Outpatient Clinical Pathway for
Obesity Prevention and Management
Well Child Visit with Provider
for Child ≥ 2 years
Initial Primary Care
Overweight/Obesity Management
  1. Add appropriate BMI diagnosis to
    problem list
  2. Assess and Evaluate Comorbidities
  3. BMI-based screening labs
  4. Engage family in one behavioral goal related to 5210 messaging
If interested in making a change
Targeted
Primary Care

Every 1-2 Months
Continue for 6 months
Nurse Educator
Patient/Family
Interested in
More Frequent Visits
85th - < 99th percentile
5th - < 85th percentile
Overweight/Obesity
Prevention
  1. Continue 5210 Messaging
  2. Check trend of BMI
  3. Assess for risk factors
  4. Reassess at each visit
Patient/Family
Not Interested in
More Frequent Visits
  1. Weight check every 3-6 months
  2. Reassess interest in more frequent visits
≥ 99th percentile
Consider Initial Primary Care
Management or Referral to
Healthy Weight Program
Maintaining or trending down
Reassess weight and BMI percentile at 6 months
Continue current plan with available office resources
Gaining or trending up
Posted: July 2014
Updated: June 2017, September 2019
Authors: S. Khan, MD; J. Michel, MD; M. Mascarenhas, MBBS