Anthem Blue Cross and Blue Shield is the trade name RightCHOICE Managed Care, Inc' RIT, Healthy Alli - PowerPoint PPT Presentation


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Anthem Blue Cross and Blue Shield is the trade name RightCHOICE Managed Care, Inc' RIT, Healthy Alli


Responding to Missouri's Childhood Obesity Epidemic. Sharon C. Hoffarth, MD, MPH, FACPM. Childhood obesity is a national. public health crisis. ... – PowerPoint PPT presentation

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Title: Anthem Blue Cross and Blue Shield is the trade name RightCHOICE Managed Care, Inc' RIT, Healthy Alli

Responding to Missouris Childhood Obesity
Sharon C. Hoffarth, MD, MPH, FACPM
Anthem Blue Cross and Blue Shield is the trade
name RightCHOICE Managed Care, Inc. (RIT) ,
Healthy Alliance Life Insurance Company (HALIC)
and HMO Missouri, Inc. use to do business in most
of Missouri. RIT and certain affiliates
administer non-HMO benefits underwritten by HALIC
and HMO benefits underwritten by HMO Missouri,
Inc. RIT and certain affiliates only provide
administrative services for self-funded plans and
do not underwrite benefits. RIT, HMO Missouri,
Inc. and HALIC are independent licensees of the
Blue Cross and Blue Shield Association.
Children and Obesity National
  • Childhood obesity is a national public health
  • The number of overweight children has doubled in
    the last 2 decades.
  • 2004 - 17.1 of all children in our nation were
    overweight vs. 13.9 in 2000.1
  • 1. Ogden CL, Carroll MD, Curtin LR, et. al.
    Prevalence of Overweight
  • and Obesity in the Unites States,
    1999-2004. JAMA. 20062951549-1555

Children and Obesity Missouri
  • 18.6 percent of Missouri adolescents are
    overweight. The national average is 14 percent.
  • 39.4 percent of Missouri students in a
    nutritional screening are either at risk for
    overweight or actually overweight.2

2. MO Dept. of Health and Senior Services data
collection. Available online at
Domino Effect
  • An overweight adolescent has a 70 percent chance
    of becoming and remaining an overweight adult.3
  • Overweight adults are at greater risk for
  • Heart disease Asthma
  • Diabetes Arthritis
  • Hypertension Certain cancers
  • Premature death
  • 3. The Surgeon Generals Call to Action to
    Prevent and Decrease Overweight and
  • Obesity 2001. Forward from the Surgeon General,
    U.S. Department of health and Human
  • Services. Available online http//www.surgeongene

Physicians Role
  • The Institute of Medicine notes that physicians
    are vital in diagnosing and treating childhood
  • But there are barriers...

Communication Shortfall
  • U.S. Maternal and Child Health Bureau Study
  • communication shortfall between physicians and
    families create barriers to addressing childhood
  • recommends use of practical office aids to talk
    with parents and patients

Lack of Access to Information
  • Most physicians and families do not have access
    to tools and guidelines for identifying children
    at risk or who are struggling with weight

Accessing Information
  • We wanted to help.

Unprecedented Collaboration
  • Blue Cross Blue Shield of Missouri Foundation
  • Missouri Department of Health and Senior Services
  • Missouri State Medical Association
  • Missouri Chapter of the American Academy of
  • Missouri Academy of Family Physicians
  • Missouri Association of Osteopathic Physicians
    and Surgeons
  • Missouri Nurses Association
  • Collaborated to offer...

Healthy Habits for Healthy Kids
Tools for the Physician
  • Physicians Reference Tool

Healthy Habits Tools
  • Physicians Reference Tool offers information
  • Prevention strategies
  • Counseling and motivating families to change
  • Decision Trees/Weight Management Strategies
  • Assessment guidelines and growth charts
  • Resources
  • and it fits in a lab coat pocket!

Healthy Habits Tools
  • Body Mass Index (BMI) Wheel
  • Body mass index (BMI) is a measurement based on
    height and weight as it relates to body fat.

Tools to Share with Parents
  • Healthy Habits for Healthy Kids

In English...
Or Spanish...
And available online!
Tools to Share with Parents
Healthy Habits for Healthy Kids
  • Parents Learn
  • Where to start with their family physician.
  • How to help children set realistic goals.
  • How to talk with their families about nutrition
    and the physical activity.

Satisfaction Survey
  • Survey Results
  • 2.6 response rate (210 out of
  • 7700 practitioners)
  • 93 indicated they intend to use the materials
  • Only 30.5 currently monitor BMIs however
  • 95 thought the BMI wheel will make it easier to
  • BMIs and screen for obesity

Expand the Initiative Reaching Kids at School
  • Question How do we get the message directly to
    school-aged kids?
  • Answer Involve/engage kids on a daily basis

Pilot School Wellness Program
  • House Bill 568 Protection of Children
  • Mandates selected school districts to establish a
    Model School Wellness Program
  • Encourages healthy lifestyles including
    nutrition, physical activity and tobacco
  • Requires hands-on professional development and
    performance evaluation

Pilot School Wellness Program
  • Institute for Americas Health (IAH) received
    funding from Blue Cross Blue Shield of Missouri
    Foundation to implement Model Wellness Programs
  • IAH I is a 501c3 organization
  • Mission to enhance health of Americas youth
    through research and education
  • Multidisciplinary, multi-media, interesting,
    intelligent and FUN

Pilot School Wellness Program
  • Funding is being used to
  • implement wellness programs across Missouri
  • 550,000 over a three year period
  • distribute Healthy Habits for Health Kids guides
    (6,000 copies, to date)
  • Saint Louis University Center for Outcomes
    Research will evaluate the program

Pilot School Wellness Program
  • IAHs Healthy School Solutions Model Wellness
  • Pilot program consistent with the Governors goal
    of public-private partnerships to address
    childhood obesity
  • Standardsbased interventions
  • Wellness, Academics and You (WAY)
  • Grades K-5
  • Science, Tobacco and You (STY)
  • Grades 4-5

Pilot School Wellness Program
  • School district collaboration
  • Affton
  • Columbia
  • Jefferson City
  • Perryville
  • Springfield
  • All materials and on-site training included
  • Program assessment

Pilot School Wellness Program
Program Components
Pilot School Wellness Program
Students enjoy creating their own WAY journals
Pilot School Wellness Program
  • Initial feed-back from teachers and students
    has been positive

Missouri Council for Activity and Nutrition
  • Missouri Council for Activity and Nutrition
  • Objective develop comprehensive plan to address
    overweight and obesity in Missouri through
    broad-based public/private partners
  • Mission document economic impact and health
    implications, provide evidence-based
    recommendations for use by employers, schools,
    insurers, families, etc.

Missouri Council for Activity and Nutrition
  • Strategy
  • Enhance prevention, treatment, management of
    weight through improved knowledge, skills and
  • Task
  • Create practical, easy to use resource health
    care professionals will embrace and use

MoCAN Toolkit for Healthcare Professionals
  • Result Healthcare Toolkit
  • Encourage health care professionals to obtain
    and use BMI calculations
  • Summarize and provide best practice
    recommendations related to obesity
  • Screening/Assessment
  • Treatment
  • Additional resources
  • Separate kits target child/adolescent obesity and
    adult obesity

  • It is the responsibility of all of us to make
    a difference in the health and well-being of
    Missouris children.