Prevention, assessment and treatment of childhood · PDF filetreatment of childhood obesity:...

Prevention, assessment and

treatment of childhood obesity:

Closing the gap in provider

reimbursement

Disclosure of Financial Relationships and Resolution of Conflicts of Interest for AAP CME Activities The AAP CME program aims to develop, maintain, and improve the competence, skills, and professional performance of pediatricians and pediatric healthcare professionals by providing quality, relevant, accessible, and effective educational experiences that address gaps in professional practice. The AAP CME program strives to meet participants' educational needs and support their life-long learning with a goal of improving care for children and families. (AAP CME Program Mission Statement, January 2013). The AAP recognizes that there are a variety of financial relationships between individuals and commercial interests that require review to identify possible conflicts of interest in a CME activity. The “AAP Policy on Disclosure of Financial Relationships and Resolution of Conflicts of Interest for AAP CME Activities” is designed to ensure quality, objective, balanced, and scientifically rigorous AAP CME activities by identifying and resolving all potential conflicts of interest prior to the confirmation of service of those in a position to influence and/or control CME content. The AAP has taken steps to resolve any potential conflicts of interest. All AAP CME activities will strictly adhere to the Accreditation Council for Continuing Medical Education (ACCME) Standards for Commercial Support: Standards to Ensure the Independence of CME Activities. In accordance with these Standards, the following decisions will be made free of the control of a commercial interest: identification of CME needs, determination of educational objectives, selection and presentation of content, selection of all persons and organizations that will be in a position to control the content, selection of educational methods, and evaluation of the CME activity. The purpose of this policy is to ensure all potential conflicts of interest are identified and mechanisms to resolve them prior to the CME activity are implemented in ways that are consistent with the public good. The AAP is committed to providing learners with commercially unbiased CME activities.

All individuals in a position to influence and/or control the content of AAP CME activities are required to disclose to the AAP and subsequently to learners that the individual either has no relevant financial relationships or any financial relationships with the manufacturer(s) of any commercial product(s) and/or provider(s) of commercial services discussed in CME activities. *Commercial interest is defined as any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients.

Name/Role Relevant Financial

Relationship

(Please indicate Yes,

or No)

Name of Commercial Interest(s)* (Please list name(s) of entity)

AND Nature of Relevant Financial Relationship(s)

(Please list: Research Grant, Speaker’s Bureau, Stock/Bonds excluding mutual funds, Consultant, Other - identify)

Disclosure of Off-Label (Unapproved)/Investigational Uses of Products

AAP CME faculty are required to disclose to the AAP and to learners when they plan to discuss or demonstrate

pharmaceuticals and/or medical devices that are not approved by the FDA and/or medical or surgical procedures that involve an

unapproved or “off-label” use of an approved device or pharmaceutical.

(Do intend to discuss or Do not intend to discuss)

Jenny Bogard, MPH Planning Committee

NO No relevant financial relationships Do Not Intend to Discuss

Michael Santos Planning Committee


Stephen Cook, MD, MPH Faculty


Karen Ferrantella Faculty


Jeanne Lindros, MPH Planning Committee


Corrie Pierce Disclosure Admin


Anita Powell Planning Committee


Marsha Schofield Planning Committee


Bryan Sitzmann Faculty


All individuals in a position to influence and/or control the content of AAP CME activities are required to disclose to the AAP and subsequently to learners that the individual either has no relevant financial relationships or any financial relationships with the manufacturer(s) of any commercial product(s) and/or provider(s) of commercial services discussed in CME activities. *Commercial interest is defined as any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients.

Name/Role Relevant Financial

Relationship

(Please indicate Yes,

or No)

Name of Commercial Interest(s)* (Please list name(s) of entity)

AND Nature of Relevant Financial Relationship(s)

(Please list: Research Grant, Speaker’s Bureau, Stock/Bonds excluding mutual funds, Consultant, Other - identify)

Disclosure of Off-Label (Unapproved)/Investigational Uses of Products

AAP CME faculty are required to disclose to the AAP and to learners when they plan to discuss or demonstrate

pharmaceuticals and/or medical devices that are not approved by the FDA and/or medical or surgical procedures that involve an

unapproved or “off-label” use of an approved device or pharmaceutical.

