EasyPI: Asthma
Welcome to the asthma track page. Here you will find all of the information you need to complete a self-guided performance improvement (PI) project focused on asthma in practice that will earn you American Board of Family Medicine (ABFM) PI and continuing medical education (CME) credits.
As a new initiative for the OAFP, we would love your feedback on your current comfort in completing a PI activity for ABFM credit. In order to gauge effectiveness of this new tool, EasyPI, please take a few moments to share initial feedback before diving in by completing a quick survey.
And, once you’ve reviewed the content and/or submitted a project for credit, please let us know how it went by completing the post-survey.
Let’s Get Started!
- As needed, review the background information and guidelines for asthma care.
- Determine what factor in asthma care you want to address – you may already know gaps in care, may have identified change in guidelines that need to be implemented, may identify gaps by doing process mapping, or may use your EHR to review data to find opportunities for improvement.
- Review the Performance Improvement Process Materials, do process mapping, determine your quality measures, and create a quality improvement plan.
- Collect preliminary data.
- Implement your change. Note: you select the length of the PI activity (at least seven (7) days, but not more than 12 months).
- Collect post-intervention data.
- Submit your project for ABFM credit. See the ABFM Performance Improvement Activity section for detailed directions.
The resources provided below can be used prior to and during your PI project. Choose the resources you need most. You don’t have to click on every link included. There are a variety of options to match with where you might be in your quality journey. There’s something for everyone, no matter if this is your first PI activity or 30th!
The resources provided below can be used prior to and during your PI project. Resources with indicate there may be additional CME credit available.
Resources with indicate materials that include tools, education, support, etc. on health equity topics to consider.
Background Information
Utilize all or some of these resources to get you ready for your project.
Overview
- American Family Physician by Topic: Asthma (American Academy of Family Physicians (AAFP))
- Asthma Care (Centers for Disease Control and Prevention (CDC))
- Knowledge Self-Assessment Topic: Asthma (American Board of Family Medicine) note: you’ll need to log into your MyABFM portfolio to access.
Prevention
- Asthma Exacerbations: Pathogenesis, Prevention, and Treatment (National Library of Medicine)
- The Role of Nutrition in Asthma Prevention and Treatment (National Library of Medicine)
- Primary Care Interventions for Prevention and Cessation of Tobacco Use in Children and Adolescents: Recommendation Statement (American Family Physician)
Assessment/Treatment
- Office Spirometry: Indications and Interpretation (American Family Physician, 2020)
- Distinguishing Asthma and COPD in Primary Care: A Case-Based Approach (American Family Physician)
- Chronic Asthma Treatment: Common Questions and Answers (American Family Physician, 2023)
- Difficult-to-Treat and Severe Asthma: Management Strategies (American Family Physician, 2020)
- Tools and Strategies for Improving Asthma Management (Family Practice Management, 2010)
- Asthma Impairment and Risk Questionnaire (AIRQ) Control Level Predicts Future Risk of Asthma Exacerbations (The Journal of Allergy and Clinical Immunology: In Practice, August 20, 2022)
- Peak Flow Meters (American Lung Association)
- Relationship Between Asthma Control as Measured by the AIRQ and Patient Perception of Disease Status, Health-Related Quality of Life, and Treatment Adherence (Journal of Asthma and Allergy)
- Asthma Action Plan (CDC)
Health Equity
- An Overview of Health Disparities in Asthma (National Library of Medicine)
- Asthma Disparities in American: A Roadmap to Reducing Burden on Racial and Ethnic Minorities (Asthma and Allergy Foundation of America)
Guidelines
- Focused Updates to the Asthma Management Guidelines: A Report from the National Asthma Education and Prevention Program Coordinating Committee Expert Panel Working Group (National Library of Medicine, 2020)
- Global Strategy for Asthma Management and Prevention Report (Global Initiative for Asthma, 2022)
- GINA/NAEPP Asthma Guidelines Infographic
Point of Care Tools/Clinical Decision Support
- Asthma Impairment and Risk Questionnaire (AIRQ)
- TRACK Caregiver Symptom Rating (children < 5 years)
- Home Characteristics and Asthma Triggers (CDC)
- An Evidence-Based, Point-of-Care Tool to Guide Completion of Asthma Action Plans in Practice (European Respiratory Journal, 2017)
- Use of Asthma APGAR Tools in Primary Care Practices: A Cluster-Randomized Controlled Trial (CDC)
Resources for Patients
- AsthmaMD App (free)
- DailyBreath App (free)
- Asthma Action Plan (CDC)
- Asthma Action Plan (Asthma and Allergy Foundation of America)
- Asthma Care (Familydoctor.org)
- Asthma Resource Center (Precision)
- Asthma Patient Animations (videos and pdf handouts from the Asthma Resource Center)
- Asthma Information (Global Allergy & Airways Patient Platform)
Performance Improvement Process Materials
- Improve patient outcomes and help meet quality metrics
- Achieve team-based practice change
- Make your practice more efficient
- Boost team morale
- Improve revenue.
These materials will guide you through identifying areas for improvement, understanding and using data, planning and making changes, and tracking performance over time.
- Quality Improvement Essentials Toolkit (Institute for Healthcare Improvement)
- Quality and Safety Topic Collection (Family Practice Management)
- Quality Measures (AAFP)
Quality Measures & Intervention Selection
Process Mapping
Workflow & process mapping creates a visual map of the steps your practice currently uses for a specific patient care or administrative task.
Benefits of process mapping include allowing the entire team to visualize and appreciate what role/contribution they and their colleagues play in the care of patients; gives an overview of the current processes that allows the team to plan for change; identifies unintended variations in care, inefficient procedures, and opportunities to involve other team members in care; improves communication between team members; gives team members increased ownership in patient care; and can increase employee job satisfaction.
View an outline of the mapping process and the following instructional video on the process:
Data Collection
Health Equity/Population Health Resource
ABFM Performance Improvement Activity
Now that you’ve collected data, implemented change, and have your outcomes, it’s time to submit your project for credit! Family physicians will use the ABFM’s Self-Directed Clinical Performance Improvement (PI) Project pathway to do so.
- You may report a project conducted alone or within a single practice group, an ACO,or other larger group practices
- You can use this pathway whether you see patients in a continuity setting, or if you are providing non-continuity episodic care (e.g., hospitalist, telemedicine, locums, urgent care, emergency department, etc.)
Log into your MyABFM Portfolio to access this PI activity. To help you through the process of applying for credit, below you will find links to a blank application to review to make sure you have all of the information you will need; a completed sample application for an “Asthma Action Plans” project with helpful notes; and a video guide that walks you through each step.
Once you’ve submitted your application and it has been approved (may take up to 10 days for approval), you will fulfill an ABFM certification requirement and you will have earned 20 ABFM points and 20 American Academy of Family Physicians Prescribed CME credits.
We’d love to hear how this process was for you and what impact you had on patient care by completing your PI activity. Let us know in a post-survey. If you have any questions regarding your PI activity requirement for the ABFM or if you have any issues with your application, please contact Ann Williamson at the ABFM. You can also visit the OAFP’s ABFM Certification webpage for more information on all things ABFM! |
Questions
If you have any questions regarding materials on this page or the PI process in general, please contact Deputy Executive Vice President Kaitlin McGuffie or call 800.742.7327.
Sponsor
This EasyPI track is sponsored by AstraZeneca, a proud Partner in Health of the OAFP.