Asthma Medication Ratio Tip Sheet

Cov nyiaj txhawb siab yuav raug them txhua xyoo, tom qab kawg ntawm Lub Peb Hlis 4. Yog xav paub ntxiv, saib rau xyoo 2021 thiab 2022 CBI Technical Specifications.

• Kev tso npe tsis tu ncua thaum ntsuas xyoo thiab xyoo ua ntej.
• Cov tswv cuab hnub nyoog 5-64 uas muaj ib qho hauv qab no thaum lub xyoo ntsuas thiab xyoo ua ntej:
  • 1 Lub Tsev Haujlwm Saib Xyuas Xwm Ceev (ED) mus ntsib nrog kev kuaj mob tseem ceeb ntawm kev mob ntsws asthma.
  • 1 tus neeg mob mob hnyav mus ntsib nrog kev kuaj mob tseem ceeb ntawm kev mob ntsws asthma.
  • 4 Kev mus ntsib kws kho mob lossis kev soj ntsuam nrog kev kuaj mob ntsws asthma THIAB yam tsawg kawg yog ob qhov kev tso tshuaj mob hawb pob.
  • Yam tsawg kawg yog 4 yam tshuaj kho mob hawb pob.
• Cov tswv cuab uas muaj tsawg kawg yog 4 cov tshuaj kho mob hawb pob, qhov twg leukotriene modifiers lossis antibody inhibitors yog ib qho tshuaj hawb pob dispensed. Cov tswv cuab yuav tsum muaj tsawg kawg ib qho kev kuaj mob ntsws asthma, nyob rau hauv ib qho chaw, nyob rau hauv lub xyoo ntsuas.

• Qhov ncauj tshuaj
  • Ib daim ntawv tshuaj yuav kav ntev li 30 hnub.
  • Xam cov txheej xwm muab tshuaj rau cov tshuaj ntev dua 30 hnub. Daim ntawv 100-hnub muab faib los ntawm 30 yog 3 txheej xwm (100/30 = 3.33).
  • Ntau daim ntawv tshuaj rau cov tshuaj sib txawv ntawm qhov ncauj uas tau muab rau tib hnub suav nrog cov xwm txheej sib txawv.
• Inhalers
  • Txhua tus inhalers ntawm tib cov tshuaj uas tau muab rau tib hnub suav tias yog ib qho xwm txheej.
• Txhaj tshuaj
  • Txhua qhov txhaj tshuaj suav ua ib qho xwm txheej.
  • Ntau qhov kev txhaj tshuaj ntawm tib yam lossis cov tshuaj sib txawv suav nrog cov xwm txheej sib txawv.

• Cov ntsiav tshuaj thiab pob loj yog siv nyob rau hauv tus lej. Txhua tus neeg noj tshuaj, txhais tau tias yog tus nqi ≤ 30 hnub, suav tias yog ib qho tshuaj.
• Ib chav tshuaj yog sib npaug rau:
  • Ib tug inhaler canister.
  • Ib txhaj tshuaj.
  • ≤ 30-hnub muab tshuaj rau qhov ncauj.
    Piv txwv li: Ob lub tshuab nqus pa ntawm tib cov tshuaj uas tau muab rau tib hnub suav tias yog ob chav tshuaj thiab tsuas yog ib qho kev faib tshuaj xwb.

Koj yuav xam AMR li cas?

AMR (%) = # controller units ntawm cov tshuaj / # maub los thiab # cawm units ntawm cov tshuaj

Piv txwv li: Tus neeg mob tau sau npe thiab sau cov tswj hwm txhua hli rau xyoo ntsuas (N=12). Tib tus neeg mob tau ntim 6 lub tshuab nqus pa (sib hli sib cais) thaum lub xyoo (N=6). Tag nrho ntawm 18 yam tshuaj kho mob hawb pob tshwm sim. 

AMR = 12/12+6 or 68%

• Cov tswv cuab uas tsis muaj tshuaj kho mob hawb pob tau muab faib rau lub xyoo ntsuas.
• Kev kuaj mob ntawm emphysema, COPD, obstructive chronic bronchitis, mob ua pa nyuaj vim pa taws / vapors, cystic fibrosis lossis mob ua pa tsis ua haujlwm.
• Cov tswv cuab uas tsis muaj tus tswj kev mob ntsws asthma lossis cov tshuaj kho mob uas tau muab tso rau hauv lub xyoo ntsuas.

Asthma ICD-10 cov lej suav nrog: J45.21-J45.52J45.909, thiab J45.991-J45.998

ED mus ntsib codes: 99281-99285

Inpatient codes: 99221-99233, 99238-99239, 99251-99255, 99291

Outpatient/Observation codes: 99202-99215, 99241-99245, 99341-99350, 99381-99397, 99429, T1015

Online Kev Ntsuas Codes: G0071, G2010, G2012, G2061-G2063 (tshaj tawm xyoo 2021)

Rau ib daim ntawv teev tag nrho ntawm cov kab mob asthma, thov mus saib hauv CBI Technical Specifications.

Cov ntaub ntawv rau qhov kev ntsuas no yuav raug sau los ntawm kev thov, tsev muag tshuaj, thiab DHCS Tus Nqi-rau-Service ntsib kev thov.

