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Before-Visit Questionnaire: A Tool to Augment Communication and Decrease Provider Documentation Burden in Pediatric

Yaa A Kumah-Crystal1, Preston M Stein2, Qingxia Chen1,3

  • 1Department of Biomedical Informatics, Vanderbilt University, Nashville, Tennessee, United States.

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Summary
This summary is machine-generated.

A parent-facing electronic tool improved pediatric diabetes care by streamlining documentation. This before-visit questionnaire (BVQ) reduced provider typing by 50% and enhanced communication about disease management.

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Area of Science:

  • Pediatric Endocrinology
  • Health Informatics
  • Clinical Documentation Improvement

Background:

  • Effective interval history collection is crucial for managing pediatric chronic conditions like diabetes.
  • Provider documentation burden can impact the quality and efficiency of patient care.
  • Parental involvement in healthcare data collection can enhance communication and adherence.

Purpose of the Study:

  • To develop and evaluate an electronic tool for collecting interval history from parents.
  • To assess the impact of this tool on provider documentation and patient care in pediatric diabetes.
  • To determine the perceived usefulness and acceptability of the tool among parents and providers.

Main Methods:

  • A parent-facing online before-visit questionnaire (BVQ) was implemented for pediatric diabetes patients.
  • The BVQ collected interval history and self-management barriers, generating a provider summary note.
  • Parent and provider satisfaction, documentation content/length, and provider typing time were assessed pre- and post-BVQ implementation.

Main Results:

  • 79% of parents found the BVQ aided visit preparation, and 80% perceived improved visit quality.
  • 100% of providers found the generated summary beneficial, with 81% desiring recent summaries.
  • Provider documentation of adherence and barriers increased, and typing time for interval history was reduced by 50%.

Conclusions:

  • Parent-completed BVQs that generate provider documentation are appreciated by both parents and providers.
  • The BVQ system effectively redistributes workload, acceptable to both parents and providers.
  • This approach enhances parent-provider communication and reduces provider workload in pediatric diabetes management.