Healthcare Systems and Providers
Healthcare Systems and Providers

The Healthcare Domain brings together healthcare systems, plans, and providers to enhance care and resources for the prevention and reduction of childhood obesity.

About | Past Meeting Minutes | Domain Summary | Resources

Nutrition in Healthcare Leadership Team

Childhood Obesity Prevention Tools for Physicians

See the latest issue of San Diego Physician magazine, which features the San Diego County Childhood Obesity Initiative!

About the Healthcare Domain:

Next meeting:

Meetings are held intermittently throughout the year. For more information on attending these meetings, please contact the San Diego County Childhood Obesity Initiative at 858.609.7964 or email.

Visit the San Diego County Childhood Obesity Initiative Calendar for a complete schedule of upcoming meetings.

Domain Champions:

Cheri Fidler, Rady Children's Hospital

COI Staff Contact:

Dan Fesperman, Director, San Diego County Childhood Obesity Initiative, 858.609.7982, email
Nina Ghatan, Coordinator, San Diego County Childhood Obesity Initiative, 858.609.7964, email
Lyndsey Tapia, Assistant, San Diego County Childhood Obesity Initiative, 858.609.7963, email

Domain Summary:

The Healthcare Domain operates with the purpose of influencing healthcare systems, including health plans and providers, to implement policy and environmental strategies that contribute to the prevention and reduction of childhood obesity. The domain provides a forum for a number of healthcare stakeholders, including but not limited to hospitals, community clinics, insurers, physicians, universities, and community-based organizations.  For a complete overview of the Healthcare Domain, click here.

Healthcare Domain Strategies:

The following is a partial list of strategies that aim to engage healthcare systems and providers to prevent childhood obesity. A complete list of strategies can be located in Call to Action: Childhood Obesity Prevention Action Plan.

  • Include culturally appropriate childhood obesity prevention in routine clinical practice through screening, counseling, and referrals, taking into account patients' readiness to change.
  • Promote breastfeeding as the healthiest first food and provide lactation support to pregnant women and mothers.
  • Participate in community, county, state, and national surveillance efforts to measure BMI prevalence.
  • Provide pregnant women and their families with healthy weight gain and other obesity prevention messaging as part of routine clinical practice.
  • Model healthy eating and active living in all healthcare settings.

For a complete list of healthcare domain strategies, please see the Call to Action: Childhood Obesity Action Plan.

Partners are supporting healthcare systems and providers to implement these strategies through the following activities:

  • Engaging healthcare systems, including healthcare plans and providers, to support and advocate for healthy systems, policy and environmental change.
  • Providing resources, support and technical assistance to healthcare providers and stakeholders.
  • Providing a forum in which healthcare stakeholders can share and leverage resources.


This document outlines the domain's current activities.


These common ambitions and commitment have enabled partners to improve healthcare for children. Recent accomplishments include:

  • Convened a sub-committee that has been working to advance the 2-1-1 for Healthy Kids project, designed to assist families with overweight or obese children in making healthy lifestyle changes and connect them to supportive community resources to address identified health and/or social service needs.
  • Facilitated the Nutrition in Healthcare Leadership Team (NHLT), a consortium representing 22 area hospitals working to advance healthful, sustainable food and beverage practices in healthcare. The NHLT met six times during the year and worked to engage hospitals in healthy procurement practices.
  • Surveyed OB/GYN providers and developed a dashboard with 11 breastfeeding toolkits to enhance breastfeeding messaging provided by clinicians to pregnant women.
  • COI Leadership Council co-chair Natalie Muth, MD wrote an article for the San Diego Physician Magazine highlighting the use of 5-2-1-0 Every Day! messaging in the clinical setting.

Obesity Prevention Activities for Children Age 0-5:

The following activities impact San Diego County children age 0-5:

  • Promoted healthy, sustainable food practices in hospitals.
  • Supported the marketing of 211's physical activity and nutrition database as a free referral resource for use by healthcare providers and parents.
  • Facilitated provider training on breastfeeding best practices.




211 San Diego Physical Activity & Nutrition Database

211 San Diego is a phone- and web-based resource and referral service that links San Diego County residents with information on community agencies that provide health and human service programs.

Addressing Childhood Obesity: Practical Office-based Resources and Strategies, HEDIS Measures, Latino Cultural Competency and Real Life Case Studies

This web-based training is available to a wide range of healthcare providers interested in resources and strategies to combat childhood obesity in clinical practice.  Participants may be eligible for 2.0 CME credits.

Breastfeeding Taskforce of Greater Los Angeles



The Breastfeeding Task Force of Greater Los Angeles is dedicated to improving the health and well being of infants and families through education, outreach, and advocacy to promote and support breastfeeding.

