Appendix g individual/Family/Community Concerns Goal 1



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APPENDIX G

Individual/Family/Community Concerns


Goal 1: Individuals with asthma and their families expect and receive appropriate high quality asthma self- management education and support at time of diagnosis and throughout life.
Objective 1: Individuals with asthma and their families have access to accurate high quality education and peer/family asthma support systems that are culturally appropriate.
Objective 1 - Strategy: Create or support a web-based system to collect asthma information and resources and make them available to individuals with asthma, families, health care professionals, and the community.
Lead Agency/Organization for Strategy: American Lung Association of Minnesota and the Minnesota Asthma Coalition
Objective 1: What will indicate success:

  1. Web-based information system developed and tested.

  2. Number of user hits on the web site.

  3. Additional information requests that are received via telephone, etc.

  4. Number of web site links.

  5. Information is accurate, current and relevant to users.


Actions Lead Agency Supporting Agencies

Create a technical advisory team . ALAMN/MAC MDH Divisions – Environmental Hlth, Tobacco, MCSHN

Conduct needs assessment. ALAMN/MAC Healthy Learners Asthma Initiative

Conduct asthma MN resources/program Coordinated School Health ( MDH & CFL )

activities inventory. Department of Human Services

Develop web-based resources for health care Minnesota Society of Respiratory Care

professionals, community, etc. Minnesota Pharmacists Association

Establish quality criteria measures for materials. Minnesota Council of Health Plans

Develop website. School Nurse Organization of Minnesota

Maintain website. Minnesota Public Health Association

Pursue additional funding opportunities to sustain Local public health agencies

the resource center (staffing, phones, shipping, etc.). Relevant Professional Organizations

Relevant Community Based Organizations

Minnesota Center for Cross-Cultural Health

Hennepin County Medical Center Asthma Collaborative

Children’s Hospital and Clinics


Goal 1: Individuals with asthma and their families expect and receive appropriate high quality asthma self- management education and support at time of diagnosis and throughout life. (See Goal 2: Objective 2: Health Professional and Provider Education Working Group)
Objective 2: At least 150 health care professionals will become certified asthma educators and will provide state-of-the-art asthma education to individuals &/or families &/or staff in health care, childcare settings, homes, schools, workplaces, and other community settings.
Objective 2 - Strategy:


  1. Implement national asthma educator certification preparatory course for health care professionals.

  2. Maintain database of health care professionals who have attended the course and those who have received certification.

  3. Track number of individuals/groups in different settings that have received asthma education by certified asthma educators.


Lead Agency/Organization for Strategy:

American Lung Association of Minnesota and the Minnesota Asthma Coalition


What will indicate success:

  1. 150 health professionals certified.

  2. Database developed.

  3. 8,700 individuals receive education from certified asthma educators over a five-year time frame.


Actions Lead Agency Supporting Agencies Timeline


Create advisory group. ALAMN/MAC Relevant Professional Organizations 03/02-completed

Develop curriculum. MDH 05/02

Pilot test curriculum. School Nurse of Organization of MN 06/02

Create tracking database Minnesota Public Health Association 06/02 Create workshop schedule Minnesota Medical Association 06/02 Develop participant evaluation Minnesota Society of Respiratory Care 06/02

Develop feedback loop. Minnesota Medical Association 06/02

Provide training to faculty. Minnesota Medical Association 07/02

Develop marketing plan 07/02

Offer first workshop NAPNAP 08/02

Determine process for renewal updates. 08/03


Goal 1: Individuals with asthma and their families expect and receive appropriate high quality asthma self-management education and support at time of diagnosis and throughout life.
Objective 3: Develop and provide learning opportunities for individuals who interact with people with asthma.
Objective 3 - Strategy:

Develop asthma educational resources (e.g. web-based ) for individuals to use in the specific settings in which they interact with people with asthma.


Lead Agency/Organization for Strategy:

American Lung Association of Minnesota/Minnesota Asthma Coalition & Minnesota Department of Health


What will indicate success:

To be defined by the technical advisory committee.


Actions Lead Agency Supporting Agencies


Gather and review existing asthma materials MDH/ALAMN School Nurse Organization of Minnesota

available in Minnesota and from national programs. Coordinated School Health (MDH/CFL)

Recruit and organize diverse technical advisory committee Minnesota Department of Human Services

Determine “new” kinds of information that will be Minnesota Public Health Association

needed before planning the program. Local public health agencies

Define goals of the project Minnesota Coaches Association

Define the targeted audience(s). Education Minnesota

Draft communication strategies. Chamber of Commerce

Define communication channels that are most appropriate. Faith Groups

Determine learning/training opportunities for targeted audience(s). Minnesota Center for Cross Cultural Health

Define material format (web-based, etc.). Department of Housing & Urban Development

Develop materials and pre-test. Minnesota Nurses Association

Revise materials based on feedback. Healthy Learners Asthma Initiative

Implementation.

Assess Effectiveness.

Feedback to the program.







Goal 1: Individuals with asthma and their families expect and receive appropriate high quality asthma self-management education and support at time of diagnosis and throughout life.
Objective 4: Third party payer policies will include adequate payment for appropriate individual or group asthma educational activities for their enrollees.

