New England Asthma Innovation Collaborative Overview Asthma Regional Council – Annual Meeting Stacey Chacker, Director of the Asthma Region Council of New England, Co-PI Heather Nelson, PhD, MPH, Senior Research Scientist, Co-PI Annie Rushman, MSPH, Program Coordinator October 16 th , 2014
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New England Asthma Innovation CollaborativeOverview
Asthma Regional Council – Annual MeetingStacey Chacker, Director of the Asthma Region Council of New England, Co-
PIHeather Nelson, PhD, MPH, Senior Research Scientist, Co-PI
Annie Rushman, MSPH, Program Coordinator
October 16th, 2014
New England Asthma Innovation CollaborativeControlling Asthma, Controlling Costs
NEAIC is a project of the Asthma Regional Council of New England, a program of Health Resources in Action.
“The project (NEAIC) described is supported by Grant Number 1C1CMS331039 from the Department of Health and Human Services, Centers for Medicare & Medicaid Services. The contents of this publication are solely the responsibility of the authors and do not necessarily represent the official views of the U.S. Department of Health and Human Services or any of its agencies.”
Health Resources in Action
NEAIC Builds on Asthma Regional Council
Working for 13 years, across New England, to improve pediatric asthma outcomes and reduce disparities
through partnerships and policy
Health Resources in Action
New England Asthma Innovation Collaborative
CHW-led Home Visiting for Children with Poorly Controlled Asthma • Improve quality of care• Improve health and quality of life outcomes• Decrease health care utilization costs • Advance sustainable payment systems
MassachusettsChildren’s Hospital BostonBoston Medical CenterBaystate Children’s Hospital Rhode IslandRI/Hasbro HospitalSt. Joseph’s Health Services Thundermist Health CenterConnecticut Middlesex Hospital Children’s Medical GroupVermontRutland Regional Medical Center
NEAIC Partners: 9 Clinical Partners
MassachusettsNeighborhood Health Plan, MABMC HealthNetHealth New EnglandMass Health (application pending)Rhode IslandNeighborhood Health Plan, RIConnecticut CT Department of Social Services/Children’s Health NetworkVermontDepartment of Vermont Health Access
NEAIC Partners: 6 Medicaid Payers
• American Lung Association of the Northeast• Boston Public Health Commission’s Community Health
Education Center• Central MA – Area Health Education Center’s Outreach
Worker Training Institute • MA Association of Community Health Workers • CDC Funded – New England State Asthma Programs
NEAIC Partners: Policy and Training
CHW Training
• CHW Core Competency - 48 hour training provided by Central MA Area Health Education Center.
• CHW Asthma Home Visiting – 24 hour training, product of MA DPH. Developed and delivered by Boston Public Health Commission
Health Resources in Action
Three to four Home Visits to:
• Assess patients’ needs and home environment
• Provide asthma self-management education
• Deliver cost-effective environmental supplies
• Improve quality and experience of care:o Client-centered, use of motivational interviewing o Promote asthma action planso Promote connections to primary care & preventiono Referrals for social serviceso Review of needs and progress
Intervention: CHW-led Home Visiting
• 1136 children
• Aged 2 – 17 years old
• Medicaid or CHIP beneficiary
• A diagnosis of asthma from an authorized clinician
• Evidence of poorly controlled asthma– Asthma-related ER visit– Observation stay– Hospitalization– Oral corticosteroids
“The project described is supported by Grant Number 1C1CMS331039 from the Department of Health and Human Services, Centers for Medicare & Medicaid Services. The contents of this publication are solely the responsibility of the authors and do not necessarily represent the official views of the U.S. Department of Health and Human Services or any of its agencies.”
Health Resources in Action Advancing Public Health and Medical Research