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Waiting for the Next Shoe to Drop

Healthcare Reform and Academic Pediatrics

Healthcare in the US is in the midst of dramatic reform driven by unsustainable healthcare costs. To maintain the missions of clinical care, research, and education, academic pediatric departments must plan for change. Challenges include declining clinical revenue, increasing burden of chronic disease, a changing workforce, and decreasing Federal research support. This team from the University of Utah Department of Pediatrics and Intermountain Healthcare’s Primary Children’s Medical Center share their planning and operating models which offer one approach to responding to the changing healthcare environment for academic pediatric departments and children’s hospitals.

Topics

Introduction

Introduction

Introduction to Waiting for the Next Shoe to Drop. Dr. Edward B. Clark introduces the scenarios based on his strategies for implementing pediatric healthcare reform.

About the Shoe Drop Collection

Interview with Jean Shipman of the Eccles Health Sciences Library at the University of Utah with Dr. Edward B. Clark on what he hopes to achieve by putting these videos online.

Why Videos?

Interview with Jean Shipman of the Eccles Health Sciences Library at the University of Utah with Dr. Edward Clark on why he is delivering this essay in the form of videos.

Society

Society

Dr. Edward Clark, of Primary Children’s Hospital and the University of Utah, explains how an aging society and fewer infant and child mortalities will affect a crowded health care system.

Technology

Technology

Dr. Edward Clark, of Primary Children’s Hospital and the University of Utah, explains how the changes in technology drive research and health care today and in the future.

Innovation with Technology: Chris Maloney and Flory Nkoy: eAsthma Tracker Interview

Chris Maloney and Flory Nkoy talk about how the eAsthma tracker has helped people manage their asthma and reduced costs to individuals and hospitals.

Environment

Environment

Dr. Edward Clark, of Primary Children’s Hospital and the University of Utah, explains how the environment is a barrier to our health today.

Economics

Economy

Dr. Edward Clark, of Primary Children’s Hospital and the University of Utah, explains the economic issues that face health care reform.

Fee for Service

Dr. Edward Clark, of Primary Children’s Hospital and the University of Utah, explains how fee for service health care administration is not a feasible model.

Student Debt

Dr. Edward Clark, of Primary Children’s Hospital and the University of Utah, explains how student debt is a barrier to pediatrics.

Cost to Deliver Care

Dr. Edward Clark, of Primary Children’s Hospital and the University of Utah, explains why it’s essential to calculate how much health coverage will cost the system.

Politics

Politics

Dr. Edward Clark, of Primary Children’s Hospital and the University of Utah, explains the political issues that face health care reform.

Strategies for the Future

Pioneering Spirit

Dr. Edward Clark, of Primary Children’s Hospital and the University of Utah, explains how the IHC and the University of Utah pioneer healthcare reform.

Education Debt

Dr. Edward Clark, of Primary Children’s Hospital and the University of Utah, explains how student debt is a barrier to pediatrics.

Education Changes

Dr. Edward Clark, of Primary Children’s Hospital and the University of Utah, explains why changes in education are necessary.

Research – Balanced Approach

Dr. Edward Clark, of Primary Children’s Hospital and the University of Utah, explains how research will need to take on a balanced approach moving forward.

Variability

Dr. Edward Clark, of Primary Children’s Hospital and the University of Utah, explains why variability is important to pediatrics.

Integrated Healthcare

Dr. Edward Clark, of Primary Children’s Hospital and the University of Utah, explains why integrated healthcare systems will thrive in the new healthcare era.

Comprehensive Care Program – Nancy Murphy

Nancy Murphy is Primary Children’s Hospital’s Comprehensive Care Program Director. In this interview, she discusses the role and importance of comprehensive care and how it saves individuals, insurance companies, and hospitals money.

Comprehensive Care Program – Meet the Team

Meet the Primary Children’s Hospital’s Comprehensive Care team.

Comprehensive Care Program – One Family’s Story

Primary Children’s Hospital’s Comprehensive Care Program touches the lives of many families. This is the Fisher family’s story about how the CCP has touched their lives.

A Forum of Discussion

This site is intended to open a discussion on the future or health care, and health care reform with an focus on academic Pediatrics. As outlined in the editorial, Waiting for the Next Shoe to Drop, there are many factors impacting health care at this time. Click on the topics below and view the short video clips that begin the conversation. Add your comments and share with your colleagues. There are solutions to the challenges ahead, but a frank and serious discussion is required to bring those solutions to bear.

Credits

Created by the Eccles Health Sciences Library in association with the University of Utah School of Medicine and Primary Children’s Hospital. ©2014

List of images and resources used on this website and its accompanied videos:

Graph With Stacks Of Coins by Ken Teegardin
United States Capitol – West Front Tilt Correct public domain
B-24D’s fly over Polesti During World War II public domain
Nostradamus public domain
Hamilton Burr Duel by J. Mund, public domain
Secretary Kerry, Polish Foreign Minister Sikorski Shake Hands After News Conference public domain
Wagons History by Karol M
Handcart Monument by Knaphus Family Organization
It’s all about love by Candida.Performa
U by Irwin-Scott
Discussion by Muhammad Rafizeldi