Allergy & Immunology Outcomes

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Why Choose Us: Allergy & Immunology

Our Outcomes: The Results of Our Care

Nemours pediatric allergists/immunologists at Nemours diagnose and treat asthma and the full range of allergies in children, from food allergies to hay fever. We also diagnose and treat problems with the immune system (the body’s system to fight infection and foreign cells) such as recurrent infections and immunodeficiencies.

A big part of our allergy and immunology care is helping kids with asthma. At Nemours, our pediatric specialists are internationally recognized for our expertise in children’s asthma. Through studies and clinical trials, we’re always looking for new ways to improve treatment and offer care backed by the latest research for asthma in children. Our goal is to help both you and your child successfully manage the disease and avoid asthma emergencies.

Why Measuring Results Matters

To provide pediatric care that's among the safest and most effective for all children, we measure our results. Why? So we can:

  • help you make decisions about your child’s care
  • be clear about our results
  • improve so we can consistently deliver better, safer care

Here are a couple of outcomes we track and focus on to improve the experience for both you and your child.

 

Helping Kids Control Their Asthma

Helping Kids Control Their Asthma


Using the Asthma Control Test (ACT)

Our goal is to help kids keep their asthma under control — and avoid flare-ups (asthma attacks). To do this, we gather and document as much information as possible about their symptoms over time. The Asthma Control Test™ (ACT) is an easy-to-use patient questionnaire we now use to check symptoms (in kids ages 4 or older) over the past four weeks. We use the test to help guide your child’s treatment plan.

The ACT includes questions about how kids feel about their condition, symptoms, rescue medication use, and whether or not their asthma is limiting their daily activities or disturbing their sleep. Your child’s ACT score is a quick, simple way to tell if the asthma is under good control, especially during certain times of the year (which could mean a seasonal allergen in the environment might be making their asthma worse).

At Nemours, we’re striving to use the ACT with our established asthma patients at least once every six months. To do this, we:

  • Identify kids and teens with asthma at the start of their visit or before their follow-up visit.
  • Give you and your child an ACT form to fill out at the start of each visit.
  • Have our doctors and nurses review the ACT form with you to provide a quick overview of your child’s asthma control.
  • Track the ACT scores in your child’s electronic health record.

 

Percentage of Patients Using the Asthma Control Test (ACT) at Least Once Every Six Months

86%

2017

86%

2016

11%

Baseline (start of the process, 2015)

 

Data source: Nemours data collected from electronic health records, 2015 through 2017, of Allergy & Immunology patients at Nemours/Alfred I. duPont Hospital for Children (in Wilmington, Del.); six Nemours duPont Pediatrics satellite locations in Delaware, New Jersey and Pennsylvania; Nemours Children’s Hospital (in Orlando); and Nemours Children’s Specialty Care, Jacksonville/Wolfson Children’s Hospital (in Jacksonville, Fla.). Data shows progress over time.

Asthma Medication Education

Asthma Medication Education


Helping Kids and Families Understand How to Use Their Medications

For children with asthma, it’s so important that they — and their families — understand how to properly use their medications in order to prevent asthma symptoms and treat flare-ups if they do happen. Studies show that better understanding of asthma and asthma medications help kids and families follow their asthma care plans more closely — and with more success. And that can mean fewer urgent care and emergency room visits, improved quality of life, and fewer missed school days and extracurricular activities.

That’s why at Nemours, we provide asthma education at least once every year to all patients with persistent asthma. Teaching can be done by nurses, physicians, physician assistants (PAs), advanced practice nurses (APNs) and/or respiratory therapists (RTs). At any given visit, someone on your child's care team will show you and your family:

  • which inhaled medications need to be used every day to prevent and control symptoms, and which are used for rescue treatment (when symptoms get worse)
  • how to properly use devices such as inhalers, nebulizers and spacers (because as many as 2 out of 3 patients with asthma use their asthma medication inhalers incorrectly)
  • how to tell when inhalers are empty
  • how to care for their devices before, during and after use

 

Education About Asthma Medications Provided for Children With Persistent Asthma (New and Follow-Up Patients)

78%

2017

65%

2016

29%

Baseline (start of the process, 2015)

 

Data source: Nemours data collected from electronic health records, 2015 through 2017, of Allergy & Immunology patients at Nemours/Alfred I. duPont Hospital for Children (in Wilmington, Del.); six Nemours duPont Pediatrics satellite locations in Delaware, New Jersey and Pennsylvania; Nemours Children’s Hospital (in Orlando); and Nemours Children’s Specialty Care, Jacksonville/Wolfson Children’s Hospital (in Jacksonville, Fla.). Our ultimate goal is for all patients with persistent asthma to receive asthma teaching at least once per year, or as often as they’re seen for follow-up if the follow-up interval is longer than 1 year. Data shows progress over time.

Our Differentiators: What Sets Us Apart

Our Differentiators: What Sets Us Apart


Why Choose Nemours Allergy & Immunology

Allergy and immunology in children is much different than in adults. Not only are their bodies still growing and changing (and so are their symptoms), but kids have different social and emotional challenges that only a team dedicated to pediatric care can fully address. Here are just some of the other reasons families choose Nemours for their children’s allergy, asthma and immunology care:

  • Experienced, highly skilled team of leaders. Our pediatric allergists/immunologists are board-certified and fellowship-trained to provide the highest level of care for simple to complex conditions. In addition to being clinicians, we are teachers, authors, innovators — national leaders in our field.
  • Collaborative team approach to your child’s care. Our allergists/immunologists work closely with multispecialty teams built around your child’s condition, including otolaryngologists (ear, nose and throat, or ENT doctors), pulmonologists (lung and breathing specialists), gastroenterologists (digestive system specialists) and anyone else your child might need to see.
  • Personalized care for families. We treat every child as we would our own, and include you in every decision because we recognize that you know your child best. We work together to tend to your child’s physical, emotional and social needs.
  • Research that helps kids everywhere. Nemours doctors and researchers are actively involved in research and clinical trials to look for better ways to diagnose and treat childhood asthma, allergies and immune deficiencies.