STOP Obesity Alliance: Fostering Change in Society’s Perceptions of, and Approaches to Preventing and Treating Obesity Christine Ferguson Director, STOP Obesity Alliance George Washington University School of Public Health and Health - PowerPoint PPT Presentation

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STOP Obesity Alliance: Fostering Change in Society’s Perceptions of, and Approaches to Preventing and Treating Obesity Christine Ferguson Director, STOP Obesity Alliance George Washington University School of Public Health and Health

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Title: STOP Obesity Alliance: Fostering Change in Society’s Perceptions of, and Approaches to Preventing and Treating Obesity Christine Ferguson Director, STOP Obesity Alliance George Washington University School of Public Health and Health


1
STOP Obesity Alliance Fostering Change in
Societys Perceptions of, and Approaches to
Preventing and Treating ObesityChristine
Ferguson Director, STOP Obesity AllianceGeorge
Washington University School of Public Health
and Health ServicesDepartment of Health Policy
2
About the STOP Obesity Alliance
  • The Complex Obesity and Policy Landscape
  • STOP Obesity Alliance Structure
  • Mission and Activities

3
Obesity The Costs to Health, Productivity and
Society are High
Total obesity-attributable expenditures in 2003
were 75 Billion Medical costs for obese people
were 37 percent higher than those of normal
weighta difference of about 1,000 per person
(2001) Increased prevalence of obesity between
1987 and 2001 accounted for 12 percent of the
overall growth in real medical spending In
Medicare, the share of spending attributable to
obese enrollees increased from about 9 percent in
1987 to about 25 percent in 2002
4
Individuals and Institutions are Searching for
Help
I'm glad scientists apparently have at last come
to the conclusion that obesity is caused by
genetic disposition. While it's obvious that
people become overweight because they overeat, it
should be just as obvious that they wouldn't
overeat if they could help it. - Paul
Obesity and its related health conditions hurt
the health and well being of the current
workforce. Additionally, the significant
increased prevalence of obesity among children
and adolescents covered as dependents
forebodes an even greater problem large employers
will confront with the future workforce.
5
So, Why Arent We Making Progress?
Who is in a position to make a difference? What
could they do? What is standing in their way?
6
Limited Public Health Dollars to Spend on Many
Needs Which are Prioritized?
Why not the
7
Employers Must Choose Which Benefits and Services
They will Cover
Services for the overweight and obese employees
What is standing in the way?
8

9
The STOP Obesity Alliance in Action
CommunicationsAdvisory Group
Steering Committee Lead Organizations Focused on
Reducing CVD, Diabetes and Obesity
STRUCTURE
Health Insurers
Medical Providers
Labor Unions
Employers
Consumers/Patients
Quality of Care Orgs
Government
Redefining Success
InnovationsandInterventions
Attitudes andApproaches
Research
TASK FORCES
10
Aligning Stakeholders to Create Change
Insurers
Providers
Quality
Patients/Consumers
Business Labor
Government
11
Consensus-Driven Process to Identify Purpose and
Projects
  • STOP Obesity Alliance Purpose Statement
  • The Strategies to Overcome and Prevent (STOP)
    Obesity Alliance is a collaboration of consumer,
    provider, business, labor, health insurance and
    quality organizations united to drive innovative
    and practical strategies that combat obesity.
  • The Alliances goal is to help reverse Americas
    rising trend in obesity and related conditions
    such as diabetes, heart disease, and certain
    cancers by
  • Identifying and breaking down cultural and
    systemic biases around obesity
  • Re-defining success as sustained weight loss
    based on health rather than only by societal
    norms
  • Highlighting research-based initiatives and
    technologies to improve prevention and care and
  • Identifying, recommending and promoting
    innovations in community, employer, and health
    care delivery and financing systems.
  • The STOP Obesity Alliance will foster change in
    societys perceptions of, and approaches to,
    preventing and treating obesity in the context of
    the real-world environment in which we live.

12
Foundational Policy Recommendations

Encouraging Innovation and Best Practices
The Alliance recommends innovative approaches for
obesity treatment, intervention and disease
management for patients who have been
unsuccessful with traditional nutrition and
exercise only programs.
13
Redefining Success
  • There is no shared, evidence-based definition of
    what constitutes successful weight loss, leaving
    the field open to interpretation.
  • A growing body of evidence suggests that losing
    between five to 10 percent of current weight
    leads to major health improvements, including
    decreasing risks for diabetes and heart disease.

