Primary Care Clinical Pathway for Children with Known Asthma Diagnosis or Suspected Asthma
- Related Pathways
- Asthma, Emergent Care
- Acute Asthma, Primary Care
Concern for respiratory distress
refer to Primary Care Acute Asthma Pathway
RN/MA Assessment, Vital Signs, Respiratory Rate, Spirometry in children ≥ 6 years of age
Use Asthma Order SmartSet
Use Asthma Order SmartSet
New Diagnosis
- History and Physical Exam
- Differential Diagnosis
- Assess Asthma Predictive Index (API), preschool age
- Severity Classification
- Risk Factors for Exacerbations
- Modifiable Factors
- Comorbidities
Major Criteria |
|
---|---|
Minor Criteria |
|
- Create Asthma Action Plan in Epic
- Discharge Instructions and Education
- Provider Teaching:
- Use Epic Asthma Medicaid orderset as appropriate
- Discuss medication
- RN/Asthma Navigator Teaching:
- Use Epic Care Assistant Teaching Tool
- Teach device technique
- Discuss adherence
- Reinforce/dispense medication
- Provider Teaching:
Follow-up
- Scheduled follow-up in 2-4 weeks to confirm diagnosis
- Follow known-diagnosis pathway if confirmed diagnosis
- Use Epic Asthma Medicaid Order Set as appropriate
Known Diagnosis
- Goal: Achieve Asthma Control
- By reducing impairment and risk
- History and Physical Exam
- Assess Control, using Control Assessment and Epic Asthma Control Tool
- Risk Factors for Exacerbations
- Modifiable Factors
- Comorbidities
- Update Asthma Action Plan in Epic
- Discharge Instructions and Education
- Provider Teaching:
- Use Epic Asthma Medicaid orderset as appropriate
- Discuss medication
- RN/Asthma Navigator Teaching:
- Use Epic Care Assistant Teaching Tool
- Teach device technique
- Discuss adherence
- Reinforce/dispense medication
- Provider Teaching:
Follow-up
- Follow-up recommendations:
- While gaining control: every 2-6 weeks
- Monitoring Control: every 1-6 months
- Anticipating Step-down of therapy: every 3 months
- Referrals
- Pulmonary & Allergy for Problematic Asthmatics (PAPA) Clinic, Allergy/Immunology, Pulmonary
- Use Epic Asthma Medicaid order set as appropriate
- Asthma Epic Tools
- Asthma Smart Set
- Asthma Order Smart Set
- Asthma Control Tool
- Asthma Medicaid Order Set
- Asthma Action Plan
- Care Assistant Teaching Tool
- Asthma Medication Guidelines