April 14, 2025

Texas Children’s Pavilion for Women is revolutionizing neonatal and maternal care with the introduction of NICU Couplet Care Suites, a transformative approach ensuring newborns remain with their mothers during the postpartum recovery period.

As the only hospital in The Medical Center offering this patient care model, Texas Children’s continues to lead advancements in neonatal care. We are proud to be a nationally recognized Level 4 NICU. The official opening of the NICU Couplet Care Suites is set for Tuesday, April 15, with a ribbon-cutting ceremony scheduled for Tuesday, April 8.

“This is an exciting yet complex initiative,” said Lisa Grimes-Lewis, director of nursing Women Services. “Bringing NICU-level care into the Mother-Baby Unit requires seamless collaboration between specialized teams to ensure both mom and baby receive the best care possible.”

What Makes the Expansion Significant? 

The newly expanded Mother-Baby Unit (MBU) now includes 16 beds, with two designated NICU Couplet Care Suites. These specialized rooms are designed to accommodate both the mother’s postpartum recovery and the newborn’s neonatal intensive care needs. This integration allows mothers to stay actively involved in their baby’s care while receiving the support they need for recovery.

The decision to house these suites within the MBU rather than the NICU was strategic.

“Space constraints in the NICU played a role, but more importantly, we wanted to allow postpartum mothers, especially high-risk cases, remain within an area where they can receive optimal maternal care,” said Jasmine Sammons, director of Nursing, Newborn Center. “Our model is unique because it’s embedded within the MBU rather than the NICU. This approach gives mothers the support of the entire women’s services team while keeping their babies close.”

The Benefits of Couplet Care 

The NICU Couplet Care model offers multiple benefits, including:

  1. Enhanced bonding: Keeping mother and baby together promotes crucial early bonding, which can positively impact long-term health outcomes.
  2. Improved breastfeeding success: Being nearby allows for early and more consistent breastfeeding, which is beneficial for both mother and baby.
  3. Family-centered care: Parents are actively involved in their newborn’s care, gaining hands-on education and confidence before discharge.
  4. Optimized discharge timing: The goal is for both mother and baby to be discharged together when possible, reducing emotional stress and logistical challenges. 

Implementing NICU Couplet Care required extensive planning, including staff training, workflow adjustments, and collaborative simulations to provide smooth coordination between the NICU and Mother-Baby teams.

“This shift represents more than just a new model of care—it’s a cultural transformation,” said Lisa. “It challenges the traditional separation of maternal and neonatal care, emphasizing a holistic approach that keeps families together.”

With this expansion, Texas Children’s continues to lead the charge in providing innovative, compassionate and family-centered care—ensuring even the smallest patients receive the best start in life.

 

What happens when teams unite around a shared challenge? At Texas Children’s, the answer is innovation, impact and more than $1 million in savings.

Thanks to the partnership between the Simulation team and Information Services (IS), we have launched a new in-house video system at Texas Children’s Medical Center and the North Austin campus. The upgrade delivers improved video quality, increased reliability and a smarter, budget-friendly way to power simulation training across the organization.

“With the new high definition video system, our group is able to look in on encounters between learners and the simulated patients,” said Dr. Dan Lemke, associate medical director for the Simulation Center. “This allows expert debriefs to provide our learners feedback based on their performance without having to be a distraction in the room.”

Built in-house, built to last

The previous system was more than 15 years old, with frequent technical issues, grainy video feeds and high annual maintenance costs. By transitioning away from the vendor platform, Texas Children’s is saving approximately $115,000 per year.

Video playback remains a key part of simulation education, allowing learners to review scenarios, reflect on their actions and collaborate during team debriefings.

“The technology in the new audio and video system has taken our simulation encounters to a new level,” said Royanne Lichliter, director of Quality Education, Simulation and CME. “This innovative system will help us continue to provide service throughout our simulations centers, including Austin.”

