Asthma Care Teams (ACTs)
The ACTs will be carried out at the local level with the leadership of a contracted facilitator who has recent experience implementing collaborative, community-based, health improvement projects. Each local ACT will be comprised of multi-disciplinary and multi sector representatives from a provider group (such as an FQHC), school, hospital, pharmacy, local public health agency, housing entity and other partners the community deems beneficial. ACT participants will work together over a 6 to 12 month period to:
- Review local asthma data including prevalence, hospitalizations and emergency department visits (provided by the state asthma program)
- Set realistic internal and team goals and objectives
- Assess and share of their sector specific data (with guidance and support from the facilitator and FDOH)
- Work together to carry out an internal, rapid cycle, quality improvement process to achieve the full set of evidence based processes for quality asthma management
- Establish and test methods for increasing and sustaining collaboration across sectors
- Contribute to the development of an ACT storyboard at the end of the project. The storyboard will describe the role each organization played in establishing and achieving team goals.
ACT implementation will achieve two priority goals, strengthened internal operations AND strengthened external collaboration through system-level linkages (including referral and communication systems) that enable sustainable coordination of care.
During Year 1, the contracted entity will develop a FL specific ACT Guide. The ACT Guide will define, in detail, the orientation materials, processes, guidelines for organizational and team self-assessments prior to, during and following participation, meeting agendas, timelines, monitoring and evaluation tools, and other components based on practice based evidence gathered through similar efforts in other cities. The FL ACT Guide will be tested through the facilitation of two ACTs in year one - one in Miami-Dade County and one in Gadsden County. The FL ACT Guide will be refined and improved throughout implementation in these two jurisdictions. In years 2-5 a minimum of two ACTs will be facilitated annually in a mix of urban and rural counties. Counties will be selected based on surveillance data and readiness of partners. Should additional counties want to participate; the FL ACT Guide will enable them to facilitate the process in the absence of a FDOH funded facilitator.