PIVOT Toward Better Pediatric Performance

PIVOT Toward Better Pediatric Performance

Premier's Physician Practice Advisory and Performance Insights Value Optimization Tool (PIVOT) are built to meet the unique needs of children's hospitals.

A smiling doctor in scrubs talks to a father and his son.

Purpose-Built to Support Your Mission

  • Designed for Pediatrics: Benchmarks that reflect pediatric subspecialties, patient mix and care delivery models.
  • Customized, Not Compromised: Insights on new patient lead times, provider panel size and investment per provider, tailored to your medical group.
  • Strategic Advisory: Industry experts who understand your mission-driven reality, balancing access, outcomes and margin.

Did You Know?

In just three years, new patient access times have increased by nearly 11 percent, while operating margin per provider has dropped 38 percent.*

“People naturally want a good experience for their patients and great outcomes. They wanted to have metrics, such as how quickly a new patient could be seen. Now we have an answer for that. It's contributed to a $10.7 million increase in revenue.”

Dan Drake, Ph.D.

President of Medical Group

Premier's PIVOT database highlights the urgent reality for pediatric providers:

  • Patients waiting longer: New patient lead times are up 11%, now averaging 34 days.
  • Volume without growth: While overall patient volumes rose 2.8%, the share of new patients declined by 2.5%, limiting future growth.
  • Rising costs: Provider compensation increased 5%, adding expense pressure.
  • Margins eroding: Operating margin per provider dropped by 38%, underscoring financial strain across the system.

Bottom Line: Pediatric providers are doing more and getting less. PIVOT reveals where performance is stuck, even as costs and wait times climb.

Three doctors in white coats review an X-ray

Built for the Business of Kids

What Makes Pediatrics Different?

  • More Mission, Less Margin: Medicaid dependence and wraparound services require new financial strategies.
  • Family-Centered Complexity: Multidisciplinary care, behavioral health and education coordination shift your cost structure.
  • Outcomes > Output: It's about timely access, equity and lifelong health.
gray line

“To drive operational efficiencies and financial growth, we engaged Premier to maximize our approach. They provided compelling, evidence-based methods to integrate our teams, optimize workflows, increase patient access and leverage data to drive improvements. As a result, we saw $6 million in combined savings and revenue enhancements.”

— Chief Executive Officer, Medical Group

Meet Your Partners

Todd Hoisington headshot

Todd Hoisington

Managing Director,
Physician Enterprise Practice Lead

Amy Strauss headshot

Amy Strauss

Senior Director,
Advisory Services

Kearin Schulte headshot

Kearin Schulte

Managing Director,
Advisory Services

Joshua Stites headshot

Joshua Stites

VP,
Physician Enterprise Technology

See What's Possible with Pediatric Benchmarks

Schedule a meeting to explore pediatric insights on access, provider investment and performance — built from national children's hospital data.

*Data based on Premier's PIVOT database from 2022 to 2025