The Alliance recommends promoting the use of a
sustained loss of five to 10 percent of current
weight as a key measure to judge the
effectiveness of weight-reduction interventions.
14
Encouraging Innovation and Best Practices
  • Currently, individual programs rarely leverage
    possible best practice models that combine
    multiple interventions, such as diet, exercise,
    medication, and behavioral treatment.
  • Aggressively explore multifactorial interventions
    for those whose condition has not been
    successfully addressed solely by nutrition and
    physical activity and for whom bariatric surgery
    is not an option.

The Alliance recommends innovative approaches
for obesity treatment, intervention, and disease
management for patients who have been
unsuccessful with traditional nutrition and
exercise only programs.
15
Addressing and Reducing Stigma as a Barrier to
Obesity Treatment
  • There are broader societal barriers to weight
    loss and promotes programs that go beyond
    recognizing the single role of personal
    responsibility.
  • No evidence suggests that stigmatizing overweight
    and obese individuals is a motivator for losing
    weight.
  • Cultivate a positive environment by promoting
    awareness and open discussion among health
    professionals, opinion leaders, role models and
    the public of the harmful impact of stigmatizing
    people with overweight and obesity.
  • Promote interventions that provide support for
    sustained weight loss and go beyond recognizing
    the role of personal responsibility.

The Alliance recommends that healthcare
professionals, government and private entities
address the issue in a way that promotes open
discussion rather than isolating those who are
affected.

16

Broadening the Research Agenda
  • Healthcare decision makers need reliable
    information to assess the relative value of
    preventing and reducing obesity.
  • Encourage an interdisciplinary research
    environment that addresses the obesity epidemic
    as a result of a complex interplay of biological,
    genetic, behavioral, cultural, environmental,
    social, policy and economic factors.

The Alliance recommends a broadened research
agenda that examines all important contributors
to the obesity epidemic and how they interact
with each other, as well as applied research to
address the immediate needs of payers, providers,
individuals and others on the front lines.
17
2008 Result Highlights to Date
  • Advocacy
  • Released consensus policy recommendations that
    serve as the strategic imperatives for 2008
  • Hosted Hill briefing featuring SEIU Healthcares
    Chair, Dennis Rivera and NBGHs Vice President,
    LuAnn Heinen
  • Sent letter to Senate Finance Committee leaders
    signed by Dr. Carmona and Director Christine
    Ferguson regarding public financing of obesity
    and overweight interventions consulting on
    language for demonstration
  • Sent comments to NCQA on new proposed HEDIS
    measures
  • Commissioned and released workplace survey that
    focused on attitudes of employees and employers
    and demonstrated common desire to address obesity
    in the workplace
  • Presentations to advocacy organizations such as
    DMAAs Obesity Steering Committee meeting,
    National Association of Public Hospitals and
    Health Systems and AMGAs annual conference
  • Media
  • News of the Alliance has run in over 105 outlets
    with about 140 separate articles and press
    release pick-ups, a total reach of 228.8 million.
  • Placements include Today Show, Christian Science
    Monitor, NPR, Cox News Service, ABC Radio, DCs
    NewsChannel 8, D.C. Express, Obesity Policy
    Report, FOX Business Channel, HealthLeaders
    Media, GWU Medical Center News site, Medical
    Center Communication and Marketing, Inside GWUMC,
    CQs HealthBeat, Scripps Howard, The Hill, The
    Washington Post, APHAs The Nations Health,
    Revolution Health and bylined articles in AMGA
    and AAMC publications
  • Leadership and Steering Committee Relations
  • Hosted monthly Steering Committee meetings
    conducted research on stigma of obesity,
    definitions of success and futility of treatment
    created Alliance purpose and identified projects
    to support and discussed policy recommendations
  • Facilitated partnership between Steering
    Committee members, DMAA SEIU, that helped
    generate a potential pilot program to demonstrate
    the effectiveness of new obesity benefit design
    using SEIUs employees.

18
STOP Obesity Alliance Fostering Change in
Societys Perceptions of, and Approaches to
Preventing and Treating ObesityChristine
Ferguson Director, STOP Obesity AllianceGeorge
Washington University School of Public Health
and Health ServicesDepartment of Health Policy
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