1. System Change for Asthma Care in the Medical Home Everyone Has a Role to Play in System Transformation from the 10-minute Asthma Visit to the Medical Home [Insert Name] [Insert Title} AAP [insert state acronym] Chapter Champion With special thanks to: Jennifer Lail, MD, FAAP

2. What is a Medical Home? “The Medical Home is the model for 21st century primary care, with the goal of addressing and integrating high quality health promotion, acute care and chronic condition management in a planned, coordinated and family-centered manner.” - American Academy of Pediatrics National Center for Medical Home Implementation www.medicalhomeinfo.org Building Your Medical Home Toolkit www.pediatricmedhome.org

3. The Clinician’s Role: Create an asthma registry Develop an asthma care resources database Make asthma action plans easy to understand and follow Use chart templates Refer to coding fact sheets for asthma and medical home Invite visiting professor to practice/institution to educate colleagues

4. The Specialist’s Role: Communicate with the medical home Educate referral base (eg, ICS safety, spirometry, allergy testing, etc) Share asthma teaching tools Invite and/or be a visiting professor

5. The Medical Center’s Role: Communicate with the medical home Teach asthma care (including need for follow-up in the medical home) to residents Provide clinical care and education for severe asthma Assist local schools and day care centers in development of asthma policy Assess needs of referral base Encourage providers to serve as visiting professors

6. The Policymaker’s Role: Insurance for all children Use asthma as a template for all pediatric chronic conditions Advocate for stable asthma formularies Support funding for asthma care ▫ Education ▫ Team-based care ▫ Equipment ▫ Chronic care management visits

7. Chapter Champions are Change Agents for Asthma Care in the Medical Home who Provide and Promote: Evidence-based care Improved access Registries and EMR Communication, collaboration, co-management Support resources Appropriate reimbursement