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EXHALE Strategies

ODHAP receives funding from CDC’s National Asthma Control Program (NACP) to help people with asthma achieve better health and improved quality of life. NACP developed EXHALE, a set of strategies that contribute to better asthma control.

Each EXHALE strategy has been proven to reduce asthma-related hospitalizations, emergency department visits, and healthcare costs. They are intended as a resource to inform decision-making in communities, organizations, and states.

ODHAP uses EXHALE strategies to guide program goals. Click through the six EXHALE strategies below to learn about Asthma Program projects and how they support EXHALE strategies.

(E) Education on asthma self-management

Asthma Home Assessment Project (E H L E)

The Asthma Home Assessment Project (AHAP) is a comprehensive asthma management program at two children’s hospitals (Dayton and Cincinnati) in Southwest Ohio. The goal of the program is to expand access to trigger reduction in the home and provide asthma self-management education for high-risk children utilizing community health workers.

(X) X-tinguishing smoking and secondhand smoke

ODH Partnerships (E X)

ODHAP works with a variety of ODH Programs, detailed below. All programs are represented in various asthma workgroups.

School Nursing

ODHAP partnered with the ODH School Nursing Program to share asthma resources on the State Bulletin Board for School Nurses.


ODHAP partners with the ODH Tobacco Program to provide secondhand smoke and smoking cessation information to Ohioans and discuss the dangers of smoking and secondhand smoke for people with asthma.

(H) Home visits for trigger reduction and asthma self-management education

Asthma Home Assessment Project (E H L E)

AHAP, mentioned above within the “Education on Self-Management” strategy, utilizes community health workers who conduct home visits to provide support for high-risk children enrolled in the program. Community health workers review home environment checklists and ensure that children have an established medical care team.

(A) Achievement of guidelines-based medical management

Asthma Care Improvement Collaborative (E X A L E)

ODHAP created the Asthma Care Improvement Collaborative (ACIC), which is offered in a virtual format. ODHAP continues to host a diverse audience of stakeholders in shared learning opportunities ranging from hospital personnel, Ohio Department of Medicaid, Primary Care Physicians, and other asthma care providers. ACIC meetings cover a variety of topics including asthma-related training, technical assistance and sharing best practices.

(L) Linkages and coordination of care across settings

Healthcare Payer Workgroup (L)

ODHAP created the Healthcare Payer Work Group (HPWG) where member organizations include representatives from Ohio’s health plans, Ohio Department of Medicaid (ODM), and Nationwide Children’s Hospital’s Partners for Kids, a pediatric accountable care organization. In addition to supporting planning and development of the business case analysis for the Asthma Home Assessment Project (AHAP), the HPWG supported increased access to asthma services and care coordination between payers and providers.

(E) Environmental policies or best practices to reduce asthma triggers from indoor, outdoor, or occupational sources

Communications (E X E)

ODHAP utilizes this website and Facebook page to provide helpful resources to the general public. For healthcare workers, ODHAP sends out a monthly newsletter with important asthma information and updates.