Keeping the Pediatric Population Healthy (Steve Aen)

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Speaker Presentation from U.S. News Healthcare of Tomorrow leadership summit, November 2-4, 2016 in Washington, DC. Find out more about this forum at www.usnewshot.com.

Healthcare

Keeping the Pediatric
Population Healthy
Steve Allen, MD
CEO, Nationwide Children’s Hospital

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2
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5
Pay For Performance
Top To Bottom Alignment
ODMState targets measures
Health
Plans
Health Plans incentivized
PFK PFK engaged in performance
based contract
Doctors Physician incentives on HEDIS
and Quality

6
Plan HEDIS Performance
68%
75%
83%
90%
Rx for URI Asthma Meds
PFK
PFK

Collaborative Pharmacy
Workgroup with MCPs
Prescription Drug Management
Guideline
development
and
dissemination
Minds Matter
Care
Coordination for
high cost kids

8
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
%Compliance

9
Complex Care Cohort Utilization
0
20
40
60
80
100
2011 2012 2013 2014 2015
Census Patient Days per 100 Feeding Tube
Patients
#ofDays

0
5
10
15
20
25
30
35
40
45
2012 2013 2014 2015
#ofEDVisitsper100patientsper
month
Managing Epilepsy
14

Women Receiving Progesterone
0
50
100
150
200
250
300
350
400
2013 2014 2015 2016
15

Infants Born <37 weeks
25
27
29
31
33
35
37
39
2013 2014 2015 2016
%
16

Infants Born <32 weeks
5
6
7
8
9
10
11
12
13
2013 2014 2015 2016
%
17

Bending the Cost Curve
Pediatrics 2015: 135; 2014-2725
15

Challenges
Social
Determinants
Genomics/
High cost
drugs
Beyond
Financial
Metrics
Chronic
Disease
Prevalence

0
50
100
150
200
250
2013 2014 2015 2016 2017
22
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Keeping the Pediatric Population Healthy (Steve Aen)

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