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Asthma Quality Improvement: Enhancing Care for Children with Asthma

The American Lung Association partners directly with clinics to improve care for asthma patients.  This year-long quality improvement partnership has proven success with over 400 clinics in 15 states.  This framework includes technical assistance, American Lung Association trainings such as Asthma Educator Institute and Implementation and Interpretation of Spirometry, and other quality improvement components.


Initial results published in the Journal of Asthma, from 65 clinic locations in Illinois, New Mexico, Oklahoma, and Texas, indicate a significant change six indicators, including:

  1. Severity rating
  2. Patient self-assessment, such as Asthma Control Test
  3. Controller medications
  4. Spirometry to confirm the diagnosis of asthma and ongoing management
  5. Written asthma action plan
  6. Patient asthma education

Evaluation results show a combined 38% reduction in asthma-related emergency department visits and hospitals (publication pending).  Analysis demonstrates a $1:$2.40 return on investment (publication pending). 


The Lung Association re-engaged 25 partner clinics in a “Booster Shot Program” in 2019 to measure the sustainability of the clinic’s asthma quality improvement efforts.  This Booster Shot Program received the Lung Association’s 2019 Innovation Award.

Health Care service Corporation has been a primary partner with the American Lung Association since 2012.  Learn more

For more information, contact Jill Heins Nesvold, MS, National Director Lung Health at [email protected].


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