Asthma Management Projects Conducted by Local Education Agencies Fiscal Year 2: March 1, 2009–February 28, 2010 10 of 10 local education agencies responded A. POLICY Percentage of Asthma Management Projects That Developed, Had, and Distributed Model Policies, Policy Guidance, or Other Policy Materials on the Following Topics: 0% developed polices for immediate access to quick-relief asthma medications 100% had policies for immediate access to quick-relief asthma medications 100% distributed policies for immediate access to quick-relief asthma medications 10% developed policies for student possession and self-administration of prescribed quick-relief asthma medications (with parent and health provider permission 100% had policies for student possession and self-administration of prescribed quick-relief asthma medications (with parent and health provider permission 100% distributed policies for student possession and self-administration of prescribed quick-relief asthma medications (with parent and health provider permission 10% developed policies for appropriate provision of asthma-related school health services by qualified personnel 90% had policies for appropriate provision of asthma-related school health services by qualified personnel 70% distributed policies for appropriate provision of asthma-related school health services by qualified personnel 30% developed policies for keeping asthma action plans on file 70% had policies for keeping asthma action plans on file 70% distributed policies for keeping asthma action plans on file 0% developed policies for asthma awareness education for all students 20% had policies for asthma awareness education for all students 10% distributed policies for asthma awareness education for all students 20% developed policies for asthma management education for students with asthma 70% had policies for asthma management education for students with asthma 60% distributed policies for asthma management education for students with asthma 0% developed policies for required asthma basics and emergency response education for all school staff 20% had policies for required asthma basics and emergency response education for all school staff 30% distributed policies for required asthma basics and emergency response education for all school staff 0% developed policies for elimination of tobacco smoke from all school buildings, grounds, vehicles, and school-sponsored events at all times 90% had policies for elimination of tobacco smoke from all school buildings, grounds, vehicles, and school-sponsored events at all times 60% distributed policies for elimination of tobacco smoke from all school buildings, grounds, vehicles, and school-sponsored events at all times 20% developed policies for identification and reduction of other environmental asthma triggers 50% had policies for identification and reduction of other environmental asthma triggers 40% distributed policies for identification and reduction of other environmental asthma triggers 10% developed policies for development or implementation of an environmental management plan 60% had policies for development or implementation of an environmental management plan 20% distributed policies for development or implementation of an environmental management plan 0% developed policies for full participation in physical activity when students are well 70% had policies for full participation in physical activity when students are well 50% distributed policies for full participation in physical activity when students are well B. Health Promotion and Environmental Approaches Percentage of Asthma Management Projects That Participated in Any of the Following Activities to Help School Staff to Assess, Plan, or Coordinate Asthma Management Activities 40% Distributed the School Health Index or similar tool 20% Provided professional development on the School Health Index or similar tool 30% Provided individualized technical assistance on the School Health Index or similar tool Percentage of Asthma Management Projects That Developed, Had, and Distributed Model Programs, Guidance, Implementation Strategies, or Other Resource Materials on the Following Topics 10% developed programs for writing or implementing an environmental management plan 70% had programs for writing or implementing an environmental management plan 40% distributed programs for writing or implementing an environmental management plan 30% developed programs for preventing indoor air quality problems by reducing or eliminating allergens and irritants, including tobacco smoke; dust and debris from construction and remodeling; and dust mites, molds, furred and feathered animals, cockroaches, and other pests 80% had programs for preventing indoor air quality problems by reducing or eliminating allergens and irritants, including tobacco smoke; dust and debris from construction and remodeling; and dust mites, molds, furred and feathered animals, cockroaches, and other pests 50% distributed programs for preventing indoor air quality problems by reducing or eliminating allergens and irritants, including tobacco smoke; dust and debris from construction and remodeling; and dust mites, molds, furred and feathered animals, cockroaches, and other pests 0% developed programs for Using integrated pest management (IPM) techniques to control pests 90% had programs for using integrated pest management (IPM) techniques to control pests 40% distributed programs for Using integrated pest management (IPM) techniques to control pests 0% developed programs for having a designated and secure storage location for quick-relief asthma mediations that is accessible at all times by the school nurse or his/her designee 100% had programs for having a designated and secure storage location for quick-relief asthma mediations that is accessible at all times by the school nurse or his/her designee 70% distributed programs for having a designated and secure storage location for quick-relief asthma mediations that is accessible at all times by the school nurse or his/her designee 60% developed programs for promoting ongoing communication among students, parents, teachers, nurses, and health care providers to ensure that students’ asthma is well-managed at school 100% had programs for promoting ongoing communication among students, parents, teachers, nurses, and health care providers to ensure that students’ asthma is well-managed at school 100% distributed progarms for promoting ongoing communication among students, parents, teachers, nurses, and health care providers to ensure that students’ asthma is well-managed at school 20% developed programs for having an emergency plan for assessing, managing, and referring students experiencing an asthma-related medical emergency to the appropriate level of care 90% had programs for having an emergency plan for assessing, managing, and referring students experiencing an asthma-related medical emergency to the appropriate level of care 80% distributed programs for having an emergency plan for assessing, managing, and referring students experiencing an asthma-related medical emergency to the appropriate level of care 50% developed programs for obtaining administrative support for asthma management programs 90% had programs for obtaining administrative support for asthma management programs 90% distributed programs for obtaining administrative support for asthma management programs C. Asthma-Related Education Percentage of Asthma Management