Evaluation Methods (Text Description)

Slide 1: Physician Asthma Care Education, also known as PACE, Evaluation Methods (Title Slide)

Slide 2:

This slide highlights three components of the model, A: provider knowledge and attitudes; B: provider behavior and other factors influencing outcomes; and C: patient outcomes.

Slide 3: Provider Survey

• Measure changes in knowledge, attitudes and self-reported provider behavior
• Self-administered
• Immediately before and after the seminar
• Pros & Cons:
  • Relatively inexpensive
  • Difficult to maintain high response rate
  • No patient outcomes
  • Self-reported behavior

Slide 4:

This slide highlights component B of the model; provider behavior.

Slide 5: Medical Record Audit

• Measure changes in provider behavior
• Requires trained chart reviewers
• Pros & Cons:
  • Information regarding physician prescription, outpatient visits (urgent & non-urgent)
  • Poor documentation of asthma counseling, asthma severity
  • Consent may be required from each patient/parent
  • Information on outpatient asthma health care utilization

Slide 6:

This slide highlights component C full model; patient outcomes.

Slide 7: Parent Telephone Survey

• Measure changes in outcomes, self-management
• Requires trained telephone interviewers
• Pros & Cons:
  • Information on outpatient asthma health care utilization, parent perceptions of physician behavior, asthma severity and asthma control
  • Difficult to schedule, high cost
  • Consent required from each patient/parent
  • May need to confirm medications, actual physician prescription (versus patient adherence)

Slide 8:

This slide shows the entire model and suggests there is a component D; the combined interaction of provider behavior and external factors on patient outcomes.

Slide 9: Claims Data

• Measure changes asthma health care utilization
• Requires trained analyst/programmer
• Pros & Cons:
  • Information on outpatient asthma health care utilization
  • No clinical information (appropriateness of controller medications for persistent asthma; determining if ED visit or hospitalization is due to asthma)
  • Difficult to attribute claim to a specific physician
  • Multiple patients belong to different MCOs
  • No consistent CPT codes for "asthma counseling"

Slide 10: Annual Data Collection

There are two column headers: outcome of interest and source. The following lists the outcome of interest followed by its source(s):

• Physician knowledge, mailed surveys.
• Physician attitudes, mailed surveys.
• Physician behavior, chart audits and patient surveys.
• Patient Outcomes, chart audits and patient surveys.

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