Division of Adolescent Medicine
NYSPHA 2013 Annual Meeting and Conference
“Promoting Prevention, Health and Wellness Across Our State”
April 24-25, 2013
Concurrent Session Proposal
from Cohen Children’s Medical Center /
North Shore – LIJ Health System, New Hyde Park, NY
Name of each presenter and institutional affiliation
Ronald Feinstein, MD
Medical Director, Weight Management Program / Adolescent Medicine
Cohen Children’s Medical Center / NSLIJHS
Professor of Pediatrics, Hofstra North Shore – LIJ School of Medicine
Barbara Lowell, RD, CDN
Coordinator, Weight Management Program / Adolescent Medicine
Cohen Children’s Medical Center / NSLIJHS
Contact information and bio for corresponding presenter
Ronald Feinstein, MD
Division of Adolescent Medicine / Dept of Pediatrics
Cohen Children’s Medical Center / NSLIJHS
410 Lakeville Road
New Hyde Park, NY 11040
516-465-5204
516-465-5299
RFeinste@nshs.edu
[CurriculumVitae attached]
List of previous NYSPHA and Other professional presentations
See pages 14 – 17 of attached C.V.
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Presentation Title:
Development of a progressive weight-management initiative for children and
adolescents
Presentation Description (detailed, 350 words, address evidence-based
methods and how program promotes attendance)
Obesity and its associated co-morbidities have reached epidemic proportions in the
United States, especially in the pediatric population. Obesity has only recently
reached a major level of concern among both health practitioners and the general
population. Disparities among different ethnic populations and socio-economic
differences have both public health and policy ramifications. Unfortunately, most
attempts to prevent the progression of this epidemic have been fragmented in their
approach and thus generally unsuccessful. Most programs have focused on one
specific sector of the health care delivery system, usually clinical; rarely has there
been a coordinated system-wide effort progressing through the continuum of
primary, secondary and tertiary services. The fragmentation of obesity services
includes flaws in the health care reimbursement system and a disconnect between
the community, the primary health care providers and the specialist. Large
systems are slow to deal with a problem that, although a widely prevalent chronic
condition, does not generally carry with it acute issues in pediatrics or a secure
revenue stream. In addition, the inherent causes of obesity are multi-factorial and
based in behavior and lifestyle choices; this is not an area most clinicians are
comfortable with or skilled in handling. Large health-care systems have providers
across a spectrum of services from primary through tertiary care, as well as the
financial resources to support large efforts to provide comprehensive services. A
systems-based approach offers the opportunity to provide a progressive program of
care from prevention through specialized services for the severely overweight/obese
pediatric population that has already developed co-morbidities. We will present a
plan that utilizes the broad resources of a large health-care system to provide
weight-management screening and services to a large cohort of children and
adolescents. The program will include a description of a broad range of services
and projected means of staffing and financing these services, including a report of
a first year experience. Special emphasis will be placed on outlining a program
based on a continuum of community, clinical and research resources. Funding
sources, reimbursement issues and mechanisms to sustain such an initiative will
also be discussed.
Abstract/Program Book listing (100-125 words to “sell” program to attendees)
Childhood obesity has reached epidemic proportions in the US. Attempts to
prevent the progression of this epidemic have been fragmented and generally
unsuccessful. Clinicians are frustrated in their efforts to provide effective weight
management services. The current state of obesity services includes flaws in the
health care reimbursement system and a disconnect between the community,
primary health care providers and specialists. The inherent causes of obesity are
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multi-factorial and based in behavior and lifestyle choices; areas most clinicians
are not comfortable with or skilled in handling. We will present a plan that utilizes
the broad resources of a large health-care system to provide comprehensive and
progressive weight-management services, including projected means of staffing and
financing these services, and a report of a first year experience
3 Learning Objectives (in measurable terms)
Upon completion of this session, participants should be able to:
1. Describe the fundamental elements and design of a comprehensive pediatric
weight management program
2. Determine possible funding revenue sources for program development and
sustainability
3. Describe the importance of linking health care systems and providers to the
private/public sectors
Program outline describing specific topics to be covered
I.
Introduction to the scope of the problem of childhood obesity: prevalence,
etiology, risks and co-morbidities
II.
Weight screening and management in primary care: implementing the Expert
Guidelines
III.
Screening in the hospitalized pediatric population – a missed opportunity
IV.
Community-based prevention and screening strategies
Employee Wellness components
V.
Referrals to sub-specialty care – when it it appropriate?
VI.
Development of a new Weight Management Program within a large Health
System – the first 100 patients.
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