Overview
Sponsored by the American College of Chest Physicians.
Supported by an educational grant from The United States Environmental Protection Agency (EPA) and GlaxoSmithKline
Program Description
The 10th Annual ACCP Community Asthma and COPD Coalitions Symposium provided opportunities for local coalitions to hear about ongoing and new asthma and COPD coalition projects. Attendees networked with other coalition members regarding programming and coordinating community level activities. The symposium featured successful asthma and COPD education programs. Extensive time was provided for networking and roundtable discussions among coalition representatives. The symposium featured sessions on education of the public and patients, school asthma initiatives, and sustaining coalitions. The 2008 meeting again had a track for developing COPD coalitions so that those interested in developing COPD coalitions could learn from the asthma coalitions and network with each other.
In this web-based format, participants have the opportunity to obtain the information as it was originally presented by watching the video slide presentations on line, downloading the slides for review, or downloading a written executive summary of the presentations to read. Following their review of the presentations, participants will be asked relevant test questions as part of the evaluation process to obtain CME credit.
Educational Objectives
Following the symposium, participants will be able to:- Describe successful community approaches for controlling asthma.
- Differentiate various methods of assessing asthma control.
- Describe successful approaches for identifying students with asthma and implementing student asthma action plans.
- Identify successful methods of developing and sustaining coalitions.
- Increase their knowledge of the network of asthma contacts, programs, and resources.
Target Audience Pulmonary/critical care physicians, Physician assistants, Nurses, Respiratory therapists, Advance nurse practitioners, Public health officials, Asthma educators.
Needs Assessment
Asthma is the leading chronic illness among children in the United States, and 8.9% of children have the disease.1 For adults, 11% has been told by a doctor that they have asthma, and 7% continues to suffer from the disease. Adults in poor families have higher rates of asthma and COPD.2
Six percent of the population suffers from emphysema or chronic bronchitis.2 The National Heart, Lung and Blood Institute (NHLBI) has estimated that 12 million Americans are diagnosed with COPD, and an additional 12 million Americans may have COPD and remain undiagnosed. While other major causes of death have been decreasing, COPD mortality has continued to rise. COPD is now the fourth leading cause of death.3
Despite the fact that asthma is treatable and attacks are preventable, health care use for asthma is high. In 2004, there were 1.8 million visits to EDs, and there were 497,000 hospitalizations. Asthma is clearly not being controlled, especially in black and Hispanic populations. The Agency for Health Care Research and Quality has concluded that there remains a gap between accepted best practices for asthma care and actual care delivered to patients.4 Similarly, the NHLBI has concluded that many patients with COPD are not getting optimal treatment.3
Many communities have sought to fight the asthma epidemic, especially urban and inner city communities. Communities have formed coalitions or task forces to implement a variety of programs to make an impact on the burden of asthma. There are approximately 200 coalitions in the United States. Coalitions are convened in many ways, by state health departments, respiratory not-for profit organizations, hospitals, and universities, and many have incorporated. However, coalitions face a number of issues. Many coalitions have implemented successful programs, but there is no natural mechanism for them to share their experience with other coalitions. Governmental agencies and foundations have invested funds into pilot projects but need additional mechanisms to communicate with the communities that could replicate the programs. The new National Asthma Education and Prevention Program guidelines have been published, but challenges remain in implementation. These include issues such as encouraging widespread understanding and implementation of methods to assess asthma control in individual patients. The ACCP Community Asthma and COPD Coalition Symposium addresses these and other issues that are vital to effective coalitions.
COPD and asthma are important to the members of the ACCP, as most members treat these diseases every day. The ACCP has included COPD and asthma in the core curriculum that is being developed to guide the ACCP in its educational offerings.
