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Show Asthma Clinical Practice Guideline in Primary Care Sarah McMillin, BSN, DNP Student Pamela Phares, PhD, APRN, CNM Key Findings: Implementing a clinical practice guideline improved provider knowledge, practices and comfort of published guidelines as well as improved consistency in clinical practice for asthma treatment at two clinics located at the University of Utah. Results Background Provider knowledge, practices and comfort improved significantly for 4 of 6 providers following the CPG intervention (p<0.05) . Asthma is a common chronic illness, affecting more than 300 million people worldwide. Asthma is primarily diagnosed and managed in a primary care setting. The EHR audit showed improved provider adherence to published guidelines and more consistent clinical practices following the implementation of the CPG When ineffectively managed, asthma can reduce quality of life, cause irreversible airway remodeling, and create economic as well as health care system burden. Feasibility: All providers reported they were “very likely” to keep using the asthma template for future use. Inconsistent management of asthma among primary care providers leads to variable health outcomes among patients. Usability: Five of 6 providers reported the template was easy to understand and use. Methods QI project to enhance providers’ adherence to published guidelines for the management of asthma. A survey was given to providers to assess their knowledge, practices and comfort with treating patients with asthma pre and post intervention. A clinical practice guideline (CPG) was created using published evidence-based best practices for asthma management. The CPG was implemented at the clinics utilizing PowerPoint presentations, handouts, and a template for the electronic medical record. Provider Compliance with GINA Guidelines Barriers: The number of patients seen during the implementation period (n=22) was low due to various factors and the cost of inhalers was a factor in providers not always following published guidelines. 100 Conclusions 90 80 70 The clinical practice guideline was effective in changing providers’ adherence to evidence-based best practices for asthma treatment as well as improving consistency in clinical practice. 60 50 40 30 Affordability of inhalers was a barrier to providers’ ability to fully adhere to GINA guidelines. 20 10 CPGs are feasible and effective to use in a clinic environment to enhance providers’ adherence to evidence-based asthma management practices. 0 A larger study implementing the CPG needs to be conducted health system-wide to determine if it also improves clinical outcomes of patients. Electronic Health Record (EHR) audit performed to compare pre and post intervention data. Pre Intervention Post Intervention COLLEGE OF NURSING |
