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this is Kimberly Cox and this is my practice change proposal so for the patient population Ive chosen pediatric patients admitted to the hospital due to asthma exacerbations the problem is increased asthma readmission rates for asthma exacerbations in the Pediatric population due to not effectively screening triggers and not referring those high-risk patient to the asthma Management program and the setting Ive chosen is an acute care hospital that serves both Urban and Royal populations and for the background as we know asthma is a serious chronic disease and one of the most prevalent chronic diseases in children and asthma attacks are serious and can be fatal and cause permanent lung damage pediatric asthma is the leading cause of Hospital admissions in many of which the hospitalizations are preventable um in multiple hospitalizations due to asthma that is not well managed can impact the childs School attendance as well and their success as well as their parents employment it just