Initial steps for quality improvement of obesity care across divisions at a tertiary care pediatric hospital

Sheila Z. Chang, Daniel R. Beacher, Soyang Kwon, Megan A. McCarville, Helen J. Binns, Adolfo J. Ariza*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review


Background: Pediatric subspecialists can participate in the care of obese children. Objective: To describe steps to help subspecialty providers initiate quality improvement efforts in obesity care. Methods: An anonymous patient data download, provider surveys and interviews assessed subspecialty providers’ identification and perspectives of childhood obesity and gathered information on perceived roles and care strategies. Participating divisions received summary analyses of quantitative and qualitative data and met with study leaders to develop visions for division/service-specific care improvement. Results: Among 13 divisions/services, subspecialists’ perceived role varied by specialty; many expressed the need for cross-collaboration. All survey informants agreed that identification was the first step, and expressed interest in obtaining additional resources to improve care. Conclusions: Subspecialists were interested in improving the quality and coordination of obesity care for patients across our tertiary care setting. Developing quality improvement projects to achieve greater pediatric obesity care goals starts with engagement of providers toward better identifying and managing childhood obesity.

Original languageEnglish (US)
Pages (from-to)9680-9693
Number of pages14
JournalInternational journal of environmental research and public health
Issue number9
StatePublished - Sep 17 2014


  • Obesity identification
  • Obesity management
  • Pediatric subspecialty

ASJC Scopus subject areas

  • Pollution
  • Public Health, Environmental and Occupational Health
  • Health, Toxicology and Mutagenesis


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