Supporting Healthy Development is a Big Bet For Children

By: Paul H. Dworkin, MD As a frequent pursuer of grant support, I am encouraged and inspired by recent philanthropic trends, such as funders embracing a high impact, transactional model of giving; strategic philanthropy; and the leveraging of funding from multiple sources. An exciting example of the latter is the Pediatric Big Bet, comprised of…

Leveraging Medicaid to Promote Children’s Optimal Health

By: Paul H. Dworkin, MD As our country continues to grapple with how best to achieve meaningful healthcare reform, we have an auspicious opportunity to leverage Medicaid to transform child health services to promote children’s optimal health, development, and well-being. Leveraging Medicaid to transform child health services demands that the past not be a prelude…

Leveraging Science to Transform Pediatric Primary Care

“This field is too rich and too precious to settle for modest impacts. We should be raising the bar,” stated Jack Shonkoff, MD, the founding director of Harvard University’s Center on the Developing Child. Dr. Shonkoff delivered the annual Dworkin lecture at Connecticut Children’s Medical Center, which is a Grand Rounds session named in honor…

Help Me Grow National Forum: “We Can Create Change!”

This year’s Help Me Grow National Forum was the largest to date for our Help Me Grow National Center (National Center), which is based at Connecticut Children’s Medical Center in Hartford, Connecticut. More than 400 child health advocates gathered in Seattle from 29 states for the 3-day event. In 2017, 99 Help Me Grow systems…

“What Gets Measured Gets Done” Yet “We Measure What We Treasure”

By: Paul H. Dworkin, MD On February 7, 2018, I was excited to attend a convening organized by the Robert Wood Johnson Foundation and the Doris Duke Charitable Foundation to identify strategies to build consensus about indicators and measures of child well-being. The eloquent title of the meeting reflected the daunting challenge of the task…

Time to Reframe our World View

By: Paul H. Dworkin, MD Spirited debate over immigration policy in our country and controversial comments attributed to our president regarding immigrants’ nations of origin have fueled intense concerns for the international reputation of the United States. Pundits lament a loss of global standing and prestige due to such policies and comments, as well as…

Developmental Screening and Referral: a Call for Careful Reflection

By: Paul H. Dworkin, MD Each month, I have the pleasure of meeting with first-year pediatric residents who are on their Developmental-Behavioral Pediatrics rotation at Connecticut Children’s Medical Center. I employ a case-based approach to enhance their understanding of the process of developmental surveillance and screening and to strengthen their skills in the early detection…

I Wonder Why Not a “Child Health Services First” Agenda?

By: Paul H. Dworkin, MD I was interested to read the recent announcement of Harvard Graduate School of Education Dean James E. Ryan that he will depart Harvard at the end of the academic year to become president of the University of Virginia. Before joining Harvard, he was the Matheson & Morgenthau Distinguished Professor at…

The Call for System Leadership

By: Paul H. Dworkin, MD I am privileged to serve on the Leadership Council of the North Hartford Triple Aim Collaborative, an important, place-based initiative to promote the health and well-being of all residents of Hartford’s most disadvantaged neighborhoods. In preparation for an upcoming meeting, the convening backbone organization shared an article on system leadership…

Identifying Next Steps for Pediatric Value-Based Care

Our Paul Dworkin, MD, founding director of the Help Me Grow National Center, partnered with other leading child development experts to help inform the Center for Medicare and Medicaid Innovation‘s (CMMI) ongoing exploration of alternative payment model concepts for pediatrics that prioritize value-based reimbursements over traditional fee-for-service models. Dworkin and colleagues analyzed 16 responses to…