Boston Children's Hospital: maintaining quality care amid financial constraints

Boston Children's Hospital

Ranked #1 Facility for Children (U.S. News and World Report)

Why? Community Focus

Values: Excellence, Leadership, Sensitivity, Community

Challenge 1: Patient Protection and Affordable Care Act

Challenge 2: Demand for more beds, more staff

Core Challenge: Meeting increased patient needs in restrictive financial climate

Challenges

Why is Boston Children's Hospital ranked #1?

What can Boston Children's Hospital do to continue its reputation for quality of care?

What are the most serious challenges facing Boston Children's Hospital at this time?

What are the best solutions to these challenges?

Discussion outline/Question set

Examine carefully the provisions in the Patient Protection and Affordable Care Act.

Examine carefully State and Federal law and policy

Interviews with patients, staff at Boston Children's Hospital

Tips for Resolving the Case

Role of strategic partnerships, alliances with education and community organizations

"Children are not small adults" (Sandi Fenwick, President and Chief Operating Officer (COO) of Boston Children's

Tips for Resolving the Case Part 2

2 Examples

Home Hydration Program

Allows cancer patients to receive more treatment at home

Strong outpatient program reduces costs and creates improved healing via integration with family

Community Asthma Initiative

Emphasizes the needs of low-income individuals

Recognizes the role of socio-economic considerations in health care

Affiliations with 27 medical schools and institutions throughout New England.

Research facility sharing with: Harvard Medical School, MIT Health Sciences & Technology, the Broad Institute, the Autism Consortium and Boston University.