PROGRAM PROGRESS REPORT

Project Name: Asthma Program

Term of Grant: July 1, 2012 through June 30, 2013

Focus Area: Riverside County Children (0-18 years) and seniors (55 and older)

Reporting Period: 2nd Quarter: October 1st, 2012- December 31st, 2012

Project Coordinator:

Asthma Program

TABLE OF CONTENTS

2nd Quarter Project Summary ........................................................... 1

Total # of Home Visits/Phone Consultations ...................................... 1

Trigger Elimination at Two Week Post Enrollment ............................. 1

Community Collaboration .................................................................. 2

Air Quality and Chronic Disease Education Activities ........................ 2

Inland Empire Asthma Coalition Update ............................................ 3

Attachments ..........................................................................................

Trigger Reduction Data and Graph .................................................... 4

Presentation Collaboration Logs .................................................. 5-10

Media: Inland Empire Coalition Newsletter .................................11-12

Flyer for Senior Presentations ......................................................... 13

Staff Development/Trainings ........................................................... 14

Inland Empire Coalition Meeting Agenda ......................................... 15

Intake Analysis Report………………………………...……….….16-18

2ND

QUARTER

REPORT

Authors

Narrative and Description

Program Coordinator II, Health Education Assistant II Data Analysis Report

Research Specialist Epidemiology and Program Evaluation Branch Clerical Support

Office Assistant III Nutritional Services and Health Promotion Branch

Funding Amount

$ 0.00

Asthma Program 2012

1

1 Total Number Enrolled (Home Visits) for 2nd quarter 2012

Children (ages 0-18): 24

Seniors (ages 55 and over): 8

Total enrolled this quarter 32

Total # of Home Visits to Date: 51

Total Number of Phone Consultations Conducted for 2nd Quarter 2012

Children (ages 0-18) 25

Seniors (ages 55and over): 3

Total consultations this quarter 28

Total # of Phone Consults to Date: 38

2 Trigger Elimination at Two Week Post Enrollment for 2nd Quarter 2012

During the second quarter, 32 children/seniors enrolled in the program received in-

home environmental assessments to aid them in reduction of in-home allergens and

irritants.

The children/seniors also received education on outdoor environmental

allergens/irritants, such as air pollutants, smog, wildfires, weather changes

and pollen.

Program staff provided allergen proof mattress and pillow case covers to aid

in the reduction of asthma triggers.

Two week post enrollment follow-up surveys via phone calls indicated that 32

parents successfully limited their children’s exposure to asthma triggers.

Refer to Attachment I for trigger reduction data and graph.

Asthma Program 2012

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3 Community Collaboration:

Community Collaboration Activities

Total number of collaborative activities during the 2nd quarter: 109

Total number of individuals receiving general asthma information at

community events during the 2nd quarter: 1,910

Total number of seniors receiving general asthma information at all

community events during the 2nd quarter: 1,027

Total number of senior presentations on air quality issues and chronic

disease during 2nd quarter: 3

Total number of seniors reached during presentations (2nd quarter): 31

Best Practices

Collaborative activities included participation in health fairs, community presentations,

outreach to senior citizen centers, coalition meetings, and other community events.

Referrals received from community collaboration (2nd quarter) 75

Total referrals received from community collaboration (to date) 182

Refer to Attachment II for Presentation Collaborative Logs

Air Quality and Chronic Disease Education Activities:

Senior Adult Activities: In an effort to spread awareness of the effect of poor air quality on senior adults, 55 years and older, the following activities were accomplished during this reporting period:

3 asthma/air quality presentations were provided at various senior centers and health organizations through Riverside County.

Staff participated in 3 senior health fairs.

Active living senior retirement communities and senior centers were targeted for Asthma Program Services throughout Riverside County. Informational packets were distributed to site Directors/Coordinators.

Media Promotion:

346 quarter sheet flyers were created and distributed for advertising air quality presentations to active living senior populations.

Staff Development: Staff participated in various trainings and webinars to increase their proficiency as asthma educators. Refer to Attachment III for media promotion articles and IV for staff development activities.

