Waiting for the Next Shoe to Drop

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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

[#] Video 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.

Links

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 collection 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
The Park Building at the University of Utah by the University of Utah
Pudge with his inhaler by Thomas Widmann
DNA Biology Medicine Gene Microbiology Analysis public domain
Microbiology DNA People Structure Cell Background public domain
Southern Chivalry public domain
It’s still smoking, but for how long? by Paul Falardeau
Miraikan by MIKI Yoshihito
Biology Research Laboratory Technology Medical lab public domain
Biology Research Laboratory Technology Medical Lab public domain
It’s about rules and strategy by pshutterbug
Dan Ahlquist et al public domain
Elders Retired People Old Elderly Persons Male public domain
Old Age Park Retirement Enjoy Couple Love public domain
Intravenous Hand Wrist Hospital Medical Patient public domain
Door Entry Hospital Passage public domain
Capsules Medicine Medical Health Drugs Medication public domain
Bethesda Naval Medical Center Maryland Hospital public domain
Jacht motorowy by Mateusz Włodarczyk
2010 Army Photo of the Year by the US Army
110508-F-RH591-634 by the US Air Force