Further, this reduction in ED visits has resulted in $1 million in avoided emergency room costs. The pediatric asthma population health initiative, which entailed the implementation of health IT-supported care model redesign, has produced impressive results so far, with emergency department visits reduced 18 percent year-over-year, with asthma-related issues driving many of those ED visits. CHOC Health Alliance, an IPA comprised of Children’s Hospital of Orange County and CHOC Physician Network, manages approximately 160,000 fully capitated Medicaid pediatric patients through a contract with the Orange County-affiliated health plan, CalOptima.Īlexandra Roche, M.D., pediatrician at CHOC Children's CHOC also operates many primary and specialty care clinics, more than 100 additional programs and services and four centers of excellence – The CHOC Children’s Heart, Neuroscience, Orthopaedic and Hyundai Cancer Institutes. CHOC Children’s is a regional pediatric healthcare network that includes a 279-bed main hospital facility in the City of Orange and a hospital-within-a-hospital in Mission Viejo. With this goal in mind, physician and IT leaders and care management teams at Children’s Hospital of Orange County (CHOC Children’s), based in Orange, California, leveraged health IT tools to improve the health of pediatric asthma patients through a population health approach in the health system’s primary care clinics. For a pediatric healthcare system, effective management of the pediatric asthma population improves the wellbeing of the patients and their families, reduces emergency department visits and improves overall health outcomes. For children with asthma, and their families, a trip to the emergency room due to a severe asthmatic flare-up can be a traumatic and frightening experience and can often lead to a hospital stay.
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