Collaboration behind the scenes

The project began when the Simulation team explored new ways to use video with mobile carts. From there, Simulation Technology Specialists Dan Feux and Geran Barton partnered with IS leaders Paul Zuniga and Mike Cormier to design and test a full system that would serve the entire center. The solution combines fixed cameras with existing video conferencing tools already in use at Texas Children’s.

The success of this project is a powerful example of what can be achieved through internal partnerships. The Simulation and IS teams hope it inspires others across Texas Children’s to explore similar collaborations.

 

As part of a quality improvement initiative, the Pavilion for Women developed “Respectful Care Commitments,” ensuring patients know Texas Children’s team members are committed to providing respectful, quality care and services throughout all patient experiences.

Each unit created a board to highlight their commitment to respectful care, using creativity and eye-catching themes. There was overwhelming engagement and participation in the contest. It was truly a testament to the Pavilion for Women’s commitment to respectful care.

The contest ran from February 1 – 28. On March 3, each unit presented their poster and team members spoke about the care commitment they resonated with most. Winners were announced on March 7. Congratulations to the Mother Baby Unit!

Take a look at all the boards created by our PFW units. It is amazing seeing your dedication to quality patient care!

 

The Public Relations team partnered with a photographer from the Houston Chronicle to capture this fascinating photo at our Medical Center campus Thursday. Texas Children’s patient Regina Lomeli, accompanied by Occupational Therapist Ali Smith, took part in a fun visit as Regina was sprayed with water from a hippopotamus-themed art car during the first official event of the Houston Art Car Parade and Festival called Main Street Drag Thursday. It provides an opportunity for art car artists to travel to schools, community centers and other locations around the city to visit with those who may not have the opportunity to attend the parade. The 38th Annual Art Car Parade and Festival takes place Saturday, April 12 through Downtown Houston.

April 7, 2025

At Texas Children’s, there are so many people involved in the care of our patients, particularly for our most complex and critical cases. Our transplant patients receive care from partners across the system, including social workers, nurses and physical therapists. These team members work together to make a powerful impact, not just in treating, but healing children from the inside out. 

April is National Donate Life Month, and we are highlighting some of the incredible staff who make this lifesaving work possible. Their dedication, compassion and expertise not only change the lives of young patients but also inspire us all. For the past seven years, our hospital has performed more heart, kidney, liver and lung pediatric transplants combined than any other program in the nation. 

CICU Nurse Daniel Shelton: a heart for healing

Daniel, a dedicated nurse in the Cardiac Intensive Care Unit (CICU), cares for transplant patients several times a month, forming long-term relationships with these children and their families. “This continuity of care creates profound connections and life-changing moments.” 

One of Daniel’s most memorable experiences was caring for a heart/kidney recipient who waited nearly a year for a donor match. “Just when hope seemed dim, a Christmas miracle arrived—a life-saving transplant on Christmas Day. The family’s tears of joy and gratitude confirmed to me that I was exactly where I was meant to be,” said Daniel. 

Caring for transplant patients requires a multidisciplinary approach, and Daniel emphasizes the importance of teamwork. “By advocating at the right moments, passing on critical information and ensuring seamless communication among colleagues, we provide the highest level of care.” 

Beyond medical treatment, he finds joy in lifting his young patients’ spirits through play—whether it’s tossing paper airplanes, playing video games or chatting about their favorite TV shows. “These moments of connection bring light to even the toughest days.” 

What inspires him the most is “the unwavering dedication of transplant families. Seeing parents and loved ones rally around their children, ensuring they are never alone in their journey, fuels my passion for nursing every day.” 

Mary-Kathryn D’Agostino: from lawyer to transplant social worker

Mary Kathryn joined Texas Children’s in April 2024, bringing a unique perspective to her role as a transplant social worker. Formerly a lawyer specializing in real estate and nonprofit fundraising, she was drawn to medical social work by her deep-seated passion for supporting children and families in challenging circumstances. 

