Childrens Hospital Inc

TO PROVIDE COMPREHENSIVE PEDIATRIC HEALTHCARE, WHICH RECOGNIZES THE SPECIAL NEEDS OF CHILDREN, THROUGH EXCELLENCE AND THE CONTINUOUS IMPROVEMENT OF PATIENT CARE, EDUCATION, RESEARCH, CHILD ADVOCACY, AND MANAGEMENT.

COMMUNITY CARE AND OUTREACH PROGRAMS: IN MARCH OF 1998, THE BOARD OF TRUSTEES RECOGNIZED THAT CHILDREN'S HOSPITAL, WITH ITS RICHNESS OF TALENT AND PROGRAMS AND ITS FINANCIAL RESOURCES, WAS WELL POSITIONED TO IDENTIFY AND ADDRESS OBSTACLES TO THE WELFARE OF CHILDREN IN THE COMMUNITY. THEREFORE, A STANDING COMMITTEE OF THE BOARD OF TRUSTEES HAS BEEN CHARGED WITH DEVELOPING AND MONITORING ALL SERVICES AND BENEFITS PROVIDED TO THE COMMUNITY.THE HOSPITAL ALSO PROVIDES A LARGE ARRAY OF COMMUNITY-EDUCATION PROGRAMS, WELLNESS PROGRAMS, RESEARCH ACTIVITIES AND SPECIAL PROGRAMS FOR THE HANDICAPPED AND MEDICALLY UNDERSERVED. THESE INCLUDE, BUT ARE NOT LIMITED TO, THE FOLLOWING:CHILDREN'S HOSPITAL OUTPATIENT CENTER OF BATON ROUGE WAS IMMEDIATELY ESTABLISHED FOLLOWING HURRICANE KATRINA TO REACH OUT TO PATIENTS WHO RELOCATED TO THE BATON ROUGE AREA. CLINIC SPACE WAS PURCHASED FOR CHILDREN'S HOSPITAL'S PEDIATRIC SPECIALISTS AND PEDIATRICIANS TO SEE PATIENTS ON A WEEKLY BASIS. THE CLINIC IS FULLY STAFFED TO MEET THE NEEDS OF THE GROWING PEDIATRIC POPULATION IN BATON ROUGE. CHILDREN'S HOSPITAL BURDIN RIEHL CLINIC WAS ESTABLISHED IN LAFAYETTE TO MEET THE NEEDS OF THOSE PATIENTS WHO RELOCATED TO THE AREA FOLLOWING HURRICANE KATRINA. BOTH THE BATON ROUGE AND LAFAYETTE CLINICS PROVIDE CARE WITH THE SAME GUIDELINES AS THE HOSPITAL - NO CHILD IS EVER TURNED AWAY. THE METAIRIE CENTER IS A SATELLITE CLINIC FOR PEDIATRIC SPECIALISTS WHO SEE PATIENTS IN THE METAIRIE AREA. THE NORTHSHORE CLINIC IS A SATELLITE CLINIC FOR PEDIATRIC SPECIALISTS WHO SEE PATIENTS IN THE COVINGTON AND MANDEVILLE AREAS. THE DENHAM SPRINGS CLINIC OPENED IN SEPTEMBER 2017 AS A SATELLITE CLINIC FOR PEDIATRIC SPECIALISTS WHO SEE PATIENTS IN THE DENHAM SPRINGS AREA. THE CHILDREN'S HEALTHCARE ASSISTANCE PLAN (CHAP) PROVIDES PHYSICIAN AND HOSPITAL SERVICES AT NO COST TO CHILDREN WHOSE FAMILY INCOME IS TOO HIGH TO QUALIFY FOR MEDICAID BUT WHOSE LACK OF RESOURCES LIMIT THEIR ACCESS TO QUALITY HEALTHCARE. FREE CARE PROVIDED BY THE HOSPITAL, AT ESTABLISHED CHARGES, WAS APPROXIMATELY $12,881,300 FOR THE YEAR-END DECEMBER 31, 2019. BENEFITS TO THE INDIGENT ALSO INCLUDE CHARGES