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Quality Improvement Project- Documenting BMI


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quality improvement project documenting bmi
Quality Improvement Project-Documenting BMI
  • Quality Improvement (QI)- An excellent method of analyzing a particular clinical practice, implementing change in that practice and assessing the effects of changes. The overall goal is to measure where you are and devise strategies to make you better.
  • Measurement of BMI can be improved through the use of Quality Improvement Projects.
quality improvement project improving the documentation of bmi
Quality Improvement Project-Improving the Documentation of BMI
  • QI Projects focused on improving the measurement of BMI can be on a target population (eg. Greater than 2 years) or on the entire population served by a particular institution.
  • The ideas used in the following QI Project description have been adapted from “Teaching Immunization Delivery and Evaluation,” also known as TIDE, and can be found at the website: http://www2.edserv.musc.edu/tide/reg/main.las
designing a qi project improving the documentation of bmi
Designing a QI Project-Improving the Documentation of BMI
  • Step 1: Assess the measurement of BMI. Two possible methods are:
  • Chart Method- uses data from randomly selected medical records.
  • Consecutive Method- collects data of consecutive children as they are seen for care. Easiest method to implement!!
  • Record data on a Standardized Encounter Record for each patient.
designing a qi project improving the documentation of bmi4
Designing a QI Project-Improving the Documentation of BMI
  • Step 2: Improving BMI Measurement
  • Describe and analyze key office routines related to measuring BMI.
  • Based on findings in 1), select interventions likely to improve the measurement of BMI.
  • Focus on the “Vital Few” interventions rather than the “Useful Many.”
designing a qi project improving the documentation of bmi5
Designing a QI Project-Improving the Documentation of BMI
  • Step 3: Assessing the Effects of Changes
  • Assess BMI Measurements again after a specified period of time.
  • Key Points
    • It is important that key players buy into project!
    • Incentives are very important!
designing a qi project
Designing a QI Project
  • The nuts and bolts of this sample QI project can be used to conduct a QI project to improve any clinical practice related to obesity advocacy.
  • Some example clinical practices: counseling on exercise and diet, providing handouts or prescriptions for diet/exercise, ensuring follow-up for obese patients, going over 5-2-1-0. The list goes on…..