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; Site 1 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.
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; Site 1 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.
Authors: Tracy L Flood; Ying-Qi Zhao; Emily J Tomayko; Aman Tandias; Aaron L Carrel; Lawrence P Hanrahan Journal: Am J Prev Med Date: 2015-02 Impact factor: 5.043
Authors: Vidhu V Thaker; Felix Lee; Clement J Bottino; Cassandra L Perry; Ingrid A Holm; Joel N Hirschhorn; Stavroula K Osganian Journal: Clin Pediatr (Phila) Date: 2015-12-15 Impact factor: 1.168
Authors: Min Hae Park; Áine Skow; Dewi Ismajani Puradiredja; Anna Lucas; Hayley Syrad; Ulla Sovio; Billy White; Anthony S Kessel; Barry Taylor; Sonia Saxena; Russell M Viner; Sanjay Kinra Journal: BMJ Open Date: 2015-06-12 Impact factor: 2.692
Authors: Cassandra C Brady; Vidhu V Thaker; Todd Lingren; Jessica G Woo; Stephanie S Kennebeck; Bahram Namjou-Khales; Ashton Roach; Jonathan P Bickel; Nandan Patibandla; Guergana K Savova; Imre Solti; Ingrid A Holm; John B Harley; Isaac S Kohane; Nancy A Crimmins Journal: Int J Pediatr Date: 2016-09-06