Core functions (purposes) | Core forms (activities) |
---|---|
Identify children ages 2–12 years with elevated BMI during primary care visits | Flag in electronic health record indicating elevated BMI based on height and weight for that day’s visit Adaptations: BMI based on height and weight recorded at a visit from previous 3 months |
Guide primary care management of children with elevated BMI | Clinical decision support tools in electronic health record containing diagnosis codes, laboratory orders, referrals, and family educational materials Adaptations: To assist with efficient workflow, added functionality indicating when an order was last placed |
Support parental self-guided family behavior change focusing on sleep; screen time; physical activity; healthy drinks; balanced nutrition plan; stress, bullying and self-care | Family educational, one-page handouts printed during well-child visits or included in the after-visit summary Text-messaging program for parents Adaptations: Family educational handouts available to be delivered via patient portal; family behavior change messages developed into brief, family-friendly video; video created to prepare families for in-person and telehealth visits focused on behavior change |
Connect families to resources to support behavior change and address social needs | Community resource guide printed or on the website Text-messaging program for parents Adaptations: Developed one-page handout about stressful times that included resources pandemic-specific resources delivered via patient portal and website; developed one-page handout with a curated list of websites/social media delivered via patient portal and website |
Provide clinician education and training in best practices for pediatric weight management | Virtual learning community for clinicians Clinician training sessions and technical assistance led by clinician champion and practice coach in-person Adaptations: Training sessions and technical assistance offered virtually; developed handout for clinicians regarding best practices for virtual pediatric weight management |