1. Welcome AAP Obesity Update and Dialogue

2. Webinar Overview Obesity as a priority at the Academy Obesity Leadership Workgroup Obesity Action Plan Current National and Chapter Activities Future Directions Dialogue

3. Thank You Participants AAP Chapter Representatives Section, Council, and Committee Representatives Obesity Experts and Advocates Friends/Partners of the Academy National and Chapter Staff

4. Obesity Update and Dialogue Sandra Hassink, MD, FAAP

5. Obesity as a Priority 2002 - # 1 resolution at Chapter Forum: “Comprehensive approach to obesity in children & adolescents” 2003 – Obesity was added as a child health priority to the AAP Strategic Plan 2003 – 2005 Task Force on Obesity

6. 2003-2007 Obesity Activities Education Activities (eg NCE, Peds21, PediaLink online courses) Publications (eg Books, manuals, policy statements and flip charts) Research (eg Periodic Survey and PROS) Practice Management Resources (eg Coding Fact Sheet, Strategy for Claim Denials) Community/State Programs (eg HP 2010, CATCH, COSH CDC Grant) Partnership Activities (eg Federal Campaigns, Coalitions, and Consensus Statement)

7. Integration Phase ALF resolution 2007 requests AAP establish a “ home ” for obesity, passed and voted #1 in top 10 June 2007 Strategic Planning Meeting December 2007 Obesity Leadership Workgroup approved as vehicle to foster obesity integration

8. Obesity Leadership Workgroup (OLW) Purpose: to coordinate the obesity initiatives and activities in accordance with the AAP obesity strategic priorities. The OLW will: coordinate and support ongoing activities, continually assess current Academy obesity activities, identify areas for growth and engage Academy leadership, staff and membership in collaborative development and implementation of specific activities to address obesity priorities.

9. Chapters Strategic Obesity Activities Obesity Leadership Workgroup assess current activities identify needs coordinate and focus existing activities centralize & manage obesity requests set action plans and goals track progress towards goals Members Cmte,Sec & Council

10. Operations Obesity staff team meets quarterly (includes staff from over 30 cmte/sec and 4 different Departments) Obesity Executive Staff team meets monthly Created a pool of Obesity Experts Communicates regularly to Academy Leadership (eg this webinar)

11. Obesity Action Plan Priorities identified at strategic planning Meeting in June ‘07: Prevention and Treatment of Obesity at the Point of Care* Advocacy for Necessary Health System Change* Training Future Pediatricians Translational Research Family Awareness/Knowledge and Skills to Address Obesity * Designates focus for 2008 Obesity Action Plan

12. Chapter Activities – Priority 1 Acknowledging Chapter Activities Supporting Goals in P1*: Conduct CME/Conference/Forum (9) Producing materials for providers or patients (5) Chapter or members received one or more grant(s) to support a community program or provider education program (18) Producing materials for providers or patients (5) * Information culled from 2007/08 annual reports

13. Core Activities – Priority 1 Acknowledging Committee, Section, and Council Activities supporting goals of P1: Policy Statements (5) Continuing Education (2) Campaigns (2) Grants/Programs (1) Newsletter (1)

14. Current Activities – Priority 1 Launching a New Obesity Web Site 2/6/09 http://www.aap.org/obesity/

15. Current Activities – Priority 1 Member Needs Assessment and Market Analysis – in process Online survey sent to random sample of practicing pediatricians 371 pediatricians have completed the online survey thus far Data will be used to inform decisions future CME and tool development

16. Current Activities- Priority 1 Resident Activities Curriculum development Advocacy Engagement Partnership

17. Priority 2: Advocating for necessary health system change Immediate goals for P2 in next 2 years Appropriate reimbursement Reducing health disparities and improving access Policies that promote active healthy living (Local, State, and Federal) Community collaboration and coordination around active healthy living

18. Current Activities - Priority 2 Alliance Healthcare Initiative Major Partners Alliance for a Healthier Generation (Clinton Foundation and American Heart Association) American Dietetic Association Major Insurance Companies Corporations Collaborative effort to offer comprehensive health benefits to children 4 pediatrician visits 4 – 6 dietician visits

19. Current Activities - Priority 2 Reimbursement activities continued Working on Medical Home Model for Obesity with major insurer Surveying payers and analyzing existing data regarding payment/utilization Revising practice management resources (coding fact sheet) Working with Private Payer Advocacy Advisory Committee (PPAAC)

20. Current Activities - Priority 2 Reaching underserved communities Awarded 5 Mentorship and Technical Assistance Program Grants (MTAP) Navajo Nation (AZ) Rural Mountains (TN) Low-income Urban (CA) Eastern Band of Cherokee (NC) Rural (NY) Supported 3 Chapters in the Healthy Grand Families Initiative Illinois, New York (3), and Texas

21. Current Activities - Priority 2 Federal Advocacy Focus: Integrating obesity prevention and healthy lifestyles issues into significant legislation Activities: Hill Briefings Development of briefing documents

22. Current Activities - Priority 2 State/Community/Local Advocacy: OLW developing policy agenda and resource materials Revising obesity issue brief Working with chapters (advocacy, CME, best practices) Advocacy specific to obesity priorities (18 Chapters)* Partnering with schools or CBOs (15 Chapters)* * Information culled from 2007/08 annual reports

23. Current Activities - Priority 2 Partnership with the National Initiative for Healthcare Quality (NICHQ) to: Coordinate obesity activities Train pediatrician advocates Bolster Childhood Obesity Action Network (COAN)

24. Current Activities - Priority 2 Partnership building National Hispanic Medical Association National Medical Association Centers for Disease Control and Prevention American Dietetic Association

25. Future Directions Priority 1: Prevention and Treatment of Obesity at the Point of Care Priority 2: Advocacy for Necessary Health System Change

26. Dialogue

27. OLW Sandra Hassink, MD, FAAP Chair, Obesity Leadership Workgroup (OLW) OLW Members Anne Francis, MD, FAAP Lisa Simpson, MD, FAAP Marc Jacobson, MD, FAAP Jonathan Klein, MD, MPH, FAAP Fan Tait, MD, FAAP Judy Dolins, MPH, Ed Zimmerman, Jeanne Lindros, MPH Manager, Obesity Initiatives

28. AAP Obesity Resources Clinical decision support publications for pediatric practitioners Expert Committee Recommendations 5,2,1,0 Flip chart Pediatric Obesity – Strategies for Primary Care Obesity Web site Coding and reimbursement information Online CME courses Publications for Families Obesity and Nutrition Books Brochures and fact sheets

29. AAP Obesity Resources AAP Obesity Web Site: www.aap.org/obesity/www.aap.org/obesity/ Policy in support of obesity prevention and treatment Breastfeeding and the Use of Human Milk Children, Adolescents, and Advertising Children, Adolescents, and Television Dietary Recommendations for Children and Adolescents: A Guide for Practitioners Dietary Recommendations for Children and Adolescents: A Guide for Practitioners Identifying and Treating Eating Disorders Prevention and Treatment of Type 2 Diabetes Mellitus in Children, With Special Emphasis on American Indian and Alaska Native Children Prevention and Treatment of Type 2 Diabetes Mellitus in Children, With Special Emphasis on American Indian and Alaska Native Children Scope of Health Care Benefits for Newborns, Infants, Children, Adolescents, and Young Adults Through Age 21 Years (RE9730) Scope of Health Care Benefits for Newborns, Infants, Children, Adolescents, and Young Adults Through Age 21 Years (RE9730) Soft Drinks in School The Use and Misuse of Fruit Juice