Pediatric Asthma Template

Executive Summary

The Partners Pediatric Asthma Template was designed to aid in the documentation of asthma symptoms as well as to improve adherence to recommendations for assessing asthmatic patients.  This web site contains views of each section of the template.  

On the Partners HealthCare System, this template exists within the notes section of the electronic medical record (EMR).  In its current form, it is meant to assist the provider during a visit in which a child’s asthma symptoms and medications are reviewed.   The interval history and assessment/plan sections are specific for asthma.  However, note that the chief complaint, history of present illness, social history, neonatal history, review of systems, physical examination, and laboratory/x-ray findings sections are reasonably general and could also be used as the basis for creating a general visit template if desired. 

Note that only relevant sections of the template need to be accessed for a given visit.  For example, if a neonatal history is not obtained during the visit, there is no need to access this section.  

Source

This template was developed under a grant from the Agency for Healthcare Research and Quality (AHRQ), Improving Pediatric Safety and Quality with Healthcare IT, in collaboration with the Partners HealthCare System Quality Improvement Group, the Massachusetts General Hospital for Children, and Partners HealthCare System Inc. Information Systems.  Listed below are the names of clinicians and experts who contributed to development of the template.  In addition, the LMR Pediatric Content Subcommittee and the main LMR Content Committee reviewed the template, and approved it for use with the Partners Longitudinal Medical Record (LMR).

Contributors

Timothy Ferris, MD, MPH; Stephen Morgan, MD; Eric Poon, MD, MPH; James Perrin, MD; Shelly Bernstein, MD; Peter Greenspan, MD; John Co, MD, MPH; Mark Mandell, MD. 

Template

Pediatric Asthma Template #1

Pediatric Asthma Template #2

Pediatric Asthma Template #3

Pediatric Asthma Template #4

Pediatric Asthma Template #5

Pediatric Asthma Template #6

Pediatric Asthma Template #7

Pediatric Asthma Template #8

Pediatric Asthma Template #9

Pediatric Asthma Template #10

Pediatric Asthma Template #11

Pediatric Asthma Template #12

Pediatric Asthma Template #13

Pediatric Asthma Template #14

Disclaimer

These tools 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 contained within these templates may need the addition or modification of certain items to ensure that they remain consistent with current guidelines. Therefore, the tools included here are intended only as examples or guides for the development of similar templates in other settings. Partners Healthcare System and its affiliates disclaim any and all responsibility or liability associated with the use of the templates displayed here by third parties.