Nationwide Children's Hospital (Columbus)

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Nationwide Children's Hospital
Nationwide Mutual Insurance Company
Location
Place 700 Childrens Dr., Columbus Ohio, (US)
Organization
Care System Commercial, Medicaid
Hospital Type Community
Affiliated University The Ohio State University
Services
Emergency Dept. Level I trauma center
Beds 388
History
Founded 1894
Links
Website Homepage
See also Hospitals in Ohio
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Nationwide Children’s Hospital is a primary pediatric hospital in Ohio, with more than 950 medical staff members and over 6,000 total employees. In recent years, the hospital has been ranked as one the best hospitals in the United States by US News & World Report. It is also the pediatric teaching hospital for The Ohio State University School of Medicine.

  • Chief Executive Officer (CEO): Steve Allen, MD
  • President of the CCRI: John Barnard, MD
  • Medical Director: J. Terrance Davis, MD
  • Chairman of the Department of Pediatrics: Michael Brady, MD

Contents

[edit] Clinical Services

In 2006, Nationwide Children’s Hospital had 14,931 inpatient discharges, performed 16,527 surgeries and saw 695,992 outpatient visits. Nationwide Children’s Hospital has 124 specialties within its downtown campus, where the main hospital and research center is located, and its 28 outpatient care centers throughout the central Ohio area. These centers offer the pediatric care and experience of Nationwide Children’s in the community. They include seven Close To HomeSM Centers, which offer a full range of diagnostic and therapeutic services, and eight Primary Care Centers, which offer regular primary care check-ups for children from birth through age 21. Three Close To HomeSM Centers – Dublin, East Columbus and Westerville – offer Urgent Care services. Other outpatient facilities include the Homecare Center, the Center for Autism Spectrum Disorders, the Sports Medicine and Orthopedic Center, and the Orthopedic Center. The main hospital is the only Level 1 pediatric trauma center in the region that features service lines for the Center for Child and Family Advocacy, the Center for Healthy Weight and Nutrition, Gastroenterology, Hepatology and Nutrition, the Heart Center, Hematology/Oncology/ BMT, the Jeune’s Information Center, Neonatal Medicine, Neurosciences, and Sports Medicine. Also onsite at the main hospital is the Outpatient Care Center (OCC) which is home to dozens of subspecialty ambulatory clinics, an outpatient lab and outpatient pharmacy, as well as pediatric and surgical specialists’ private offices. The OCC also has an Urgent Care Center that is open in the afternoon, evenings, and weekends to offer treatment for illnesses and injuries that need immediate attention, but do not need to be handled by the hospital emergency department.

[edit] Family-Centered Care

The main ideal for all employees at Nationwide Children Hospital is the concept of “family-centered care.” Family-centered care means they are there to care about the family’s needs as well as the child’s. The Children’s view is that the family plays a valuable role in child’s care and that the family’s support and attention are essential. Since CHI staff understands the importance of the family, they realize each child treated is a member of a unique family with varied values, needs, environments, cultures, resources and strengths. Nationwide Children’s Hospital believes a seamless experience is based upon effective communication and coordination, which is an essential part of family-centered care. Services are viewed as a means to promote and maintain the health of the child in the context of the family and community with attention to physical, emotional, developmental and spiritual needs. The reflection of the ideals of family-centered care is seen in everyday interaction with patients from all Children’s employees. The idea of family-centered care can also be seen in the physical facility with 93% of the inpatient rooms having sleeping arrangements for the parents. Beside the physical facility, the main hospital has several services for the siblings and parents of the patients (e.g., baby-sitting, showers).

[edit] Education

Nationwide Children’s Hospital houses the Department of Pediatrics for The Ohio State University School of Medicine. Children’s is a teaching hospital offering high quality, nationally-recognized pediatric residencies and fellowships in medical and surgical specialties. The residency programs offered are a dual residency with OhioHealth’s Doctors Hospital, Internal Medicine and Pediatric Residency, Genetics Residency, Pediatric Neurology, Pediatric Pharmacy, Pediatric Research Pathway, Pediatric Residency, and Pediatric Surgery. Fellowships are available in 33 areas of patient care, including Cardiology, Child Abuse and Maltreatment, Critical Care, Gastroenterology, Neonatal-Perinatal Medicine, Ophthalmology, and Surgical Critical Care.

