- Describe the environmental components of your comprehensive asthma care system that address indoor and outdoor environmental triggers and how you ensure that environmental care and services are integrated across the care continuum.
- Describe the range of environmental care, services and interventions that are available to asthma patients at different risk levels. Examples may include in-clinic environmental counseling, in-clinic or home-based asthma education, telephone outreach about environmental asthma triggers, in-home environmental assessment and remediation, provision of equipment or supplies, or other strategies.
- Describe how you support providers across the care continuum in environmental asthma management (e.g., training, clinical care and decision support tools, quality review).
- Describe with as much detail as you can who delivers what kind of environmental care and service to which asthma patients (e.g., _____% of asthma patients [the strata with very poorly controlled asthma] receive in-home environmental assessment and remediation) and the frequency and duration of environmental care (e.g., up to six 1.5-hour visits per year conducted by a certified asthma educator and environmental sanitarian). Please clarify who receives services, where, how, delivered by whom, and what percentage of your target population receives what services, based on what criteria.
- Explain how environmental asthma care needs and services are determined, reported and referred and how information is communicated between members of the care team, particularly between the in-home and in-clinic care teams.
- If your asthma care system provides tools and materials to patients to help them manage environmental asthma triggers, describe them and who receives them.
- Describe your organization’s role in advancing community-wide solutions to address the environmental factors in asthma pointing out any innovative approaches.
- Discuss notable successes you can demonstrate that have resulted from the environmental component of your community’s comprehensive asthma care system.
- The applicant demonstrates that environmental asthma management is a priority throughout the continuum of care by describing multi-faceted environmental interventions that are available in multiple settings (e.g., clinic, hospital, school, community, home) and tailored based on patient risk. Within these interventions, asthma care providers are supported through regular training, decision support, and tools and materials to assist asthma patients and their families.
- The applicant demonstrates how its population with poorly controlled to very poorly controlled asthma is identified, what environmental interventions are available for that population, how those interventions are delivered, and when, where and by whom.
- The applicant makes clear how results and outcomes from environmental interventions are communicated across the care team, including how collaborations support the integration of medical and environmental asthma care.