- Discuss the roles various members of your health care teams play (e.g., primary care,
specialists, case managers, respiratory therapists, community health workers) in implementing the environmental management component.
- Discuss education and counseling services to patients and their families regarding environmental triggers and self-management, including who receives these services, the reach of the services (number or percent of the asthma population reached), how frequently and under what circumstances or conditions (e.g., whether the frequency depends on asthma severity and control), how (e.g., in person, online, in clinical settings), and by whom.
- Discuss education on environmental management provided to health care providers, including who receives training, the reach of the services (number or percent of providers reached), how frequently and under what circumstances or conditions (e.g., whether provider education is offered only to new providers), how (e.g., in person, online, in the provider’s office), and by whom.
- Describe tools and materials (e.g., mattress and pillow cases, pest control devices, home cleaning supplies) you provide to your patients to help them manage their environmental triggers.
- Describe tools and materials distributed to your health care providers to support their clinical decisionmaking regarding environmental management of asthma (e.g., flip charts, electronic guidelines, or other diagnostic and treatment aids).
- Describe your home-centered environmental management services, including who receives services, the reach of the services (number or percent of the asthma population reached), how frequently and under what circumstances or conditions (e.g., whether the frequency depends on asthma severity and control), what services are provided, and by whom.
- Describe your school-, daycare-, and employer-centered environmental management services, including who receives services, the reach of the services (number or percent of the asthma population reached or number or percent of facilities affected), how frequently and under what circumstances or conditions (e.g., whether services are regularly scheduled or on a special request basis), how (e.g., at the employer’s site or in your facilities), and by whom.
- Discuss mechanisms (e.g., case management to coordinate care delivery) to ensure that health care professionals receive feedback regarding patient measures taken to manage indoor and outdoor environmental triggers.
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- Elements of environmental management are addressed throughout the continuum of care.
- Patient education and outreach programs address indoor and outdoor environmental triggers and their management.
- Example: Distinguishing Program Feature: Effective use of incentives to ensure patient participation.
- Multi-faceted allergen control interventions address environmental management of asthma at home and in other settings (e.g., school and work) where patients spend time. Interventions may include home visits, durable equipment, asthma counseling (including smoking cessation), or social service referrals.
- Example: Distinguishing Program Feature: Effective community engagement that spurs others in the community (e.g., schools, employers) to take actions to reduce exposure to environmental asthma triggers in schools, child care facilities, and work places.
- Asthma patients are identified, their sensitivity to indoor and outdoor environmental triggers is assessed, and environmental interventions are
tailored accordingly.
- Health care professionals responsible for treating asthma are trained to ensure that they are knowledgeable about environmental triggers and their management.
- Health care professionals responsible for treating asthma receive feedback regarding patient measures taken to manage exposure to indoor and outdoor environmental triggers.
- High-performing collaborations and partnerships help to ensure delivery of tailored environmental services.
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