1 / 14

The Baltimore City Health Department’s Childhood Asthma Program

The Baltimore City Health Department’s Childhood Asthma Program. Presented to: the NACCHO MCH Emerging Issues Conference January 22,2004. Components of the Childhood Asthma Program. Four aspects Baltimore Asthma Surveillance System Home Visiting Program Community Outreach and Education

Download Presentation

The Baltimore City Health Department’s Childhood Asthma Program

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. The Baltimore City Health Department’s Childhood Asthma Program Presented to: the NACCHO MCH Emerging Issues Conference January 22,2004 MJ Harris/BCHD/NACCHO presentation/January 2004

  2. Components of the Childhood Asthma Program Four aspects • Baltimore Asthma Surveillance System • Home Visiting Program • Community Outreach and Education • Coalition building MJ Harris/BCHD/NACCHO presentation/January 2004

  3. Baltimore Asthma Surveillance System (BASS) Started in 2000 Analyzed data from 1993-1998 Databases used: Maryland HSCRC/collaboration with community partners(eg.academic institutions) Home Visiting Program Model developed and implemented in 2001 Referral base established Methods used to promote ‘By- in’ of new community partners Establishment of enrollment policies procedures including Open ended enrollment Two Components to be discussed Today MJ Harris/BCHD/NACCHO presentation/January 2004

  4. The BASS/History • The original data compiled from existing data sources • Indicators included: hospitalization rates, emergency department rates, demographics • Spanned period from 1993-98 • Compiled by BCHD in conjunction with NASA, U Maryland, Johns Hopkins and others MJ Harris/BCHD/NACCHO presentation/January 2004

  5. Elements Guiding Decision for Characteristics of Dataset • Feasibility:How “do-able” is it? • Uniformity • Validity • Non-duplication • Economy • How retrievable is the data? • Can it be collected on an ongoing basis MJ Harris/BCHD/NACCHO presentation/January 2004

  6. Goals/Concerns/Focus of the Surveillance System • Prevalence • Incidence • Etiologic factors • Measurement of disease severity: disease burden MJ Harris/BCHD/NACCHO presentation/January 2004

  7. What is our ultimate goal for the BASS? • To discern factors affecting in order to make an impact • To guide population and individual interventions • To diminish disease burden MJ Harris/BCHD/NACCHO presentation/January 2004

  8. Home Visiting Program • Under Bureau of Child Health and Immunization/Division Maternal Child Health • Funded since FY 2000 by Title V block grant • One of four components of overall program • No overlap with other components MJ Harris/BCHD/NACCHO presentation/January 2004

  9. Home Visiting Program • Key aspects: • Individual assessments and interventions • Three separate assessment instruments utilized, Household Asthma Screening Survey, Nursing Assessment, and Quality of life Survey • Partnering with community collaborators • Education, follow up MJ Harris/BCHD/NACCHO presentation/January 2004

  10. Home Visiting Program • This is a service to the community • Referral focuses on the child and the entire family unit and includes all factors affecting the child’s disease process/holistic approach! • Follow up is key • Links to other existing community partners are of primary importance MJ Harris/BCHD/NACCHO presentation/January 2004

  11. Childhood Asthma Home Visiting Program Client Focus • ·        Symptom control • ·        Medication compliance • ·        Recognition of triggers • ·        Trigger control • ·        Use of spacers and inhalers MJ Harris/BCHD/NACCHO presentation/January 2004

  12. Home Visiting Program Issues for Outcomes Measurement • Severity of disease, baseline and ongoing • Symptom days and medication usage • Nature of emergency department visits • Scores on Quality of life instrument MJ Harris/BCHD/NACCHO presentation/January 2004

  13. Home Visiting Program/other considerations for success • Buy in’ of primary caregivers • Contact with medical providers • Higher ‘maintenance’ families need higher level of intensity, very individualized approach • Children not dropped from program until over age, move from city, or unable to maintain contact MJ Harris/BCHD/NACCHO presentation/January 2004

  14. Contact Information • Mary Jo Harris, RN, MS Coordinator Childhood Asthma Program, Baltimore City Health Department Maryjo.harris@baltimorecity.gov 410.361.9645 MJ Harris/BCHD/NACCHO presentation/January 2004

More Related