There is a need for a core set of evidence-based measures that drive improved asthma outcomes. Currently, different organizations use different asthma-related quality measures in different reporting systems, resulting in a preponderance

of inconsistent measures. These discrepancies create an excessive reporting burden and cause difficulty in assessing (and improving) quality of care across systems. The drive towards value-based care and alternative payment models necessitates meaningful, evidence-based quality measures that focus attention both on outcomes and processes of care that achieve those outcomes. Thus, identifying and using appropriate quality measures is a priority both to achieve the goals of CDC’s National Asthma Control Program and to achieve disparities reduction, a goal of the Federal Asthma Disparities Work Group.

CDC’s technical package for asthma (EXHALE)* contains six interventions: Education on asthma self-management, X-tinguishing smoking and secondhand smoke, Home visits for trigger reduction and asthma self-management education, Achievement of guidelines-based medical management, Linkages and coordination of care across settings, and Environmental policies or best practices to reduce indoor, outdoor, and occupational asthma triggers. CDC’s National Asthma Control Program (NACP) prioritized identifying a core set of asthma quality measures to support these interventions. These will be shared for consideration by states developing state-based measures, federal partners, and organizations that use quality measures as a first step in aligning measures across these groups.

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