Electronic health record use and preventive counseling for US children and adolescents.

The objective was to assess whether rates of preventive counseling delivered at well child visits (WCVs) differ for practices with basic, fully functional, or no electronic health record (EHR). Cross-sectional analyses of WCVs included in the National Ambulatory Medical Care Survey and National Hospital Ambulatory Medical Care Survey Electronic Medical Records Supplement, 2007-2010 were performed. Practices with fully functional EHRs documented delivery of 34% more counseling topics than those without an EHR. WCVs with a fully functional EHR lasted 3.5 more minutes than those with a basic EHR. Overall, for each additional 10 min, 12% more topics were covered, regardless of EHR functionality. Further studies should assess the impact of such systems on the quality of patient care during preventive care visits and on health outcomes.

[1]  Eric P. Skye,et al.  Health maintenance in school-aged children: Part II. Counseling recommendations. , 2011, American family physician.

[2]  P. Schnitzer.  Prevention of unintentional childhood injuries. , 2006, American family physician.

[3]  David W. Bates,et al.  Research Paper: Electronic Health Records in Specialty Care: A Time-Motion Study , 2007, J. Am. Medical Informatics Assoc..

[4]  Sowmya R. Rao,et al.  Electronic health records in ambulatory care--a national survey of physicians. , 2008, The New England journal of medicine.

[5]  Hospital electronic medical record use and cost of inpatient pediatric care. , 2012, Academic pediatrics.

[6]  Vibha Anand,et al.  A randomized controlled trial of screening for maternal depression with a clinical decision support system , 2013, J. Am. Medical Informatics Assoc..

[7]  M. Stephens.  Preventive health counseling for adolescents. , 2006, American family physician.

[8]  H. Bauchner,et al.  Use of an electronic medical record improves the quality of urban pediatric primary care. , 2003, Pediatrics.

[9]  S Andrew Spooner,et al.  Special Requirements of Electronic Health Record Systems in Pediatrics , 2007, Pediatrics.

[10]  Blackford Middleton,et al.  Method of electronic health record documentation and quality of primary care , 2012, J. Am. Medical Informatics Assoc..

[11]  Sowmya R. Rao,et al.  Electronic Health Record Decision Support and Quality of Care for Children With ADHD , 2010, Pediatrics.

[12]  David W. Bates,et al.  Primary care physician time utilization before and after implementation of an electronic health record: A time-motion study , 2005, J. Biomed. Informatics.

[13]  P. Romano,et al.  Accuracy of parental report and electronic health record documentation as measures of diet and physical activity counseling. , 2012, Academic pediatrics.

[14]  Kevin B. Johnson,et al.  Computer-Based Documentation: Effects on Parent-Provider Communication During Pediatric Health Maintenance Encounters , 2008, Pediatrics.

[15]  Louis M Bell,et al.  Electronic Health Record–Based Decision Support to Improve Asthma Care: A Cluster-Randomized Trial , 2010, Pediatrics.

[16]  Louis M Bell,et al.  Impact of Electronic Health Record-Based Alerts on Influenza Vaccination for Children With Asthma , 2009, Pediatrics.

[17]  Dean F Sittig,et al.  Improving Clinical Quality Indicators Through Electronic Health Records: It Takes More Than Just a Reminder , 2009, Pediatrics.

[18]  Jesse C. Crosson,et al.  Electronic Medical Records Are Not Associated With Improved Documentation in Community Primary Care Practices , 2011, American journal of medical quality : the official journal of the American College of Medical Quality.

[19]  Steven R. Simon,et al.  The relationship between electronic health record use and quality of care over time. , 2009, Journal of the American Medical Informatics Association : JAMIA.

[20]  Morris Green,et al.  Bright Futures: Guidelines for Health Supervision of Infants, Children, and Adolescents. , 1994 .

[21]  D. Blumenthal.  Stimulating the adoption of health information technology. , 2009, The West Virginia medical journal.

[22]  D. Bates,et al.  Electronic health record use and the quality of ambulatory care in the United States. , 2007, Archives of internal medicine.

[23]  E. Hing,et al.  Use and characteristics of electronic health record systems among office-based physician practices: United States, 2001-2012. , 2012, NCHS data brief.

[24]  X. Sheng,et al.  Delivery of well-child care: a look inside the door. , 2011, Academic pediatrics.

[25]  S. Flocke,et al.  A Comparison of the National Ambulatory Medical Care Survey (NAMCS) Measurement Approach With Direct Observation of Outpatient Visits , 2004, Medical care.

[26]  J. Boltri,et al.  How do family physicians provide anticipatory guidance during well-child visits? , 2005, The Journal of the American Board of Family Practice.

[27]  T N Robinson,et al.  Effects of structured encounter forms on pediatric house staff knowledge, parent satisfaction, and quality of care. A randomized, controlled trial. , 1996, Archives of pediatrics & adolescent medicine.

[28]  Vibha Anand,et al.  Targeted screening for pediatric conditions with the CHICA system , 2011, J. Am. Medical Informatics Assoc..

[29]  Raymond Boyle,et al.  Use of electronic health records to support smoking cessation. , 2014, The Cochrane database of systematic reviews.

[30]  E. Hing,et al.  Use and characteristics of electronic health record systems among office-based physician practices: United States, 2001-2013. , 2014, NCHS data brief.