About the interactive Asthma Action Plan
The interactive Asthma Action Plan (iAAP) is a computerized clinical decision support tool for licensed health care providers who treat patients who have asthma. It is not a diagnostic tool and should only be used when the provider has confirmed a patient actually has asthma. The iAAP follows the NIH, EPR-3 Asthma Guideline (2007) recommendations to assess asthma patients’ severity or control level. The iAAP suggests patient-specific treatment plans and medications. It was developed understanding that providers have to assess, diagnose, treat, and educate their patients in a very limited time frame. The iAAP program also supports effective patient self management by creating patient-specific asthma action plans in English and Spanish. At the end of a patient encounter, in addition to a patient specific asthma action plan, users may print a trigger control sheet and, if needed, a HIPAA / FERPA-compliant Consent-to-Share- Information document for school health offices in English or Spanish.
Downloadable versions have the ability to print out a preset quality report document, and administrators can also query the program to provide a full data download of all collected information in the program. Users can utilize and format the information as they feel is appropriate, whether for quality assurance purposes or just for tracking patient visits.
The iAAP is available via a web based kiosk or can be downloaded to run either on a desktop or for installation on the user's own web server:
- Web based (Kiosk) - does not retain any patient information or require any downloads, configuration, or maintenance by the user.
- Desktop - for smaller offices where you may only have 2-3 providers. This version is installed on the hard drive of each provider's individual computer. This version utilizes an embedded web application server and database to store the data so a system or database administrator is not needed. Installation for those with Windows operating systems is completed with a very easy ‘click to install’ process.
- Network - for larger offices or multiple clinic sites that have an intranet or closed internal system and the program is installed on the clinic or facilities web server. This allows access to the program from multiple workstations and sites while maintaining the iAAP patient information and eliminating access by users outside that clinic or hospital system. This version utilizes an external web application server and database server to run the application and to persist patient data. This version will require the support of a network/system administrator.
- Electronic health record - has the same abilities as the network version but it also has the potential to send and receive specific information from designated EHR pathways the user sets. This version will require the support of a network/system administrator.
Additionally, the downloadable versions send an HL7 compatible prescription message to the users internal medication processing and verification program.
The Minnesota Department of Health (MDH) maintains the reference database which includes FDA approved medications with manufacturers recommended dosing based on patient age parameters. Periodic reference data updates will be available for download from the iAAP website. Individuals who provided contact information when downloading the iAAP will be notified via email when updates are available.
The iAAP has a secure login process as a precaution, but ultimately it is up to the user or facility to create and maintain a secure environment for the iAAP program. Because the application will contain some limited patient information, it should be subject to the same security precautions normally taken for all health records. The intensity of security is up to the user since it is an independent tool that isn’t actually integrated into the electronic health record (EHR).
It’s important to note that there is no exchange of information or data with MDH once the user has downloaded the program – it is a free standing tool.