Asthma Program 2012

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Inland Empire Asthma Coalition

The 2rd quarterly Inland Empire Asthma Coalition (IEAC) meeting was held on November 14, 2012 at the Molina Healthcare Regional Office in Colton. Pulmonologists, asthma nurses, lung health educators, school nurses, and other community health representatives were among the professions represented at the meeting. Agencies and organizations in attendance included:

o County of Riverside DOPH Asthma Program o American Lung Association of California o San Bernardino County Unified School District o Molina Healthcare of California o San Bernardino County DOPH CARE Program o San Bernardino County Department of Public Health o Community Hospital of San Bernardino o Riverside Unified School District – Head Start o Kaiser Permanente – Fontana o Arrowhead Regional Medical Center Breathmobile o Loma Linda University Medical Center o Western Riverside Council of Governments o Inland Empire Health Plan

A strategic plan to conduct activities for Asthma Awareness Month (May 2013) is in the planning stage.

The Coalition convenes quarterly with an e-newsletter distributed to members one month prior to each meeting. Meetings are held from 1:30 PM - 3:00 PM at varied locations.

Refer to Attachment V for meeting agenda and newsletter.

Asthma Program 2012

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Attachment 1: Trigger Reduction Data and Graph

Implemented Trigger Reduction Methods / Intake (10/1/12 - 12/31/12)

Method % Implemented Set traps to control mice & vermin 0.0%

Change window treatments 0.0%

Fumigation to control roaches & mites 3.1%

Remove carpet 9.4%

Reduce exposure to secondhand smoke 9.4%

Limit exposure to outdoor irritants 12.5%

Remove-clean stuffed toys / decorative pillows 15.6%

Limit exposure to pet dander 18.8%

Remove mold or mildew 18.8%

Other (see 'List of Other Triggers') 34.4%

Reduce exposure to other irritants 40.6%

Wash bedding more regularly 40.6%

Dust & vacuum more often 59.4%

Allergen-proof mattress & pillow cases 81.3% n = 32

Asthma Program 2012

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Attachment 2: Presentation Collaboration Logs

AIR QUALITY AND CHRONIC DISEASE PRESENTATIONS FOR SENIOR ADULTS

(AGES 55 AND OVER)

