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

2. 3

5. 3

6. Faculty Meetings, RN Huddles

7. PDSA cycles 1 and 2
Handouts
MD Education

9. EMR smart phrase

10. Acknowledge and continue
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
MD Education
EMR smart phrase
Popup notification

12. General lessons we learned:
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. Physicians and APP’s time is precious
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!