IN EXCESS OF GOVERNMENT PAYMENTS FOR SERVICES PROVIDED TO MEDICAID BENEFICIARIES OF APPROXIMATELY $618,134,005 FOR THE YEAR-END DECEMBER 31, 2019. IN ADDITION, CHILDREN'S HOSPITAL HAD TO WRITE-OFF APPROXIMATELY $5,029,763 OF PATIENT CARE CHARGES THAT COULD NOT BE COLLECTED FROM PATIENTS. THE PARENTING CENTER IS A COMMUNITY RESOURCE PROGRAM PROVIDING SUPPORT AND EDUCATION TO PARENTS. THE GOALS OF THE CENTER ARE TO PROMOTE CONFIDENCE AND COMPETENCE IN PARENTS, TO ENCOURAGE OPTIMAL CHILD DEVELOPMENT, AND TO ENHANCE THE WELL BEING OF THE FAMILY AS A WHOLE. THE PARENTING CENTER OFFERS: 1) PARENT TRAINING CLASSES, 2) A FREE TELEPHONE ADVICE LINE, 895-KIDS, 3) DROP-IN VISITS TO THE CENTER TO OFFER TIME WITH OTHER PARENTS AND STAFF WHILE THE CHILDREN PLAY, 4) COMMUNITY OUTREACH PROGRAMS, SUCH AS LUNCH BAG SEMINARS FOR WORKING PARENTS, AND 5) WEEKLY TELEVISION SEGMENTS FEATURING CHILDREARING TIPS. SERVICES HAVE BEEN EXTENDED TO SUBURBAN NEW ORLEANS WITH THE OPENING OF THE METAIRIE PARENTING CENTER, WHICH ALSO OFFERS CLASSES, SUPPORT GROUPS, INDIVIDUAL COUNSELING AND A PARENT LIBRARY. THE AUDREY HEPBURN CHILDREN AT RISK EVALUATION (CARE) CENTER PROVIDES COMPREHENSIVE FORENSIC MEDICAL EVALUATIONS AND REFERRALS TO COMMUNITY RESOURCES FOR CHILDREN WHO ARE VICTIMS OF SEXUAL ABUSE, PHYSICAL ABUSE AND NEGLECT AND THEIR FAMILIES. THE CARE CENTER HAS CLINICS IN NEW ORLEANS, BATON ROUGE AND ST. TAMMANY, BUT CHILDREN ARE REFERRED FROM PARISHES THROUGHOUT LOUISIANA AND THE GULF COAST. THE MEDICAL EVALUATION CONSISTS OF A DETAILED FORENSIC INTERVIEW OF THE CHILD AND THE CARETAKER, A COMPLETE PHYSICAL EXAMINATION, AND PREPARATION OF A REPORT TO THE REFERRING AGENCY. IN ADDITION, THE PHYSICIANS ARE FREQUENTLY CALLED UPON TO TESTIFY IN COURT IN THOSE CASES OF SEXUAL AND PHYSICAL ABUSE THAT ARE PROSECUTED. PHYSICIANS HAVE TESTIFIED IN AND HELPED PREPARE NUMEROUS CASES IN THE LAST YEAR. THE CARE CENTER STAFF ROUTINELY PRESENTS LECTURES ON CHILD ABUSE AND NEGLECT TO COMMUNITY ACTION AND PROFESSIONAL MEDICAL AND LEGAL GROUPS, PEDIATRIC NURSES, NURSE TECHNICIANS, CHILDCARE TECHNICIANS, DENTAL HYGIENE STUDENTS, HIGH SCHOOL STUDENTS AND CHILDCARE WORKERS. THEY ALSO SERVE AS CONSULTANTS TO THE STATE OF LOUISIANA AND OUTLYING PARISHES AND TO OFFICE OF COMMUNITY SERVICES FOR ORLEANS, JEFFERSON, ST. BERNARD AND PLAQUEMINES PARISHES. CURRENTLY, THE PROGRAM CONSISTS OF TWO FULL-TIME FELLOWSHIP