Impact of Electronic Health Record Clinical Decision Support on the Management of Pediatric Obesity

Ulfat Shaikh, Jeanette Berrong, Jasmine Nettiksimmons, Robert S Byrd

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Clinicians vary significantly in their adherence to clinical guidelines for overweight/obesity. This study assessed the impact of electronic health record–based clinical decision support in improving the diagnosis and management of pediatric obesity. The study team programmed a point-of-care alert linked to a checklist and standardized documentation templates to appear during health maintenance visits for overweight/obese children in an outpatient teaching clinic and compared outcomes through medical record reviews of 574 (287 control and 287 intervention) visits. The results demonstrated a statistically significant increase in the diagnosis of overweight/obesity, scheduling of follow-up appointments, frequency of ordering recommended laboratory investigations, and assessment and counseling for nutrition and physical activity. Although clinical guideline adherence increased significantly, it was far from universal. It is unknown if modest improvements in adherence to clinical guidelines translate to improvements in children’s health. However, this intervention was relatively easy to implement and produced measurable improvements in health care delivery.

Original languageEnglish (US)
Pages (from-to)72-80
Number of pages9
JournalAmerican Journal of Medical Quality
Volume30
Issue number1
DOIs
StatePublished - Jan 21 2015

Fingerprint

Clinical Decision Support Systems
Electronic Health Records
Pediatric Obesity
Obesity
Point-of-Care Systems
Guidelines
Guideline Adherence
Nutrition Assessment
Health
Ambulatory Care Facilities
Checklist
Documentation
Medical Records
Counseling
Appointments and Schedules
Teaching
Exercise
Delivery of Health Care

Keywords

  • adolescent
  • child
  • decision-support system
  • medical informatics
  • obesity
  • quality of care

ASJC Scopus subject areas

  • Health Policy

Cite this

Impact of Electronic Health Record Clinical Decision Support on the Management of Pediatric Obesity. / Shaikh, Ulfat; Berrong, Jeanette; Nettiksimmons, Jasmine; Byrd, Robert S.

In: American Journal of Medical Quality, Vol. 30, No. 1, 21.01.2015, p. 72-80.

Research output: Contribution to journalArticle

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