Speaker Presentation from U.S. News Healthcare of Tomorrow leadership summit, November 2-4, 2016 in Washington, DC. Find out more about this forum at www.usnewshot.com.

1. Keeping the Pediatric
Population Healthy
Steve Allen, MD
CEO, Nationwide Children’s Hospital

2. ………………..……………………………………………………………………………………………………………………………………..
2
………………..……………………………………………………………………………………………………………………………………..

3. 3
~330,000 lives

4. Flow of Funds
4

5. 5
Pay For Performance
Top To Bottom Alignment
ODMState targets measures
Health
Plans
Health Plans incentivized
PFK PFK engaged in performance
based contract
Doctors Physician incentives on HEDIS
and Quality

6. 6
Plan HEDIS Performance
68%
75%
83%
90%
Rx for URI Asthma Meds
PFK
PFK

7. Collaborative Pharmacy
Workgroup with MCPs
Prescription Drug Management
Guideline
development
and
dissemination
Minds Matter
Care
Coordination for
high cost kids

8. 8
Preventing Antibiotic Resistance
75%
80%
85%
90%
95%
100%
2009 2010 2011 2012 2013 2014 2015 2016
Hundreds
Appropriate Treatment for Upper Respiratory Infection by Year -
PFK Data
%Compliance

9. 9
Complex Care Cohort Utilization
0
20
40
60
80
100
2011 2012 2013 2014 2015
Census Patient Days per 100 Feeding Tube
Patients
#ofDays

10. 0
5
10
15
20
25
30
35
40
45
2012 2013 2014 2015
#ofEDVisitsper100patientsper
month
Managing Epilepsy
14

11. PrematurityPrematurity

12. Women Receiving Progesterone
0
50
100
150
200
250
300
350
400
2013 2014 2015 2016
15

13. Infants Born <37 weeks
25
27
29
31
33
35
37
39
2013 2014 2015 2016
%
16

14. Infants Born <32 weeks
5
6
7
8
9
10
11
12
13
2013 2014 2015 2016
%
17

15. Bending the Cost Curve
Pediatrics 2015: 135; 2014-2725
15

16. Challenges
Social
Determinants
Genomics/
High cost
drugs
Beyond
Financial
Metrics
Chronic
Disease
Prevalence

17. 17

19. Healthy Homes
Before

20. Healthy Homes
Before
20

21. 0
50
100
150
200
250
2013 2014 2015 2016 2017
22
Hires