2019 Direct Services Grant Program NOFA 2019 Direct Services NOFA | Page 22

ATTACHMENT A Example Activities and Short-term Outcomes for Each Chronic Disease Asthma Example Activities • Implement strategies that improve access and adherence to asthma medications and devices. • Educate asthmatic children/adults on diet and exercise • Educate asthmatics on healthy behaviors • Educate asthmatic adults that their children are 3 to 6 times more likely to develop asthma (non-modifiable risk factor) • Provide team-based care for patients with asthma • Provide self-management education for people whose asthma is not well-controlled by licensed professionals or qualified lay health workers with the medical management approach outlined in the NAEEP Guidelines • Conduct health promotion campaigns targeting specific populations focused on asthma • Develop and maintain an asthma care action plan • Educate healthcare providers on the NAEPP Guidelines as part of evidence-based clinical practice and medical management • Provide cultural competency assessments, data collection, trainings, workshops, and/or webinars for healthcare providers/workforce • Use of interpreter services or bilingual providers for clients with Limited English Proficiency • Integrate care management between the home, healthcare providers, schools, and/or childcare settings • Develop local policies and regulations to reduce exposure to asthma environmental triggers • Expand access to home visits by licensed professionals or qualified lay health workers • Implement strategies to address the social determinants of health 20 Example Short-Term Outcomes • Increase in adherence to prescribed medications and/or devices • Increase in knowledge of healthy behaviors and comorbidities (i.e. obesity) • Decrease consumption and exposure of tobacco products, including e-cigarettes • Reduce behavioral risk factors among vulnerable populations • Reduce the number of school and/or work days missed due to asthma • Increase in number of adults who are aware their children are more susceptible and to pay attention to signs • Increase the number of healthcare providers that utilize evidence-based programs and guidelines to diagnose, manage, and treat asthma • Increase/change knowledge of disease management among children, caregivers, and/or adults • Increase in number of asthma care action plans • Decrease in number of days affected by asthma symptoms; decrease in ER or hospital visits • Increase/change in provider/workforce knowledge of how to provide culturally competent care • Increase access to care for clients with Limited English Proficiency • Increase care management between healthcare providers and other community sectors • Decrease exposure of environmental triggers for people with asthma • Increase access to care for vulnerable populations • Increase the number of leveraged partnerships with state, local and federal public health agencies to shape policy and programs that impact asthma