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Implementation of clinical practice guidelines for pediatric weight management

Karen J Coleman1, Anne C Hsii, Corinna Koebnick

  • 1Kaiser Permanente Medical Group, Department of Research and Evaluation, Pasadena, CA, USA. Karen.J.Coleman@kp.org

The Journal of Pediatrics
|January 14, 2012
PubMed

Insights

Computer-assisted tools significantly improved pediatric weight management by increasing diagnosis and counseling for overweight and obese children. This initiative enhanced identification and care within a large healthcare system.

Area of Science:

  • Pediatric Endocrinology
  • Public Health
  • Health Informatics

Background:

  • Childhood obesity is a growing public health concern.
  • Standardized approaches are needed for effective pediatric weight management.
  • Integrated healthcare systems can leverage technology for improved care.

Purpose of the Study:

  • To assess the impact of computer-assisted decision tools on pediatric weight management.
  • To evaluate the standardization of diagnosis and management for child and adolescent obesity.
  • To measure improvements in identification and counseling rates.

Main Methods:

  • Large-scale implementation study analyzing electronic medical records.
  • Data from 739,816 annual outpatient visits (2007-2010) for children and adolescents.
  • Extracted height, weight, counseling, and diagnosis data.

Main Results:

  • Height and weight measurement increased from 66% to 94% (P < .001).
  • Diagnosis of overweight/obesity rose from 12% to 61% (P < .001).
  • Exercise and nutrition counseling increased from 1% to 50% (P < .001).

Conclusions:

  • Computer-assisted tools standardize pediatric weight management effectively.
  • Concurrent pediatrician education enhances tool impact.
  • Significant improvements in identification, diagnosis, and counseling for pediatric obesity were observed.
Abstract

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