CYSHCNWhat’s in the Future?

Family Voices Meeting February, 2011

Trends in Pediatric Morbidity

• Included • Involved• Healthy• Connected• Prepared

Vision for CYSCHN

http://www.flickr.com/photos/nguyendai/502407008

RECENT EVENTS

• Health Care Reform

• First Lady’s Initiative

ACCESS THROUGH HEALTH CARE REFORM

KIDS MADE A DIFFERENCE!!

HEALTH CARE REFORM ?!?

• Follow Info on www.aap.org

• Join FAAN or Key Contacts

• Meet with your Congress reps

• Send Op-Eds• Keep up the

Pressure

ACA

ASSURES HEALTH CARE ACCESS FOR ALL CHILDREN

Now all children (US citizens) assured accessIncluding up to 26 years

Including children with pre-existing conditions

THE AAP SUPPORTED HEALTH CARE REFORM AND URGED A SYSTEM THAT:

ACA

GUARANTEES SERVICES UNIVERSALLY IN A MEDICAL HOME, THAT COORDINATES PRIMARY CARE, EMERGENCY SERVICES, SUBSPECIALTY AND HOSPITAL CARE.

Medicaid pilots and supportive language for the concept

THE AAP SUPPORTED HEALTH CARE REFORM AND URGED A SYSTEM THAT:

ACA

HAS A CONSISTENT AND FAIR PAYMENT SCHEDULE THAT ASSURES PHYSICIANS AND THEIR STAFFS RECEIVE APPROPRIATE COMPENSATION FOR THE WORK THEY PROVIDE.

Medicaid to Medicare Parity Included

THE AAP SUPPORTED HEALTH CARE REFORM AND URGED A SYSTEM THAT:

ACA

IS COST SAVING THROUGH THE USE OF HIGH QUALITY, WELL DEVELOPED INTERVENTIONS AND TRIED AND TRUE PREVENTIVE SERVICES.

Bright Futures

Home Visiting Programs

Dental Services

THE AAP SUPPORTED HEALTH CARE REFORM AND URGED A SYSTEM THAT:

FIRST LADY’S OBESITY INITIATIVE

• To end childhood obesity in one generation

• Public/Private

• Everybody

• Pediatricians will:– Calculate BMI

– Prescribe healthy foods and fitness

SAMPLE RX

WHAT TO EXPECT?

• What is predicted for the future?

• Transformation – Of professionals– Of parents, grandparents – Of citizens

VISION OF PEDIATRICS 2020

• Future epidemiology

• Medical trends

• Technology trends

• Person-power needs

• Reproductive biology

• Genetics

Immigration

MEGATRENDS Child population more culturally

diverse Families with increasingly complex

medical and social-emotional morbidity

Rapid advances in medical technology, diagnostics, treatment and health information technology

Consumers will drive the nature of healthcare

MEGATRENDS

Demand will outstrip the supply Evolving healthcare delivery system

Children will continue to feel the impact economic, nutritional, environmental and climatic events

Globalization itself will affect children’s health and well-being

PROFESSIONALS

• Better knowledge base

• More diagnostics

• Greater ethical demands

Globalism

HIT

Consumerism

Delivery Systems

Medical Breakthroughs

Patient Demographics

Workforce

THE FUTURE?

Sick children sickerMental health issues

Families more isolatedIncreased diversity

Transition care

MEDICAL HOME TEAM

FAMILIES

• More access to medical knowledge

• Perhaps more conflicting advice

• More choices

• Partnerships….

• Optimum health???

CITIZENS

• Currently US ranks 24/24 in health and safety for children among developed nations

• Falling behind China and India in education

• Huge health and other inequities

• Citizen’s role in building political will

IT’S ABOUT THE KIDS