Community Service Grant Experience
by Founder
Driving meaningful health outcomes through community-integrated programs, education, and equitable access to care.
The project — “Leveraging the EMR and SDOH Screening for Improved Outcomes in Childhood Asthma” — integrated clinical care, electronic health record tools, social determinants of health screening & community engagement.
Effective asthma control depends on caregiver education, early symptom recognition, and structured self-management. Central to this approach is the Asthma Action Plan, which uses a simple traffic-light “zone” system combined with prevention strategies such as allergy control, vaccination, sleep, nutrition, physical activity, hydration, and hygiene — empowering families to reduce exacerbations and improve daily quality of life.
Framework: Green, Yellow & Red Zones
Green Zone
Doing well — symptoms under control. Continue daily medications and maintain healthy habits.
Yellow Zone
Caution — some symptoms present. Follow action plan, consider quick-relief medication, contact provider.
Red Zone
Medical alert — severe symptoms. Use rescue medication immediately and seek emergency care if no improvement.
Program Highlights
- Weekly asthma education sessions for caregivers and patients
- Home trigger assessments conducted by the team
- PCP/Pulmonology follow-ups coordinated throughout the program
- Pharmacy and medication support & assistance programs
To address both clinical and social drivers of asthma outcomes, our team developed a comprehensive, community-integrated program focused on education, early identification, and linkage to care.
Community Outreach Partners
We partnered with a wide range of community stakeholders:
Activities included tabling events, health fairs, intake screenings, and direct navigation to care & increased engagement.
