma prevalence differed across geographic regions.
    • Patients receiving specialty care demonstrated increased use and refills of anti-inflammatory asthma medications.
    • Low refill rates for inhaled corticosteroids were observed across all patient groups.
    • Specialty care was linked to reduced emergency service utilization and hospitalizations for asthma patients.

    Conclusions:

    • Linked claims databases provide a robust method for benchmarking healthcare performance and informing quality improvement programs.
    • Effective utilization of specialty care can lead to better asthma patient outcomes.
    • Addressing low inhaled corticosteroid refill rates is essential for optimizing asthma management.