Faculty
Tyra Bryant-Stephens MD
Philadelphia, PA
Mario Castro, MD, FCCP
St. Louis, MO
Alice Dalla Palu, MPH, CTTS-M
Allentown, PA
Joan Edelstein, MSN, DrPH, RN
Oakland CA
MeiLan K. Han, MD
Ann Arbor, MI
Sam Haywood
Northwestern University
Chicago, IL
Jill Heins-Nesvold, MS
Minneapolis/St. Paul, MN
Elizabeth Herman, MD
Atlanta, GA
Fernando Lopez
Malpica, Puerto Rico
Floyd Malveaux, MD, PhD
Washington DC
Supina Mapon
Northwestern University
Chicago, IL
Joel Massel
Chicago, IL
Adriana Matiz, MD
New York, NY
Tracey Mitchell, RRT
Washington, DC
Connie Moore, RN, BSN, MA
Los Angeles, CA
Tia Trivision,
Twinsburg, OH
Rhonda Williams, MES
Chicago, IL
References
- National Center for Health Statistics. Asthma prevalence, health care use and mortality: United States, 2003-2005. November 2006. Available at www.cdc.gov/nchs/products/pubs/pubd/hestats/ashtma03-05/asthma03-05.htm. Accessed February 24, 2009
- Pleis JR, Lethbridge-Çejku M. Summary health statistics for US adults: national health interview survey, 2005. Vital Health Stat 10 2006; 232:1-153
- National Heart, Lung and Blood Institute. COPD Learn More Breathe Better®. Available at www.learnaboutCOPD.org. Accessed February 24, 2009
- Agency for Healthcare Research and Quality. Closing the quality gap: a critical analysis of quality improvement strategies: volume 5—asthma care. January 2007. Available at http://www.ahrq.gov/clinic/tp/asthmgaptp.htm. Accessed February 24, 2009
Disclaimers
Release: March 2009
Participants may watch and listen to a Webcast slide presentation, download slides and an executive summary, and complete an activity evaluation. Copyright© 2009 by the American College of Chest Physicians and its Licensors
Disclosure Statement
The ACCP remains strongly committed to providing the best available evidence-based clinical information to participants of this educational activity and requires an open disclosure of any potential conflict of interest identified by our faculty members. It is not the intent of the ACCP to eliminate all situations of potential conflict of interest, but rather to enable those who are working with the ACCP to recognize situations that may be subject to question by others. All disclosed conflicts of interest are reviewed by the educational activity course director/chair, the Education Committee, or the Conflict of Interest Review Committee to ensure that such situations are properly evaluated and, if necessary, resolved. The ACCP educational standards pertaining to conflict of interest are intended to maintain the professional autonomy of the clinical experts inherent in promoting a balanced presentation of science. Through our review process, all ACCP CME activities are ensured of independent, objective, scientifically balanced presentations of information. Disclosure of any or no relationships will be made available on-site during all educational activities.
The following faculty members of this educational activity have disclosed to the ACCP that a relationship does exist with the respective company/organization as it relates to their presentation of material and should be communicated to the participants of this educational activity:
MeiLan K. Han, MD
Consultant fee, speaker bureau, advisory committee, etc.
Speaker bureau - GSK; consultant - Novartis; speaker bureau and advisory committee - CSL Behring
The following faculty members of this educational activity have indicated to the ACCP that no potential conflict of interest exists with any respective company/organization:
Tyra Bryant-Stephens, MD
Mario Castro, MD, FCCP
Alice Dalla Palu, MPH, CTTS-M
Joan Edelstein, MSN, DrPH, RN
Sam Haywood
Elizabeth Herman, MD
Fernando Lopez-Malpica
Floyd Malveaux, MD, PhD
Supina Mapon
Joel Massel
Adriana Matiz, MD
Tracey Mitchell, RRT
Connie Moore, RN, BSN, MA
Jill Heins-Nesvold, MS
Tia Trivision
Rhonda Williams, MES
Disclaimer
The American College of Chest Physicians ("ACCP") and its officers, regents, executive committee members, members, related entities, employees, representatives and other agents (collectively, "ACCP Parties") are not responsible in any capacity for, do not warrant and expressly disclaim all liability for, any content whatsoever in any ACCP publication or other product (in any medium) and the use or reliance on any such content, all such responsibility being solely that of the authors or the advertisers, as the case may be. By way of example, without limiting the foregoing, this disclaimer of liability applies to the accuracy, completeness, effectiveness, quality, appearance, ideas, or products, as the case may be, of or resulting from any statements, references, articles, positions, claimed diagnosis, claimed possible treatments, services, or advertising, express or implied, contained in any ACCP publication or other product. Furthermore, the content should not be considered medical advice and is not intended to replace consultation with a qualified medical professional. Under no circumstances, including negligence, shall any of the ACCP Parties be liable for any DIRECT, INDIRECT, INCIDENTAL, SPECIAL or CONSEQUENTIAL DAMAGES, or LOST PROFITS that result from any of the foregoing, regardless of legal theory and whether or not claimant was advised of the possibility of such damages.
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