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

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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


1
Responding to Missouris Childhood Obesity
Epidemic
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.
2
Children and Obesity National
  • Childhood obesity is a national public health
    crisis.
  • 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

3
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
www.dhss.mo.gov/Obesity/Childhood.html
4
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
    ral.gov/topics/obesity

5
Physicians Role
  • The Institute of Medicine notes that physicians
    are vital in diagnosing and treating childhood
    obesity.
  • But there are barriers...

6
Communication Shortfall
  • U.S. Maternal and Child Health Bureau Study
  • communication shortfall between physicians and
    families create barriers to addressing childhood
    obesity.
  • recommends use of practical office aids to talk
    with parents and patients

7
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
    problems.

8
Accessing Information
  • We wanted to help.

9
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
    Pediatrics
  • Missouri Academy of Family Physicians
  • Missouri Association of Osteopathic Physicians
    and Surgeons
  • Missouri Nurses Association
  • Collaborated to offer...

10
Healthy Habits for Healthy Kids
11
Tools for the Physician
  • Physicians Reference Tool

12
Healthy Habits Tools
  • Physicians Reference Tool offers information
    about
  • 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!

13
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.

14
Tools to Share with Parents
  • Healthy Habits for Healthy Kids

In English...
Or Spanish...
And available online!
15
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.

16
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
    calculate
  • BMIs and screen for obesity

17
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

18
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
    prevention
  • Requires hands-on professional development and
    performance evaluation

19
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

20
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

21
Pilot School Wellness Program
  • IAHs Healthy School Solutions Model Wellness
    program
  • 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

22
Pilot School Wellness Program
  • School district collaboration
  • Affton
  • Columbia
  • Jefferson City
  • Perryville
  • Springfield
  • All materials and on-site training included
  • Program assessment

23
Pilot School Wellness Program
Program Components
24
Pilot School Wellness Program
Students enjoy creating their own WAY journals
25
Pilot School Wellness Program
  • Initial feed-back from teachers and students
    has been positive

26
Missouri Council for Activity and Nutrition
  • Missouri Council for Activity and Nutrition
    (MoCAN)
  • 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.

27
Missouri Council for Activity and Nutrition
  • Strategy
  • Enhance prevention, treatment, management of
    weight through improved knowledge, skills and
    resources
  • Task
  • Create practical, easy to use resource health
    care professionals will embrace and use

28
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

29
Together
  • It is the responsibility of all of us to make
    a difference in the health and well-being of
    Missouris children.
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