University of Michigan
Center for Managing Chronic Disease
"It's very important for patients and clinicians to be aware of current methods of treatment and managing asthma.…the NACI [National Asthma Control Initiative] has created a widespread network across the country to really push out this message."
Gillian Mayman, Communications Coordinator, University of Michigan Center for Managing Chronic Disease (Ann Arbor, MI)
Gillian Mayman, Communications Coordinator, University of Michigan Center for Managing Chronic Disease (CMCD), discusses CMCD's NACI project.
Noreen M. Clark, PhD, Myron E. Wegman Distinguished University Professor and Director of the Center for Managing Chronic Disease, University of Michigan
PACE is a multi-faceted seminar developed by physicians and public health professionals at the University of Michigan and Columbia University to address barriers to effective communication with patients and to encourage physicians to use the best current therapy to manage asthma. In trials funded by the National Heart, Lung, and Blood Institute and others, PACE improved longer-term asthma outcomes, even though PACE-trained physicians spent no more time with their patients than other physicians.
PACE includes downloadable resources for organizing and leading a PACE seminar, including an updated speaker's guide, slides, and video. Participant handouts include sample asthma action plans and tips for conducting, documenting, and coding asthma counseling. For the first time, PACE also includes an education handout for patients on the NAEPP's priority GIP messages—"6 Steps to Asthma Control."
To bring PACE to clinicians, particularly those who practice in high-risk communities, CMCD developed a one-hour introductory PACE webinar co-hosted with the NACI. The archived webinar is available on the CMCD Web site. Presented by Noreen M. Clark, Ph.D. and Randall Brown, M.D., M.P.H. of the University of Michigan, and Michael Cabana, M.D., M.P.H. of the University of California, San Francisco, a NACI Demonstration Project and Clinical Champion, the webinar explains why PACE works and how clinicians can deliver it in their own communities.
Develop and implement a GIP component for PACE.
Inform and enable physicians treating patients who have asthma, especially those in disadvantaged communities, to use PACE.
Assist interested physicians in delivering PACE program in their community.
Challenges & Solutions
Challenge: Disseminate the updated PACE curriculum. CMCD wanted to reach physicians and other health care professionals to let them know that an updated version of the PACE program featuring the NAEPP's six priority GIP messages and new communication tools was now available for their use.
Solution: Use available communication channels. CMCD joined the NACI in conducting a PACE webinar that introduced viewers to the program and the GIP messages. The NACI also highlighted the program in the Spring 2011 NACI In the Know eNewsletter. In addition, CMCD sent multiple announcements of the updated PACE program to its extensive list of physician contacts, and its PACE master trainers continue to promote the program throughout the country.
CMCD updated the PACE Training Manual and Speaker's Guide, slides, and handouts, highlighting the NAEPP's six priority GIP messages.
CMCD updated its contact list of master trainers available across the country to provide consultation and/or facilitate PACE sessions and answered questions from individuals and organizations interested in delivering the program.
CMCD shared and collaborated with additional NACI-funded projects to advance asthma care best practices. For example:
Noreen Clark, Ph.D., University of Michigan, worked closely with Michel Cabana, M.D., University of California, San Francisco, a NACI Demonstration Project and Clinical Champion, to integrate the NAEPP's six GIP messages into the PACE curriculum.
CMCD collaborated with Education for Health, a NACI Demonstration Project, to develop the online Nurse Asthma Care Education (NACE) program, adapted from PACE.
To help meet its project goals, University of Michigan used online distance training and communication strategies.
Other NACI-funded projects using CMCD-type approaches are: