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Health Center

Q&A/Feedback

Action Items

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

  • Letter from NACHC for Colorado
  • How to structure into implementation guide resources

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

Recording

Slides

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