MedCur_F09-v2 12/3/09 9:51 AM Children’s National Page 1 MEDICAL CURRENTS A Children’s National Medical Center Quarterly Publication for Physicians ® ® Transforming Care in Our Intensive Care Units: PICU and CICU Receive National Award...Page 4 FALL 2009 MedCur_F09-v2 12/3/09 9:51 AM Page 2 MEDICAL CURRENTS ■ Fall 2009 CHILDREN’S RESEARCH INSTITUTE HIGHLIGHTS New Surgery Institute Aims to Improve Surgery and Eliminate Pain Kurt Newman, MD, senior vice president for the Joseph E. Robert, Jr., Center for Surgical Care, describes how this transformational gift will benefit children around the world. $150 Million Gift is Largest Ever for Pediatric Surgery O n September 16, Children’s National Medical Center announced the creation of the Sheikh Zayed Institute for Pediatric Surgical Innovation. With the largest gift ever donated to pediatric surgery, the new institute brings together surgeons and researchers from seemingly disparate fields of medicine and research under the shared goal of improving surgery for children. The Institute will focus on four initiatives that together will open a new era for pediatric surgery: • Pain Medicine Initiative: By developing a device that measures pain accurately, we will learn how to eliminate pain with more effective medications and treatments. • Bioengineering Initiative: We will harness the power of biomedical imaging and the computational sciences to provide surgeons with unprecedented levels of precision. ® ® Proud to be Among America’s Best Children’s Hospitals IN THIS ISSUE: 2 ..... CRI Highlights 3 ..... New Services for Referring Physicians 4 ..... Transforming Care in Our Intensive Care Units 6 ..... New Faculty 7 ..... Children’s News Notes 8 ..... People Notes 2 www.childrensnational.org • Immunology Initiative: We will create innovative immunotherapies to suppress or stimulate a child’s own immune system to cure disease – eliminating the need for surgery. • Systems Biology Initiative: With the decoding of the human genome, we will begin a new era of predictive, preventive, and personalized surgery for every child based on their specific genetic makeup. Our plan is to apply business model principles of innovation management to the practice of surgery to expedite discovery and bring new therapies to children as quickly as possible. In addition to the four initiatives, the institute also will create fellowships in Pediatric Surgical Innovation. The fellowships, eight in total, will be named the Robert Fellowship, in honor of our longtime supporter, Joseph E. Robert, Jr. The two-year fellowships will allow promising young surgeons and researchers to study the innovation management framework and apply it to surgery and research. Each year, Children’s National performs 15,000 operations on infants, children, and young adults. This institute offers the potential to help all children, even those who never come to our hospital. By tackling these four initiatives collaboratively, our aim is to quickly translate research to care, share new knowledge and medical discoveries, and benefit children across the country and around the world. Visit www.childrensnational.org/surgeryinstitute for more details. MedCur_F09-v2 12/3/09 9:51 AM Page 3 MEDICAL CURRENTS ■ Fall 2009 New Services for Referring Physicians Discounted EMRs for Pediatric Practices Children’s IQ Network Offers Discounts on Best-in-Class EMR Software: eClinical Works Children’s IQ Network® is a health information exchange specifically designed for pediatrics. Healthcare delivery for children is unique given the significant impact of variation in patient size, developmental age, metabolism, and family structure on both health and illness. The network links the essential health information, such as physician visits, medications, allergies, problems, laboratory results, and immunization histories for children throughout the region. Participation in the network is available on a voluntary basis to physicians who care for children in Washington, DC, Virginia, and Maryland. Children’s National is partnering with community pediatric practitioners and eClinicalWorks as the ambulatory electronic medical record (EMR) vendor. Community pediatric providers who join the network agree to share essential healthcare data within the larger region and participate in quality initiatives. Participating providers in turn receive a significant subsidization to the costs of a state-of-the-art highly rated EMR to replace paper records and improve healthcare delivery. Practices remain responsible for the costs of practice management systems and office hardware. Providers who join the network may be