In order to monitor these things Western Pediatric Group should review the charts and information in the practice/trial group as they did prior to discussing the problem. This will determine what increase there has been in success of providing preventive services. The nursing, medical records staff, and physicians should document how much time is spent reviewing/preparing charts and providing the preventive care services. After the trial period is completed these numbers should be compiled to determine the extra time spent so it can be compared with the overall benefits. There should also be another document produced to evaluate the impacts on other areas of patient care that are impacted by the increase in preventive services. For instance, are patients coming in for more appointments then necessary and is there a decrease in