The goal of the program was to raise the rate of complete data capture at well visits to at least 80% and do this across all languages.
TORONTO — When electronic completion of screening questionnaires replaced manually completed paper forms at a busy academic pediatric clinic, complete data capture was almost doubled without increasing the duration of the clinic visit, and, of course, it eliminated the work associated with managing paper records.
The vast majority of the information that was missing depended on patient or family input, such as social determinants of health , which includes the aspects of home environment, such as nutrition and safety. Dr Ketterman said that going paperless was inspired by positive experiences reported elsewhere. The first step was to create digital forms in English and Spanish for completion unique to each milestone well-child visit defined by age.
With more than 50,000 well-child checkups captured over a recent 15-month period of paperless questionnaires, the proportion with 100% data capture using what Dr Ketterman characterized as"strict criteria" was 84%, surpassing the goal at the initiation of the program.values that were mostly < .001 for a range of standard tests such as M-CHAT-R , QPA , and PSC-17 when compared to the baseline period.
"This has been life-changing for us," said Katie E. McPeak, MD, a primary care pediatrician and Medical Director for Health Equity at the Children's Hospital of Philadelphia."The information is more accurate in the digital format and it reduces time for the clinician reviewing the data in the exam room." She also agreed that paperless completion of screen captures better information on more topics, like sleep, nutrition, and mood disorders.
Electronic Health Record EHR Children Child Childhood Pediatrics Kids Preventive Screening Screening Electronic Medical Record EMR Electronic Health Record EHR Computerized Medical Records Systems Computerized Patient Records Digital Personal Health Record PHR Computerised Medical Records Systems Computerised Patient Records Vision Care And Maintenance
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