Mary primarily supports liver transplant patients, many of whom have complex medical needs that intersect with oncology, pulmonary care and behavioral health. “Each family’s journey is different—some have prepared for transplant since infancy, while others are thrust into the process unexpectedly. Many endure multiple transplant calls before finding a match, navigating prolonged stays in Houston away from home, financial strain and the emotional weight of their child’s donor family.” 

One of the most heartwarming moments in her career was assisting a couple in obtaining a marriage license after their child’s successful liver transplant. “They videoed their ceremony for me so I was able to see their special day! Transplant brought their family even closer together which was beautiful to watch.” 

For Mary, “the most rewarding aspect of transplant social work is coming back to work on a Monday morning and learning a critically ill child received a transplant over the weekend. The resilience of my patients and families serves as a constant reminder that my role is both an honor and a privilege.” 

Physical Therapy: Strengthening Transplant Patients for a Brighter Future

Brittni Willis: helping patients breathe easier

For the past seven years, Brittni has worked closely with lung transplant patients, seeing them multiple times per week both pre- and post-transplant. “These children undergo rigorous therapy, battling multiple diagnoses and enduring countless medical procedures. Despite these challenges, their strength and determination inspire me every day.” 

She recalls a young patient who loved art and used PT sessions to discuss baby names for Brittni’s first child. “This child even began making a baby blanket for my son but passed away before completing it. These personal connections make every moment meaningful, reinforcing my commitment to my patients,” said Brittni. 

Diana Trejo: supporting patients through movement

With eight years at Texas Children’s, Diana has specialized in pulmonary PT for the past four years, working with transplant patients daily. “I find joy in witnessing my patients regain their strength and return to everyday activities—whether it’s school, sports or simple play.” 

Diana emphasized, “Every child’s transplant journey is unique. Some struggle with oxygen dependence for even the smallest tasks, while others must relearn basic movements post-surgery. Seeing their resilience fuels my dedication to making therapy as positive and motivating as possible—sometimes with a Taylor Swift dance party or a game of Pictionary.” 

Kathryn Quiray: the power of personalized therapy

Having been with Texas Children’s for eight years, Kathryn treats transplant patients nearly every day. “I tailor each therapy session to accommodate medical considerations, medication effects, emotional well-being and the daily toll of multiple hospital appointments.” 

One of her most memorable cases was a young girl she worked with for over two years. “Seeing this child progress from post-transplant recovery to thriving in everyday activities reaffirmed my passion for my work. I believe treating transplant patients goes beyond physical rehabilitation—it’s about providing a sense of normalcy, comfort and hope.” 

Thank you to all our dedicated team members who work together to make a difference for our transplant patients.

The 2025 Annual Engagement Survey is open until this Friday, April 11! You still have time to make your voice heard and play a key role in shaping the future of our organization. You also have the chance to win a prize just for completing the survey.

There are two surveys—one for employees and one for providers. Our goal is to reach 90% participation because the more feedback we receive, the more the results will represent all of us, leading to greater impacts across the organization.

Results will be shared with leaders in late May and action planning will begin at all levels of the organization in June.

Pop-up computer and photo booth events

If you don’t have regular access to a computer, there will be pop-up events across the system to make it easy to complete the survey. Along with computer access, there will be fun photo booths set up to show your support. Come take the survey with your colleagues and snap a fun photo. 

Click here to access the schedule of events.

Incentives to participate

The final question on the survey offers an ‘opt-in’ option to enter a prize drawing once we reach a predefined survey completion threshold. Prizes include branded merchandise, lunch with colleagues or even the chance to ‘slime’ your executive or physician leader!

Additionally, look out for our photo booths at select times and locations throughout the survey period. After completing the survey, snap a fun photo and share your participation with the team!

Safe and secure

The Information Services Cybersecurity team has confirmed the survey email and link are safe to open and click. You will receive an email from Press Ganey on behalf of Texas Children’s, sent from noreply@surveys.pressganey.com or noreply@hxplatform.pressganey.com.

  • The email subject will be “Texas Children’s 2025 Employee Engagement Survey” or “Texas Children’s 2025 Provider Engagement Survey”—this is not spam or a phishing attempt.
     