eligible for additional incentives through the American Recovery and Reinvestment Act. For detailed cost and implementation information, visit www.childrensnational.org/CIQN. Children’s National Gateway Your Access into Children’s National Medical Records Children’s National Gateway is a web-based portal that allows referring practices to access real-time clinical information for inpatients and outpatients referred to Children’s National. The portal includes physician and nursing documentation, lab results, and radiology results (for patients from May 18, 2008, to present), as well as helpful links to Children’s and other medical web sites. Future enhancements are planned, including access to round reports and problems lists. To ensure patient privacy, providers will be able to see only the patients who identify them as their primary care provider. Children’s National must grant secure access to each physician who will log into the system. Once you request access, your login and password will be e-mailed to you within one week. To enroll, visit www.childrensnational.org and click on the green “For Doctors and Healthcare Professionals” tab. For questions, please e-mail Cori Ahrens at [email protected] To request a visit with a physician liaison to assist in registering for the portal, contact Shay Raugh Wilkinson at [email protected] CHILDREN’S NATIONAL HEALTH NETWORK Children’s National Health Network (CNHN) is the Washington, DC, region’s largest dedicated pediatric provider network. CNHN has more than 750 members, linking community-based pediatricians in 240 practices with more than 300 pediatricians and specialists at Children’s National Medical Center. CNHN improves pediatric care through improved clinical communication, and connectivity, group purchase, educational, and quality improvement programs. In particular, CNHN’s group purchasing program for vaccinations saves practices money each year. The network has partnered with the American Academy of Pediatrics to offer CNHN-member pediatricians free access to the AAP’s Pediatric Care Online and Patient Education Online. This resource saves a practice approximately $300 per physician, per year. For more information on joining Children’s National Health Network visit www.childrensnational.org/cnhn. www.childrensnational.org 3 MedCur_F09-v2 12/3/09 9:51 AM Page 4 MEDICAL CURRENTS ■ Fall 2009 Transforming Care in Our Intensive Care Units PICU and CICU Receive National Award Children’s National Medical Center is the first hospital in the nation to have two pediatric units receive the award at the same time. T he Division of Critical Care Medicine at Children’s National Medical Center is a national leader in the care of critically ill and injured infants and children. Staff members provide 24/7 coverage of patients in the Pediatric Intensive Care Unit (PICU), Neonatal Intensive Care Unit, Neuro Intensive Care Unit, and Cardiac Intensive Care Unit (CICU). Children’s National has the only pediatric-focused cardiac and neuro intensive care units in the region. Children’s physicians and nurses are experts in life-support technologies and techniques for respiratory, neurological, and cardiac intensive care, including Extracorporeal Membrane Oxygenation (ECMO) therapy. They also are national and international authorities in their fields, conducting research on topics ranging from advances in health services to brain injury and recovery. This expertise maximizes patients’ chances of living healthy and productive lives. 4 www.childrensnational.org In October, both the CICU and the PICU at Children’s National received the Beacon Award for Critical Care Excellence, an award given by the American Association of Critical-Care Nurses (AACN). The award recognizes the nation’s top pediatric, progressive, and adult critical care units across a multitude of hospitals. The recognition represents extraordinary commitment to high-quality critical care standards, and dedication to the exceptional care of patients and their families. Children’s National Medical Center is the first hospital in the nation to have two pediatric units receive the award at the same time. “We are very excited to be recognized for our commitment to excellence,” said Janeane Walker, MSN, RN, CPN, CCRN, a professional practice specialist in the PICU and CICU. “Through teamwork and collaboration between attendings, nurses, and staff, we are able to provide the best environment and outcomes for our patients.” As Beacon Award recipients, the CICU and PICU succeeded in the following areas, as measured against evidence-based national criteria: • Recruitment and retention • Education, training, and mentoring • Research and evidence-based practice • Patient outcomes • Leadership and organization ethics • Healing environment Children’s ICU care emphasizes compassion and comfort for families during a stressful time. In Children’s new East Inpatient Tower, the ICU units have large rooms with private restrooms, windows, and sleep spaces for two adults. To improve care, the ICU beds can sit in the middle of the room, allowing physician and nurse access around the bed. To see a video tour of the ICU, visit http://media.childrensnational.org. MedCur_F09-v2 12/3/09 9:51 AM Page 5 MEDICAL CURRENTS ■ Fall 2009 LEADING THE WAY IN CHILD HEALTH ADVOCACY: The Pediatric Health Needs Assessment O ICUs USE PORTABLE CT SCANNER TO IMPROVE CARE Through a generous donation, Children’s National received a new portable CT scanner called a CereTom®. This device is one of few in use in pediatric hospitals around the country, and is one of only a handful in use in any hospital in the mid-Atlantic region. The portable CT scanner delivers high-resolution images that are effective and efficient in diagnosing head and neck injuries with minimal patient disruption and risk. The scans can be taken at the patient’s bedside without requiring the child to be moved. The intensive care and imaging teams collaborate in diagnosing at the bedside with engagement of parents, using patient/family-centered care to improve clinical outcomes. The scanner also has applications in neurosurgery where it is essential to know “real-time” if a procedure has been successful before the surgery is concluded. “The portability of this scanner vastly improves our ability to offer timely diagnosis of intracranial disease processes outside the imaging suite,” said Robert Keating, MD, chief of the Division of Neurosurgery. “This tool has the potential to change the practice of neurosurgery as we currently know it.” n October 8, Children’s National Medical Center, in conjunction with the RAND Corporation, released the Pediatric Health Needs Assessment for the District of Columbia. This groundbreaking study was commissioned to give Children’s National data with which to base the community benefit program; a strategic foundation for planning advocacy activities; and a document to share with District policymakers and pediatric health stakeholders to develop collaborative programs designed to address the most pressing pediatric health needs. “The fact that so many stakeholders came to the table and cooperated with researchers is news in and of itself,” said Joseph Wright, MD, MPH, senior vice president of the Child Health Advocacy Institute (CHAI). “The data used are both quantitative and qualitative, which is new for RAND, and a great achievement for children in the District.” The report will be used to plan advocacy programs – either those that Children’s National can develop and lead, those we assist with, and those we can support. Key findings from the report include: • The District of Columbia leads the nation in children with health coverage, with only an estimated 3.5 percent uninsured children in DC in 2007 vs 9.1 percent uninsured nationally. • However, despite high levels of coverage, many barriers keep children from receiving primary and specialty health care in community-based settings, including: – Uneven distribution of primary and specialty care providers across the District; and – Infrastructure inequities, related to issues such as ease of physical access and transportation. – As a result, many children rely on emergency rooms and are hospitalized for conditions that could be prevented. • Some health issues in the District are particularly alarming, including the highest or among the highest rates in the nation of obesity, asthma, sickle cell disease, HIV/AIDS, adolescent pregnancy, and teen dating violence. For more information on the Pediatric Health Needs Assessment for the District of Columbia, visit www.childrensnational.org/pediatricneeds. www.childrensnational.org 5 MedCur_F09-v2 12/3/09 9:51 AM Page 6 MEDICAL CURRENTS ■ Fall 2009 NEW Faculty Charles I. Berul, MD Chief, Division of Cardiology Charles I. Berul, MD, joins Children’s National from The Children’s Hospital Boston, where he directed the Pacemaker Program and was a leader of a Heart Rhythm Genetics and Development research laboratory. An internationally acknowledged expert in the area of pediatric cardiac electrophysiology, inherited heart rhythm abnormalities, pacemaker and defibrillator implantation, and cardiac screening of the pediatric athlete, he has authored more than 150 publications in the field of pediatric