Last Updated: January 2023
Author: Asthma Program, Vermont Department of Health
The percent of adults with asthma who have received a written asthma management plan slowly increased between 2006 - 2014. Adult Vermonters with a written asthma management plan fluctuated between 23% and 33% during this time period, still remaining below the target value of 40%. The reason that the Program has not yet reached the target could be due to several reasons, including patients' infrequent visits to providers who may also underestimate the value of an asthma action plan for adult management. The Program historically has focused the majority of its outreach activities with the pediatric population, and has added interventions to assist the adult asthma population. The last year that this data set from the Asthma Call Back Survey is available is in 2015, showing a slight dip.
Healthcare professionals (clinicians) should provide asthma self-management education to patients with asthma and their families or caregivers. Asthma self-management education is essential to reducing asthma-related adverse health effects. Learning how to improve one’s asthma management through avoiding triggers, taking medication properly, and seeing a provider regularly are some of the key education elements and result in improved quality of life by reducing urgent care visits, emergency department visits, hospitalizations, and healthcare costs. In addition, every patient with asthma should be given a written asthma action plan providing instructions for daily asthma management and for recognizing and handling worsening asthma. 1
This indicator is part of Healthy Vermonters 2020 (the State Health Assessment) that documents the health status of Vermonters at the start of the decade and the population health indicators and goals that will guide the work of public health through 2020. Click here for more information.
1. Douglass J, et al. BMJ 2002;324:1003–5.
Following the recognized guidelines works to improve
asthma control and having an asthma action plan is an integral part of the
guidelines. In 2007, the National Asthma Education and Prevention Program
(NAEPP), coordinated by the National Heart, Lung, and Blood Institute (NHLBI),
released its third set of clinical
practice guidelines for asthma. The Expert Panel Report
3—Guidelines for the Diagnosis and Management of Asthma (EPR-3) reflects the
latest scientific advances in asthma drawn from a systematic review of the
published medical literature by an NAEPP-convened expert panel. It describes a
range of generally accepted best-practice approaches for making clinical
decisions about asthma care.
The Vermont Asthma Program works with clinicians and practices around the state to ensure adherence to best practice guidelines and to increase the usage of Asthma Action Plans and education provided to people with asthma. The Vermont Asthma Program also works to disseminate Asthma Action Plans which are a validated tool for educating patients on how to manage asthma. The Program is in Year 2 of a M.A.P.L.E plan initiative in Rutland and Springfield aimed to help lower rates of hospitalization and readmission by forming plans for asthma management post hospital discharge. The Asthma Program also works with the Vermont Chronic Care Initiative to enhance their case managers' home visiting asthma education with the goal that they administer an asthma control test and demonstrate effective medication use.
Data is updated as it becomes available and timing may vary by data source. For more information about this indicator, click here.
This indicator is age-adjusted to the 2000 U.S. standard population. In U.S. data, age adjustment is used for comparison of regions with varying age breakdowns. In order to remain consistent with the methods of comparison at a national level, some statistics in Vermont were age adjusted. In cases where age adjustment was noted as being part of the statistical analysis, the estimates were adjusted based on the proportional age breakdowns of the U.S. population in 2000. For more detailed information on age adjustment visit /www.cdc.gov/nchs/data/statnt/statnt20.pdf.
Due to BRFSS weighting methodology changes beginning in 2011, comparisons between data collected in 2011 and later and that from 2010 and earlier should be made with caution. Differences between data from 2011 forward and earlier years may be due to methodological changes, rather than changes in opinion or behavior.