October 1st, 2012 to December 31, 2012

DATE

PROGRAM/AGENCY

NO. OF PEOPLE

REACHED

11/07/2012

Fountain Glen at Temecula Senior Living - Temecula

3

11/16/2012

Alta Vista Health Care & Wellness Center- Riverside

16

12/05/2012

Soroptomist retired senior group- Beaumont CA

12

TOTAL # OF SENIORS REACHED THROUGH PRESENTATIONS

31

Asthma Program 2012

6

Comprehensive Outreach Activities and Total Number of People Reached

October 1st, 2012- December 31st,2012

Date Program/Agency # of People

Reached

10/1-

2/12

Healthy Communities by Design Summit 2012 (Loma Linda University) 0

10/2/12

Metropolitan Family Clinic - Riverside

2

10/3/12

Murrieta Gardens Senior Independent Living - Murrieta

1

10/3/12

Chancellor Place of Murrieta Senior Independent Living - Murrieta

1

10/3/12

Fountain Glen at Grand Isle Senior Living - Murrieta

1

10/3/12

Fountain Glen at Temecula Senior Living - Temecula

2

10/3/12

Chateau at Harveston Senior living community - Temecula

1

10/9/12

C.A.R.E. Team Meeting - Moreno Valley

50

10/11/12

Riverside Community Diabetes Collaborative Meeting - Riverside 20

10/12/12

Asthma Presentation to parents/staff Butterfield Elementary - Moreno Valley

17

10/17/12

Care More Center Senior Resource Fair - Corona

300

10/21/12

Binational Health Fair at the Mexican Consulate (San Bernardino) 300

10/23/12

MAS Meeting - Riverside

40

10/23/12

Arlington Gardens Care Center -Riverside

2

10/24/12

Safe Kids Meeting - San Bernardino

20

10/24/12

Extended Care Hospital Senior Facility - Riverside

2

10/24/12

Orange Tree Nursing Center - Riverside

2

10/24/12

Alta Vista Health Care & Wellness Center

2

10/25/12

Terrace Elementary Health and Safety Fair - Riverside

150

10/27/12

Family Day in the Park- Veterans Park Jurupa Valley

250

10/29/12 Beaumont Care Center - Senior Living Facility- Beaumont 2

Asthma Program 2012

7

10/29/12

Miravilla Care Center Skilled Nursing Facility - Beaumont

2

11/1/12

2012 Beaumont Senior Health & fitness Expo - Beaumont

150

11/5/12

Hidden Harvest-Palm Springs

100

11/7/12

Fountain Glen at Temecula Senior Living - Temecula

3

11/7/12

Webinar Training - Riverside

0

11/7/12

Nuview Elementary Parents and Teachers Program

6

11/8/12

Donna Graham Elementary - Wildomar (Lake Elsinore USD)

