Waiting for the Next Shoe to Drop

Overview

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.

A Form of Discussion

This collection is intended to open a discussion on the future of 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. Add comments or 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.

Media

[#]	Topic	Description
1	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.
2	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.
3	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.
4	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.
5	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.
6	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.
7	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.
8	Economy	Dr. Edward Clark, of Primary Children’s Hospital and the University of Utah, explains the economic issues that face health care reform.
9	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.
10	Student Debt	Dr. Edward Clark, of Primary Children’s Hospital and the University of Utah, explains how student debt is a barrier to pediatrics.
11	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.
12	Politics	Dr. Edward Clark, of Primary Children’s Hospital and the University of Utah, explains the political issues that face health care reform.
13	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.
14	Education Debt	Dr. Edward Clark, of Primary Children’s Hospital and the University of Utah, explains how student debt is a barrier to pediatrics.
15	Education Changes	Dr. Edward Clark, of Primary Children’s Hospital and the University of Utah, explains why changes in education are necessary.
16	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.
17	Variability	Dr. Edward Clark, of Primary Children’s Hospital and the University of Utah, explains why variability is important to pediatrics.
18	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.
19	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.
20	Comprehensive Care Program – Meet the Team	Meet the Primary Children’s Hospital’s Comprehensive Care team.
21	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.