Evaluating the Impact of Information Technology Tools to Support the Asthma Medical Home. (February 2016)

• Record Type: Journal Article
• Authors: Matiz, L. Adriana; Robbins-Milne, Laura; Krause, M. Christine; Peretz, Patricia J.; Rausch, John C.
• Is Part Of: Clinical pediatrics. Volume 55:Number 2(2016)
• Page Start: 165
• Page End: 170
• Publication Date: 2016-02
• Subjects: asthma -- medical home -- disease registry -- care care coordiation -- tools -- information technology; Pediatrics -- Periodicals; 618.920005
• DOI: 10.1177/0009922815596070
• Languages: English
• ISSNs: 0009-9228

Abstract

This study aimed to evaluate the impact of information technology tools on the outcomes of children with asthma in the medical home. A registry was established for children aged 4 to 18 years with an ICD-9 code for asthma. Changes to the electronic health record included modifications to notes, care plans, and orders. A retrospective analysis of emergency department and in-patient utilization for a cohort of patients was conducted from July 2009 through June 2013. Of the study population (n = 1217), 65% had a classification of asthma severity and 63% were risk-stratified. Seventy percent had a control assessment at least once. Care plan use increased from 5% to 22% and enrollment in care coordination increased from 0.1% to 4%. After 3 years, there was a reduction of emergency department and inpatient admissions for asthma ( P < .05 and P < .005, respectively). The implementation of information technology tools was associated with improved asthma outcomes.