Leveraging an Electronic Medical Record to Improve Compliance with Pediatric Asthma Care Documentation

James A. Menke, Jeffery Hoffman

2013

Abstract

Asthma is our institution’s third most common admitting diagnosis with 653 admissions in 2011. The Joint Commission monitors core measures of pediatric asthma care during hospitalization: (1) were relievers given (2) were systemic corticosteroids given and (3) was the patient discharged with a complete asthma action plan (AAP). We describe the sue of three standard quality improvement (QIP) cycles to improve compliance using a computerized AAP. Our historical compliance using paper documentation averaged 32%. In Phase 1, we replaced the paper AAP form with an electronic version within our Electronic Medical Record (EMR) and improved our average compliance to 45%. In Phase 2, we identified barriers to additional improvement and modified the electronic form with soft stops and visual reminders. These modifications improved our compliance to 70%. In Phase 3, we identified remaining barriers, modified the form to include automated decision support and defaulting and improved our compliance to 90%. Using this phased QIP, we were able to achieve significant improvement in overall compliance with the core measure of providing an accurate and complete asthma action plan at the time of hospital discharge. With additional QIP cycles, we believe achievement of 100% documentation compliance for this core measure is possible.

References

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Paper Citation


in Harvard Style

A. Menke J. and Hoffman J. (2013). Leveraging an Electronic Medical Record to Improve Compliance with Pediatric Asthma Care Documentation . In Proceedings of the International Conference on Health Informatics - Volume 1: HEALTHINF, (BIOSTEC 2013) ISBN 978-989-8565-37-2, pages 319-322. DOI: 10.5220/0004190403190322


in Bibtex Style

@conference{healthinf13,
author={James A. Menke and Jeffery Hoffman},
title={Leveraging an Electronic Medical Record to Improve Compliance with Pediatric Asthma Care Documentation},
booktitle={Proceedings of the International Conference on Health Informatics - Volume 1: HEALTHINF, (BIOSTEC 2013)},
year={2013},
pages={319-322},
publisher={SciTePress},
organization={INSTICC},
doi={10.5220/0004190403190322},
isbn={978-989-8565-37-2},
}


in EndNote Style

TY - CONF
JO - Proceedings of the International Conference on Health Informatics - Volume 1: HEALTHINF, (BIOSTEC 2013)
TI - Leveraging an Electronic Medical Record to Improve Compliance with Pediatric Asthma Care Documentation
SN - 978-989-8565-37-2
AU - A. Menke J.
AU - Hoffman J.
PY - 2013
SP - 319
EP - 322
DO - 10.5220/0004190403190322