How Are We Doing? - Asthma · Asthma Programs in Michigan • Michigan Asthma Prevention & Control...
Transcript of How Are We Doing? - Asthma · Asthma Programs in Michigan • Michigan Asthma Prevention & Control...
Prioritization and Evaluation of Michigan’s Asthma Prevention & Control Program Activities
Robin Stottlemyer
How Are We Doing?
The Myth of Sisyphus“The gods condemned Sisyphus to endlessly roll a rock up a hill; each time it would return to its starting place. The gods thought with some reason there was no punishment more severe than eternally futile labor.”
- Albert Camus
“Everything that can be counted does not necessarily count; everything that counts cannot necessarily be counted” -- Albert Einstein
What can be counted
What counts
“Everything that can be counted does not necessarily count; everything that counts cannot necessarily be counted” -- Albert Einstein
What counts
1980’s
2014
What can be counted
Asthma Programs in Michigan• Michigan Asthma Prevention & Control Program (MiAPCP)
• Funded by CDC• Program staff: John Dowling, Tisa Vorce, Judi Lyles, Carol Davis• Epidemiology staff: Bob Wahl, Peter DeGuire, Robin Stottlemyer,
Erika Garcia
• Asthma Initiative of Michigan (AIM)• Collaborative effort throughout Michigan
• MDCH MiAPCP staff• Community Coalitions• Michigan Asthma Advisory Committee (MAAC)• Strategic Partners• Health Systems• Others
APCP Functions• Surveillance of asthma prevalence, triggers,
management, and morbidity• Evaluation of activities and progress to reaching goals• Identify and address disparities in asthma • Program development and implementation• Project management • Partner relations • Communication • Public relations and marketing • Resource development
AIM• The Asthma Initiative of
Michigan (AIM)
• Collaborative effort involving multiple partners from the public and private sectors across the state to reduce the burden of asthma in Michigan
www.getasthmahelp.org
Today’s clicker questions
1. Identify program successes and areas for improvement
2. Provide guidance to the MI Asthma Prevention & Control Program (MiAPCP) on how it can better serve the Asthma Initiative of Michigan (AIM) and the MAAC
3. Generate discussion about program goals
* All clicker responses are 100% anonymous
Areas of Focus for Today:
1. More about you (Stakeholders)2. APCP Program Goals3. Health Education4. Surveillance
STAKEHOLDERSGetting to Know You
Practice question: If you had to choose one, which is your favorite MI vacation destination?
A. HollandB. Mackinac IslandC. Pictured RocksD. Traverse CityE. Harbor SpringsF. Other
Holla
ndM
ackin
ac Is
land
Pictu
red Ro
cks
Trave
rse Ci
tyHa
rbor S
pring
s
Othe
r
5%
34%
11%
7%
27%
16%
Which do you primarily represent today?
A. Clinical (hospital & private practice)
B. Local GovernmentC. State GovernmentD. Health PlanE. PharmacyF. AcademiaG. Non-Profit
OrganizationH. CorporationI. Other
A. B. C. D. E. F. G. H. I.
22%
2%
16%
13%
7%
9%
24%
7%
0%
Which region do you most represent?(Select by letter, not number)
A. Region 1B. Region 2NC. Region 2SD. Region 3E. Region 5F. Region 6G. Region 7H. Region 8I. Statewide
A. B. C. D. E. F. G. H. I.
27%
16%
18%
9%
22%
0%0%
9%
0%
How long have you been participating in asthma-related activities?
A. 0-6 monthsB. 6-12 monthsC. 1-5 yearsD. 5-10 yearsE. Over 10 years
0‐6 m
onth
s6‐1
2 mon
ths
1‐5 ye
ars
5‐10 y
ears
Over
10 ye
ars
7% 5%
49%
23%
16%
How long have you been collaborating with the state asthma program in asthma-related activities?
A. Not currently collaborating with MDCH APCP
B. 0-6 monthsC. 6-12 monthsD. 1-5 yearsE. 5-10 yearsF. Over 10 years
A. B. C. D. E. F.
23%
8%
23%
10%
38%
0%
Are you a member of a local coalition that does work with asthma?
A. YesB. NoC. Don’t knowD. Other
Yes No
Don’t
know
Othe
r
70%
2%2%
26%
APCP GOALS
Highest Priority for APCP?
A. Providing up-to-date surveillance data
B. Patient educationC. Provider educationD. Support to home-based
programsE. Support to school-based
programsF. Health System PoliciesG. EvaluationH. OtherI. Don’t Know
A. B. C. D. E. F. G. H. I.
14%
17% 17%
26%
0%0%0%
10%
17%
Highest Priority for APCP?
A. Providing up-to-date surveillance data
B. Patient educationC. Provider educationD. Support to home-based
programsE. Support to school-based
programsF. Health System PoliciesG. EvaluationH. OtherI. Don’t Know
A. B. C. D. E. F. G. H. I.
22%
9%
15%
17%
2%
0%
11%11%
13%
Discuss with those next to you for 3 minutes.Then, select your answer.
