Last updated: May 2020
Author: Asthma Program, Vermont Department of Health
The Asthma Program is tasked with carrying out five infrastructure strategies (leadership, partnerships, surveillance, communication and evaluation) to support home- and school-based services strategies as well as health systems strategies aimed at promoting public health – health care collaboration.
The purpose of this measure is to encourage broad, strategic thinking about the asthma program’s place in the health care reform context and to support program planning to ensure asthma guideline care is properly located to reduce the burden of asthma throughout the state and can be sustained over time. Our target was chosen to continue to drive growth in this area as more and more experience is gained with identifying and pursuing 3 new opportunities each year. The target was achieved in year 3 with sustained improvements through to year 5!
More and more opportunities have been identified each year, including building off previous years' efforts. These opportunities have in part been identified through working with the Asthma Advisory Panel. The Asthma Program hosts a quarterly Asthma Advisory Panel. This panel invites key partners throughout the state including physicians, school nurses, industrial hygienists, housing partners, asthma educators, community health workers, hospital administrators and other governmental partners. Topics for the meeting come from the panel members themselves.
Examples of opportunities for expansion of comprehensive asthma control services include various pilots to explore reimbursement models for asthma self-management education, to shift from volume to value based service delivery, experimenting with collaborative models for reaching high risk or hard-to-reach populations, developing, refining and better aligning performance measurement and quality improvement efforts across the system, training and capacity building to bolster asthma education and guideline care delivery, strengthen care coordination for those with severe or uncontrolled asthma, and expanding the use of home visiting for self-management education, trigger reduction and referrals.