July 8, 2014

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Two year-old Zoey Klein ran around the hallways of the congressional offices chasing after Congressman Pete Olson while her older brother, four year-old Will, chuckled at the playful race. The two were blissfully unaware of the importance of this moment in their lives or the fact that the man who played around in the hallways with them is a member of the House of Representatives representing the 22nd District of Texas. Olson is one of several policymakers the children met during their family’s week-long visit to Washington, D.C.

Get a behind-the-scenes look at the trip to Capitol Hill

Zoey and Will are the children of Texas Children’s Hospital Neonatologist Dr. Jennifer Arnold and her husband, Bill Klein who are also the stars of TLC’s The Little Couple. The family visited D.C. along with representatives from Texas Children’s Hospital and patient families from hospitals across the nation to advocate for better health care for medically complex children. The collaborative effort is part of the annual Family Advocacy Day organized by the Children’s Hospital Association to bring awareness to children’s health care needs by bringing patients to The Hill to meet with representatives and senators and speak about important issues.

“It made me realize that the opportunity to be face to face with our politicians is very powerful,” said Arnold. “I felt that regardless of their political views and party lines, they really do want to listen to the people they represent. I also found it was very important not to hold a bias for any politician. Regardless of my views or theirs, children’s health care affects us all and it takes the support of all our legislators to improve it.”

This year was perhaps the most important in the history of the event as the families were asking their representatives to support a new bill which would affect kids with medical complexities. The week before the patient families arrived in D.C., a bipartisan group of representatives introduced H.R.4930, the ACE Kids Act, which stands for Advancing Care for Exceptional Kids. Congressman Joe Barton and Congresswoman Kathy Castor were the original bill authors with representatives Anna Eshoo, Gene Green and Jaime Herrera Beutler signing on to back the proposed legislation. The legislation is a major step in helping families of children with medical complexities who are forced to find care across state lines. Right now, Medicaid does not cover the expense of the health care services that are received if a child has to travel from Louisiana to Texas for specialized care at Texas Children’s Hospital. The bill would also allow for better coordination of care between hospitals.

“For my kids, it will mean the ability to travel across state lines to get the right specialty care for their medical needs without inefficiencies and poor coordination of care,” said Arnold. “For my patients it will allow me the ability to access medical records, tests, and information from other institutions across state lines and prevent the need to duplicate these in my care.

In a packed meeting room, the representatives who have signed on to support the bill along with the family advocates gathered for a press conference to announce the important new piece of legislation. The bill authors say this coordination of care would save between 13 and 15 billion dollars over a ten year time frame by improving processes and looking at how hospitals coordinate and monitor care.

“The legislation allows states who choose to participate, to modify their Medicaid program and transform it to address the health care needs of the sickest and costliest kids – medically complex patients,” said Texas Children’s Director of Government Relations, Rosie Valadez-McStay. “It will transform Medicaid for this population and improve health outcomes, establish pediatric quality guidelines, and move Medicaid for kids into the 21st century.”

“Models in place like Texas Children’s and others across the country really demonstrate that effective and aggressive care management reduces emergency room use, hospitalization and it really does drive down costs while improving quality,” said Patrick Magoon, President and CEO of Ann and Robert H. Lurie Children’s Hospital of Chicago.

For the 30 families who traveled to The Capitol to speak with their representatives and senators, it was an important moment in history. A chance to make a difference by speaking up for the health care needs of children like themselves, those who require a specialized team to care for their unique needs. Valadez-McStay said the trip is an opportunity for families like the Klein’s to be the voice of all children with medically complex conditions.

“Children don’t choose to be born poor. They don’t choose to be born sick,” said Director of Government Relations Rosie Valadez-McStay. “We need to create a health care system which allows all children to access the best care and this bill is a step in the right direction.”

Congressman Barton urged everyone to speak up because the only way important pieces of legislation move in congress is when voters speak up about why it’s important to them. It’s a chance for health care workers, patient families and anyone who cares for the health of children in our country to step up and join Speak Now for Kids, the grassroots effort which brings attention to this important cause.

