Track: Generalist

KCA: Initial Asthma Diagnosis Visit

Topic

Measurable Actions

Timing

Key Indicators

Identify to support the initial diagnosis of asthma.

At initial diagnosis visit 

Spirometry

Perform to establish the diagnosis of asthma for patients ≥5 years.

At initial diagnosis visit

Classify Asthma Severity

Classify to guide initial treatment.

At initial diagnosis visit

Stepwise Approach to Initiate Treatment 

Use appropriate stepwise tables to initiate treatment based on the level of asthma severity.

At initial diagnosis visit

Asthma Action Plan 

Create a written asthma action plan.

At initial diagnosis visit

KCA: Follow-up Asthma Management Visits

Topic

Measurable Actions

Timing

Validated Tool 

Use to assess asthma control.

Every follow-up visit

Reasons for Lack of Control

Identify reasons for lack of asthma control.

Every follow-up visit when asthma is not well controlled or very poorly controlled,

Repeat Spirometry 

Repeat or schedule spirometry for patients ≥5 years.

At least every 1–2 years for patients ≥5 years

Stepwise Approach to Maintain or Adjust Treatment

Use appropriate stepwise tables to maintain or adjust treatment based on asthma control.

Every follow-up visit

Flu Shot

Recommend annual influenza vaccine.

Annually for patients ≥6 months

Asthma Action Plan Update

Update the written asthma action plan as needed and review with the patient and family.

Every follow-up visit

Follow-up Appointment

Recommended for the patient to return within 1–12 months to monitor asthma control, depending on concerns.

Every visit