Managing Asthma Through Case Management in Homes (MATCH) EVALUATION - - PowerPoint PPT Presentation

EVALUATION & GROWTH

Tisa Vorce, MA, RRT Michigan Dept. of Community Health

Managing Asthma Through Case Management in Homes (MATCH)

MATCH Model

 Six or more home visits by AE-C

 Physician care conference (AE-C + client/family + HCP)  Environmental assessment  School, daycare, work visit  Licensed medical social worker involvement

 Reimbursed for visits through contracts with health

plans

Evaluation Design

 Three established MATCH programs

 Asthma Network of West Michigan  Hurley Medical Center  St. Joseph Mercy Health System

 Inclusion criteria  MATCH model

 ≥ 6 visits  ≥ 5 months between Intake and Discharge visits

Intake Data

 27 adults, 155 children  56% Black, 35% White, 13% Hispanic  Equal numbers of male and female participants  Almost 70% of MATCH client households earned

below $25,000/year

Enrollment and Retention

182 enrolled 173: ≥1 follow-up visits paired with intake 132: ≥ 6 visits in ≥ 5 months

Of 132 with ≥ 6 visits in ≥ 5 months

 83% decrease in hospitalizations  60% decrease in ED visits  71% decrease in missed days of school  78% decrease in missed days of work  83% decrease in nights awake from asthma  145% increase in asthma action plans  30% increase in ACT scores

Results

Post-Discharge Analysis

 Phone interview administered six months after last

visit with case manager

 How well is asthma controlled once case manager is

no longer involved?

Number of Reported ED Visits and Hospitalizations per Participant in the Past Six Months

2.24 0.82 0.85 0.26 0.5 1 1.5 2 2.5 ED Visits (mean) Inpatient Hospitalizations (mean) Intake Post-Discharge

Days and Nights Affected by Asthma in the Past Six Months

6.12 6.45 7.19 1 1.55 5.11 1 2 3 4 5 6 7 8 Missed Days of School (mean) Missed Work Days (mean) Nights Awoken by Asthma (mean) Intake Post-Discharge

Future Evaluation Plans

 Medicaid claims data from Michigan Medicaid

Data Warehouse

 MATCH cohort vs. control group  Cost efficacy analysis

Prevalence Map

MATCH Start-Up

 Community need and interest

 Children’s Healthcare Access Program (CHAP)  Health plans

 Lead organization on board  Hire staff, promote and market program, see

clients if possible and track outcomes

 Contracts with health plans

Help!

 Many MATCH start-up resources available

 MATCH champions  Samples of job descriptions, evaluation plans, budgets,

marketing materials…

 MDCH can help with surveillance info and health plan

connections

Questions?

Tisa Vorce VorceT@michigan.gov 517.335.9463 Michigan Dept. of Community Health