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Texas Emergency Department Asthma Surveillance

An Evidence-Based Practice

This practice has been Archived and is no longer maintained.

Description

The Texas Emergency Department Asthma Surveillance (TEDAS) partnership is made up of four regional hospitals that handle the bulk of pediatric asthma cases in Houston and Galveston. The program collects emergency department (ED) information to identify patient characteristics, instructs ED physicians in standardized asthma diagnosis and treatment, and educates patients and parents in asthma management. TEDAS established a database to record all ED visits by children at the participating hospitals and developed educational materials for medical providers, patients, and their families. The program delivers asthma education presentations to emergency room physicians every six months to reinforce lessons and train new staff. Asthma educators teach families and patients self-management using a customizable, computer-based tool, and create an asthma action plan for the child which is also mailed to the patient’s primary care provider.

Goal / Mission

The goal of the TEDAS program is to reduce the number of pediatric asthma-related emergency room visits.

Results / Accomplishments

Approximately 11,000 children with asthma have been reached by the four hospitals. Patients with intermittent asthma made significantly fewer ED visits after receiving the education intervention (40% fewer visits) and caregivers reported improved confidence in their ability to prevent their child’s symptoms from worsening. Physicians who participated in educational programming had significantly improved test scores regarding asthma diagnosis and assessment.

About this Promising Practice

Organization(s)
Texas Children’s Hospital
Primary Contact
Charles G. Macias, MD
6621 Fannin Street
A2210
Houston, TX 77030
832-824-5497
cmacias@bcm.edu
Topics
Health / Health Care Access & Quality
Health / Children's Health
Health / Respiratory Diseases
Organization(s)
Texas Children’s Hospital
Source
PediatricAsthma.org
Date of publication
2006
Date of implementation
2002
Location
Houston and Galveston, TX
For more details
https://www.cdc.gov/nceh/tracking/wkshop04/pdfs/po...
Target Audience
Children

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  5. Reducing Environmental Triggers of Asthma
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Related Content for: Texas Emergency Department Asthma Surveillance

An Evidence-Based Practice meets the following HCI criteria:

  1. The program description includes at a minimum: the sponsoring organization, program goals, program implementation steps, and outcomes that have demonstrated program success in achieving the program goal in one or more localities.
  2. The results from an evaluation of the program include quantitative measures showing improvement in the outcome(s) of interest after the implementation of the program (i.e. increase in smoking cessation, not just the delivery of a smoking cessation program). The outcome measure(s) is/are compared at relevant time periods before and after the intervention or program implementation. Alternatively, the evaluation study compares the outcome(s) between an intervention group and an appropriate control group.
  3. The study is of peer-review quality and presents numbers in a scientific manner; measurements of precision and reliability are included (e.g. confidence intervals, standard errors), results from statistical tests show a significant difference or change in the outcome measure(s), and relevant point estimates and p-values are presented. Note: if the results from an evaluation of a program are presented in a scientific manner and the outcome measure is improved compared to the baseline measurement or the control group but the difference is not statistically significant, the practice is classified as effective and not evidence-based.
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