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Research ArticleOriginal Research

Colorado Asthma Toolkit Implementation Improves Some Process Measures of Asthma Care

Kathryn L. Colborn, Laura Helmkamp, Bruce G. Bender, Bethany M. Kwan, Lisa M. Schilling and Marion R. Sills
The Journal of the American Board of Family Medicine January 2019, 32 (1) 37-49; DOI: https://doi.org/10.3122/jabfm.2019.01.180155
Kathryn L. Colborn
From the Department of Biostatistics and Informatics, Colorado School of Public Health, University of Colorado Denver, Aurora, Colorado (KLC); Adult & Child Consortium for Health Outcomes Research & Delivery Science, Aurora, CO (LH); Department of Pediatrics, National Jewish Health, Denver (BGB); Department of Medicine, University of Colorado School of Medicine, Aurora (BMK, LMS); Pediatrics, University of Colorado School of Medicine, Aurora (MRS).
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Laura Helmkamp
From the Department of Biostatistics and Informatics, Colorado School of Public Health, University of Colorado Denver, Aurora, Colorado (KLC); Adult & Child Consortium for Health Outcomes Research & Delivery Science, Aurora, CO (LH); Department of Pediatrics, National Jewish Health, Denver (BGB); Department of Medicine, University of Colorado School of Medicine, Aurora (BMK, LMS); Pediatrics, University of Colorado School of Medicine, Aurora (MRS).
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Bruce G. Bender
From the Department of Biostatistics and Informatics, Colorado School of Public Health, University of Colorado Denver, Aurora, Colorado (KLC); Adult & Child Consortium for Health Outcomes Research & Delivery Science, Aurora, CO (LH); Department of Pediatrics, National Jewish Health, Denver (BGB); Department of Medicine, University of Colorado School of Medicine, Aurora (BMK, LMS); Pediatrics, University of Colorado School of Medicine, Aurora (MRS).
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Bethany M. Kwan
From the Department of Biostatistics and Informatics, Colorado School of Public Health, University of Colorado Denver, Aurora, Colorado (KLC); Adult & Child Consortium for Health Outcomes Research & Delivery Science, Aurora, CO (LH); Department of Pediatrics, National Jewish Health, Denver (BGB); Department of Medicine, University of Colorado School of Medicine, Aurora (BMK, LMS); Pediatrics, University of Colorado School of Medicine, Aurora (MRS).
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Lisa M. Schilling
From the Department of Biostatistics and Informatics, Colorado School of Public Health, University of Colorado Denver, Aurora, Colorado (KLC); Adult & Child Consortium for Health Outcomes Research & Delivery Science, Aurora, CO (LH); Department of Pediatrics, National Jewish Health, Denver (BGB); Department of Medicine, University of Colorado School of Medicine, Aurora (BMK, LMS); Pediatrics, University of Colorado School of Medicine, Aurora (MRS).
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Marion R. Sills
From the Department of Biostatistics and Informatics, Colorado School of Public Health, University of Colorado Denver, Aurora, Colorado (KLC); Adult & Child Consortium for Health Outcomes Research & Delivery Science, Aurora, CO (LH); Department of Pediatrics, National Jewish Health, Denver (BGB); Department of Medicine, University of Colorado School of Medicine, Aurora (BMK, LMS); Pediatrics, University of Colorado School of Medicine, Aurora (MRS).
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References
  1. 1.↵
    1. Potter PC
    . Current guidelines for the management of asthma in young children. Allergy Asthma Immunol Res 2010;2:1–13.
  2. 2.↵
    2015 Quality Rating System (QRS) HEDIS Value Set Directory. NCQA; 2015. http://store.ncqa.org/index.php/2015-qrs-hedis-value-set-directory.html. Accessed 7 April 2016.
  3. 3.↵
    (HEDIS) HEDaIS. Asthma medication ratio: percentage of members 5 to 85 years of age who were identified as having persistent asthma and had a ratio of controller medications to total asthma medications of 0.50 or greater during the measurement year. 2015.
  4. 4.↵
    (HEDIS) HEDaIS. Medication management for people with asthma: percentage of members 5 to 85 years of age during the measurement year who were identified as having persistent asthma and who were dispensed an asthma controller medication that they remained on for at least 50% of their treatment period. 2015.
  5. 5.↵
    Healthcare Effectiveness Data and Information Set (HEDIS). Table AMR-A: Asthma Controller and Reliever Medications. 2015.
  6. 6.↵
    National Quality Measures Clearinghouse. Asthma medication ratio: percentage of members 5 to 64 years of age who were identified as having persistent asthma and had a ratio of controller medications to total asthma medications of 0.50 or greater during the measurement year. https://www.qualitymeasures.ahrq.gov/summaries/summary/49708. Accessed 9/20/2013.
  7. 7.↵
    National Quality Measures Clearinghouse. Medication management for people with asthma: percentage of members 5 to 64 years of age during the measurement year who were identified as having persistent asthma and who were dispensed an asthma controller medication that they remained on for at least 50% of their treatment period. https://www.qualitymeasures.ahrq.gov/summaries/summary/49706. Accessed 10/1/2013.
  8. 8.↵
    1. Fuhlbrigge A,
    2. Peden D,
    3. Apter AJ,
    4. et al
    . Asthma outcomes: Exacerbations. The Journal of allergy and clinical immunology 2012;129:S34–S48.
    OpenUrlPubMed
  9. 9.↵
    Healthcare Effectiveness Data and Information Set (HEDIS). Table PCE-C: Systemic Corticosteroids. 2015.
  10. 10.↵
    1. Benito-Fernandez J
    . Short-term clinical outcomes of acute treatment of childhood asthma. Curr Opin Allergy Clin Immunol 2005;5:241–6.
    OpenUrlCrossRef
  11. 11.↵
    Agency for Healthcare Research and Quality. Chronic Condition Indicator (CCI) for ICD-9-CM. https://www.hcup-us.ahrq.gov/toolssoftware/chronic/chronic.jsp. Accessed 6 February, 2017.
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The Journal of the American Board of Family   Medicine: 32 (1)
The Journal of the American Board of Family Medicine
Vol. 32, Issue 1
January-February 2019
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Colorado Asthma Toolkit Implementation Improves Some Process Measures of Asthma Care
Kathryn L. Colborn, Laura Helmkamp, Bruce G. Bender, Bethany M. Kwan, Lisa M. Schilling, Marion R. Sills
The Journal of the American Board of Family Medicine Jan 2019, 32 (1) 37-49; DOI: 10.3122/jabfm.2019.01.180155

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Colorado Asthma Toolkit Implementation Improves Some Process Measures of Asthma Care
Kathryn L. Colborn, Laura Helmkamp, Bruce G. Bender, Bethany M. Kwan, Lisa M. Schilling, Marion R. Sills
The Journal of the American Board of Family Medicine Jan 2019, 32 (1) 37-49; DOI: 10.3122/jabfm.2019.01.180155
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