Presentation on theme: "Presentation Purpose:"— Presentation transcript:
0 Presented by: Healthcare Outcomes and Analysis LA Care Health Plan Weight Assessment and Counseling for Nutrition and Physical Activity for Children and AdolescentsSeptember 30, 2010Presented by:Healthcare Outcomes and AnalysisLA Care Health Plan
1 Presentation Purpose: Best Practices for documenting record for the newmeasure “Weight Assessment and Counselingfor Nutrition and Physical Activity forChildren and Adolescents (WCC)”Proper documentation of WCC visit(s) reflect a betterquality of care for patients and a positive feedback forproviders’ participation to encourage children andadolescent wellness.
2 WCC - Background: Obesity In Children and Teens The problem of childhood obesity in theUnited States has grown considerably in recentyears.Statistics/Facts:Between 16 and 33 percent of children andadolescents are obese.Obesity is among the easiest medical conditions torecognize but most difficult to treat.Unhealthy weight gain due to poor diet and lackof exercise is responsible for over 30,000 deathseach year.The annual cost to society is estimated at nearly $100 billion.Overweight children are much more likely to become overweight adults unlessthey adopt and maintain healthier patterns of eating and exercise.
3 WCC – Background (contin.): According to a study conducted by CDC in 2004, 16% of children (over 9 million) 6-19 years of age are overweight or “obese.” This number is three times the population in In addition to the three-fold increase, obesity has “more than doubled” in both children and adolescents from ages 2-5 and also ages Similarly, the population more than tripled in children between 6-11 years old in the past three decades (according to this same study). 2 References: 1. Obesity In Children and Teens, American Academy of Child and Adolescent Psychiatry, May Prevalence of overweight and obesity among children and adolescents: United States, CDC, 2004
4 WCC – Background (contin.): Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents (WCC):Is one of the newest HEDIS measures developed by the National Committee for Quality Assurance (NCQA)The measure consists of three (3) indicators:Body mass index (BMI)Counseling for NutritionCounseling for Physical Activity
5 WCC - Body Mass Index (BMI) Indicator Documentation: Body Mass Index – documentation in the medical record should include date and BMI percentile &/or value depending upon the child’s ageBMI norms vary for children betweenthe ages 3 to 15 years, so the BMIpercentile should be recorded, notjust the value.For years of age, BMI value isacceptable.
6 WCC - BMI Indicator Calculation: The formula used to calculate BMI is as follows: Weight in Pounds BMI = ( (Height in inches) x (Height in inches) )x703 The pediatric height and weight charts can be found on the CDC website at:
7 WCC - Counseling for Nutrition Indicator Documentation: Documentation must include a note indicating the date andat least one of the following:Discussion of current nutrition behaviors(e.g., eating and dieting behaviors)Checklist indicating nutrition was assessedCounseling or referral for nutrition educationMember received educational materials on nutritionAnticipatory guidance for nutrition
8 WCC - Physical Activity Indicator Documentation: Counseling for Physical ActivityDocumentation must include a note indicating the dateand at least one of the following:Discussion of current physical activity behaviors(e.g., exercise routine, participation in sportsactivities and exam for sports participation)Checklist indicating physical activity was addressedCounseling or referral for physical activityMember received educational materials on physicalactivityAnticipatory guidance for physical activity
9 WCC – Best Practices for Documentation: BMI Don’tsNo BMI or BMI percentile documented in the medical record or plotted on age-growth chartNotation of height and weight onlyBMI or BMI percentile noted before or after the measurement yearEntries on the BMI growth charts without an affiliated dateNutrition and Diet Don’tsNo counseling/education on nutrition and dietCounseling/education before or after the measurement yearNotation of “health education” or “anticipatory guidance” without any specific mention of nutrition
10 WCC – Best Practices for Documentation (contin.): Physical Activity Don’tsNo counseling/education on physical activityNotation of “cleared for gym class” alone without any documentation of a discussionCounseling/education before or after the measurement yearNotation of “health education” or “anticipatory guidance” without any specific mention of physical activity
11 WCC – Best Practices for Documentation (contin.): Take advantage of any type of member visit, whether it’s for a well-child visit or sick visit to assess and counsel your patient on their BMI, nutrition, and physical activity.
12 For questions, please contact: Carina Yapyuco, RN cyapyuco@lacare For questions, please contact: Carina Yapyuco, RN Theresa Colom, LVN