The Electronic Asthma Management System in Pharmacies

Asthma is the third most common chronic disease in adults and is increasing in prevalence. Although effective therapies exist and well-controlled asthma is achievable in most patients, studies demonstrate that up to 90% of Canadians with asthma are poorly controlled. This poor control and associated health system burden are attributable to 4 major gaps in care: 1) failure to ascertain asthma control according to guideline criteria; 2) failure to escalate pharmacotherapy in response to suboptimal control; 3) failure to provide a written asthma action plan (AAP) (a personalized plan produced by a health care professional for a patient, providing education and guidance for self-management of flares); and 4) failure to refer patients with severe asthma to specialty care for biologic therapies (these were 4 of the 6 quality statements in Health Quality Ontario's Asthma Quality Standards).

The Electronic Asthma Management System (eAMS) is a validated tool that has the potential to address the 4 major gaps in care. The eAMS consists of a web-based portal-based e-questionnaire, which collects asthma parameters directly from patients. A point-of-care Computerized Decision Support System (CDSS) receives and processes questionnaire data to produce guideline-based decision support such as assessments of asthma control, relevant medication change recommendations, and a personalized asthma action plan (AAP). There are also web-based education resources in the patient portal. The eAMS was proven to improve asthma management in primary care across these care gaps and is used in 16 primary care clinics, with \~215 providers and \~7200 patients with asthma. Now, with the increasingly critical role that pharmacists are playing in Canada's healthcare ecosystem, the eAMS can also be used to empower pharmacists to help optimize chronic disease care.

Pharmacists' scope of practice is growing rapidly in Ontario and across Canada. At the same time, asthma control remains suboptimal for millions of Canadians. Furthermore, the eAMS has been extensively studied and validated as an optimal tool to improve asthma management in primary care. The use of the eAMS in pharmacies presents a unique opportunity to involve pharmacists in chronic disease care while also reducing the burden on primary care. To address limited primary care access and given rapid the expansion of pharmacists' role of in care delivery, the investigators adapted the platform to build the eAMS-Pharm - a chronic disease quality improvement tool for pharmacists. The results of this study will inform the broader implementation of the eAMS across pharmacies and similar knowledge translation tools in pharmacies in the future.

• System usage: virtual and in-person visit frequency [Time frame: 6 months]
• System usage: content access frequency [Time frame: 6 months]
• System usage: patient engagement frequency, by method [Time frame: 6 months]
• System usage: time required for access and documentation [Time frame: 6 months]
• Quantitative patient Likert-Scale questionnaire [Time frame: 6 months]
• Qualitative patient free-text feedback questionnaire [Time frame: 6 months]
• Pharmacy team feedback: 10-item System Usability Scale - SUS [Time frame: 6 months]
• Quantitative pharmacy Likert-Scale questionnaire [Time frame: 6 months]
• Qualitative pharmacy free-text feedback questionnaire [Time frame: 6 months]
• Prescription/action plan sign-back proportions [Time frame: 12 months, broken into individual time series periods]
• Revenue metrics: pharmaceutical opinion proportion [Time frame: 12 months, broken into individual time series periods]
• Revenue metrics: MedsCheck proportion [Time frame: 12 months, broken into individual time series periods]