Thursday, March 13, 2025 3/13/2025

PA-20-070 Integrating Patient-Reported Outcomes into Routine Primary Care: Monitoring Asthma Between Visits

Award Number: R18HS026432
ORGANIZATION: AGENCY FOR HEALTH CARE RESEARCH AND QUALITY
OPDIV: AHRQ
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: KDA (KNOWLEDGE/DEVELOPMENT/APPLICATION)

Group Awards By:

View Award Abstract

PROJECT SUMMARY Uncontrolled asthma impairs quality of life for patients and is commonly associated with utilization of high-cost healthcare resources. Current clinical guidelines recommend frequent monitoring of asthma symptoms in the ambulatory setting to avoid clinical deterioration and emergency care. However, useful tools and practice models for intensive symptom monitoring are unavailable and adherence to these guidelines is poor. We have developed a simple mobile health (mHealth) app that can be installed on patients' smartphones to track and self-report asthma symptoms, and a practice model for clinics to monitor the patient-reported symptoms as part of routine care. As part of our current pilot, we have successfully implemented this app and practice model in a pulmonary subspecialty clinic and found high patient adherence, strong support for continued participation after 6 months of usage, and minimal burden on clinicians. The purpose of this project is to scale and spread this novel health IT-enabled practice model for the collection of patient-reported outcomes (PRO) between visits to the primary care setting. Specifically, we will (1) adapt our practice model and health IT tools to the primary care setting; (2) implement the health IT-enabled practice model in four primary care clinics affiliated with our accountable care organization that serves a diverse population, including Spanish-speaking and low health literacy patients; and (3) rigorously evaluate the effect on asthma-related patient-reported quality of life and healthcare utilization in a randomized controlled trial. If successful, this project will provide new knowledge about how to scale and spread a health IT-enabled practice model that incorporates the collection asthma- related PROs into routine primary care, the setting in which most asthma patients are treated. This work is innovative because it adapts an existing and proven health IT-enabled practice model that leverages widespread adoption of smartphones among patients and is guided by a novel framework specifically designed to scale and spread health technology innovations. Furthermore, our findings will produce rigorous evidence regarding impact, thereby providing a foundation for developing a set of best practices to scale and spread this or similar health IT-enabled practice models for between-visit collection of PROs for patients with asthma as well as other conditions.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2024 ( Subtotal = -$835 )
2024	2021	THE RAND CORPORATION	1776 MAIN ST	SANTA MONICA	CA	90401	LOS ANGELES	USA	Research on Healthcare Costs, Quality and Outcomes	002	3	7/22/2024	SUPPLEMENT FOR EXPANSION	-$835
2024	2020	THE RAND CORPORATION	1776 MAIN ST	SANTA MONICA	CA	90401	LOS ANGELES	USA	Research on Healthcare Costs, Quality and Outcomes	000	3	2/22/2024	NON-COMPETING CONTINUATION	$0
2024	2020	THE RAND CORPORATION	1776 MAIN ST	SANTA MONICA	CA	90401	LOS ANGELES	USA	Research on Healthcare Costs, Quality and Outcomes	001	3	7/22/2024	NON-COMPETING CONTINUATION	$0
														Subtotal = -$835

Issue Date FY: 2023 ( Subtotal = $0 )
2023	2020	THE RAND CORPORATION	1776 MAIN ST	SANTA MONICA	CA	90401	LOS ANGELES	USA	Research on Healthcare Costs, Quality and Outcomes	000	3	8/18/2023	NON-COMPETING CONTINUATION	$0
														Subtotal = $0

Issue Date FY: 2022 ( Subtotal = $0 )
2022	2021	RAND CORPORATION, THE	1776 MAIN ST	SANTA MONICA	CA	90401	LOS ANGELES	USA	Research on Healthcare Costs, Quality and Outcomes	001	3	11/8/2021	SUPPLEMENT FOR EXPANSION	$0
2022	2021	RAND CORPORATION, THE	1776 MAIN ST	SANTA MONICA	CA	90401	LOS ANGELES	USA	Research on Healthcare Costs, Quality and Outcomes	003	3	6/15/2022	SUPPLEMENT FOR EXPANSION	$0
2022	2020	RAND CORPORATION, THE	1776 MAIN ST	SANTA MONICA	CA	90401	LOS ANGELES	USA	Research on Healthcare Costs, Quality and Outcomes	002	3	6/15/2022	NON-COMPETING CONTINUATION	$0
2022	2020	RAND CORPORATION, THE	1776 MAIN ST	SANTA MONICA	CA	90401	LOS ANGELES	USA	Research on Healthcare Costs, Quality and Outcomes	000	3	11/8/2021	NON-COMPETING CONTINUATION	$0
														Subtotal = $0

Issue Date FY: 2021 ( Subtotal = $468,018 )
2021	2021	RAND CORPORATION, THE	1776 MAIN ST	SANTA MONICA	CA	90401	LOS ANGELES	USA	Research on Healthcare Costs, Quality and Outcomes	001	3	12/18/2020	SUPPLEMENT FOR EXPANSION	$468,018
2021	2020	RAND CORPORATION, THE	1776 MAIN ST	SANTA MONICA	CA	90401	LOS ANGELES	USA	Research on Healthcare Costs, Quality and Outcomes	002	3	8/24/2021	NON-COMPETING CONTINUATION	$0
2021	2020	RAND CORPORATION, THE	1776 MAIN ST	SANTA MONICA	CA	90401	LOS ANGELES	USA	Research on Healthcare Costs, Quality and Outcomes	000	3	12/18/2020	NON-COMPETING CONTINUATION	$0
														Subtotal = $468,018

Issue Date FY: 2020 ( Subtotal = $507,126 )
2020	2020	RAND CORPORATION, THE	1776 MAIN ST	SANTA MONICA	CA	90401	LOS ANGELES	USA	Research on Healthcare Costs, Quality and Outcomes	000	3	7/21/2020	NON-COMPETING CONTINUATION	$507,126
														Subtotal = $507,126

Issue Date FY: 2019 ( Subtotal = $433,637 )
2019	2019	RAND CORPORATION, THE	1776 MAIN ST	SANTA MONICA	CA	90401	LOS ANGELES	USA	Research on Healthcare Costs, Quality and Outcomes	000	2	7/26/2019	NON-COMPETING CONTINUATION	$433,637
														Subtotal = $433,637

Issue Date FY: 2018 ( Subtotal = $553,875 )
2018	2018	RAND CORPORATION, THE	1776 MAIN ST	SANTA MONICA	CA	90401	LOS ANGELES	USA	Research on Healthcare Costs, Quality and Outcomes	000	1	8/30/2018	NEW	$553,875
														Subtotal = $553,875

Grand Total All Awards = $1,961,821

Top

All Categories

About

Search

Reports

Data Submission

Award Information

PA-20-070 Integrating Patient-Reported Outcomes into Routine Primary Care: Monitoring Asthma Between Visits

Award Number: R18HS026432

ORGANIZATION: AGENCY FOR HEALTH CARE RESEARCH AND QUALITY

OPDIV: AHRQ

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: KDA (KNOWLEDGE/DEVELOPMENT/APPLICATION)

Federal Websites

Department of Health & Human Services

HHS Operating Divisions

HHS Staff Divisions

Download A Document Viewer