Table 1.

Competencies reviewed at each home visit

			Home visits
			1	2	3	4	5
		Time since ED discharge	2–3 days	2 weeks	1 month	3 months	6 months
Competency		Estimated time to teach compentency
1	Introductions and explanation of CHICAGO Plan, role of CHW	10 minutes	Priority	Optional	Optional	Optional	Optional
2	Asthma basics: what is asthma, how does it affect the airways	5 minutes	Priority	Priority	Optional	Optional	Optional
3	Symptom recognition and understanding of controlled vs. uncontrolled asthma; when to seek care	10 minutes	Priority	Priority	Optional	Optional	Optional
4	Education using teach-back about appropriate use of medications, including MDI devices	15 minutes	Priority	Priority	Priority	Priority	Priority
5	Identification of major triggers (cigarette smoke, cockroach, mouse) in home, remediation strategies, trigger avoidance strategies	30 minutes	Optional	Priority	Priority	Priority	Priority
6	Identification of other triggers (mold, dust mite, pets, pollen, food, strong odors, cold/flu, extremes in weather, exercise, emotions) in home and strategies to avoid them	30 minutes	Optional	Optional	Optional	Optional	Optional
7	Review and confirm understanding of the CAPE tool or updated asthma action plan	10 minutes	Priority	Priority	Priority	Priority	Priority
8	Education about 504 plan and how to submit paperwork to schools	5 minutes	Optional	Priority	Priority	Priority	Priority
9	Develop behavior change plan and assess progress since last visit	10 minutes	Priority	Priority	Priority	Priority	Priority
10	Other topics (e.g., allergy testing, referrals, peak flow meter)	5 minutes	Optional	Optional	Optional	Optional	Optional
		Estimated time to complete each visit	60–90 minutes	60–90 minutes	60–90 minutes	60–90 minutes	60–90 minutes

There are 5 home visits conducted by community health workers (CHWs) for children randomly allocated to the ED plus home-based intervention group. Each visit is estimated to require 60 to 90 minutes to teach competencies. The CHW focuses on the “Priority” topics at each home visit. Based on caregiver and the child’s interest, CHWs may review fewer or additional “Optional” topics. The 504 plan refers to Section 504 of the Rehabilitation Act of 1973, which is an anti-discrimination civil rights statute that requires that the needs of students with disabilities be met as adequately as the needs of the non-disabled. In the context of the CHICAGO Plan, the 504 plan is used to ensure that the child with asthma receives appropriate accommodations while in school (e.g., ability to self-administer asthma medications while in school).