Dianne,

It can be a challenge getting people from an urban setting to attend asthma educational event. Did you offer incentives for people to attend the asthma blow out? If so what were they?

From Isa Perry -

Do any of the programs address outdoor air quality (PM2.5)? What partnerships are in place for discussions about the impact of outdoor air quality on asthma?  

From Connie Carcel -

As part of Emergency Preparedness, evacuating the school - you may not have access to use a nebulizer - do you use Spacer with Albuterol MDI 4-6 puffs for an acute asthma episode?  Every student should have a valve holding spacer with their Albuterol MDI &  Asthma Action Plan.(Helpful for Teacher substitutes who don't knwo these students)

How are the hospital based programs funded? Is there any reimbursement from health plans?

How did Connie and Cheryl engage schools as part of the Community asthma teams when coming at it from a health provider viewpoint.  We see health delivery and education have challenges communicating with each other.

We are in year one of intiating a district wide asthma action plan. We are collaborating with our Green and Healthy Homes program and one physician's group in our city. Buy-in from our two hopsital ERs is very slow. Ideas to help with this? Also, who did you say you were able to access for seminars for your nurses (money always an issue)? We do have two nurses attending the asthma educator institute this summer through the Amercian lung association. Can the Texas school district share their policies, protocols, and tools developed? It sounds like a great program!!