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P A C E

This evaluation plan encompasses various methods to assess the impact of Physician Asthma Care Education (P.A.C.E) on provider knowledge, attitudes, behavior, patient outcomes, and environmental factors. Methods include surveys, medical record audits, parental surveys, and claims data analysis.

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P A C E

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  1. P A C E hysician sthma are ducation Evaluation Methods

  2. Parental Factors Patient Outcomes Provider Knowledge Provider Attitudes Provider Behavior Physician Factors Patient Factors Environment Factors Health System Factors (non-MD) Other Confounders P A C E hysician sthma are ducation B C A

  3. Provider Survey • Measure changes in knowledge, attitudes and self-reported provider behavior • Self-administered • Immediately before and after the seminar • Pros & Cons: • Relatively inexpensive • Difficult to maintain high response rate • No patient outcomes • Self-reported behavior

  4. Provider Knowledge Provider Attitudes Provider Behavior P A C E hysician sthma are ducation B

  5. Medical Record Audit • Measure changes in provider behavior • Requires trained chart reviewers • Pros & Cons: • Information regarding physician prescription, outpatient visits (urgent & non-urgent) • Poor documentation of asthma counseling, asthma severity • Consent may be required from each patient/parent • Information on outpatient asthma health care utilization

  6. C Parental Factors Provider Knowledge Provider Attitudes Provider Behavior Physician Factors Patient Factors Environment Factors Health System Factors (non-MD) Other Confounders P A C E hysician sthma are ducation Patient Outcomes

  7. Parent Telephone Survey • Measure changes in outcomes, self-management • Requires trained telephone interviewers • Pros & Cons: • Information on outpatient asthma health care utilization, parent perceptions of physician behavior, asthma severity and asthma control • Difficult to schedule, high cost • Consent required from each patient/parent • May need to confirm medications, actual physician prescription (versus patient adherence)

  8. D Parental Factors Provider Knowledge Provider Attitudes Provider Behavior Physician Factors Patient Factors Environment Factors Health System Factors (non-MD) Other Confounders P A C E hysician sthma are ducation Patient Outcomes

  9. Claims Data • Measure changes asthma health care utilization • Requires trained analyst/programmer • Pros & Cons: • Information on outpatient asthma health care utilization • No clinical information (appropriateness of controller medications for persistent asthma; determining if ED visit or hospitalization is due to asthma) • Difficult to attribute claim to a specific physician • Multiple patients belong to different MCOs • No consistent CPT codes for “asthma counseling”

  10. P A C E hysician sthma are ducation Annual Data Collection

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