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Research
Initiatives
The Asthma Network of West Michigan
represents a cooperative relationship between area health care
providers, institutions, non-profit organizations and the
community. A comprehensive package of services has been
developed to address the needs as identified by these
pro-active professionals. Although there is a small
staff, accomplishments must be largely credited to the
professional volunteer force that is the heart of the network.
Divided into six standing committees: Advocacy,
Education, Fund Development, Finance, Marketing &
Membership and Research * specific tasks can be clearly
defined and accomplished. Each committee is an integral
part of the whole; attacking the asthma issue from a differing
perspective * resulting in a total that is greater than the
sum of its parts.
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Detailed Outcome
Measures:
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1
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In
1997, we demonstrated that our educational program for
low-income children with moderate to severe asthma led to
significant improvements in knowledge about asthma, behaviors
and clinical outcomes.
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2
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In
2000, we demonstrated that total hospital charges decreased by
$55,265 from the pre-study year to the study year, for an
average charge reduction of $1,625 per subject for the 34
children enrolled in our case management program. We
further demonstrated that the mean Emergency Department
charge/encounter and mean charge/all encounters were decreased
significantly as well.
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3
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In
2001, comparing 45 children we served to 39 children in a
control sample (who had never received our interventions), we
demonstrated that our asthma case management program
significantly improved the clinical outcomes of low-income
children with asthma severe enough to warrant an Emergency
Department visit or hospitalization. The differences
between the cohort group and the matched control group were
highly significant.
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4
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In
2003, we demonstrated that our relationship with a managed
care organization (MCO), a first between an MCO and an asthma
coalition in this country, significantly improved the clinical
outcomes of members with asthma.
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5
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In
2003, in a different study, we demonstrated that positive
outcomes -- as measured by hospitalizations and days
hospitalized --resulted from this collaboration between an
asthma coalition and an MCO.
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6
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In
2005, reviewing the charts of 37 managed care (Commercial and
Medicaid) patients who have been enrolled in the Asthma
Network of West Michigan for one year and were served between
2003 and 2005 we demonstrated a 66% decrease in hospital
admissions, 46% decrease in length of stay and 60% decrease in
Emergency Department visits.
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