TRAINED PEDIATRICIANS AND ONE FELLOW IN TRAINING.THE CENTER RECEIVES FINANCIAL SUPPORT FROM THE AUDREY HEPBURN FOUNDATION, WHICH ALSO PROVIDES FINANCIAL ASSISTANCE TO SIMILAR CENTERS IN LOS ANGELES, CA. AND HACKENSACK, N.J. THE GREATER NEW ORLEANS IMMUNIZATION NETWORK (GNOIN) IS A MODEL PROGRAM FOCUSING ON INCREASING IMMUNIZATION RATES OF CHILDREN THROUGH THE AGE OF 18 YEARS. GNOIN OFFERS THE COMBINED ELEMENTS OF AN IMMUNIZATION REGISTRY INTO THE STATE'S SYSTEM, A MAILER REMINDER SYSTEM, PARENTAL EDUCATION, AND A MOBILE IMMUNIZATION UNIT THAT TRAVELS THROUGHOUT THE METROPOLITAN NEW ORLEANS AREA TO ADMINISTER IMMUNIZATIONS FREE OF CHARGE TO ELIGIBLE INFANTS, CHILDREN, AND ADOLESCENTS THROUGH THE AGE OF 18 YEARS. IN 2019, GNOIN HAD 16,607 VISITS TO THE IMMUNIZATION UNIT AND ADMINISTERED 35,385 VACCINES. THE SCHOOL KIDS IMMUNIZATION PROGRAM (SKIP) GREW OUT OF A NEED TO INCREASE THE IMMUNIZATION RATES FOR SCHOOL-AGE CHILDREN IDENTIFIED BY GNOIN. SKIP IS PRESENTLY WORKING WITH SCHOOLS LOCATED IN NEW ORLEANS EAST, ST. BERNARD, ORLEANS, AND JEFFERSON PARISH. SKIP WORKS WITH INDIVIDUAL SCHOOLS AND REVIEWS ALL THE STUDENT'S IMMUNIZATION RECORDS. STUDENTS, NOT IN THE STATE'S IMMUNIZATION REGISTRY, LA IMMUNIZATION NETWORK FOR KIDS STATEWIDE (LINKS), ARE ENROLLED INTO THE DATA REGISTRY. THE PARENTS OF STUDENTS WHO DO NOT HAVE UP-TO-DATE IMMUNIZATION RECORDS ARE NOTIFIED AS TO WHICH VACCINE(S) THEIR CHILD REQUIRES. THEY RECEIVE IMMUNIZATION INFORMATION AND A CONSENT FORM THAT AUTHORIZES SKIP TO ADMINISTER THE NECESSARY VACCINE(S) TO THEIR CHILD FREE-OF-CHARGE. IN 2019, SKIP IMMUNIZED 3,020 STUDENTS AND ADMINISTERED 4,923 VACCINES.THE COMBINED IMMUNIZATION PROGRAMS, SKIP AND GNOIN, ARE ONE OF THE LARGEST PROVIDERS OF IMMUNIZATIONS IN THE STATE. COMBINED THE PROGRAMS IMMUNIZED A TOTAL OF 19,627 CHILDREN AND ADMINISTERED 40,308 VACCINATIONS IN 2019.THE CLINICAL DIETITIAN PROGRAM PROVIDES AND MONITORS THE NUTRITIONAL CARE OF PATIENTS IN CONJUNCTION WITH THE DIETETIC SERVICES DEPARTMENT AND HOSPITAL CLINICAL STAFF. THE PROGRAM IS STAFFED DURING THE WORKWEEK AND AS NEEDED ON WEEKENDS TO BE AVAILABLE TO ALL INPATIENTS AND OUTPATIENTS THROUGH THE COMMUNITY CARE PROGRAM AND DIABETES GRANT. SERVICES AND DIAGNOSES INCLUDE NUTRITIONAL ASSESSMENTS AND MONITORING VIA PHYSICIAN CONSULTATION, NUTRITIONAL EDUCATION AND COUNSELING, ESTABLISHMENT OF NUTRITIONAL CARE PLANS AND