Projects That Developed, Had, and Distributed Model Programs, Curricula, Guidance, Implementation Strategies, or Other Resource Materials on the Following Topics 70% developed programs for providing staff education on asthma basics and emergency response 100% had programs for providing staff education on asthma basics and emergency response 90% distributed programs for providing staff education on asthma basics and emergency response 20% developed programs for integrating asthma awareness and lung health education lessons into health education curricula 50% had programs for integrating asthma awareness and lung health education lessons into health education curricula 60% distributed programs for integrating asthma awareness and lung health education lessons into health education curricula 60% developed programs for delivering asthma management education for students with asthma 100% had programs for delivering asthma management education for students with asthma 100% distributed programs for delivering asthma management education for students with asthma 80% developed programs for providing awareness-raising or educational events about managing asthma for families of students with asthma 100% had programs for providing awareness-raising or educational events about managing asthma for families of students with asthma 90% distributed programs for providing awareness-raising or educational events about managing asthma for families of students with asthma 50% developed programs for providing asthma programs that are culturally and linguistically appropriate 90% had programs for providing asthma programs that are culturally and linguistically appropriate 90% distributed programs for providing asthma programs that are culturally and linguistically appropriate Percentage of Asthma Management Projects That Provided the Following Types of Asthma-Related Education 90% Presented directly to district or school staff on asthma basics and emergency response 50% Presented asthma-related professional development directly to nurses 100% Presented asthma management education directly to students with asthma in schools or facilitated the delivery of asthma management education directly to students with asthma with other agencies D. Health Services Percentage of Asthma Management Projects That Developed, Had, and Distributed Protocols, Model Programs, Guidance, Implementation Strategies, or Other Resource Materials on the Following Topics 30% developed protocols for using or adapting school health records to identify all students with diagnosed asthma 100% had protocols for using or adapting school health records to identify all students with diagnosed asthma 80% distributed protocols for using or adapting school health records to identify all students with diagnosed asthma 30% developed protocols for using health room and attendance records to track students with asthma 80% had protocols for using health room and attendance records to track students with asthma 70% distributed protocols for using health room and attendance records to track students with asthma 50% developed protocols for obtaining written asthma action plans for all students with asthma 90% had protocols for obtaining written asthma action plans for all students with asthma 90% distributed protocols for obtaining written asthma action plans for all students with asthma 0% developed protocols for using 504 Plans or Individualized Education Plans (IEPs), as appropriate, especially for health services and physical activity modifications 100% had protocols for using 504 Plans or Individualized Education Plans (IEPs), as appropriate, especially for health services and physical activity modifications 60% distributed protocols for using 504 Plans or Individualized Education Plans (IEPs), as appropriate, especially for health services and physical activity modifications 10% developed protocols for ensuring students with asthma have immediate access to quick-relief medications during the school day 100% had protocols for ensuring students with asthma have immediate access to quick-relief medications during the school day 90% distributed protocols for ensuring students with asthma have immediate access to quick-relief medications during the school day 10% developed protocols for ensuring access to quick-relief medications before physical activity to prevent an asthma episode 90% had protocols for ensuring access to quick-relief medications before physical activity to prevent an asthma episode 90% distributed protocols for ensuring access to quick-relief medications before physical activity to prevent an asthma episode 30% developed protocols for using a standard emergency protocol for students in respiratory distress if they do not have their asthma action plan 100% had protocols for using a standard emergency protocol for students in respiratory distress if they do not have their asthma action plan 90% distributed protocols for using a standard emergency protocol for students in respiratory distress if they do not have their asthma action plan 0% developed protocols for having a full-time registered nurse all day, every day for each school 20% had protocols for having a full-time registered nurse all day, every day for each school 10% distributed protocols for having a full-time registered nurse all day, every day for each school 50% developed protocols for referring students without a primary healthcare provider to child health insurance programs and providers 100% had protocols for referring students without a primary healthcare provider to child health insurance programs and providers 100% distributed protocols for referring students without a primary healthcare provider to child health insurance programs and providers 60% developed protocols for providing intensive case management for students with poorly controlled asthma at school 90% had protocols for providing intensive case management for students with poorly controlled asthma at school 90% distributed protocols for providing intensive case management for students with poorly controlled asthma at school 20% developed protocols for providing school-based counseling, psychological, or social services for students with asthma, as appropriate 60% had protocols for providing school-based counseling, psychological, or social services for students with asthma, as appropriate 60% distributed protocols for providing school-based counseling, psychological, or social services for students with asthma, as appropriate E. External Collaboration Percentage of Asthma Management Projects That Collaborated with Each of the Following External Partners State-level health agencies: 60% Local– or county-level health agencies: 80% Health care providers/physicians: 100% Health organizations: 70% National non-governmental organizations: 60% Universities/colleges/institutions of higher education: 80% F. Youth at Disproportionate Risk for Asthma Episodes and Absences Percentage of Asthma Management Projects That Reviewed the Following Kinds of Data to Identify Youth at Disproportionate Risk for Asthma Episodes and Absences School health office records: 100% Absentee data among students with asthma: 70% Hospitalization data among students with asthma: 50% Emergency room data among students with asthma:50% For further information or assistance with the Indicators, contact the Evaluation Research Team at ert@cdc.gov or via the CDC Web site at http://www.cdc.gov/healthyyouth/evaluation/index.htm.