View in EDS HTML Full Text PDF Full Text

Enhancing Diagnostic Follow-up and Care Coordination for Children with Autism in a Busy Resident Continuity Clinic: Leveraging the Electronic Health Record.

Saved in:
Bibliographic Details
Title: Enhancing Diagnostic Follow-up and Care Coordination for Children with Autism in a Busy Resident Continuity Clinic: Leveraging the Electronic Health Record.
Authors: Bahrami, Laleh, Miller, Cara T., Miller, Holly, Carlson, Kathryn L., Foster, Tori E., Ganesh, Abhinaya, Johnson, David, Patterson, Barron L., Hine, Jeffrey F.
Source: Journal of Autism & Developmental Disorders. Mar2025, Vol. 55 Issue 3, p904-912. 9p.
Subjects: Diagnosis of autism, Treatment of autism, Documentation, Research funding, Academic medical centers, Children with disabilities, Primary health care, Continuum of care, Information storage & retrieval systems, Decision making in clinical medicine, Hospital medical staff, Surveys, Job satisfaction, Electronic health records, Medical records, Acquisition of data, Medical appointments, Asperger's syndrome, Genetic testing, Medical referrals, Children
Geographic Terms: Southern States
Abstract: Purpose: A high-quality primary care clinic should provide clear action points and important care coordination for a child receiving a new diagnosis of autism spectrum disorder (ASD). Unfortunately, a substantial proportion of caregivers report little-to-no post-diagnosis support from their home clinics and primary care providers often report lack of training and resources in providing these supports. Methods: We implemented an intervention package to investigate the impact on the frequency and quality of follow-up care for children with ASD in a busy, high-volume resident continuity clinic. The package consisted of a care coordination scheduling pathway and a standardized clinical template—embedded in the electronic health record (EHR)—that guided providers through best-practice recommendations and patient resources. Results: As a result of these interventions, 74% of patients had ASD-specific follow-up, a more than threefold increase from baseline with a majority of providers using the EHR-embedded template to guide their visit. Providers also indicated a high degree of usability for the system and that it aided them in following best-practice guidelines for ASD care. Conclusion: Through explicit scheduling pathways and a novel EHR template, we saw a significant increase in ASD-specific follow-up visits and implementation of best practices for ASD care, demonstrating a new process for training and engaging primary care providers in clear action steps for post-diagnostic care without having to rely on tertiary referrals. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Autism & Developmental Disorders is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
Full text is not displayed to guests.
FullText Links:
  – Type: pdflink
Text:
  Availability: 1
Header DbId: pbh
DbLabel: Psychology and Behavioral Sciences Collection
An: 183072063
AccessLevel: 6
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: Enhancing Diagnostic Follow-up and Care Coordination for Children with Autism in a Busy Resident Continuity Clinic: Leveraging the Electronic Health Record.
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Bahrami%2C+Laleh%22">Bahrami, Laleh</searchLink><br /><searchLink fieldCode="AR" term="%22Miller%2C+Cara+T%2E%22">Miller, Cara T.</searchLink><br /><searchLink fieldCode="AR" term="%22Miller%2C+Holly%22">Miller, Holly</searchLink><br /><searchLink fieldCode="AR" term="%22Carlson%2C+Kathryn+L%2E%22">Carlson, Kathryn L.</searchLink><br /><searchLink fieldCode="AR" term="%22Foster%2C+Tori+E%2E%22">Foster, Tori E.</searchLink><br /><searchLink fieldCode="AR" term="%22Ganesh%2C+Abhinaya%22">Ganesh, Abhinaya</searchLink><br /><searchLink fieldCode="AR" term="%22Johnson%2C+David%22">Johnson, David</searchLink><br /><searchLink fieldCode="AR" term="%22Patterson%2C+Barron+L%2E%22">Patterson, Barron L.</searchLink><br /><searchLink fieldCode="AR" term="%22Hine%2C+Jeffrey+F%2E%22">Hine, Jeffrey F.</searchLink>
– Name: TitleSource
  Label: Source
  Group: Src
  Data: <searchLink fieldCode="JN" term="%22Journal+of+Autism+%26+Developmental+Disorders%22">Journal of Autism & Developmental Disorders</searchLink>. Mar2025, Vol. 55 Issue 3, p904-912. 9p.
