Yolanda: How were you able to improve use of AAPs in school from 18% to 65%?
1 May 2014 - 3:19pm
Training was provided to over 500 School Nurses in the use of an AAP and at each home visit or interaction with the parent and student we provide an AAP and review the form with the parent.
1 May 2014 - 3:32pm
Just wondering if you can clarify what is meant by having "nurses orders for asthma" I don't believe this is a part of our Nurse Practice Act. Would appreciate any information.
1 May 2014 - 3:37pm
My interpretation is that the AAP qualified as MD orders to the nurse. In looking at other successful programs in other areas, this double use of the form (communication between all parties, PLUS official MD orders) yielded much higher acceptance and use.
That being said, we are having local problems using parents as go between to get MD to fill out AAP. Some of our target population do not have a primary care provider to fill it out, and making an appointment just to do paperwork is not a priority.
Any thoughts on how to overcome this?
1 May 2014 - 4:04pm
My only thought to overcome the barrier of populations not making it a priority to make a doctors appointment to get paperwork filled out is to work to develop a Telemedicine Partnership with Schools. This may require policy change what is currently accepted for billing, but that should not be a barrier. Start with a pilot between one school district and Medicaid/CHIP insurance providers, and if successful, then work on your commercial insurance providers.