Journal
JOURNAL OF ASTHMA
Volume 49, Issue 2, Pages 213-218Publisher
INFORMA HEALTHCARE
DOI: 10.3109/02770903.2012.654419
Keywords
asthma; electronic prompt; point of service; quality improvement; standardized practice
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Funding
- Department of Medicine, Mayo Clinic, Rochester, MN, USA
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Objective. This study tested the ability of an electronic prompt to promote an asthma assessment during primary care visits. Methods. We performed a prospective study of all eligible adult patients with previously diagnosed asthma in three geographically distinct ambulatory family medicine clinics within a 4-month period. The usual clinic visit process was performed at two geographically distinct control sites (n = 75 and n = 55 patients, respectively). The intervention group site (n = 64) had an electronic flag embedded in the Patient Check-in Locator field which prompted the distribution of a self-administered Asthma Management Questionnaire (AMQ) in the waiting room. The primary outcome measure was a documented asthma severity assessment. Results. The front desk distributed the AMQsuccessfully in 100% of possible opportunities and the AMQ was completed by 84% of patients. Providers in the intervention group were significantly more likely than providers in the two non-intervention groups to document asthma severity in the medical record during a non-asthma ambulatory clinic visit (63.3% vs. 18.7% vs. 3.6%; p <.001). Conclusion. The provision of standardized asthma information triggered by an electronic prompt at the time of check-in effectively initiates an asthma assessment during the primary care visits.
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