Intermediate Indicators
Control Asthma Indicators
- Strategies and Activities (Process Measures)
- Short-Term Indicators
- Intermediate Indicators
- Long-Term Indicators
Availability and expanded coverage of services (change in covered benefits)
Note: After selecting interventions and strategies, 6|18 teams may choose to document or assess changes in coverage or benefits. This section provides example indicators to measure changes in covered benefits.
Potential Measures
Frequency
Potential Measures
Changes in language describing covered benefits, as found in Medicaid contracts with MCOs/ACOs:
- Documentation of change in coverage benefits for evidence-based treatments, leading to a new or enhanced Medicaid service/benefit, compared to prior language describing benefits.
Resource:
Changes in language describing covered benefits, as found in State Plan Amendments, Section 1115 waiver letters, or documents that give notice of administrative changes to covered benefits (example: annual notice of requirements or other relevant documents) –
Resources:
- State plan amendment applicationexternal icon (Maryland)
- To the Centers for Medicare & Medicaid Services.
- For a Health Services Initiative under the Children’s Health Insurance Program.
- State plan amendment approval letterexternal icon (Missouri)
- Added asthma education and assessments to the state plan.
- State plan amendment approval letterexternal icon (Missouri)
- Health Home – added additional chronic care conditions as qualifying conditions for Primary Care Health Home participants.
- Community Health Workers: Delivering Home-Based Asthma Servicesexternal icon.
- Increased flexibility to pay for preventive services, such as home based asthma interventions, delivered by CHWs and other providers that may fall outside of a state’s clinical licensure system.
Changes in language describing covered benefits, or changes in services offered, as implemented by MCOs/ACOs –
Resource:
- Managed Care Organization Survey Questions to Assess Asthma Control Servicesexternal icon
- This tool can help 6|18 teams assess changes in how asthma control services and medications are being covered, promoted, reimbursed, tracked and evaluated by managed care organizations.
- Also, 6|18 teams may use these survey questions during intervention planning to identify the most impactful opportunities to address asthma control.
Documentation of other actions taken to finance in-home asthma care:
Resource:
Frequency
Based on state activities
Use of evidence-based services – CDC EXHALE measures
Potential Measures
Frequency
Potential Measures
Asthma self-management education (AS-ME) completion rates CDC
AS-ME includes education for people with asthma and their families to:
- Use asthma medications correctly;
- Reduce exposures to asthma triggers such as cockroaches or mold; and
- Manage their condition when asthma symptoms worsen.
- AS-ME Completion RatesCDC—
- Number and demographics of people with asthma who initiated and attended at least 60% of sessions of guidelines-based, asthma self-management education (AS-ME).
- Please consult your CDC Asthma EXHALE evaluator, if applicable, for measure specifications.
- Number and demographics of people with asthma who initiated and attended at least 60% of sessions of guidelines-based, asthma self-management education (AS-ME).
- AS-ME Completion RatesCDC—
Home visits for reducing triggers.
Asthma control – Improvement in asthma control among AS-ME completers.CDC
- The number of participants with poorly controlled asthma on enrollment who report that their asthma is well-controlled or more after attending 60% of asthma self-management education (AS-ME).
- Please consult your CDC Asthma EXHALE evaluator, if applicable, for measure specifications.
Frequency
Annually
Use of evidence-based services – quality measures
Potential Measures
Frequency
Potential Measures
Follow-up – Primary care connection after emergency department visits for children with asthma (NQF 3171, PDF page 32).
- Percentage of asthma ED visits followed by evidence of care connection.
Asthma medication ratio (AMR) (NQF 1800) HEDIS, Medicaid Core Set
- Percentage of patients who have a medication ratio of controller medications to total asthma medications of 0.50 or greater during measurement year.
Frequency
Monthly or quarterly
Legend
HEDIS HEDISexternal icon Measure
Medicaid Medicaid Core Setexternal icon Measure
NQF National Quality Forum (NQF) Endorsedexternal icon Measure
MIPS MIPSexternal icon Measure
CDC CDC EXHALE Performance Measure