Title
Effectiveness of a Cloud-Based EHR Clinical Decision Support Program for Body Mass Index (BMI) Screening and Follow-up.
Abstract
The effectiveness of a clinical decision support (CDS) program encouraging clinicians to record patient's Body Mass Index (BMI) and document appropriate follow-up plans is evaluated. Test (4,987 practices, 33,445 clinicians) and control groups (881 practices, 6,316 clinicians) were selected using stratified random sampling. Three CDS alerts for BMI screening and follow-up based on evidence based clinical quality guidelines were displayed at the point of care in a cloud-based EHR. The effectiveness of the CDS program was measured over 4 months by tracking recorded BMI and documented follow-up plans. Over the program, BMI recording increased minimally and documentation of follow-up plans increased 5-fold (p=0.05) compared to the control group. The overweight test group patients (18- 64yo) gained less weight (p=0.06) than the control group and underweight patients gained more weight (p<0.01) during the program period. Outcome studies with longer follow-up periods are needed to further confirm positive outcomes.
Year
Venue
DocType
2017
AMIA
Conference
Volume
Citations 
PageRank 
2017
0
0.34
References 
Authors
0
8
Name
Order
Citations
PageRank
Shruti Gangadhar101.01
Nam Nguyen2153.96
James Pesuit300.34
Alina Bogdanov401.01
Lee Kallenbach500.34
Jessica Ken600.68
Joe Vasey700.68
Richard M. Loomis800.68