Weight and Nutritional Counseling Template

Executive Summary

The Partners Pediatric Weight & Nutritional Counseling Template was designed to aid clinicians in documenting delivery of exercise/nutritional counseling, and to improve adherence to recommendations for assessing risks and behaviors that contribute to childhood overweight status. This web site includes views of each page of the template, as well as a sample clinical note. 

On the Partners HealthCare System, this template exists within the notes section of the electronic medical record (EMR).  In its current form, it is meant to be used by clinicians during a patient visit to review weight and obesity risk factors.  The template does not provide the option of documenting other problems in detail.

Note that only relevant sections of the template need to be accessed for a given counseling session.  For example, if a physical examination is not performed during the visit, there is no need to access this section; it will not be included in the resulting note.

Source

This template was developed under a grant from the Agency for Healthcare Research and Quality (AHRQ), Improving Pediatric Safety and Quality with Healthcare IT, in collaboration with the Partners HealthCare System Quality Improvement Group, the Massachusetts General Hospital for Children, and Partners HealthCare System Inc. Information Systems.  Listed below are the names of clinicians and experts who contributed to development of the template.  In addition, the LMR Pediatric Content Subcommittee and the main LMR Content Committee reviewed the template, and approved it for use with the Partners Longitudinal Medical Record (LMR).

Contributors

Timothy Ferris, MD, MPH; Stephen Morgan, MD; Eric Poon, MD, MPH; James Perrin, MD; Alison Hoppin, MD; Shelly Bernstein, MD; Peter Greenspan, MD; John Co, MD, MPH; Mark Mandell, MD.

Template

Weight and Nutritional Counseling Template #1
Weight and Nutritional Counseling Template #1
Weight and Nutritional Counseling Template #3
Weight and Nutritional Counseling Template #4
Weight and Nutritional Counseling Template #5