Jacksonville-based Nemours, a pediatric health care system with hospitals and clinics in five states, is changing its name.
However, this is only the first step toward the new identity of President and CEO R. Lawrence Moss that Nemours hopes to lead a nationwide change in the way child health care is viewed, delivered and funded.
Change the way America takes care of children
“Nemours plans to play an important role in changing the way America takes care of children,” said Moss. “The way we pay for medical care for children is economical, based on volume and complexity … That is the opposite of health.
“Our commitment to changing children’s health recognizes that we need to rewrite its definition,” he said. “Why now? The kids of the ward need us now … Nemours will be the one to step up.”
More:The ingrained health disparities in Jacksonville can have an impact on lifespan. A “concerted effort” was required to correct the problem
Nemours child health
Moss revealed the new name – Nemours Children’s Health for all locations – logo and five-year strategic plan on Wednesday during a virtual Founders Day event commemorating Alfred I. duPont’s philanthropic legacy.
In an interview with The Times-Union, he admitted that moving child health care from the current fee model to a “health allowance” model was a “big, ambitious goal”.
Fifteen percent of children’s health is the product of “quality medical care,” while 85 percent is due to so-called social determinants of health, such as: B. quality education, safe housing, food security and protection from violence and other harm. These social determinants need to be addressed before children have the resulting negative effects on adulthood, he said.
Pay for health, not service
“It’s something so much bigger … how we live,” said Moss. Children’s hospitals should be “general administrators” of child health care, but other health systems, insurance companies, community organizations, nonprofits and the government need to be involved, he said.
In a white paper titled “How Children Can Transform the Economy and Healthcare,” Moss found that children generally make up 7 percent of total health care spending, but the number increases as they grow up.
“By improving the health and well-being of children, we will have healthier adult populations going forward – which will help improve the health system and strengthen the economy,” he wrote. “The benefits of interventions in childhood are enormous. Health processes and behavior can still be easily influenced. These changes can last a lifetime and even affect the next generation.
“A healthier adult population will spend less on health care, less on government or employers to insure themselves, earn more income and be more productive members of the workforce,” Moss wrote.
The shift requires a “complete cultural transformation,” he wrote. According to the current fee model, “a lot of people make a lot of money. They are doing well,” he told The Times-Union. But Nemours will lead the way to change and “set an example that shows what is possible,” he said.
This is how it works according to the white paper:
• Create a “value-based service organization,” an internal unit that includes teams dedicated to population health management, care management, and coordination and data analysis. Nemours has already established its own group that works with specialists and general practitioners to improve care, reduce “inappropriate use of health care” and control costs. The group is also working with insurance companies to shift the financial incentives of their contracts away from the service fee and towards “value-based” contracts.
More:Not insured or underinsured? Stimulus funding has made the Affordable Care Act more affordable
• Think of patients not just as children in a hospital or seen in a clinic, but as all children in the community, whether or not they seek medical help. For example, think of them as patients with poorly controlled asthma or as children with learning disabilities and “target right the help they need”.
• Form partnerships with experts in education, food security and other social determinants, as well as state and local entities “to share risk and reward”.
The community approach
A community-wide approach will be needed “to address the preventive social, economic and demographic factors that affect a child’s health … with the same force that is used to treat children with acute and emerging health needs,” states in the explanation.
More:“Everything has just changed:” Jacksonville mom, who lost two children, is working to change gun laws
The Children’s Hospital Association, which has offices in Washington, DC and Kansas City, “undoubtedly welcomes Nemour’s vision for healthier children,” but declined to comment on the details of the plan, spokeswoman Gillian Ray said.
Michael Aubin, president of Baptist Health’s Wolfson Children’s Hospital, also in Jacksonville, endorsed the new goals. Wolfson and Nemours have a “long-standing partnership” and will continue to work together to improve the health of children in the communities they serve, he said.
“For more than three decades, Nemours pediatricians have expertly cared for the children battling health battles at Wolfson Children’s Hospital,” said Aubin. “Our work doesn’t stop when the child leaves the hospital or office. It is our responsibility to get beyond the walls of the hospital into our communities, remove barriers to health care, and prevent childhood diseases and injuries from occurring in the first place . “
As part of its new plan, Nemours will also “increase investment in key initiatives including improving the overall child health model, adding value, creating and advocating a national strategy for child health, innovating and innovating health system research Use of clinical expertise, “according to a Nemours statement.
The impetus for the name change and the new logo was to create a “unified brand” across Nemour’s health care system in five states and to raise public awareness, he said during the virtual meeting with staff.
More:Daily $ 5 million gift to Nemours Children’s Hospital in Jacksonville
“When I arrived [in 2018] … You told me that Nemours had to tell his story better. People didn’t know us, we have to be more visible, “said Moss. The new name and logo” will bring about positive changes. Children need Nemours’ voice to be heard. “
Beth Reese Cravey: [email protected] (904) 359-4109
NEMORS IN FLORIDA
• Alfred I. duPont was born in 1864 in Delaware where his family owned a gunpowder factory, EI du Pont de Nemours and Co. He and his third wife, Jessie Ball, moved to Jacksonville in 1926, with duPont doing real estate investing, baking and baking philanthropy. He died in 1935 and a year later the Nemours Foundation, dedicated to children’s health, was established by his will.
The foundation now funds health care facilities in Delaware, Florida, Georgia, New Jersey and Pennsylvania, including children’s hospitals in Wilmington, Delaware and Orlando. 80 specialty and basic care practices; a political and legal office in Washington, DC; Corporate headquarters in Jacksonville; and KidsHealth.org, a popular website for child and adolescent health information.
• In 1981, Nemours bought Hope Haven Children’s Hospital on Atlantic Boulevard in Jacksonville, which had been limited to outpatient services the previous year. The purchase evolved into Nemours Children’s Specialty Care, which opened in its current location in 1991.
• The Nemours Foundation keeps its name. The new Nemours Children’s Health will be the new name for the health facilities from August.
• A newly published book, Images of America: Nemours Children’s Health, documents the history of Nemours. The book was written by the President and CEO of Nemours, R. Lawrence Moss, and published by Arcadia Publishing.
The Moss White Paper – “How Children Can Change the Economy … and Healthcare” – can be found at nemours.org/content/dam/nemours/wwwv2/childrens-health-system/media/whitepaper-children-economy.pdf .
For more information on Nemours, please visit nemours.org.