BiW4Teens Clinic Resource Pack

ADDITIONAL INFORMATION

Included in the Healthcare Clinic Resource Pack are all of the following program materials and training videos:

A] Clinic Materials Included:

1. BiW4Teens Program Implementation Checklist
2. BiW4Teens Patient Referral Process
3. BIW Program Billing Codes – lists ICD10 and procedure codes for clinic visits and phone consultation
4. BiW4Teens EMR Template
5. BiW4Teens Clinic Brochure with Prescription for a Healthy Weight
6. BiW4Teens Clinic Brochure
7. Discount coupon for families your clinic refers to the online BiW4Teens Program.
8. Forms used during clinic visits:
9. BiW Health Habit Assessment Form
10. BiW4Teens Detailed Documentation Forms Packet which includes:
    1. Initial Contact
    2. Pre-Visit Chart Review
    3. Initial Visit
    4. BiW Health Questionnaire Form
    5. Implementation Phase – Clinic Visit
    6. Maintenance Phase – Clinic Visit
11. BiW4Teens Patient Progress Log (Short) – includes list of all 27 program sessions and list of healthy habits
12. BiW4Teens Patient Progress Log (Long) – includes list of all 27 program sessions and list of healthy habits plus learning objectives for each session
13. HCP-Parent-Teen Program Commitment Contract
14. BiW4Teens Multi Patient Log

B] Staff Training Resources Included:

    a. Four-part staff orientation program via video presentations:

        --Overview of childhood obesity (health issues related to childhood obesity and key habits that impact a child’s weight)

       --Overview of BiW4Teens program components and two program phases

       --Program outcomes and benefits

       --Steps to implementing a successful BiW4Teens program in the clinic

       --Program referral process for patients

       --How to talk to parents and youth about a touchy subject (obesity)

       --Facilitate a successful clinic visit

       --Importance of program incentive gifts

       --Using BiW4Teens documentation forms

       --Billing for sessions

  b. BiW4Teens Program Curriculum

  c. BiW4Teens Program Outline

  d. BiW4Teens Habit Explanation Cue Card

  e. BIW4Teens Program Introduction cue card

C]  Clinics receive ongoing program support from Positive Patterns for Life company.

•  D] Materials NOT Included:

  1. Online BiW4Teens Program which includes the downloadable PDF version of the BiW4Teens Workbook
  2. All 27 BiW4Teens interactive health coaching videos
  3. Program completion gift packet