National Heart, Lung, and Blood Institute Guidelines and Asthma Management Practices Among Inner-City Pediatric Primary Care Providers

CHEST Journal ◽  
2006 ◽  
Vol 129 (3) ◽  
pp. 619-623 ◽  
Author(s):  
Deepa Rastogi ◽  
Ashita Shetty ◽  
Richard Neugebauer ◽  
Anantha Harijith
Keyword(s):  
Primary Care ◽  
Inner City ◽  
Management Practices ◽  
Asthma Management ◽  
Primary Care Providers ◽  
Pediatric Primary Care ◽  
Care Providers ◽  
Blood Institute ◽  
National Heart ◽  
National Heart Lung

Barriers to adherence to asthma management guidelines among inner-city primary care providers

2008 ◽  
Vol 101 (3) ◽  
pp. 264-270 ◽  
Author(s):  
Juan P. Wisnivesky ◽  
Jessica Lorenzo ◽  
Richard Lyn-Cook ◽  
Thomas Newman ◽  
Adam Aponte ◽  
...  
Keyword(s):  
Primary Care ◽  
Inner City ◽  
Asthma Management ◽  
Primary Care Providers ◽  
Care Providers ◽  
Management Guidelines

Educational Initiative to Standardize Concussion Management in Pediatric Primary Care

2017 ◽  
Vol 57 (7) ◽  
pp. 806-814 ◽  
Author(s):  
Alex M. Taylor ◽  
Lise E. Nigrovic ◽  
Meredith L. Saillant ◽  
Emily K. Trudell ◽  
Jonathan R. Modest ◽  
...  
Keyword(s):  
Primary Care ◽  
Learning Community ◽  
Rating Scales ◽  
Community Intervention ◽  
Treatment Algorithm ◽  
Primary Care Providers ◽  
Pediatric Primary Care ◽  
Care Providers ◽  
Effect Change ◽  
Concussion Management

Pediatric primary care providers report limited training and tools to manage concussion. We developed a learning community intervention for a large independent pediatric practice association affiliated with a university hospital to standardize concussion management and improve the use of consensus-based guidelines. The learning community included in-person and online didactics, followed by a web-based reinforcement platform to educate and train clinicians on our treatment algorithm and decision support tools. Chart reviews before and after the intervention demonstrated significant increases in the use of standardized symptom rating scales (19.6% to 69.3%; P < .001), balance assessment (2.3% to 37.6%; P < .001), and scheduled follow-up (41.8% to 61.2%; P < .001), with an increase in delivery of our entire best practice bundle from 3.5% to 28.1% ( P < .001). A multimodal educational intervention can effect change among pediatric primary care providers and help align their management practices with consensus-based guidelines.

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