“There are 5,000 to 6,000 bills introduced in every congress and less than 500 become law,” said Barton. “This is a bill that has a chance but it won’t go anywhere unless those across the aisle begin to feel that this bill needs to move. You have the ability to contact your congressmen and women to ask them to sign on as co-sponsors.”

As Zoey and Will made their way around The Hill carrying a sign which read, #Speaknowforkids, they may not have known the difference they were going to make, but it was one that may affect children’s health care, and their own, well into the future.

Three ways to join their efforts today:

Call, write, and reach out. Lawmakers are elected by you to stand up for you. Make your voice heard. Contact their offices and let them know why you care about Medicaid reform for medically complex children. Click here to find out who represents you.

Get social with your policymakers. Find the social media pages for your representatives and senators and post messages on their pages about why you want them to support the ACE Kids Act.

#Speaknowforkids. Use this hashtag and saturate social media with your stories about why this bill matters to you, your patients, and your family.

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The West Campus Sports Medicine program sponsored its first symposium June 26 to educate athletic trainers, coaches, physical therapists and school nurses on common sports-related healthcare issues in pediatric and adolescent athletes.

In a filled-to-capacity seminar, the Sports Medicine clinical care team spoke on topics that ranged from common injuries and rehabilitation to concussions and nutrition.

“The seminar was an excellent opportunity for participants to gather information on how to keep their athletes healthy and to let them know that our Sports Medicine program can provide help when needed,” said Dr. Megan May, a Texas Children’s orthopedic surgeon and one of the organizers of the symposium.

Attendees were asked to complete surveys at the end of the seminar. Overall, the enormous feedback was very positive with one participant commenting, “This was a top rated first class seminar from start to finish. I was very impressed with the dedication and expertise of all the speakers. Way to go TCH.”

Texas Children’s Sports Medicine program uses an interdisciplinary team approach to diagnose and treat young athletes while placing an emphasis on wellness and injury prevention. It’s the only sports medicine program in the Houston area that focuses exclusively on the unique needs of child athletes.

If you haven’t checked out the Sports Medicine Clinic at West Campus in Katy, you’ll be impressed. Our facility houses a 3,000-square-foot gym, two radiology exam rooms, three casting rooms and 16 exam rooms, and offers advanced technologies, including robotic dynamomentry for isokinetic testing, motion recording and analysis to enhance rehabilitation.

Click here to learn more about Texas Children’s Sports Medicine Clinic.

July 1, 2014

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Texas Children’s Heart Center is adding two new members to its Adult Congenital Heart Disease Program team: pediatric and adult cardiologist, Dr. Peter Ermis, and pediatric and adult cardiologist, Dr. Wilson Lam. Texas Children’s Heart Center is ranked #2 nationally in cardiology and heart surgery by U.S. News & World Report.

“With the arrival of Drs. Ermis and Lam, the Adult Congenital Heart Disease Program team is now among the largest in the nation,” says Dr. Wayne Franklin, director of the Adult Congenital Heart Disease Program at Texas Children’s and assistant professor of medicine and pediatrics at Baylor College of Medicine. “The growth of our program further enables us to provide exceptional care to pediatric and adult patients with congenital heart disease in our community.”

Dr. Peter Ermis
Ermis, who also serves as assistant professor at Baylor, has clinical interests in determining quality improvement measurements in the care of adults with congenital heart disease, transitioning congenital heart disease patients from pediatric to adult congenital based care and stress echocardiography utilization in adults with congenital heart disease. His research interests include resource utilization in adults with congenital heart disease; transition and location of care for adults with congenital heart disease; pulmonary valve replacement in adults with repaired tetralogy of Fallot; long-term follow-up in adults with repaired transposition of the great arteries; stress echocardiography utilization in adults with congenital heart disease; and mechanical support in adults with congenital heart disease.

Ermis is a member of the American Academy of Cardiology, American Academy of Pediatrics and the International Society on Adult Congenital Heart Disease. He is excited to become a part of the Adult Congenital Heart Disease Program team and work with world class physicians and staff who strive for excellence in patient care, education and research. Ermis looks forward to providing valuable care to a unique group of adults that often fall between the realm of general pediatric and adult cardiology. He will primarily see patients at Texas Children’s Health Centers – The Woodlands as well as the hospital’s main location in the Texas Medical Center.