INTERDISCIPLINARY GOALS, PARTICIPATION IN THE ESTABLISHMENT AND REVISION OF PATIENT MEAL AND FORMULA POLICIES AND PROCEDURES AND NUTRITION CARE STANDARDS AND CQI ACTIVITIES, AND CONDUCT DEPARTMENTAL AND CLINICAL STAFF AND DIETETIC INTERN EDUCATION SERVICES.THE VENTILATOR ASSISTED CARE PROGRAM (VACP) PROVIDES CASE MANAGEMENT FOR MEDICAID ELIGIBLE CHILDREN LIVING AT HOME IN THE STATE OF LOUISIANA AND ARE VENTILATED ASSISTED. THE PROGRAM ALSO PROVIDES NURSING, SOCIAL, EDUCATIONAL AND RESPIRATORY ASSESSMENTS, AND FACILITATES MEDICAL INTERVENTION FOR THIS POPULATION. THE STAFF PROVIDES AID IN THE ACCESS OF SOCIAL AND HEALTHCARE SUPPORTS IN THE COMMUNITY. IN 2019, SERVICES WERE PROVIDED TO AN AVERAGE OF 91 PATIENTS PER MONTH.**TOTAL VISITS: 91,822

PATIENT CARE, GENERAL/OTHER: IN 2019 CHILDREN'S HOSPITAL PROVIDED CARE TO CHILDREN FROM ALL 64 PARISHES IN LOUISIANA, FROM 43 OTHER STATES, THE DISTRICT OF COLUMBIA AND 5 FOREIGN COUNTRIES. PATIENT VISITS TOTALED 140,016. INCLUDED IN THESE VISITS WERE 72,894 PHYSICIAN CLINIC VISITS, 52,254 EMERGENCY ROOM VISITS, 8,513 OUTPATIENT SURGICAL VISITS, AND 6,355 INPATIENT ADMISSIONS OR 50,641 PATIENT CARE DAYS.

MEDICAL RESEARCH, GENERAL/OTHER:THE RESEARCH INSTITUTE FOR CHILDREN IS IN COLLABORATION WITH CHILDREN'S HOSPITAL, LOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTER (LSUHSC) AND TULANE UNIVERSITY. RESEARCHERS FROM THE DIVISIONS OF CARDIOLOGY, ENDOCRINOLOGY, GASTROENTEROLOGY, GENETICS, INFECTIOUS DISEASE, NEONATOLOGY, NEPHROLOGY, NEUROLOGY AND ONCOLOGY/HEMATOLOGY COMPRISE THE MAJORITY OF THE GROUP. THE TOTAL NUMBER OF RESEARCH PERSONNEL IS 25 COMPRISED OF 11 ADMINISTRATIVE AND SUPPORT PROFESSIONALS, 13 LSUHSC FACULTY MEMBERS AND 1 LSUHSC STAFF MEMBERS.MEDICAL RESEARCHERS: 25

PROFESSIONAL EDUCATION:RESIDENT TEACHING & GRADUATE MEDICAL EDUCATION PROGRAMSCHILDREN'S HOSPITAL HAS BECOME AN INCREASINGLY IMPORTANT TEACHING CENTER FOR BOTH UNDERGRADUATE AND GRADUATE MEDICAL EDUCATION. APPROXIMATELY 120 TRAINEES IN GENERAL PEDIATRICS, PEDIATRIC/EMERGENCY MEDICINE AND INTERNAL MEDICINE/PEDIATRIC PROGRAMS OBTAIN MOST OF THEIR TRAINING AT THE HOSPITAL. IN ADDITION, RESIDENTS IN ANESTHESIOLOGY, EMERGENCY MEDICINE, GENERAL SURGERY, NEUROLOGY, NEUROSURGERY, ORTHOPEDICS, OPHTHALMOLOGY, OTOLARYNGOLOGY, PATHOLOGY, PHYSICAL MEDICINE AND REHABILITATION, PLASTIC SURGERY, PSYCHIATRY, RADIOLOGY AND UROLOGY ALSO RECEIVE TRAINING