Improving allergy office scheduling increases patient follow up and reduces asthma readmission after pediatric asthma hospitalization

Annals of Allergy, Asthma & Immunology : Official Publication of the American College of Allergy, Asthma, & Immunology
Melanie A RuffnerTerri F Brown-Whitehorn

Abstract

Pediatric asthma is a major contributor to emergency room utilization and hospital readmission rates. To develop an allergy department‒based intervention to improve follow-up appointment scheduling processes for pediatric asthma patients after discharge for asthma exacerbation. This quality improvement study was conducted in the allergy clinic of an urban, tertiary children's hospital. Children receiving subspecialty allergy care for asthma were included into the intervention group during the intervention period. The quality improvement intervention consisted of 3 attempts by telephone to reach the family to schedule the follow-up appointment. If this was unsuccessful or if the appointment was not kept, then a reminder letter was sent to the family. The primary outcome of interest in this study was the percent of postdischarge follow-up appointments scheduled within 30 days of discharge. Secondary outcomes measured were the percent of allergy appointments attended within 30 days of discharge and the 30-day hospital readmission rate. Demographics did not differ significantly between the intervention and baseline preintervention year. The initial baseline scheduled allergy follow-up visit rate was 48.8 ± 13.3% of patients dischar...Continue Reading

Citations

Dec 31, 2019·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Wangming SunWeixi Zhang
Mar 17, 2020·Journal of Pediatric Surgery·Naomi-Liza DenningBarrie S Rich

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