title: A team-based approach to providing asthma action plans.
abstract: BACKGROUND
  National guidelines for treatment of asthma include recommendations for providing written asthma action plans (AAPs) to improve outcomes through patient self-management. However, AAP completion rates remain limited in practice.
  
  
  METHODS
  We developed a team-based approach for the delivery of care to asthma patients in a primary care setting that involved integration of an electronic clinical quality management system and provision of written AAPs by registered nurses.
  
  
  RESULTS
  The percentage of patients with AAPs increased after implementation of clinical reminders and nurse-led provision of written AAPs.
  
  
  CONCLUSIONS
  Proper training, use of an electronic clinical reminder system, and enhanced engagement of registered nurses can improve AAP completion rates in a team-based primary care setting.
authors.affiliation: Department of Family Medicine, University of Michigan, Dexter, MI 48130, USA. jkaferle@med.umich.edu
authors.forename: Joyce E
authors.initials: JE
authors.lastname: Kaferle
authors.forename: Leslie A
authors.initials: LA
authors.lastname: Wimsatt
mesh_terms: D000046:Academic Medical Centers; D000554:Ambulatory Care Facilities; D001249:Asthma / Q000628:therapy*; D003299:Cooperative Behavior; D019468:Disease Management; D057286:Electronic Health Records; D019317:Evidence-Based Medicine; D019983:Guideline Adherence; D006801:Humans; D033183:Interdisciplinary Communication; D008824:Michigan; D010347:Patient Care Planning; D010348:Patient Care Team / Q000458:organization & administration*; D010816:Physician Incentive Plans / Q000458:organization & administration; D010818:Practice Patterns, Physicians'; D011320:Primary Health Care / Q000458:organization & administration*; D058996:Quality Improvement / Q000458:organization & administration; D017010:Reminder Systems; D012648:Self Care / Q000379:methods; D017749:Total Quality Management / Q000458:organization & administration