Frequently Asked Questions

1. What are some promising strategies I can use to increase the number of clients my SBHC assesses for BMI?

  • Conduct a BMI screening at every new patient visit, then annually thereafter.
  • Use motivational interviewing to counsel youth — it’s client-centered, collaborative, and offers tools to change behavior. For example, you may want to implement youth-centered care plans for students who are identified as overweight or obese or distribute free access passes to community recreational facilities.
  • Find community partners that offer after school physical activity programs and collaborate with them!

2. How do I document nutrition and physical activity counseling?

  • Use discrete ICD-10 codes to track counseling provided: If you are entering the nutrition or physical activity counseling as a note, narrative, or comment field in your EHR, convert those to discrete fields so you can extract that data more easily. Make sure that each provider enters data into the EHR in the same way.
  • Address both nutrition and physical activity: Make sure to track nutrition counseling and physical activity counseling as separate codes to note that patients received both services.

3. If a BMI assessment is part of a WCV or risk assessment, how can we separate it for reporting?

  • If your WCV or risk assessment includes a BMI assessment, count those visits toward the number of students with a BMI assessment.
  • You can create a discrete field to note that you completed a BMI assessment as a separate service from the WCV or risk assessment, and another discrete field in your EHR to track the BMI assessment results.