A. Understanding practices

   B. Suggestions on how to modify office procedures

1.             Create an office team

2.             Quality Improvement

3.             The PDSA cycle

4.             Office environment 

C.      Standardizing care

1. Obtaining and interpreting measurements

2. Identification of overweight and obesity

3. Charting and charting prompts

                        4. Suggestions to increase information gathering

       II.       Suggestions for clinical management

   A. Management algorithms- by age and BMI category

   B.  Clinical intake forms

   C.  Clinical management suggestions for overweight/obese patients

1.       Obtaining family history

2.       Assessing family health habits

3.       Suggested family behavioral changes

·         Parental modeling

·         Family behavior

·         Physical activity suggestions

·         Suggestions to improve eating habits

·         Setting and reaching goals

4.       Identifying co-morbidities

5.       Suggested staged approach to weight management for children and adolescents

III.     Suggestions for screening/managing co-morbidities of obesity

A.  Type 2 diabetes mellitus

B.  Hypertension

C.  Hyperlipidemia

D.    Liver abnormalities

E.    Sleep disorders

F.     Orthopedic disorders 

G.     Depression

IV.     Billing and coding information

V.       Educational handouts

A.      Prevention handouts (English and Spanish handouts for parents)

B.      Handouts to assist with management of overweight/obese patients

VI.  Links to programs in your community

VII.  Appendices (i.e.: practice surveys, parent surveys, child surveys, charting tools, further information on obesity, growth interpretation)

       A downloadable copy off all appendices