A Quality Improvement Committee Based at a Primary Care Clinic

A quality improvement committee based at a primary care clinic wishes to improve screening and follow-up of patients with obesity.  Currently, 30% of patient encounters include documentation of BMI, and 10% of patients with BMI ≥30 kg/m² are scheduled for weight management follow-up appointments.  The committee sets a goal to increase BMI documentation to 40% and BMI follow-up to 30% in 3 months.  It decides to test the effectiveness of a clinical decision support tool in achieving this goal.  The tool is designed for clinical providers and integrated into the electronic medical record; it includes a BMI calculator and a prompt to arrange follow-up when BMI is ≥30 kg/m².  An email introducing the tool and its purpose is circulated to all clinical providers.
After the tool is implemented for 3 months, which of the following is the most appropriate next action according to the Plan-Do-Study-Act paradigm?

A) Arrange a clinic-wide staff meeting to discuss whether the tool has been effective
B) Conduct cost-effectiveness analysis based on the tool's performance
C) Identify providers who are most likely to complete BMI documentation and follow-up
D) Review charts to assess for changes in BMI documentation and follow-up rates
E) Systematically assess provider barriers in documenting BMI documentation and follow-up

Correct Answer:

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