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cds.ahrq.gov/sites/default/files/cds/artifact/106/AMIA_presentation.pptx
January 01, 2012 - PowerPoint Presentation
Decision Support to Improve Childhood
Obesity Management
Jeremy Michel, MD, … The greatest predictor of adult obesity is childhood obesity
Childhood obesity uses Body Mass Index … Prevalence of Childhood and Adult Obesity in the United States, 2011-2012. … Prevalence, Disparities, and Trends in Obesity and Severe Obesity Among Students in the Philadelphia, … interest in “something” to help with obesity management in primary care
Recognition of weight status
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cds.ahrq.gov/sites/default/files/cds/artifact/106/Poster_AAPNCE_10.26.15.pptx
October 13, 2015 - Background
Methods
Characterizing Unexplained Variations in Obesity Diagnosis and Management Practices … Despite published recommendations for obesity diagnosis and management, there is great variation among … The type of visit (well/follow up vs. sick) strongly affected when obesity management was considered. … 109 (99%)
Management of obesity with NO co-morbidities 95 (86%)
Management of obesity with co-morbidities … What role do clinicians report as part of obesity management?
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cds.ahrq.gov/sites/default/files/cds/artifact/106/Poster_AMIA_mid_atlantic_HWI_jm.pptx
February 08, 2012 - Background
Methods
Preparing for a Childhood Obesity … recognize obesity or overweight status
Clinicians do not consistently document obesity or overweight … improve recognition
CDS may be beneficial for other aspects of management, however:
Baseline data on obesity … CDS would be beneficial in our institution
Objectives
Characterize adherence to obesity … management
Determined baseline overweight/obesity prevalence within CHOP Care Network
Developed metrics
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cds.ahrq.gov/sites/default/files/cds/artifact/106/HWI_2017.pptx
January 01, 2017 - Background
Methods
Impact of Multiple Clinician Focused Interventions on Childhood Obesity … Objective
Evaluate the impact of multiple interventions on appropriate obesity documentation and on adherence … application was developed to track QI goals:
Quality improvement (QI) goals: Determined by a Pediatric Obesity … based on expert recommendations (Barlow et.al., 2007)
GOALS:
1) Improve documentation* of overweight/obesity
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cds.ahrq.gov/sites/default/files/cds/artifact/106/Guide%20to%20the%20Healthy%20Weight%20Care%20Assistant.docx
February 15, 2018 - to children with overweight or obese body habitus who were at risk for developing complications of obesity … survey were used to target areas of clinician interest and gaps in knowledge surrounding pediatric obesity … Use of the Care Assistant Framework allowed our project team to design and develop an obesity module
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cds.ahrq.gov/sites/default/files/cds/artifact/1061/2024_CDS_Connect_IG_Diabetes_Part_One_Screening_0.pdf
January 01, 2024 - Provide educational materials that explain how overweight/obesity and other personal/family
factors increase … In addition to the overweight/obesity factor, the USPSTF defines risk factors for
prediabetes or type … https://www.cdc.gov/obesity/php/data-research/adult-obesity-facts.html
https://www.cdc.gov/healthyweight … https://www.cdc.gov/obesity/php/data-research/adult-obesity-facts.html
https://www.cdc.gov/obesity/php … /data-research/adult-obesity-facts.html
https://www.cdc.gov/obesity/php/data-research/adult-obesity-facts.html
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cds.ahrq.gov/sites/default/files/cds/artifact/1071/Implementation%20Guide_Healthful%20Diet%20and%20Physical%20Activity_Final.pdf
September 01, 2019 - Diabetes Mellitus).9 It is a cluster of clinical
findings made up of five characteristics: abdominal obesity … of a patient’s weight in kilograms divided by the square of height in
meters (https://www.cdc.gov/obesity … https://www.cdc.gov/obesity/adult/defining.html
https://www.cdc.gov/obesity/adult/defining.html
28 … https://www.uspreventiveservicestaskforce.org/Page/Name/topics-in-progress
https://www.cdc.gov/obesity … It is a clustering of clinical findings made up of five
characteristics: abdominal obesity, high glucose
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cds.ahrq.gov/sites/default/files/cds/artifact/1066/2022_Intervention_Content_T2DM_Counseling.xlsx
January 01, 2022 - tips with a disabilty https://healthfinder.gov/HealthTopics/Category/health-conditions-and-diseases/obesity … Questions to ask the doctor about loosing weight https://health.gov/myhealthfinder/health-conditions/obesity … Information about the Affordable Care Act's coverage for obesity care. … health-topics/high-blood-pressurehttps://healthfinder.gov/HealthTopics/Category/health-conditions-and-diseases/obesity … educational/wecan/eat-right/portion-distortion.htmhttps://health.gov/myhealthfinder/health-conditions/obesity
