Childhood Asthma and Childhood Asthma and Socioeconomic DisparitiesSocioeconomic Disparities

Measuring Progress and Measuring Progress and SuccessSuccess

Tamara FillingameTamara Fillingame

Measuring the effectiveness of any Measuring the effectiveness of any program is important.program is important.

Metrics are very useful in Metrics are very useful in assessing whether or not assessing whether or not a program is successfula program is successful

Metrics can also be used Metrics can also be used to help set and track to help set and track realistic goalsrealistic goals

Ways metrics can be used to measure Ways metrics can be used to measure the progress & success of childhood the progress & success of childhood asthma & socioeconomics disparitiesasthma & socioeconomics disparities

Socioeconomic Socioeconomic statusstatus

Poverty levelPoverty level

Environmental Environmental factorsfactors

The quality & the The quality & the extent to which extent to which care providers and care providers and hospitals deliver hospitals deliver and the outcomes and the outcomes of the provided careof the provided care

Return on Investment on the care Return on Investment on the care providedprovided

Based on four quality dimensions of Based on four quality dimensions of treatmentstreatments

Effectiveness of treatmentsEffectiveness of treatments How is the patient/child safetyHow is the patient/child safety Timeliness of the treatmentsTimeliness of the treatments Patient centerednessPatient centeredness

Follow upFollow up

Making sure they Making sure they stay healthystay healthy

They get betterThey get better

Living with the Living with the illnessillness

Coping to the end of Coping to the end of treatmenttreatment

Grading health careGrading health care

Medical cost before the program – medical cost after the Medical cost before the program – medical cost after the programprogram

program costprogram cost

How a leader can address any How a leader can address any ambiguity & uncertainty arising ambiguity & uncertainty arising

from leadership challengesfrom leadership challenges

Bring together the local leaders with Bring together the local leaders with the community to review/update the community to review/update research findingsresearch findings

Examine the promising practices & Examine the promising practices & develop local plans on how to address develop local plans on how to address the health disparitiesthe health disparities

Encourage preventive methods & Encourage preventive methods & servicesservices

Emphasize the importance of working Emphasize the importance of working beyond organizational boundaries to beyond organizational boundaries to help other providershelp other providers

ReferencesReferences Gergen, P., Mullally, D., Evans, III, R. (2004). Gergen, P., Mullally, D., Evans, III, R. (2004). National National

Survey of prevalence of asthma among children in Survey of prevalence of asthma among children in the United States. the United States. New York: New York Publishers.New York: New York Publishers.

Waller, L. & Gotway, C. (2004). Global indexes of Waller, L. & Gotway, C. (2004). Global indexes of spatial auto correlation: applied spatial statistics for spatial auto correlation: applied spatial statistics for public health data. public health data. Wiley Series in Probability and Wiley Series in Probability and StatisticsStatistics. Hoboken. 4(12): 223-36. Hoboken. 4(12): 223-36

Weitzman, M., Gortmaker, S., & Sobol, A. (2001). A Weitzman, M., Gortmaker, S., & Sobol, A. (2001). A racial, social, and environmental risks for childhood racial, social, and environmental risks for childhood asthma. asthma. American Journal of Diseases in ChildrenAmerican Journal of Diseases in Children. . 144(11): 1189-1194144(11): 1189-1194