(Do intend to discuss or Do not intend to discuss)

D. Michael Foulds, MD, AAP Reviewer

No None Do not intend to discuss

Zoey Goore, MD, AAP Reviewer Yes Spouse has relationship with Evenflo. Do not intend to discuss

Ivor Hill, MD, AAP Reviewer No None Do not intend to discuss

Patricia Treadwell, MD, AAP Reviewer

Yes

Spouse has stocks/bonds relationship with Eli Lilly & Co.

Do not intend to discuss

Robert Wiebe, MD, AAP Reviewer


Rickey Williams, MD, AAP Reviewer


Beverly Wood, MD, AAP Reviewer


A. “I have no relevant financial relationships with the manufacturers(s) of any

commercial products(s) and/or provider of commercial services discussed in

this CME activity.” B.

I do not intend to discuss an unapproved/investigative use of a commercial

product/device in my presentation.

DISCLOSURE STATEMENTS:

Jenny Bogard, Alliance for a Healthier Generation

Stephen Cook, MD, MPH, FAAP, FTOS











Bryan L. Sitzmann, MD A. “I have no relevant financial relationships with the manufacturers(s) of any





Jeanne Lindros, MPH

Karen Ferrantella, RD, LD






Prevention, assessment and treatment of

childhood obesity: Closing the gap in provider

reimbursement

1. Overview of the Healthier Generation Benefit

2. Review of expert committee recommendations and U.S.

Preventive Task Force Recommendations

3. Benefit implementation details

4. Resources available for primary care providers and

registered dietitians

5. Questions& Answer session

6. Post-course survey

Prevention, assessment and treatment of childhood obesity: Closing the gap in provider reimbursement

1. Overview of the Healthier Generation Benefit

2. Review of clinical evidence and U.S. Preventive Task Force Recommendations

3. Benefit implementation details

4. Resources available for primary care providers and registered dietitians

5. Questions& Answer session

6. Post-course survey

The mission of the Alliance is to

reduce the nationwide prevalence of childhood obesity and

to empower kids to make healthy lifestyle choices.

The goal of the Alliance is to reduce the nationwide

prevalence of childhood obesity and to empower kids

nationwide to make healthy lifestyle choices.

Why Take Action?

Nearly

The Cost of Obesity: An American Epidemic

Cost for the Child

• Childhood obesity -

$14.1 billion • 80% of children who

are overweight between the ages of 10 and 15 were obese adults at age 25.

Cost for the Adult

• Adult obesity- $147 billion

• Average additional health expenses- $1850 to $2,741

Cost for the Healthcare System

• $190.2-209.7 billion

• Obesity- 21% of healthcare costs

http://www.google.com/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&docid=5iAqPxvH4301pM&tbnid=qVPbVjmKM3p59M:&ved=0CAUQjRw&url=http://www.usborne-books.com/Reading_to_Your_Child.htm&ei=c7zyUZmhEcGXrgebwIDoCA&psig=AFQjCNEWTpc65SC_RmU-b764sswmZ9Zn3g&ust=1374948827585691

http://www.google.com/url?sa=i&rct=j&q=smiling woman&source=images&cd=&cad=rja&docid=5ypW4vZaPOJ6cM&tbnid=0e5jUwaA8IBFvM:&ved=0CAUQjRw&url=http://footage.shutterstock.com/clip-2323556-stock-footage-smiling-woman-blowing-a-kiss-against-a-white-background.html&ei=c6vmUcCKCseBrQebpICICw&psig=AFQjCNGyn1TW-FSJBIWDmbllWbJmzwx4Vg&ust=1374158063385997

http://www.google.com/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&docid=ChHcvPHl8TbXfM&tbnid=0bCJ32laATwxCM:&ved=0CAUQjRw&url=http://lasertrimclinic.com/?page_id=685&ei=GbzyUf3GPI3irAeZ7IHYAQ&psig=AFQjCNHsyYSaYFSvHhjRom54-3zSa17ZHA&ust=1374948722947208

Healthier Generation Benefit

• Overweight children and teens more likely to develop serious health problems

Healthier Generation Insurance Benefit

• At least 4 follow-up visits with primary care provider

• At least 4 follow-up visits with registered dietitian

Building from the Evidence Base

Alliance Healthier Generation Benefit is the place where these new best practices have real-world application.

• Aetna

• Blue Cross Blue Shield of NC

• Blue Cross Blue Shield of MA

• Blue Cross Blue Shield of KC

• Cigna

• Capital District Physician’s Health Plan

• Grand Valley Health Plan

• Highmark, Inc

• Humana

• Wellpoint

• Accenture

• Alliance for a Healthier Generation

• American Heart Association

• Clinton Foundation

• Leviton

• Nationwide Children’s Hospital

• North Shore Long Island Jewish Health System

• PepsiCo

• Sanofi

• Weight Watchers

Private Sector Partners

Healthier Generation Benefit:

Supporting Organizations

Healthier Generation Benefit Tools and

Resources: Healthcare Professionals

Healthier Generation Benefit Tools and

Resources: Families

Jenny Bogard

954-415-7837 [email protected]

mailto:[email protected]

Practice Guidelines

Stephen Cook, MD, MPH, FAAP, FTOS

For a summary of the evidence systematically reviewed in making these recommendations, the

full recommendation statement, and supporting documents please go to

www.preventiveservices.ahrq.gov.

Population Children and adolescents 6 to 18 y of age

Recommendation Screen children aged 6 y and older for obesity. Offer or refer for intensive counseling and behavioral interventions.

Grade: B

SCREENING FOR OBESITY IN CHILDREN AND ADOLESCENTS:

CLINICAL SUMMARY OF USPSTF RECOMMENDATION 2010

Grade B Definition: The USPSTF recommends the service. There is high certainty that the net benefit

is moderate or there is moderate certainty that the net benefit is moderate to substantial.

Suggestions to practice: Offer/provide this service.

USPSTF Levels of Certainty Regarding Net Benefit: Moderate

American Academy of Pediatrics Commentary on USPSTF Recommendations Evidence for Effective

Obesity Treatment: Pediatricians on the Right Track! (Jan 2010): recommends screening and

intervention beginning at age two and older

Screening tests BMI is calculated from the weight in kilograms divided by the square of the height in meters.

Height and weight, from which BMI is calculated, are routinely measured during health maintenance visits.

BMI percentile can be plotted on a chart or obtained from online calculators.

Overweight = age- and gender-specific BMI at ≥85th to 94th percentile Obesity = age- and gender-specific BMI at ≥95th percentile

Timing of screening No evidence was found on appropriate screening intervals.

Interventions Refer patients to comprehensive moderate- to high-intensity programs that include dietary, physical activity,

and behavioral counseling components.

Balance of harms and benefits

Moderate- to high-intensity programs were found to yield modest weight changes. Limited evidence suggests that these improvements can be sustained over the year after

treatment. Harms of screening were judged to be minimal.

Relevant recommendations from the USPSTF

Recommendations on other pediatric and behavioral counseling topics can be found at

www.preventiveservices.ahrq.gov.

SCREENING FOR OBESITY IN CHILDREN AND ADOLESCENTS:

CLINICAL SUMMARY OF USPTF RECOMMENDATION 2010

Let’s Move!

• Body Mass Index (BMI) is calculated for every child at every well-child visit in accordance with AAP recommendations*, and that information is provided to parents about how to help their child achieve a healthy weight; and

• Prescriptions for healthy active living (good nutrition and physical activity) are provided at every well-child visit, along with information for families about the impact of healthy eating habits and regular physical activity on overall health.^

* BMI measurement begins at the 24 month visit

^ These actions are consistent with existing AAP policy and Bright Futures

Guidelines.

In February of 2010, the AAP joined First Lady Michelle Obama in support of her

Let's Move! initiative to end childhood obesity within a generation!

As part of the White House Initiative, the AAP pledges to engage in a range of

efforts toward 2 primary goals:

Call to Action

Forces are lining up to create a wave of support for you and the

children and families you treat – the time is now!

• Momentum of Let’s Move

• Evidence via the USPSTF recommendations

• More supporting policy environment focused on improving built environments, increasing access to healthy foods and physical activity, etc

• Nationwide media campaign starting

• Healthier Generation Benefit

• Tools and resources for providers and families

Clinical Care Recommendations

Stages of the Expert Committee Recommendations

• Prevention

• Prevention Plus

• Structured Weight Management

• Comprehensive Multidisciplinary Intervention

• Tertiary Care Intervention

• Promote breastfeeding • Diet and physical activity:

– 5 Five or more servings of fruits and vegetables per day – 2 Two or fewer hours of screen time per day, and no

television in the room where the child sleeps – 1 One hour or more of daily physical activity – 0 No sugar-sweetened beverages

