Module C: The Transdisciplinary Team

CE Credits: 1.5


Good asthma management depends on care from a whole team—including primary care physicians, specialists, pharmacists and more— and this module looks at the ideal workings for that team. It begins by detailing the potential members of the team and the parameters for a solid assessment and management regimen. Next, the module details some nuances of management plans—such as issues related to the patients’ age, different barriers to care, or issues that may arise around prescriptions.

Learning objectives: After completing this module the case manager will be able to:
» Describe the role of the transdisciplinary care team
» Discuss the need for assessment and monitoring across the continuum of care
» Describe the components of a daily self-management plan and an asthma action plan
» Review age-specific asthma patient education
» Describe methods for addressing common barriers to asthma self-management and transitions
» Identify special considerations for case management


Advance your professional practice: Even though asthma is best treated through a team of professionals, case managers play a special role: By understanding the breadth of the team and knowing how to facilitate a solid care plan, case managers can support the best possible quality of care and quality of life for patients.

Improve organizational performance: Poorly-treated asthma can lead to avoidable emergency department (ED) visits and hospitalizations, unscheduled physician visits and lower quality of life for patients (including missed days at school or work). Therefore, it’s vital that our team improves our knowledge of how we can help facilitate proper asthma care and minimize burdens for both patients and the entire healthcare system.