Breathmobile®

BreathMobile®
First 5
Schedules
September #1 September #2

To contact the Breathmobile® for an appointment
call 909.498.6277 – Inland Empire
Or 909.213.3341 – High Desert
Asthma is one of the leading causes of school absenteeism as well as the number one reason children go to the emergency room. The prevalence of asthma within the County of San Bernardino is higher than many other Southern California counties. Since 2001, the Central Valley cities have encompassed the most dense area of population within the County of San Bernardino, and accounts for the highest portion of all asthma hospitalizations every year. This community has been identified as having a higher population of low-income individuals diagnosed with respiratory illness. The asthma related hospitalization rates in the County of San Bernardino for children between the ages of 0 – 14 years is 16.7 percent or about 76,000 children.

Arrowhead Regional Medical Center and the County of San Bernardino in association with the Asthma and Allergy Foundation of America have implemented a unique approach to pediatric asthma management by establishing a program that provides care via an “asthma clinic on wheels”. The Breathmobile® provides coordinated case identification, structured mobile office visits, diagnostic testing, physical exam, pharmacological therapy and patient/family education in asthma management. All services are provided at no cost to the patient.

The Breathmobile® staff consists of a pediatric specialty practitioner, a licensed vocational nurse and a respiratory therapist who are specially trained in asthma case management. ARMC currently operates two Breathmobiles, one visiting schools in the Inland Valley and the other in the High Desert area of the county.

The Breathmobile® travels to 40 different school sites throughout the County of San Bernardino, rotating to each site every six weeks. During the school hours the Breathmobile® staff sees patients that attend the school site as well as any child referred from the surrounding area. A complete evaluation, examination, care plan and extensive patient family education are completed at the time of the visit. Follow-up visits require a shorter time span than the initial evaluation. The average visit requires less than 30 minutes of the child’s day. Providing care at a familiar, convenient site, often within walking distance for parents without transportation, has greatly improved patient participation and compliance with follow-up care. The Breathmobile® healthcare model has proven to be very successful in overcoming the complex social and economic barriers that can prevent successful chronic disease management in children in lower socio-economic areas. Seventy-five percent of the children participating in this program have their asthma symptoms under control by the third follow-up visit, regardless of the severity of their illness. Evaluation studies have demonstrated decreased school absenteeism, fewer emergency room visits, improved pulmonary function and exercise tolerance, and an overall improved quality of life.

The Breathmobile® team in collaboration with school nurses and health aides facilitates initial identification of patients. Ongoing communication with the school nurses and health aides help the patients remain compliant with their asthma management program.

We have achieved our goal of providing service via multiple Breathmobile® units. We are now visiting the High Desert areas, which are currently extremely underserved, and have a very high hospitalization rate for asthmatics.

We are very proud of the Breathmobile® program operating here.

Radio Interview

Dr. Webster Wong, Chairman of Arrowhead Regional Medical Center’s Pediatrics Department, was recently interviewed by Anton Sousa, host of the KGGI (99.1) Community Spotlight show. Dr. Wong showcased the hospital’s Breathmobile program, which provides an asthma clinic on wheels for children at various sites throughout San Bernardino County. Click here for the interview.

Arrowhead Regional Medical Center ©