Asthma Management at Evans Army Community Hospital: Using Clinical Practice Guidelines to Improve Outcomes
Final rept. Jul 2004-Jul 2005
EVANS ARMY COMMUNITY HOSPITAL FORT CARSON CO
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During fiscal years 2003 and 2004, Evans Army Community Hospital EACH, Fort Carson, Colorado, spent almost 1 million on asthma-related emergency department visits and hospital admissions for enrolled beneficiaries. As part of EACHs attempt to improve the quality of care for enrolled beneficiaries, this study provides a retrospective analysis and recommendations for improving compliance with Department of Defense Asthma Clinical Practice Guidelines CPGs. The results of this study are based on a sample of the EACH enrolled asthma population over the age of 6 years N 1,887, n 316, alpha .05 and indicate an opportunity to reduce the number of asthma emergency department visits by over 50 percent, and asthma hospital admissions by up to 100 percent. By reducing the number of emergency department visits and hospital admissions, EACH can potentially save 411,162 annually in direct and purchased care costs attributed to asthma. Recommendations derived from the analysis are for EACH to implement asthma CPGs educate providers implement an asthma management flow-sheet establish protocols, policies, and monitoring mechanisms and use pay-for-performance provider contracts. Engaging in the proposed recommendations will improve EACHs ability to provide the highest quality health care to all enrolled beneficiaries diagnosed with asthma.
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