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- W3208695443 abstract "Introduction: Pediatric patients with Inflammatory Bowel Disease (IBD) tend to have more severe disease with higher rates of complications. The transition from pediatric to adult care is crucial as this population is at high risk for loss to follow up, delays in receipt of appropriate medical care, poor adherence, and increased emergency department visits and hospital admissions. To address provider dissatisfaction with the transition process at our academic center, we piloted an EMR template with the goal of improving the process from both the patient and provider perspectives. We present our review of the template, including barriers to use. Methods: This study was an IRB-approved prospective cohort assessment performed at our academic tertiary care center from March 2018 to October 2020. An EMR template was designed as a comprehensive summary based on components of the medical record that adult gastroenterology (GI) providers at our institution identified as critical to successful transition of care. This template was then integrated into pediatric GI office notes provided to the adult GI team at the start of transition. A 7-question survey was distributed to pediatric providers to assess ease of use and provider perceptions of the template. Results: A total of 64 patients transitioned following implementation of the template and 19 (29.7%) of those had a template in their chart upon transition. Audit of charts revealed that of the 13 pediatric GI providers, only one was actively using the template. All 13 pediatric GI providers received a post-transition survey. 12 (92%) pediatric providers responded. For these pediatric providers, barriers to template use included: lack of familiarity, lack of narrative history, and excess of manually entered data encumbering template updates. Conclusion: Attempts at addressing significant provider dissatisfaction with transition of care from pediatric to adult IBD care may not best be done through an EMR template. At our institution, we learned that creation of a comprehensive EMR template can lead to a bulky and cumbersome product that is difficult for routine use. With this information we held a joint pediatric and adult GI IBD conference—bringing all stakeholders to the table—to determine solutions to the process that would be most helpful to all involved. From this, we created a new, more user friendly universal pediatric and adult progress note smart text. We plan to routinely assess frequency and ease of use, along with provider and patient satisfaction." @default.
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- W3208695443 date "2021-10-01" @default.
- W3208695443 modified "2023-09-27" @default.
- W3208695443 title "S3358 Room for Continued Improvement in Transition of Pediatric to Adult IBD Patients: Benefits and Pitfalls of a Comprehensive EMR Template" @default.
- W3208695443 doi "https://doi.org/10.14309/01.ajg.0000786964.37390.b3" @default.
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