Objective 4 - Strategy: Establish a statewide task force of employers, government programs, health plans, clinicians, and others to discuss effective reimbursement strategies for asthma education.
Lead Agency/Organization for Strategy: Minnesota Department of Health
What will indicate success:

  1. Government Insurance Programs will pay the cost of asthma education.

  2. Health plans and employer groups will pay the cost of asthma education.

  3. More individuals with asthma will receive asthma education.


Actions Lead Agency Supporting Agencies


National billing code for asthma. MDH Centers for Medicare and Medicaid Services

Set fee schedule. Minnesota Department of Human Services

HCPCS group coordinates billing procedure. Health Care Procedural Coding System

Establish system to bill on-line for pharmacists. Minnesota Council of Health Plans

Government Insurance Programs pay for asthma education. Minnesota Pharmacists Association

Health plans and employer groups pay for asthma education. MDH –Health Policy & Systems Compliance Division

Develop a mechanism that allows nurse/schools to be eligible providers

and receive reimbursement for individual/family asthma education






Goal 1: Individuals with asthma and their families expect and receive appropriate high quality asthma self-management education and support at time of diagnosis and throughout life.
Objective 5: Develop comprehensive approaches to support asthma self-management among each of the following populations: children 0-5, children 6-18, adults, and senior citizens.
Objective 5 - Strategy:

See Appendix ____ for suggested strategies for school-based approaches to supporting children and youth ( 6-18 years) asthma

self-management.
Lead Agency: Coordinated School Health (a partnership of the Minnesota Department of Health and Minnesota Department of Children, Families, & Learning) and School Nurse Organization of Minnesota for school-based approaches for children and youth (6-18) strategy.
Please Note: It is beyond the focus and the scope of the Individual/Family/Community (IFC) Concerns working group to offer suggested strategies for children 0-5, adults, and senior citizens. It is the IFC working group recommendation that technical advisory committees be created to define the needs specific to each of these targeted audiences.
What will indicate success:

To be defined by the technical advisory committees.


Actions Lead Agency Supporting Agencies
Create technical advisory teams to consult on specific strategies for the following:
Children 0-5 Healthy Child Care Minnesota

Early Childhood Family Education

Minnesota Head Start Association

Child Care Resource & Referral

Minnesota Community Action Association
Children 6-18 Coordinated School Health Healthy Learners Asthma Initiative

Minnesota Nurses Association

Local Public Health Association

Minnesota Community Action Association


Adults Health Plans Industry (labor unions)

Minnesota Community Action Association

Senior citizens Department of Human Service, Aging Initative

Retired Senior Volunteers Program Area Agencies on Aging






Goal 2: Minnesotans will be aware of asthma and opportunities for individuals with asthma, their families, and communities to

identify and manage the disease.


Objective 1: Educate Minnesotans about asthma; including asthma triggers, early identification, and the importance of having regular asthma care.
Objective 1 – Strategy A: Promote asthma awareness activities, events, and other learning opportunities for the public regarding asthma

(e.g. coordinate with “World Asthma Day”).


Lead Agency/Organization for Strategy : American Lung Association of Minnesota/Minnesota Asthma Coalition and the Minnesota Department of Health.
What will indicate success: Greater awareness of asthma by Minnesotans.
Actions Lead Agency Supporting Agencies
Form a World Asthma Day education planning committee

that reflects the diversity of Minnesota. ALAMN/MAC/MDH School Nurse of Organization of MN

  • Establish a state Proclamation by the Governor for Public and Non-Public School Districts

observance of World Asthma Day. State agencies

  • Coordinate with schools, hospitals, health care providers, Hospitals

public health officials, local governments, and community Health Care providers

groups in planning specific activities in Minnesota to raise Community groups

awareness of the burden of asthma and the need to improve asthma Local government

care. Daycare providers

Local Public Health

Suggested Ideas for World Asthma Day:


  • Host an asthma awareness poster or essay contest for students to help spread the word.

  • Organize a bus or mobile van tour to take information on diagnosis,

education and treatment to public facilities in more remote areas of the state or

specific metro communities – for example, community centers, libraries.



  • Conduct a panel discussion or hearing for public officials to brief them on the

status of asthma in a community and available resources for dealing with asthma.

  • Host a public forum or town hall meeting to discuss local issues related to effective

asthma treatment and management.

  • Provide FREE asthma information at recreational centers in various neighborhood facilities.

  • Stage a World Asthma Day sponsored walk, run, or swim and invite well-know athletes from the areas to take part.




Goal 2: Minnesotans will be aware of asthma and opportunities for individuals with asthma, their families, and communities to

identify and manage the disease.


Objective 1: Educate Minnesotans about asthma triggers, early identification, and the importance of early asthma care.
Objective 1 - Strategy B: Promote public policies that decrease exposure to environmental asthma triggers.
Lead Agency/Organization for Strategy: Minnesota Department of Health, American Lung Association of Minnesota, Minnesota Asthma Coalition
What will indicate success:

  1. Minnesotans, especially elected and appointed decision makers, will understand and support public policies and practices, which will decrease exposure to tobacco smoke.

  2. Minnesotans, especially elected and appointed decision makers, will understand and support public policies and practices, which will decrease exposure to molds and other naturally occurring asthma triggers.

  3. Minnesotans, especially elected and appointed decision makers, will understand and support public policies and practices which will decrease exposure to air-borne pollutants (other than tobacco smoke) that are associated with increased asthma morbidity.


Actions Lead Agency Supporting Agencies
Educate local decision makers Health Plans

about tobacco smoke reduction policies. MDH/ALAMN/MAC American Heart Association

American Cancer Association

Early Childhood Family Education

Minnesota Medical Association

US Housing & Urban Development

Educate local decision makers and communities about buildings/moisture Coordinated School Health

issues and molds/other naturally occurring asthma triggers. Community Coalitions

Chamber of Commerce


Educate local decision makers and communities about air-borne



pollutant reduction policies.




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