cardiology and is an invited speaker nationally and internationally. Anastassios Koumbourlis, MD Chief, Divisions of Allergy and Pulmonary Medicine and Sleep Medicine Anastassios Koumbourlis, MD, joins Children’s National from Albert Einstein College of Medicine and Schneider Children’s Hospital in New York, where he was the chief of Pulmonology. Prior to this, he was on the faculty of Columbia University and Director of the Pulmonary Function and Exercise Laboratories at the Children’s Hospital of New York at Columbia University Medical Center. Dr. Koumbourlis has extensive experience in pediatric pulmonary medicine with special interests in congenital lung and airway anomalies, chest wall deformities, and pulmonary complications of neuromuscular and sickle cell disease. Suresh Magge, MD Neurosurgery Suresh Magge, MD, joins the Division of Neurosurgery with clinical expertise in vascular malformations, brain tumors, endoscopic and open craniosynostosis surgery, Chiari malformations, prenatal neurosurgical diagnosis, and spine and functional neurosurgery. Dr. Magge received his medical degree from Harvard Medical School and completed his neurosurgical training at the University of Pennsylvania and The Children’s Hospital Boston. He will see patients in both Washington, DC, and Northern Virginia and will perform surgery at Children’s National and Inova Fairfax Hospital. Marshall Summar, MD Chief, Division of Genetics Marshall L. Summar, MD, joins Children’s National from Vanderbilt University School of Medicine, where he directed the Program in Translational Genetics. Dr. Summar is an expert in translational studies of carbamyl phosphate synthetase deficiency, and has completed innovative work on nitric oxide in urea cycle and related disorders. His interest is in translating findings from research on genetic disorders to disorders caused by environmental factors in the broader pediatric population. In addition to his research, Dr. Summar is chief of the Division of Genetics, which assesses and treats patients and families with a variety of conditions. 6 www.childrensnational.org New Faculty Adolescent Medicine Lisa Tuchman, MD Allergy and Pulmonary Medicine Anastassios Koumbourlis, MD division chief Dinesh Pillai, MD Anesthesiology and Pain Medicine Richard Bosco, MD Andrew Matisoff, MD Theodore Reyes, MD Cardiac Surgery Dilip Sri Nath, MD Cardiology Charles Berul, MD division chief Niti Dham, MD Elizabeth Anne Greene, MD Anita Krishnan, MD Child and Adolescent Protection Katherine Deye, MD Emergency Medicine Dafina Good, MD Sabah Iqbal, MD Alexandra Rucker, MD Ann Thomas, MD Theresa Walls, MD, MPH Epilepsy and Neurophysiology Tesfaye Zelleke, MD Gastroenterology, Hepatology, and Nutrition Elizabeth Hart, MD Jaime Wolfe, MD General and Thoracic Surgery Evan Nadler, MD General and Community Pediatrics Karen Fratantoni, MD Olanrewaju Omojukun, MD Genetics Marshall Summar, MD division chief Pranoot Tanpaiboon, MD Hematology Amanda Thompson, PhD MedCur_F09-v2 12/3/09 9:51 AM Page 7 MEDICAL CURRENTS ■ Fall 2009 y icine MD monary Medicine mbourlis, MD f D and Pain Medicine MD MD , MD y D D f Greene, MD MD scent Protection MD icine D er, MD D MD, MPH europhysiology MD y, Hepatology, MD D oracic Surgery D mmunity Pediatrics , MD ojukun, MD ar, MD f oon, MD Hospitalist Medicine Karen Smith, MD, interim division chief Prita Bhansali, MD Karen Gray, MD Tina Halley, MD Elizabeth Shashaty, MD Sophia Sterner, MD James Van Beyen, MD Health Services for Children Pediatric Center Michelle Elmson, PhD Rebekah Conroy, MD Carolyn Wurm, PhD Mary Washington Hospitalist Program Leo Altamirano, MD Andrea Brown, MD Jean Laurore, MD Kijana Nix, MD Neonatology Brian Stone, MD Nephrology Kirtida Mistry, MD Shamir Tuchman, MD Neuropsychology Christopher G. Vaughan, PsyD Neurosurgery Suresh Magge, MD Oncology Mwe Mwe Chao, MD Amanda Thompson, PhD Orthopaedics Matthew Oetgen, MD Suzanne Walters, MD Pathology Nikki Mourtzinos, DO, MHS Pharmacy Jason Corcoran, PharmD, BCPS Kathy Pham, PharmD, BCPS Plastic and Reconstructive Surgery Albert Oh, MD Rheumatology Claas Hinze, MD CHILDREN’S NEWS NOTES Children’s National Hospitalists in Northern Virginia Children’s National Medical Center and MediCorp Health System are again partnering to enhance pediatric services to families in the greater Fredericksburg, Va, area. In September, the pediatric hospitalists in the pediatric inpatient unit at Mary Washington Hospital became employees of Children’s National. Francisco Alvarez, MD, a pediatric hospitalist from Children’s National, is the medical director. He completed his training at St. Christopher’s