Outcome of pediatric inpatient asthma clinical pathway implementation in a military medical center

Mil Med. 2013 Apr;178(4):e477-82. doi: 10.7205/MILMED-D-12-00418.


A performance improvement project was instituted at our facility to standardize pediatric inpatient asthma care by instituting an asthma clinical pathway (ACP). Formal asthma education and standardized postdischarge follow-up plans for all asthma inpatients were initiated. Patients treated by following the ACP were compared against historically similar patients from the previous 4 years. Differences in hospital length-of-stay (LOS) for patients treated on the ACP were compared to historical LOS. Adherence to The Joint Commission's home management plan of care metric, CAC-3, was also compared. There was a 25% lower hospital LOS in the ACP group compared to historical control group, 45.8 hours versus 60.9 hours (p < 0.002). CAC-3 adherence significantly increased from 48% to 89% (p < 0.001) after initiating formal asthma education. The implementation of a pediatric asthma inpatient performance improvement project was associated with a significant decrease in hospital LOS, when compared to historic controls. It also led to a significant improvement in adherence with The Joint Commission's CAC-3 measures.

Publication types

  • Comparative Study

MeSH terms

  • Adolescent
  • Asthma / therapy*
  • Child
  • Child, Preschool
  • Critical Pathways*
  • Disease Management*
  • Female
  • Follow-Up Studies
  • Hospitals, Military*
  • Humans
  • Inpatients*
  • Length of Stay / trends*
  • Male
  • Treatment Outcome
  • United States