[edit] Research

The Research Institute at Nationwide Children’s Hospital is one of the fastest growing pediatric research centers in the United States. Research at Children’s Hospital can be traced back to the start of the hospital, but back in those early days, pediatric medicine was in its infancy, so it was not until after the Second World War that Children’s saw the beginning of organized research. The first significant investigations were the recognition of E. coli III as a source and cause of epidemic diarrhea, and the development of a successful treatment for histoplasmosis by Warren Wheeler, MD. Fast forward to today, research at Nationwide Children’s has grown to receive US $41.7 million in external funding. This was a record for the Research Institute and was a 29% increase in National Institute Health (NIH) funding for them. Among free-standing children’s hospitals, The Research Institute ranks 9th based on NIH funding and amongst all other pediatric research organizations they rank 18th based on NIH funding. The Research Institute at Nationwide Children’s Hospital is organized into Centers of Emphasis that allow traditional academic boundaries to be crossed and merged and each of the Centers has a thematic focus, ranging from the most basic molecular biology to applied, patient-oriented research. The following are the Centers that the Research Institute operates Biobehavioral Health, Cardiovascular Medicine, Cell and Developmental Biology, Childhood Cancer, Clinical and Translational Research, Gene Therapy, Injury Research and Policy, Innovation in Pediatric Practice, Microbial Pathogenesis, Molecular and Human Genetics, Perinatal Research, Quantitative and Computational Biology, and Vaccines and Immunity. With 111 principal investigators on staff, 51 research fellows, 52 graduate students and a total of 725 employees working at the Research Institute, there were more than 500 IRB-approved protocols in progress in 2006. Some of those notable studies include the first human gene therapy trail directed as Duchenne Muscular Dystrophy, which was launched under the direction of Dr. Jerry Mendell as well as work on a vaccine to prevent ear infections.

[edit] Awards and Recognitions

In 2007, Nationwide Children’s Hospital was

In 2006, Nationwide Children’s Hospital was

  • Ranked 22nd on U.S. News & World Report America's Best Hospitals List
  • Named as one of the top three "Best Places to Work" in Columbus Business First's Best Places to Work Program
  • Named to the first Leapfrog Top Hospitals list based on results from the Leapfrog Hospital Quality and Safety Survey
  • Recognized in the Philanthropy 400 for the Foundation
  • Successful in performing a "domino" heart transplant involving the youngest living heart donor

[edit] History

Nationwide Children’s Hospital broke ground in 1892 and since then has grown into a place that occupies more than six square city blocks with 1,500,000 square feet (139,000 m²) of space at its downtown hospital and research campus. It is regarded as the nation’s 5th largest free-standing children’s hospital and is among the top ten in National Institutes of Health-funded freestanding pediatric research centers.

[edit] Clinical Milestones

The hospital opened in 1894 with nine patient beds and that number quickly grew to fifteen beds. In 1923, the cornerstone for the new hospital was laid; and in 1924, the new hospital opened accommodating 75 patients with the ability to expand to 150 beds immediately and eventually to 300 beds. It was in 1931 that the hospital began taking private patients for $4 per week. Jumping ahead to 1954, construction began on the Sellers Wing, which was a physical therapy building used to house polio patients. The federal government granted money to be used for the establishment of C&Y (Children & Youth) Clinics throughout the city, in 1965. These clinics grew into the Close To HomeSM network of clinics since government funding decreased and the hospital continued to privately support them. The first successful kidney transplant in central Ohio was performed at Children’s in 1966, on an 11 year-old boy. Also in 1966 a new infant intensive care service opened, specializing in the care of the seriously ill infants and was operated independently of the regular intensive care unit. It was in 1999 that Children’s and OhioHealth announced a relationship to operate the Neonatal Special and Intensive Care units at OhioHealth Central Ohio hospitals, which are Doctors Hospital West, Grant Medical Center, and Riverside Methodist Hospital. In 2003, Children’s began an $80 million, 160,000 square-foot clinical expansion and started renovating 100,000 square-feet of existing space. Children’s becomes the first freestanding children’s hospital in Ohio to receive “Magnet Recognition” in 2004, which is the highest honor for excellence in nursing. In 2005 Children’s performed its first lung transplant and in 2006, a “Domino” and double lung transplant was performed at Children’s involving the world’s youngest living heart donor. The transplant was performed successfully, by the Nationwide Children’s Hospital Heart Center team lead by Dr. Mark Galantowicz.

