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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 - PowerPoint PPT Presentation
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MJ Harris/BCHD/NACCHO presentation/January 2004
The Baltimore City Health Department’s Childhood Asthma
ProgramPresented to: the NACCHO
MCH Emerging Issues Conference
January 22,2004
MJ Harris/BCHD/NACCHO presentation/January 2004
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
Two Components to be discussed Today
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
MJ Harris/BCHD/NACCHO presentation/January 2004
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
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
Goals/Concerns/Focus of the Surveillance System
Prevalence Incidence Etiologic factors Measurement of disease severity: disease burden
MJ Harris/BCHD/NACCHO presentation/January 2004
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
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
Home Visiting Program
Key aspects: Individual assessments and interventionsThree separate assessment instruments utilized,
Household Asthma Screening Survey, Nursing Assessment, and Quality of life Survey
Partnering with community collaboratorsEducation, follow up
MJ Harris/BCHD/NACCHO presentation/January 2004
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
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
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
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
Contact Information
Mary Jo Harris, RN, MS
Coordinator Childhood Asthma Program, Baltimore City Health Department
Maryjo.harris@baltimorecity.gov
410.361.9645
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