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Obesity Treatment at HealthPartners: Adaptation of Clinical Guidelines into Systems for Practice Operations

  • Health Services and Programs (AG Tsai, Section Editor)
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Abstract

The purpose of this paper is to describe how HealthPartners health system in Minneapolis, MN, has translated a clinical guideline for obesity among adults into an efficient care delivery practice operations system. Based on a foundation provided by the physician-led Institute of Clinical Systems Improvement (ICSI)-developed Prevention and Management of Obesity for Adults Health Care Guideline, HealthPartners adapted the guideline into an electronic health record-based “Smart Set” that provides frontline physicians with the information, treatment options, and referral steps necessary to care for their patients with obesity. Additional context is provided in terms of insurance coverage and systems-based resources designed to prevent and treat obesity for adults.

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References

Papers of particular interest, published recently, have been highlighted as: • Of importance

  1. American Medical Association. Business of the American Medical Association host of delegates 2013 annual meeting. Annotated reference committee reports. Reference Committee D. http://www.ama-assn.org/ama/pub/news/news/2013/2013-06-18-new-ama-policies-annual-meeting.page. Accessed on 15 February, 2016.

  2. US. Preventive Services Task Force. Screening for obesity in adults: recommendations and rationale. Ann Intern Med. 2003;139(11):930–2.

    Article  Google Scholar 

  3. Dietz WH, Solomon LS, Pronk N, Ziegenhorn SK, Standish M, Longjohn MM, et al. An integrated framework for the prevention and treatment of obesity and its related chronic diseases. Health Aff. 2015;34(9):1456–63. This paper describes a comprehensive framework within which primary care can organize around action and resources to support patients with obesity.

    Article  Google Scholar 

  4. Pronk NP, Krebs-Smith SM, Galuska DA, Liu B, Kushner RF, Troiano RP, et al. Knowledge of energy balance and associated clinical care practices: the U.S. national survey of energy balance related care among primary care physicians. Prev Med. 2012;55:28–33.

    Article  PubMed  PubMed Central  Google Scholar 

  5. Klabunde CN, Clauser SB, Liu B, Pronk NP, Ballard-Barbash R, Huang T T-K, Wilder Smith A. Organization of primary care practice for providing energy balance care. Am J Health Promot. 2013 Nov 7 [Epub ahead of print].

  6. Berwick DM, Nolan TW, Whittington J. The triple aim: care health, and cost. Health Aff (Millwood). 2008;27:759–69.

    Article  Google Scholar 

  7. IOM (Institute of Medicine). 2012. Accelerating progress in obesity prevention: solving the weight of the nation. Washington, DC: The National Academies Press. A comprehensive overview and set of recommendations to address obesity including a focus on health care, the care delivery setting, and integrated solutions that go beyond the clinic walls.

  8. VandenBroek IP, Goossens J, Clemens M. Foresight tackling obesities: future choices—obesity systems atlas. Government Office for Science, UK Government’s Foresight Programme, 2007.

  9. National Heart, Lung, and Blood Institute. Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults: the evidence report. 1998. Available at: http://www.nhlbi.nih.gov/files/docs/guidelines/prctgd_c.pdf

  10. Fitch A, Everling L, Fox C, Goldberg J, Heim C, Johnson K, et al. Prevention and management of obesity for adults. 2013. Institute for Clinical Systems Improvement. Available at: https://www.icsi.org/_asset/s935hy/Obesity-Interactive0411.pdf

  11. Apovian CM, Aronne LJ, Bessesen DH, McDonnell ME, Murad MH, Pagotto U, et al. Pharmacological management of obesity: an Endocrine Society clinical practice guideline. J Clin Endocrinol Metab. 2015;100(2):342–62.

    Article  CAS  PubMed  Google Scholar 

  12. McKinney L, Skolnik N. Diagnosis and management of obesity. In: Chrusch A, ed. Leawood KS: AAFP; 2013: http://www.aafp.org/dam/AAFP/documents/patient_care/fitness/obesity-diagnosismanagement.pdf Accessed January 2016.

  13. Igel LI, Sinha A, Saunders KH, Apovian CM, Vojta D, Aronne LJ. Metformin: an old therapy that deserves a new indication for the treatment of obesity. Curr Atheroscler Rep. 2016;18(4):16.

    Article  CAS  PubMed  Google Scholar 

  14. LeFevre ML, US Preventive Services Task Force. Behavioral counseling to promote a healthful diet and physical activity for cardiovascular disease prevention in adults with cardiovascular risk factors: U.S. Preventive Services Task Force recommendation statement. Ann Intern Med. 2014;161:587–93.

    Article  PubMed  Google Scholar 

  15. Benson GA, Pronk NP, VanWormer JJ, Katz AS, Marr TJ. Telephone-based support for weight loss surgery: a practice-based program evaluation. ACSM’s Health Fitness J. 2010;15(1):13–9.

    Google Scholar 

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Authors and Affiliations

  1. Obesity Medicine and Medical Weight Management, Park Nicollet Health Services, HealthPartners, 8240 Golden Valley Drive, Golden Valley, Minneapolis, MN, USA

    Jennifer M. Vesely

  2. HealthPartners, 8170 33rd Avenue South Bloomington, Minneapolis, MN, 55425, USA

    Nicolaas P. Pronk, Thomas E. Kottke & Peter S. Marshall

Authors
  1. Jennifer M. Vesely
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  2. Nicolaas P. Pronk
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  3. Thomas E. Kottke
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  4. Peter S. Marshall
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Corresponding author

Correspondence to Nicolaas P. Pronk.

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Conflict of Interest

Jennifer M. Vesely, Nicolaas P. Pronk, Thomas E. Kottke, and Peter S. Marshall declare that they have no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

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This article is part of the Topical Collection on Health Services and Programs

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Vesely, J.M., Pronk, N.P., Kottke, T.E. et al. Obesity Treatment at HealthPartners: Adaptation of Clinical Guidelines into Systems for Practice Operations. Curr Obes Rep 5, 312–319 (2016). https://doi.org/10.1007/s13679-016-0220-0

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  • DOI: https://doi.org/10.1007/s13679-016-0220-0

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