Health Care Innovation Awards: Project Profile

UNIVERSITY HOSPITALS OF CLEVELAND

Project Title: “Transforming pediatric ambulatory care: the physician extension team”
Organizations: University Hospitals (UH) Rainbow Babies and Children’s Hospital at UH Case Medical Center partnering with Ohio Medicaid, CareSource, WellCare, 4 community mental health agencies, Cuyahoga Community College, Cleveland Schools, Head Start, InstantCare, and HealthSpot
Geographic Reach: Ohio
Funding Amount:
$12,774,935
Estimated 3-Year Savings: $13,500,000

Summary

University Hospitals Rainbow Babies & Children’s Hospital received funding to create a pediatric program to improve care, overall health and lower costs for children in Northeast Ohio. Rainbow Care Connection is one of the first pediatric accountable care organizations (ACO) in the country.

Rainbow Care Connection is a new type of multidisciplinary model geared to produce needed change in pediatric ambulatory care. The model creates meaningful relationships across pediatric primary care providers, hospitals, patients and managed care organizations to drive change and achieve the three objectives of better care, better health and lower cost.

Rainbow Care Connection will impact 200,000 children in northeast Ohio, one-third of whom will be Medicaid enrollees, and will create a sustainable pediatric ambulatory care system that improves health, improves care and reduces costs. Specific goals include: increase primary care provider adherence to evidence-based national quality measures; improve care and health of children with complex chronic conditions through an innovative broad comprehensive care coordination program; improve access and coordination of behavioral health services; and decrease avoidable emergency department visits and hospitalizations.

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