The Asthma Health Management Program at Priority Health employs improvement strategies that include, but are not limited to, identification of the member population, risk stratification, directed member education, physician registries, education and incentives, clinical practice guidelines, and employer support.
Objectives
• Improve the percent of members with optimal ratios of long-term control medications to quick relief inhalers (2:1).
• Reduce emergency room visits and hospitalizations related to asthma.
• Support improvements in clinical outcomes through various initiatives: PIP targets, individualized performance improvement plans, online registries, and taking a leadership position in community-wide Impact project on chronic disease management. (V&V 8.0- 1.10)
• Expand penetration and value on investment of disease management programs; more efficiently deploy resources and use of technology. Develop a customer centric program.
Goals 2003
Actual 2004 2004
Goal 2005
Optimal 2:1 Ratio 60% 64% 73%
(+13% points) 73%
(+13% points)
Use of Appropriate Asthma Meds
5-9 80% 83.77%
Achieved 81.69% 90th percentile
Use of Appropriate Asthma Meds
10-17 73% 73.60% 76.65% 90th percentile
Use of Appropriate Asthma Meds
18-56 74% 77.67% 78.88% 90th percentile
ER/Inpatient Admissions NA TBD NA TBD
ROI NA TBD NA TBD