• Ntsuas cov tsos mob hawb pob ntawm txhua qhov kev mus ntsib txhawm rau txiav txim siab seb yuav siv tshuaj tiv thaiv li cas (piv txwv li cov tshuaj tswj hwm tshiab, nce qib hauv cov tshuaj kho mob, ntxiv dag zog rau kev ua raws).
• Automated xov tooj ceeb toom lossis hu xov tooj los ntawm cov kws saib xyuas mob hawb pob tuaj yeem txhim kho kev ua raws li cov tshuaj los ntawm 25%.
• Yuav sau ib lub tshuab nqus pa cawm siav? Tsis txhob hnov qab tham txog qhov tseem ceeb ntawm kev khaws ib lub tshuab nqus pa ntxiv hauv tsev kawm ntawv. Yog hais tias ob qho tib si inhalers (ntawm tib cov tshuaj) raug khaws tib lub sijhawm, nws yuav suav tias yog ib qho kev faib tshuaj.
• Ua kom cov tshuaj asthma ua raws li:
  • Muab kev kawm txog qhov sib txawv ntawm lub tshuab nqus nqus nqus nqus nqus rau lub tshuab nqus tsev mus ntev.¹
  • Tsim kom muaj kev sib raug zoo ntawm tus neeg mob los ntawm kev mloog thiab sib txuas cov kev xav ntawm cov neeg mob rau hauv Asthma Action Plan.
• Siv cov Asthma Control Test txhawm rau ntsuas kev mob ntsws asthma hauv koj cov neeg mob menyuam yaus.² Xav txog lwm daim ntawv nug uas tau lees paub hauv chaw kho mob rau koj cov neeg mob laus.
• Tsis txhob coding asthma yog tias qhov kev kuaj mob yog rau cov tsos mob zoo li mob hawb pob (piv txwv li, hawb pob thaum kis kab mob ua pa sab sauv thiab mob ntsws ntsws tsis yog "asthma").
• Xa mus rau Alliance Cov Tswv Cuab rau Noj qab nyob zoo rau lub neej program siv lub Daim Ntawv Qhia Txog Kev Noj Qab Haus Huv thiab Kev Tswj Xyuas Kab Mob. Txoj Kev Pabcuam Healthy Breathing for Life muab kev kawm txog kev noj qab haus huv ntawm cov xwm txheej, kev tiv thaiv kab mob hawb pob, kev ua raws li kev noj tshuaj, thiab kev siv cov phiaj xwm ua rau mob hawb pob. Yog muaj lus nug, thov hu rau Alliance Health Education Line ntawm (800) 700-3874 ext. 5580 ua.
• Ua ntej cov neeg mob uas muaj cov tshuaj asthma tsawg (piv txwv li, tsawg dua 0.5).
• Qhia cov neeg mob no hauv cov ntaub ntawv kho mob hluav taws xob (EHR) thiab teem sijhawm ntxiv ntawm txhua qhov kev mus ntsib (txawm tias mus ntsib mob).
• Kev ntxhov siab qhov tseem ceeb ntawm kev haus luam yeeb, zam kev haus luam yeeb ib puag ncig, kab mob gastroesophageal reflux, thiab cov tshuaj uas ua rau cov tsos mob hawb pob.
  • Lub Alliance kuj muab ib Tobacco Cessation Support qhov kev pab cuam rau Alliance cov tswv cuab uas xav tau cov chav kawm txiav luam yeeb thiab kev txhawb nqa. Koj tuaj yeem xa cov tswv cuab siv cov Daim Ntawv Qhia Txog Kev Noj Qab Haus Huv thiab Kev Tswj Xyuas Kab Mob.
• Pab tus neeg mob hauv kev txheeb xyuas tus mob hawb pob hauv tsev. Qhia cov neeg mob txog qhov tseem ceeb ntawm ib puag ncig kev mob ntsws asthma hauv tsev thiab ua qhov kev ntsuam xyuas kev tsis haum tshuaj yog tias qhia. CDC muab ib daim ntawv txheeb xyuas hauv tsev txhawm rau ntsuam xyuas cov kab mob hawb pob.
• Kev kawm nthuav dav yog ib txoj hauv kev tshiab, ntau txoj kev nthuav qhia kev kawm uas tsom mus rau cov ncauj lus kho mob uas muaj qhov sib txawv ntawm cov ntaub ntawv pov thawj thiab cov qauv coj ua. Lub hom phiaj yog rau tus neeg nthuav dav thiab tus neeg muab kev pabcuam los tsim kom muaj kev ntseeg siab thiab sib koom ua ke qhov kev ua tau zoo, ua tiav cov hom phiaj yog tsim los ua kom haum nrog cov kev coj ua zoo tshaj plaws, txhua qhov thaum hais txog cov teeb meem cuam tshuam. Kev qhia paub meej muaj nyob rau Alliance cov kws kho mob. Yog xav paub ntxiv, thov email [email protected].
• Muab ib daim qauv ntawm tus neeg mob Asthma Action Plan rau tsev kawm ntawv thiab taug qab nrog lub tsev kawm ntawv kom paub meej tias nkag mus rau lub tshuab nqus pa cawm siav thiab ua raws. Lub tsev kawm ntawv tej zaum yuav los yog tsis muaj daim ntawv yuav tsum tau rau kev tswj xyuas tshuaj.