Lessons Learned from BMI project ACPC QNET MOC IV QI

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

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

7. PDSA cycles 1 and 2 Handouts MD Education

9. EMR smart phrase

10. 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

11. Handouts Popup notification MD Education EMR smart phrase

12. 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

13. 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

14. Thank you!