Implementation of Provider-Focused Education to Improve Laboratory Screening for Pediatric Patients With Elevated Body Mass Index in Primary Care: A Quality Improvement Project

Juszli, Sharon; Stamm, Robyn; Karas, David

doi:10.1016/j.pedhc.2023.09.002

Cited by 1 publication

(2 citation statements)

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“…Pilot practices sustainably screened at a higher rate for 3 months after the intervention period, demonstrating a successful change in practice warranting project spread. 10 …”

Section: Introductionmentioning

confidence: 99%

“…Pilot practices sustainably screened at a higher rate for 3 months after the intervention period, demonstrating a successful change in practice warranting project spread. 10 In 2021, our organization saw over 48,000 children ages 10 through 21 for preventive care visits, and 23% had a BMI at or above the 95 th percentile. The recommended screening tests were not ordered for nearly 80% of those patients with obesity.…”

Section: Introductionmentioning

confidence: 99%

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Increasing Screening Rates for Comorbidities in Adolescents with Elevated Body Mass Index in Pediatric Primary Care

Karas,

Juszli,

Walston

et al. 2024

Pediatric Quality &Amp; Safety

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Introduction: Adolescents with elevated body mass index are at increased risk for comorbidities such as dyslipidemia, diabetes mellitus, and metabolic dysfunction-associated steatotic liver disease. Guideline-based screening can identify impacted patients early, allowing for lifestyle modifications and other treatments to improve long-term health. Unfortunately, only 20% of pediatric patients with obesity receive recommended screening. Methods: A multidisciplinary quality improvement team designed and implemented a project to improve comorbidity screening utilizing the Model for Improvement. Provider education and incentive, clinical decision support, and regular performance feedback were chosen as interventions. Screening rates were tracked on a statistical process control chart. Results: From March through December of 2022, 9547 pediatric patients aged 10 years and up with body mass index greater than or equal to the 95th percentile were seen for preventive care visits. Screening rates for comorbidities increased from a baseline of 19.5%–58% and were sustained for over 3 months. Numerous patients at risk for chronic disease were identified. Conclusions: Evidence-based clinical decision support, along with provider education and engagement, can effectively increase screening rates for comorbidities in pediatric patients with obesity.

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“…Pilot practices sustainably screened at a higher rate for 3 months after the intervention period, demonstrating a successful change in practice warranting project spread. 10 …”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%