Improving Care Coordination for Children with Attention-Deficit/Hyperactivity Disorder
Steenbeek, Sarah V
Steenbeek, Sarah V
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Abstract
Abstract BACKGROUND: Attention-deficit/hyperactivity disorder (ADHD) has increasingly become one of the most common conditions treated by pediatric primary care providers. Despite clear evidence-based practice guidelines set by the American Academy of Pediatrics (AAP), many practices struggle to implement recommendations for ongoing ADHD care. PURPOSE: Improve the quality and care coordination of ongoing ADHD patient care in primary care setting using a web-based platform. METHODS: Baseline evaluation of current practice approaches to ADHD care and provider surveys were utilized to identify gaps in care recommended by AAP guidelines. MeHealth© for ADHD platform was implemented. Stakeholder onboarding, return of patient health data, and open-ended feedback were assessed using PDSA method at two time points. RESULTS: A total of 25 patients, 25 parent and 13 teacher stakeholders participated over the 2 PDSA cycles, resulting in a 52% parent and 40% teacher rate increase in the return of validated ADHD screens. Post implementation themes were identified as improved efficiency, ease of use, improved communication, improved coordination with teachers, and drawbacks/difficulties. CONCLUSIONS: Utilization of the MeHealth© for ADHD platform improved stakeholder communication, return of validated screens, and overall engagement, reducing existing barriers across settings. Future work should investigate optimal strategies for engaging schools and teachers. Keywords: attention-deficit/hyperactivity disorder; standardized care; community primary pediatric care; care coordination; information technology
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Date
2023-01-01