Montana State Asthma Plan

1
Montana State Asthma Plan 
2 0 0 9
Montana Asthma Workgroup Meeting November 21st,
2008
2
Why have a state plan?

• Unified vision of asthma control in the state
• Outline for actions in the next 3-5 years
• Required to receive CDC funding for asthma
• Why is a state plan useful for you?
• How might you use it?

3
State Plan Timeline
Thanks for your hard work in keeping this
timeline and contributing to the state plan.
Were almost done!

• Late September E-mails sent with data relevant
  to each section and information about the general
  format for the plan
• Early October Start formulating goal(s) and
  accompanying objectives and strategies over
  e-mail
• Late October/Early November Conference calls to
  discuss a draft of our section and make revisions
• Mid-November Meeting of all the state plan
  workgroups and present a draft of our section to
  the larger group for input.
• Late November/December E-mail revised draft of
  the plan and allow workgroup to provide feedback
  on all sections of the plan via e-mail
• January, 2009 Finalized State Asthma Plan in
  place so Montana will be competitive for the CDC
  funding!

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Framework for the state plan

• Developing a State Plan
• Background
• Asthma Priorities
• Goals, Objectives and Activities
• Our guidance from the CDC
• Focus on disparities, communication,
  sustainability and evaluation
• Make plan based on available data

5
Montana State Asthma Plan Logic Model
Input
Activities
Outcomes
Impacts

• Surveillance Establish and maintain a
  comprehensive state asthma surveillance system
• Partnerships Establish and maintain effective
  partnerships with stakeholders across the state
• Healthcare Improve systems and quality of asthma
  care in Montana
• Environment Reduce exposure to
  environmental irritants and allergens that cause
  and/or exacerbate asthma
• Schools/Daycares Increase the capacity of
  Montana schools and childcare
  facilities to manage asthma

• Montana Asthma
• Workgroup
• Partners
• Montana Asthma Control
  Program Staff
• Resources and time from stakeholders statewide
• Coordinated planning and implementation of state
  asthma plan

• Reduce activity limitations and school/work days
  missed due to asthma
• Reduce direct and indirect asthma costs
• Promote policy and environmental changes to
  create systems with increased capacity to manage
  asthma over the long term
• Increase public awareness about asthma

• Improve the quality of life for all
  Montanans with asthma
• Reduce geographic, racial
  and
  socioeconomic disparities in asthma
  morbidity and mortality
• Reduce asthma deaths
• Reduce hospitalizations
  for asthma
• Reduce ED visits for asthma

Surveillance and Evaluation Increase knowledge
of asthma in Montana through ongoing, systematic
data collection and program evaluation.
Underlying Themes
Disparities,
Communication, Sustainability and Evaluation
Montana State Asthma Plan Logic Model
Montana State Asthma Plan Logic Model
Activities
Impacts
Input
Outcomes
Activities
Impacts
Input
Outcomes

• Reduce activity limitations and school/work days
  missed due to asthma
• Reduce direct and indirect asthma costs
• Promote policy and environmental changes to
  create systems with increased capacity to
  manage asthma over the long term
• Increase public awareness about asthma

• Surveillance Establish and maintain a
  comprehensive state asthma surveillance system
• Partnerships Establish and maintain effective
  partnerships with stakeholders across the state
• Healthcare Improve systems and quality of asthma
  care in Montana
• Environment Reduce exposure to
  environmental irritants and allergens that cause
  and/or exacerbate asthma
• Schools/Daycares Increase the capacity of
  Montana schools and childcare
  facilities to manage asthma

• Improve the quality of life for all
  Montanans with asthma
• Reduce geographic, racial
  and
  socioeconomic disparities in asthma morbidity
  and mortality
• Reduce asthma deaths
• Reduce hospitalizations
  for asthma
• Reduce ED visits for asthma

• Reduce activity limitations and school/work days
  missed due to asthma
• Reduce direct and indirect asthma costs
• Promote policy and environmental changes to
  create systems with increased capacity to
  manage asthma over the long term
• Increase public awareness about asthma

• Surveillance Establish and maintain a
  comprehensive state asthma surveillance system
• Partnerships Establish and maintain effective
  partnerships with stakeholders across the state
• Healthcare Improve systems and quality of asthma
  care in Montana
• Environment Reduce exposure to
  environmental irritants and allergens that cause
  and/or exacerbate asthma
• Schools/Daycares Increase the capacity of
  Montana schools and childcare
  facilities to manage asthma

• Improve the quality of life for all
  Montanans with asthma
• Reduce geographic, racial
  and
  socioeconomic disparities in asthma morbidity
  and mortality
• Reduce asthma deaths
• Reduce hospitalizations
  for asthma
• Reduce ED visits for asthma

Surveillance and Evaluation Increase knowledge
of asthma in Montana through ongoing, systematic
data collection and program evaluation.
Surveillance and Evaluation Increase knowledge
of asthma in Montana through ongoing, systematic
data collection and program evaluation.
Underlying Themes
Disparities,
Communication, Sustainability and Evaluation
Underlying Themes
Disparities,
Communication, Sustainability and Evaluation
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Acknowledgements pg 2

• Is your name listed?
• Spelled correctly?
• With the correct credentials agency?

