Although individual team members have the opportunity to establish their


expertise through individual certifications, several weight management recognitions exist for entire teams or programs as well. Most notably, MBSAQIP offers levels of distinction (ie, designations) for centers that perform bariatric surgery, including designations for comprehensive surgical care, ambulatory care, adolescent surgical care, and obesity medicine.28


MBSAQIP accreditation is given to specific entities


that perform surgery, not to individuals or multisite programs. The base designation is MBSAQIP Comprehensive Center. Specialized designations include MBSAQIP Comprehensive Center with Obesity Medicine Qualifications, for centers offer- ing pharmacotherapy interventions, and MBSAQIP Comprehensive Center with Adolescent Qualifications, for programs with a pediatric component. Ambulatory centers and low acuity centers can also apply for accreditation. Accreditations in bariatric surgery serve as independent verification of care provided and are associ- ated with lower rates of postoperative mortality and complications.33


Centers can


also apply for participation in third-party payer distinctions. These designations are often used to identify preferred weight management and surgical programs based on quality outcomes and cost and are often required for coverage of services. Aside from these certifications and credentials, many certificate-of-training


programs are available for health care practitioners to advance their skills in weight management. CDR routinely offers such certificate programs, which range in format from short online training modules to more comprehensive trainings with live, facil- itated components. The Academy of Nutrition and Dietetics Weight Management dietetic practice group hosts regular continuing education events and provides a vast array of training resources. The Obesity Medicine Association offers a certificate of training for advanced practice providers as well. Each of the weight management professional organizations, including The Obesity Society and ASMBS, hosts regu- lar symposia and conferences. In addition, longstanding interdisciplinary trainings, such as the Blackburn Course in Obesity Medicine and the Bariatric Summit, offer consistent, high-quality training for clinicians looking to advance their knowledge and skills specific to medical or surgical treatment of obesity.34,35 Each of these credentials, certifications, and certificates of training serves multiple purposes for both clinicians and patients. For clinicians, an obesity and weight management care designation allows for clear delineation of expertise. Although this is often a component of professional development, as described for RDNs in the SOPP in adult weight management, it also clearly communicates the specialized nature of weight management care separate from general practice. This gives a level of assurance to referring practitioners and patients that the informa- tion and care being provided is of the highest quality.


Care Team Models


Various systems of providing team care are employed in weight management. The most common care team models are primary care, specialty services, and service line care. For day-to-day collaborative care, clinicians are employing systems such as interprofessional review and shared visits. These approaches have both benefits and challenges for the clinical team and the patient.


Primary Care


Primary care is the first line of treatment for weight management. Because of current limitations put forth by the Centers for Medicare and Medicaid Services (CMS), billing for intensive behavioral therapy for weight management must be done through a primary care group. These groups are often the only viable option


CHAPTER 18: Interprofessional Teams and Models of Practice 341


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