Asthma, Overdue for Action Plan Review | Digital Healthcare Research

Clinician Summary

AAP practice guidelines recommend regular follow-up for children diagnosed with Asthma. These visits should occur at least every 3-6 months depending on symptom severity, at which time physicians should reevaluate symptom severity, and appropriate medication types and doses. Many patients do not have regular follow-up to reassess symptom severity and the need to adjust medications. The goal of the reminder is to alert a physician that a patient has not had a visit to reevaluate symptoms and medications in at least 6 months. The reminder can then be extinguished for a predefined period of time based on a physician’s actions

This reminder prompts clinicians to review the action plan for individuals who have the following recorded indicators within the electronic health record (EHR) system:

age < 19 yrs; and
asthma is on problem list or medication list includes albuterol or asthma medication; and
last documented visit for asthma action plan review > 12 months ago

References

N/A

Web Link

http://www.nhlbi.nih.gov/health-pro/guidelines/current/asthma-guidelines

Implementation Notes

Rule category	Asthma
Rule title	Asthma, Overdue for Action Plan Review
Primary Clinical Area	Pediatrics
Secondary Clinical Area
Risk Group Definition	age <19 yrs and asthma is on problem list or medication list includes albuterol or asthma medication.
Details for Risk Group	Asthma problem Asthma med codes
Triggering Condition	Last documented visit for asthma action plan review > 12 months ago
Details for Triggering	Asthma in note subject/title
Condition
Displayed Message	Patient has asthma. Action plan review recommended every 3 to 6 months
Coded Responses	Snooze Periods
A: Asthma action plan reviewed today B: Appointment scheduled C: Symptom review done elsewhere D: Patient refuses E: Deferred F: Patient has exercise-induced asthma G: Patient has mild intermittent asthma H: Patient does not have asthma	A': 1 year B': 2 months C': 1 year D': 1 year E': 2 months F': 1 year G': 1 year H': 1 year

Disclaimer

These rules and/or reminders were created using national, state and local guidelines, and group consensus regarding best practices. These guidelines, and their interpretation by clinicians at Partners Healthcare System, may not represent the standard of care across all regions or settings, and are not intended to be adopted or applied without independent assessment of their suitability for a particular setting. Moreover, guidelines change over time (for example, the age range for children who should receive influenza vaccinations was recently extended to 59 months). The rules and/or reminders may need the addition or modification of certain items to ensure that they remain consistent with current guidelines. Therefore, the rules and/or reminders included here are intended only as examples or guides for the development of similar rules and/or reminders in other settings. Partners Healthcare System and its affiliates disclaim any and all responsibility or liability associated with the use of the rules and/or reminders displayed here by third parties.