2016 Community Health Action Plan | Page 54

Goal 1: Increase access to routine care for respiratory illnesses Anticipated Impact Over the course of three years, the anticipated impact will be a decrease in the number of emergency department visits and hospitalizations for asthma and bronchiolitis in youth ages 0-17 in the targeted communities where these services are being provided. There will be an increase in the number of children who receive routine asthma care in the clinical setting outside of the emergency department. In addition, community providers will have a better understanding of care for children at risk for respiratory illnesses. The patient and family education provided across clinic settings will be standardized, high quality, and at an appropriate health literacy level. Finally, routine preventive care for respiratory illnesses will be easier for families to access within the Denver metro area. Strategy 1.1 Increase rate of follow-up visits with a specialist or community based primary care provider within 30 days of a CHCO emergency department visit or inpatient hospitalization for asthma. Tactic: CHCO will improve our process for scheduling follow-up visits in our clinics and tracking follow-up visits scheduled with community based providers. Tactic: CHCO will enhance the hours, days, and locations of clinical services to match the needs of our patients and improve ease of receiving follow-up care. Setting / Delivery Mechanism Provider – This program can be expanded and administered through a clinical network of pediatric pulmonologists and advanced practice providers (PA-C and CPNP) in conjunction with existing community based primary care practices. Internal Resources OO Patient/Family OO Welcome Navigator Coordinator OO Prevention & Education Coordinator OO Process improvement specialist OO Primary Care Practice Coach OO 5 outpatient specialty clinics located around the Denver metro area External Resources Partners will be defined based on targeted communities for intervention. Current partners include but are not limited to: OO Denver Health OO Community 54 pediatric and family medicine practices