Ermis received an undergraduate degree at Rice University. He earned his medical degree from the University of Texas Health Science Center at San Antonio and went on to complete his residency and pediatric and adult cardiology fellowship at Baylor.

Dr. Wilson Lam
Lam, who also serves as assistant professor at Baylor, has clinical interests in adult congenital heart disease, primarily electrophysiology issues, complex arrhythmia ablation and lead extraction. His research interests include arrhythmias in adult congenital heart disease, medical education and established technology in novel areas.

Lam is a member of the American College of Cardiology, American Academy of Pediatrics and American College of Physicians. He is honored to be a part of the Adult Congenital Heart Disease Program team which cares for unique patients with complex anatomies and challenging cardiovascular issues. Lam looks forward to joining and contributing to this state-of-the-art program for a medical specialty that is still relatively new nationwide. He will primarily see patients at Texas Children’s Health Centers – Sugar Land as well as the hospital’s main location in the Texas Medical Center.

Lam received an undergraduate degree from Rice University. He earned his medical degree and completed his residencies in combined internal medicine and pediatrics at Baylor with adult cardiovascular diseases and electrophysiology fellowships at Baylor, Texas Children’s and the Texas Heart Institute.

The Adult Congenital Heart Disease Program enables patients with congenital heart disease to receive seamless continuation of care from birth to adolescence to adulthood. The multidisciplinary team of experienced congenital heart disease specialists is equipped to treat the entire spectrum of medical and surgical problems throughout life, including health and wellness, family planning, and preventative medicine.

June 24, 2014

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Texas Children’s Hospital reached a milestone in early June when the 100th surgery using a Da Vinci Si robot was performed.

Not only was this an achievement for the Department of Surgery and the Pavilion for Women but it was also a cause for celebration because its usage sets the standard at Texas Children’s Hospital for pediatric minimally invasive reconstructive surgery, according to Dr. Chester Koh, director, Pediatric Robotic Surgery Program. The da Vinci Si robot enables the surgeon to use fully articulating instruments to operate on delicate structures and limited space in a child’s anatomy. Its magnified 3D high-definition vision system and special wristed instruments bend and rotate far greater than the human wrist yet the surgeon is in complete control.

Where previously surgeons needed to make large incisions with their hands and a scalpel to reach internal organs such as the kidney, they can now use the robot for surgical maneuvers through tiny incisions. Pyeloplasty is the most common pediatric procedure performed with the robot. During this urologic procedure, surgeons correct a blockage or narrowing of the ureter where it leaves the kidney. Children benefit from robotic surgery because they have less post-operative pain with a corresponding decreased need for pain medications, faster recovery times and shorter hospital stays.

With the arrival of Dr. Patricio Gargollo, as director of the Complex Urogenital Reconstruction Program, the Pediatric Urology division now benefits from two pediatric surgeons who between them have performed more than 500 robotic surgery cases. Gargollo’s experience brings advanced robotic surgery skills to the team to treat patients who need complex reconstructive procedures such as bladder augmentation, continent catheterizable channels and bladder neck reconstruction.

Women who are patients at the Pavilion for Women benefit from robotic surgery also. “Robotic surgery benefits women who have certain procedures because the surgeon can make smaller incisions, which means a faster recovery time and better cosmetic appearance after surgery,” said obstetrician Dr. David Zepeda.

Surgeons from Pediatric Urology and Pediatric Surgery at Texas Children’s Hospital and Obstetrics and Gynecology at the Pavilion for Women currently make use of the da Vinci Si robot.

The robotic surgery team includes:
Department of Surgery:

  • Dr. Darrell Cass
  • Dr. Patricio Gargollo
  • Dr. Nicolette Janzen
  • Dr. Chester Koh
  • Dr. Mark Mazziotti
  • Dr. Ashwin Pimpalwar
  • Dr. Abhishek Seth

Department of Obstetrics & Gynecology:

  • Dr. Concepcion Diaz-Arrastia
  • Dr. Damla Dryden
  • Dr. William Gibbons
  • Dr. Ertug Kovanci
  • Dr. Celestine Tung
  • Dr. David Zepeda
  • Dr. Robert Zurawin

Having surpassed the 100th case at Texas Children’s Hospital, Koh and the team look forward to future milestones for the program.

