Personalised Asthma Action Plan – ICST

QI

Allowing you to achieve incremental and measurable changes to make a real difference to patients

Personalised Asthma Action Plan

The Asthma Annual Review (Project TWO of TWO)

QI projects are built as a TWO-PART component

Part 1

Setup

Here you set up and understand the project, ensuring you have everything in place to start your project

Part 2

Project

Here you have all the tools and resources to keep track of your progress towards completing the project successfully

Better setup, better success

Setup

Getting started

Getting started

Start by working through the set-up phase of this project, setting yourself a goal according to the time you have available to dedicate to this project, ensuring your team are aware of the project and you have been given the authorisation from your practice manager to complete the project.

Progress through the Set-up phase of your QI project before moving down to the Project phase.

The aim of this QI project

The aim of this Quality Improvement Project is to ensure 50% or more of people on the Asthma register (both adults and children), have a personalised Asthma Action Plan, and evidence this with the appropriate SNOMED code in their notes by November 2021. 

This is the second of two projects, which involves reviewing a patient’s Personalised Asthma Action Plan during their next Asthma Review. This might be using the traditional paper copy of the PAAP, or the patient might be using the NHS Wales Asthmahub or Asthmahub for Parents apps.

Who is this project suitable for?

This QI project is aimed at primary care teams who have a register of Asthma patients (adult and paediatric).

Why is this important?

Data collected from GP practices across Wales suggest that only 16.1% 1-5 year olds, 24.3% 6-18 years olds, and 25.9% adults have any record of a personalised Asthma Action Plan in their records.

This QI project will ensure that every patient on the Asthma register has access to a Personalised Asthma Action Plan.

What will I get for completing this project?

Good data entry directly improves patient care, which will also help you identify gaps or errors in the patient record or diagnosis.

On completion of this QI project, you will also get a certificate for your work. You will also be able to use this QI project as evidence towards CPD and professional revalidation.

Mark Complete

Readiness

Make sure you have the knowledge and expertise to undertake this project successfully.

If you are confident you have the skills and knowledge to manage a patient with Asthma, mark this section as complete using the button below.

If you want to check your level of understanding, or need a refresher, check out the associated learning and assessments for this QI project, in line with the All Wales approach.

Mark Complete
Assessments:
Education programmes:
Mark Complete

Your capacity

Capacity is the most important aspect for the successful completion of any project  – ensure you have the capacity, time and ability to complete your project in a suitable timeframe.

Start by outlining how much time you have to commit to this project.

For example: Over the next six weeks, I will commit 30 minutes to completing this project.

And use the calculator provided to check whether you have the capacity to complete the steps.

When will my project start:

When will my project be completed by:

How much time do I have to dedicate to my project each week

Each patient action for the project will take minutes

Recommended time is minutes per patient.

Your current capacity


Please complete form to calculate capacity

* use the capacity calculator to edit or update your time frame

Mark Complete

Alignment

In order for your project to get underway and to be successful, your manager(s) will need to understand the importance of the project and agree your time commitment.

Name

Job title

Email

Contact 1 details not complete.

Sent email
Responded and signed off project

Name

Job title

Email

Contact 2 details not complete.

Sent email
Responded and signed off project
Mark Complete

Communication pack

It’s important that your colleagues know about the project.

You may want to include colleagues in the project, and they may need to know about other demands on your time. Let them know that you are focusing on QI with these useful resources.

Resources

Communication with colleagues – Presentation template

NACAP Clinical Audit Report – Wales Primary Care

Mark Complete

Milestone Map

Keep track of your set-up progress and make sure you are on track to getting started with your project with the timeframe you have added in your capacity calculator.

Your Progress

Getting started

Readiness

Your capacity

Alignment

Communication pack

Milestone Map

113

Start Date

Not Set

113

End Date

Not Set

Mark Complete

Project

Project overview

The aim of this QI project

The aim of this Quality Improvement Project is to ensure 50% or more of people on the Asthma register (both adults and children), have a personalised Asthma Action Plan, and evidence this with the appropriate SNOMED code in their notes by November 2021. 

This is the second of two projects, which involves reviewing a patient’s Personalised Asthma Action Plan during their next Asthma Review. This might be using the traditional paper copy of the PAAP, or the patient might be using the NHS Wales Asthmahub or Asthmahub for Parents apps.

A recap on the evidence

Data collected from GP practices across Wales suggest that only 16.1% 1-5 year olds, 24.3% 6-18 years olds, and 25.9% adults have any record of a personalised Asthma Action Plan in their records.

This QI project will ensure that every patient on the Asthma register has access to a Personalised Asthma Action Plan.

What will I get for completing this project?

Good data entry directly improves patient care, which will also help you identify gaps or errors in the patient record or diagnosis.

On completion of this QI project, you will also get a certificate for your work. You will also be able to use this QI project as evidence towards CPD and professional revalidation.

Instructions

Project steps

Step 1

During asthma review ensure a PAAP is in place (either paper version or app version) and the patient is confident in how to use it.

Step 2

Ensure correctly coded.

Step 1 – During a patient review

During a routine Asthma review, identify any patients who do not have a Personalised Asthma Action Plan (PAAP) and determine which of the following they would prefer:

  • A paper PAAP
  • The Asthmahub or Asthmahub for parents app, that provides them with a virtual Personalised Asthma Action Plan, as well as loads of really useful advice on staying well, using their inhalers, monitoring their peak flow and symptoms, and knowing what to do when their symptoms deteriorate.

During an Asthma review, ensure they have an up-to-date Personalised Asthma Action Plan and the patient knows how to use it.

Step 2 – Code the PAAP

Code the patient’s Personalised Asthma Action Plan in their notes, using the following codes:

Asthma self-manage plan agreed

  • Read code: 661M1
    SNOMED code: 811921000000103

Asthma self-manage plan review

  • Read code: 661N1
  • SNOMED code: 810901000000102

Recording your progress

For every patient who receives a new Personalised Asthma Action Plan, or whose PAAP is reviewed during an Asthma Annual Review, be sure to record this in the ‘Progress’ section of the QI platform.

Resources

QI Project Printable Instructions

Resources

Attached below are a selection of resources to support you through your project.

Resources

QI Project Printable Instructions

NHS Wales Asthma Care Plan – English

NHS Wales Asthma Care Plan – Welsh

NHS Wales Asthma Care Plan (MART) – English

NHS Wales Asthma Care Plan (MART) – Welsh

Management of Acute Asthma and Wheeze in Children aged >2 years old

Progress

Add the number of patients that you have addressed according to this project.

You should see your progress bars increase as you get closer to your goal.

Your current capacity


Please complete form to calculate capacity

* use the capacity calculator to edit or update your time frame

Capacity Calculator

Click on the chevrons for more information on your progress

Project data not set. Please complete your project's capacity settings.

Project data not set. Please complete your project's capacity settings.

Certificate

Your dynamic certificate can be found below. You can generate a certificate at any point during your QI project, and the certificate will be updated when you make further progress.

Sign Off

This QI project can be signed off by yourself.

Please sign off by clicking the button below. This will make your certificate available.

Download Certificate

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