CHEST: A Collaboration With Community HEalth Centers to Implement SmarT for Asthma

Criteria the registry did not label

• The study population can be viewed from the cluster (clinic), clinician, staff, or patient level.
• At the cluster (clinic) level: To be eligible to participate in this study, a cluster (clinic) must meet all the following criteria:
• (1) Clinics within participating health systems (Affinia Healthcare and Family Care Health Centers) will be considered eligible if they provided care to ≥100 patients aged ≥12 years with asthma (ICD-10-CM: J45.xx) during the calendar year preceding implementation (2024).
• At the clinician level:
• Clinicians will be considered eligible if they:
• are physicians, nurse practitioners, or physician assistants;
• are actively employed at a participating clinic during the implementation period; and
• provided care to ≥10 patients aged ≥12 years with asthma (ICD-10-CM: J45.xx) during the 12 months preceding implementation.
  • At the staff level:
  • Staff will be considered eligible if they:
• are actively employed at a participating clinic during the implementation period; and
• directly support clinical care delivery for patients aged ≥12 years with asthma.
  • At the patient level:
  • Patients will be considered eligible if they:
• are aged ≥12 years;
• received care at a participating clinic during the implementation period; and (3) meet the study-defined definition of moderate-to-severe asthma based on diagnosis codes, medication use, and/or exacerbation history as defined in the study protocol.