Dramatic changes in health care are driving transformation in pediatric care. Public and private payors have tried new payment strategies—increasingly moving from fee-for-service to bundled payments or paying for value that is measured and reported in multiple ways.
Although the specifics of future payment may be unclear, it seems certain that fee-for-service will no longer dominate as the main payment arrangement. Motivation for these changes in large part reflects demands to cut the growth in health care expenditures—to achieve the triple aim of better health, better quality, and lower cost.
The American Academy of Pediatrics (AAP) has actively assessed the rapidly changing healthcare environment and has developed resources to prepare its members to respond to these changes.
The AAP has identified the following 3 priority areas for supporting members with practice transformation:
Population Health and Community Integration—Support members to enhance practices for managing the health of populations of patients and expand the practice team to include families and a broader range of professional and services.
Payment reform—Support members to successfully participate in and thrive in emerging value-based payment systems.
Use of Technology—Support members to leverage technology, beyond EHRs, in providing quality care, empowering families and demonstrating value.
To accomplish this, the AAP is working on many levels—national, state, and practice. Some of the key activities underway, to date, are the following:
Monitoring value-based payment mechanisms. The AAP has commissioned a study of 5 pediatric Accountable Care Organizations (ACOs) and is also monitoring Medicaid and other state payment initiatives. A primary goal of these efforts is to understand the opportunities and challenges for child health and pediatrics. Information gathered and lessons learned will help inform how to effectively engage and collaborate with the “adult systems” and to ensure that AAP members know how to effectively and meaningfully engage in discussions at all levels so that pediatrics is adequately and appropriately represented. These efforts also will inform AAP work at the national, state, and local level.
- The AAP offers a variety of Webinars that help prepare members for practice change.
New AAP Task Force:
The AAP established a Task Force on Pediatric Practice Change (TFOPPC) to help guide its work. The Task Force includes a diverse group of Academy thought-leaders with experience in practice change. It will address the following:
- Translation of successful practice innovations across practice settings and help bring them to scale to enhance pediatric care.
- Linking payment reform to optimal health care for all children and to financially viable pediatric practice, and educating pediatricians to take an active role in health system reform to make payment work for pediatrics and child health.
- Making new technologies that enhance pediatric practice—including telehealth—understandable and available to pediatricians, and helping pediatricians respond to opportunities and challenges associated with these new technologies.
- Developing a technical assistance package for practice change for pediatricians in diverse practice settings to assist them in responding appropriately to the changing health care environment.
- Developing a leadership platform focused on specific leadership skills that will empower pediatricians to participate in and lead practice change.
The mission of the TFOPPC is to ensure children and families receive sustainable, optimal, health care in a continuously and rapidly changing health care environment. This mission will be accomplished by:
- Identifying and prioritizing key components of the future of pediatric care delivery.
- Supporting the pediatric care team in efforts to align to the future, catalyze change, and use opportunities to continuously improve practice.
- Inspiring strong leadership that embraces and leverages change and innovation through lifelong learning.
Task Force Members Include:
Co-Chairperson: James Perrin, MD, FAAP
Co-Chairperson: Anne Edwards, MD, FAAP
Joshua Alexander, MD FAAP
Anthony Dale Johnson, MD, FAAP
Patricia Flanagan, MD, FAAP
Mark Hudak, MD, FAAP
Julie Katkin, MD, FAAP
Colleen Kraft, MD, FAAP
Sue Kressly, MD, FAAP
Ricardo Quinonez, MD, FAAP
Julia Richerson, MD, FAAP
Budd Shenkin, MD, FAAP
Tyler Smith, MD, MPH, FAAP
Joel Tieder, MD, MPH, FAAP
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