Joint Principles of a Medical Home for Children with Asthma

[Insert Name][Insert Title]AAP [insert state acronym] Chapter Champion

With special thanks to: John Meurer, MD, MBA

Medical College of Wisconsin

Objective

Apply joint principles of medical home and key components of NHLBI asthma guidelines to pediatric practice

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Personal Pediatrician, Physician-Led Practice, and Coordinated Care

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•Provide continuity of care▫Preventive services, chronic management,

sick care, phone advice

•Coordinate and integrate care with specialist, ED, in-patient, school, and home nurse

•Use an EHR and asthma registry for patient and population-based management

•Transition teens to adult care

Provide Holistic Care

• Use trigger checklist and home environmental assessment

Control environmental triggers

• Atopic conditions, obesity, and anxiety• Promote physical activity, healthy diet, and

adequate sleep

Address comorbidities

• Home nurses, social and neighborhood services, legal help

Address socioeconomic barriers

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Continually Improve Quality of Care

Use asthma control tests

Provide written asthma action plan developed with patient and family

Enroll in AAP EQIPP Courses (http://eqipp.aap.org/)CME offered, MOC Part 4 available• Medical Home for Pediatric Primary Care• Asthma — Diagnosing and Managing in Pediatrics

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Continually Improve Affordable Access to Care

Accept low-income families

Advocate for policy and system improvements with

government, health plans, hospitals, and schools

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