For Charles Macias, M.D., young Jenny Jones was the last straw in tolerating a fragmented care delivery system.

The emergency physician had seen the child with severe asthma three times previously and here she was again after visiting one primary care physician, two hospitals and three ERs within the past six months. Macias, now chief clinical systems integration officer at Texas Children’s Hospital, asked Jenny’s mother if she was doing everything on the asthma action plan previously given to her. “She had six different action plans from us in her folder,” he recalled at Health Data Management’s Healthcare Analytics Symposium in Chicago. “She laid them on the table and said, ‘You tell me which plan to follow.’”

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