Health Care Providers

Health Care Providers

Welcome pediatricians and health care providers.  We hope you find the support and tools you need here to deal with the challenging topic of childhood obesity.

As you know, the most important time to start educating your families is when children are in their infant/toddler stages in setting good eating habits. As they work into toddler years and beyond, incorporating active play is necessary for a life of health and well-being.

The Arizona Chapter of the Academy of Pediatrics and its Obesity Committee, comprised of clinician members from diverse settings and specialties, created and distributed the 5-2-1-0 AZ Way To Go! Obesity Prevention toolbox in English and Spanish in 2009. It is (was) also distributed to health professionals nationwide. The toolbox provides clinicians and school nurses creative ways to collaborate with and support families and the community to enjoy healthier lifestyles.

Get Fit AZ Kids and this web site are the most recent initiatives from the Obesity Committee. We hope this website serves as a valuable resource to clinicians, families, school nurses and anyone else seeking to help get Arizona Kids Fit and Healthy.

Find toolkit items. (links to the lists below)

Resources for Clinicians. (links to the lists below)

Toolkit items for Health care providers  (from above link)

Toolkit elements (updated resources from current 5-2-1-0 toolkit – this is brief listing that can be linked to the info, or as done in an alternative fashion with a short description.)

AzAAP White Paper: Recommendations for Childhood Obesity Prevention, Assessment and Treatment

Coding Document

Healthy Lifestyle Screening Tool

Prescription Pad

CDC Growth Charts

5-2-1-0 Poster (English and Spanish)

CDC BMI Calculator

BMI Software for your PDA

Pocket-size Laminate and/or postcards for patients

Laboratory Assessment of Medical Risks of Childhood Obesity

Childhood Obesity Assessment and Treatment Algorithm (includes quick reference)

Childhood Obesity Assessment and Treatment Algorithm

Motivational interview tips

Blood Pressure Charts – Females

Blood Pressure Charts – Males

Effective Communication with Families

Letter to MCOs

School Strategies

Motivational interview example

Lipid Screening and Cardiovascular Health in Childhood

Summary of a new AAP clinical report developed to address lipid screening and cardiovascular health in childhood.

AzAAP White Paper: Recommendations for Childhood Obesity Prevention, Assessment and Treatment (August, 2011)
The AzAAP Obesity Committee created this white paper to assist pediatricians in providing quality care to their patients. It also includes a payment proposal for health plans. You can also read the executive summary here.

NEW to the Toolbox: CODING DOCUMENT (April, 2011)
This document was created by AzAAP Obesity Committee and Pediatric Council volunteers to assist in coding appropriately for obesity assessment and treatment.

Healthy Lifestyle Screening Tool
Parents complete this screening tool in the waiting room to provide clinicians with information from which to base a conversation about nutrition. After reviewing the responses, a clinician may want to proceed into the motivational interview. This is intended to be a data-collection tool.

Prescription Pad
A prescription providers can give to patients emphasizing the 5-2-1-0 message. Space is provided to write additional recommendations for healthy living.
Prints 4 full color prescriptions per sheet.

CDC Growth Charts
In September, 2010 the CDC issued new guidance on the use of growth charts. Clinicians should not calculate BMI percentile for children under 24 months. Instead, plot and assess weight for length utilizing the WHO growth charts for children 0-24 months. For children above 24 months, utilize the CDC growth charts and calculate BMI and BMI percentile.

5-2-1-0 Poster (English)
A full color poster briefly explaining the 5-2-1-0 message. Prints on 8.5×11 paper.

5-2-1-0 Poster (Spanish)
A full color poster briefly explaining the 5-2-1-0 message. Prints on 8.5×11 paper.

CDC BMI Calculator

BMI Software for your PDA

Pocket-size Laminate
A foldable pocket-size laminate which includes: obesity assessment treatment algorithms, motivational interviewing tips, brief explanation of the 5-2-1-0 message, how to calculate BMI, obesity assessment and treatment algorithms, and laboratory assessment information. Prints on 8.5×11 and folds into pocket-size guide.

