TY - JOUR
T1 - Building Successful Models in Primary Care to Improve the Management of Adult Patients with Obesity
AU - Casanova, Danielle
AU - Kushner, Robert F.
AU - Ciemins, Elizabeth L.
AU - Smolarz, B. Gabriel
AU - Chambers, Earlean
AU - Leaver-Schmidt, Erin
AU - Kennedy, John
AU - Garvey, W. Timothy
N1 - Funding Information:
Ms. Casanova, Dr. Ciemins, Ms. Chambers, Ms. Leaver-Schmidt, and Dr. Kennedy are employees of the American Medical Group Association. Dr. Kushner is a member of the medical advisory board for Novo Nordisk, Inc., and has received research grants from Novo Nordisk, Inc. Dr. Smolarz is an employee and stockholder of Novo Nordisk, Inc. Dr. Garvey serves as principal investigator for clinical trials sponsored by the University of Alabama at Birmingham and funded by Lexicon Pharmaceuticals, Novo Nordisk, Inc., and Pfizer; and is a consultant to Boehringer Ingelheim, BOYDSense, Jazz Pharmaceuticals, Novo Nordisk, Inc., and the Milken Institute.
Funding Information:
This collaborative was funded by Novo Nordisk, Inc. The authors received writing/editorial support provided by Patricia Fonseca, PhD, of Excerpta Medica, funded by Novo Nordisk, Inc.
Publisher Copyright:
© Danielle Casanova et al., 2021; Published by Mary Ann Liebert, Inc. 2021.
PY - 2021/10
Y1 - 2021/10
N2 - Although several obesity clinical practice guidelines are available and relevant for primary care, a practical and effective medical model for treating obesity is necessary. The aim of this study was to develop and implement a holistic population health-based framework with components to support primary care-based obesity management in US health care organizations. The Obesity Care Model Collaborative (OCMC) was conducted with guidance and expertise of an advisory committee, which selected participating health care organizations based on prespecified criteria. A committee comprising obesity and quality improvement specialists and representatives from each organization developed and refined the obesity care framework for testing and implementing guideline-based practical interventions targeting obesity. These interventions were tracked over time, from an established baseline to 18 months post implementation. Ten geographically diverse organizations, treating patients with diverse demographics, insurance coverage, and health status, participated in the collaborative. The key interventions identified for managing obesity in primary care were applicable across the 4 OCMC framework domains: community, health care organization, care team, and patient/family. Care model components were developed within each domain to guide the primary care of obesity based on each organization's structure, resources, and culture. Key interventions included development of quality monitoring systems, training of leadership and staff, identifying clinical champions, patient education, electronic health record best practice alerts, and establishment of community partnerships, including the identification of external resources. This article describes the interventions developed based on the framework, with a focus on implementation of the model and lessons learned.
AB - Although several obesity clinical practice guidelines are available and relevant for primary care, a practical and effective medical model for treating obesity is necessary. The aim of this study was to develop and implement a holistic population health-based framework with components to support primary care-based obesity management in US health care organizations. The Obesity Care Model Collaborative (OCMC) was conducted with guidance and expertise of an advisory committee, which selected participating health care organizations based on prespecified criteria. A committee comprising obesity and quality improvement specialists and representatives from each organization developed and refined the obesity care framework for testing and implementing guideline-based practical interventions targeting obesity. These interventions were tracked over time, from an established baseline to 18 months post implementation. Ten geographically diverse organizations, treating patients with diverse demographics, insurance coverage, and health status, participated in the collaborative. The key interventions identified for managing obesity in primary care were applicable across the 4 OCMC framework domains: community, health care organization, care team, and patient/family. Care model components were developed within each domain to guide the primary care of obesity based on each organization's structure, resources, and culture. Key interventions included development of quality monitoring systems, training of leadership and staff, identifying clinical champions, patient education, electronic health record best practice alerts, and establishment of community partnerships, including the identification of external resources. This article describes the interventions developed based on the framework, with a focus on implementation of the model and lessons learned.
KW - adult
KW - obesity
KW - obesity management
KW - population health
KW - primary health care
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U2 - 10.1089/pop.2020.0340
DO - 10.1089/pop.2020.0340
M3 - Article
C2 - 33784483
AN - SCOPUS:85118242155
SN - 1942-7891
VL - 24
SP - 548
EP - 559
JO - Population Health Management
JF - Population Health Management
IS - 5
ER -