Innovative Pediatric Practice: A Pathway to Value-Based Care

In this podcast episode, Dr. Sian Jones, a dedicated pediatrician from Nebraska, shares insights into her integrated, value-based pediatric practice. The discussion covers various aspects of pediatric care, including value-based care, chronic disease management, integration of mental health, and the challenges modern pediatricians face. Dr. Jones emphasizes the importance of physician-led healthcare focused on building positive relationships with families and the healthcare team. The conversation explores efficient scheduling, chronic disease clinics, the role of AI in medical practice, and the future of pediatrics, highlighting Dr. Jones' well-run practice as a potential model for the future. The episode aims to shed light on the value of investing in pediatric care and the transformation needed in the healthcare system. We hope to have Dr. Jones back to expand on shared savings, a single payment for good care and preventive care, and a direct primary care model paid by either parents or employers.

This episode is sponsored by our friends at Freed.ai. Without their generous contribution, the show would not be possible. Dr. Rougu uses this product daily, and as he says, "It has changed my life. I don't work anymore." Please visit their website and support our sponsors.

00:00 Introduction and Guest Welcome
00:27 Dr. Sian Jones' Background and Passion
01:11 Pediatric Practice in Nebraska
02:46 Integrated Care and Chronic Disease Management
05:31 Challenges and Innovations in Asthma Care
08:55 Obesity Management and Remote Monitoring
13:28 Behavioral Health and Collaborative Care
18:37 Pediatric Care Crisis and Future Directions
25:29 Balancing Work and Family as Physicians
26:25 Understanding Physician Value and Burnout
27:51 Optimizing Physician Roles and Responsibilities
28:33 Challenges in Pediatric Care and AI Integration
36:42 Implementing Walk-In Clinics for Acute Care
39:29 Payer Advocacy and Collaboration
45:21 Value-Based Care in Pediatrics
49:49 Concluding Thoughts and Future Directions

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The Pediatric Lounge - A Podcast taking you behind the door of the Physician's Lounge to get a deeper insight into what docs are talking about today, from the clinically profound to the wonderfully routine...and everything in between.

The conversations are not intended as medical advice, and the opinions expressed are solely those of the host and guest.

In this episode, Dr. Bravo and Dr. Rogu speak with Dr. Molly O'Shea, a pediatrician and owner of a holistic family practice in Michigan. They discuss the emerging field of personalized medicine in Michigan and Dr. O'Shea's journey into pediatrics. Dr. O'Shea shares her experiences, detailing her innovative practice model, including home visits and a holistic approach. She also delves into the significance of genetic screening in early childhood and her work with rare diseases. The conversation covers pediatric care's challenges and potential future, touching on the importance of mental health, the microbiome, and the evolving role of primary care in pediatrics.

This episode is sponsored by our friends at Freed.ai. Without their generous contribution, the show would not be possible. Dr. Rougu uses this product daily, and as he says, "It has changed my life. I don't work anymore." Please visit their website and support our sponsors.

00:00 Introduction and Setting the Scene
00:09 Meet Dr. Molly O'Shea
01:02 Dr. Molly's Journey to Pediatrics
04:42 Family Influence and Childhood Challenges
06:26 Resilience and Overcoming Adversity
13:20 Innovative Pediatric Practice
24:48 Personalized Medicine and Rare Diseases
34:00 Advocacy and Future Projects
37:29 The Illusion of Deleting Social Media Data
38:10 Understanding Genetic Conditions: Monogenic vs Polygenic
44:25 Penetrance and Its Role in Genetic Conditions
51:47 Challenges in Pediatric Genetic Screening
56:06 Future of Pediatrics: Personalized Medicine and Microbiome
01:00:20 The Financial Struggles in Pediatric Care
01:06:57 The Role of Extenders in Pediatric Practice
01:12:49 Concluding Thoughts and Future Meetings

Support the show

🔴 Subscribe for more Doctor stories like this: 🎧Apple and give us a 5-star review.
Read more on the TPL Website

SOCIAL Media Pages ===============================
📝 - Substack
🎧 - PODCAST
👥 - FACEBOOK
🐦 - TWITTER
📸 - Instagram
➡️ - Linkedin

The Pediatric Lounge - A Podcast taking you behind the door of the Physician's Lounge to get a deeper insight into what docs are talking about today, from the clinically profound to the wonderfully routine...and everything in between.

The conversations are not intended as medical advice, and the opinions expressed are solely those of the host and guest.

The State of Pediatric Healthcare: Challenges, Advocacy, and Systemic Reforms

This episode is made possible by the sponsorship of Freed.ai, which Dr. Rogu and Dr. Bravo use in the clinic. Please visit their website and support our sponsors as they make the show possible.

In this episode, hosts delve into pediatricians' multifaceted challenges, touching on key topics such as the Pediatrician's Bill of Rights, the financial and administrative struggles within the pediatric healthcare system, and the pressing need for systemic reforms. Dr. John Sutter shares his 40 years of experience, highlighting the motivations behind his advocacy for better pediatric care and the inefficiencies within the current healthcare framework. The discussion showcases the dire state of pediatric healthcare, emphasizing underfunding, disparities in reimbursement rates, and the negative impact of value-based care systems. It also explores financial burdens related to Medicaid and vaccine administration, the role of policy changes, and the importance of public awareness and legislative action. Personal anecdotes and the urgent call for reform underscore the need to prioritize children's health and support pediatricians through advocacy and community efforts.

00:00 Introduction and Guest Welcome
00:27 Dr. Sutter's Background and Motivation
01:33 The Pediatrician's Bill of Rights
02:52 Challenges in Pediatric Care
03:52 The Role of Organizations in Healthcare
05:38 Financial Realities and Legislative Issues
19:39 Value-Based Care and Its Implications
29:24 Medicaid and Healthcare Disparities
39:05 Pediatricians' Workload and Compensation
39:48 Insurance Companies' Exploitation
40:15 Case Study: Medicaid Expansion in North Carolina
42:43 Challenges with Vaccine Payments
57:49 Administrative Burdens in Healthcare
01:00:37 Attracting Talent to Pediatrics
01:01:56 The Financial Sacrifice of Pediatricians
01:10:52 Proposals for Legislative Change
01:16:06 Conclusion and Future Steps

Support the show

🔴 Subscribe for more Doctor stories like this: 🎧Apple and give us a 5-star review.
Read more on the TPL Website

SOCIAL Media Pages ===============================
📝 - Substack
🎧 - PODCAST
👥 - FACEBOOK
🐦 - TWITTER
📸 - Instagram
➡️ - Linkedin

The Pediatric Lounge - A Podcast taking you behind the door of the Physician's Lounge to get a deeper insight into what docs are talking about today, from the clinically profound to the wonderfully routine...and everything in between.

The conversations are not intended as medical advice, and the opinions expressed are solely those of the host and guest.