Prioritization and Evaluation of Michigan’s Asthma Prevention & Control Program Activities

Robin Stottlemyer

How Are We Doing?

The Myth of Sisyphus“The gods condemned Sisyphus to endlessly roll a rock up a hill; each time it would return to its starting place. The gods thought with some reason there was no punishment more severe than eternally futile labor.”

- Albert Camus

“Everything that can be counted does not necessarily count; everything that counts cannot necessarily be counted” -- Albert Einstein

What can be counted

What counts

“Everything that can be counted does not necessarily count; everything that counts cannot necessarily be counted” -- Albert Einstein

What counts

1980’s

2014

What can be counted

Asthma Programs in Michigan• Michigan Asthma Prevention & Control Program (MiAPCP)

• Funded by CDC• Program staff: John Dowling, Tisa Vorce, Judi Lyles, Carol Davis• Epidemiology staff: Bob Wahl, Peter DeGuire, Robin Stottlemyer,

Erika Garcia

• Asthma Initiative of Michigan (AIM)• Collaborative effort throughout Michigan

• MDCH MiAPCP staff• Community Coalitions• Michigan Asthma Advisory Committee (MAAC)• Strategic Partners• Health Systems• Others

APCP Functions• Surveillance of asthma prevalence, triggers,

management, and morbidity• Evaluation of activities and progress to reaching goals• Identify and address disparities in asthma • Program development and implementation• Project management • Partner relations • Communication • Public relations and marketing • Resource development

AIM• The Asthma Initiative of

Michigan (AIM)

• Collaborative effort involving multiple partners from the public and private sectors across the state to reduce the burden of asthma in Michigan

www.getasthmahelp.org

Today’s clicker questions

1. Identify program successes and areas for improvement

2. Provide guidance to the MI Asthma Prevention & Control Program (MiAPCP) on how it can better serve the Asthma Initiative of Michigan (AIM) and the MAAC

3. Generate discussion about program goals

* All clicker responses are 100% anonymous

Areas of Focus for Today:

1. More about you (Stakeholders)2. APCP Program Goals3. Health Education4. Surveillance

STAKEHOLDERSGetting to Know You

Practice question: If you had to choose one, which is your favorite MI vacation destination?

A. HollandB. Mackinac IslandC. Pictured RocksD. Traverse CityE. Harbor SpringsF. Other

Holla

ndM

ackin

ac Is

land

Pictu

red Ro

cks

Trave

rse Ci

tyHa

rbor  S

pring

s

Othe

r

5%

34%

11%

7%

27%

16%

Which do you primarily represent today?

A. Clinical (hospital & private practice)

B. Local GovernmentC. State GovernmentD. Health PlanE. PharmacyF. AcademiaG. Non-Profit

OrganizationH. CorporationI. Other

A. B. C. D. E. F. G. H. I.

22%

2%

16%

13%

7%

9%

24%

7%

0%

Which region do you most represent?(Select by letter, not number)

A. Region 1B. Region 2NC. Region 2SD. Region 3E. Region 5F. Region 6G. Region 7H. Region 8I. Statewide

A. B. C. D. E. F. G. H. I.

27%

16%

18%

9%

22%

0%0%

9%

0%

How long have you been participating in asthma-related activities?

A. 0-6 monthsB. 6-12 monthsC. 1-5 yearsD. 5-10 yearsE. Over 10 years

0‐6 m

onth

s6‐1

2 mon

ths

1‐5 ye

ars

5‐10 y

ears

Over

 10 ye

ars

7% 5%

49%

23%

16%

How long have you been collaborating with the state asthma program in asthma-related activities?

A. Not currently collaborating with MDCH APCP

B. 0-6 monthsC. 6-12 monthsD. 1-5 yearsE. 5-10 yearsF. Over 10 years

A. B. C. D. E. F.

23%

8%

23%

10%

38%

0%

Are you a member of a local coalition that does work with asthma?

A. YesB. NoC. Don’t knowD. Other

Yes No

Don’t

 know

Othe

r

70%

2%2%

26%

APCP GOALS

Highest Priority for APCP?

A. Providing up-to-date surveillance data

B. Patient educationC. Provider educationD. Support to home-based

programsE. Support to school-based

programsF. Health System PoliciesG. EvaluationH. OtherI. Don’t Know

A. B. C. D. E. F. G. H. I.

14%

17% 17%

26%

0%0%0%

10%

17%

Highest Priority for APCP?

A. Providing up-to-date surveillance data

B. Patient educationC. Provider educationD. Support to home-based

programsE. Support to school-based

programsF. Health System PoliciesG. EvaluationH. OtherI. Don’t Know

A. B. C. D. E. F. G. H. I.

22%

9%

15%

17%

2%

0%

11%11%

13%

Discuss with those next to you for 3 minutes.Then, select your answer.

