Michigan MATCH (Managing Asthma Through Case-management in Homes)
The Michigan MATCH (Managing Asthma Through Case-management in Homes) program is based on the asthma case management model developed for the Grand Rapids area by the Asthma Network of West Michigan (ANWM) in 1996. The model is also implemented by the Genesee County Asthma Network (Flint area), the Comprehensive Asthma Program (Ann Arbor area), and the Capital Area Asthma Management Program (Ingham County).
Standard program elements of the intervention:
- ≥3 Home visits (includes environmental assessment)
- ≥1 Social Worker home visit/consultation for psychosocial intervention
- ≥1 Physician care conferences (joint consultation with patient, primary care provider, and case manager) to make or update the asthma action plan
- Case manager providing service is a certified asthma educator (AE-C)
- All patients receive, or have updated, an asthma action plan
- ≥1 case-manager visit to school/daycare as appropriate, work visit if requested by client
Visits are reimbursed by some health plans, which contract with individual MATCH programs. Referral to the program can be from almost any source, including: providers, health plans, nursing staff, allied health professionals, and the families themselves. The PCP and/or specialist is sent a letter informing about the client’s involvement and at discharge from the program.
Eligibility
- Moderate to severe asthma as defined by EPR-3
- Uncontrolled asthma, meets at least 2 of these criteria
- 2 ED visits in past year
- 1 hospital admission for asthma n past year
- 2 unscheduled PCP visits for asthma in past year
- 3 or more missed school/work days for asthma in past year
See a video with more info about MATCH
A multi-site evaluation of this program is now underway. ANWM pilot outcomes (2003-2005) show case managed individuals experienced:
- 60% fewer emergency department visits
- 66% fewer hospitalizations
- 46% shorter length of stay, if hospitalized due to asthma
To find out more, or to refer a patient, contact: