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Child Health Improvement Through Computer Automation


By Stephen M. Downs, MD, MS , Professor of Pediatrics, Wake Forest University School of Medicine, Winston-Salem, NC

Objectives (Educational Content) :

1. Recognize the challenges of providing the wide array of recommended services and how computer decision support can help. 2. Explain the principles of prioritizing preventive services for each individual patient. 3. Summarize how a software “app” can be integrated into a commercial electronic medical record.

Target Audience:

General pediatricians, family physicians, nurse practitioners, physician assistants, social workers, psychologists and nurses

Identified Gap:

New advances in the electronic medical record will help to improve pediatric healthcare.

Estimated Time to Complete the Educational Activity:

1 hour

Expiration Date for CME Credit:


Method of Physician Participation in the Learning Process:

The learner will view the presentation, successfully complete a post-test and complete an activity evaluation.

Evaluation Methods:

All learners must successfully complete a post-test, as well as an activity evaluation, to claim CME credit.


Dr. Downs has indicated the following affiliations: Grant/Research Support: Child Neurology Foundation and Stock Shareholder: Digital Health Solutions, LLC.

Accreditation Statement:

Children’s Hospital Medical Center of Akron is accredited by the Ohio State Medical Association to provide continuing medical education for physicians.

CHMCA designates this enduring material activity for a maximum of 1.0 AMA PRA Category 1 Credit TM.  Physicians should only claim the credit commensurate with the extent of their participation in the activity. 


Downs SM, Bauer NS, Saha C, Ofner S, Carroll AE. Effect of a Computer-Based Decision Support Intervention on Autism Spectrum Disorder Screening in Pediatric Primary Care Clinics: A Cluster Randomized Clinical Trial. JAMA Netw Open. 2019 Dec 2;2(12):e1917676. doi: 10.1001/jamanetworkopen.2019.17676. PMID: 31851348; PMCID: PMC6991212.

Anand V, Carroll AE, Downs SM. Automated primary care screening in pediatric waiting rooms. Pediatrics. 2012 May;129(5):e1275-81. doi: 10.1542/peds.2011-2875. Epub 2012 Apr 16. PMID: 22508925; PMCID: PMC3340595.

Anand V, Carroll AE, Biondich PG, Dugan TM, Downs SM. Pediatric decision support using adapted Arden Syntax. Artif Intell Med. 2018 Nov;92:15-23. doi: 10.1016/j.artmed.2015.09.006. Epub 2015 Oct 1. PMID: 26547523; PMCID: PMC4818208.