Acronyms pg 3

• Any we have left out?
• Any we have listed but dont use?

7
Asthma in MT pg 4-7

• Quick summary of asthma burden (4-6)
• Prevalence, disparities, hospitalizations,
  deaths, disease severity and access to care
• Focus on issues unique to Montana (7)
• Rural, frontier communities, American Indians,
  healthcare in rural settings
• Other data that should be included?
• Other important issues unique to Montana that
  should be included?

8
The Montana Asthma Workgroup pg 8-9

• Probably the least complete section
• Describes
• The formation make up of the workgroup
• How the workgroup created the state plan
• Comments on this section?
• Any ideas for re-naming the MAW?
• Personal stories to add to the introduction?

9
State Plan Overview pg 10-11

• Overarching goals (prioritize?)
• Underlying themes
• Organization of the plan
• Section Goals
• Summarized by the logic model
• Comments?

10
Surveillance pg 12-13

• Goal Establish and maintain a comprehensive
  state asthma surveillance system
• Comments?

11
Partnerships pg 14

• Goal Establish and maintain effective
  partnerships with stakeholders across the state
  to increase the reach and impact of asthma
  control effort
• Comments?

12
Healthcare Interventions pg 15-17

• Goal Improve systems and quality of asthma care
  in Montana
• Comments?

13
Environmental Interventions pg 18-19

• Goal Reduce exposure to environmental irritants
  and allergens that cause and/or exacerbate asthma
• Comments?

14
School/Childcare Interventions pg
20-21

• Goal Increase the capacity of Montana schools
  and child care facilities to manage asthma
• Comments?

15
Integration Diagram

• Created in response to workgroup member request
  to visually show that the whole state plan is
  greater than the sum of its parts
• Plan to write a brief description of the diagram
  on this page

Surveillance

• Support delivery of evidence based healthcare
  according to the EPR-3 Guidelines in primary
  care, ED hospital settings
• Decrease barriers to accessing medical care for
  people with asthma
• Increase access to asthma education

• Analyze existing data sources
• Improve existing and develop data sources
• Regularly communicate surveillance findings to
  stakeholders
• Evaluate the impact of asthma control
  activities

• Improve hospital
  and ED data systems in MT
• Identify sources of data related to
  the cost of asthma care
• Implement a clinic based asthma
  registry

• Sponsor continuing
  ed for health professionals on how to
  assess environmental exposures
• Promote Montana Quitline to health
  providers

• Develop new
  sources of data related to the impact
  of asthma in MT
  schools and among children in the
  state

Partnerships

• Include IAQ information in
  all trainings for school and child
  care staff
• Sponsor an IAQ training
  for school maintenance staff

• Increase capacity of school nurses to
  provide asthma management
• Increase asthma training opportunities
  resources for school child care staff
• Support ongoing asthma programs that target at
  risk groups

School/Child care Interventions
16
Surveillance
Healthcare Interventions  

• Improve hospital
  and ED data systems in MT
• Identify sources of data related to
  the cost of asthma care
• Implement a clinic based asthma
  registry

• Sponsor continuing
  ed for health professionals on how to
  assess environmental exposures
• Promote Montana Quitline to health
  providers

• Develop new
  sources of data related to the impact
  of asthma in MT
  schools and among children in the
  state

Partnerships

• Include IAQ information in
  all trainings for school and child
  care staff
• Sponsor an IAQ training
  for school maintenance staff

School/ Child care Interventions
Environmental Interventions
Healthcare Interventions
Surveillance
Healthcare Interventions
Surveillance
Environmental Interventions
School/Child care Interventions
Environmental Interventions
School/Child care Interventions
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Still to be added

• Conclusion
• Successes thus far-highlight
• School asthma work
• Certified Asthma Educator Initiative
• Others?
• Other issues to address in the future
• Co-morbidities
• Work related asthma
• Others?

