Evaluation of Carolinas Asthma Coach: An Information Technology Solution for Asthma
Kelly Reeves, BSN, RN, UXCand
Andy McWilliams, MD, MPH
Objectives
• Describe shared decision making and the design of Carolinas Asthma Coach
• Detail the evaluation results of Carolinas Asthma Coach
Childhood
Pediatric Asthma
Patient Engagement and Meaningful Use
• Shared Decision Making is the News:• National Institutes for Health (NIH) and Agency for Healthcare
Research and Quality (AHRQ)
• Patient-Centered Outcomes Research Institute (PCORI)
• Center for Medicare and Medicaid Services (CMS)
• Health Information and Technology (HIT)
• National Quality Forum (NQF)-Call to Action
So What is Shared Decision Making?
The meeting of two experts…..
Research and Lessons Learned
• SDM works! • Improves patient-centered
outcomes.
• Some barriers to scale and implementation in “ Real-World” Practices.
Carolinas Asthma Coach™Interactive, digital health coaching experience for pediatric asthma
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Carolinas Asthma Coach – 3 Simple Steps
• Needs image
Introduction to Coach McLungs™
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• Needs clip
Begin by Setting a Patient-Centered Goal
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Patient concerns
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Introduction to the Control-O-Meter™
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Activity Limitation Question
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Patient perspective to actual level of control
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Standardized and Personalized Asthma Education
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Personalized Trigger Avoidance Strategies
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Control and Adherence
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Assessment of Level of Control/Severity, Spacer Techniques and Triggers
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Actionable “Playbook” for Patient & Provider
• Parent shares their specific concerns regarding their child’s asthma
• Parent answers questions about their experience using the Carolinas Asthma Coach
• Carolinas Asthma Coach’s clinical decision support algorithms generate summary pages for the patient and the provider
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•Results from Pilot
Results- 90% Shared in the Treatment Decision
7%
20%
60%
10%
3%
Who Made the Treatment Decision?n=30
Patient Alone
Mostly Patient
Patient and Provider Equally
Mostly Provider
Provider Alone
Results- Increase in Knowledge
52%68%
77% 84%
Patients Caregivers
Pre-and Post- Knowledge Survey Scoresn=62
Pre Post
Up 25% Up 16%
Key Informant Interviews
• Parent: “I didn’t understand what asthma was before… this (Carolinas Asthma Coach) made it easy to understand.”
• Parent: “I need to get a spacer because the Asthma Coach said it was important.”
• Pediatric Patient: “It (Carolinas Asthma Coach) is friendly and funny.”
• Pediatric Patient: “It helped me to know what questions to ask the doctor.”
• Provider: “When we can do this (implement the standardization and efficiency of Carolinas Asthma Coach) it is going to be really big for asthma care.”
Satisfaction
• 100% of patients, caregivers and providers surveyed (n=93) would recommend Carolinas Asthma Coach to a friend or colleague
Next Steps- Version 2.0
• Include use for 5 and 6 year olds
• Spanish version
• Enhance and improve the usability issues
• SMART FIHR
Questions?
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