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Restrictive Airway Diseases
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Asthma, Chronic Obstructive Pulmonary Disease, and Multiple Medications Pilot





Asthma and chronic obstructive pulmonary disease (COPD) are reactive airway diseases that can result in significant increases in health care costs due to unnecessary emergency department visits or hospitalizations. According to the National Center for Health Statistics, almost 500,000 hospitalizations and approximately 25 percent of all emergency department (ED) visits in the US were due to asthma-related events. COPD is the fourth leading cause of death in the United States, with 125,000 deaths annually.


For both disease states, medication adherence is suboptimal: approximately 50% in asthma and <50% in COPD. When adherence is poor, exacerbations increase, which can lead to unscheduled and emergent health care visits. Since both disease states are treated using inhaled therapies, it is important that patients use these devices correctly to ensure that medication reaches the lungs.





The program is a wellness program designed to help build collaboration between physicians, pharmacists and patients with asthma and COPD in order to address a spectrum of disease states including asthma, COPD, cardiovascular disease, diabetes, and metabolic syndrome.


The purpose of this program is for participants to receive individualized education and counseling on medications, identification and avoidance of triggers, proper peak flow/inhaler use and personalized follow-up tools such as action plans provided and approved by a licensed, trained pharmacist. The patient, pharmacist and other healthcare providers will establish goals for proper medication use, effective prescribing, and healthy living. The program is not intended to replace or substitute for physician care; rather it is intended to be an adjunct to physician office visits.


Click Here to download the proposal submitted to the
Texas Health and Human Services Commission!



The following asthma action plan forms must also be faxed to the patient's physician along with the forms from the patient enrollment packet.  Please see the pharmacist section of the enrollment packet for details.  Below you will also find a patient asthma information handout which is part of the asthma action plan.


U.S. Department of Health and Human Services: Asthma Action Plan

(Example of page 1 only.  See Pharmacist Resources page for full document)



Below is an overall timeline summary of the care process that will take place throughout the MTM pilot program.




                                         Timeline of the Care Process 

                                          < Click on the image above to download >







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