Hospital for Children in Philadelphia and has worked at Children’s National since 2005. Patients can be admitted to the pediatric inpatient unit from a pediatrician’s office or directly through the Emergency Department. To begin the direct admission process, call the Mary Washington Hospital Physician Answering Service at 540-741-1700. You can discuss the case directly with a Children’s National pediatric hospitalist. American Academy of Pediatrics Conference and Exhibition in Washington, DC Children’s National welcomed alumni, healthcare professionals, and friends to the American Academy of Pediatrics National Conference and Exhibition (NCE) in Washington, DC, in October. Over the course of the conference, Children’s National had more than 40 featured speakers and sessions. In addition, Children’s pediatrician Dana Best, MD, led the AAP call for tobacco-free environments for all children. Dr. Best is one of the lead authors on a new AAP policy statement on tobacco-free environments for children. The policy appeared in the November issue of Pediatrics and was presented at the conference. Attendees who visited Children’s booth received a “Reducing the Risk of SIDS” poster for their offices. To request a free copy or print the poster in English or Spanish, visit www.childrensnational.org/SIDS. son, PhD www.childrensnational.org 7 MedCur_F09-v2 12/3/09 9:51 AM Page 8 Nonprofit Org. U.S. Postage PAID Hagerstown, MD Permit No. 93 The nation’s children deserve nothing less. ® ® 111 Michigan Avenue, NW Washington, DC 20010-2970 Return service requested Accepting most types of insurance Vol. 20 No. 3 Fall 2009 Children’s Medical Currents is a publication produced four times a year by Public Relations and Marketing for the Medical Staff and referring physicians of Children’s National Medical Center. For information, call 202-476-4500 or e-mail [email protected] Edwin K. Zechman, Jr. president and chief executive officer Peter Holbrook, MD, executive vice president and chief medical officer Jacqueline D. Bowens, executive vice president and chief Government and External Affairs officer Corinne Ahrens, marketing manager Julie E. Vastyan, editor Emily Dammeyer, contributing writer Design Central, Inc., graphic design Children’s National Medical Center Corporate Entities: Children’s Hospital Children’s Hospital Foundation Children’s National Health Network Children’s National Specialists of Northern Virginia, LLC Children’s Pediatricians & Associates Children’s Research Institute Children’s School Services Safe Kids Worldwide Visit us on the web at www.childrensnational.org Copyright © 2009 by Children’s National Medical Center. All rights reserved. The bear logo and Children’s National Medical Center are registered trademarks. The names of the other organizations within the Children’s National Medical Center system are service marks of Children’s National Medical Center and/or its affiliates. A member of the Children’s Miracle Network Children’s National does not discriminate on any grounds prohibited by applicable law, including race, color, religion, age, sex, national origin or ancestry, sexual orientation, marital status, status as a disabled or Vietnam veteran or as a qualified disabled individual. MEDICAL CURRENTS ■ Fall 2009 PEOPLE NOTES Gail Pearson, MD, was awarded the 2009 Distinguished Achievement Award by the American Heart Association and the Council on Cardiovascular Disease in the Young. Holly Meany, MD, received the American Society of Clinical Oncology’s 2009 Career Development Award. This 3-year award provides support for Dr. Meany to conduct a clinical research project on low dose- Azedra (carrier free 131I-MIBG) for patients with recurrent neuroblastoma and other neural crest tumors in collaboration with the Pediatric Oncology Branch of the National Cancer Institute. George H. Zalzal, MD, received the Distinguished Service Award from the American Academy of Otolaryngology-Head and Neck Surgery, (AAO-HNS), the world’s largest organization representing specialists who treat the ear, nose, throat, and related structures of the head and neck. The Academy presents Distinguished Service Awards to medical professionals who demonstrate excellence in their field. Dr. Zalzal received the award in October at the opening ceremony of the 2009 AAO-HNS annual meeting in San Diego. A. Barry Belman, MD, was honored by The Canadian Journal of Urology as one of its “Legends of Urology” in the August issue. Dr. Belman has been with Children’s National for more than 30 years and is the chair emeritus of the Division of Urology.
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