Lowest Priority for APCP?
A. Providing up-to-date surveillance data
B. Patient educationC. Provider educationD. Home-based programsE. School-based programsF. Health System PoliciesG. EvaluationH. OtherI. Don’t Know
A. B. C. D. E. F. G. H. I.
5%
7%
10%
5%
22%
20%
2%
29%
0%
Lowest Priority for APCP?
A. Providing up-to-date surveillance data
B. Patient educationC. Provider educationD. Home-based programsE. School-based programsF. Health System PoliciesG. EvaluationH. OtherI. Don’t Know
A. B. C. D. E. F. G. H. I.
0%
21%
11%
0%
16%
18%
5%
26%
3%
Discuss with those next to you for 3 minutes. Then, select your answer.
Which is currently the most well-covered topic for asthma in Michigan?
A. Providing up-to-date surveillance data
B. Patient educationC. Provider educationD. Home-based programsE. School-based programsF. Policies impacting quality
of careG. EvaluationH. NoneI. OtherJ. Don’t Know
A. B. C. D. E. F. G. H. I. J.
40%
25%
3% 3%
18%
3%
5%
0%
5%
0%
HEALTH EDUCATION
Which of these messages do you believe is highest priority for asthma education in Michigan?A. Use inhaled corticosteroids
to control asthmaB. Use asthma action plans to
guide self-managementC. Assess asthma severity at
the first doctor’s visitD. Assess and monitor
asthma control at each follow-up visit
E. Control exposure to allergens and irritants
F. Recommended school policies relating to asthma
A. B. C. D. E. F.
20%
34%
5%
17%
20%
5%
Source: Guideline’s Implementation Panel Report www.nhlbi.nih.gov/guidelines/asthma/gip_rpt.htm
If Michigan only had the resources to target ONE of these groups for a asthma education campaign this year, which should it be?
A. Primary care cliniciansB. Allergists,
pulmonologists, & other specialists
C. Respiratory therapistsD. People with asthmaE. PharmacistsF. School staffG. Federally Qualified
Health CentersH. Emergency department
cliniciansA. B. C. D. E. F. G. H.
63%
5%
0%
7%10%
5%5%5%
SURVEILLANCE
Prior to this presentation, did you know that Michigan has a surveillance system for asthma?
A. No, I had no ideaB. No, although it
sounds familiarC. Yes, but I don’t use itD. Yes, I have used itE. Yes, I use it often
A. B. C. D. E.
10%12% 12%
39%
27%
APCP Surveillance Data Sources• Michigan Hospital Impatient Database (MIDB)• Medicaid• Behavior Risk Factor Survey (BRFS)
• Asthma Call-back Survey (ACBS)• Youth Risk Behavior Survey (YRBS)
• Youth Tobacco Survey (YTS)• Michigan Resident Death Files
* For data requests: see Peter DeGuire or Bob Wahl
www.getasthmahelp.org
How do you (or would you) typically use MiAPCP Surveillance Findings?
A. Grant applicationsB. ReportsC. AdvocacyD. Program planningE. OtherF. I have no use for
dataA. B. C. D. E. F.
17%
19%
5%
10%
24%26%
How often do you typically go looking for data on Michigan asthma?
A. WeeklyB. MonthlyC. QuarterlyD. Every 6 monthsE. AnnuallyF. Rarely or never
Wee
klyM
onth
lyQu
arter
lyEv
ery 6
mont
hsAn
nuall
yRa
rely o
r nev
er
2%
16%
12%
23%
19%
28%
Sharing of Surveillance FindingsIs it important that we improve this service?
A. High priority B. Medium priorityC. Low priority D. Not importantE. I don't know
A. B. C. D. E.
44%41%
5%
0%
10%
Choose your favorite media for receiving and sharing of surveillance findings
A. E-mail (in text)B. 1-page briefC. Reports/figures onlineD. Tables onlineE. 1 indicator at a time
(Facebook, Twitter, etc)F. Other
A. B. C. D. E. F.
38%
33%
0%
7%7%
14%
Which sub-population measures would be most useful to you?
A. Asthma data by geographic region
B. Children in Medicaid C. Adults in Medicaid D. MortalityE. Health disparities
A. B. C. D. E.
66%
16% 16%
0%2%
Which utilization measures would be mostuseful to you?
A. Health behaviorsB. Environmental
exposuresC. Clinical managementD. Work-related dataE. ED visits for asthma F. Hospitalizations for
asthma
A. B. C. D. E. F.
14%
26%
5%
40%
0%
16%
IMPORTANTDon’t forget to deposit your clicker!
Drop clickers in boxes at the door with Bob Wahl, John Dowling, Carol Davis, or Amber Matthews
Clicker
STOP