AT CHILDREN'S HOSPITAL. IN ADDITION, FELLOWS IN ALLERGY/IMMUNOLOGY, CARDIOLOGY, CHILD AND ADOLESCENT PSYCHIATRY, ENDOCRINOLOGY, GASTROENTEROLOGY, HEMATOLOGY/ONCOLOGY, HOSPITAL MEDICINE, INFECTIOUS DISEASE, NEONATAL-PERINATAL MEDICINE, AND NEPHROLOGY ALSO RECEIVE ADVANCED SUBSPECIALTY TRAINING AT CHILDREN'S HOSPITAL. THE MAJORITY OF MEDICAL STUDENTS, RESIDENTS AND FELLOWS ROTATING THROUGH CHILDREN'S HOSPITAL ARE FROM THE LSU HEALTH SCIENCES CENTER NEW ORLEANS (LSUHSC-NO) AND TULANE UNIVERSITY (TU).THE PEDIATRIC RESIDENTS PARTICIPATE IN A VARIETY OF EDUCATIONAL ACTIVITIES. THE CHIEF RESIDENTS CONDUCT MORNING REPORT, HELD FOUR TIMES A WEEK WHERE AN INTERESTING OR UNIQUE CASE IS PRESENTED AND DISCUSSED, ALLOWING RESIDENTS AND STUDENTS TO OBSERVE THE THOUGHT PROCESSES THAT GO INTO PROBLEM SOLVING AND CLINICAL REASONING. NOON CONFERENCES ARE HELD ON WEEKDAYS WITH SPECIALISTS FROM AMBULATORY, ADOLESCENT MEDICINE, ALLERGY/IMMUNOLOGY, EMERGENCY MEDICINE, FORENSIC MEDICINE, HOSPITALIST MEDICINE, NEPHROLOGY, PSYCHIATRY, PSYCHOLOGY, INFECTIOUS DISEASE, RADIOLOGY, CARDIOLOGY, RHEUMATOLOGY, NEONATOLOGY, HEMATOLOGY/ONCOLOGY, CRITICAL CARE, PULMONOLOGY, ENDOCRINE, NEONATOLOGY, GASTROENTEROLOGY AND SEVERAL SURGICAL SPECIALTIES ROTATING PRESENTATIONS. PEDIATRIC BOARD REVIEW IS HELD ONCE A MONTH AND COVERS ALL ASPECTS OF PEDIATRICS FOR PREPARATION OF THE AMERICAN BOARD OF PEDIATRICS CERTIFYING EXAMINATION. IN ADDITION, ALL DIVISIONS CONDUCT SPECIALTY CONFERENCES FOR STUDENTS AND RESIDENTS ROTATING ON THOSE SERVICES.THE "RESIDENT AS TEACHERS" SERIES IS HELD QUARTERLY FACILITATED BY THE DIRECTOR OF THE CLINICAL SCIENCES CURRICULUM WHO INSTRUCTS THE RESIDENTS ON VARIOUS TEACHING TOOLS AND METHODS TO IMPROVE THEIR SUPERVISION OF JUNIOR RESIDENTS AND STUDENTS. THE EVIDENCED-BASED MEDICINE JOURNAL CLUB IS CONDUCTED MONTHLY BY THE UPPER LEVEL RESIDENTS UNDER THE DIRECTION OF A FACULTY MEMBER. THE PRESENTATIONS ARE CASE BASED AND INVOLVE A CLINICAL QUESTION. THE RESIDENT OUTLINES THEIR SEARCH METHOD, THE ARTICLES THAT WERE RELEVANT AND THEN CRITICALLY REVIEW ONE ARTICLE THAT ANSWERS THE CLINICAL QUESTION.CLINICAL CASE CONFERENCES ARE HELD ONCE A WEEK AND ATTENDED BY ATTENDING STAFF, RESIDENTS AND STUDENTS. RESIDENTS PRESENT INTERESTING CASES FOLLOWED BY A THOROUGH REVIEW OF THE LITERATURE ON THIS TOPIC. FACULTY MEMBERS PRESENT GRAND ROUNDS AT CHILDREN'S HOSPITAL EVERY WEDNESDAY