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