powerpoint to complete dnp 806

1. A PROGRAM TO PROVIDE
TREATMENT FOR
CHILDHOOD OVERWEIGHT
AND OBESITY
By Kimberly Deppe
Northern Kentucky University
DNP 806
July 2013

2. INTRODUCTION—THE WHY?

3. INTRODUCTION:
 Epidemic
 Co-morbidities
 Treatment
 Future

4. GOAL 1
Develop a partnership with the
local healthcare providers,
functioning as a resource for
the healthcare providers and
their clients related to
childhood overweight and
obesity

5. OBJECTIVES:
 1.a. Increase the number of children and youth
screened during routine physical assessment for
overweight and obesity and related chronic disease risk
factors using nationally established guidelines for
screening and referral as evidenced in health history,
assessment and diagnosis in the EMR for the child
 1.b. Engage local practices in routinely discussing
obesity prevention/reduction with children and their
parents, including the availability of local resources as
evidenced in plan of care of EMR
 1.c. Publicize resources in the medical office as
evidence by brochures on display

6. GOAL 2
To decrease the prevalence
of childhood overweight and
obesity in our community as
evidenced by decrease in
number of reported cases

7. OBJECTIVES:
 2.a. To increase the access to and use of environments
that support healthful eating, physical activity and
prevention of childhood overweight and obesity in our
community as evidenced by resources being available
and inviting.
 2.b. To educate healthcare providers about nutrition,
healthy weight and their role in counseling patients with
obesity and overweight along with related chronic
diseases as evidenced by education offered and
attended.
 2.c. To establish a support network of accessible,
family-based and culturally relevant interdisciplinary
weight management services for overweight children
and youth as evidenced by the creation of this service

8. METHODS OF DELIVERY
 In service education will be provided to all providers
 Formal class available over lunch hour
 STRENGTHS: Time commitment convenient, interaction with peers for discussion
 WEAKNESS: time commitment outside office, providers view as insignificant health problem
 On-line PowerPoint presentation available
 STRENGTHS: ease of use and available for repeat reviews
 WEAKNESS: time commitment outside office, providers view as insignificant health problem

9. DELIVERY (CONT.):
 Development of a service available to patients
through healthcare provider or self-referral
 Partner with local hospital
 STRENGTHS: room available for service, have exercise facility available to community,
have professional expertise available through dietician and therapy services
 WEAKNESS: understanding of ambulatory service billing, view as insignificant problem, not
known to community residents
 Partner with area bariatric center
 STRENGTHS: know the epidemic, expertise, resources, available collaborative physician
 WEAKNESS: goal of bariatric interventions, loose connection to community
 Partner with area healthcare providers
 STRENGTHS: regularly providing service to the overweight and obese children, ease of
identification through EMR
 WEAKNESS: failure to recognize for early intervention, belief the problem cannot be
resolved

10. PROGRAM MATERIALS
 PowerPoint presentation
 Pre-and Post-test of basic knowledge of overweight
and obesity in children
 Quick reference guides for providers for
identification and treatment algorithm and billing
codes
 EMR templates for treatment visits for overweight
and obese children

12. EVALUATION: GOAL-FREE MODEL
 Focus is how the program affects the need
 Evaluation establishes the need for the
program
 Format eliminates bias, discovery of
information format
 Focus is on the client needs and analysis of
program in meeting the needs

13. EVALUATION TOOLS
Tally sheets to collect data
Cost analysis
Patient satisfaction
Provider utilization

14. EVALUATION TOOL
Pt. # Who
referred
DOB Gender Town Payer Cost Payment Services Referrals
out of
clinic
Met goals
Tally sheet

15. PATIENT SATISFACTION SURVEY

16. COST EFFECTIVENESS
Comparison of program cost to
payments collected for services
Evaluation of third party reimburses
Development of a per visit charge to
cover services compared to cost per
visit

17. DATA ANALYSIS
 Qualitative
 Graphs, pie charts, bar charts
 Cost/benefit analysis

18. REFERENCES
 American Heart Association. (2013). Overweight and obesity. Statistical Fact Sheet 2013
 Update. Retrieved from
 http://www.heart.org/idc/groups/heartpublic/@wcm/@sop/@smd/documents/downloadable/ucm_319588
.pdf
 American Public Health Association. (2013). Tackling childhood Obesity: Vision and Guiding
 Principles. Retrieved from
 http://www.apha.org/programs/resources/obesity/tacklingobesity.htm
 CMA Foundation (2008). Child & Adolescent Obesity ProviderToolkit. Retrieved from
 http://www.thecmafoundation.org/projects/ObesityGeneralPDFs/ChildToolkit_Revised%20April%202008.
pdf
 Centers for Disease Control and Prevention. (2013). Overweight and Obesity. Retrieved from
 http://www.cdc.gov/obesity/stateprograms/programGoal.html
 Goldstein, H. (2013). Become a child health advocate for obesity prevention in California.
 Medscape Family Medicine Education. Retrieved from
 http://www.medscape.org/viewarticle/806855?src=wnl_cme_revw
 Harris, J. L., Roussel, L., Walters, S. E., & Dearman, C. (2011). Project Planning and
 Management: A Guide for CNLs, DNPs, and Nurse Executives. Sudbury, MA: Jones &
 Bartlett Learning.
 Hirsch, L., & Gandolf, S. (2013). SWOT: The high-level self exam that boosts your bottom
 line. Retrieved from http://www.healthcaresuccess.com/articles/swot.html



19. REFERENCES (CONT):
 Health Service Executive. (2012). Training Programme For Public Health Nurses And Doctors
 In Childhealth. Screening, Surveillance, And Health Promotion. Retrieved from
 http://lenus.ie/hse/handle/10147/110557
 Iowa Department of Public Health. (2013). Iowans Fit for Life: Active and Eating Smart.
 Retrieved from
 http://www.state.ia.us/iowansfitforlife/docs/Chapter_2_Goals_Objective_and_Strategiesk.pdf
 Kaufman, F. (2013). A focus on childhood obesity in California. Medscape Family Medicine
 Education. Retrieved from http://www.medscape.org/viewarticle/806794_transcript_3
 Lewis, L. B. (2009). Evaluation. Retrieved from
 http://edtech2.boisestate.edu/lewisl/edtech505/what_evaluation.html
 New York State Department of Health. (2013). Strategic Plan for Overweight and Obesity
 Prevention. Retrieved from
 http://www.health.ny.gov/prevention/obesity/strategic_plan/goals.htm
 Wakeman, S. (2013). Program Evaluation. Retrieved from
 coedpages.uncc.edu/slwakema/secureRSCH6101/SPED... · PPT file

21. To find humor is to understand