Dr.+Dooley's+FYI+email+about+pediatric+obesity+smartset

Hi everyone,

I hope that you're all enjoying the holiday season and not worrying too much about what you eat!

When you get back to work and reality, I wanted to give you suggestions on referrals for your pediatric obesity patients.

When I see patients and decide that I want to support lifestyle changes with referrals within our system:


 * I open up the SMART set for the well child visit, go to the related meds and orders OR**
 * I type Pediatric Obesity in Meds and a panel of orders comes up, including labs.**

Both of these actions give you a list of options to consider

I generally start with **patient education and CCHP Pediatric Obesity Disease Management program**. The patient educators have all been participating in trainings with our team at CCHP to develop increased counseling skills in pediatric obesity and provided with low-literacy hand outs for the patients. If you order the appointment, your nurse in the clinic can usually make the appointment on discharge. The appointments for patient education are listed under "nursing" in each health center.

The CCHP Pediatric Obesity Disease Management program (Go! Club) is tracking patients aged 2-11 years with BMI greater than or equal to 95% and sending them a goal setting survey, calling them if they are interested in receiving a call from a disease management nurse and sending them low literacy patient education materials quarterly, including information on programs and resources available for their children. We will soon be providing feedback to you and your health home team in order to help you identify patients that may need more intensive follow up and/or referrals.


 * Dietician** is another option, however they do not cover physical activity and screen time.

Finally, if you work in a clinic with the **group appointments for pediatric obesity** and your patient is Spanish speaking, you might consider referring to We Can, the newest name of this program (previously called Active and Healthy Families). Just a warning though, this has a very long wait list so you should consider adding this to the patient education referral, not ordering it instead of the patient education or dietician referral.

The **laboratory tests** listed on the pediatric obesity panel are generally done every two years starting at age 10.

Please let me know if you have any questions or further suggestions or concerns.

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