TY - JOUR
T1 - Improving access and systems of care for evidence-based childhood obesity treatment
T2 - Conference key findings and next steps
AU - The Improving Access and Systems of Care for Evidence-Based Childhood Obesity Treatment Conference Workgroup
AU - Wilfley, Denise E.
AU - Staiano, Amanda E.
AU - Altman, Myra
AU - Lindros, Jeanne
AU - Lima, Angela
AU - Hassink, Sandra G.
AU - Dietz, William H.
AU - Cook, Stephen
N1 - Funding Information:
The Improving Access and Systems of Care for Evidence-Based Childhood Obesity Treatment Conference Workgroup consisted of the following: Foundations/Institutes: Ryan Barker, MSW, MPPA, VP of Health Policy, Missouri Foundation of Health; Romana Hasnain-Wynia, MS, PhD, Program Director for Addressing Disparities, Patient-Centered Outcomes Research Institute; Elizabeth Vegas, Director, Industry Initiative, attended on behalf of Jenny Bogard, Director, Healthcare Initiative; Shale Wong, MD, MSPH, Senior Program Consultant & Professor of Pediatrics, Robert Wood Johnson Foundation & University of Colorado School of Medicine. Government/Payers: Douglas G. Fish, MD, Medical Director, Division of Program Development & Management, New York State Department of Health; Jennifer Foltz, MD, MPH, USPHS Medical Epidemiologist, Centers for Disease Control and Prevention; Stewart Gordon, MD, Chief Medical Officer, Louisiana Healthcare Connections/Centene; Robert Mendonsa, MBA, CPA, Deputy Administrator Care Coordination for Rate and Finance, Illinois Department of Healthcare & Family Services; Samar Muzaffar, MD, MPH, Medical Director, Missouri HealthNet; Elizabeth O'Connor, PhD, Kaiser Permanente Research Affiliates Evidence-Based Practice Center, The Center for Health Research, Kaiser Permanente; Edmund Pezalla, MD, MPH, VP, National Medical Director for Pharmacy Policy and Strategy, Aetna; Darshak Sanghavi, MD, Director, Preventive and Population Health Models Group, Center for Medicare and Medicaid Innovation/Centers for Medicare & Medicaid Services; Deirdra Stockmann, PhD, Presidential Management Fellow and Health Insurance Specialist, Centers for Medicare & Medicaid Services; Barry Zallen, MD, Chief Medical Officer, Children's Hospital Integrated Care Organization (CHICO). Hospitals: Ihuoma Eneli, MD, Professor of Pediatrics, Director of the Center for Healthy Weight & Nutrition, The Ohio State University/Nationwide Children's Hospital; Sarah Hampl, MD, General Pediatrics and Weight Management, Children's Mercy Kansas City, Associate Professor of Pediatrics, University of Missouri-Kansas City School of Medicine; Susan Schuh, Director, Planning & Business Development, Physician Services, and Transplant Financial Services, St. Louis Children's Hospital; Karen Seaver Hill, Director, Community and Child Health, Children's Hospital Association. Nonprofit Organizations and Professional Associations: Cedric Bryant, PhD, Chief Science Officer, American Council on Exercise; Lynn Bufka, PhD, Associate Executive Director of Practice, Research and Policy, American Psychological Association; Matt Longjohn, MD, MPH, National Health Officer, YMCA of the USA; Annalia Glenn Michelman, JD, MPP, Senior Legislative Attorney, American Medical Association; Francesca M. Dea, MBA, CAE, Executive Director, The Obesity Society; Marsha Schofield, MS, RD, LD, Director, Nutrition Services Coverage, Academy of Nutrition and Dietetics. Policy/Advocacy: Alison Baker, MS, Director, Division of Safety & Health Promotion, American Academy of Pediatrics; Maria Caprigno, Patient Advocate; Terry Caprigno, Patient Advocate; Christine Ferguson, JD, Principal, Leverage Global Consulting; Chris Gallagher, Washington Coordinator, Obesity Care Continuum; Janice Liebhart, MS, Evaluation Manager, American Academy of Pediatrics Institute for Childhood Healthy Weight; Joe Nadglowski, President/CEO, Obesity Action Coalition; Corrie Pierce, Program Coordinator, American Academy of Pediatrics Institute for Childhood Healthy Weight. Universities: Eric Armbrecht, PhD, Associate Professor, Saint Louis University Center for Outcomes Research, School of Medicine, College for Public Health & Social Justice; Sarah Barlow, MD, MPH, Director of the Center for Childhood Obesity, Associate Professor of Pediatrics, Texas Children's Hospital and Baylor College of Medicine; Sue Curry, PhD, Dean, College of Public Health Distinguished Professor of Health Management and Policy, University of Iowa; Leonard Epstein, PhD, SUNY