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Key Lessons from BMI Project: Improving Patient Outcomes

Learnings from an educational initiative on handling obese patients through EMR pop-ups and physician engagement. Key takeaways include use of KDD, ongoing evaluation, time for change, and EMR customization. Specific insights related to physicians' time, EMR simplification, RN/MA involvement, sub-specialist challenges, counseling effectiveness, and ongoing EMR issues.

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Key Lessons from BMI Project: Improving Patient Outcomes

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  1. Lessons Learned from BMI projectACPC QNET MOC IV QI Arash Sabati MD

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  4. Faculty Meetings, RN Huddles http://weclipart.com/funny+staff+meeting+clipart

  5. PDSA cycles 1 and 2 Handouts MD Education

  6. EMR smart phrase

  7. Popup Notification • Significant pushback from EMR team – click fatigue • Compromise was key: • Popup only for cardiology outpatient visits • Popup only for RN, MA , APP and MDs • Popup only once each time chart is entered BMI > 95% ile patient is obese. If appropriate consider counseling and or further evaluation. Acknowledge and continue

  8. Handouts Popup notification MD Education EMR smart phrase

  9. Lessons Learned General lessons we learned: • Use the KDD to identify areas to focus your efforts. • Continue to re-evaluate after each PDSA cycle • Meaningful change may take time • QI efforts need to be maintained as effects fade

  10. Lessons Learned Site specific lessons • Physicians and APP’s time is precious • Work with EMR to simplify and automate • Engage RN/MA/RD • Physician buy-in and commitment is variable • Issues for some sub-specialists (cath, EP in particular) • Effectiveness of counseling • This is a starting point, not the final cure for obesity • Challenges in working with EMR • May have the largest impact but can be difficult to implement

  11. Thank you!

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