1. PACEPACE hysician sthma are ducation Evaluation Methods

2. Patient Outcomes Health System Factors (non-MD) Other Confounders Parental Factors Patient Factors Environment Factors Physician Factors Provider Attitudes Provider Behavior Provider Knowledge PACEPACE hysician sthma are ducation

3. Provider Survey Measure changes in knowledge, attitudes and self-reported provider behavior Self-administered Immediately before and after the seminar Pros & Cons: –Relatively inexpensive –Difficult to maintain high response rate –No patient outcomes –Self-reported behavior

4. Provider Attitudes Provider Behavior Provider Knowledge PACEPACE hysician sthma are ducation

5. Medical Record Audit Measure changes in provider behavior Requires trained chart reviewers Pros & Cons: –Information regarding physician prescription, outpatient visits (urgent & non-urgent) –Poor documentation of asthma counseling, asthma severity –Consent may be required from each patient/parent –Information on outpatient asthma health care utilization

6. Patient Outcomes Health System Factors (non-MD) Other Confounders Parental Factors Patient Factors Environment Factors Physician Factors Provider Attitudes Provider Behavior Provider Knowledge PACEPACE hysician sthma are ducation

7. Parent Telephone Survey Measure changes in outcomes, self-management Requires trained telephone interviewers Pros & Cons: –Information on outpatient asthma health care utilization, parent perceptions of physician behavior, asthma severity and asthma control –Difficult to schedule, high cost –Consent required from each patient/parent –May need to confirm medications, actual physician prescription (versus patient adherence)

8. Patient Outcomes Health System Factors (non-MD) Other Confounders Parental Factors Patient Factors Environment Factors Physician Factors Provider Attitudes Provider Behavior Provider Knowledge PACEPACE hysician sthma are ducation

9. Claims Data Measure changes asthma health care utilization Requires trained analyst/programmer Pros & Cons: –Information on outpatient asthma health care utilization –No clinical information (appropriateness of controller medications for persistent asthma; determining if ED visit or hospitalization is due to asthma) –Difficult to attribute claim to a specific physician –Multiple patients belong to different MCOs –No consistent CPT codes for “asthma counseling”

10. Annual Data Collection PACEPACE hysician sthma are ducation