DC Asthma Coalition

1
National Capital Asthma Coalition Coordinating
Care and Systems for Sustainability
Based on collaborative intervention,
data-sharing, and administrative protocols
developed by frontline providers
Policies
Secured, real-time electronic data-sharing
network

• Children
• with Asthma
• and their Families
• Access to Quality Care
• Education
• Self-Management
• Skills Building
• Home, School Daycare
• Asthma-Friendly
• Environments

Home visits
Resources
Collaboration
Community Education and Outreach
Resources
Case Management
Feedback
Awareness
Referrals
Education, Advocacy
Education
Public Health Utility Systems Integration and
Care Coordination

• Bio-Surveillance
• System linked to Dept. of Healths
• National Electronic Disease Surveillance System
  (NEDSS)
• Single Point of Entry
• Data Warehouse
• Medicaid MIS

• DC Primary Care Associations
• Medical Homes DC
• To increase the capacity of safety net providers
  to ensure that District residents have access to
  quality primary care

SURVEILLANCE
2
NCACs Collaborative Teams Mobilize Care in DCs
High Asthma Morbidity Areas








DC Pediatric Asthma Hospitalization1 Rates2 2000






Number of Pediatric Asthma Hospitalizations in
DC1 2001
5









10

10

H
Note Rankings are similar but not identical in
2000. 1 Source District of Columbia Hospital
Discharge Database. 2 Equals hospitalizations
divided by 2000 Census population data by zip
code in same age category.


7

H
9



Team 2


9





5

7

4


H

8

6


2

2

Team 1


Columbia Heights



3

8

6






Marshall Heights
4

3





1

1


Congress Heights


Team 3






3
NCAC Teams Are Local Resource Networks
Team 1 - Marshall Heights 1. Chartered Health
Plan 2. Chartered Family Health Center 3. CVS
Health Connection 4. Edward C. Mazique Parent
Child Center 5. East-of-the-River Family
Support Collaborative 6. National Capital Asthma
Coalition Comm. Health Wkr. 7. Primary Care
Physicians 8. UDC-USDA Health/Environmental
Services Project 9. Howard University Hospital
Emergency Department 10. Childrens Hospital
Emergency Department 11. Health Services for
Children with Special Needs/ HSC Pediatric Center
(Hospital for Sick Children) 12. Hunt Place
Clinic 13. DC School Nurses 14. CVS Pharmacies

• NCACs responsibilities
• Facilitate and coordinate teams.
• Document collaborative care management process.
• Train physicians in PACE (NHLBI guidelines).
• Train/create certified asthma educators.
• Track care (e.g., controller prescriptions
  filled,
• changes in practice, and outcomes).
• Develop collaborative procedures (e.g., to
• coordinate use of written asthma action plans
  by
• M.D., child, family, pharmacist, school nurse,
  etc.)

Team 3 - Congress Heights 1. Chartered Health
Plan 2. Primary Care Physicians 3. UDC-USDA
Health/Environmental Services Project 4. Far
Southeast Family Strengthening Collaborative 5.
National Capital Asthma Coalition Comm. Health
Worker 6. Howard University Hospital Emergency
Department 7. Childrens Hospital Community
Clinic Ward 8 8. Mid-Atlantic Center for
Childrens Health the Environment 9. Congress
Heights Head Start 10. Unity Health Clinic
Southeast 11. Health Services for Children with
Special Needs/ HSC Pediatric Center (Hospital for
Sick Children) 12. Childrens Hospital Emergency
Department 13. United Planning
Organization 14. DC School Nurses 15. CVS
Pharmacies
Team 2 - Columbia Heights 1. Marys Center for
Maternal and Child Care 2. Chartered Health
Plan 3. National Capital Asthma Coalition Comm.
Health Wkr. 4. UDC-USDA Health/Environmental
Services Project 5. Columbia Heights/Shaw Family
Support Collaborative 6. Primary Care
Physicians 7. Howard University Hospital
Emergency Department 8. Childrens Hospital
Community Clinic 9. Childrens Hospital
Emergency Department 10. Rosemont Center
(Child Care) 11. DC School Nurses 12. CVS
Pharmacies