Amanda K Vickers, Robert Darzynkiewicz, Kelli Garber, Michael Maymi
{"title":"通过校本远程保健缩小小儿哮喘护理差距：质量改进计划。","authors":"Amanda K Vickers, Robert Darzynkiewicz, Kelli Garber, Michael Maymi","doi":"10.1016/j.pedhc.2024.11.003","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Uncontrolled pediatric asthma leads to poorer outcomes; school-based telehealth (SBTH) is an opportunity to intervene.</p><p><strong>Local problem: </strong>The connection rate to primary care after SBTH visits for asthma exacerbations was below organizational goals. Additionally, there was a gap in assessing SBTH's role in providing access to rescue medication.</p><p><strong>Method: </strong>A 3-month plan-do-study-act design was used to improve SBTH referral rates among SBTH providers. Data was collected via EHR reports and chart reviews.</p><p><strong>Interventions: </strong>SBTH providers were trained to complete a 3-question checklist on referral orders for all patients treated for an asthma exacerbation.</p><p><strong>Results: </strong>Chi-square analysis showed a statistically significant increase (p < .001) in the \"Connect to PCP\" rate, 21% to 71%. Additionally, 86% of eligible participants had access to rescue medication at school, with one-third requiring SBTH to bridge a gap.</p><p><strong>Conclusions: </strong>PCP connection can be increased; however, automation is needed for sustainability. Additionally, SBTH may increase access to asthma medication.</p>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":""},"PeriodicalIF":2.5000,"publicationDate":"2024-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Closing Pediatric Asthma Care Gaps Through School-Based Telehealth: A Quality Improvement Initiative.\",\"authors\":\"Amanda K Vickers, Robert Darzynkiewicz, Kelli Garber, Michael Maymi\",\"doi\":\"10.1016/j.pedhc.2024.11.003\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Uncontrolled pediatric asthma leads to poorer outcomes; school-based telehealth (SBTH) is an opportunity to intervene.</p><p><strong>Local problem: </strong>The connection rate to primary care after SBTH visits for asthma exacerbations was below organizational goals. Additionally, there was a gap in assessing SBTH's role in providing access to rescue medication.</p><p><strong>Method: </strong>A 3-month plan-do-study-act design was used to improve SBTH referral rates among SBTH providers. Data was collected via EHR reports and chart reviews.</p><p><strong>Interventions: </strong>SBTH providers were trained to complete a 3-question checklist on referral orders for all patients treated for an asthma exacerbation.</p><p><strong>Results: </strong>Chi-square analysis showed a statistically significant increase (p < .001) in the \\\"Connect to PCP\\\" rate, 21% to 71%. Additionally, 86% of eligible participants had access to rescue medication at school, with one-third requiring SBTH to bridge a gap.</p><p><strong>Conclusions: </strong>PCP connection can be increased; however, automation is needed for sustainability. Additionally, SBTH may increase access to asthma medication.</p>\",\"PeriodicalId\":50094,\"journal\":{\"name\":\"Journal of Pediatric Health Care\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":2.5000,\"publicationDate\":\"2024-12-14\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Pediatric Health Care\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1016/j.pedhc.2024.11.003\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"HEALTH POLICY & SERVICES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Pediatric Health Care","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.pedhc.2024.11.003","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"HEALTH POLICY & SERVICES","Score":null,"Total":0}
Closing Pediatric Asthma Care Gaps Through School-Based Telehealth: A Quality Improvement Initiative.
Background: Uncontrolled pediatric asthma leads to poorer outcomes; school-based telehealth (SBTH) is an opportunity to intervene.
Local problem: The connection rate to primary care after SBTH visits for asthma exacerbations was below organizational goals. Additionally, there was a gap in assessing SBTH's role in providing access to rescue medication.
Method: A 3-month plan-do-study-act design was used to improve SBTH referral rates among SBTH providers. Data was collected via EHR reports and chart reviews.
Interventions: SBTH providers were trained to complete a 3-question checklist on referral orders for all patients treated for an asthma exacerbation.
Results: Chi-square analysis showed a statistically significant increase (p < .001) in the "Connect to PCP" rate, 21% to 71%. Additionally, 86% of eligible participants had access to rescue medication at school, with one-third requiring SBTH to bridge a gap.
Conclusions: PCP connection can be increased; however, automation is needed for sustainability. Additionally, SBTH may increase access to asthma medication.
期刊介绍：
The Journal of Pediatric Health Care, the official journal of the National Association of Pediatric Nurse Practitioners, provides scholarly clinical information and research regarding primary, acute and specialty health care for children of newborn age through young adulthood within a family-centered context. The Journal disseminates multidisciplinary perspectives on evidence-based practice and emerging policy, advocacy and educational issues that are of importance to all healthcare professionals caring for children and their families.
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