Improving Primary Care Provider Practices in Youth Concussion Management

Arbogast, Kristy B.; Curry, Allison E.; Metzger, Kristina B.; Kessler, Ronni S.; Bell, Jeneita M.; Haarbauer-Krupa, Juliet; Zonfrillo, Mark R.; Breiding, Matthew J.; Master, Christina L.

doi:10.1177/0009922817709555

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Improving Primary Care Provider Practices in Youth Concussion Management

Published Date:

May 19 2017

Publisher's site:

http://dx.doi.org/10.1177/0009922817709555

Source:

Clin Pediatr (Phila). 56(9):854-865.

Language:

English

[PDF-229.20 KB]

Details:

Alternative Title:

Clin Pediatr (Phila)

Personal Author:

Arbogast, Kristy B. ; Curry, Allison E. ; Metzger, Kristina B. ; Kessler, Ronni S. ; Bell, Jeneita M. ; ... More ▼

Description:

Primary care providers are increasingly providing youth concussion care but report insufficient time and training, limiting adoption of best practices. We implemented a primary care-based intervention including an electronic health record-based clinical decision support tool ("SmartSet") and in-person training. We evaluated consequent improvement in 2 key concussion management practices: (1) performance of a vestibular oculomotor examination and (2) discussion of return-to-learn/return-to-play (RTL/RTP) guidelines. Data were included from 7284 primary care patients aged 0 to 17 years with initial concussion visits between July 2010 and June 2014. We compared proportions of visits pre- and post-intervention in which the examination was performed or RTL/RTP guidelines provided. Examinations and RTL/RTP were documented for 1.8% and 19.0% of visits pre-intervention, respectively, compared with 71.1% and 72.9% post-intervention. A total of 95% of post-intervention examinations were documented within the SmartSet. An electronic clinical decision support tool, plus in-person training, may be key to changing primary care provider behavior around concussion care.

Subject:

[+]

Pubmed ID:

28521519

Pubmed Central ID:

PMC6082149

Document Type:

Journal Article

Funding:

CC999999/Intramural CDC HHS/United States

Collection(s):

CDC Public Access

Main Document Checksum:

[+]

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Supporting Files:

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Improving Primary Care Provider Practices in Youth Concussion Management

Improving Primary Care Provider Practices in Youth Concussion Management

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