October 30, 2018 - SCCN Year-End Report / Annual Dinner Recap

On October 17, 2018, nearly 70 network providers, practice managers, Board and Committee members as well as staff attended SCCN’s annual dinner meeting. The evening opened with a welcome from Board Chair Glenn Lux, MD of Allegro Pediatrics. Summaries of the presentations are given in the stories below.

Grow, Perform and Enhance

SCCN Interim Executive Director Jeff Bissey, MD presents the draft strategic direction recently defined by the Board of Managers for the coming year, with the theme “Grow, Perform and Enhance.”

National and Regional Trends in Pediatric Value-Based Care

A highlight of SCCN’s annual dinner meeting was a national overview of progress in pediatric clinically integrated networks (CINs) provided by one of SCCN’s founders, Seattle Children’s Executive VP Sandy Melzer, MD. Dr. Melzer’s leadership of a Learning Collaborative of 18 pediatric networks across the country gives him special insight into national trends.

He summarized SCCN’s challenges in a rapidly changing market:

  • Emerging employer contracts that bypass community practices for systems
  • Narrow network products may be back
  • Payer willingness to “carve out” children
  • Ability to work with family practice

The top opportunities Dr. Melzer sees for SCCN in the coming year:

  • Independent and bolt-on contracting strategies with adult ACOs allow access to new products
  • Growing ability to integrate care and move the needle on quality metrics
  • Significant market presence with high-quality practices

Keynote Speaker Dr. Michael Weiss of Children’s Hospital of Orange County

A fellow Learning Collaborative member is Children’s Hospital of Orange County (CHOC). CHOC’s Vice President of Population Health Dr. Michael Weiss agreed to share his organization’s success in managing a large pediatric population with a high percentage of Medicaid patients.

Dr. Weiss leads the CHOC Health Alliance, an independent physician association covering 157,000 pediatric lives through 1,100 physicians.

In one intervention targeting 442 of the highest-risk children in the county, the Alliance brought together a team of 10 FTEs to coordinate care for these children. In just one year, the care management team averted costs reaching seven figures while significantly improving patient experience though a single, seamless plan of care.

Dr. Weiss's advice to providers looking to have their own measure of success in population health:

  • It can be hard to prioritize, so just pick something!
  • Engage to your level of comfort.
  • Use your office staff/team—they will appreciate it
  • Use the resources being offered to you.

SCCN Year in Review

At the dinner meeting, Dr. Bissey presented highlights of the past year. These are shown in the infographics displayed at the end of this column.

Our three other SCCN leaders weighed in on projects they were responsible for. Sheryl Morelli, MD, Chief Medical Officer, talked about SCCN's emergency department and inpatient follow-ups with practices. Ginger Hines, Senior Director of Operations, discussed how URAC certification gave us clout with payers and adult CINs. Maureena Moran, Director of Analytics, talked about her team making Wellcentive useful to practices for all patients—not just those in contracts.

SCCN Board of Managers in Attendance

A portion of SCCN’s Board of Managers attending the dinner (left to right): Sandy Melzer, MD, Exec. VP, Networks & Population Health, Seattle Children’s; Rob Roskin, MD, Primary Care Provider, Allegro Peds.; Glenn Lux, MD, Board Chair, President & CEO, Allegro Peds.; Brian Joseph Cartin, MD, Assoc. Div. Chief of Hospital Med., Seattle Children’s; Danae Nakoneczny, MD, Primary Care Provider, Ballard Peds.; Melissa Walsh, MD, Primary Care Provider, Richmond Peds.; and Russ Williams, MHA, Sr. VP & Chief Admin. Officer, Seattle Children’s.