Featured Practice: Middle Tennessee ENT – Increasing BMI Screenings and Use of Shared Care Plans

This week’s featured practice is Middle Tennessee Ear, Nose & Throat (ENT) for its outstanding in involving patients in their care and increasing BMI screenings through shared care planning and overall enhanced coordination. By incorporating this screening in their workflow, this practice is attending to important health factors not often considered in this specialty setting. 

Middle Tennessee ENT has been providing medical, surgical and audiological treatment of ear, nose and throat disorders for 25 years. Throughout their years, providing effective, quality, and person-centered care that is respectful to patients and families has always been a priority.

Obesity rates have steadily increased, especially in midsouth states such as Tennessee, and research has recently suggested that obesity is a risk factor for otolaryngologic diseases. Because healthy weight control may impact their patients overall health, the practice resolved to increase its screening efforts and find ways to support patients with resources and education when needed. The practice purchased new tools for their EHR and created new workflow and reporting guidelines to include BMI screenings. When patients screen for high BMIs, they are invited to set weight loss goals, achievement timelines, and are encouraged to follow up with their primary care provider. Providers emphasize the importance of communicating face to face with patients to discern what is important to them and to ask questions about preferences and barriers as a way to get to know each other. Patients are provided documentation via a shared care plan and education worksheets, and plans are reviewed at subsequent appointments.  

At the start of TCPI, the practice’s BMI screening was 54%. After incorporating screening documentation and shared care planning, they’ve successfully advanced this measure to 86%. Now the majority of Middle TN ENT’s patients are given an opportunity to collaborate with their care team about healthy weight control.   

For more information about Middle TN ENT’s success, you can read their full story here. To learn more about shared decision making through case examples of real patient stories, tune into “SHARE the Knowledge Part 1 and Part 2” of the MidSouth PTN “Best Practices” podcast.  

The views expressed in this story are those of the authors and do not necessarily represent the official views of Middle Tennessee ENT. Additionally, this work was funded by the U.S. Department of Health and Human Services – Centers for Medicare and Medicaid Services’ Transforming Clinical Practice Initiative, under grant number 1CMS331549-03-00. The contents provided are solely the responsibility of the authors and do not necessarily represent the official views of HHS or any of its agencies.

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