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Table 3 Preferred Options for Obesity Management in the Electronic Medical Record (EMR)

From: Provider views on childhood obesity management in primary care settings: a mixed methods analysis

   % of providers
Options to help providers identify the child’s weight status - Highlight BMI in the progress note if child is overweight/obese 73.0%
- Implement an alert system 48.7%
- Add it to the title bar 27.0%
- Make it a “hard stop” if it is not on the problem list 10.8%
Options in an obesity smart set - What labs to order 94.1%
- Nutrition and physical activity assessments 92.5%
- Diagnosis codes 91.2%
- Templated progress note 85.3%
- Standardized handouts 85.3%
- Information regarding community resources 82.6%
- Referral links 79.4%
- Readiness to change questions 76.5%
- Behavioral management toolkit 61.8%
Handouts or resources available in the EMR - Portion size recommendations for each age group 97.4%
- Physical activity suggestions 92.3%
- Grocery list of suggested healthy food items 89.7%
- Food diary templates 84.6%
- Links to appropriate websites 84.6%
- List of effective behavioral strategies 79.5%
- List of local community resources for nutrition, physical activity, and weight loss 66.7%
- Reward charts 56.4%
Methods of administering questionnaires in the office - Medical assistant provides questionnaire to parent to complete during the visit 70%
- Physician gives family questionnaire to complete and return with the weight-check follow-up visit 67.5%
- Provide questionnaire via ‘MyChart’ (EMR web portal) 50%
Assistance with follow-up appointments - A tool to help identify and send out follow-up reminders 67.5%
- A separate smart set for follow-up weight check appointments 83.9%
Method of learning about community resources for obesity management - Link in EMR 87.8%
- E-mail 53.7%
- Personal meeting with community representative 41.5%
- Webinar 29.3%