Laboratory Assessment of Medical Risks of Childhood Obesity
The information on this sheet was included on the pocket-size laminate distributed throughout Arizona. It is from the California Medical Foundation Association Obesity Toolkit.

Childhood Obesity Assessment and Treatment Algorithm (includes quick reference)
The information on this sheet was included on the pocket-size laminate distributed throughout Arizona. It is from the California Medical Foundation Association Obesity Toolkit.

Childhood Obesity Assessment and Treatment Algorithm
The information on this sheet was included on the pocket-size laminate distributed throughout Arizona. It is from the California Medical Foundation Association Obesity Toolkit.

Motivational interview tips
The information on this sheet was included on the pocket-size laminate distributed throughout Arizona. It includes helpful tips on performing a motivational interview, including key questions to ask patients/ parents.

Blood Pressure Charts – Females
From the US Department of Health & Human Services National Heart Lung and Blood Institute

Blood Pressure Charts – Males
From the US Department of Health & Human Services National Heart Lung and Blood Institute

Effective Communication with Families
This handout provides tips on communicating with families. It offers communication techniques, information about behavior change and providing advice. It is from the California Medical Foundation Association Obesity Toolkit.

Letter to MCOs
This is a template letter to send to health plans for appropriate payment of obesity assessment and treatment of services.

Web links for Clinicians
Includes links to various state toolkits, obesity prevention and nutrition programs around the country, and other clinical resources of interest to clinicians and school nurses.

School Strategies
Identified strategies that school nurses could use to implement the 5-2-1-0 message and healthy living into the school setting.

Motivational interview example
Links users to the Children’s Hospital of Wisconsin’s “3…2…1…0… Blast Off to a Healthier Family!” program. First time website visitors will need to register to view the video free of charge.

Lipid Screening and Cardiovascular Health in Childhood
Summary of a new AAP clinical report developed to address lipid screening and cardiovascular health in childhood.

To order your supply of tools, click here:  www.azaap.org

Resources for Health care providers  (from above link)

CDC BMI Calculator: http://apps.nccd.cdc.gov/dnpabmi/Calculator.aspx

Free software for PDA BMI Calculation: www.Statcoder.com

American Academy of Pediatrics (AAP): http://www.aap.org/obesity/index.html

AAP Community Partners: http://www.aap.org/obesity/community_partners.html?technology=2

AAP Clinical Resources: http://www.aap.org/obesity/clinical_resources.html?technology=0

AAP Bright Futures: http://brightfutures.aap.org/

Centers for Disease Control and Prevention (CDC) National Leadership for Obesity Prevention and Control: http://www.cdc.gov/Features/HaltingObesity/

CDC Body Mass Index Measurement in Schools: http://www.cdc.gov/healthyyouth/obesity/bmi/

National Initiative for Children’s Healthcare Quality (NICHQ): http://www.nichq.org/childhood_obesity/index.html

Arizona Department of Health Services Division of Public Health Services Nutrition and Physical Activity

Program: http://www.eatsmartgetactive.org/

Arizona Nutrition Network: www.eatewellbewell.org

Arizona WIC Program: http://www.azwic.gov

California Medical Association Foundation Toolkit: http://www.calmedfoundation.org/projects/pdfs/ChildToolkit_Revised%202%20April%202008.pdf

North Carolina Eat Smart Move More Program: http://www.eatsmartmovemorenc.com/

http://www.eatsmartmovemorenc.com/PediatricObesityTools/PediatricObesityTools.html

Texas Chapter of the AAP Obesity Prevention Toolkit: http://www.txpeds.org/Obesity_Toolkit/

Baylor College of Medicine Children’s Nutrition Research Center: http://www.bcm.edu/cnrc/?PMID=0

Vermont Obesity Prevention Toolkit: http://healthvermont.gov/family/fit/target.aspx#heat

The Glycemic Index: http://www.glycemicindex.com/

Shaping America’s Youth: http://www.shapingamericasyouth.com/Programs.aspx?page=search

Spaces to Play throughout Maricopa County: http://www.spacestoplay.org/

Center for Science in the Public Interest: http://www.cspinet.org/