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A PROGRAM TO PROVIDE
TREATMENT FOR
CHILDHOOD OVERWEIGHT
AND OBESITY
By Kimberly Deppe
Northern Kentucky University
DNP 806...
INTRODUCTION—THE WHY?
INTRODUCTION:
 Epidemic
 Co-morbidities
 Treatment
 Future
GOAL 1
Develop a partnership with the
local healthcare providers,
functioning as a resource for
the healthcare providers ...
OBJECTIVES:
 1.a. Increase the number of children and youth
screened during routine physical assessment for
overweight an...
GOAL 2
To decrease the prevalence
of childhood overweight and
obesity in our community as
evidenced by decrease in
number...
OBJECTIVES:
 2.a. To increase the access to and use of environments
that support healthful eating, physical activity and
...
METHODS OF DELIVERY
 In service education will be provided to all providers
 Formal class available over lunch hour
 ST...
DELIVERY (CONT.):
 Development of a service available to patients
through healthcare provider or self-referral
 Partner ...
PROGRAM MATERIALS
 PowerPoint presentation
 Pre-and Post-test of basic knowledge of overweight
and obesity in children
...
EVALUATION: GOAL-FREE MODEL
 Focus is how the program affects the need
 Evaluation establishes the need for the
program
...
EVALUATION TOOLS
Tally sheets to collect data
Cost analysis
Patient satisfaction
Provider utilization
EVALUATION TOOL
Pt. # Who
referred
DOB Gender Town Payer Cost Payment Services Referrals
out of
clinic
Met goals
Tally she...
PATIENT SATISFACTION SURVEY
COST EFFECTIVENESS
Comparison of program cost to
payments collected for services
Evaluation of third party reimburses
D...
DATA ANALYSIS
 Qualitative
 Graphs, pie charts, bar charts
 Cost/benefit analysis
REFERENCES
 American Heart Association. (2013). Overweight and obesity. Statistical Fact Sheet 2013
 Update. Retrieved f...
REFERENCES (CONT):
 Health Service Executive. (2012). Training Programme For Public Health Nurses And Doctors
 In Childh...
To find humor is to understand
A program to provide treatment forchildhood obesity  deppe
A program to provide treatment forchildhood obesity  deppe
A program to provide treatment forchildhood obesity  deppe
A program to provide treatment forchildhood obesity  deppe
A program to provide treatment forchildhood obesity  deppe
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Transcript of "A program to provide treatment forchildhood obesity deppe"

  1. 1. A PROGRAM TO PROVIDE TREATMENT FOR CHILDHOOD OVERWEIGHT AND OBESITY By Kimberly Deppe Northern Kentucky University DNP 806 July 2013
  2. 2. INTRODUCTION—THE WHY?
  3. 3. INTRODUCTION:  Epidemic  Co-morbidities  Treatment  Future
  4. 4. GOAL 1 Develop a partnership with the local healthcare providers, functioning as a resource for the healthcare providers and their clients related to childhood overweight and obesity
  5. 5. OBJECTIVES:  1.a. Increase the number of children and youth screened during routine physical assessment for overweight and obesity and related chronic disease risk factors using nationally established guidelines for screening and referral as evidenced in health history, assessment and diagnosis in the EMR for the child  1.b. Engage local practices in routinely discussing obesity prevention/reduction with children and their parents, including the availability of local resources as evidenced in plan of care of EMR  1.c. Publicize resources in the medical office as evidence by brochures on display
  6. 6. GOAL 2 To decrease the prevalence of childhood overweight and obesity in our community as evidenced by decrease in number of reported cases
  7. 7. OBJECTIVES:  2.a. To increase the access to and use of environments that support healthful eating, physical activity and prevention of childhood overweight and obesity in our community as evidenced by resources being available and inviting.  2.b. To educate healthcare providers about nutrition, healthy weight and their role in counseling patients with obesity and overweight along with related chronic diseases as evidenced by education offered and attended.  2.c. To establish a support network of accessible, family-based and culturally relevant interdisciplinary weight management services for overweight children and youth as evidenced by the creation of this service
  8. 8. METHODS OF DELIVERY  In service education will be provided to all providers  Formal class available over lunch hour  STRENGTHS: Time commitment convenient, interaction with peers for discussion  WEAKNESS: time commitment outside office, providers view as insignificant health problem  On-line PowerPoint presentation available  STRENGTHS: ease of use and available for repeat reviews  WEAKNESS: time commitment outside office, providers view as insignificant health problem