Prevention BMI 5%-84% - Diet

Prevention BMI 5%-84% - Diet

• Portions

– Age appropriate

– “Parent’s provide child decides”

• Structure

– Breakfast

– Family dinners, no TV

– Limit fast food

• Balance

– Food groups

– Limit refined sugar

Prevention Plus: BMI >85%

• Build on Prevention

• Eating behaviors:

– Family meals should happen at least 5-6 times per week

– Allowing the child to self-regulate his or her meals and avoiding overly restrictive behaviors “Parents provide child decides”

Prevention Plus -Physical Activity/Inactivity

• Advise 60 minutes of at least moderate physical activity per day and 20 minutes vigorous activity 3x/week

– Refer to community activity programs

– Encourage development of family activities

– Consider pedometer use

• Decrease level of sedentary behavior

• Limit screen time <2 hrs/day

• No TV/computer in bedroom

Structured Weight Management: Stage 2

• Decrease weight velocity – Slowing down rate of weight gain, look back at previous

6mo - yr

• Weight maintenance – Decreasing BMI as age and height increases

• If no improvement in BMI/weight after 3-6 months, patient should be advanced to Stage 3 (CMWM)

• Weight loss becomes a target for: 2-5yr & severe obesity; 6-11yr severe or w/ risk; ≥ 12 yr at obesity

Communication

• Positive discussion of what healthy lifestyle changes families can make (evidence base)

• Allow for personal family choices

• Have families set specific achievable goals and follow up with these on revisits

• Be aware of cultural norms, significance of meals and eating for family/community, beliefs about special foods, and feelings about body size.

When to partner

• Dietitians

• Mental Health Professionals

• Physical Therapists, Occupational Therapists, Physical Activity Trainers, etc

• Others

Partnership with Families

Any efforts to address obesity in children need to be

made in partnership with their family.

• Families have a critical role in influencing a child’s health

» Cohen RY et al Health Educ Q 1989;16;245-253

• Effective interaction with families is the cornerstone of lifestyle change

AAP Resources

Jeanne Lindros, MPH

PREVENTION. TREATMENT. RESULTS.

Pediatric e-practice: Optimizing Obesity Care

INST ITUTE FOR HEALTHY CHILD HOOD WEIGHT

One-Stop Shopping: Obesity Resources

38

Pediatric e-Practice:

Optimizing Your Obesity Care

INSTITUTE FOR HEALTHY CHILDHOOD WEIGHT 3 9

www.pep.aap.org


www.pep.aap.org

42

Sample of resources accessible via PeP

Highlight of Content on PeP

• Patient Education Fact Sheets

• Patient/Family Screeners

• Clinical Support Tools

• Policy and Guidelines

• CME and MOC opportunities

• Books and Resource Materials

• Billing and Practice Management Resources

• Staff Training and Wellness

• Community Advocacy

INST ITUTE FOR HEALTHY CHILD HOOD WEIGHT 43


Early Obesity Prevention

44

Healthy Active Living for Families


www.healthychildren.org/growinghealthy

HALF Provider Resources


www.aap.org/HALFIG

Evidence Parent Feedback Opportunities for Care Conversation Starters Related Parent Resources

Healthy Growth App

Designed to support treatment of overweight or obese child


New Resource

47

Next Steps

• Available now at AAP bookstore


Provider’s Guide


Flip Chart


Provider Talking Points Patient Information


Tried and True Resources

51

52 INST ITUTE FOR HEALTHY CHILD HOOD WEIGHT

www.aap.org/obesity (under clinical resources)

http://www.aap.org/obesity

Coming Soon!


MI: Virtual Reality Module



www.aap.org/obesity


Updated Institute for Healthy Childhood Web Site

Coming Soon at aap.org\healthyweight

www.andevidencelibrary.com

http://www.andevidencelibrary.com/

What is Evidence-based Dietetics Practice?

“Evidence-Based Dietetics Practice involves the process of asking questions, systematically finding research evidence, and assessing its validity, applicability and importance to food and nutrition practice decisions; and includes applying relevant evidence in the context of the practice situation and values of clients, customers and communities to achieve positive outcomes.”

