Clinical Services

ePoster Presentation

(EP-102) Asthma Free Schools: How Telemedicine Is Leading the Way

Sunday, April 23
4:55 PM - 5:10 PM
Location: Experience Zone - ePosters

Asthma is a common, complex and costly chronic condition in the U.S., resulting in nearly 2 million acute care visits and $56 billion in overall costs each year (Akinbami 2012). Of these patients, 5-20% have poorly controlled asthma accounting for nearly 50% of all asthma-related expenditures (Pakhale 2011). The overall rate of pediatric asthma in Greater Cincinnati is more than twice the national average. In some urban-core Cincinnati neighborhoods, the rate of hospitalization for asthma is 10 times the national rate.
To address the concerning incidence of asthma in Greater Cincinnati, we embarked on an innovative program to develop "asthma-free schools" in neighborhoods where the incidence of asthma is especially high. In partnership with Cincinnati Public Schools, we intend to achieve asthma-free schools through school-based asthma care programs.
This presentation will provide a general overview of program, and will address how to apply telemedicine within the framework of school based asthma care. The presentation will highlight, high-risk asthmatic participants and a number of interventions incorporated into this type of care. Specifically the presentation will address the use of a commercially available inhaler cap monitoring sensor, a mobile software management platform that tracks adherence of all asthma medications, mobile based telehealth medical visits to assess asthma control, and mobile based telehealth adherence problem-solving interventions. Finally, the presentation will address how one institution has begun work to mitigate the concerning incidence of asthma in Greater Cincinnati through the development and understanding of school-based asthma care by defining barriers and identifying outcomes important to key stakeholders, as well as a defined clinical practice algorithm.

Learning Objectives:

Theresa Guilbert

Theresa Guilbert, Professor, Pulmonary Section, Co -Director of the Asthma Center
Cincinnati Children's Hospital Medical Center

Theresa Guilbert is a Professor in the Pediatric Pulmonary Section at Cincinnati Children’s Hospital & Medical Center (CCHMC). She is the Co-Director of the Asthma Center at CCHMC and has 16 years of experience in providing clinical care to asthmatic children and adolescents and conducting clinical and epidemiologic research. Dr. Guilbert has been engaged in teaching, research and clinical roles at the University of Arizona and Arizona Respiratory Center from 1999 to 2006 and at the University of Wisconsin-Madison from 2006-2013. She also received a Masters of Science Degree in Epidemiology from the University of Arizona in 2007. Her clinical interests are early childhood wheezing, vocal cord dysfunction, and difficult-to-treat/severe asthma.
Dr. Guilbert has research interests in the area of early life risk factors, exposures, and environment interactions that lead to the development of early childhood asthma and recurrent wheezing and the use of electronic medical records in epidemiology and clinical research. She also has interest in using technology for novel care delivery systems. Much of Dr. Guilbert’s research experience has been with multicenter trials and networks. She was recently a steering committee member of the NIH sponsored Childhood Asthma Research and Education (CARE), AsthmaNet, and Severe Asthma Research Program (SARP) networks, which were created to develop and execute innovative clinical asthma studies in children.


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Kathy Kramer

Program Manager, Center for Telehealth
Cincinnati Children's Hospital Medical Center

Kathy is a Program Manager with the Center for Telehealth. She started working in telehealth in 2014, and is a major contributor to our program. She develops new programs, from concept through first year of execution. She has a background in healthcare, and has served Cincinnati Children's wonderfully for over 35 years.


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(EP-102) Asthma Free Schools: How Telemedicine Is Leading the Way

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