Physician Asthma Care Education (PACE) - PowerPoint PPT Presentation

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Title:

Physician Asthma Care Education (PACE)

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Title: Physician Asthma Care Education (PACE) Author: bjones Last modified by: School of Public Health Created Date: 12/7/2000 7:06:12 PM Document presentation format – PowerPoint PPT presentation

Number of Views:9
Avg rating:3.0/5.0
Slides: 11
Provided by: bjo59
Learn more at: http://www.nhlbi.nih.gov
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Title: Physician Asthma Care Education (PACE)


1
Evaluation Methods
2
(No Transcript)
3
Provider Survey
  • Measure changes in knowledge, attitudes and
    self-reported provider behavior
  • Self-administered
  • Immediately before and after the seminar
  • Pros Cons
  • Relatively inexpensive
  • Difficult to maintain high response rate
  • No patient outcomes
  • Self-reported behavior

4
(No Transcript)
5
Medical Record Audit
  • Measure changes in provider behavior
  • Requires trained chart reviewers
  • Pros Cons
  • Information regarding physician prescription,
    outpatient visits (urgent non-urgent)
  • Poor documentation of asthma counseling, asthma
    severity
  • Consent may be required from each patient/parent
  • Information on outpatient asthma health care
    utilization

6
Patient Outcomes
7
Parent Telephone Survey
  • Measure changes in outcomes, self-management
  • Requires trained telephone interviewers
  • Pros Cons
  • Information on outpatient asthma health care
    utilization, parent perceptions of physician
    behavior, asthma severity and asthma control
  • Difficult to schedule, high cost
  • Consent required from each patient/parent
  • May need to confirm medications, actual physician
    prescription (versus patient adherence)

8
Patient Outcomes
9
Claims Data
  • Measure changes asthma health care utilization
  • Requires trained analyst/programmer
  • Pros Cons
  • Information on outpatient asthma health care
    utilization
  • No clinical information (appropriateness of
    controller medications for persistent asthma
    determining if ED visit or hospitalization is due
    to asthma)
  • Difficult to attribute claim to a specific
    physician
  • Multiple patients belong to different MCOs
  • No consistent CPT codes for asthma counseling

10
Annual Data Collection
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