Introduction: Structured asthma control assessment tools such as the Asthma Control Test (ACT) and Childhood Asthma Control Test (C-ACT) are underutilized in many pediatric pulmonology clinics. We conducted a quality improvement (QI) initiative to integrate these tools into routine asthma follow-up care in a pediatric outpatient setting. Methods: This two-phase QI project began with a paper-based rollout limited to Tuesdays over a four-month period. In the second phase, starting January 28, 2025, we transitioned to an EPIC-based electronic system that included automated MyChart distribution and in-clinic iPad completion, expanding the intervention to all clinic days (Tuesday–Friday). The primary outcome was the ACT/C-ACT completion rate. Results: During the paper-based phase, 68 of 87 eligible patients completed the ACT/C-ACT (78%). In the electronic phase, 236 of 421 eligible patients completed the questionnaire (56%). Weekly completion rates improved steadily, increasing from 18% in the first week to 69% in the final week. Completion rates varied by clinic day and age group, with higher adherence among patients eligible for at-home completion. Conclusions: This QI initiative demonstrates the feasibility of implementing ACT/C-ACT tools into routine pediatric asthma care. A phased approach, leveraging both paper and electronic formats, combined with staff engagement and EHR integration, can enhance and sustain the use of patient-reported outcome measures in clinical practice.
Okuducu et al. (Tue,) studied this question.
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