Assessment of provider adherence to obesity treatment guidelines.

J Am Assoc Nurse Pract

School of Nursing, Saint Louis University, St. Louis, Missouri.

Published: March 2013

Purpose: Despite the presence of obesity treatment guidelines, healthcare providers often provide suboptimal weight management. The purpose of the quality improvement project was to systematically assess adherence with adult overweight/obesity guidelines in primary care to reduce patient risk.

Data Sources: Retrospective analysis of 420 encounter notes from overweight and obese adult patients in three primary care clinics. Data were collected before and after a continuing education session for providers on guidelines for optimal management of obesity. Measures of completeness of quality indicators were abstracted from records.

Conclusions: Significant improvement in the completeness score and documentation of body mass index, height, diagnosis of overweight/obesity, and counseling for diet and physical activity were achieved.

Implications For Practice: The proposed measures for systematically assessing the integration of obesity guidelines in primary care are feasible quality indicators and useful for evidence-based decision making.

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Source
http://dx.doi.org/10.1111/j.1745-7599.2012.00769.xDOI Listing

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