Primary Care Clinical Pathway for Children
with Known or Suspected Asthma
- Related Pathways
- Asthma, Emergent Care
- Acute Asthma, Primary Care
-
Asthma Epic Tools
- Asthma Order Smart Set
- Asthma Control Tool
- Asthma Medicaid Order Set
- Asthma Care Plan
- Care Assistant Teaching Tool
- Asthma Medication Guidelines
- VS
- Spirometry, children ≥ 6 yrs
- Use Asthma Order SmartSet
- History and Physical Exam
New Diagnosis
Known Diagnosis
Goal: Achieve Asthma control by reducing impairment and risk
Goal: Achieve Asthma control by reducing impairment and risk
- Differential Diagnosis
- Assess Asthma Predictive Index (API), preschool age
- Severity Classification
-
Control Assessment and
Asthma Control Tool
Major Criteria |
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Minor Criteria |
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Review modifiable risk factors and comorbidities for exacerbations
- Create Asthma Action Plan
- Update Asthma Action Plan
- Providers: Use Asthma Medicaid order set as appropriate
- RN/Asthma Navigator: Use Asthma Health Chart
Follow-up
- 2-4 wks to confirm diagnosis
- Once confirmed, follow
known-diagnosis pathway
- Well-controlled: 3-6 mos
- Not well-controlled: 2-6 wks
- Poorly controlled: 2 wks
- Referrals
- Pulmonology and Allergy for
Problematic Asthma (PAPA) Clinic - Allergy/Immunology
- Pulmonary
Evidence
- A Clinical Index to Define Risk of Asthma in Young Children with Recurrent Wheezing
- 2022 GINA Report, Global Strategy for Asthma Management and Prevention
- Asthma Care Quick Reference
- Global Initiative for Asthma GINA Guidelines