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Welcome . AAP Obesity Update and Dialogue. Webinar Overview. Obesity as a priority at the Academy Obesity Leadership Workgroup Obesity Action Plan Current National and Chapter Activities Future Directions Dialogue. Thank You Participants . AAP Chapter Representatives

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welcome

Welcome

AAP Obesity Update and Dialogue

webinar overview
Webinar Overview
  • Obesity as a priority at the Academy
  • Obesity Leadership Workgroup
  • Obesity Action Plan
  • Current National and Chapter Activities
  • Future Directions
  • Dialogue
thank you participants
Thank You Participants
  • AAP Chapter Representatives
  • Section, Council, and Committee Representatives
  • Obesity Experts and Advocates
  • Friends/Partners of the Academy
  • National and Chapter Staff
obesity update and dialogue

Obesity Update and Dialogue

Sandra Hassink, MD, FAAP

obesity as a priority
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
2003 2007 obesity activities
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)

integration phase
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
obesity leadership workgroup olw
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.
slide9

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

Strategic

Obesity

Activities

Cmte,Sec &

Council

Chapters

Members

operations
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)
obesity action plan
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

chapter activities priority 1
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

core activities priority 1
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)
current activities priority 1
Current Activities – Priority 1

Launching a

New Obesity

Web Site

2/6/09

http://www.aap.org/obesity/

current activities priority 11
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
current activities priority 12
Current Activities- Priority 1
  • Resident Activities
    • Curriculum development
    • Advocacy
    • Engagement
    • Partnership
priority 2 advocating for necessary health system change
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
current activities priority 2
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
current activities priority 21
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)
current activities priority 22
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
current activities priority 23
Current Activities - Priority 2

Federal Advocacy

  • Focus: Integrating obesity prevention and healthy lifestyles issues into significant legislation
  • Activities:
      • Hill Briefings
      • Development of briefing documents
current activities priority 24
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

current activities priority 25
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)
current activities priority 26
Current Activities - Priority 2
  • Partnership building
    • National Hispanic Medical Association
    • National Medical Association
    • Centers for Disease Control and Prevention
    • American Dietetic Association
future directions
Future Directions
  • Priority 1: Prevention and Treatment of Obesity at the Point of Care
  • Priority 2: Advocacy for Necessary Health System Change
slide27
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
aap obesity resources
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
aap obesity resources1
AAP Obesity Resources
  • AAP Obesity Web Site: 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
    • 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
    • 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