Initiative Description: Four to five evidence-based interventions combined or “bundled” to help health care providers deliver the best possible care for patients safely and effectively: annual NP assessment at school using the Asthma Control Test™ (ACT) to classify asthma control, prescribing controller medications if indicated, and developing a written AAP. If the child has a medical home but continues to have poor symptom control, the NP and school nurse will coordinate care with the primary care provider to prevent confusion.

Study Results: Fewer asthma exacerbations at school and fewer ED visits.

Reference: Toole, K. P. (2013). Helping children gain asthma control: bundled school-based interventions. Pediatric Nursing, 39(3), 115-124.

Level of Evidence: 2 out of 5 stars Good