Whether or not you have an EHR, having consistent clinical protocols is vital. I am a fan of the oft-misunderstood Bright Futures, myself, but even BF doesn't cover everything. One missing piece of the puzzle was filled about a year ago when MedImmune, in collaboration with NICHQ, unveiled what I call the "Preemie Toolkit." Acually, that's what they call it too, now that I think about it.