title: Evaluating the Impact of Information Technology Tools to Support the Asthma Medical Home.
abstract: This study aimed to evaluate the impact of information technology tools on the outcomes of children with asthma in the medical home. A registry was established for children aged 4 to 18 years with an ICD-9 code for asthma. Changes to the electronic health record included modifications to notes, care plans, and orders. A retrospective analysis of emergency department and in-patient utilization for a cohort of patients was conducted from July 2009 through June 2013. Of the study population (n = 1217), 65% had a classification of asthma severity and 63% were risk-stratified. Seventy percent had a control assessment at least once. Care plan use increased from 5% to 22% and enrollment in care coordination increased from 0.1% to 4%. After 3 years, there was a reduction of emergency department and inpatient admissions for asthma (P < .05 and P < .005, respectively). The implementation of information technology tools was associated with improved asthma outcomes.
authors.affiliation: Columbia University, New York, NY, USA lam2048@columbia.edu.
authors.forename: L Adriana
authors.initials: LA
authors.lastname: Matiz
authors.affiliation: Columbia University, New York, NY, USA.
authors.forename: Laura
authors.initials: L
authors.lastname: Robbins-Milne
authors.affiliation: Columbia University, New York, NY, USA.
authors.forename: M Christine
authors.initials: MC
authors.lastname: Krause
authors.affiliation: NewYork-Presbyterian Hospital, New York, NY, USA.
authors.forename: Patricia J
authors.initials: PJ
authors.lastname: Peretz
authors.affiliation: Columbia University, New York, NY, USA.
authors.forename: John C
authors.initials: JC
authors.lastname: Rausch
mesh_terms: D000293:Adolescent; D001249:Asthma / Q000628:therapy*; D002648:Child; D002675:Child, Preschool; D015331:Cohort Studies; D057286:Electronic Health Records / Q000706:statistics & numerical data*; D005260:Female; D006760:Hospitalization / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008490:Medical Informatics / Q000379:methods / Q000706:statistics & numerical data*; D009518:New York; D018802:Patient-Centered Care / Q000706:statistics & numerical data*; D012042:Registries / Q000706:statistics & numerical data; D012189:Retrospective Studies; D012720:Severity of Illness Index; D014505:Urban Population / Q000706:statistics & numerical data
keywords: asthma; care care coordiation; disease registry; information technology; medical home; tools