Welcome

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. 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

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/ • 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