Distinguished Professor and Chief of Behavioral Medicine, University at Buffalo-SUNY; Janet Farmer, PhD, Associate Dean for Research, School of Health Professions, University of Missouri; Tim McBride, PhD, Professor, Brown School, Washington University in Saint Louis; Sara McMullin, BA, Clinical Research Coordinator, Washington University School of Medicine; Deborah Parra-Medina, PhD, MPH, Professor of Epidemiology and Biostatistics, University of Texas Health Science Center at San Antonio; Dana Rofey, PhD, Assistant Professor of Psychiatry, Pediatrics & Psychology, University of Pittsburgh School of Medicine; Dorothy Van Buren, PhD, Assistant Professor, Washington University School of Medicine. Authors thank Brad Sperber of the Keystone Policy Center, our conference facilitator, for his efforts in guiding our conversations in an efficient and effective manner. The authors also thank and acknowledge Tim McBride, PhD, for his work in conjunction with the Center for Diabetes Translation Research and Center for Health Economics and Policy at Washington University.
Publisher Copyright:
© 2016 The Obesity Society
PY - 2017/1/1
Y1 - 2017/1/1
N2 - Objective: To improve systems of care to advance implementation of the U.S. Preventive Services Task Force recommendations for childhood obesity treatment (i.e., clinicians offer/refer children with obesity to intensive, multicomponent behavioral interventions of >25 h over 6 to 12 months to improve weight status) and to expand payment for these services. Methods: In July 2015, 43 cross-sector stakeholders attended a conference supported by the Agency for Healthcare Research and Quality, American Academy of Pediatrics Institute for Healthy Childhood Weight, and The Obesity Society. Plenary sessions presenting scientific evidence and clinical and payment practices were interspersed with breakout sessions to identify consensus recommendations. Results: Consensus recommendations for childhood obesity treatment included: family-based multicomponent behavioral therapy; integrated care model; and multidisciplinary care team. The use of evidence-based protocols, a well-trained healthcare team, medical oversight, and treatment at or above the minimum dose (e.g., >25 h) are critical components to ensure effective delivery of high-quality care and to achieve clinically meaningful weight loss. Approaches to secure reimbursement for evidence-based obesity treatment within payment models were recommended. Conclusions: Continued cross-sector collaboration is crucial to ensure a unified approach to increase payment and access for childhood obesity treatment and to scale up training to ensure quality of care.
AB - Objective: To improve systems of care to advance implementation of the U.S. Preventive Services Task Force recommendations for childhood obesity treatment (i.e., clinicians offer/refer children with obesity to intensive, multicomponent behavioral interventions of >25 h over 6 to 12 months to improve weight status) and to expand payment for these services. Methods: In July 2015, 43 cross-sector stakeholders attended a conference supported by the Agency for Healthcare Research and Quality, American Academy of Pediatrics Institute for Healthy Childhood Weight, and The Obesity Society. Plenary sessions presenting scientific evidence and clinical and payment practices were interspersed with breakout sessions to identify consensus recommendations. Results: Consensus recommendations for childhood obesity treatment included: family-based multicomponent behavioral therapy; integrated care model; and multidisciplinary care team. The use of evidence-based protocols, a well-trained healthcare team, medical oversight, and treatment at or above the minimum dose (e.g., >25 h) are critical components to ensure effective delivery of high-quality care and to achieve clinically meaningful weight loss. Approaches to secure reimbursement for evidence-based obesity treatment within payment models were recommended. Conclusions: Continued cross-sector collaboration is crucial to ensure a unified approach to increase payment and access for childhood obesity treatment and to scale up training to ensure quality of care.
UR - http://www.scopus.com/inward/record.url?scp=85008250420&partnerID=8YFLogxK
U2 - 10.1002/oby.21712
DO - 10.1002/oby.21712
M3 - Review article
C2 - 27925451
AN - SCOPUS:85008250420
SN - 1930-7381
VL - 25
SP - 16
EP - 29
JO - Obesity
JF - Obesity
IS - 1
ER -