Table 3 Alerts to Patients and Nurse Case Manager

Patient Not logging into MAP

Emails sent at 7 days and 14 days since the last log-in to the patient.

Alert to nurse at 21 days since the last log-in.

Asthma Out of Control (OOC) and Action Plan Use

Patient OOC and action plan not started:

Email to patient within 24 hours of OOC status detected

Nurse receives alert "AP not started" alert (after 48 hrs)

If patient starts action plan:

Patient turns yellow in case management patient list and stays yellow for 14 days.

Nurse updates action plan of a patient:

Email to patient and pop-up when patient logs-in

Patient indicates not understanding action plan

Nurse receive alert and contacts patient

Add/change medication:

Patient adds or changes medication in asthma target questionnaire

Nurse receives "create/review action plan" alert

If it is the patient's first entry of medication the alert is an "Initial drug list" alert

Preventative medication monitoring

Increase or decrease of intake triggers alert to nurse

Rescue medication monitoring:

FABA, oral corticosteroid

Increase triggers alert to nurse

Discrepancy in medication detected:

Discrepancy between what is prescribed and what is dispensed

After 1 week an email is sent to the patient

After 2 weeks an alert is sent to the nurse

Change in medication detected:

Physician enters change through MOXXI for patient's asthma medication

If, when the patient fills out the monitoring questionnaire, patient does not update medication change, an alert is sent to the nurse