– Name: Subject
  Label: Subjects
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Diagnosis+of+autism%22">Diagnosis of autism</searchLink><br /><searchLink fieldCode="DE" term="%22Treatment+of+autism%22">Treatment of autism</searchLink><br /><searchLink fieldCode="DE" term="%22Documentation%22">Documentation</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Academic+medical+centers%22">Academic medical centers</searchLink><br /><searchLink fieldCode="DE" term="%22Children+with+disabilities%22">Children with disabilities</searchLink><br /><searchLink fieldCode="DE" term="%22Primary+health+care%22">Primary health care</searchLink><br /><searchLink fieldCode="DE" term="%22Continuum+of+care%22">Continuum of care</searchLink><br /><searchLink fieldCode="DE" term="%22Information+storage+%26+retrieval+systems%22">Information storage & retrieval systems</searchLink><br /><searchLink fieldCode="DE" term="%22Decision+making+in+clinical+medicine%22">Decision making in clinical medicine</searchLink><br /><searchLink fieldCode="DE" term="%22Hospital+medical+staff%22">Hospital medical staff</searchLink><br /><searchLink fieldCode="DE" term="%22Surveys%22">Surveys</searchLink><br /><searchLink fieldCode="DE" term="%22Job+satisfaction%22">Job satisfaction</searchLink><br /><searchLink fieldCode="DE" term="%22Electronic+health+records%22">Electronic health records</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+records%22">Medical records</searchLink><br /><searchLink fieldCode="DE" term="%22Acquisition+of+data%22">Acquisition of data</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+appointments%22">Medical appointments</searchLink><br /><searchLink fieldCode="DE" term="%22Asperger's+syndrome%22">Asperger's syndrome</searchLink><br /><searchLink fieldCode="DE" term="%22Genetic+testing%22">Genetic testing</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+referrals%22">Medical referrals</searchLink><br /><searchLink fieldCode="DE" term="%22Children%22">Children</searchLink>
– Name: SubjectGeographic
  Label: Geographic Terms
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Southern+States%22">Southern States</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Purpose: A high-quality primary care clinic should provide clear action points and important care coordination for a child receiving a new diagnosis of autism spectrum disorder (ASD). Unfortunately, a substantial proportion of caregivers report little-to-no post-diagnosis support from their home clinics and primary care providers often report lack of training and resources in providing these supports. Methods: We implemented an intervention package to investigate the impact on the frequency and quality of follow-up care for children with ASD in a busy, high-volume resident continuity clinic. The package consisted of a care coordination scheduling pathway and a standardized clinical template—embedded in the electronic health record (EHR)—that guided providers through best-practice recommendations and patient resources. Results: As a result of these interventions, 74% of patients had ASD-specific follow-up, a more than threefold increase from baseline with a majority of providers using the EHR-embedded template to guide their visit. Providers also indicated a high degree of usability for the system and that it aided them in following best-practice guidelines for ASD care. Conclusion: Through explicit scheduling pathways and a novel EHR template, we saw a significant increase in ASD-specific follow-up visits and implementation of best practices for ASD care, demonstrating a new process for training and engaging primary care providers in clear action steps for post-diagnostic care without having to rely on tertiary referrals. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Journal of Autism & Developmental Disorders is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=183072063
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1007/s10803-024-06253-1
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 9
        StartPage: 904
    Subjects:
      – SubjectFull: Diagnosis of autism
        Type: general
      – SubjectFull: Treatment of autism
        Type: general
      – SubjectFull: Documentation
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Academic medical centers
        Type: general
      – SubjectFull: Children with disabilities
        Type: general
      – SubjectFull: Primary health care
        Type: general
      – SubjectFull: Continuum of care
        Type: general
      – SubjectFull: Information storage & retrieval systems
        Type: general
      – SubjectFull: Decision making in clinical medicine
        Type: general
      – SubjectFull: Hospital medical staff
        Type: general
      – SubjectFull: Surveys
        Type: general
      – SubjectFull: Job satisfaction
        Type: general
      – SubjectFull: Electronic health records
        Type: general
      – SubjectFull: Medical records
        Type: general
      – SubjectFull: Acquisition of data
        Type: general
      – SubjectFull: Medical appointments
        Type: general
      – SubjectFull: Asperger's syndrome
        Type: general
      – SubjectFull: Genetic testing
        Type: general
      – SubjectFull: Medical referrals
        Type: general
      – SubjectFull: Children
        Type: general
      – SubjectFull: Southern States
        Type: general
    Titles:
      – TitleFull: Enhancing Diagnostic Follow-up and Care Coordination for Children with Autism in a Busy Resident Continuity Clinic: Leveraging the Electronic Health Record.
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Bahrami, Laleh
      – PersonEntity:
          Name:
            NameFull: Miller, Cara T.
      – PersonEntity:
          Name:
            NameFull: Miller, Holly
      – PersonEntity:
          Name:
            NameFull: Carlson, Kathryn L.
      – PersonEntity:
          Name:
            NameFull: Foster, Tori E.
      – PersonEntity:
          Name:
            NameFull: Ganesh, Abhinaya
      – PersonEntity:
          Name:
            NameFull: Johnson, David
      – PersonEntity:
          Name:
            NameFull: Patterson, Barron L.
      – PersonEntity:
          Name:
            NameFull: Hine, Jeffrey F.
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 03
              Text: Mar2025
              Type: published
              Y: 2025
          Identifiers:
            – Type: issn-print
              Value: 01623257
          Numbering:
            – Type: volume
              Value: 55
            – Type: issue
              Value: 3
          Titles:
            – TitleFull: Journal of Autism & Developmental Disorders
              Type: main
ResultId 1