Increased Documentation and Management of Pediatric Obesity Following Implementation of an EMR Upgrade and Education
Background: Overweight children are often not identified or counseled. Purpose: We assessed the documentation rate and clinical management of overweight children before and after an electronic medical record (EMR) upgrade calculating body mass index (BMI) percentile for age and gender. Methods: Fami...
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| Veröffentlicht in: | Clinical pediatrics 2012-01, Vol.51 (1), p.31-38 |
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| container_title | Clinical pediatrics |
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| creator | Keehbauch, Jennifer Miguel, Gretchen San Drapiza, Leslie Pepe, Julie Bogue, Richard Smith-Dixon, Amelia |
| description | Background: Overweight children are often not identified or counseled. Purpose: We assessed the documentation rate and clinical management of overweight children before and after an electronic medical record (EMR) upgrade calculating body mass index (BMI) percentile for age and gender. Methods: Family Medicine resident and faculty physicians at two sites received an EMR upgrade; Site1 physicians also received BMI training and education. From two years before to one year after the upgrade, randomly selected charts were reviewed for all encounters with overweight children for documentation of obesity and clinical management. Results: After the EMR upgrade, documentation and counseling rates significantly improved at both sites but the rate of change was greater for Site 1; postintervention documentation was significantly greater for Site 1 vs. Site 2 (40% vs. 28%, P |
| doi_str_mv | 10.1177/0009922811417293 |
| format | Article |
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Purpose: We assessed the documentation rate and clinical management of overweight children before and after an electronic medical record (EMR) upgrade calculating body mass index (BMI) percentile for age and gender. Methods: Family Medicine resident and faculty physicians at two sites received an EMR upgrade; Site1 physicians also received BMI training and education. From two years before to one year after the upgrade, randomly selected charts were reviewed for all encounters with overweight children for documentation of obesity and clinical management. Results: After the EMR upgrade, documentation and counseling rates significantly improved at both sites but the rate of change was greater for Site 1; postintervention documentation was significantly greater for Site 1 vs. Site 2 (40% vs. 28%, P<0.01). Conclusions: We found an increase in documentation and management of overweight children following an EMR upgrade that calculates BMI percentiles for age and gender. Physician education was an important adjunct.</description><identifier>ISSN: 0009-9228</identifier><identifier>EISSN: 1938-2707</identifier><identifier>DOI: 10.1177/0009922811417293</identifier><identifier>PMID: 21885433</identifier><identifier>CODEN: CPEDAM</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Algorithms ; Analysis of Variance ; Body Mass Index ; Chi-Square Distribution ; Child ; Children & youth ; Decision Support Techniques ; Documentation ; Electronic Health Records ; Family Practice - education ; Female ; Humans ; Inservice Training ; Male ; Obesity ; Obesity - prevention & control ; Overweight - prevention & control ; Physicians</subject><ispartof>Clinical pediatrics, 2012-01, Vol.51 (1), p.31-38</ispartof><rights>SAGE Publications 2012</rights><rights>Copyright Westminster Publications, Inc. Jan 2012</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c396t-cbee2ab871e0a33cf643301ddca4c36b44373702de054d1e1da3f99c499d8b1b3</citedby><cites>FETCH-LOGICAL-c396t-cbee2ab871e0a33cf643301ddca4c36b44373702de054d1e1da3f99c499d8b1b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/0009922811417293$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/0009922811417293$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,21819,27924,27925,43621,43622</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21885433$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Keehbauch, Jennifer</creatorcontrib><creatorcontrib>Miguel, Gretchen San</creatorcontrib><creatorcontrib>Drapiza, Leslie</creatorcontrib><creatorcontrib>Pepe, Julie</creatorcontrib><creatorcontrib>Bogue, Richard</creatorcontrib><creatorcontrib>Smith-Dixon, Amelia</creatorcontrib><title>Increased Documentation and Management of Pediatric Obesity Following Implementation of an EMR Upgrade and Education</title><title>Clinical pediatrics</title><addtitle>Clin Pediatr (Phila)</addtitle><description>Background: Overweight children are often not identified or counseled. Purpose: We assessed the documentation rate and clinical management of overweight children before and after an electronic medical record (EMR) upgrade calculating body mass index (BMI) percentile for age and gender. Methods: Family Medicine resident and faculty physicians at two sites received an EMR upgrade; Site1 physicians also received BMI training and education. From two years before to one year after the upgrade, randomly selected charts were reviewed for all encounters with overweight children for documentation of obesity and clinical management. Results: After the EMR upgrade, documentation and counseling rates significantly improved at both sites but the rate of change was greater for Site 1; postintervention documentation was significantly greater for Site 1 vs. Site 2 (40% vs. 28%, P<0.01). Conclusions: We found an increase in documentation and management of overweight children following an EMR upgrade that calculates BMI percentiles for age and gender. Physician education was an important adjunct.