In the United States, pediatric asthma continues to be a leading cause of hospital admissions, with readmission rates between 10 percent and 40 percent.
A quality report in the July 2014 Pediatrics, "Linking Patient-Centered Medical Home and Asthma Measures Reduces Hospital Readmission Rates," published online June 16, analyzes the effect of the Children's Asthma Care (CAC) initiative that was developed in 2007 to improve the care of pediatric patients admitted to the hospital diagnosed with asthma.
Along with achieving 100 percent compliance with core CAC measures, an additional goal was to track attendance at follow-up appointments within the patient-centered medical home. Researchers followed patients ages 2 to 18 who were hospitalized with asthma from January 2008 to June 2012. In the initial nine months, 69 percent of children attended their follow-up appointment, which increased to 90 percent of children from 2009 to 2012.
Study authors conclude that compliance with the asthma core measures and attendance at the post-discharge follow-up visit was associated with reduced hospital admission rates at 91 to 180 days post-discharge. These findings support the concept that continuity of care with the patient-centered medical home at hospital discharge is beneficial for children with asthma.