Surveillance

• Support delivery of evidence based healthcare
  according to the EPR-3 Guidelines in primary
  care, ED hospital settings
• Decrease barriers to accessing medical care for
  people with asthma
• Increase access to asthma education

• Analyze existing data sources
• Improve existing and develop data sources
• Regularly communicate surveillance findings to
  stakeholders
• Evaluate the impact of asthma control
  activities

• Improve hospital
  and ED data systems in MT
• Identify sources of data related to
  the cost of asthma care
• Implement a clinic based asthma
  registry

• Sponsor continuing
  ed for health professionals on how to
  assess environmental exposures
• Promote Montana Quitline to health
  providers

• Develop new
  sources of data related to the impact
  of asthma in MT
  schools and among children in the
  state

Partnerships

• Include IAQ information in
  all trainings for school and child
  care staff
• Sponsor an IAQ training
  for school maintenance staff

• Increase capacity of school nurses to
  provide asthma management
• Increase asthma training opportunities
  resources for school child care staff
• Support ongoing asthma programs that target at
  risk groups

School/Child care Interventions
18
Still to be added Appendicies

• Progress toward HP 2010 goals
• Others?
• Why is a state plan useful for you?
• How might you use it?

Surveillance

• Support delivery of evidence based healthcare
  according to the EPR-3 Guidelines in primary
  care, ED hospital settings
• Decrease barriers to accessing medical care for
  people with asthma
• Increase access to asthma education

• Analyze existing data sources
• Improve existing and develop data sources
• Regularly communicate surveillance findings to
  stakeholders
• Evaluate the impact of asthma control
  activities

• Improve hospital
  and ED data systems in MT
• Identify sources of data related to
  the cost of asthma care
• Implement a clinic based asthma
  registry

• Sponsor continuing
  ed for health professionals on how to
  assess environmental exposures
• Promote Montana Quitline to health
  providers

• Develop new
  sources of data related to the impact
  of asthma in MT
  schools and among children in the
  state

Partnerships

• Include IAQ information in
  all trainings for school and child
  care staff
• Sponsor an IAQ training
  for school maintenance staff

• Increase capacity of school nurses to
  provide asthma management
• Increase asthma training opportunities
  resources for school child care staff
• Support ongoing asthma programs that target at
  risk groups

School/Child care Interventions
19
Other reviewers

• Who else should review this document?
• Montana Team Asthma (School section)
• Childrens Environmental Health Network
  (Environment Section)
• Certified Asthma Educators in the state
• Other experts/interested parties in your agency
  or around the state?

Surveillance

• Support delivery of evidence based healthcare
  according to the EPR-3 Guidelines in primary
  care, ED hospital settings
• Decrease barriers to accessing medical care for
  people with asthma
• Increase access to asthma education

• Analyze existing data sources
• Improve existing and develop data sources
• Regularly communicate surveillance findings to
  stakeholders
• Evaluate the impact of asthma control
  activities

• Improve hospital
  and ED data systems in MT
• Identify sources of data related to
  the cost of asthma care
• Implement a clinic based asthma
  registry

• Sponsor continuing
  ed for health professionals on how to
  assess environmental exposures
• Promote Montana Quitline to health
  providers

• Develop new
  sources of data related to the impact
  of asthma in MT
  schools and among children in the
  state

Partnerships

• Include IAQ information in
  all trainings for school and child
  care staff
• Sponsor an IAQ training
  for school maintenance staff

• Increase capacity of school nurses to
  provide asthma management
• Increase asthma training opportunities
  resources for school child care staff
• Support ongoing asthma programs that target at
  risk groups

School/Child care Interventions
20
Finally
Surveillance

• Support delivery of evidence based healthcare
  according to the EPR-3 Guidelines in primary
  care, ED hospital settings
• Decrease barriers to accessing medical care for
  people with asthma
• Increase access to asthma education

• Analyze existing data sources
• Improve existing and develop data sources
• Regularly communicate surveillance findings to
  stakeholders
• Evaluate the impact of asthma control
  activities

• Improve hospital
  and ED data systems in MT
• Identify sources of data related to
  the cost of asthma care
• Implement a clinic based asthma
  registry

• Sponsor continuing
  ed for health professionals on how to
  assess environmental exposures
• Promote Montana Quitline to health
  providers

• Develop new
  sources of data related to the impact
  of asthma in MT
  schools and among children in the
  state

Partnerships

• Include IAQ information in
  all trainings for school and child
  care staff
• Sponsor an IAQ training
  for school maintenance staff

• Increase capacity of school nurses to
  provide asthma management
• Increase asthma training opportunities
  resources for school child care staff
• Support ongoing asthma programs that target at
  risk groups

School/Child care Interventions