2021-09-15 Weekly

"COMMIT" Must Haves

1. Development of a "paradigm" for pediatric obesity prevention & treatment in FQHCs
2. 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 
3. 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
4. PWMI implementations 
   1. menu of PWMI options (e.g., Bright Bodies, FBT, etc) 
   2. supported by Learning Communities
   3. measurement of implementation & outcomes
5. 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

Resource:  MMWR Weekly - September 17 2021.pdf