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Asthma, Overdue for Action Plan Review
Clinician
Summary
AAP practice guidelines
recommend regular follow-up for children diagnosed with Asthma. These visits should occur at least every
3-6 months depending on symptom severity, at which time physicians should
reevaluate symptom severity, and appropriate medication types and doses. Many
patients do not have regular follow-up to reassess symptom severity and the
need to adjust medications. The
goal of the reminder is to alert a physician that a patient has not had a
visit to reevaluate symptoms and medications in at least 6 months. The
reminder can then be extinguished for a predefined period of time based on a
physician’s actions
This reminder prompts clinicians to review the action plan for individuals
who have the following recorded
indicators within the electronic health record (EHR) system:
- age < 19 yrs; and
- asthma is on problem list or medication list includes albuterol
or asthma medication; and
- last
documented visit for asthma action plan review > 12 months ago
References
N/A
Web
Links
1. http://www.nhlbi.nih.gov/guidelines/asthma/index.htm
2. http://www.nichq.org/NICHQ/Topics/ChronicConditions/Asthma/
Implementation
Notes
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Rule
category
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Asthma
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Rule
title
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Asthma, Overdue for Action
Plan Review
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Primary
Clinical Area
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Pediatrics
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Secondary
Clinical Area
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Risk
Group Definition
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age
<19 yrs and asthma is on problem list or medication list includes
albuterol or asthma medication.
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Details
for Risk Group
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Asthma
problem
Asthma med codes
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Triggering
Condition
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Last documented visit for
asthma action plan review > 12 months ago
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Details
for Triggering
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Asthma in note
subject/title
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Condition
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Displayed
Message
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Patient has asthma. Action plan review recommended every 3 to
6 months
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Coded
Responses
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Snooze
Periods
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A: Asthma action
plan reviewed today
B: Appointment
scheduled
C: Symptom review done elsewhere
D: Patient refuses
E: Deferred
F: Patient has
exercise-induced asthma
G: Patient has mild
intermittent asthma
H: Patient does not
have asthma
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A': 1 year
B': 2 months
C': 1 year
D': 1 year
E': 2 months
F': 1 year
G': 1 year
H': 1 year
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Disclaimer
These rules
and/or reminders were created using national, state and local guidelines, and
group consensus regarding best practices. These guidelines, and their
interpretation by clinicians at Partners Healthcare System, may not represent
the standard of care across all regions or settings, and are not intended to
be adopted or applied without independent assessment of their suitability for
a particular setting. Moreover, guidelines change over time (for example, the
age range for children who should receive influenza vaccinations was recently
extended to 59 months). The rules and/or reminders may need the addition or
modification of certain items to ensure that they remain consistent with
current guidelines. Therefore, the rules and/or reminders included here are
intended only as examples or guides for the development of similar rules
and/or reminders in other settings. Partners Healthcare System and its
affiliates disclaim any and all responsibility or liability associated with
the use of the rules and/or reminders displayed here by third parties.
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