James M. Anderson Center for Health Systems Excellence

  • Improving Lives of Kids with Asthma

    Asthma is a common, complex, costly chronic disease that affects more than 9 million children under age 18 in the United States. It causes hundreds of thousands of hospitalizations and several thousand preventable deaths each year, and results in overall healthcare costs for children in excess of $20 billion. Within Hamilton County, Ohio, one in six children has been diagnosed with asthma, a figure that increases significantly for children who live below the poverty line.   

    An improved quality of life for children with asthma includes playing sports.The medical center’s 2015 strategic plan calls for the hospital to lead, advocate and collaborate to improve the health of local children with asthma. Work to improve the health of children with asthma started in 2008 through the Asthma Improvement Collaborative and the Asthma Inpatient Task Force.  As a result, there have been significant changes in how we care for children with asthma within and outside the hospital. 

    During a hospital admission, families undergo a standardized asthma risk assessment that guides individualized referrals to promote optimal care after discharge, including a Home Health Pathway to support care and self-management, referral to an asthma specialist and referral to a home environmental risk identification and abatement program. Patients also leave the hospital with medications in hand to manage their asthma.   

    In addition, high-risk Cincinnati Children’s primary care patients work with an asthma care coordinator to reduce barriers to optimal care. In partnership with Cincinnati Public Schools, the Cincinnati Health Department and Growing Well, we have worked to develop a screening process to identify children attending Cincinnati Public Schools with inadequately controlled asthma. To accelerate improvement in asthma health, we will begin more in-depth work with one of the neighborhoods where asthma is a significant health issue.

    Starting with the neighborhood of Avondale, near where our main campus is located, our goal is to create an integrated asthma program that engages schools, other primary care providers and the broader community, resulting in measurably improved outcomes for children with asthma.   

    Mona Mansour, MD, and Carolyn Kercsmar, MD, are dedicated to leading the population health initiative to help raise awareness and improve the lives of children with asthma in Hamilton County.

  • Community Partners

    • Amerigroup
    • Cincinnati Health Department
    • Jovante Woods Foundation
    • Molina Healthcare of Ohio Inc.
    • Cincinnati Public Schools
    • Growing Well Cincinnati
 
  • Asthma by the Numbers

    Numbers are based on annual reports and are for the United States unless otherwise specified.

    4.1 million

    Children reporting acute attacks

    419,006

    Ohio children diagnosed with asthma*

    16.2%

    Hamilton County, OH, children with asthma**

    3rd

    Rank as cause of pediatric hospitalization

    679,000

    Asthma-related pediatric ER visits***

    456,000

    Asthma-related pediatric admissions

    17 million

    Pediatric asthma-associated healthcare visits

    14.4 million

    Asthma-related school-day absences 

    *Source:  2008 Behavioral Risk Factor Surveillance System data
    **Source:  Ohio Family Health Study
    ***Under age 15

  • Asthma rates for children in Hamilton County, Ohio.

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    Asthma Admissions for Children in Hamilton County

    Asthma rates for children in Hamilton County, Ohio.

    Map depicts the rate of asthma admissions for children 1-16 years of age in the neighborhoods of Hamilton County, Ohio, from September 2010 through August 2011. Neighborhood boundaries are defined using US census tract data.
    > Download a detailed map (.pdf)

  • asthma-sna-utilization-450x

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    Cincinnati Children's Emergency Department Visits − Avondale SNA*

    asthma-sna-utilization-450x

    *Statistical neighborhood approximation: Cincinnati neighborhood definition that uses census tracts