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 Section, Council, and Committee

Representatives Obesity Experts and Advocates Friends/Partners of the Academy National and Chapter Staff

Obesity Update and Dialogue

Sandra Hassink, MD, FAAP

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

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

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) 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.

Chapters

StrategicObesity

Activities

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

MembersCmte,Sec &

Council

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

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

Acknowledging Chapter Activities SupportingGoals 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

Acknowledging Committee, Section, andCouncil Activities supporting goals of P1:

Policy Statements (5) Continuing Education (2) Campaigns (2) Grants/Programs (1) Newsletter (1)

Current Activities – Priority 1

Launching aNew Obesity Web Site

2/6/09

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

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 1

Resident Activities Curriculum development Advocacy Engagement Partnership

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

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 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 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 2

Federal Advocacy

Focus: Integrating obesity prevention and healthy lifestyles issues into significant legislation

Activities: Hill Briefings Development of briefing documents

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 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 2

Partnership building National Hispanic Medical Association National Medical Association Centers for Disease Control and

Prevention American Dietetic Association

Future Directions

Priority 1: Prevention and Treatment of Obesity at the Point of Care

Priority 2: Advocacy for Necessary Health System Change

Dialogue

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 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 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