MORNING TO FORMALLY PRESENT A TOPIC RELATED TO THEIR SPECIALTY.THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME) IS RESPONSIBLE FOR THE ACCREDITATION OF POST-MD MEDICAL TRAINING PROGRAMS WITHIN THE UNITED STATES. CHILDREN'S HOSPITAL IS THE PRIMARY TRAINING HOSPITAL FOR THE LSUHSC AND TU PEDIATRIC RESIDENCY TRAINING PROGRAMS. THESE PROGRAMS RECEIVED FULL ACCREDITATION AT THE HIGHEST LEVEL OF TEN YEARS FOLLOWING THEIR ACGME SITE VISITS IN 2010 AND 2017, RESPECTIVELY. ALL OTHER RESIDENT AND FELLOW TRAINING PROGRAMS ARE ALSO SITE-VISITED AT SPECIFIED INTERVALS AND ARE FULLY ACCREDITED BY THE ACGME.MEDICAL RESIDENTS: 477 OTHER PROGRAM REVENUES INCLUDE (BUT ARE NOT LIMITED TO) THE FOLLOWING:THE NINTH ANNUAL GLENN OTERO MEMORIAL GOLF TOURNAMENT HOSTED BY CHILDREN'S HOSPITAL AND TURN SERVICES WAS HELD ON MAY 15TH AT LAKEWOOD GOLF CLUB. OVER 225 GOLFERS PARTICIPATED IN THE TOURNAMENT, WHICH RAISED OVER $100,000. THE 38TH ANNUAL SUGARPLUM BALL - PUTTIN' ON THE GLITZ - WAS HELD MARCH 23RD AT THE SUGAR MILL. THE EVENT RAISED MORE THAN $392,000 TO HELP FUND A PEDIATRIC SIMULATION TRAINING CENTER AT CHILDREN'S HOSPITAL. THE CENTER WILL HOUSE PEDIATRIC ROBOTS PROVIDING HANDS ON LEARNING IN A VARIETY OF DISCIPLINES. THE CREATION OF THE NEW SIMULATION CENTER WILL ALLOW HEALTHCARE PROVIDERS TO IMPROVE COMMUNICATION, REFINE CRITICAL THINKING SKILLS AND ENHANCE CLINICAL TRAINING.BOO AT THE ZOO, AN ANNUAL FAMILY-FRIENDLY HALLOWEEN EVENT, WAS HELD OCTOBER 26TH AND 27TH AT AUDUBON ZOO. THE EVENT INCLUDES A HAUNTED HOUSE AND TRAIN RIDE, TRICK-OR-TREATING, INFLATABLES, GAMES AREA, TODDLER AREA, ENTERTAINMENT, AND DIFFERENT VENDORS FROM THROUGHOUT THE NEW ORLEANS AREA. THE HOSPITAL AND THE ZOO BENEFIT FROM THIS EVENT THAT RAISED OVER $256,000 FOR THE ORGANIZATIONS TO SPLIT. THE 11TH ANNUAL JAZZ HALF MARATHON & 5K WAS HELD ON OCTOBER 26TH, BEGINNING AND ENDING AT LAFAYETTE SQUARE. OVER 2,500 PEOPLE JOINED ON CAMP STREET TO PARTICIPATE IN THE RACE. THIS EVENT RAISED OVER $235,000 FOR CHILDREN'S HOSPITAL. OUR COMMUNITY FUNDRAISERS BROUGHT IN OVER $213,000 IN DONATIONS TO THE HOSPITAL. THESE FUNDRAISERS TAKE PLACE YEAR-ROUND AND ARE COORDINATED BY GENEROUS FRIENDS LIKE DELTA FRATERNITY, MARITIME RISK CLAIM SOLUTIONS, THE HOUMA OILMAN'S FISHING RODEO, THE ITALIAN AMERICAN FISHING RODEO, COCONUT BEACH VOLLEYBALL COMPLEX AND SO MANY MORE INDIVIDUALS AND SMALL BUSINESSES.