June 17, 2014

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Texas Children’s Radiology Department is taking part in an initiative to create a better patient experience. After noticing access to radiology services was becoming more difficult, the department took on an initiative called Creating a Remarkable Experience, C.A.R.E. The initiative targeted several areas for improvement.

The first step was getting patients an appointment time. The team realized there were multiple points of entry for a patient family seeking a radiology appointment. Each campus offering these appointments was using a different scheduling method, creating a different patient experience from campus-to-campus.

The department looked at the best methods for easy access. One phone line was created which directs patients to a group of schedulers who can make an appointment at any of the three sites providing radiology services, including Main Campus, West Campus or the Pavilion for Women. The number, 832-TC4-XRAY (832-824-9729), gives patients one phone line with access to all scheduling.

“Since we implemented our new and improved scheduling system, patients have better access to our services. We’re able to better accommodate their schedules and get their radiology examinations performed in a timely manner,” said Dr. George Bisset, chief of Pediatric Radiology. “All of this has a direct impact on patient satisfaction.”

The initiative looked at cycle times and determined how to reduce the percentage of times the MRI cases were started late. After making a few adjustments to scheduling patients and the patient flow, the team went from experiencing 73 percent late starts to 27 percent. Wait time in nuclear radiology went from more than 100 minutes to 22 minutes.

“Once we were able to streamline the process to schedule patients, we wanted to ensure that our patients continued to have excellent service when they arrived at our doors,” said Maryam El-Bakry, the initiative lead. “Our patient families’ time is valuable and we wanted to avoid having long waits and provide the best service.”

The department also took on a major clean out of the radiology areas across the system to reorganize and follow joint-commission standards. Bisset believes the new initiative allows the team to be better prepared, and reenergized about their roles in patient care.

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Texas Children’s Health Plan is proud to announce a partnership with The University of Texas Health Science Center at Houston (UTHealth) School of Dentistry to open a dental clinic inside The Center for Children and Women (The Center).

Continuing the philosophy of coordinated care, “UTHealth Dentistry Greenspoint” will provide dental services for Texas Children’s Health Plan members and residents in the greater Greenspoint area of Houston.

“This is a perfect partnership,” said Tangula Taylor, director of operations at The Center for Children and Women. “This collaboration with UTHealth allowed us to expand our scope of services and provide enhanced comprehensive care to our patients. We look forward to fostering this collaborative partnership for many years to come.”

The clinic has three full-time staff members, and dental residents will work there on a rotation basis. In addition to providing great care for patients, the clinic will also serve as a clinical site for School of Dentistry students, offering them valuable clinical experience.

“We’re excited about this initiative,” said John Valenza, DDS, dean of the UTHealth School of Dentistry. “Partnering with The Center for Children and Women provides us the unique opportunity not only to serve the Greenspoint community, but also to provide unique learning experiences for our future dentists and dental hygienists. In addition to seeing pediatric patients, our students will have the opportunity to treat expectant mothers and other patients with special needs.”

The clinic offers a full range of dental services, including fillings, cleanings, X-rays and much more for children, expectant mothers and adults. Operating hours are from 8 a.m. to 5 p.m. Monday through Friday, with plans to expand to evenings and Saturdays. Walk-in appointments are welcome. The clinic accepts multiple insurance plans, including Medicaid, CHIP and HMOs, as well as pay-for-service programs.

June 10, 2014

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U.S.News and World Report released its 2014-2015 Best Children’s Hospitals list today, and Texas Children’s Hospital maintained the no. 4 spot among the 183 children’s hospitals surveyed by the publication. Also, Texas Children’s once again is listed on the Honor Roll, which recognizes hospitals with top 10 rankings in at least three specialties.

“We are thrilled that U.S.News continually recognizes our hospital as one of the best children’s hospitals in the country,” said Texas Children’s President and CEO Mark A. Wallace. “These results are a testament to our organization’s focus on quality and safety and the dedication of our staff and employees, and it’s just another indication of what we all have known for some time: that we are doing tremendous work here at Texas Children’s.”

