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Cardi-OH ECHO Weight Management A Patient-Centered Approach Thursday, December 5, 2019 1 Disclosure Statements The following planners, speakers, moderators, and/ or panelists of the CME activity have financial relationships with commercial


  1. Cardi-OH ECHO Weight Management A Patient-Centered Approach Thursday, December 5, 2019 1

  2. Disclosure Statements The following planners, speakers, moderators, and/ or panelists of the CME activity have financial relationships with commercial interests to disclose: • Adam T. Perzynski, PhD reports being co-founder of Global Health Metrics LLC, a Cleveland- based software company and royalty agreements for forthcoming books with Springer publishing and Taylor Francis publishing. • Siran M. Koroukian, PhD received funds for her role as a site PI on a subcontract with the Cleveland Clinic. • Christopher A. Taylor, PhD, RDN, LD, FAND reports grant funding and travel support for his role as a consultant, researcher, and presenter for Abbott Nutrition, and is also a member of the Scientific Advisory Council of Viocare, Inc. • These financial relationships are outside the presented work. All other planners, speakers, moderators, and/ or panelists of the CME activity have no financial relationships with commercial interests to disclose. 2

  3. Weight management: Partnerships and collaboration Goutham Rao, MD Chief Clinician Experience and Well-Being Officer, University Hospitals Health System Jack H. Medalie Endowed Professor and Chairman Department of Family Medicine and Community Health Division Chief, Family Medicine, Rainbow Babies and Children’s Hospital Case Western Reserve University School of Medicine & University Hospitals of Cleveland 3

  4. Objectives • Define a collaborative approach to obesity care. • List and describe a minimum of 2 advantages of a collaborative approach to obesity care. • Describe how a health care provider might collaborate with an outside professional in collaborative obesity care. 4

  5. Rationale for a collaborative, multidisciplinary approach • Lack of time available for a “solo” health care provider approach. • Lack of expertise • Ability to provide more support • Ability to provide more frequent contact for patients engaged in weight management • Opportunity to build community among health care providers • Effectiveness 5

  6. Origins of Collaborative Care Models for Obesity 6

  7. PCMH 7

  8. An additional review 8

  9. 9 9

  10. 10

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  12. General Principles • Multidisciplinary team-based approaches are more effective than solo approaches. • Success is proportional to the frequency of contact • Support can be provided through different means, including electronically 12

  13. What does it look like? • “It’s great that he has lost twenty pounds. Will be you be adjusting his insulin dose?” --- Dietitian to physician 13

  14. ... An exercise • You are a provider in a group primary care practice just outside of Mansfield, Ohio. There are four physicians (3 family physicians and one internist) as well as 1 nurse practitioner in your practice. The practice has a high prevalence of obesity (> 50% ).Your practice also includes a staff of fourteen, including 8 medical assistants and one full-time nurse. The surrounding community has few resources. There are a few commercial weight loss programs and some recreational facilities. Dietitians are available through the local hospital. Your task is to establish a multidisciplinary, collaborative obesity care program. You have received $50,000 through multiple grants for this purpose. 14

  15. Questions to consider • Whom to hire/ engage? • Division of responsibilities • Metrics for success 15

  16. Thank you! Questions/ Discussion 16

  17. Reminders • A Post-Clinic Survey will be emailed to you. Please complete this survey as soon as possible. • The MetroHealth System is accredited by the Ohio State Medical Association to provide continuing medical education for physicians. • The MetroHealth System designates this educational activity for a maximum of 1 AMA PRA Category 1 Credit(s)TM. Physicians should only claim credit commensurate with the extent of their participation in the activity. 17

  18. Registration is Open! Spring 2020 teleECHO Clinic: Reducing the Burden of Hypertension Thursdays, 8-9 AM, January 16 – April 2, 2020 https: / / www.cardi-oh.org/ echo/ hypertension-spring-2020 18

  19. Watch Previous ECHO Clinics Register with Cardi-OH and watch all ECHO Weight Management Clinics https: / / www.cardi-oh.org/ user/ register https: / / www.cardi-oh.org/ echo/ weight-management-fall-2019 19

  20. CME and Exit Surveys – COMING SOON! You will receive two separate emails regarding surveys upon the completion of our Cardi-OH ECHO Weight Management series. 1. One email is to obtain CME credits (if you wish). You need to register with MyEvaluations.com to begin this process. 2. The other email contains a link to REDCap for our Cardi-OH ECHO Exit Survey. 20

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