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Care Transition Considerations for Obesity Management

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Care transitions are part of long-term care needed by patients who have obesity and other chronic conditions associated with excess adiposity. Recognizing that ineffective transitions can disrupt treatment, negatively affect outcomes, and increase healthcare resource utilization, this resource provides guidance for optimizing care transitions across healthcare settings and throughout the continuum of care. Key topics include evidence-based principles for effective care transitions, focusing on clear communication and addressing patient needs, and common transition points in obesity care, including hospital discharge and specialist referrals. Developed as a tool to support practice improvement, this resource offers practical recommendations to strengthen continuity of care, support long-term obesity management, and improve patient outcomes across clinical settings.

Released: July 21, 2026

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Provided by Clinical Care Options in partnership with Froedtert & Medical College of Wisconsin and Q Synthesis.

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Supporters

This activity is supported by an educational grant from Lilly.

Lilly

Partners

Medical College of Wisconsin

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Q Synthesis

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Target Audience

This activity is intended for primary care physicians.

Learning Objectives

Upon completion of this activity, participants should be able to:

  • Standardize care plans for adults with obesity

  • Improve timely access to antiobesity medications by streamlining prior authorization processes

  • Increase referrals to supportive services (e.g., nutrition, behavioral health) to provide comprehensive obesity care

  • Improve co-management and care coordination with other specialists (e.g., surgeons, endocrinologists)

  • Improve care coordination and transitions in care when patients with obesity are discharged from the hospital and instructed to follow-up with outpatient providers

  • Track and improve patient outcomes, including changes in weight and BMI

Financial Disclosures

Primary Author

Joseph Kim, MD, MPH, MBA, has no relevant financial relationships to disclose.

Additional Disclosures

Generative artificial intelligence (AI) tools were used for drafting educational content. All AI-assisted content underwent human review, editing, and validation by qualified faculty and accredited education staff to ensure scientific accuracy, balance, and compliance with the ACCME Standards for Integrity and Independence in Accredited Continuing Education.