|
|
 |
|
|
Clinical
Measures for Health Center Grantee Performance
Reviews –
Calendar Year 2006
| Performance
Measure: |
#14a |
|
Activity
Code(s): |
H 80 |
|
| % of Children
ages 2-19 who are Overweight (or Obese)
who have counseling, treatment or other
intervention documented. |
| |
| Definition: |
Numerator:
|
Children in the denominator
who also have healthy weight counseling
or other intervention or treatment documented
in their medical record, within the past
one year. |
| Denominator: |
All children ages 2-19 with a BMI
>85th% (overweight) or >95th% (obesity).
May choose either BMI>85th% (Overweight)
or >95th% (Obesity), depending on which
is tracked by grantee.
BMI>85th% (Overweight) is preferred,
but many grantees may only be tracking
and intervening for >95th% (Obesity).
|
| Unit & Text: |
(Number of children with a with a BMI
>85th% (overweight) or >95th% (obesity)
and who also have healthy weight counseling
or other intervention or treatment documented
in their medical record, within the past
one year.) / (Number of all children with
a BMI >85th% or >95th%).x 100 = percent.. |
| |
| National
Benchmark: |
In 1999, 65 percent of adolescents
engaged in the recommended amount of physical
activity.
During 1988–94, 11 percent of children
and adolescents aged 6 to 19 years were
overweight or obese.
Healthy People 2010 Objectives are as
follows:
19-3C – Reduce the proportion of
children and adolescents who are overweight
or obese. |
Data
Sources:
|
From registry or EHR/EMR
if available.
If chart audit, then sample from sample
frame of persons meeting denominator criteria.
|
| |
| Background/significance
of measure: |
| Overweight
and obesity are increasing in epidemic proportion
in the United States. About 97 million adults
in the United States are overweight or obese.
Obesity and overweight substantially increase
the risk of morbidity from hypertension;
dyslipidemia; type 2 diabetes; coronary
heart disease; stroke; gallbladder disease;
osteoarthritis; sleep apnea and respiratory
problems; and endometrial, breast, prostate,
and colon cancers. Higher body weights are
also associated with increases in all-cause
mortality.
Physical activity and healthy weight
are two of the ten health indicators of
Healthy People 2010. (See http://www.healthypeople.gov/LHI/lhiwhat.htm)
See:
Clinical Guideline on the Identification,
Evaluation, and Treatment of Overweight
and Obesity in Adults. NIH NHLBI, September,
1998 at http://www.nhlbi.nih.gov/guidelines/obesity/ob_home.htm
Centers for Disease Control and Prevention,
Overweight and Obesity at http://www.cdc.gov/nccdphp/dnpa/obesity/index.htm
also:
http://www.cdc.gov/growthcharts/
Healthy People 2010. - http://www.healthypeople.gov/LHI/lhiwhat.htm)
This measure is also in the Health Disparities
Collaborative, Prevention Pilot, Measure
#3c http://healthdisparities.net/hdc/html/collaboratives.topics.prevention.asp
|
|
