Implementation of the Asthma Practice Guidelines in the Army by Donna O. Farley

By Donna O. Farley

Can the military successfully enforce medical therapy guidance in its army remedy amenities to accomplish constant and hig h caliber practices thoughout its well-being method?

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Extra resources for Implementation of the Asthma Practice Guidelines in the Army Medical Department: Final Evaluation

Example text

The peer groupings developed by PASBA were used to identify control MTFs that were similar to the demonstration MTFs in terms of size and service mix. The Asthma Population The analysis in this evaluation works with three distinct asthma populations: • Total asthma population—All TRICARE-eligible patients with asthma who during the two study years defined for the evaluation either received asthma care or prescription for asthma medication at least once at any Army MTF in the continental United States or resided in an Army MTF catchment area and received asthma care from a network provider or filled an asthma medication prescription through the National Mail Order Pharmacy (NMOP).

MEDCOM needs to forge a policy regarding the use of forms that supports efficiency and value for providers and patients, particularly for patients with multiple conditions for which more than one guideline may apply. Summary xxix • MEDCOM needs to further define the role of patient education in treatment processes of chronic conditions, while MTFs need to ensure that they are using the most effective patient education techniques. The issue of patient education has increased in salience for AMEDD because many of the guidelines it has implemented are for chronic conditions that require self-care management by patients for effective overall management of the condition.

To help MTFs make lasting practice improvements, MEDCOM needs to communicate clearly that achieving best practices is a system priority, and it should continue to support and reinforce the MTFs’ efforts by providing technical support and establishing an effective monitoring system to track and provide feedback to the MTFs on their progress. Acknowledgments An extraordinary amount of dedication and hard work by numerous individuals contributed to the performance of the AMEDD demonstration for implementing the DoD/VA asthma management guideline in the Southeast Region.

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