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4378 Dynamic Influences on Population Health Management by Asthma Community Health Worker (CHW) Programs: An Agent Based Modeling Approach by Kramer, Bradley; Jones-Smith, Jessica; Weiner, Bryan is a Medicine article available to read on EtoBox.

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OBJECTIVES/GOALS: Twenty years of evidence show CHW home-visits for asthma improve population health and lower overall health care system costs by reducing costly Emergency Department (ED) visits. We built a model to communicate these results to decision makers and demonstrate how program modifications can improve CHW program sustainability and long-term cost savings. METHODS/STUDY POPULATION: This CHW program simulation model (CHWsim) examines program level outcomes of sustainability and costs. CHWsim is populated with individuals in an asthma registry with frequent ED visits. The simulation shows the uptake of the CHW program, and the less frequent use of ED visits based on empirical data from a recent randomized controlled trial (RCT). CHWsim is interactive, allowing for parameter adjustments to programming and robust quantitative evaluation of those changes. We study sustainability using parameters based on number of CHWs, case load, frequency and duration of program. For cost outcomes, we use empirical data from a published return on investment study to demonstrate the cost of CHW programming vs. health care systems savings from reduced ED visits. RESULTS/ANTICIPATED RESULTS:

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Author

Kramer, Bradley; Jones-Smith, Jessica; Weiner, Bryan

Publisher

Cambridge University Press; Cambridge: Cambridge University Press, 2017-; Cambridge University Press (CUP) (ISSN 2059-8661)

Published

2020

Language

EN

Field

Medicine (Health Sciences)