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Using a Clinical Decision Support Tool to Increase Chlamydia Screening Across a Large Primary Care Pediatric Network
David Karas1,2, Stephen Sondike1,2, James Fitzgibbon1,2
11 Akron Children's Hospital Medical Center, Akron, OH, USA.
Clinical Pediatrics
|September 29, 2018
Summary
An electronic health record alert significantly increased chlamydia screening rates in a pediatric network. The intervention doubled screening from 2.40% to 5.01%, improving adolescent health surveillance.
Area of Science:
- Public Health
- Pediatric Medicine
- Health Informatics
Background:
- Chlamydia is a prevalent sexually transmitted infection among adolescents.
- Low screening rates pose a challenge to early detection and treatment in pediatric settings.
- Electronic health records (EHRs) offer potential for targeted interventions.
Purpose of the Study:
- To evaluate the effectiveness of an EHR-based intervention to increase chlamydia screening rates.
- To assess the impact of a provider alert system on screening adherence during adolescent well visits.
Main Methods:
- An EHR pop-up notification was implemented to prompt chlamydia screening recommendations.
- Chlamydia screening rates were compared for the year preceding and the year following intervention implementation.
- The study encompassed a large pediatric network, analyzing data from well adolescent visits.
Main Results:
- Chlamydia screening rates increased significantly from 2.40% before the intervention to 5.01% after.
- The observed increase in screening rates was statistically significant (P < .01).
- The EHR-based alert system demonstrated successful adoption and impact within the network.
Conclusions:
- EHR-based interventions, such as provider alerts, are effective in improving chlamydia screening rates in pediatric populations.
- This strategy can enhance public health surveillance and management of sexually transmitted infections in adolescents.
- The findings support the integration of clinical decision support tools into routine pediatric care.
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