Childhood Obesity BEACON meeting May 13, 2010

OHIO: Obesity (BMI>95%ile) Across the Lifespan Newborns 2-5 yr olds 1 Adults yr olds 2 <5 % % % % % % ≥30 % NS

Several Initiatives Related to Childhood Obesity including: Improving Obesity Prevention Among Ohio’s Most Vulnerable: A statewide Collaborative of Ohio’s Children’s Hospitals and Community Health Centers (OCHA) An Ounce of Prevention (AAP) Two MEDTAPP projects (all or part re obesity) Ohio Family Health Survey Healthy Choices for Healthy Children Coalition Office of Healthy Ohio Many regional initiatives Further RFAs expected

Improving Obesity Prevention Among Ohio’s Most Vulnerable OCHA is lead organization Goals include: –Increase obesity screenings –Increase obesity referrals –Assist CHCs in identifying referral resources –Develop set of policy recommendations

Population: –Ohio CHCs (15 systems, 1 site each) Intervention: –Clinical experts develop obesity training package for the state including a curriculum and tools –Training sessions in person plus regular technical assistance calls Evaluation Policy Recommendations

Currently: –CHC recruitment underway, –training package being adapted and coordinated with AAP, –resource guide being developed, –MEDTAPP resources to leverage efforts

Ounce of Prevention AAP (Melissa Arnold to present)

Child Healthcare Excellence Center– a University-Practice-Public Partnership (CHEC-UPP ) Supported by ODJFS, Case Western Reserve University, and UH-RBC

CHEC-UPP Areas of Focus Prevent dental decay (fluoride varnish) Obesity screening Lead screening and referrals Primary care practice:

12-month pilot project with 15 primary care practices in the greater Cincinnati area Funded by Cincinnati Children’s, University of Cincinnati, and Ohio Department of Job and Family Services (Medicaid)

AIM: Assist primary care practices in establishing systems to ensure that every child receives proper preventive care, evaluation, and treatment for pediatric overweight and obesity, and that each child is linked with appropriate community resources

Collaborative 15 teams –5 FQHC/CHC, 7 private practices, 1 pediatric residency clinic, 1 heme-onc clinic, & 1 School based 12-month Learning collaborative –First learning session November 4, 2009 –Second learning session April 7, 2010 –Third (fall 2010) Using (adapted) HEDIS measures –BMI percentile documented –Assessment nutrition (e.g. sugar-sweetened drinks) –Assessment activity (e.g. screen time)

Key Driver Diagram (based on AAP recommendations)

HKO Teams

Healthy Choices for Healthy Children Coalition Update (Melissa and Nick )