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OHIO:Obesity (BMI>95%ile) Across the
Lifespan
Newborns 2-5 yr olds1 Adults210-17 yr olds2
<5% 5-9.9% 10-14.9% 15-19.9% 20-24.9% 25-29.9% ≥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
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:
www.healthykidsohio.org
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)
www.healthykidsohio.org
www.healthykidsohio.org
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)