Michigan Asthma Prevention and Control Program - The Michigan Asthma Prevention & 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 by implementing the six EXHALE strategies. We will focus our efforts on African American, low-income and child populations in high asthma-burden communities, working to make each intervention sustainable. 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. MiAPCP prioritizes establishing and institutionalizing linkages between partners and across settings, while promoting guidelines-based medical management and expanding asthma self-management education. We will collaborate with partners to: 1) Educate people with asthma in asthma self-management education skills. 2) Provide smoking cessation education and referrals during home-based education and implement a new emergency department cessation project. 3) Expand access to and delivery of our successful MATCH case management model, which 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: implementing new policies, including a statewide stock quick-relief medication law, valved-holding chamber standing order and Medicaid 90-day medication supply and developing an Epic electronic health record asthma action plan and providing trainings and resources for clinicians will improve asthma care in all settings. 5) Coordinate care across settings by connecting school nurses to student health information, health plans and health systems; connecting families of children hospitalized for asthma with social determinants of health resources; and connecting Child & Adolescent Health Centers to pharmacies to help students get their asthma medications. 6) Promote safer indoor and outdoor air at childcare centers, in homes and around school buses. Since 2000, 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 with an emphasis on health equity and sustainability. 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 strategy to provide useful and actionable results. Our communication plan is multi-layered to reach people with asthma, providers, and internal and external stakeholders with information to improve self-management, guidelines-based care, 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, engendering program growth, flexibility, and expansion of partnerships and strategies. All outcomes will align with the CDC logic model, and MiAPCP has the capacity to operationalize and collect all required performance measures. Expected outcomes include increased: capacity to educate and refer people with asthma to guidelines-based asthma self-management and smoking cessation services; policies and systems that encourage increased access to medications and devices; adoption of environmental policies and best practices; and use of data and evaluation outcomes for program improvement. We are committed to updating our statewide strategic and communication plans in Year 1, both with a health equity focus.