Controllers are long term asthma medications that reduce airway inflammation and prevent asthma exacerbations (asthma attacks or asthma episodes).

• Specificity to the patient entails explicit information pertaining to the patient, i.e., the patient’s specific controllers and relievers medication information (name, dose, frequency, and method of administration), environmental control and control of other triggers, and methods and timing of rescue actions specific to the patient, in order to select “Yes.”
• HMPC must be a separate, stand alone document, in order to select “Yes.”
• If controller medications were prescribed, information must have been given on all of the following, in order to select “Yes” to this question:
  • medication name
  • dose
  • frequency
  • method of administration
• “Controller Not Specified (NOS)” can be used to answer “Yes” to this question in the following situations:
  • For new controllers that are not yet listed in Table 6.1
  • When there is documentation that a controller was prescribed but unable to identify the name. It must be apparent that the medication is a controller.
    Example:
    -On 2-12-08, the medical record contains the documentation, “Controller prescribed name illegible, 75mcg (one inhalation) , BID.” (If “Controller prescribed” had not been documented in this example, the medication could not be abstracted as Home Management Plan of Care Document Addresses Use of Controllers.
• Documentation must clearly convey that the patient/ caregiver was given a copy of the HMPC document to take home.
• The HMPC does NOT need to be given at the time of discharge. A HMPC document given at anytime during the hospital stay is acceptable.

• HMPC document