Respiratory Institute Outcomes
Asthma Control Test Scores for Asthma Center Patients
Asthma control can be formally assessed by using validated instruments, including the Asthma Control Test™ (ACT). The ACT includes 5 questions that evaluate daytime symptoms, nighttime symptoms, reliance on as-needed “rescue” medication, the effect of asthma on everyday functioning, and patient assessment of control, with each of these 5 responses scored on a 1 to 5 scale. Higher scores reflect improved asthma control, a major objective of asthma management.
The ACT has been routinely used at Cleveland Clinic’s Asthma Center for more than a decade. All asthma patients are asked to complete the ACT when seen at initial and follow-up visits.
The 2022 data are reported in the context of a quality measure. The American Academy of Allergy, Asthma, and Immunology Qualified Clinical Data Registry (QCDR), ¹⁻² which has been approved by Centers for Medicare and Medicaid Services, qualifies as a reporting tool for the Merit-based Incentive Payment System (MIPS).² Poor asthma control is measured by the ACT and indicated by an ACT score < 20, and an increase of 3 has been shown to be the minimal important difference for the ACT.³
Cleveland Clinic Respiratory Institute hosts podcasts available on Apple, Google, Soundcloud and Spotify. Click on the link below to find and listen to ‘Climate Change’ hosted by Sumita Khatri, MD, with guests Emily Pennington, MD, and Neha Solanki, MD.
Respiratory Inspirations. Suitable for any audience interested in learning more about conditions affecting your respiratory health as we discuss related diseases, causes, treatments, innovations and what the future may bring. Visit: https://my.clevelandclinic.org/podcasts/respiratory-inspirations
Proportion of Asthma Patients With Well-Controlled Asthma Improved Between 2021 and 2022* (N = 2494)
2021 – 2022
ACT = Asthma Control Test
*Locations include Cleveland Clinic main campus as well as other Cleveland Clinic Respiratory Institute locations in Ohio.