Use of Electronic Health Record Integration for Down Syndrome Guidelines

Pediatrics
Stephanie L SantoroBrian G Skotko

Abstract

Established guidelines from the American Academy of Pediatrics for the care of patients with Down syndrome are often not followed. Our goal was to integrate aspects of the guidelines into the electronic health record (EHR) to improve guideline adherence throughout a child's life span. Two methods of EHR integration with age-based logic were created and implemented in June 2016: (1) a best-practice advisory that prompts an order for referral to genetics; and (2) a health maintenance record that tracks completion of complete blood cell count and/or hemoglobin testing, thyrotropin testing, echocardiogram, and sleep study. Retrospective chart review of patients with Down syndrome and visits to locations with EHR integration (NICUs, primary care centers, and genetics clinics) assessed adherence to the components of EHR integration; the impact was analyzed through statistical process control charts. From July 2015 to October 2017, 235 patients with Down syndrome (ages 0 to 32 years) had 466 visits to the EHR integration locations. Baseline adherence for individual components ranged from 51% (sleep study and hemoglobin testing) to 94% (echocardiogram). EHR integration was associated with a shift in adherence to all select recommendati...Continue Reading

Associated Clinical Trials

Jan 13, 2020·Brian G Skotko

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Citations

Aug 14, 2020·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Scott E HickeyAdriane L Baylis
May 22, 2019·Genetics in Medicine : Official Journal of the American College of Medical Genetics·MaryAnn CampionShoumita Dasgupta
Apr 24, 2020·Journal of Medical Systems·Belmar Mex UcIsabel de la Torre-Díez
Sep 4, 2020·Genetics in Medicine : Official Journal of the American College of Medical Genetics·Jeanhee ChungBrian G Skotko
Mar 27, 2019·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Philip D KnollmanStacey L Ishman
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Mar 18, 2021·American Journal of Medical Genetics. Part a·Stephanie L SantoroWilliam Mobley
Mar 25, 2021·Journal of Applied Research in Intellectual Disabilities : JARID·Stephanie L SantoroBrian G Skotko
Nov 17, 2020·American Journal of Preventive Medicine·Kristin M JensenDesmond K Runyan
Dec 6, 2019·Medical Principles and Practice : International Journal of the Kuwait University, Health Science Centre·Salwa Alhajji, Segun Mojiminiyi

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