keeping the pediatric population healthy (steve allen)
TRANSCRIPT
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Keeping the Pediatric Population Healthy
Steve Allen, MD
CEO, Nationwide Children’s Hospital
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~330,000 lives
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Flow of Funds
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Pay For Performance Top To Bottom Alignment
ODM State targets measures
Health Plans
Health Plans incentivized
PFK PFK engaged in performance based contract
Doctors Physician incentives on HEDIS and Quality
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Plan HEDIS Performance
68%
75%
83%
90%
Rx for URI Asthma Meds
PFK
PFK
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Collaborative Pharmacy Workgroup with MCPs
Prescription Drug Management
Guideline development
and dissemination
Minds Matter
Care Coordination for high cost kids
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Preventing Antibiotic Resistance
75%
80%
85%
90%
95%
100%
2009 2010 2011 2012 2013 2014 2015 2016
Hundreds
Appropriate Treatment for Upper Respiratory Infection by Year - PFK Data
% C
ompl
ianc
e
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Complex Care Cohort Utilization
0
20
40
60
80
100
2011 2012 2013 2014 2015
Census Patient Days per 100 Feeding Tube Patients
# of
Day
s
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0
5
10
15
20
25
30
35
40
45
2012 2013 2014 2015
# of
ED
Vis
its p
er 1
00 p
atie
nts
per
mon
th Managing Epilepsy
14
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Prematurity Prematurity
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Women Receiving Progesterone
0
50
100
150
200
250
300
350
400
2013 2014 2015 2016
15
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Infants Born <37 weeks
25
27
29
31
33
35
37
39
2013 2014 2015 2016
%
16
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Infants Born <32 weeks
5
6
7
8
9
10
11
12
13
2013 2014 2015 2016
%
17
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Bending the Cost Curve
Pediatrics 2015: 135; 2014-2725 15
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Challenges
Social Determinants
Genomics/ High cost
drugs
Beyond Financial Metrics
Chronic Disease
Prevalence
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Healthy Homes
Before
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Healthy Homes
Before
Impacted more than
200 residential properties
After
20
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0
50
100
150
200
250
2013 2014 2015 2016 2017
22
Hires
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