Online Program

Effective In-home Asthma Education Model for Adults: Impacts, outcomes and lessons learned

Tuesday, November 3, 2015 : 5:10 p.m. - 5:30 p.m.

Barbara Kaplan, MPH, American Lung Association, Washington, DC
Asthma is a serious chronic lung disease estimated to affect 25.9 million Americans.  Of these, 13.2 million Americans had an asthma attack. Asthma affects people from all segments of society, but the burden is not equally shared across racial and ethnic groups. Children and people living below the poverty level are among the groups most likely to suffer from severe asthma attacks, hospitalizations and death. Asthma costs our nation $56 billion dollars annually. 

To reduce the burden of asthma in Long Beach, CA, the health department partnered with the ALA to bring an evidenced-based adult asthma education program, Breathe Well, Live Well (BWLW), to their case management program. The program was adapted as one-on-one education taught by Community Health Workers (CHWs). Data was collected and analyzed from 2012-2014. 

Participants in the case management program showed improvement in symptom control and asthma self-management skills, resulting in a conservative estimate of $5.7 million (61%) decrease in asthma care costs.

The in-home asthma education presented by CHWs using the BWLW program is a model of an effective intervention that shows results of reducing medical costs. According to new Medicaid regulations under 42 C.F.R. 440.130, effective January 1, 2014, CMS allows state Medicaid to reimburse for preventative services provided by professionals that may fall outside of the state’s clinical licensure system (e.g., asthma educators, healthy home specialists or CHWs), as long as services were initially recommended by a physician.  If states choose to opt-in to the rule, CHWs would have an opportunity to get reimbursement for programs like this.

Learning Areas:

Chronic disease management and prevention
Implementation of health education strategies, interventions and programs

Learning Objectives:
Describe the integration of the American Lung Association’s Breathe Well, Live Well adult asthma management program with an in-home case management program in a priority population. Describe the health outcomes for program participants. Design an effective asthma in-home education program for high-needs communities.

Keyword(s): Asthma, Community Health Workers and Promoters

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have a Master’s in Public Health and have been working in the field of asthma since 2003. I oversee the nationwide dissemination of numerous lung health education programs working with Chartered Lung Association staff nationwide. I have developed, implemented and evaluated asthma education programs; trained health professionals in asthma management; and, I over 10 years of experience presenting and facilitating at national conferences, including APHA.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.