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. 2022 Oct 29. Online ahead of print. doi: 10.1016/j.jpeds.2022.10.021

Figure 4.

Figure 4

Total adherence rate to 3 EHR-integration components of the AAP guidelines for individuals with Down syndrome in the MGH DSP from January 2019 to March 2022. Yellow lines denote the transition to virtual visits from April 2020 to June 2021 due to the COVID-19 pandemic and the timing of EHR-integration intervention in July 2020. Gray lines indicate the process stage mean, which refers to the arithmetic mean for all points within that process stage; statistical rules indicate that there are 2 stable process stages, which are indicated by the shift in July 2020. Red lines indicate the control limits (±3 SDs based on the process mean and number for that month).