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

Managing Asthma Through Case Management in Homes (MATCH) EVALUATION & GROWTH Tisa Vorce, MA, RRT Michigan Dept. of Community Health

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

Results 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

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 2.5 2.24 2 1.5 Intake 0.82 0.85 1 Post-Discharge 0.5 0.26 0 ED Visits (mean) Inpatient Hospitalizations (mean)

Days and Nights Affected by Asthma in the Past Six Months 8 7.19 7 6.45 6.12 6 5.11 5 4 Intake Post-Discharge 3 1.55 2 1 1 0 Missed Days of Missed Work Days Nights Awoken by School (mean) (mean) Asthma (mean)

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