- Identify which of your partners are responsible for implementing the environmental components of your community asthma program. Discuss who (e.g., primary care, specialists, case managers, respiratory therapists, community health workers) delivers different asthma care services.
- Discuss how your program and/or your partners tailor environmental services to address community needs.
- Discuss education and counseling services that your asthma program and your partners provide to persons living with asthma and their families regarding environmental triggers and self-management, including who receives these services, the reach of the services (number or percent of the asthma population reached), how frequently and under what circumstances or conditions (e.g., whether the frequency depends on asthma severity and control), how (e.g., in person, online, in clinical settings), and by whom.
- Discuss education on environmental management your program and your partners provide to health care providers, including who receives training, the reach of the services (number or percent reached), how frequently and under what circumstances or conditions (e.g., whether education is offered only to new staff), how (e.g., in person, online, in the provider’s office), and by whom.
- Describe tools and materials (e.g., mattress and pillow cases, pest control devices, home cleaning supplies) you or your partners provide to help persons living with asthma manage their environmental triggers.
- Describe tools and materials distributed to your asthma program’s or your partners’ health care providers to support their clinical decision making regarding environmental management of asthma (e.g., flip charts, electronic guidelines, or other diagnostic and treatment aids).
- Describe your asthma program’s or your partners’ home-centered environmental management services, including who receives services, the reach of the services (number or percent of the asthma population reached), how frequently and under what circumstances or conditions (e.g., whether the frequency depends on asthma severity and control), what services are provided, and by whom.
- Describe your program’s or your partners’ school-, daycare-, and employer-centered environmental management services, the reach of the services (number or percent of the asthma population reached or number or percent of facilities affected), how frequently and under what circumstances or conditions (e.g., whether services are regularly scheduled or on a special request basis), how (e.g., at the employer’s site or in your facilities), and by whom.
- Discuss mechanisms (e.g., case management to coordinate the delivery of asthma care services) you or your partners have implemented to ensure that health care professionals receive feedback regarding measures taken to manage indoor and outdoor environmental triggers.
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- Elements of environmental management are addressed throughout the continuum of care.
- Education and outreach programs aimed at persons living with asthma address indoor and outdoor environmental triggers and their management.
- Example: Distinguishing Program Feature: Effective use of incentives to ensure participation by persons living with asthma.
- Multi-faceted allergen control interventions address environmental management of asthma at home and in other settings (e.g., school and work) where persons living with asthma spend time. Interventions may include home visits, durable equipment, asthma counseling (including smoking cessation), or social service referrals.
- Example: Distinguishing Program Feature: Established school-, daycare-, and employer-centered environmental management programs.
- Persons living with asthma are identified, their sensitivity to indoor and outdoor environmental triggers is assessed, and environmental interventions are tailored accordingly.
- Example: Distinguishing Program Feature: A health department actively coordinates with state Medicaid to secure reimbursement for environmental trigger reduction activities and education materials.
- Health care professionals responsible for treatingasthma are trained to ensure that they are knowledgeable about environmental triggers and their management.
- Health care professionals responsible for treating asthma receive feedback regarding measures taken to manage exposure to indoor and outdoor environmental triggers.
- High-performing collaborations and partnerships help to ensure delivery of tailored environmental services.
- Example: Distinguishing Program Feature: A health department hosted several statewide symposia and trainings on healthy housing bringing together asthma and health advocates, housing advocates, code enforcement professionals, healthcare professionals and property managers.
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