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You are here: Home / Archives for Daniella Gratale

Pediatric Value-Based Care Models

August 11, 2020 by Daniella Gratale

Disclaimer: Moving Health Care Upstream is a collaborative effort originally co-led by Nemours Children’s Health System (Nemours) and the Center for Healthier Children, Families & Communities at the University of California- Los Angeles (UCLA). The views and opinions expressed in this article are those of the author(s) and do not necessarily reflect the official policy or position of Nemours, UCLA or the Moving Health Care Upstream initiative.


Nemours Children’s Health System and the Duke-Margolis Center for Health Policy are pleased to announce the release of a posting on the Health Affairs blog and two joint issue briefs that provide recommendations to accelerate pediatric value-based payment (VBP) and integrated care models that address social drivers and promote health equity. Both briefs, along with an accompanying executive summary, draw from an expert convening made possible with support from the Robert Wood Johnson Foundation, as well as a two-year Collaborative. Though the recommendations were initially drafted prior to the pandemic, the enormous strain that COVID-19 has placed on families and communities makes the recommendations particularly timely. The disparities that existed at baseline in our health and social service systems for children are intensified as both systems are stretched to their capacity, thereby creating a more urgent need to address the needs of children and families.

“Addressing Social Drivers through Pediatric Value-based Care Models: Emerging Examples and Promising Approaches” offers bright spots that showcase examples of states and communities that are beginning to pursue integrated, value-based pediatric models that address social drivers.

“Addressing Social Drivers through Pediatric Value-based Care Models: Recommendations for Policymakers and Key Stakeholders” builds upon the first brief, highlighting accelerators, barriers, and policy and practice recommendations to promote transformative value-based care for children, including addressing social drivers and promoting health equity.

We encourage you to distribute these resources widely and to share them on social media.

Read this issue briefs here.

If you have questions, please feel free to contact [email protected] or [email protected].

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Defining an Accountable Community for Health (ACH) for Children and Families

October 30, 2017 by Daniella Gratale

Written by Daniella Gratale and Debbie Chang, Nemours Children’s Health System

Disclaimer: Moving Health Care Upstream is a collaborative effort co-led by Nemours Children’s Health System (Nemours) and the Center for Healthier Children, Families & Communities at the University of California- Los Angeles (UCLA). The views and opinions expressed in this article are those of the author(s) and do not necessarily reflect the official policy or position of Nemours, UCLA or the Moving Health Care Upstream initiative.


Nemours is excited by the opportunity and potential that Accountable Communities for Health can bring to pediatrics. Following a meeting we co-convened with the Health, Medicine and Society Program of the Aspen Institute in 2016, Nemours authored a perspective that the National Academy of Sciences released today entitled Defining an Accountable Community for Health (ACH) for Children and Families. The perspective makes the case for optimizing health for children and families, beginning in the early years, presents a vision for the future, identifies core elements for an ACH for Children and Families model, and outlines unique considerations for policymakers and funders who could play a critical role in testing the model. [Read more…]

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Moving Health Care Upstream aims to promote upstream #PopulationHealth work benefitting children. An initiative of @Nemours. Initial funding from @KresgeFdn.

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A great illustration of what #HealthEquity means! ⬇️

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One size does NOT fit all, especially in health.

When it comes to addressing the nation's critical health challenges, the greatest opportunity for lasting change often lives within public policies that affect #healthequity and well-being.

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LarryMossMDLarry Moss, MD@LarryMossMD·
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As we emerge from #COVID19 we can develop healthy children & a strong workforce for the future by prioritizing health & well-being early in life. We wrote this op-ed urging @POTUS to create a #WHOffice4Kids to meet our greatest challenges & place the US on a healthy path forward. https://twitter.com/Nemours/status/1353728067341062144

Nemours@Nemours

[email protected] op-ed by Nemours CEO @LarryMossMD & @First_Focus Pres @BruceLesley asks @POTUS for a @WhiteHouse Office on Children & Youth #WHOffice4Kids #ChildrensCabinet https://morningconsult.com/opinions/dear-president-biden-we-need-a-white-house-office-on-children-and-youth/

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