  • To complete the survey, simply click the safe and verified link in the email or scan the QR code to take it on your phone.

 

Need Help?

  1. Leaders can reference previous emails named “Engagement Survey Leader Resource #X” for guidance.
  2. FAQs are available—just ask your leader.
  3. Send an email to Mike Mazanec, Tammy Christensen or the Organizational Effectiveness inbox.

We’re all in this together, and your feedback helps us grow. So do not miss this chance—take the survey, share your thoughts, and help shape a better future for Texas Children’s!

In 2019, Rosa Paredes walked into an upWORDS class as a mother eager to learn how to support her child’s early development. She had no idea that this program would not only shape her parenting journey but also transform her career. Today, Rosa is a Patient Access Specialist with upWORDS, providing vital support to families, just as she once received. Her story is a testament to the power of upSTART Community Programs and the impact of Texas Children’s and Baylor College of Medicine’s commitment to community health. 

A Life-Changing Experience

Like many parents, Rosa initially believed that upWORDS was a class for her child. What she discovered was something even more valuable—a program designed to empower parents with tools and strategies to strengthen interactions with their child and build early language skills.

“I fell in love with upWORDS as a participant. I just kept thinking; everyone needs to know about this program. I couldn’t stop talking about it.” Rosa said.

Her enthusiasm soon turned to action. Eager to give back to the community that had supported her, Rosa joined the upWORDS program team and was then promoted to senior program assistant. Later, with the encouragement of her supervisor, she pursued certification as a Community Health Worker (CHW) through the University of Houston. This training deepened her knowledge and allowed her to provide even greater support to families in need. Now, as a Patient Access Specialist, Rosa is helping to educate the community at events about upWORDS and support vulnerable families navigate challenges and access needed resources.

Meeting Families Where They Are

Rosa’s work centers on educating vulnerable families in the community, building trust with community partners, and addressing the basic needs—housing and utilities, food, clothing or diapers, transportation, childcare, and safe sleeping arrangements—that can be obstacles to a parent’s participation in upWORDS. She consistently goes above and beyond to help bridge that gap and meet families where they are, connecting them to the services and resources they need to fully engage in the program with their children.

Because many families are hesitant to seek help, building trust is at the core of what Rosa and fellow community health workers on our upSTART team do. They work to establish relationships, offering support in a way that is respectful and empowering. One of the most powerful examples of Rosa’s impact came through her collaboration with BCM CHW Santy Guel. Together, they worked to assist a mother facing domestic violence while also struggling with childcare and school enrollment for her children.

Rosa focused on the children’s education —finding Head Start programs for the little ones and Boys & Girls Club programs for the older kids. Santy handled housing and domestic violence support. With collaborative problem-solving and dedication, they ensured this family was able to move to a safer living environment and helped the mother create a plan to move forward.

The Broader Impact of upSTART

Rosa is one of many individuals making a difference through upSTART Community Programs, which have served over 3,300 families since 2016, and trained over 6,500 providers on early brain development and parenting strategies. Families benefit not only from direct services but also from a vast network of community connections, with more than 3,750 referrals made to essential resources.

She continues to help the most vulnerable through upWORDS and has recently returned to school to pursue a degree in early childhood education. “I want to keep growing and continue empowering families to help them thrive.”

Her story is a powerful reminder of why upSTART exists—to create lasting change for children and parents. Thanks to the dedication of Rosa and her colleagues, Texas Children’s and Baylor College of Medicine are building stronger families and healthier futures, one connection at a time.

Get Involved
upWORDS is accepting enrollment for new classes throughout Houston and the surrounding counties. To refer families with children 0-36 months to the program, please visit texaschildrens.org/upwords-program and complete the interest form. Referrals may also be emailed to upWORDS@texaschildrens.org. Please complete the upLIFT referral form or visit the upLIFT Group Referral Portal to refer yourself, a patient or friend to these programs. For questions, contact upWORDS at 832-227-1828.