Lowest Priority for APCP?

A. Providing up-to-date surveillance data

B. Patient educationC. Provider educationD. Home-based programsE. School-based programsF. Health System PoliciesG. EvaluationH. OtherI. Don’t Know

A. B. C. D. E. F. G. H. I.

5%

7%

10%

5%

22%

20%

2%

29%

0%

Lowest Priority for APCP?

A. Providing up-to-date surveillance data

B. Patient educationC. Provider educationD. Home-based programsE. School-based programsF. Health System PoliciesG. EvaluationH. OtherI. Don’t Know

A. B. C. D. E. F. G. H. I.

0%

21%

11%

0%

16%

18%

5%

26%

3%

Discuss with those next to you for 3 minutes. Then, select your answer.

Which is currently the most well-covered topic for asthma in Michigan?

A. Providing up-to-date surveillance data

B. Patient educationC. Provider educationD. Home-based programsE. School-based programsF. Policies impacting quality

of careG. EvaluationH. NoneI. OtherJ. Don’t Know

A. B. C. D. E. F. G. H. I. J.

40%

25%

3% 3%

18%

3%

5%

0%

5%

0%

HEALTH EDUCATION

Which of these messages do you believe is highest priority for asthma education in Michigan?A. Use inhaled corticosteroids

to control asthmaB. Use asthma action plans to

guide self-managementC. Assess asthma severity at

the first doctor’s visitD. Assess and monitor

asthma control at each follow-up visit

E. Control exposure to allergens and irritants

F. Recommended school policies relating to asthma

A. B. C. D. E. F.

20%

34%

5%

17%

20%

5%

Source: Guideline’s Implementation Panel Report www.nhlbi.nih.gov/guidelines/asthma/gip_rpt.htm

If Michigan only had the resources to target ONE of these groups for a asthma education campaign this year, which should it be?

A. Primary care cliniciansB. Allergists,

pulmonologists, & other specialists

C. Respiratory therapistsD. People with asthmaE. PharmacistsF. School staffG. Federally Qualified

Health CentersH. Emergency department

cliniciansA. B. C. D. E. F. G. H.

63%

5%

0%

7%10%

5%5%5%

SURVEILLANCE

Prior to this presentation, did you know that Michigan has a surveillance system for asthma?

A. No, I had no ideaB. No, although it

sounds familiarC. Yes, but I don’t use itD. Yes, I have used itE. Yes, I use it often

A. B. C. D. E.

10%12% 12%

39%

27%

APCP Surveillance Data Sources• Michigan Hospital Impatient Database (MIDB)• Medicaid• Behavior Risk Factor Survey (BRFS)

• Asthma Call-back Survey (ACBS)• Youth Risk Behavior Survey (YRBS)

• Youth Tobacco Survey (YTS)• Michigan Resident Death Files

* For data requests: see Peter DeGuire or Bob Wahl

www.getasthmahelp.org

How do you (or would you) typically use MiAPCP Surveillance Findings?

A. Grant applicationsB. ReportsC. AdvocacyD. Program planningE. OtherF. I have no use for

dataA. B. C. D. E. F.

17%

19%

5%

10%

24%26%

How often do you typically go looking for data on Michigan asthma?

A. WeeklyB. MonthlyC. QuarterlyD. Every 6 monthsE. AnnuallyF. Rarely or never

Wee

klyM

onth

lyQu

arter

lyEv

ery 6 

mont

hsAn

nuall

yRa

rely o

r nev

er

2%

16%

12%

23%

19%

28%

Sharing of Surveillance FindingsIs it important that we improve this service?

A. High priority B. Medium priorityC. Low priority D. Not importantE. I don't know

A. B. C. D. E.

44%41%

5%

0%

10%

Choose your favorite media for receiving and sharing of surveillance findings

A. E-mail (in text)B. 1-page briefC. Reports/figures onlineD. Tables onlineE. 1 indicator at a time

(Facebook, Twitter, etc)F. Other

A. B. C. D. E. F.

38%

33%

0%

7%7%

14%

Which sub-population measures would be most useful to you?

A. Asthma data by geographic region

B. Children in Medicaid C. Adults in Medicaid D. MortalityE. Health disparities

A. B. C. D. E.

66%

16% 16%

0%2%

Which utilization measures would be mostuseful to you?

A. Health behaviorsB. Environmental

exposuresC. Clinical managementD. Work-related dataE. ED visits for asthma F. Hospitalizations for

asthma

A. B. C. D. E. F.

14%

26%

5%

40%

0%

16%

IMPORTANTDon’t forget to deposit your clicker!

Drop clickers in boxes at the door with Bob Wahl, John Dowling, Carol Davis, or Amber Matthews

Clicker

STOP