Retrospective Chart Audit of a Rural Family Practice to Identify Obesity and Current Interventions for Quality Improvement
Creators:Yarkosky, Erin A.
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Publisher:The Ohio State University
Series/Report no.:The Ohio State University. College of Nursing Doctor of Nursing Practice Final Document Projects
Childhood obesity prevalence is a concern nationwide. Pediatric patients who are overweight or obese have an increased risk of developing physical and emotional health issues. As with many diseases, obesity prevention and early detection is associated with more favorable long-term health outcomes. Health care providers who care for pediatric patients are uniquely poised to identify and intervene for children who are overweight or obese. Despite the known risks of obesity, providers often struggle to prevent and effectively manage the needs of overweight pediatric patients to prevent obesity. In 2015, Reyes reported that only thirty-one percent of the overweight and obese pediatric population was documented as such in health records. The lack of documentation in health records can adversely affect the population by increasing co-morbid conditions at an early age. Acknowledging an elevated BMI percentile with a formal diagnosis is the first step to discussion with patients and families. The purpose of this project was to analyze pediatric visits in a rural family practice clinic for children aged 3-12 years in order to assess the extent to which obesity occurs in this clinic and was documented in the health record. Retrospective data were collected to assess the number of visits where patients had elevated BMI percentiles according to CDC definitions. A BMI percentile between the 85th-94th percentile indicates overweight and greater than or equal to the 95th percentile indicates obesity. Additional data were gathered to characterize the clinic sample by age, gender and current interventions. Recommendations for future quality improvement projects based on these results were proposed.