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J Pediatr Nurs. 2015 Sep-Oct;30(5):776-87. doi: 10.1016/j.pedn.2015.05.024. Epub 2015 Jul 21.

Integrating an EMR-based Transition Planning Tool for CYSHCN at a Children's Hospital: A Quality Improvement Project to Increase Provider Use and Satisfaction.

Author information

1
Department of Pediatrics, Baylor College of Medicine, Houston, TX. Electronic address: cwiemann@bcm.edu.
2
Department of Pediatrics, Baylor College of Medicine, Houston, TX.
3
Center for Clinical Effectiveness, Baylor College of Medicine, Houston, TX.
4
Texas Parent to Parent, Austin, TX.

Abstract

An electronic medical record (EMR)-based transition planning tool (TPT) designed to facilitate transition from pediatric to adult-based health care for youth (16-25 years) with special health care needs was introduced at a large children's hospital. Activities to increase provider use were implemented in five plan-do-study-act cycles. Overall, 22 of 25 (88%) consenting providers in four pediatric subspecialty services used the TPT during 303 patient encounters, with nurses and case-managers the top users and physicians the least likely users. Use was highest with intensive technical assistance and following the introduction of an upgraded tool. Provider satisfaction with the TPT and self-reported transition planning activities notably increased across the PDSA cycles.

KEYWORDS:

CYSHCN; Electronic medical record; Health care transition planning; PDSA; Quality improvement

PMID:
26209173
PMCID:
PMC4944386
DOI:
10.1016/j.pedn.2015.05.024
[Indexed for MEDLINE]
Free PMC Article

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