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School-based Asthma, Allergy & Anaphylaxis Management Program – (SA3MPROTM)

The AAAAI created a central resource [termed the School-based Asthma, Allergy & Anaphylaxis Management Program (SA3MPROTM)], in collaboration with others to assist students with asthma and allergies and their families practice consistent management of their conditions at school. In April 2019, with Congressman Phil Roe (R-TN) and Congressman Steny Hoyer (D-MD), the AAAAI and others initiated the School-Based Allergies and Asthma Management Program Act (H.R. 2468) as bipartisan legislation to support the SA3MPROTM program. Passed by the U.S. House of Representatives on September 29 and the U.S. Senate on December 17, 2020, the legislation awaits President Trump’s signature.

The School-Based Allergies and Asthma Management Program Act (H.R. 2468) amends the Public Health Service Act to revise the conditions under which the Department of Health and Human Services, in making asthma-related grants, gives preference to a state. The measure will give preference to states that require elementary and secondary schools to have at least one individual, such as a school nurse or other school staff, to direct and apply a comprehensive school-based allergies and asthma management program on a voluntary basis. The program will include a method to identify students with allergies and asthma, have on file an action plan for each individual student, and develop a support system for each such student coordinating school staff, family members, and health care providers. The two most important strategies for preparing schools in the event of an asthma incident are implementing individual action plans and preparing school staff to assist children experiencing an attack.

Its passage by the 116th Congress reflects ongoing AAAAI advocacy efforts, and those of its patient advocacy organizations, including the Asthma and Allergy Foundation of America and the Allergy and Asthma Network, along with the American College of Allergy, Asthma and Immunology.

See more about the history of H.R. 2885, similar legislation introduced last session.

January 5, 2021
H.R. 2468, the School-Based Allergies and Asthma Management Program Act became law to enhance the safety of students with allergies and asthma in the school setting. First introduced in support of the AAAAI’s SA3MPRO™ by Majority Leader Steny Hoyer (D-MD) and Representative Phil Roe, MD (R-TN), its passage reflects the efforts of many dedicated physicians and patient advocates who urged its passage.

The measure requires that the Department of Health and Human Services [HHS] award grants first to those states which ensure a school nurse or other trained personnel is available on the premises, and that students diagnosed with allergies and asthma are identified and have an individualized action plan and coordinated support system. The AAAAI will work with HHS and the Centers for Disease Control and Prevention (CDC) to implement this framework.

Improving health and school-related outcomes for children with asthma requires the use of school-based partnerships that focus on integrated care coordination amongst families, clinicians and school nurses.

MarCom 2017
For asthma care, the SA3MPROTM advocates four components to integrate schools, and specifically school nurses, within the asthma care team. These components are:

1. The creation of a Circle of Support amongst the families, clinicians and schools nurses centered around the child with asthma.

2. The creation and transmission of Asthma Management Plans to schools. This includes an Asthma Emergency Treatment Plan for emergency management of asthma symptoms and an individualized Asthma Action Plan for each child with asthma. A standardized Asthma Action Plan is available.

Asthma Action Plan
Asma - plan de acción
For a downloadable and fillable version please see School-based Asthma Management Program – (SA3MPROTM).

Asthma Action Plan - Fillable PDF AAAAI does not assume responsibility for how these documents are utilized. Consult with your practice’s IT resources for recommendations on document storage, transmission and HIPAA compliance.
Asma - Plan de Acción (Asthma Action Plan) - Formulario PDF Rellenable La AAAAI no asume ninguna responsabilidad sobre cómo se utilizarán estos documentos. Debe consultar los recursos apropiados de tecnología de la información sobre almacenamiento de documentos, transmisión electrónica y cumplimiento de HIPAA.

SA3MPROTM picture-based asthma action plan

School Supplementary Treatment Orders Form (To be Sent with the Asthma Action Plan)
Órdenes de Tratamiento Complementarias para la Escuela (Se enviarán con el plan de acción contra el asma)

3. A comprehensive Asthma Education Plan for school personnel.

4. A comprehensive Environmental Asthma Plan to assess and remediate asthma triggers at home and in school.

SA3MPROTM, developed by multiple stakeholders, standardizes recommendations for school based asthma, and provides websites and resources useful for the care of children with asthma in the school setting.
How to use this toolkit:
This toolkit will provide information for feasible implementation of SA3MPROTM into local communities. We encourage users to complete the free registration process to allow for full downloads of available material. Information requested from the user will be used to update users on toolkit updates and study usage patterns of the toolkits by school nurses and clinicians.

Toolkit Highlights:

  • Slidesets (Page 3)

  • Downloadable Asthma Action Plans in English and Spanish (Pages 6-9)

  • Checklists for Clinicians, Families and School Nurses (Pages 10, 14 and 15)

  • Online Asthma Education Videos, Education Links and Much More (Pages 22-26)

  • Links to Indoor Quality Management Tools and Education (pages 27-28)

Note: The page numbers correspond to the toolkit zip file.

See below to learn where registrants have accessed the toolbox from. (UW HIPxChange)
Registrations by Geography and By Position

SAMPRO Toolkit

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