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Costs to Implement a Pediatric Weight Management Program Across 3 Distinct Contexts.

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Summary

Implementing the Connect for Health pediatric weight management program costs between $77,103 and $142,721. Technology setup, clinician training, and stakeholder engagement were key cost drivers for this evidence-based intervention.

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Area of Science:

  • Public Health
  • Health Services Research
  • Pediatric Obesity

Background:

  • The Connect for Health program is an evidence-based pediatric weight management intervention.
  • It aligns with national recommendations and offers clinical decision support, educational materials, and community resources.
  • Implementation costs significantly influence program adoption and sustainability, particularly in health systems serving low-income populations with high childhood obesity rates.

Purpose of the Study:

  • To assess the implementation costs of the Connect for Health program across three diverse health systems.
  • To identify major cost drivers associated with program implementation in settings serving vulnerable populations.

Main Methods:

  • Utilized time-driven activity-based costing (TDABC) to evaluate implementation expenses.
  • Health systems developed process maps and detailed reports of all implementation actions.
  • Personnel time and associated costs were meticulously recorded for each activity, including electronic health record integration and clinician training.

Main Results:

  • Overall implementation costs varied across the three health systems, ranging from $77,103 to $142,721.
  • Technological setup represented a primary cost driver, alongside clinician training, stakeholder engagement, and audit/feedback activities.
  • The program demonstrated ease of integration into routine well-child visits.

Conclusions:

  • Key cost drivers for implementing the Connect for Health program include technological setup, training, and stakeholder engagement.
  • Context-specific factors significantly influence implementation costs.
  • Accurate cost projections for future implementations necessitate careful consideration of organizational context and chosen implementation strategies.