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  • Title: Children's hospital boston community Asthma initiative: partnerships and outcomes advance policy change.
    Author: Sommer SJ, Queenin LM, Nethersole S, Greenberg J, Bhaumik U, Stillman L, Hoppin P, Chan E, Wilkinson RB, Woods ER.
    Journal: Prog Community Health Partnersh; 2011; 5(3):327-35. PubMed ID: 22080782.
    Abstract:
    PROBLEM: Rates of poorly controlled asthma among low-income children, particularly racial and ethnic minorities, remain disproportionately high. Comprehensive asthma programs, including education, case management and home environmental interventions have reduced disparities. Few sustainable payment models exist. PURPOSE: The Children's Hospital Boston's Community Asthma Initiative (CAI) demonstrated dramatic reductions in hospitalizations and emergency department (ED) visits among African American and Latino patients with a return on investment (ROI) of 1.46. A strong coalition focused on sustainability plus CAI outcomes contributed to the state legislature's approving a bundled payment pilot for high-risk pediatric asthma patients on Medicaid/MassHealth. KEY POINTS: Cost-effective, comprehensive asthma programs and policy makers' interest in new payment models created an opportunity for a new payment approach for pediatric asthma care. CONCLUSION: A community coalition that successfully addresses asthma health disparities with a strong business case and program outcomes can be leveraged to persuade policy makers of the value of innovative financing strategies for asthma care.
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