Academy of Nutrition and Dietetics Quality Management Committee Definition of Terms

Updated January 2014

Pediatric Weight Management Algorithms

Algorithms are available online:

www.andevidencelibrary.com

• Pediatric Weight Management Nutrition

Care Process

• Nutrition Assessment

• Nutrition Diagnosis

• Nutrition Intervention

• Monitoring and Evaluation

Evidence Based Guidelines > Guideline List > Pediatric Weight

Management > Algorithms

64

http://www.adaevidencelibrary.com/

http://www.adaevidencelibrary.com/default.cfm?home=1

http://www.adaevidencelibrary.com/category.cfm?cat=0&cid=14

http://www.adaevidencelibrary.com/topic.cfm?cat=2802

This Evidence Analysis Library® project is free to the public. To access,

go to http://www.andevidencelibrary.com/topic.cfm?cat=2721

Accessing Pediatric Weight Management Recommendations



Other Academy of Nutrition and Dietetics

Pediatric Resources

• Academy Evidence Analysis Library® Store • http://www.andevidencelibrary.com/store.cfm • Pediatric Weight Management Toolkit • Pediatric Weight Management PowerPoint

• Academy Eatright.org Store • Various Pediatric Publications

• http://www.eatright.org/Shop/Categories.aspx?id=255

• Academy Pediatric Nutrition Care Manual • https://www.nutritioncaremanual.org/

• KIDS Eat Right - public website at kidseatright.org

http://www.adaevidencelibrary.com/store.cfm

http://www.eatright.org/Shop/Categories.aspx?id=255

http://www.eatright.org/Shop/Categories.aspx?id=255

https://www.nutritioncaremanual.org/

http://www.kidseatright.org/

www.eatright.org/alliance

Link to:

•Academy Guidelines

•Academy Positions

•Care Coordination

documents

•HGB Benefit Details

A group of Registered Dietitians has been established specifically for the Healthier Generation benefit pilot and the network of providers has been set. Webinar attendance does not imply and is not a guarantee of inclusion into the pilot program.

68

BRYAN L. SITZMANN, M.D.

FEBRUARY 6, 2014

69

Blue Cross and Blue Shield

of Kansas City (Blue KC) is

collaborating with the

Alliance for a Healthier

Generation to bring health

benefits to Kansas City

kids.

70

HEALTHIER GENERATION

BENEFIT The Healthier Generation Benefit is designed to do the following:

• Empower providers to play an active part of the solution to the obesity

epidemic

• Provide eligible children:

• Four visits with their primary care provider

• Four visits with a Registered Dietitian Benefits will pay at 100 percent of allowable when received through an in-network provider

• Raise awareness and take steps to positively impact childhood obesity

rates

• Help kids and their parents learn healthy habits by focusing on

achieving a healthy weight

71

WHO IS ELIGIBLE?

To be eligible for the pilot program children must be covered by

Blue KC and meet the following criteria:

• Must be between the ages of 3 and 18

• BMI at or above the 85th percentile

for age

• In one of 16 large employer groups

*Please note: No co-morbid condition

required

72

ELIGIBLE EMPLOYER GROUPS

August 1, 2013 • Blue Cross and Blue Shield of Kansas City

– Group 25

• Board of Police Commission

• Johnson County Community College

• Kansas City Missouri School District

January 1, 2014 • Blue Valley Unified

• Clay County

• Garmin International/Garmin

• Jackson County Missouri

• Lee’s Summit RV11 School District

• Metropolitan Community College

• Olathe Health System, Inc.

• Olathe School District

• Shawnee Mission USD #512

• KCK Unified School District #500

• University of Kansas Hospital Authority

May 1, 2014 • City of Kansas City Missouri Health Care

73

PRIMARY CARE PROVIDERS

An important part of Blue KC’s strategy is to

provide support to our provider network to work

with individual patients and their families to

address and prevent childhood obesity.

In response to questions we’ve received from

you, let’s take a look at some suggested steps

towards starting a meaningful conversation with

your patient about their overall health.*

*Suggestions align with 2010 recommendations

from US Preventive Services Task Force & 2007

Expert Committee recommendations for the

prevention, assessment & treatment of obesity

74


Suggestions for each

Healthier Generation Benefit Visit:

1st PCP Visit

• Calculate and plot BMI

• Assess medical risk including relevant labs*

• Assess behavior risk*

• Assess patient and family attitudes*

• Refer to Registered Dietitian as appropriate

• Initiate goal setting with patient and family*

*visit BeWellKC.BlueKC.com for examples of

assessment tools

75


Suggestions for each Healthier Generation

Benefit Visit:

