Chronic Conditions

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Adult Obesity

Obesity Definition

Overweight and obesity are defined as abnormal or excessive fat accumulation that presents a risk to health. A crude population measure of obesity is the body mass index (BMI), a person’s weight (in kilograms) divided by the square of his or her height (in metres). A person with a BMI of 30 or more is generally considered obese. A person with a BMI equal to or more than 25 is considered overweight.

Obesity Guidelines

American Association of Clinical Endocrinologists Comprehensive Clinical Practice Guidelines for Medical Care of Patients with Obesity.

Michigan Quality Improvement Consortium Management of Adult Overweight and Obesity Guidelines

Care Management Interventions

Click Here to access obesity action plan

Diagnosis Specific Concerns

Care Management Intervention

Patient Specific Interventions

Care Manager Resources

Patient Resources


Assess patients knowledge level on diagnosis




Diagnosis Education

Provide education regarding Obesity diagnosis

  • Causes
  • Risks
  • Symptoms
  • Treatment

Discuss diagnosis with care manager


Review educational materials provided


Provide teach-back

Obesity Clinical Care Guidelines from the University of Michigan Health System


2013 AHA/ACC/TOS Guideline for the Management of Overweight and Obesity in Adults


American Association of Clinical Endocrinologists Comprehensive Clinical Practice Guidelines for Medical Care of Patients with Obesity



Assess BMI


Educate patient on a healthy eating plan

  • Portion size
  • Calories
  • Foods to limit


Refer patient to a dietitian


Develop with the CM a weight management plan




Prevention and Management of Obesity (Mature Adolescents and Adults)




Screening  for and Management of Obesity in Adults From Medline Plus

Dietary Guidelines for Americans 8th edition



Provide education on exercise and weight loss if recommended by physician


Create action plan

Provide examples of different types of exercise




Check with provider prior to starting an exercise regimen

Physical Activity Guidelines for Americans from the Office of Disease Prevention & Health Promotion

Ten Guidelines to help manage your Weight


7-5-2-1-0 Tips

Michigan Healthier Tomorrow Campaign


Complete a medication reconciliation


Educate if applicable on:

  • Statins
  • Blood pressure
  • Blood sugar
  • Cardiac
  • Weight loss medications

Create medication list of all current medications including OTC and herbal supplements.


Demonstrate understanding of medications including:

  • Name and purpose
  • Dosage
  • When to take
  • How to refill


Provide teach back regarding medications

Prescription Medications to Treat Overweight and Obesity from the National Institute of Health


Smoking cessation

Provide education on smoking cessation


Review materials provided on smoking cessation


Enroll in a smoking cessation program



How to create a quit smoking plan

Other Health Conditions

Review with patient the effect of obesity with their other chronic conditions

  • HTN
  • High Cholesterol
  • Diabetes or potential for
  • Heart disease

Discuss additional diagnosis with CM



Managing stress




Educate patient on healthy ways to manage stress

Refer patient to a behavioral health specialist

Demonstrate understanding of healthy ways to manage stress


Mind and Body Health: Obesity tips from American Psyhcological Association


For a printable version of the care management interventions Click Here

*This chart is not meant to be an inclusive list of interventions or resources for care management, but a starting point in working with patients with obesity. Always check with your practice regarding the use of guidelines, resources and education.

Pathophysiology References


Mechanisms, Pathophysiology, and Management of Obesity

People who are overweight or obese account for two-thirds of the U.S. population . . .


The Pathophysiology of Obesity and Its Clinical Manifestations

Information on obesity and its relation to diabetes, insulin resistance, hypertension and metabolic disorders.


This section provides information on various toolkits to assist with the care management of obese/overweight patients.


Adult Obesity Toolkit

Disease Management Toolkit for Primary Care Providers from the Accreditation Association for Ambulatory Healthcare

Care Management Learning Resources

This section is for care managers who would like to get additional more specific information relating to obesity.


Towards a multi-disciplinary approach to understand and manage obesity and related diseases

Looks at views of obesity from various clinician viewpoints, as well as its impact on quality of life and impact on other diseases. From the Journal of Clinical Nutrition


Clinical Pharmacist Services in a Multidisciplinary Weight Management Clinic

Medications are important in the management strategy, and pharmacists can enhance the care provided. From the Journal of Healthcare for the Poor and Underserved

Community Resources

Directory of Obesity Prevention Programs in Washtenaw County

Clearing house of obesity prevention programs to help facilitate collaboration, identify gaps and assist with needs assessment and program planning.

Webinars and Presentations

MiPCT Webinar

Jul 10 2013

To receive a certificate of completion Click Here

Webinar replay video

Presented by

Maureen E. Irwin, RD, PA-C, Care Manager, Administrative Network, Inc., Oakland Southfield Physicians, PC Dawn Rodman, MS, CWHC, CPT, Michigan Health and Wellness 4X4 Plan Coordinator, MDCH Annemarie Hodges, MA, Public Health Consultant, Arthritis Program, MDCH

MPTCQ Webinar

Sep 11 2017

To receive a certificate of completion Click Here.

Presented by

Michigan Pharmacists Transforming Care and Quality