U.S.News annually ranks the top 50 pediatric centers in 10 specialty areas. In the 2014-15 rankings, U.S.News surveyed 183 pediatric centers to obtain clinical data in 10 specialties. Eighty-nine hospitals ranked in at least one specialty, and 10 hospitals were named to the Honor Roll below:

Ranking Hospital Points Specialties in top 10
1 Boston Children’s Hospital 20 10
1 Children’s Hospital of Philadelphia 20 10
3 Cincinnati Children’s Hospital Medical Center 15 9
4 Texas Children’s Hospital, Houston 14 9
5 Children’s Hospital Los Angeles 8 6
6 Children’s Hospital Colorado, Aurora 7 5
7 Nationwide Children’s Hospital, Columbus, Ohio 6 6
8 Ann and Robert H. Lurie Children’s Hospital of Chicago 6 4
9 Children’s Hospital of Pittsburgh of UPMC 5 5
10 Johns Hopkins Children’s Center, Baltimore 4 3

The 10 children’s hospitals on the 2014-15 Honor Roll ranked at or near the top in three or more specialties. The order is by total points. If a hospital ranked among the highest 5 percent in a specialty, it received 2 points, and if a hospital ranked in the next 5 percent, it received 1 point. Boston Children’s Hospital and Children’s Hospital of Philadelphia again tied for the top spot. Texas Children’s is separated from the no. 3 position by a single point. This year’s ranking demonstrates some significant gains among several Texas Children’s services. Here are a few highlights:

  • 7 services improved in the rankings
  • 9 services scored in the top 10 (compared to 6 in 2013)
  • 6 services were ranked among the top 5 (compared to 3 in 2013)

“Texas Children’s results on this year’s survey reflect the diligent efforts of the steering committee we formed last year to focus on the U.S.News survey,” Wallace said. “The process of compiling and refining our data is an ongoing challenge, which will continue to improve under the excellent leadership of Angelo Giardino, Tom Luerssen, Mary Jo Andre, Terri Brown and Colleen Jones.”

Texas Children’s made these notable gains amid several changes to this year’s survey. This year, the weight of the reputational score decreased from 25 percent to 16.7 percent, and the best practices and infection prevention rate both increased in weight, from 4.2 percent to 8.3 percent. Also, two additional outcomes were scored in neonatology, and one additional outcome was scored in orthopedics and gastroenterology/GI surgery. Five-sixths of each hospital’s score relied on patient outcomes and the care-related resources each hospital makes available. The remaining one-sixth of the score is derived from a survey of 450 pediatric specialists and subspecialists in each specialty over three years. The physicians were asked where they would send the sickest children in their specialty, setting aside location and expense.

Texas Children’s, working closely with academic partner Baylor College of Medicine, continues to pioneer advancements in pediatric healthcare and earns the U.S.News honor roll distinction by being ranked among America’s best in:

  • #4 Cancer
  • #2 Cardiology & heart surgery
  • #5 Gastroenterology (digestive disorders)
  • #6 Neurology & neurosurgery
  • #2 Neonatology
  • #4 Nephrology (kidney disorders)
  • #4 Pulmonology
  • #7 Urology
  • #8 Diabetes & endocrinology
  • #34 Orthopedics

“Our high rankings demonstrate the commitment we have to achieving quality outcomes, tracking those outcomes and using them to markedly improve the care we deliver,” said Texas Children’s Surgeon-in-Chief Dr. Charles D. Fraser Jr.

This year’s methodology reflects a number of improvements that better differentiate hospitals based on outcomes, best practices and infection prevention. Texas Children’s Physician-in-Chief Dr. Mark W. Kline said the results are a reflection of the work of a gifted, dedicated staff.

“Texas Children’s has more pediatricians and pediatric subspecialists than any other hospital in the world,” Kline said. “But more importantly, we have many of the world’s most talented and dedicated physicians, educators, scientists, nurses and other health professionals, and working together, our team is driving innovation and advancement in pediatric health care. I’m proud of their commitment.”

The 2014-15 edition of Best Children’s Hospitals is available online at www.usnews.com/childrenshospitals.