Childhood Bronchial Asthma: Process & Outcome Measures

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The National Quality Measures Clearinghouse has been of great importance to the Department of Health and Human Services. A lot of useful data is available on this website. For instance, there are measures and outcomes that are extracted from the National Quality Measures Clearing House for use in the Department of Health and Human Services to tackle bronchial asthma in children. One such measure is the assessment of the percentage of members who have persistent asthma from as young as five years of age. The supporting evidence of this measure includes a guideline on clinical practice, a procedure on formal consensus involving relevant experts from clinical, public health, as well as organizational sciences, and at least one research study that has been published by the National Library of Medicine. The measure is applicable among asthma victims; those admitted in hospital, as well as outpatients. It is also used in managed care plans, emergency departments, and office-based care. Pharmacists and physicians are the professionals who have been involved in the implementation of the measure.

Another measure that has been adopted by the Department of Health and Human Services is the appropriate use of medications for people suffering from asthma, right from the age of five years. The evidence that is used to support the adoption of this measure is the guideline on clinical practice, as well as the procedure of formal consensus. The measure is applied in organizations that provide care to outpatients and inpatients too. Moreover, the measure is in use in emergency departments, as well as office-based care settings. The professionals who have been involved in the implementation of this measure include advanced practice nurses, physician assistants, physicians, and pharmacists.

One example of an outcome found in the National Quality Measures Clearinghouse that is related to bronchial asthma in children is the average number of school days that are lost due to asthma. The evidence that supports this outcome is the procedure of formal consensus that involves relevant experts in clinical, public health, and methodological sciences. The outcome is based on the available statistics that indicate there are about 4.8 million American children who have asthma. This outcome is mainly used in the community health care.

Several reasons have been widely provided in the development of clinical indicators by the Australian Council on Health Services. One of these reasons is the fact that the indicators are recognized internationally. Another reason is that health care organizations determine the selection of all clinical indicators in Australia. One of the most important conditions necessary for the development of clinical standards in Australia is that more than 40 health care colleges and organizations have to endorse the indicators being adopted for use in clinical practice. Statisticians from the University of Newcastle have to validate all the external indicators before being approved for use in the clinical departments in Australia. A detailed literature review also has to be carried out on all the new clinical indicators to ascertain their importance and applicability in the modern times. Clinicians are urged to develop clinical indicators as a way of maintaining relevant and up-to-date indicators. Appropriate coding is done in an effort to categorize different clinical indicators according to their particular groups.

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