A Team-Based Approach to Providing Asthma Action Plans

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Abstract
Background: National guidelines for treatment of asthma include recommendations for providing written asthma action plans (AAPs) to improve outcomes through patient self-management. However, AAP completion rates remain limited in practice. Methods: We developed a team-based approach for the delivery of care to asthma patients in a primary care setting that involved integration of an electronic clinical quality management system and provision of written AAPs by registered nurses. Results: The percentage of patients with AAPs increased after implementation of clinical reminders and nurse-led provision of written AAPs. Conclusion: Proper training, use of an electronic clinical reminder system, and enhanced engagement of registered nurses can improve AAP completion rates in a team-based primary care setting.