{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,6]],"date-time":"2025-12-06T04:45:49Z","timestamp":1764996349330,"version":"3.37.3"},"reference-count":27,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2021,11,18]],"date-time":"2021-11-18T00:00:00Z","timestamp":1637193600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Child Adoles Psych Nursing"],"published-print":{"date-parts":[[2022,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Problem<\/jats:title><jats:p>Due to the number of children diagnosed with attention deficit hyperactivity disorder (ADHD), increased risk of these children having comorbidities and\/or an adverse childhood experience\u00a0and insufficient documentation of the\u00a0<jats:italic>Diagnostic and Statistical manual of Mental Disorders, fifth edition<\/jats:italic> (<jats:italic>DSM\u20105<\/jats:italic>) criteria for an ADHD diagnosis, an ADHD evaluation program was developed for a child presenting for an initial ADHD evaluation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A quantitative design method evaluated provider's documentation by the percentage of <jats:italic>DSM\u20105<\/jats:italic> criteria met before and after the implementation of the ADHD program. Descriptive statistics evaluated the system change by the percentage of providers who utilized the ADHD template and the use of the unspecified ADHD <jats:italic>International Statistical Classification of Diseases and Related Health Problems, 10th edition<\/jats:italic> (ICD\u201010) code, F90.9 by the percentage of code use before and after implementation of the ADHD\u00a0program.<\/jats:p><\/jats:sec><jats:sec><jats:title>Findings<\/jats:title><jats:p>The two\u2010tailed Mann\u2013Whitney U test was significantly based on <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001. Providers met 100% of the <jats:italic>DSM\u20105<\/jats:italic> criteria after implementation of the ADHD program in the electronic health record, compared to 50% before implementation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The ADHD program increased the provider's documentation and consistency to the <jats:italic>DSM\u20105<\/jats:italic> criteria, decreasing the use of the unspecified ADHD ICD\u201010 code, allowing the provider to develop a more successful plan of care for children between the ages of 5 and 18.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jcap.12361","type":"journal-article","created":{"date-parts":[[2021,11,19]],"date-time":"2021-11-19T06:05:37Z","timestamp":1637301937000},"page":"164-170","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["A program to improve the assessment of a child for attention deficit hyperactivity disorder"],"prefix":"10.1111","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2609-5039","authenticated-orcid":false,"given":"Michelle","family":"Lukomski","sequence":"first","affiliation":[{"name":"Lenoir\u2010Rhyne University Hickory North Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Diane","family":"Caruso","sequence":"additional","affiliation":[{"name":"Lenoir\u2010Rhyne University Hickory North Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kerry","family":"Thompson","sequence":"additional","affiliation":[{"name":"Lenoir\u2010Rhyne University Hickory North Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melissa","family":"Di Natale","sequence":"additional","affiliation":[{"name":"Lenoir\u2010Rhyne University Hickory North Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,11,18]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"ACES Aware. 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(2019).ICD\u201010\u2010CM used to document diagnoses but also affects payment.https:\/\/www.aappublications.org\/news\/2019\/02\/06\/coding020619#:%7E:text=ICD%2D10%2DCM%20is%20the outcomes%2C%20mortality%20statistics%20and%20billing."},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.3949\/ccjm.82.s1.01"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/DBP.0000000000000770"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/DBP.0b013e31827a3a22"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/pch\/pxy109"},{"volume-title":"Preventing adverse childhood experiences: leveraging the best available evidence","year":"2019","author":"Centers for Disease Control and Prevention (CDC)","key":"e_1_2_9_11_1"},{"key":"e_1_2_9_12_1","unstructured":"Centers for Disease Control and Prevention (CDC). (2020 November 16).Attention\u2010deficit\/hyperactivity disorder (ADHD).https:\/\/www.cdc.gov\/ncbddd\/adhd\/data.html"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2015-2749"},{"key":"e_1_2_9_14_1","unstructured":"Child and Adolescent Health Measurement Initiative (CAHMI). (2021). Prevalence of ADD\/ADHD age 3\u201017 years; 2018 National Survey of Children's Health. 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