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AAPP engaged KSA (Kurt Salmon Associates http://www.kurtsalmon.com) during winter/spring 2009-2010 to identify and adopt a distribution strategy that
- provides the optimal balance of access to care for Alaska's children with an environment that is attractive to new providers,
- identifies the best use of Outside specialists and primary care providers,
- ensures volumes for in-state providers necessary to maintain skill sets and provide high-quality, safe care.
This consultation gave us a blueprint, accepted as a shared vision, of what we as a community of providers wish for our Alaskan children and their families regarding subspecialty services delivery and program development.
- Our primary goal is to provide complex quality care as close to home as possible. For example, currently many Alaskan children with special needs and their families need to leave Alaska for extended periods of time for their care. In addition, it is common for children in Alaskan communities to have to travel to Anchorage for initial evaluation or for follow-up of their special needs.
- An additional goal is to be sure to provide a timely response to urgent specialized care, i.e., "a medical safety net for our children and their families". For example, many children with complex specialized illnesses are fragile and can have extremely rapid onset of complications requiring urgent specialized care. Travel long distances with-in Alaska and especially outside Alaska poses additional risk and potential poor outcomes.
- This shared vision will assist recruitment and retention of needed specialized health care providers.
- This shared vision will assist in understanding the financial challenges and facilitate financial strategies. State or philanthropic support will always be required to realize complex quality care as close to home and to provide "a medical safety net for our children and their families". It is hoped that this blueprint will help others with financial resources to understand the need and to themselves join as financial partners of the shared vision.
- Funding was provided by the State of Alaska, The Children's Hospital at Providence, Alaska Native Medical Center, Alaska State Hospital and Nursing Home Association, The Alaska Mental Health Trust Authority, Alaska Regional Hospital, Central Peninsula Hospital and Fairbanks Memorial Hospital.
READ the final report and executive summary
For details, including drafts and presentations, visit KSA history
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