Addressing Asthma in Englewood Project

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Addressing Asthma in Englewood Project
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Addressing Asthma in Englewood

• This project is in part supported by
• Merck Childhood Asthma Network
• Foundation

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Community Partners

• Bond School Based Clinic
• Chicago Asthma Consortium
• Chicago Department of Public Health, Englewood
  Clinic
• Chicago Housing Authority
• Cook County Englewood Health Center
• Eva Hernandez
• Free Peoples Clinic
• Friend Family Clinic
• Healthcare Consortium of Illinois
• Holy Cross Hospital
• Illinois Chapter of American Academy of
  Pediatrics

• LaRabida Childrens Hospital
• Lenore Coover
• Mobile CARE Foundation
• Safer Pest Control Project
• Southwest Women Working Together
• St. Bernard Hospital
• St. Bernard Mobile Van
• Teamwork Englewood
• University of Illinois, Chicago
• University of Chicago, Asthma Center
• West Englewood United Organization

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Project Staff

• Co Primary Investigators
• Dr. Victoria Persky
• University of Illinois
• Rhonda Williams, MES
• American Lung Association
• Project Manager
• Maureen Damitz, AE-C
• American Lung Association

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Project Staff

• Asthma Project Manager
• Gay Chisum, RN, BS
• American Lung Association
• Asthma Case Managers
• Brandi Godbolt, BS
• American Lung Association
• Tiffoney Kadiri, BS
• American Lung Association

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Why Asthma
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Why Englewood

• National data National Hospital
  Discharge Survey http//www.cdc.gov/nchs/about/ma
  jor/hdasd/nhdstab.htm data for 0-15 years
• Chicago and Greater Englewood data Chicago
  Department of Public Health Community Health
  Profiles http//www.cchsd.org/cahealthprof.html
  data for 0-17 years

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Health Disparities in Greater Englewood

• Maternal Smoking
• City 8.2
• Englewood 19.4
• Pediatric Lead Rates
• City 11
• Englewood 36
• Tuberculosis
• 100 higher than the city average
• Lung Cancer
• 50 higher than the city average

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Project Goals

• Decrease the impact of asthma in Englewood
• Increase surveillance of asthma
• Enhance education about asthma
• Improve access to appropriate medical management
• Develop long-term sustainable infrastructures to
  maintain reduction in asthma morbidity
• Establish a multi-factorial model for addressing
  pediatric asthma in urban settings

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Project Design

• Identify
• Children with diagnosed asthma
• Children with symptoms of asthma
• School Screening
• Community Screening
• Provider Referral
• Community Referral

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Project Interventions

• Asthma Case Management
• Medical Interventions
• Link all patients to appropriate medical care in
  the community
• Make sure all patients have access to appropriate
  medications
• Establish communication between the medical
  provider and the Community Health Educator

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Project Interventions

• Asthma Case Management
• Home Interventions
• Provide one on one education to caregiver,
  patient and other family members
• Work with the family on environmental asthma
  trigger elimination in home
• Link family and patient to appropriate social
  services as identified and requested

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Project Interventions

• Community Interventions
• Health fairs
• Faith-based presentations
• Clinic-based presentations
• Policy Interventions
• City, State, National
• Increase community awareness
• Increase community involvement

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Community Interventions

• Provider Education
• Problem Based Learning for Medical Providers
• Health Literacy Training for Medical Providers
• Grand Round Presentations
• School Education
• Staff
• Students

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Capacity Building

• Community Task Force
• Raise awareness
• Build Infrastructure
• Medical Advisory Panel
• Engage asthma leaders with local providers
• Provide guidance

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Anticipated Outcomes

• School-based
• Screen all 31 schools in Englewood
• 25,000 children screened
• 7,500 with diagnosed or possible asthma
• Conduct IAQ assessments in 31 schools and track
  changes made
• Increased knowledge for school personnel and
  students

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Anticipated Outcomes

• Patient-based
• Case manage 400 families
• Increase asthma knowledge
• Create a social resource network
• Track utilization of resources
• Analyze number of changes made in each home

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Anticipated Outcomes

• Community-based
• Creating Asthma Partnerships
• Providers
• Clinics
• Hospitals
• Shelters
• Social Services
• Community Leaders
• Political Representatives

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Future of Englewood