Table 3 Preferred Options for Obesity Management in the Electronic Medical Record (EMR)
From: Provider views on childhood obesity management in primary care settings: a mixed methods analysis
% of providers | ||
|---|---|---|
Options to help providers identify the child’s weight status | - Highlight BMI in the progress note if child is overweight/obese | 73.0% |
- Implement an alert system | 48.7% | |
- Add it to the title bar | 27.0% | |
- Make it a “hard stop” if it is not on the problem list | 10.8% | |
Options in an obesity smart set | - What labs to order | 94.1% |
- Nutrition and physical activity assessments | 92.5% | |
- Diagnosis codes | 91.2% | |
- Templated progress note | 85.3% | |
- Standardized handouts | 85.3% | |
- Information regarding community resources | 82.6% | |
- Referral links | 79.4% | |
- Readiness to change questions | 76.5% | |
- Behavioral management toolkit | 61.8% | |
Handouts or resources available in the EMR | - Portion size recommendations for each age group | 97.4% |
- Physical activity suggestions | 92.3% | |
- Grocery list of suggested healthy food items | 89.7% | |
- Food diary templates | 84.6% | |
- Links to appropriate websites | 84.6% | |
- List of effective behavioral strategies | 79.5% | |
- List of local community resources for nutrition, physical activity, and weight loss | 66.7% | |
- Reward charts | 56.4% | |
Methods of administering questionnaires in the office | - Medical assistant provides questionnaire to parent to complete during the visit | 70% |
- Physician gives family questionnaire to complete and return with the weight-check follow-up visit | 67.5% | |
- Provide questionnaire via ‘MyChart’ (EMR web portal) | 50% | |
Assistance with follow-up appointments | - A tool to help identify and send out follow-up reminders | 67.5% |
- A separate smart set for follow-up weight check appointments | 83.9% | |
Method of learning about community resources for obesity management | - Link in EMR | 87.8% |
53.7% | ||
- Personal meeting with community representative | 41.5% | |
- Webinar | 29.3% |