Published online December 16, 2008
PEDIATRICS Vol. 123 Supplement January 2009, pp. S100-S107 (doi:10.1542/10.1542/peds.2008-1755J)
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SUPPLEMENT ARTICLE


Use of an Electronic Medical Record System to Support Primary Care Recommendations to Prevent, Identify, and Manage Childhood Obesity

Karyl Thomas Rattay, MD, MS, Meena Ramakrishnan, MD, MPH, Aguida Atkinson, MD, Megan Gilson, MS and Vonna Drayton, DrPH

Nemours Health and Prevention Services, Newark, Delaware

Many primary care physicians are not providing care that is consistent with recommendations to prevent, to identify, and to manage childhood obesity. This report presents modifications made to the electronic medical record system of a large pediatric health care system, using a quality improvement approach, to support these recommendations and office system changes. Although it is possible to make practice changes secondary to electronic medical record system enhancements, challenges to development and implementation exist.

Key Words: childhood • obesity • prevention • assessment • treatment • electronic medical record • chronic care model • motivational interviewing

Abbreviations: EMR—electronic medical record

Accepted Sep 11, 2008.


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