Community Collaboration: Concurrent Physician and School Nurse Education and Cooperation Increases the Use of Asthma Action Plans

PCPs received (1) a face-toface educational update on asthma management by the team pediatrician, based on NAEPP guidelines and the chronic care model; (2) laminated posters of NAEPP guidelines and of various inhalers and spacers; (3) baseline data collected by practice staff, ie, chart view of upto...

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Bibliographic Details
Published inThe Journal of school health Vol. 76; no. 6; pp. 303 - 306
Main Authors Frankowski, Barbara L., Keating, Kathleen, Rexroad, Annette, Delaney, Thomas, McEwing, Susan M., Wasko, Norma, Lynn, Sheri, Shaw, Judy
Format Journal Article
LanguageEnglish
Published Malden, USA Blackwell Publishing Inc 01.08.2006
American School Health Association
Blackwell Publishing Ltd
Subjects
Asthma
Asthma - therapy
Care and treatment
Child
Child Health
Communication
Community Networks
Education
Elementary schools
Health education
Humans
Indoor air quality
Inservice Training - methods
Interprofessional Relations
Nurses
Nursing
Patient Care Planning
Physicians, Family
Pilot Projects
Practice
Practice Guidelines as Topic
Prevention
Primary care
Program Evaluation
School Health Services - utilization
School Nurses
School nursing
School Nursing - methods
School Nursing - organization & administration
Self Management
Students
Vermont
Vermont
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Summary:PCPs received (1) a face-toface educational update on asthma management by the team pediatrician, based on NAEPP guidelines and the chronic care model; (2) laminated posters of NAEPP guidelines and of various inhalers and spacers; (3) baseline data collected by practice staff, ie, chart view of upto 30 patients aged 5-14 years with asthma and the number of these patients with asthma action plans; (4) feedback of baseline data on use of asthma action plans; and (5) reports on new asthma action plans filled out and sent to school nurse, using tracking forms and monthly conference calls from the VCHIP team to identify and resolve office system issues and communication problems. School nurses received (1) the same educational sessions as the PCPs with the addition of coordinated school health as another framework for improving asthma care for school-aged children; (2) the same laminated posters the PCPs received; (3) a small supply of donated spacers; (4) baseline data collected by school, ie, number of students known to have asthma and number of asthma action plans from a PCP on file; (5) support to carry out asthma education at each school; and (6) reports on new asthma action plans received from participating PCPs, using tracking forms and monthly conference calls from the VCHIP team to identify and resolve communication problems. Community meetings in each SU brought together VCHIP staff and school nurses, the VDH Environmental Health in Schools coordinator, 2 VDH public health nurses, primary care practice nurses, a primary care practice office manager, an ALA-VT representative, a respiratory therapist, and a school principal.
Bibliography:ark:/67375/WNG-DJW9QS2P-W
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ArticleID:JOSH117
kathleen.keating@uvm.edu
College of Medicine, University of Vermont, 1 So. Prospect Street, Burlington, VT 05401
Annette Rexroad, PhD, MPH
annette.rexroad@uvm.edu
barbara.frankowski@vtmednet.org
Sheri Lynn, BA, CHES
Improvement Advisor
Judy Shaw, RN, MPH
Norma Wasko, PhD
and
Project Manager
Principal Investigator
Vermont Child Health Improvement Program, Arnold 5, University Health Center Campus, 1 So. Prospect Street, Burlington, VT 05401
susan.mcewing@uvm.edu
Thomas Delaney, PhD
Project Faculty, Professor of Pediatrics
judith.shaw@uvm.edu
Project Director
VDH Environmental Health in Schools Coordinator
Kathleen Keating, RN, BSN
)
slynn@vdh.state.vt.us
Vermont Department of Health, 108 Cherry Street, PO Box 70, Burlington, VT 05402. Funding source was the Department of Pediatrics, College of Medicine, University of Vermont, along with the Center for Medicaid/Medicare Strategies under grant # 3827 administered by the Vermont Department of Health. The authors wish to thank Mousetrap Pediatrics, Enosburg, VT; Richford Health Center, Richford, VT; Equinox Family Health, Manchester, VT; and the Franklin Northeast and Bennington‐Rutland supervisory unions. We would like to thank, in particular, the school nurses for their participation in this pilot project as well as Mimi Benedict, RN, MPH, Vermont Department of Health; Shevonne Travers, Vermont Department of Education; and Dot Reeve, RN, BPSA, formerly of the Vermont Department of Education, for their consultation and ongoing input. We would also like to thank Robyn Vernick of Monaghan Medical Products, Plattsburgh, NY, for donating spacers.
Asthma Program Coordinator
thomas.delaney@uvm.edu
nwasko@vdh.state.vt.us
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Barbara L. Frankowski, MD, MPH
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;
Susan M. McEwing, BS
ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
ISSN:0022-4391
1746-1561
DOI:10.1111/j.1746-1561.2006.00117.x