About the Healthcare Domain:

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Next meeting:

Meetings are held on the first Tuesday of each month from 1:00 - 2:30 p.m. unless otherwise noted.
Community Health Improvement Partners
(9370 Chesapeake Drive, Suite 220, San Diego, CA 92123)


Visit the San Diego County Childhood Obesity Initiative Calendar for a complete schedule of upcoming meetings.

Domain Champions:

James Beaubeaux, San Diego County Medical Society
Cheri Fidler, Rady Children's Hospital
Phyllis Hartigan, MPH, Rady Children's Hospital

COI Staff Contact:

Cheryl Moder, Director, 858.609.7961, email
JuliAnna Arnett, Food Policy Manager, Healthy Works^SM, 858.609.7962, email
Melanie Cohn, Manager, 858.609.7963, email
Erica Salcuni, Coordinator, 858.609.7964, email

Meeting Minutes:

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2011

Domain Summary:

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The Healthcare Domain operates with the purpose of influencing healthcare systems, including health plans and providers, to implement policy and environmental strategies that contribute to the prevention and reduction of childhood obesity. The domain provides a forum for a number of healthcare stakeholders, including (but not limited to) hospitals, community clinics, insurers, physicians, universities and community-based organizations.  For a complete overview of this domain's objectives and activities, click here.

Healthcare Domain Strategies:

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The following is a partial list of strategies that aim to engage healthcare systems and providers to prevent childhood obesity. A complete list of strategies can be located in Call to Action: Childhood Obesity Prevention Action Plan.

• Include culturally appropriate obesity prevention, screening, counseling and referrals in routine clinical practice, based on evidence-based practice guidelines.
• Provide and participate in ongoing education and training for healthcare providers and health profession students in the following areas:
  • obesity prevention
  • obesity treatment
  • advocacy
  • cultural competency
• Include healthy weight gain and other obesity prevention messaging in routine clinical practice for pregnant women and families.
• Model healthy eating and active living in all healthcare settings.

For a complete list of healthcare domain strategies, please see the Call to Action: Childhood Obesity Action Plan.

Partners partners are supporting healthcare systems and providers to implement these strategies through the following activities:

• Engaging healthcare systems, including healthcare plans and providers, to support and advocate for healthy systems, policy and environmental change.
• Providing resources, support and technical assistance to healthcare providers and stakeholders.
• Providing a forum in which healthcare stakeholders can share and leverage resources.

Workplans:

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The following documents are project outlines for this domain's current activities:

• Advocacy Menu
• Connecting the Dots: Seeking Collaborative Opportunities among Domain Members
• 211 San Diego Centralized Resource and Referral Database Support
• Healthy Food in Healthcare
• OB-WIC Partnership
• Surveillance System for Childhood BMI

Accomplishments:

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These common ambitions and commitment have provided domain partners with the capability to achieve better healthcare for children. Recent accomplishments include:

• Facilitating collaborative partnerships among healthcare professionals to develop and expand obesity prevention and treatment resources and educational opportunities available to providers.
  • 211 San Diego Nutrition, Physical Activity, Healthy Weight, and Diabetes Database, a free centralized resource and referral network
  • Improving surveillance of obesity and overweight among San Diego County children through the collection of Body Mass Index (BMI) data in the San Diego Immunization Registry (SDIR)
• Coordinating and conducting continuing education and training in the areas of obesity prevention and treatment, advocacy and cultural competency.

Obesity Prevention Activities for Children Age 0-5:

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The following activities impact San Diego County children age 0-5:

• Establishment of "Partnership for Primary Prevention," a group of researchers, clinicians, and community health leaders that meets regularly with the goal of identifying opportunities to collaborate on a primary prevention initiative focused on the 0-5 age group and addressing the birth continuum.
• Development of a surveillance system for childhood BMI to benchmark progress in obesity preduction/prevention.

Resources:

TITLE	DESCRIPTION
211 San Diego Physical Activity & Nutrition Database	211 San Diego is a phone- and web-based resource and referral service that links San Diego County residents with information on community agencies that provide health and human service programs.
Addressing Childhood Obesity: Practical Office-based Resources and Strategies, HEDIS Measures, Latino Cultural Competency and Real Life Case Studies Introduction Case Reports Improving HEDIS Performance Obesity Prevention in Latino Communities	This web-based training is available to a wide range of healthcare providers interested in resources and strategies to combat childhood obesity in clinical practice.  Participants may be eligible for 2.0 CME credits.
Breastfeeding Taskforce of Greater Los Angeles	The Breastfeeding Task Force of Greater Los Angeles is dedicated to improving the health and well being of infants and families through education, outreach, and advocacy to promote and support breastfeeding.
Childhood Obesity Prevention Advocacy Tools for Physicians Physician Advocacy "Menu" Beverages Can Impact Children's Health Books that Promote Health Websites that Promote Health Selecting a Quality Child Care Provider Food Assistance Resources in San Diego County	These documents have been designed in collaboration with the Schools & After-school and Early Childhood domains.  They are to be used as resources to assist physicians in their efforts to advocate for childhood obesity prevention.
CMA Foundation & CAHP- Child & Adolescent Obesity Provider Toolkit	This toolkit is designed to equip health care providers with strategies to assess and treat overweight and at-risk for overweight in pediatric patients, and to offer pertinent information for providers to consider when discussing healthy lifestyles and weight management with patients.
CMA Foundation- Physicians for Healthy Communities Toolkit	This toolkit provides resources and instruction for healthcare professionals in conducting school board advocacy and practice management related to childhood obesity prevention and reduction.  Supplemental resources to the toolkit can be found on the CMA Foundation's Physician Toolkits & Resources web page.
Dairy Council of CA resources for Health Professionals	Dairy Council of California offers free resources to California health professionals. All materials are available in English and Spanish.
Health Care without Harm: Healthy Food in Healthcare Pledge	By supporting the Healthy Food in Healthcare Pledge, healthcare facilities are demonstrating leadership by sending an important signal to the marketplace about their interest in local, nutritious, sustainable food and modeling healthy food practices.
Health & Obesity: Prevention & Education (HOPE Project)	The Health and Obesity: Prevention and Education (HOPE) project is a multidisciplinary, healthy living-counseling curriculum that educates clinicians on how to recognize children at risk for obesity and its co-morbidities and how to promote healthy weight among children and their families.
Key Steps English (PDF) Spanish (PDF)	The Center for Healthier Communities at Rady Children's Hospital San Diego (CHC) designed a series of Key Steps handouts outlining six key steps to prevent overweight in kids.  These handouts offer providers a quick and simple resource for ensuring parents with children, ages 0 -4, receive key messages for preventing obesity in the home environment.
Toolkit for Healthy Living Infant Child Adolescent Parent Physical Activity Community Resources General Messages Growth Charts Recipes and Restaurants Physician Information Handouts by Category Websites for Toolkit Handouts	A collection of resources for use by physicians that are counseling families with a child at risk or suffering from overweight or obesity.
SDIR-BMI Fact Sheet PowerPoint Presentation	San Diego Regional Immunization Registry (SDIR) contains a feature that allows users to record childhood BMI.  This presentation offers information on BMI surveillance of local children and the partnership between SDIR, San Diego County Childhood Obesity Initiative, and Altarum Institute, a national healthcare research institute.
Workplace Lactation (HealthyWorks)	This HealthyWorks resource promotes good lactation policies in the workplace.  Breastfeeding is one of the first lines of defense against childhood obesity, and this resource allows mothers and employers to advocate for clean and private breastfeeding spaces at work.