A Hospital Prevents Readmissions, but Threatens Revenue
The number of children to be included has not yet been determined.
Asthma is the leading cause of hospitalization at Children's Hospital, and children in low-income neighborhoods right near the hospital have rates as high as one in four. Seventy percent of children followed by CAI are covered by MassHealth.
Children's Hospital Boston would like to share their success with all providers who offer pediatric care. "But we have a challenge bringing this program to scale, taking it out of the four walls of Children's Hospital's laboratory of innovation and research," Greenberg says.
"We need to make it accessible to community health centers, community hospitals, to the mom and pop pediatric primary care setting with two or three physicians – those are still very much the norm. And we need to develop infrastructure and financing systems to do that."
Somehow, healthcare policy leaders need to figure out how to financially incentivize hospitals to do what Greenberg and Woods suggest, to reach beyond their walls to reduce the need for their services. Children's Hospital Boston is one cool example of an institution that is doing the right thing, but others won't follow unless they have the resources to do so.
Cheryl Clark is senior quality editor and California correspondent for HealthLeaders Media. She is a member of the Association of Health Care Journalists.
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