The patient in Dr. Shelly Voet’s examining room was at risk for diabetes: She was obese. Her grandfather had diabetes. Her blood sugar and insulin levels were elevated.
“She was pre-diabetic,” Dr. Voet says. “And obesity is a hard topic to talk about.”
But Dr. Voet knew how to counsel this patient and her family. Her practice, Pediatric Associates in Crestview Hills, Ky., had developed plans for counseling overweight and obese patients as part of their process for earning recognition as an NCQA Patient Centered Medical Home (PCMH).