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QualityTool Icon QualityTool:

Asthma Action Plan


square iconDescription

Patients can use this template with their doctor to help manage their asthma on a daily basis and during an attack. It also includes a list of possible asthma triggers and ways to avoid them.  

This action plan is divided into color-themed zones with which the health care provider can indicate specific instructions for when the patient is doing well (green), getting worse (yellow), or needs medical assistance (red). Each section lists the following types of information:

  • Signs and symptoms to help the patient determine his or her condition
  • Space for the provider to record information on:
    • Peak flow
    • Medications to be taken
    • When to seek medical care

Links to the Tool:
This tool is available at: http://www.nhlbi.nih.gov/health/public/lung/asthma/asthma_actplan.htm

Developer

National Heart, Lung, and Blood Institute (U.S.)

Funding Sources

National Institutes of Health; U.S. Department of Health and Human Services


QualityTool Topic

Disease/Condition-Related; Guideline-Related


Links to National Guideline Clearinghouse or National Quality Measures Clearinghouse:

This tool is derived from the following guideline in the National Guideline Clearinghouse (NGC): Management of asthma in children 5 to 11 years:
http://www.guideline.gov/summary/summary.aspx?ss=15&doc_id=13016&string=
This tool is derived from the following guideline in the National Guideline Clearinghouse (NGC): Management of asthma in youth 12 years and older and adults,This tool is derived from the following guideline in the National Guideline Clearinghouse (NGC): Management of asthma in youth 12 years and older and adults:
http://www.guideline.gov/summary/summary.aspx?ss=15&doc_id=13017&string=

History

  • Release Date: 12/2004
  • Review Date: 04/2007
  • Recent Summary: 04/2009
  • Original Summary: 12/2004
Disclaimer: The inclusion of a tool in the Innovations Exchange does not constitute or imply an endorsement by the U.S. Department of Health and Human Services, the Agency for Healthcare Research and Quality or Westat of the tool or of the submitter or developer of the tool. Read more.
QualityTool Classification
Disease/Clinical Category: spacer Asthma
Patient Population: spacer Vulnerable Populations > Children
Stage of Care: spacer Preventive care; Primary care; Chronic care
Setting of Care: spacer Ambulatory Setting > Physician office (individual), Physician office (group practice); Public health clinic
Patient Care Process: spacer Active Care Processes: Diagnosis and Treatment > Chronic-disease management; Medication: ordering, transcription, administration, dispensing; Primary care; Patient-Focused Processes/Psychosocial Care > Improving patient self-management; Patient education; Provider-patient communication
IOM Domains of Quality: spacer Effectiveness
QualityTool Format: spacer Workbook/Manual/Guide
QualityTool Topic: spacer Disease/Condition-Related; Guideline-Related
Developer: spacer National Heart, Lung, and Blood Institute (U.S.)
Funding Sources: spacer National Institutes of Health; U.S. Department of Health and Human Services

 

Last updated: July 27, 2009.

 

 spacer Associated Profiles:
 Hospital-Based Asthma Educators Train Patients, Providers, and Community Members on Optimal Care, Leading to Fewer Admissions, Emergency Department Visits, and Missed Work Days
(5/11/09)
In-School Supervision of Students Taking Daily Medication Improves Compliance and Asthma Control
(5/11/09)

 
 
AHRQ Advancing Excellence in Health Care