AI Article Synopsis
- Adolescents with high body mass index are at a greater risk for health issues like diabetes and fatty liver disease, but only 20% currently receive proper screening.
- A quality improvement project was launched to enhance screening rates through provider education, clinical decision support, and regular feedback.
- Between March and December 2022, screening rates significantly increased from 19.5% to 58%, helping to identify many patients at risk for chronic diseases.
Article Abstract
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 95 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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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11236401 | PMC |
| http://dx.doi.org/10.1097/pq9.0000000000000747 | DOI Listing |
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