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The number of Americans diagnosed with asthma has grown dramatically, with high-crime cities being hit especially hard. In a joint report with The Detroit News, special correspondent Indira Lakshmanan examines emerging research that indicates stress, abuse and violence may play as big a role as physical factors in triggering both asthma attacks and the development of the chronic disease.

The concept of Care Coordination for the MCAN sites was defined as a—

"a client-centered, assessment-based interdisciplinary approach to integrating heath care and social support services in which an individual's needs and preferences are assessed, a comprehensive care plan is developed, and services are managed and monitored by a care coordinator following evidence-based standards of care."
— From The Promise of Care Coordination a report commissioned by the National Coalition on Care Coordination.

The concept of Care Coordination for the MCAN sites was defined as a—

"a client-centered, assessment-based interdisciplinary approach to integrating heath care and social support services in which an individual's needs and preferences are assessed, a comprehensive care plan is developed, and services are managed and monitored by a care coordinator following evidence-based standards of care."
— From The Promise of Care Coordination a report commissioned by the National Coalition on Care Coordination.

Models that Decrease Hospitalizations and Improve Outcomes for Medicare Beneficiaries with Chronic Illnesses

To address the complex and persistent problem of asthma among children in the United States
and enhance access to quality asthma management and care, The Merck Company Foundation
has established the Merck Childhood Asthma Network, Inc. (MCAN). The creation of MCAN is
consistent with Merck’s commitment to putting patients first by improving access to medicines,
vaccines, and quality health care.

The Common Data Elements and Demographic survey instruments were created to collect
standardized outcome information from patients enrolled in the five MCAN sites.

The Common Data Elements and Demographic survey instruments were created to collect standardized outcome information from patients enrolled in the five MCAN sites.

Researchers examined data on the outcomes of tailored evidence-based interventions in five low-income communities with high rates of pediatric asthma morbidity. The study found that health care providers in low-income communities with varying levels of resources and disease severity can tailor interventions to each child's needs and make substantial gains in outcomes across a range of risk profiles.

The purpose of this FOA is to support clinical trials to evaluate Asthma Care Implementation Programs (ACIP) that provide comprehensive care for children at high risk of poor asthma outcomes. The community-based ACIPs are expected to address the needs of the U.S. community in which the study will be conducted and integrate interventions with demonstrated efficacy from four different sectors (medical care, family, home, and community). Applications must include a trial designed to assess if the ACIP improves asthma outcomes relative to an appropriate comparator(s) and a subsequent period of observation to evaluate sustainability. While there are several other necessary elements of the trials, it is critical that the outcomes/endpoints include measures of the process used to implement the evidence based interventions. The ACIP will involve investigators who have established collaborations with representatives from the four sectors who have committed resources to the ACIP. Given the potential impact of the interventions on the local community, the sustainability of the program will be formally assessed during the project period. Finally, investigators must plan for dissemination of the program beyond their own community. This initiative is designed as a cooperative agreement to enable collaboration among investigators on the implementation metrics to be used, the quality improvement efforts to be conducted throughout the funding period, and how to establish best practices. - See more at: http://grants.nih.gov/grants/guide/rfa-files/RFA-HL-17-001.html#sthash.yjOYU3Bn.dpuf

The Helping Children Breathe and Thrive in Chicago’s Public Housing (HCBT) project was developed based upon previous asthma interventions implemented at SUHI, mainly the Healthy Home, Healthy Child (HHHC) initiative. HHHC has proven to be an effective model for addressing poorly controlled asthma in the primarily African American, underserved community of North Lawndale. HCBT built upon this model in order to translate it to Chicago Housing Authority (CHA) properties.