1

11/13/12

La Sierra Medical Clinic - Riverside

1

11/13/12

Ballard Rehabilitation - Riverside

1

11/13/12

Rain cross Senior Village - Riverside

1

11/13/12

Pacifica Senior Living - Riverside

2

11/13/12

Riverside Medical Clinic - Clay St. Location - Steven Salzman MD Family Practice

1

11/13/12

Riverside Medical Clinic - Clay St. Location - Amy Zhang MD Internal Medicine

1

11/13/12

Riverside Medical Clinic - Clay St Location - Samuel Oh MD Family Practice

1

11/13/12

Riverside Medical Clinic - Clay St. Location - Ricky Tang MD Internal Medicine

1

11/13/12

Palm Terrace Rehabilitation - Riverside 1

11/13/12

Child Care Council Meeting-COD- Presentation

10

11/15/12

Dr. Richard Lam---Temecula & Sun City

3

11/16/12

Alta Vista Health Care & Wellness Center- Riverside

16

11/17/12

Inscriptions Children's Clinic - 2nd Annual Health and Safety Fair

150

11/19/12

Hidden Harvest-Palm Springs

120

11/27/12

YMCA of Riverside County & City

1

11/27/12 YWCA of Riverside County 1

Asthma Program 2012

8

11/27/12

Family Services Association - Riverside

1

11/27/12

Community Health Systems, Inc. Riverside

1

11/27/12

Molina HealthCare Office in Riverside Van Buren Blvd

1

11/27/12

Arlington Clinica Familiar - Riverside

1

11/27/12

Kaiser Permanente- Van Buren Medical Office

1

11/29/12

DPSS; Grandparents raising grandchildren meeting @Banning

16

12/3/12

Bethel Christian School - Riverside

1

12/3/12

Our Lady of Perpetual Help School - Riverside

1

12/3/12

Olive Grove Retirement Resort - Riverside

2

12/3/12

Magnolia Avenue Baptist Church - Riverside

1

12/3/12

Riverside County Library system - Neece St. Corona Location

1

12/3/12

YMCA-Teen Center - Corona Location 1

12/3/12

Corona Mall Medical Group - Int Med, Family Practice, Urgent Care

1

12/3/12

Riverside Public Library - Magnolia Location - Riverside

1

12/3/12

Mount Olive Christian Church - Riverside

1

12/3/12

Praise Community Fellowship Church - Riverside

1

12/3/12

Woodcrest Christian School System -Riverside

1

12/3/12

Pathway Christian Church - Riverside

1

12/3/12

Christian Life Center Church - Riverside

1

12/3/12

Cypress Gardens Care Center - Riverside senior center

1

12/3/12

Dr. Swati Panse, Pediatrician-San Jacinto

5

12/3/12

Dr. Teresa Conner, Family Practice-Hemet

1

12/3/12 Dr. S.A. Kassamil, Internal Medicine-Hemet 1

Asthma Program 2012

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12/4/12

Southland Arthristis-Dr. C.V. Mehta, Dr. D. Ramaswamy, Dr. E. Rook, Dr. Amal

Mahta-Hemet

1

12/4/12

Dr. Chong-Ping C. Lu, Internal & Pulmonary Medicine-Hemet

1

12/4/12

Dr. Sreenivasa R. Nakka, Gastroenterology-Hemet

1

12/4/12

Dr. Stephen Mai-Ching Chien-Gastroenterology-Hemet

1

12/4/12

12/4/12

Dr. Naishadh Raghuwanshi, Gastroenterology-Hemet

Dr. Kamran Qureshi, Internal Medicine-Hemet

1

1

12/4/12

Dr. Joseph Atiya, Family Practice-Hemet

4

12/4/12

Dr. Kee Yang, Family Practice-Hemet

3

12/4/12

Susanna Kapoor, PA-C, Family Practice--Hemet

1

12/4/12

Dr. S.G. Sharif, Family Practice-Hemet

2

12/4/12

Dr. Nathan S. Howard, Family Medicine-Hemet

1

12/4/12

Dr. K. Seyed, Pediatrician & Endocrinologist-Hemet

4

12/4/12

Dr. Mark A. Ramirez, Family Practice-Hemet

1

12/4/12

Dr. Jae H. Kim, Obstetrics & Gynecology-Hemet

1

12/4/12

Dr. Chao H. Hsu, Family Medicine-Hemet

1

12/4/12

Dr. Sanyasi R. Ganta, Internal Medicine-Hemet

3

12/4/12

Dr. John Harsany, Internal Medicine-Hemet

1

12/4/12

Dr. Kim Hoang, Family Practice-Hemet

2

12/5/12

Soroptomist retired senior group- Beaumont CA

12

12/5/12

San Jacinto Library

1

12/5/12

City of Hemet Library

2

12/11/12

CARE Team Mtg - Moreno Valley 50

12/11/12 Barnes & Noble Bookstore - Riverside 2

Asthma Program 2012

10

12/11/12

Library - Moreno Valley Public Library Alessandro Blvd.

1

12/11/12

Moreno Valley Recreation Center - Frederick Street

1

12/11/12

Library- High grove Library 530 W Center St. Riverside

2

12/11/12

Library- Woodcrest Community Library on Krameria in Riverside

1

12/11/12

High grove Elementary School - Riverside

1

12/11/12

Library - La Sierra Public Library

2

12/12/12

Alliance Urgent Care-Hemet

1

12/12/12

Dr. Donald M. Cassady, Family Practice-Hemet

3

12/12/12

Dr. Renato G. Judalena, M.D.-Hemet

2

12/12/12

Dr. Jaime E. Perea, M.D.-Hemet

2

12/17/12

SJ Urgent Care-San Jacinto

1

12/17/12

Dr. Vidhya Koka-San Jacinto

1

12/17/12

Dr. Phillip Bretz-San Jacinto

1

12/17/12

SJ Medical Clinic-San Jacinto

1

12/17/12

Dr. Neal Simpson-San Jacinto

2

12/17/12

Dr. Stefan Reynoso-San Jacinto

2

12/17/12

Dr. Thomas Brown-San Jacinto

3

12/17/12

Martha Izvernari, NP-San Jacinto

1

12/17/12

Dr. Nagasmudra Ashok-San Jacinto

2

12/27/12

Dr. Ajeet Singhvi-Hemet

1

12/27/12

Dr. Herman Mathias-Hemet

1

Total # of People Reached Through All Activities This Quarter

1,910

Asthma Program 2012

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Attachment III Media Promotion: Inland Empire Asthma Coalition Newsletter Fall 2012

Asthma Program 2012

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Asthma Program 2012

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Quarter sheet flyer Created for Senior Presentations:

Chronic Health Conditions impacted by Poor Air Quality!

Asthma Program presents:

County of Riverside Department of Public Health

When: Nov 7, 2012 at 1:00 pm Where: Fountain Glen At Temecula 27250 Nicolas Road

Temecula, CA 92591 Address Line 3 Address Line 4

Do you have COPD, asthma, lung disease, diabetes, heart disease, or any

other chronic health condition? You’ll want to attend this presentation! Learn

all about asthma and how poor air quality affects our bodies.

