March 15th Legacy Team Call

El Rio

Program update:

22 kids

3 peds doing jumpstart

• carefully choose your provider champions - needed support on their own

• report back to pediatricians reporting

• pulling from EHR get organized in order to justify program

• peds are desperate from program - not a hard sell just need to show impact through numbers/reporting

• already had fitness staff, wellness staff and dietitian, infrastructure already set up and sustainable

• importance of trauma informed training

• separate old and young kids in different cohorts

• time consuming - numerous touch points, one on ones etc

• wish for follow up/reunion - track progress, where are they now

• COVID limitations

• Spanish to English translation - language and custom awareness (importance of knowing your areas culture and amount of time it takes to prepare, find the right staff etc)

• Parent guilt over child high BMI

• More information on the emotional labor of the program and the SDOH implications that are brought into the program

MS

What do you wish you had known

• more prep time

• more help than you think (especially in the beginning)

• start with smaller cohort (although over recruiting)

• don't be disappointed with a small cohort (most rewarding and teach them the most)

• don't need as much stuff as you think (mend recommends a lot) can still achieve a lot with very little

• how difficult to engage families (especially parents)

• keep providers engaged for referrals and them seeing the benefit of the program (if not direct benefit to them they struggle to see the overall benefits)

• educational program not a fat camp/immediate weight loss

• parents and kids self focused - defensive at times - sensitive on how to introduce information - take provider hat off and put on human to human hat to not be off putting

• importance of admin buy in (no upfront benefits - need to convince them)

• Teach basics on making nutrition choices (labels, buying the right foods etc.) - no magical solution - manage expectations

• our Hispanic population are usually new to the US and come here for farm work or factory work. - People should not assume that just because speaks Spanish (o any language) it doesn't mean that they can read that language. - Some of our Hispanic patients are actually Natives and Spanish is their second language

Borinquen

• provider pushback - what's the point for labs on kids if no meds - close minded (older providers)

• need time to implement - engage organization early in order to ensure buy in

Denver Health

• Implement innovation sooner

• providers overwhelmed - referrals (limited bandwidth) not turn over to other provider