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Abstract

Introduction. The Utah Pediatric Partnership to Improve Healthcare Quality (UPIQ) and Utah Department of Health (UDOH) Asthma Program Learning Collaborative is a quality improvement initiative designed to standardize asthma care in pediatric patients and improve the overall assessment and patient education process for both healthcare providers and patients. The aim of the Asthma QI Project was to improve the diagnosis and management of asthma for patients in the state of Utah by implementing a standardized approach to the identification and treatment of patients with asthma.

Methods. Patients scheduled to see a healthcare provider at our pediatric clinic were screened for a history of asthma during chart review and assessed for whether the patient completed a standardized asthma control tool and whether they were provided with an asthma action plan. The initiative applied a quality improvement approach using Plan, Do, Study, Act (PDSA) cycles to implement a change plan and achieve desired project outcomes. Monthly asthma education webinars and QI coaching were provided to clinicians and support staff. Monthly reports showing rates of standardized asthma control tool administration and provision of asthma action plan were generated and utilized to discuss goal progress.

Results. A total of 236 patient visits from the years 2020-2022 were included in the analysis. Standardized asthma control test was administered and completed in 79% of patients in 2022, 70% in 2021, and 55% in 2020. Rates of asthma action plan being provided were 40% in 2022, 36% in 2021, and 32% in 2020.

Conclusion. The implementation of a standard process to follow for pediatric patients being treated for asthma allowed us to meet the desired goal of providing better comprehensive care, thus improving the quality of care.

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