Figure 6.

Total adherence rate to 5 select age-based American Academy of Pediatrics guidelines for individuals with Down syndrome in the MGH DSP by race/ethnicity 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 is 1 stable process stage. Red lines indicate the control limits (±3 SDs based on the process mean and number for that month).