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  Popular Family Asthma Links  
American Academy of Allergy, Asthma and Immunology
Pediatric Asthma: The Top 5 Diagnostic and Treatment Dilemmas for the Primary Care Physician
American Academy of Allergy, Asthma and Immunology -Just for kids
American Academy of Allergy, Asthma and Immunology -Coloring Book
American Lung Association
Everyday Kids
Kids Health
School Asthma Allergy
NIck Junior Parents-Healthy Kids
Allergy and Asthma Network Mothers of Asthematics
Flu Shot Resource Website from CDC

  Associated Links  
Asthma Tools from the Center for Healthcare Quality at Cinicnnati Children's Hospital Medical Center
CCHMC Special Needs Resources Directory
Tri State Child Health Services (PHO)
River Valley Pediatricians, Inc
Cincinnati Children's Hospital Medical Center
Institute for Healthcare Improvement

  Welcome to our web site!  

Tri State Child Health Services, Inc. is a pediatric Physician-Hospital Organization (PHO) actively involved in the medical care of the children in our community.  Part of our approach to achieve perfect medical care is orchestrating quality of care improvement projects between primary care physicians, community specialists and the specialists and specialty clinics within Cincinnati Children’s Hospital. 

Because it occurs so frequently, our current area of focus is children with asthma.  We are into our seventh year of the project, and are seeing improved outcomes for patients and their families.  Using tested and documented improvement methods and actively engaging our primary care practices, we are seeing a trend of fewer school/work days missed, less hospital admissions and less emergency room and urgent care visits.  Parents are reporting to their primary care physicians that they are grateful for the extra education and attention they and their children are receiving during regular office visits.  A big part of the project is helping the children and their families manage the asthma more effectively, giving them a sense of accomplishment and providing a practical, confident way of managing what can sometimes be a difficult condition.

Cincinnati Children’s Hospital is involved in additional improvement work for other conditions (e.g. ADHD, diabetes) within its clinics and even sponsors a school-based asthma initiative.  The PHO is following this lead and will be adding additional medical conditions to its list of improvement initiatives.

A listing of our primary care practices can be found on the Patient/Family tab.  Each line item has a link to each provider location.  Here you’ll also find information regarding our community-based specialists and the facilities of Cincinnati Children’s Hospital.

For detailed information about the techniques used in our asthma care improvement initiative, check out the About Us tab. 

Thanks for visiting our web site.  The content is updated regularly, so please join us periodically for new information!


  Top Stories  

NICHQ Poster

In March 2008, representatives from the PHO had the opportunity to attend the National Initiative for Children’s Healthcare Quality (NICHQ) annual conference in Orlando, Florida.. 

Dr. Keith Mandel, Gerry Pandzik and Carl Donisi attended sessions on a broad range of topics, including “Creation of a Highly Reliable Healthcare Network” and “Lean Improvement Approaches to the Development of a Sustainable Practice.” There were also several sessions focused on the Patient-Centered Medical Home as it relates to Children with Special Healthcare needs.  

Featured speakers included Dr. Charles Homer, President of NICHQ, as well as David Lawrence, former publisher of The Miami Herald. Mr. Lawrence provided an inspiring message of how one person's leadership mobilized an entire community to provide seamless services for children.   

Attending the sessions provided a wonderful opportunity to interact with national and global leaders in many areas of children’s healthcare.  

The PHO was invited to share the outstanding work of the asthma initiative. The following story board was presented, with many positive comments on the amazing results achieved:  

NICHQ Poster

The sustained improvement efforts across the PHO network have greatly benefited children with asthma in greater Cincinnati, and on behalf of the leadership of the PHO, OVPCA, and CCHMC, we would like to express our sincere thanks and appreciation for all the commitment and hard work among the community practices. 


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