- Describe your environmental asthma care system and how it addresses indoor environmental determinants of health (IEDOH) in asthma, including exposures to environmental asthma triggers that may originate outdoors or indoors (but for most people, most exposures occur indoors). Describe with as much detail as you can how you prioritize solutions for indoor environments across your asthma care system.
- Describe the range of environmental education, counseling, supports, supplies, and interventions ranging from equipment to environmental modifications available to asthma patients at different risk levels. Examples may include in-clinic environmental counseling, in-clinic or home-based asthma education, telephone or social media outreach about environmental asthma triggers, in-home environmental assessment and remediation, provision of equipment or supplies, or home modifications (e.g., replacing leaky cookstoves or furnaces, integrated pest management services, installing air conditioners and air filters) to address indoor environmental exposures.
- Describe how you support providers across the care continuum in environmental asthma management (e.g., training, clinical care and decision support tools, quality review, financial support)
- Describe with detail who delivers what kind of environmental asthma care solutions to which asthma patients (e.g., ___% of asthma patients [those diagnosed with poorly controlled asthma] receive in-home environmental assessment and referrals for remediation). Describe the frequency and duration of any environmental asthma care (e.g., up to six 1.5-hour visits per year conducted by a community health worker who can refer homes to environmental sanitarians for remediation).
- Explain how risk of environmental exposures in asthma is assessed, what referrals are available for environmental interventions, and how information is communicated across the care team, particularly between any in-home and in-clinic providers and community-based services.
- If your asthma care system provides tools and materials to patients to help them manage environmental asthma triggers, describe the supports, any supplies, and who is eligible to receive them.
- Describe your organization’s role in advancing community solutions to address the IEDOH in asthma, pointing out any innovative approaches.
- 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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- Applicant demonstrates that environmental asthma management is a priority throughout the continuum of care by describing multifaceted interventions for the IEDOH in asthma that are available in multiple settings (e.g., clinic, hospital, school, community, home), tailored based on risk, and supported with training for providers and tools and materials for patients.
- Applicant demonstrates how its priority populations with asthma are identified and classified, what environmental interventions are available for which populations and how, when, where, and by whom indoor environmental interventions are delivered, including with what financial support and any certification or training required.
- Applicant makes clear how outcomes from environmental interventions are tracked and shared across the care team, including collaboration between the clinical and community components of environmental asthma care.
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