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Pediatric Weight Management Paradigm Shift (draft 9-20-21) Confidential

2021.docxheight400-2022

CDC: Must Haves

1. 1. Development of a "paradigm" for pediatric obesity prevention & treatment in FQHCs
      1. drawn as much as possible from the evidence-base and existing resources
      2. including a care cascade
      3. including linkage with community resources available to support children and families in chronic-disease prevention & treatment 
   2. Learning Communities
      1. to support FQHCs in adoption of the pediatric obesity care paradigm
      2. FQHCs in various stages of pre-implementation and implementation 
      3. new + legacy FQHCs
      4. including: 1) a obesity clinical care quality improvement curriculum supported by SMEs (and recycled/reused/adopted from elsewhere, e.g., AAP, as opposed to build new), and 2) FQHC quality improvement & systems change SMEs & supports 
      5. measurement of implementation & outcomes
   3. PWMI implementations (Suggest virtual showcase in June)
      1. menu of PWMI options (e.g., Bright Bodies, FBT, etc) 
      2. supported by Learning Communities
      3. measurement of implementation & outcomes
   4. Clinical quality measure development & testing
      1. Draft composite clinical quality measure 
      2. CQM tested in FQHCs (ideally 1 or more of those participating in Learning Communities) and iteratively refined
      3. Engagement with national clinical quality measure groups/experts to inform process to ballot/approve/endorse measure & preparation for CMS engagement re: addition of measure to Medicaid Child Core measures set

Guiding Principles:

• Supported by clinical evidence
• Family centric
• Measures support the clinical evidence, innovation, and interventions
• Build on lessons learned from CORD, AAP, MEND, etc
• Build on primary care models and interventions from prevention to chronic disease
• Apply social and commercial drivers of health to evidence and interventions
• Use implementation science to sustainability (RE-AIM model? VTF?)
• Establish partners for scale and spread (Federal + others)

New Paradigm

Image Added

New Implementation Strategy to meet CDC Wins Learning Communities

Goal:

Measures

New NQF Measure

Goal

Outcome

Timeline

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