Asthma Clinic Visit 1 |
||||||
Level 1 (a) |
Level 2 (b) |
Level 3 (c) |
Level 4 (d) |
|||
Home visit 1 by CHW (1 to 2 weeks later) |
Home visit 1 by CHW (1 to 2 weeks later) |
|||||
Clinical assessment call 1 by CCM |
Clinical assessment call 1 by CCM |
Co-Managed
|
||||
Asthma clinic visit 2 |
Asthma clinic visit 2 |
|||||
Home visit 2 by CHW (optional) |
Home visit 2 by CHW (1 to 2 weeks later) |
Clinic and home visits continue until such time as the child's asthma is under control |
||||
Clinical assessment call 2 by CCM |
Clinical assessment call 2 by CCM |
|||||
Clinical assessment call 3 by CCM |
Home visit 3 by CHW (optional) |
|||||
Closure: Asthma assessment visit |
Clinical assessment call 3 by CCM |
|||||
Closure: Asthma assessment visit |
||||||
Return to Enhanced Primary Care
|
Criteria for Closure of Care Management
|
(a) Level 1: Self-management support. Child with relatively well controlled asthma. Family has self-management skills. Relatively stable social/psychological status.
(b) Level 2: Basic care management. Child with poor asthma control. Family needs self-management skills. Relatively stable social/psychosocial status.
(c) Level 3: Moderate care management. Child with poor management control. Family needs self-management skills. Moderately complex social/psychosocial issues.
(d) Level 4: Intensive care management. Child with poor asthma control. Family needs self-management skills. Highly complex social/psychosocial issues.
(e) Co-managed care: Care is co-managed. Clinic and home visits continue until such time as the child's asthma is under control.