Childhood Obesity Prevention Advocacy Tools for Physicians

These documents have been designed in collaboration with the Schools & After-school and Early Childhood domains.  They are to be used as resources to assist physicians in their efforts to advocate for childhood obesity prevention.



CMA Foundation & CAHP- Child & Adolescent Obesity Provider Toolkit

This toolkit is designed to equip health care providers with strategies to assess and treat overweight and at-risk for overweight in pediatric patients, and to offer pertinent information for providers to consider when discussing healthy lifestyles and weight management with patients.

CMA Foundation- Physicians for Healthy Communities Toolkit

This toolkit provides resources and instruction for healthcare professionals in conducting school board advocacy and practice management related to childhood obesity prevention and reduction.  Supplemental resources to the toolkit can be found on the CMA Foundation's Physician Toolkits & Resources web page.

Community Health Brief: Proceedings from the 4th Annual Anderson Memorial Conference

The 4th Annual Anderson Memorial Conference featured both medical and dental speakers on different obesity prevention protocols including the HOPE online program (Health and Obesity: Prevention and Education) and motivational interviewing.  This resource offers medical and dental professionals effective and innovative tools to combat obesity.

Dairy Council of CA resources for Health Professionals



Dairy Council of California offers free resources to California health professionals. All materials are available in English and Spanish.


Health Care without Harm: Healthy Food in Healthcare Pledge





By supporting the Healthy Food in Healthcare Pledge, healthcare facilities are demonstrating leadership by sending an important signal to the marketplace about their interest in local, nutritious, sustainable food and modeling healthy food practices.

Key Steps

The Center for Healthier Communities at Rady Children's Hospital San Diego (CHC) designed a series of Key Steps handouts outlining six key steps to prevent overweight in kids.  These handouts offer providers a quick and simple resource for ensuring parents with children, ages 0 -4, receive key messages for preventing obesity in the home environment.

Toolkit for Healthy Living

A collection of resources for use by physicians that are counseling families with a child at risk or suffering from overweight or obesity.


San Diego Regional Immunization Registry (SDIR) contains a feature that allows users to record childhood BMI.  This presentation offers information on BMI surveillance of local children and the partnership between SDIR, San Diego County Childhood Obesity Initiative, and Altarum Institute, a national healthcare research institute.

Workplace Lactation (HealthyWorks)

This HealthyWorks resource promotes good lactation policies in the workplace.  Breastfeeding is one of the first lines of defense against childhood obesity, and this resource allows mothers and employers to advocate for clean and private breastfeeding spaces at work.

Healthier Hospitals Initiative (HHI) Home Page

The Healthier Hospitals Initiative (HHI) is an invitation for healthcare organizations across the country to join the shift to a more sustainable business model, and a challenge for them to address the health and environmental impacts of their industry. Through their website, HHI offers a suite of tools intended to make the fulfillment of this mission as easy as possible.

HHI Healthier Food Challenge

Current methods of food production, processing, packaging and distribution in the U.S. have negatively impacted human health and the environment. Health care providers have the power to counter these trends by purchasing more environmentally-sustainable foods and by serving healthier meals and beverages to patients, employees, visitors and the communities they serve. This Healthier Hospitals Initiative resource provides healthcare systems a toolkit for transforming their food environments through a Balanced Menu Challenge, a Healthy Beverages Challenge, and a Local/Sustainable Food Challenge.
Nutrition in Healthcare Leadership Team: Leading by Example This presentation offers an overview of the mission, vision, goals, and accomplishments of the Nutrition in Healthcare Leadership Team at the San Diego County Childhood Obesity Initative.

Rethink Your Drink

These resources, adapted by Rady Children's Hospital, use a simple "traffic light" approach to educate patients, staff, and visitors about sugar-sweeteend beverages.

Become A Partner Subscribe to E-News Quick Facts

Quick Facts

  • Overweight children are far more likely to be obese as adults (California Center of Public Health Advocacy, 2009)
  • Walking and biking have decreased more than 40% during the past 3 decades, partly because of unsafe routes and poor walking conditions (Active Living Research, 2009).
  • One in four children in San Diego County is overweight or obese; this is slightly higher than the national average (California Center for Public Health Advocacy, 2009)

News & Upcoming Events

See our latest newsletter and the COI calendar for upcoming events.

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Physical Activity and Nutrition Database

A free "one stop shop" for programs and services in nutrition, healthy weight, physical activity, and diabetes.

Core funding provided in part by:

Kaiser Permanente County of San Diego

A project facilitated by:

California Health Improvement Partners

San Diego County Childhood Obesity Initiative
5095 Murphy Canyon Road, Suite #105, San Diego, CA 92123
(p)858.609.7964 - (f)858.609.7998
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