1. Spirometry 360 © University of Washington
What Are Your Barriers?
Not enough time
Not enough patients to test
Too hard to make changes in my practice
Too hard to justify the time spent KS
 CHOSE 1-2 RESPONSES
April 2012
Spirometry 360 © University of Washington

2. Spirometry 360 © University of Washington
Some Solutions
Not enough time
Get out of acute care cycle
Cluster asthma visits
Restructure visits
Commit to a pilot of planned visits for asthma or COPD - KS
April 2012
Spirometry 360 © University of Washington

3. Spirometry 360 © University of Washington
Some Solutions
Not enough patients to test
Immediate:
claims data: 493.xx, albuterol use, ED visits or hospitalizations
ask coworkers about their difficult asthma patients
Long term: utilize reminder system, registry, EHR KS
April 2012
Spirometry 360 © University of Washington

4. Spirometry 360 © University of Washington
Some Solutions
Too hard to make changes in my practice
Start small, form a team, and assign roles
Utilize QI tools
Try for some measurable changes
Use of spirometry during planned visits
Cases where spirometry changed treatment plan KS
April 2012
Spirometry 360 © University of Washington

5. Spirometry 360 © University of Washington
Some Solutions
Too hard to justify the time spent
Consider clinical and business case (presented earlier) KS
April 2012
Spirometry 360 © University of Washington

6. Spirometry 360 © University of Washington
Some Solutions
Not enough time
Get out of acute care cycle
Cluster asthma visits
Restructure visits
Not enough patients to test
Immediate: claims data, enlist coworkers
Long term: utilize reminder system, registry, EHR
Too hard to make changes in my practice
Start small
Utilize QI tools, measure changes
Too hard to justify the time spent
Consider clinical and business case KS
April 2012
Spirometry 360 © University of Washington