Olive View-UCLA Adult Asthma Disease Management Program

Our program serves patients in the Los Angeles County, San Fernando Valley cluster who are medically indigent and frequently have little or no access to primary care. We enroll patients based on prior exacerbations and those who are not optimally treated with controller therapy. We developed a computer based decision support tool that synthesizes patient data and generates a treatment recommendation, allowing us to standardize care and follow outcomes systematically. We provide the bulk of our follow up by telephone. We began enrolling patients in January 2009 and have established intermittent symptom control in nearly 70% of patients and have reduced ER visits by 75% (absolute risk reduction).