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cds.ahrq.gov/sites/default/files/cds/artifact/1066/2023_Intervention_Content_T2DM_Part_Two_Counseling.xlsx
January 01, 2023 - tips with a disabilty https://healthfinder.gov/HealthTopics/Category/health-conditions-and-diseases/obesity … Questions to ask the doctor about loosing weight https://health.gov/myhealthfinder/health-conditions/obesity … Information about the Affordable Care Act's coverage for obesity care. … health-topics/high-blood-pressurehttps://healthfinder.gov/HealthTopics/Category/health-conditions-and-diseases/obesity … educational/wecan/eat-right/portion-distortion.htmhttps://health.gov/myhealthfinder/health-conditions/obesity
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cds.ahrq.gov/sites/default/files/cds/artifact/1061/508_2022_CDS_Connect_IG_T2DM_Part_One_Screening_final.pdf
January 01, 2022 - screening for prediabetes and type 2
diabetes in adults aged 35 to 70 years who have overweight or obesity … or
greater and less than 30 kg/m2, and “obese” as a BMI of 30 kg/m2 or higher
(https://www.cdc.gov/obesity … of a patient’s weight in kilograms divided by the square of height in meters
(https://www.cdc.gov/obesity … https://www.cdc.gov/obesity/adult/defining.html
https://www.cdc.gov/obesity/adult/defining.html
32 … or greater and less than
30 kg/m2, and “obese” as a BMI of 30 kg/m2 or higher
(https://www.cdc.gov/obesity
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cds.ahrq.gov/sites/default/files/cds/artifact/1061/Implementation_Guide_Prediabetes_and_Type_2_Diabetes_Part_One_Screening.pdf
September 01, 2022 - screening for prediabetes and type 2
diabetes in adults aged 35 to 70 years who have overweight or obesity … or
greater and less than 30 kg/m2, and “obese” as a BMI of 30 kg/m2 or higher
(https://www.cdc.gov/obesity … of a patient’s weight in kilograms divided by the square of height in meters
(https://www.cdc.gov/obesity … https://www.cdc.gov/obesity/adult/defining.html
https://www.cdc.gov/obesity/adult/defining.html
32 … or greater and less than
30 kg/m2, and “obese” as a BMI of 30 kg/m2 or higher
(https://www.cdc.gov/obesity
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cds.ahrq.gov/cdsconnect/source/expert-committee-recommendations-regarding-prevention-assessment-and-treatment
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cds.ahrq.gov/sites/default/files/cds/artifact/1061/Implementation%20Guide_Abnormal%20Blood%20Glucose%20and%20Type%202%20DM_Part%20One,%20Screening_Final.pdf
September 01, 2019 - or greater and less than 30 kg/m2, and “obese” as a BMI of 30 kg/m2 or higher
(https://www.cdc.gov/obesity … of a patient’s weight in kilograms divided by the square of height in
meters (https://www.cdc.gov/obesity … Inclusions “kg/m2” Kilograms/meters2 (the unit of measure for BMI)
https://www.cdc.gov/obesity/adult … /defining.html
https://www.cdc.gov/obesity/adult/defining.html
29
Location in
CDS Logic Concept … https://www.uspreventiveservicestaskforce.org/Page/Name/topics-in-progress
https://www.cdc.gov/obesity
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cds.ahrq.gov/sites/default/files/cds/artifact/1066/Implementation%20Guide_Abnormal%20Blood%20Glucose%20and%20Type%202%20DM_Part%20Two%20Counseling_Final.pdf
September 01, 2019 - or greater and less than 30 kg/m2, and “obese” as a BMI of 30 kg/m2 or higher
(https://www.cdc.gov/obesity … of a patient’s weight in kilograms divided by the square of height in
meters (https://www.cdc.gov/obesity … Inclusions “kg/m2” Kilograms/meters2 (the unit of measure for BMI)
https://www.cdc.gov/obesity/adult … /defining.html
https://www.cdc.gov/obesity/adult/defining.html
29
Location in
CDS Logic Concept … searchresult=1
https://www.cdc.gov/obesity/adult/defining.html
35
Decision Category Concept Rationale
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cds.ahrq.gov/sites/default/files/cds/artifact/1061/IG%20Abnormal%20Blood%20Glucose%20Type%202%20DM%20Screening.pdf
September 01, 2021 - or greater and less than 30 kg/m2, and “obese” as a BMI of 30 kg/m2 or higher
(https://www.cdc.gov/obesity … of a patient’s weight in kilograms divided by the square of height in
meters (https://www.cdc.gov/obesity … https://www.cdc.gov/obesity/adult/defining.html
https://www.cdc.gov/obesity/adult/defining.html
33 … or
greater and less than 30 kg/m2, and “obese” as a BMI of 30 kg/m2 or higher
(https://www.cdc.gov/obesity … www.uspreventiveservicestaskforce.org/uspstf/recommendation-topics/recommendations-in-progress
https://www.cdc.gov/obesity