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November 2017

Improving Asthma Care by Building Bridges Across Inpatient, Outpatient, and Community Settings

Author Affiliations
  • 1Department of Pediatrics, University of Rochester School of Medicine and Dentistry, Rochester, New York
JAMA Pediatr. 2017;171(11):1043-1044. doi:10.1001/jamapediatrics.2017.2609

Pediatric asthma continues to pose a significant challenge to population health. Despite more than 25 years of management guidelines1 from the National Heart, Lung, and Blood Institute and the wide availability of effective controller medications, asthma morbidity rates in the United States have stagnated.2 In this issue of JAMA Pediatrics, Kercsmar et al3 detail the influence of a triphasic quality improvement initiative on asthma outcomes in a population of Medicaid-insured children and adolescents (aged 2-17 years) in Hamilton County, Ohio. The 3 domains of bundled quality improvement (QI) interventions (inpatient, outpatient, and community) were sequentially implemented during a 5-year period and engaged a multidisciplinary team grounded in the chronic care model.

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