Counseling for Asthma Risk Reduction
Counseling for Asthma Risk Reduction© (CARR) is for clinic-based educators to encourage use of standardized multi-media curriculum to provide comprehensive education and guidance to children and families during the first four clinic visits for asthma. Educators view streaming videos covering key educational messages, an explanation of billing guidelines, recommended schedule for educational sessions and an outline summarizing the topics to be covered at each session. After completing the 2 hours on-line training and testing, educators receive a kit that contains: 1) health care provider guide to asthma care, 2) 32-lesson flip chart, 3) patient handouts, 4) guide to use and care of asthma equipment, 5) the ICS Star Chart© and incentive offer (to promote adherence), 6) flash drive with electronic versions of all media, additional asthma resources and 44 IMPACT Asthma Kids© animations, 7) standardized assessment forms, and 8) a digital flow meter for measuring FEV1 to assess airflow, and 9) an In-Check Dial™ to assess and improve patients’ inhalation technique. CARR qualifies for third party reimbursement; however, not all insurers reimburse for this service.
This continuing nursing education activity was approved by the Midwest Multistate Division, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.
For more information regarding contact hours, please call Julie Patterson at 573-884-8629.
Asthma Control Everyday
Asthma Control Everyday© (ACE) is for the school age child with asthma and their family. This asthma self-management program provides an evidence-based learning opportunity and focuses on four key messages: 1) importance of taking an ICS twice a day every day, 2) how medication is breathed into the lungs (called inhalation technique), 3) how to avoid asthma triggers and 4) importance of measuring airflow. The program is based on self-regulation theory and aims to promote self-care by school-aged children with oversight and coaching by parents. Cartoons, music videos and celebrities deliver the 4 key messages and information about quick relief medications, nose care and coaching tips for parents and caregivers. This program includes a DVD with asthma literacy booklet. For the local clinic worker or asthma educator, 2.5 hours of on-line training with equipment and curricula are provided at no cost. This is an educator-led program that requires a single 1.5 hours, face-to-face session with a credentialed educator using the ACE curriculum and a standardized assessment that guides the interaction. ACE is appropriate for school-age children with very poorly controlled asthma..
This continuing nursing education activity was approved by the Midwest Multistate Division, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.
For more information regarding contact hours, please call Julie Patterson at 573-884-8629.
Acting on Behalf of my Child
Acting on Behalf of my Child© (ABC) is designed for parents and caregivers of infants and young children with very poorly controlled asthma. This educational program provides basic information on childhood asthma and how to care for it. Key messages include monitoring your child’s breathing, giving medication, reducing triggers and managing symptoms. Important questions are answered about childhood asthma. The home version includes a DVD with IMPACT Asthma Kids© & an asthma literacy booklet promoting inhaled corticosteroid (ICS) medication use twice every day. For the local clinic worker or asthma educator, there are 2.5 hours of on-line training with equipment and curriculum provided at no cost. The educator-led version provides 1.5 hours of face-to-face asthma education using standardized media and curriculum. Asthma can be well controlled in infants and young children with the appropriate equipment and by engaging in the care outlined in this educational tool.
This continuing nursing education activity was approved by the Midwest Multistate Division, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.
For more information regarding contact hours, please call Julie Patterson at 573-884-8629.
Teaming Up for Asthma Control
Teaming Up for Asthma Control© (TUAC) is an asthma literacy program coupled with school nurse competency training. School nurses receive 2.5 hours of on-line training, delivered as streaming video, with online pretest and posttest. Following successful completion of training the school nurse receives the asthma literacy curriculum for students and parents, free digital flow meter for measuring forced expiratory volume in 1 second (FEV1)/ peak expiratory flow (PEF) and an In Check Dial to improve students’ inhalation technique. School nurses identify students with persistent asthma to take part in the TUAC program. At school, students watch a 20 minute CD/DVD based on IMPACT Asthma Kids©. At home with their parents, students complete a take-home learning packet with a DVD promoting partnership between health care provider, school nurse, student and parents. The take-home learning packet includes a DVD, Student Activity Sheets and Parent Information Sheets with four (4) key asthma literacy messages: 1) taking ICS every day improves asthma control; 2) measuring airflow lets you know how much asthma is limiting breathing; 3) breathing medicines into the lungs requires practice and coaching; and 4) avoiding triggers improves control.
This continuing nursing education activity was approved by the Midwest Multistate Division, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.
For more information regarding contact hours, please call Julie Patterson at 573-884-8629.
Pharmacist Asthma Encounter Management Application
Asthma Ready® Communities (ARC) in partnership with the Association of Asthma Educators (AAE), national and state experts and Missouri schools of pharmacy collaborated to produce training for the Pharmacist Asthma Encounter Management Application© (EMAT). The 90 minute web-based training program prepares pharmacists to provide Expert Panel Report 3 (EPR3) – compliant, standardized education for asthma medication related problems (MRP) identified through automated claims analysis. Initially, the program is being delivered at no cost to 400 pharmacists in selected Missouri counties to support the Early Childhood Asthma Initiative. Ultimately, the program will be disseminated by the Missouri Pharmacy Association to approximately 9,000 pharmacists in the state of Missouri. The web-based training was developed by a statewide, expert panel to promote awareness of EPR3 guidelines and enhance medication therapy management (MTM). Training was designed to support Missouri Medicaid’s initiative to reimburse pharmacists for MTM (CPT code 99605). A logic engine (produced by Xerox™) searches for 17 MRP by analyzing Medicaid payments for medications, acute care visits and procedures. Pharmacists are notified of an MRP at the time of dispensing a medication. Pharmacists can then accept or reject a formal MTM opportunity. If accepting the opportunity a pharmacist performs a standardized, problem-specific assessment, provides instruction and counseling by protocol, documents the completed encounter within 90 days and bills the service. The pharmacist may also choose to deliver informal messages without requesting reimbursement. Fifty expert video clips from “Advanced Pharmacology for Asthma Control” (AAE, 2009) are included for quick reference to inhalation devices, medications and EPR3 guidelines. EMA is an innovative, claims-driven program that facilitates pharmacists’ role in addressing asthma medication related problems for a disparate population. This training program promotes effective use of the EMA.
Asthma Ready Clinics Training
Asthma Ready Clinics Training, Part 1© – This evidence based 2 hour CME program developed by the MU School of Medicine based on Physicians Asthma Care Education (PACE) is intended for physicians, nurse practitioners, and physician assistants who provide direct care to individuals who have asthma. ARCT I is aimed at peaking interest in EPR3-compliant practices in primary care. Group event, usually a dinner or breakfast CME sponsored by the local hospital or medical society for primary care providers.
Asthma Ready Clinics Training, Part 2© – This is a 4 hour CME program developed by the MU School of Medicine, based on Physicians Asthma Care Education (PACE) aimed at organizing and equipping local clinical teams to implement EPR3-compliant practices, for all clinic staff. Asthma assessment equipment and asthma care supplies are provided to clinic at completion of training. A meal is provided during this training session on site at local clinics. There is no charge for the program or equipment.