CYSHCN What’s in the Future? Family Voices Meeting February, 2011

Trends in Pediatric Morbidity Included Involved Healthy Connected Prepared Vision for CYSCHN 008

RECENT EVENTS Health Care Reform First Lady’s Initiative

ACCESS THROUGH HEALTH CARE REFORM

KIDS MADE A DIFFERENCE!!

HEALTH CARE REFORM ?!? Follow Info on 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 access Including 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 R X

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 sicker Mental health issues Families more isolated Increased 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