2nd PCP Visit


• Discuss Registered Dietician (RD) visits and review treatment plan including patient’s

goals and next step plans

• Assess and address patient and family concerns

• Information sharing / care coordination with other members of care team as

appropriate

76


Suggestions for each Healthier Generation

Benefit Visit:

3rd and 4th PCP Visit


• Address medical concerns including labs as necessary

• Discuss RD visits and review treatment plan progress including a review of patient goals

and next steps

• Review information shared from RD as available

• Assess progress

• Refine goals as appropriate

• Information sharing / care coordination with other members or care team as appropriate

77

DIETITIAN REFERRALS

Blue KC is working with

Registered Dietitians

through the pilot program

to help kids and their

parents learn healthy

eating habits and focus on

achieving healthy weight

during childhood and

beyond.

78

DIETITIAN REFERRALS

We have identified three options to help

providers & patients find a Registered Dietitian.

• Family Care Centers

• Mobile Health Clinics

• Hy-Vee Registered Dietitians

Benefits will pay at 100 percent of the allowable when received

through an in-network provider.

For more information on finding a Registered Dietitian for this pilot, visit

BeWellKC.BlueKC.com or contact your Provider Representative.

79

REGISTERED DIETITIANS

Start a meaningful conversation about

nutritional health. Suggestions for each Healthier Generation Benefit Visit:

1st RD Visit

• Medical and nutrition evaluation and assessment (See Academy Pediatric Weight Management

Evidence-Based Nutrition Practice Guidelines)

• Review PCP comments and patient goals as available

• Determine nutritional diagnosis

• Prioritize needs and goals based on child and family interests and issues

• Begin intervention / counseling / education

• Discuss / share plan with PCP

80

REGISTERED DIETITIANS

Continue the conversation about

nutritional health. Suggestions for each Healthier Generation Benefit Visit:

2nd – 4th RD Visits

• Review information shared by PCP as available

• Medical and nutrition re-evaluation

• Review goals from prior session

• Reinforce progress

• Establish new goals as appropriate

• Counseling on session topic

• Discuss/share plan with PCP

81

CODING Healthier Generation Benefit visits should be coded

using the following diagnostic and CPT code groups: Physician claims

Code with ICD-9 code range 278 - 278.03 in the primary

position* and CPT code range 99205 – 99215. Use V85.53 to

record BMI 85% to <95% or V85.54 to record BMI ≥ 95% in

secondary diagnosis field

Dietitian claims

Code with ICD-9 code range 278 – 278.03 in the primary

position* and CPT code range 97802 – 97804. Use V85.53 to

record BMI 85% to <95% or V85.54 to record BMI ≥ 95% in

secondary diagnosis field

* Information on 10/1/14 conversion to

ICD-10 coding will be provided at

a future date.

82

COMMUNICATIONS

Providers Members Employers

Detail targeted letters

Targeted mailing with detailed information on how to access and use the benefit

Marketing and broker outreach

Webinar/CME courses (TBA) Information posted on employer’s website

Employer newsletter updates

Newsletter updates

BeWellKC.BlueKC.com/HG BeWellKC.BlueKC.com/HG BeWellKC.BlueKC.com/HG

83

DATA ANALYSIS

• Blue KC will complete internal analysis using

claims and clinical information to identify use

of obesity related diagnosis and CPT codes,

BMI % calculations and HEDIS measures to

determine the success of the pilot.

• Through our relationship with the Alliance,

Emory University will complete an external

analysis with de-identified data sets.

• Look for future editions of the Blue KC

Childhood Obesity Report at

BeWellKC.BlueKC.com.

84

WHAT MORE CAN WE DO?

• Assess and record height,

weight and BMI% status at

every patient visit

• For members in the pilot, use

BMI codes as secondary

diagnosis for disease

prevalence tracking

• Address the importance of a

healthy weight and overall

health at each visit

• Be an advocate/champion for

benefit use with the selected

member groups during the

pilot 85

RESOURCES AVAILABLE

For more information about the Healthier Generation benefit, groups

involved and suggested protocols, visit our Blue KC Health Promotions

website at BeWellKC.BlueKC.com.

Other resources for you to utilize include:

Blue KC

BlueKC.com

American Academy of Pediatrics

aap.org/obesity

Academy of Nutrition & Dietetics

eatright.org/alliance

Alliance for a Healthier Generation

healthiergeneration.org

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