Date of Graduation

Spring 5-19-2016

Document Type


Degree Name

Doctor of Nursing Practice (DNP)


School of Nursing and Health Professions



First Advisor

Dr. Jo Loomis

Second Advisor

Dr. Alexa Curtis

Third Advisor

Dr. Stefan Rowniak



Background: Although national guidelines exist for the diagnosis and management of asthma, general practice differs significantly from recommendations. Quality improvement methodology when implemented can narrow quality gaps.

Objective: The objective of the project was to create and implement a plan of action to address identified gaps in key clinical activities of asthma care among pediatric population in a private pediatric setting in Northern California

Methods: The project was centered on the use of Education in Quality Improvement for Pediatric Practice (EQIPP), a program of the American Academy of the Pediatrics. Both the pediatrician and the DNP student took this course and employed its methods to improve asthma management. EQIPP supports providers in improving their practice with didactic materials that help participants develop quality improvement project and tools to evaluate the outcomes of that project.

Results: Based on the asthmatic patient data analysis the quality improvement team identified that the clinic lacks compliance in the following areas of national guidelines. a) Diagnosis of asthma, b) Asthma action plan and c) Asthma control and follow up. The team then developed and implemented an improvement plan based on EQIPP.

Conclusion: The quality improvement project enriched the pediatric practice management of asthma patients and similar projects could be implemented in other settings too.

Keywords: Asthma, EQIPP, guidelines, pediatric practice, diagnosis, asthma action plan, control


The Project Submission Agreement Form is emailed to Ms. Zheng ( Jessica) Lu