[edit] Research Milestones

Children’s Hospital Investigative Laboratory Division, CHILD, was created in the 1950s when the hospital realized a separate organization was needed to manage research. The first medical science research building at Nationwide Children’s Hospital, Ross Hall was completed in 1961. CHILD evolved into Children’s Hospital Research Foundation, a non-profit corporation that was incorporated on May 12, 1964. Two years later in 1966, research expenditures exceeded $1 million for the first time. And in 1987, the new Wexner Center for Pediatric Research opened. In 2003, Children’s Hospital Research Foundation was renamed the Columbus Children’s Research Institute. Also that year, the Research Institute not only began a human testing phase for a new HIV/AIDS vaccine, but they finished the year with $34 million in external research awards. A new 160,000 square-foot research building opened in 2004. In 2006, the Nationwide Foundation donated a 10-year, $50 million gift supporting child safety and injury prevention, neonatal intensive care, and the heart center at Nationwide Children’s Hospital. In 2007, the Columbus Children’s Research Institute was renamed The Research Institute at Nationwide Children’s Hospital.

[edit] Education Milestones

In 1931, the Pediatric residency program began at Children’s Hospital. Six years later, in 1937, the teaching of pediatrics was moved from the Starling Loving Hospital at The Ohio State University to Children’s Hospital. Dr. Earl H. Baxter became the first chairman of The Ohio State University Department of Pediatrics in 1943. The Pediatric Pathology residency program begins in 1953 and followed by the Pediatric Dentistry program in 1954. Dr. Bruce Graham became chairman of the Department of Pediatrics at OSU and Medical Director of the hospital in 1964 and was the first to combine these two positions. Dr. Grant Morrow III becomes chairman of the Department of Pediatrics at OSU and Medical Director of the hospital 1978. The Internal Medicine-Pediatrics residency program began in 1983, followed by the Neonatology fellowship in 1984 and the Pediatric Hematology/Oncology fellowship in 1985. In 1990, construction began on the new $18.3 million Education building that opened in 1992. Dr. Thomas N. Hansen was named as the chairman of the Department of Pediatrics at OSU and Medical Director of the Hospital in 1995. The Department of Pediatrics was awarded the prestigious Ohio State University Departmental Teaching Excellence Award in 1999 and the Educational Building was renamed the Ann Isaly Wolfe Education Building in recognition of her enormous support. In 2003, new fellowship programs begin in Pediatric Nephrology, Pediatric Ophthalmology, and Pediatric Physical Medicine and Rehabilitation. A year later, another new residency program in Pediatric Orthopedic Surgery began. Nationwide Children’s Hospital is home to the International Symposium on the Hybrid Approach to Congenital Heart Disease (ISHAC).

[edit] Future

They are working to position themselves as not just a leader in the Midwest, but as a National leader for pediatric care. Their strategic plan has three priorities: enhancing the patient experience, discovering new treatments and cures, and improving performance and capacity. Along with the strategic plan, the hospital is undergoing a building campaign that encompasses the construction of a new tower for the main hospital building. It will have all-private patient rooms and will be designed with enhanced sleeping accommodations for parents, hidden medical equipment and expanded personal space for use by patients and their families. Before construction can begin, a new power plant must be built, which is in its beginning phase construction, and should be completed in 2010. There are also plans for a third research building in the existing complex that should begin in 2008 and will add 150,000 square feet to the complex. A three-story facility, referred to as J-West Building, is already under construction and it will house Gastroenterology services, Psychology and Clinical Sciences (diagnostics and Clinical studies). A new 1,500-space parking facility located across the street on Livingston Ave. is expected to open in early 2008.

[edit] Controversy and Criticism

[edit] The Abercrombie & Fitch Emergency Department and Trauma Center

In 2008, Nationwide Children’s Hospital in Columbus, Ohio plans to rename its emergency room the Abercrombie & Fitch Emergency Department and Trauma Center in exchange for a $10 million donation from Abercrombie & Fitch. A letter written by the Campaign for a Commercial-Free Childhood, and signed by over 100 doctors and children’s advocacy groups urged the hospital not to go ahead with the renaming, arguing that, "Given this company's appalling history of targeting children with sexualized marketing and clothing, no public health institution should be advertising Abercrombie & Fitch."[2]

[edit] References

  1. ^ Best Hospitals Search - US News and World Report
  2. ^ From the Associated Press: http://www.cnn.com/2008/US/03/12/abercrombie.hospital.ap/index.html