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Describe the environmental components of your comprehensive asthma care system that address indoor and outdoor environmental determinants of health, such as exposures to indoor asthma triggers, and how you ensure that environmental care and services are considered at points across the care continuum.
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Describe the range of environmental education, supports, and interventions that are available to asthma patients at different risk levels. Examples may include in-clinic environmental counseling, in-clinic, or home-based asthma education; telephonic outreach about environmental asthma triggers; in-home environmental assessment and remediation; provision of equipment or supplies; or other strategies to address environmental exposures that can determine asthma health outcomes.
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Describe how you support providers across the care continuum in environmental asthma management (e.g., training, clinical care and decision support tools, quality review, etc.)
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Describe with as much detail as you can who delivers what kind of environmental care and service to which asthma patients (e.g., _____% of asthma patients (the strata with very poorly controlled asthma) receive in-home environmental assessment and remediation), and the frequency and duration of environmental care (e.g., up to six, 1.5 hour visits per year conducted by a certified asthma educator and environmental sanitarian).
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Explain how risk of environmental exposures in asthma care needs are determined and referred for service and support, where necessary for asthma control, and how information is communicated across the care team, particularly between the in-home and in-clinic teams.
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If your asthma care system provides tools and materials to patients to help them manage environmental asthma triggers, describe the supports and who is eligible to receive them.
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Describe your organization’s role in advancing community-wide solutions to address the indoor environmental determinants of health in asthma pointing out any innovative approaches.
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Discuss notable successes you can demonstrate that have resulted from the environmental focus of your community’s comprehensive asthma care system.
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The applicant demonstrates that environmental asthma management is a priority throughout the continuum of care by describing multi-faceted interventions for the indoor environmental determinants of health that are available in multiple settings (i.e., clinic, hospital, school, community, home), tailored based on patient risk, and supported through training and decision supports for asthma care providers and tools and materials for asthma patients and their families.
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The applicant demonstrates how its population with poorly controlled to very poorly controlled asthma is identified, what environmental interventions are available for that population, how those interventions are delivered, when, where, and by whom.
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The applicant makes clear how results and outcomes from environmental interventions are communicated across the care team, including how collaborations support the integration of medical and environmental asthma care.
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