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Early Indicators of Success With the Use of the Electronic Medical Record (EMR) for Implementation of Expert Committee Recommendations on Childhood Overweight in Delaware
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| Presenter(s):
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| Gregory Benjamin, Nemours Health and Prevention Services, gbenjami@nemours.org
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| Vonna Drayton, Nemours Health and Prevention Services, vdrayton@nemours.org
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| Denise Hughes, Nemours Health and Prevention Services, dhughes@nemours.org
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| Jia Zhao, Nemours Health and Prevention Services, jzhao@nemours.org
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| Abstract:
This paper reports on the effectiveness of using an electronic medical record (EMR) combined with an innovative quality improvement initiative (QII) to increase the proportion of medical providers who classify BMI and provide healthy lifestyle counseling to their patients (0-18 yrs). Changes in BMI prevalence among patients of both non-QII medical providers and QII-participating medical providers were examined. Data from the EMR indicate that QII medical providers were more likely than non-QII medical providers to classify weights based on body mass index (BMI) percentiles, and to counsel patients clients on healthy lifestyles. Patients under age two who received treatment from QII-participating medical providers showed a significant decrease (p<0.05) in mean BMI percentiles from 2007 to 2008; however, this trend was not found for patients who went to non-QII medical providers.
EMR enhancements improve implementation of clinical guidelines, increase levels of documentation, and facilitate providers’ workflow, which ultimately improves patient outcomes (e.g., decrease in BMI in children).
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A National Strategy to Enhance Quality State Evaluations: The Case of the Division of Nutrition, Physical Activity and Obesity (DNPAO)
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| Presenter(s):
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| Donald Compton, Centers for Disease Control and Prevention, dcompton@cdc.gov
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| Michael Baizerman, University of Minnesota, mbaizerm@umn.edu
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| Rosanne Farris, Centers for Disease Control and Prevention, rfarris@cdc.gov
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| Abstract:
Quality evaluations and their use are a primary goal of the Centers for Disease Control and Prevention’s (CDC’s) Division of Nutrition, Physical Activity, and Obesity (DNPAO) for states receiving CDC funds. In order to accomplish this goal, the DNPAO evaluation team developed an evaluation strategic plan. The overall framework for the strategic plan is Evaluation Capacity Building. (ECB). This paper introduces the DNPAO model of ECB and describes how states are being supported to implement ECB to produce and use quality studies. DNPAO and states each organize and use advice structures such as evaluation consultation groups to guide their work. These structures of expertise will be reviewed in general, and then particular attention will be given to advice structure and practice designed to enhance the appropriate, timely, and effective uses of evaluation studies.
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2009 Delaware Child Care Provider Survey: Exploring the Relationship Between Awareness, Policies, and Practices and Behaviors
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| Presenter(s):
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| Tiho Enev, Nemours Health and Prevention Services, tenev@nemours.org
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| Alex Camacho, Nemours Health and Prevention Services, acamacho@nemours.org
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| Abstract:
The 2009 Delaware Child Care Provider Survey is a critical component of the systems-level evaluation model of Nemours Health and Prevention Services (NHPS), aimed at evaluating its work in childcare settings. The two versions of the questionnaire, the director’s and the teacher’s, present two different perspectives on center-level characteristics, related to healthy eating and physical activity (HEPA). The survey is designed to study the relationship between a) the center director awareness of the HEPA policies introduced by the Office of Child Care Licensing and the Child and Adult Care Food Program, b) center policies, and c) staff practices and behaviors in childcare settings. The data allows to empirically test and validate the systematic connections between these three components. The findings reveal strong positive correlations between the constructs. The results are used to further inform the programmatic work of NHPS and expand the evaluation methods and instruments used in the field.
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Mixed Method Evaluation of a Multi-district Physical Education Curriculum Intervention
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| Presenter(s):
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| Randy Knuth, Knuth Research Inc., randy@knuthresearch.com
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| Bob Lutz, Gonzaga University, lutz@gonzaga.edu
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| Abstract:
Reducing trends of increased obesity and diabetes in K-12 students has been the focus of the US ED's Carol White PEP program. This presentation will discuss the qualitative and quantitative methods used to evaluate a curricular intervention that focuses on increasing activity and fitness levels and helping students to master cognitive concepts related to nutrition and healthy lifestyles. The evaluation has been conducted independently in over 20 school districts over a four-year period. Quantitative data collection used activity logs, fitness measures, cognitive assessments, and attitude surveys each designed to track changes in student outcomes. Qualitative methods, including focus groups, interviews and the use of the SOFIT protocol for classroom observation, were used to assess levels of curricular implementation over time and to identify challenges and effective strategies. The goal is to increase capacity to use data for continuous improvement and to sustain changes at the systems (district) level.
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