Asthma Program 2012

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Attachment IV: Staff Development Activities

Staff Development Activities

October 1, 2012 through December 31, 2012

Date Conference/Training/Webinar/Workshop Comments

10/1 &

10/2/12

Healthy Communities by Design Summit 2012

(Loma Linda University)

Attended a conference which focused on the

growing effort to bring health to our local

environment with the use of geo-technologies.

11/7/2012 Webinar Training - Riverside Participated in California's Air Pollution Problem,

Health Impacts, and solutions webinar

Asthma Program 2012

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Attachment V: Inland Empire Asthma Coalition Meeting Agenda

Asthma Program 2012

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County of Riverside Department of Public Health /Asthma Program

Intake Analysis / AQMD (Patients Ages 6 & Up)

Intake Enrollments between July 1, 2012 - December 31, 2012 Total Number of Patients Enrolled: 7/1/12-12/31/12 = 51

Total Enrolled from 10/1/12 - 12/31/12 = 32

Total Srs. Enrolled from 10/1/12 - 12/31/12 = 8

Asthma Symptoms in Past Two Weeks

Intake 3mos 6mos

Every day, all the time 7.8% 0.0% 0.0%

Every day, but not all the time 39.2% 4.3% 0.0%

A few times a week 19.6% 17.4% 0.0%

Twice a week or less 9.8% 39.1% 0.0%

Patient did not have symptoms 23.5% 39.1% 100.0%

Total 100% 100% 100%

Asthma Improvement (Scale of 1-10)

3mos 6mos 1 0.0% 0.0% 2 0.0% 0.0% 3 0.0% 0.0% 4 0.0% 0.0% 5 0.0% 0.0% 6 13.0% 0.0% 7 47.8% 0.0% 8 30.4% 100.0% 9 0.0% 0.0% 10 8.7% 0.0% Total 100% 100%

Emergency Room Visits in the Past Three Months

Intake 6mos 0 88.2% 100.0% 1 3.9% 0.0% 2 3.9% 0.0% 3 2.0% 0.0% 4 2.0% 0.0% 5 0.0% 0.0% 6 0.0% 0.0% 7 0.0% 0.0% 8 0.0% 0.0% 9 0.0% 0.0% Total 100% 100%

Asthma Program 2012

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Hospitalizations in the Past Three Months

Intake 6mos 0 96.1% 100.0% 1 0.0% 0.0% 2 2.0% 0.0% 3 0.0% 0.0% 4 0.0% 0.0% 5 2.0% 0.0% 6 0.0% 0.0% 7 0.0% 0.0% 8 0.0% 0.0% 9 0.0% 0.0% Total 100% 100% Average / Intake = 0.1 / 6mos = 0.0

Copy of Asthma Action Plan

Intake 6mos Yes 15.7% 100.0% No 84.3% 0.0% Unk 0.0% 0.0% Total 100% 100%

Child Takes Quick Relief / Rescue Medication

Intake 6mos Yes 94.1% 100.0% No 3.9% 0.0% Unknown 2.0% 0.0% Total 100% 100%

Child Takes Controller / Preventative Medication

Intake 6mos Yes 66.7% 100.0% No 33.3% 0.0% Unknown 0.0% 0.0% Total 100% 100%

Asthma Program 2012

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Episodes of Coughing, Wheezing, Shortness of Breath in Past Two Weeks Intake 6mos No episodes 23.5% 100.0% 1-2 episodes 17.6% 0.0% 3-5 episodes 31.4% 0.0% 6-9 episodes 11.8% 0.0% 10 or more episodes 15.7% 0.0% Don't Know 0.0% 0.0% Total 100% 100%

Parent's Asthma Management Confidence Level

Intake 6mos 1 0.0% 0.0% 2 2.0% 0.0% 3 2.0% 0.0% 4 3.9% 0.0% 5 21.6% 0.0% 6 11.8% 0.0% 7 25.5% 0.0% 8 5.9% 100.0% 9 13.7% 0.0% 10 13.7% 0.0% Total 100% 100%