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Clinical Audit: Optimising Asthma Control

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This education is accredited: RACGP 40 CPD, ACRRM 30 CME PD.

Audit Aim

Asthma is a common condition, which affects an estimated 1 in 9 Australians. The Optimising Asthma Control Clinical Audit aims to support a quality consultation that optimises control of asthma in a patient currently managed on a preventer medication.

Why take part in this audit?

The Optimising Asthma Control Clinical Audit has been designed to assist GPs in reviewing the asthma management of 10 patients over the age of 12 years who are currently using preventer medication (Inhaled Corticosteroids or ICS) alone or in combination with a long acting beta agonist (LABA), to produce better patient outcomes and increase quality of life.

  1. Benefit from an online support tool that can help you review patient asthma management and initiate a switch in medication if appropriate.
  2. Improve your consultations and be able to measure and improve function in 10 patients
  3. Earn up to 40 RACGP QI&CPD points or 30 ACRRM PDP points upon completion

Inclusion Criteria

  1. Patients over 12 years old with a diagnosis of asthma
    AND
  2. Using preventer medication (Inhaled Corticosteroids or ICS) alone or in combination with a long acting beta agonist (LABA).

Steps to Proceed

What the GP needs to do

  • Log in or register on this page
  • Use the 'Click here to proceed' button to get started.

 

1. Pre-Test

  • Read the background information on the audit's underlying evidence and best practice statements and answer some questions.
  • It would be a good idea to complete this 10 minute activity before your first audit patient.

2. Identify 10 patients:

Tips to identify 10 patients

1. Consider a patient being consulted for asthma

2. Perform a search on your practice software using the following search criteria: (Please consult your practice software help or support function if required)

  • Diagnosis: Asthma
    and
  • Age: Over 12 years old
    and
  • Medications: Inhaled Corticosteroids (ICS) alone or in combination with a long acting beta agonist (LABA)

3. Recall these patients for a consultation - click here to download a recall letter that can be mail merged using your practice software or handed out by your practice nurse.

3. Assess for each patient:

  • Review of current medications
  • Optimising care in asthma
    • Assess asthma control
    • Severity of symptoms
  • Asthma management plan
    • Medication change
    • Patient education
    • Follow-up

Enter this information in the patient data entry section of the audit.

4. Action

  • Discuss a management plan with the patient based on current evidence and considered best practice

Recommendations will be based on assessment from part 3 (above):

  • Symptoms
  • Tolerance factors in medication use
  • Inhaler device and technique
  • Impact on quality of life
  • Asthma guideline

Specifically based on assessment and a stepped approach to medication change in adults with asthma:

  • Either add or switch medication.

Add - LABA to ICS for flare-up prevention and symptom control
Switch - to other fixed-dose combination treatment for comparable efficacy and improved tolerability

5. Data review and evaluation

  • Once you have entered data for 10 patients, review your results and evaluate the audit recommendations.

6. CPD points

  • Completion of this activity will award you 40 RACGP QI&CPD points, or 30 ACRRM PDP points.
  • If a nurse assisted you in completing the clinical audit and wants to claim CPD points download a certificate here.

 

This program is supported by Mundipharma Pty Limited.

Content partners: 
Components
Optimising Asthma Control Clinical Audit - Pre-test
Optimising Asthma Control Clinical Audit - Declaration
Optimising Asthma Control Clinical Audit - Patient entry
Optimising Asthma Control Clinical Audit - Results and Evaluation