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Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Increasing Diagnosis and Treatment of Overweight and Obese Pediatric Patients
1Medical University of South Carolina, Charleston, SC, USA emily.l.young.cpnp@gmail.com.
Insights
Implementing an electronic health record (EHR) template and staff education significantly improved the diagnosis and treatment rates for overweight and obese children, enhancing pediatric obesity management.
Area of Science:
- Pediatric Endocrinology
- Health Informatics
- Public Health
Background:
- Childhood obesity is a growing public health concern.
- Effective clinical strategies are needed to improve diagnosis and management.
- Electronic Health Records (EHRs) offer potential for systematic interventions.
Purpose of the Study:
- To evaluate the impact of a guideline-based EHR template and staff education on diagnosing and treating overweight and obese children.
- To assess improvements in the identification and management of pediatric obesity.
Main Methods:
- A pediatric obesity evidence-based practice guideline was integrated into an EHR minitemplate.
- Staff received education on current obesity guidelines.
- The template was applied to EHR encounters for patients with body mass index (BMI) above the 85th percentile.
Main Results:
- Diagnosis rates for overweight/obesity increased from 52% to 75% post-intervention.
- Treatment rates for diagnosed patients rose from 86% to 96%.
- The study reviewed 9701 patient charts over six months.
Conclusions:
- EHR customization and targeted staff education effectively enhanced the diagnosis and treatment of pediatric overweight and obesity.
- This approach demonstrates a successful method for improving clinical care for pediatric obesity.
Purpose:
To determine if a guideline-based electronic health record (EHR) template and staff education would increase diagnosis and treatment of overweight and obese children.
Method:
At a large pediatric office, a minitemplate was customized to pediatric obesity evidence-based practice guidelines. Staff were educated regarding current guidelines and instructed to merge minitemplate to EHR encounters in which body mass indexes (BMIs) were greater than the 85th percentile, thus integrating assessment questions, overweight or obese diagnoses, and triggered treatment order sets.
Results:
A total of 9701 charts of 2- to 18-year-old patients presenting over 6 months were reviewed. Preintervention, 52% with BMIs greater than the 85th percentile had diagnoses of overweight or obese in problem lists; 86% received treatment when diagnosed. Postintervention, 75% had diagnoses in problem lists, and 96% received treatment.
Conclusion:
This initiative illustrated how EHR customization and staff education improved the diagnosis and treatment of pediatric overweight and obesity.
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