title: Increased documentation and management of pediatric obesity following implementation of an EMR upgrade and education.
abstract: BACKGROUND
  Overweight children are often not identified or counseled.
  
  
  OBJECTIVE
  We assessed the documentation rate and clinical management of overweight children before and after an electronic medical record (EMR) upgrade calculating body mass index (BMI) percentile for age and gender.
  
  
  METHODS
  Family Medicine resident and faculty physicians at two sites received an EMR upgrade; Site 1 physicians also received BMI training and education. From two years before to one year after the upgrade, randomly selected charts were reviewed for all encounters with overweight children for documentation of obesity and clinical management.
  
  
  RESULTS
  After the EMR upgrade, documentation and counseling rates significantly improved at both sites but the rate of change was greater for Site 1; postintervention documentation was significantly greater for Site 1 vs. Site 2 (40% vs. 28%, P<0.01).
  
  
  CONCLUSIONS
  We found an increase in documentation and management of overweight children following an EMR upgrade that calculates BMI percentiles for age and gender. Physician education was an important adjunct.
authors: Florida Hospital, Winter Park, FL, USA. jennifer.keehbauchmd@flhosp.org
authors: Jennifer
authors: J
authors: Keehbauch
authors: Gretchen San
authors: GS
authors: Miguel
authors: Leslie
authors: L
authors: Drapiza
authors: Julie
authors: J
authors: Pepe
authors: Richard
authors: R
authors: Bogue
authors: Amelia
authors: A
authors: Smith-Dixon
mesh_terms: D000465:Algorithms; D000704:Analysis of Variance; D015992:Body Mass Index; D016009:Chi-Square Distribution; D002648:Child; D003661:Decision Support Techniques; D004282:Documentation; D057286:Electronic Health Records; D005194:Family Practice / Q000193:education*; D005260:Female; D006801:Humans; D007318:Inservice Training; D008297:Male; D009765:Obesity / Q000517:prevention & control*; D050177:Overweight / Q000517:prevention & control