Wednesday, February 5, 2025
2/5/2025
Purpose. The Michigan Asthma Prevention and Control Program (MiAPCP) proposes to reduce Michigan’s asthma burden through implementation of a comprehensive plan that expands the reach, quality, effectiveness, and sustainability of asthma control services through reinforcing leadership and infrastructure and implementing the six EXHALE strategies, working toward the CCARE goal of preventing emergency department (ED) visits and hospitalizations among children, particularly in high burden areas. Asthma affects over one million of Michigan’s (MI) 9.9 million residents and affects MI’s minority and lower income populations at a significantly higher rate than those who are white and have higher incomes. Collaborative efforts will be statewide with extra focus in asthma high burden communities. Infrastructure. Since 1998, MiAPCP has built state and local capacity for asthma surveillance and interventions through partnerships and collaboration. These collaborative partnerships with statewide and local system-level agencies ensure buy-in, commitment and expansion of evidence-based asthma care management. Michigan continues to be a leader in asthma surveillance, with a comprehensive system that monitors and raises awareness of the burden of asthma, its management, and its triggers. Evaluation is integrated into every new and existing strategy to provide useful and actionable results. Our communication plan is multi-layered to reach people with asthma and their caregivers, and internal and external stakeholders with asthma information, surveillance data, and evaluation outcomes. MiAPCP has benefited from the continuity of a highly experienced staff with expertise in areas of epidemiology, evaluation, capacity building, clinical protocols, and communication, which has engendered program growth, flexibility, and expansion of partnerships and strategies to reduce asthma burden. Expand EXHALE. MiAPCP prioritizes establishing and institutionalizing linkages between partners and across settings, while promoting guidelines-based medical management and expanding asthma self-management education (AS-ME). We will collaborate with strategic partners to: 1) Educate people with asthma in AS-ME skills by pairing evidence-based tools with innovative and collaborative approaches. 2) Increase smoking cessation education and referrals during home-based education and strengthening and formalizing it with new partners. 3) Expand access to and delivery of our successful MATCH model, a guidelines-based system care for adults and children with moderate to severe asthma that is sustained by contracts with health plans. The model provides home-, school- and provider-based visits for asthma education, addressing trigger reduction and social determinants of health. 4) Support guidelines-based medical management by improving EHRs and access to devices and medications. 5) Coordinate care across settings by connecting school nurses to health plans and health systems and leveraging partnerships to foster a multi-disciplinary pulmonary clinic in our highest-burden community. 6) Promote home energy efficiency with MATCH programs, support policies for smoke-free environments and encourage the adoption of policies to improve indoor and outdoor. Outcomes. All outcomes will align with the CDC logic model, Healthy People 2020 and 2030 objectives, and contribute to the CCARE goal. Expected outcomes include increased: capacity to educate and refer people with asthma to guidelines-based asthma self-management and smoking cessation services; systems that encourage team-based care; adoption of environmental policies and best practices; and use of data for program improvement. We are committed to reporting on all of the CDC-identified performance measures, developing a statewide strategic plan and updating the data management and evaluation plans in Year one.
HHS’ Tracking Accountability in Government Grants System (TAGGS) website provides access to detailed descriptions of grants, loans, aggregated direct payments and other types of financial assistance awarded by the HHS Operating Divisions (OPDIVs) and the Office of the Secretary Staff Divisions (STAFFDIVs).