Joint Principles of a Medical Home for Children with Asthma [Insert Name] [Insert Title] AAP [insert state acronym] Chapter Champion With special thanks to: John Meurer, MD, MBA Medical College of Wisconsin

Objective Apply joint principles of medical home and key components of NHLBI asthma guidelines to pediatric practice 2

Personal Pediatrician, Physician-Led Practice, and Coordinated Care 3 Provide continuity of care ▫ Preventive services, chronic management, sick care, phone advice Coordinate and integrate care with specialist, ED, in-patient, school, and home nurse Use an EHR and asthma registry for patient and population-based management Transition teens to adult care

Provide Holistic Care Use trigger checklist and home environmental assessment Control environmental triggers Atopic conditions, obesity, and anxiety Promote physical activity, healthy diet, and adequate sleep Address comorbidities Home nurses, social and neighborhood services, legal help Address socioeconomic barriers 4

Continually Improve Quality of Care Use asthma control tests Provide written asthma action plan developed with patient and family Enroll in AAP EQIPP Courses ( CME offered, MOC Part 4 available Medical Home for Pediatric Primary Care Asthma — Diagnosing and Managing in Pediatrics 5

Continually Improve Affordable Access to Care Accept low-income families Advocate for policy and system improvements with government, health plans, hospitals, and schools 6