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Mixed methods including quantitative data collection and a qualitative survey were used to analyze the process. Results: Of 1,265 visits, BMI percentile was recorded for 874 (69%). Of these 874, 237 (27%) had a BMI≥95%. Forty (17%) children with BMI≥95% were screened for readiness to be referred to a BHC. And of those screened for readiness, only 9 (23%) were ready for a behavioral health intervention, 4 of whom attended an appointment. Barriers listed in the providers’ survey included: limited time and discomfort discussing obesity, and a negative association with a BHC. Discussion: This PIP proved a challenge for the providers. However, valuable lessons were learned regarding barriers to avoid for similar implementation projects in the future."},{"label":"Date","value":"2015"},{"label":"Author Supplied Keywords","value":"Children, Obesity, BMI, Screening, Referral, Implementation"},{"label":"Publication Information","value":"Copyright for this work is retained by the authors. 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