"COMMIT" Must Haves

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
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
PWMI implementations
1. menu of PWMI options (e.g., Bright Bodies, FBT, etc)
2. supported by Learning Communities
3. measurement of implementation & outcomes
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

Prevention →	→ Treatment
Early child nutrition curriculum (AAP)	Medications
EHR supports	PWMIs
Growth charts	Subspecialty care
SDoH screening & referrals	Surgical Weight Loss
Community linkages with WIC, SNAP, Head Start, etc
Motivational Interviewing
CPG

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