  9. 9. DELIVERY (CONT.):  Development of a service available to patients through healthcare provider or self-referral  Partner with local hospital  STRENGTHS: room available for service, have exercise facility available to community, have professional expertise available through dietician and therapy services  WEAKNESS: understanding of ambulatory service billing, view as insignificant problem, not known to community residents  Partner with area bariatric center  STRENGTHS: know the epidemic, expertise, resources, available collaborative physician  WEAKNESS: goal of bariatric interventions, loose connection to community  Partner with area healthcare providers  STRENGTHS: regularly providing service to the overweight and obese children, ease of identification through EMR  WEAKNESS: failure to recognize for early intervention, belief the problem cannot be resolved
  10. 10. PROGRAM MATERIALS  PowerPoint presentation  Pre-and Post-test of basic knowledge of overweight and obesity in children  Quick reference guides for providers for identification and treatment algorithm and billing codes  EMR templates for treatment visits for overweight and obese children
  11. 11. EVALUATION: GOAL-FREE MODEL  Focus is how the program affects the need  Evaluation establishes the need for the program  Format eliminates bias, discovery of information format  Focus is on the client needs and analysis of program in meeting the needs
  12. 12. EVALUATION TOOLS Tally sheets to collect data Cost analysis Patient satisfaction Provider utilization
  13. 13. EVALUATION TOOL Pt. # Who referred DOB Gender Town Payer Cost Payment Services Referrals out of clinic Met goals Tally sheet
  14. 14. PATIENT SATISFACTION SURVEY
  15. 15. COST EFFECTIVENESS Comparison of program cost to payments collected for services Evaluation of third party reimburses Development of a per visit charge to cover services compared to cost per visit
  16. 16. DATA ANALYSIS  Qualitative  Graphs, pie charts, bar charts  Cost/benefit analysis
  17. 17. REFERENCES  American Heart Association. (2013). Overweight and obesity. Statistical Fact Sheet 2013  Update. Retrieved from  http://www.heart.org/idc/groups/heartpublic/@wcm/@sop/@smd/documents/downloadable/ucm_319588 .pdf  American Public Health Association. (2013). Tackling childhood Obesity: Vision and Guiding  Principles. Retrieved from  http://www.apha.org/programs/resources/obesity/tacklingobesity.htm  CMA Foundation (2008). Child & Adolescent Obesity ProviderToolkit. Retrieved from  http://www.thecmafoundation.org/projects/ObesityGeneralPDFs/ChildToolkit_Revised%20April%202008. pdf  Centers for Disease Control and Prevention. (2013). Overweight and Obesity. Retrieved from  http://www.cdc.gov/obesity/stateprograms/programGoal.html  Goldstein, H. (2013). Become a child health advocate for obesity prevention in California.  Medscape Family Medicine Education. Retrieved from  http://www.medscape.org/viewarticle/806855?src=wnl_cme_revw  Harris, J. L., Roussel, L., Walters, S. E., & Dearman, C. (2011). Project Planning and  Management: A Guide for CNLs, DNPs, and Nurse Executives. Sudbury, MA: Jones &  Bartlett Learning.  Hirsch, L., & Gandolf, S. (2013). SWOT: The high-level self exam that boosts your bottom  line. Retrieved from http://www.healthcaresuccess.com/articles/swot.html  
  18. 18. REFERENCES (CONT):  Health Service Executive. (2012). Training Programme For Public Health Nurses And Doctors  In Childhealth. Screening, Surveillance, And Health Promotion. Retrieved from  http://lenus.ie/hse/handle/10147/110557  Iowa Department of Public Health. (2013). Iowans Fit for Life: Active and Eating Smart.  Retrieved from  http://www.state.ia.us/iowansfitforlife/docs/Chapter_2_Goals_Objective_and_Strategiesk.pdf  Kaufman, F. (2013). A focus on childhood obesity in California. Medscape Family Medicine  Education. Retrieved from http://www.medscape.org/viewarticle/806794_transcript_3  Lewis, L. B. (2009). Evaluation. Retrieved from  http://edtech2.boisestate.edu/lewisl/edtech505/what_evaluation.html  New York State Department of Health. (2013). Strategic Plan for Overweight and Obesity  Prevention. Retrieved from  http://www.health.ny.gov/prevention/obesity/strategic_plan/goals.htm  Wakeman, S. (2013). Program Evaluation. Retrieved from  coedpages.uncc.edu/slwakema/secureRSCH6101/SPED... · PPT file
  19. 19. To find humor is to understand
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