![]() Time will tell which models are successful. Congress is considering bipartisan action with The Advancing Care for Exceptional Kids Act. Arkansas Children’s Hospital is establishing the country’s first statewide pediatric clinically integrated network. For example, pediatricians in Phoenix are putting compensation at risk to improve quality. Efforts abound locally, regionally, and nationally to increase value in pediatric healthcare delivery. Unfortunately, published pediatric studies regarding the success or failure of these models are virtually non-existent. Currently, there is no standard way to do this, but several models have become more prevalent including the patient- centered medical home, clinically integrated networks, and accountable care organizations. Acquiring all the data requires defining the population and aligning the providers within an agreed upon care model. This often limits true measurement of value because accounting for all the variables that influence the value equation are is not adequately captured. Pediatric outcomes studies that also include cost are numerous but favor constrictions within service lines, specific disease processes, or outpatient or inpatient settings. Yet, there remains poor agreement about what the indicators of children’s health are or the timeframe in which those outcomes should be measured. But it is the numerator that tends to resonate more with pediatricians because outcomes are dependent upon the condition of the patient and defined by improved health. Skeptics may assume this is code for cost reduction alone. First described by an economist rather than a clinician, the Triple Aim can be translated into a value equation: Value = outcome/cost. Today, the framework from which healthcare experts largely define value is the Triple Aim. However, the definition of value in healthcare has gone through evolution since the 1960’s and has largely been defined by the healthcare industry rather than consumers. One of the biggest buzzwords in healthcare today is “value.”. ![]()
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