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Impact of a Quality Improvement Initiative on Increasing Height Measurement Among Children with Medical Complexity

Jessica Hoffen1, Allison Brindle2

  • 1Warren Alpert Medical School of Brown University, Providence, RI.

Rhode Island Medical Journal (2013)
|January 27, 2023
PubMed

Insights

Quality improvement initiatives successfully boosted height measurement rates for children with medical complexity (CMC) during well-child visits, improving healthcare equity.

Area of Science:

  • Pediatrics
  • Quality Improvement Science
  • Healthcare Management

Background:

  • Children with medical complexity (CMC) often face challenges in receiving consistent healthcare, including accurate growth monitoring.
  • Height measurement is crucial for assessing the health and development of pediatric patients.

Purpose of the Study:

  • To enhance the frequency of height measurements for children with medical complexity during routine well-child visits.
  • To implement and evaluate quality improvement strategies for pediatric healthcare.

Main Methods:

  • A 17-month quality improvement project involving three distinct interventions.
  • Retrospective chart review of well-child visits for patients aged 35 months to 18.5 years with medical complexity.
  • Analysis of height measurement rates across different intervention phases.

Main Results:

  • The overall rate of height measurement for children with medical complexity reached 81.1%.
  • A significant increase in height measurement rates was observed, rising from 63.6% to 100.0% (P=0.006).

Conclusions:

  • Quality improvement methodologies effectively increased height measurement rates in children with medical complexity during well-child visits.
  • This approach offers a viable strategy to mitigate healthcare disparities experienced by individuals with medical complexity.
Abstract

Keywords:
children with medical complexityheight measurementquality improvement

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