</description><subject>Algorithms</subject><subject>Analysis of Variance</subject><subject>Body Mass Index</subject><subject>Chi-Square Distribution</subject><subject>Child</subject><subject>Children & youth</subject><subject>Decision Support Techniques</subject><subject>Documentation</subject><subject>Electronic Health Records</subject><subject>Family Practice - education</subject><subject>Female</subject><subject>Humans</subject><subject>Inservice Training</subject><subject>Male</subject><subject>Obesity</subject><subject>Obesity - prevention & control</subject><subject>Overweight - prevention & control</subject><subject>Physicians</subject><issn>0009-9228</issn><issn>1938-2707</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kUFr3DAQRkVpaLZp7z0V0Ut7caLxeFfSMaSbdCEhpTRnI0vjxcGWNpJNyb-vnE0TCDQngeZ9TyM-xj6BOAaQ8kQIoXVZKoAKZKnxDVuARlWUUsi3bDGPi3l-yN6ndCsEoFjiO3ZYglLLCnHBxo23kUwix78HOw3kRzN2wXPjHb8y3mxpvuOh5T_JdWaMneXXDaVuvOfnoe_Dn85v-WbY9fQczrTxfH31i9_sttE4etCt3WQf5h_YQWv6RB8fzyN2c77-ffajuLy-2JydXhYW9WosbENUmkZJIGEQbbvKKwtwzprK4qqpKpQoRelILCsHBM5gq7WttHaqgQaP2Ne9dxfD3URprIcuWep74ylMqdaAWaHLZSa_vUqC0hIVgp7RLy_Q2zBFn_-RfRIRpZIZEnvIxpBSpLbexW4w8b4GUc_V1S-ry5HPj96pGcg9Bf51lYFiD6RcyvOj_xX-BavXoGM</recordid><startdate>201201</startdate><enddate>201201</enddate><creator>Keehbauch, Jennifer</creator><creator>Miguel, Gretchen San</creator><creator>Drapiza, Leslie</creator><creator>Pepe, Julie</creator><creator>Bogue, Richard</creator><creator>Smith-Dixon, Amelia</creator><general>SAGE Publications</general><general>Westminster Publications, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7QR</scope><scope>7T5</scope><scope>7TK</scope><scope>7U9</scope><scope>8FD</scope><scope>FR3</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>NAPCQ</scope><scope>P64</scope><scope>7TS</scope><scope>7X8</scope></search><sort><creationdate>201201</creationdate><title>Increased Documentation and Management of Pediatric Obesity Following Implementation of an EMR Upgrade and Education</title><author>Keehbauch, Jennifer ; Miguel, Gretchen San ; Drapiza, Leslie ; Pepe, Julie ; Bogue, Richard ; Smith-Dixon, Amelia</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c396t-cbee2ab871e0a33cf643301ddca4c36b44373702de054d1e1da3f99c499d8b1b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Algorithms</topic><topic>Analysis of Variance</topic><topic>Body Mass Index</topic><topic>Chi-Square Distribution</topic><topic>Child</topic><topic>Children & youth</topic><topic>Decision Support Techniques</topic><topic>Documentation</topic><topic>Electronic Health Records</topic><topic>Family Practice - education</topic><topic>Female</topic><topic>Humans</topic><topic>Inservice Training</topic><topic>Male</topic><topic>Obesity</topic><topic>Obesity - prevention & control</topic><topic>Overweight - prevention & control</topic><topic>Physicians</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Keehbauch, Jennifer</creatorcontrib><creatorcontrib>Miguel, Gretchen San</creatorcontrib><creatorcontrib>Drapiza, Leslie</creatorcontrib><creatorcontrib>Pepe, Julie</creatorcontrib><creatorcontrib>Bogue, Richard</creatorcontrib><creatorcontrib>Smith-Dixon, Amelia</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Chemoreception Abstracts</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Physical Education Index</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical pediatrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Keehbauch, Jennifer</au><au>Miguel, Gretchen San</au><au>Drapiza, Leslie</au><au>Pepe, Julie</au><au>Bogue, Richard</au><au>Smith-Dixon, Amelia</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Increased Documentation and Management of Pediatric Obesity Following Implementation of an EMR Upgrade and Education</atitle><jtitle>Clinical pediatrics</jtitle><addtitle>Clin Pediatr (Phila)</addtitle><date>2012-01</date><risdate>2012</risdate><volume>51</volume><issue>1</issue><spage>31</spage><epage>38</epage><pages>31-38</pages><issn>0009-9228</issn><eissn>1938-2707</eissn><coden>CPEDAM</coden><abstract>Background: Overweight children are often not identified or counseled. Purpose: We assessed the documentation rate and clinical management of overweight children before and after an electronic medical record (EMR) upgrade calculating body mass index (BMI) percentile for age and gender. Methods: Family Medicine resident and faculty physicians at two sites received an EMR upgrade; Site1 physicians also received BMI training and education. From two years before to one year after the upgrade, randomly selected charts were reviewed for all encounters with overweight children for documentation of obesity and clinical management. Results: After the EMR upgrade, documentation and counseling rates significantly improved at both sites but the rate of change was greater for Site 1; postintervention documentation was significantly greater for Site 1 vs. Site 2 (40% vs. 28%, P<0.01). Conclusions: We found an increase in documentation and management of overweight children following an EMR upgrade that calculates BMI percentiles for age and gender. 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| subjects | Algorithms Analysis of Variance Body Mass Index Chi-Square Distribution Child Children & youth Decision Support Techniques Documentation Electronic Health Records Family Practice - education Female Humans Inservice Training Male Obesity Obesity - prevention & control Overweight - prevention & control Physicians |
| title | Increased Documentation and Management of Pediatric Obesity Following Implementation of an EMR Upgrade and Education |
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