Childrens Hospital Inc

Programs: 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 in order to reach out to patients who relocated to the baton rouge area. Clinic space was purchased in order 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 in order 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. Doctors at these locations continue to see a large number of patients. The hospital loses approximately $39,000 per month on these clinics. The metairie center is a satellite clinic for pediatric specialists who see patients in the metairie 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 $16,099,190 for the year-end december 31, 2014. Benefits to the indigent also include charges in excess of government payments for services provided to medicaid beneficiaries of approximately $519,742,003 for the year-end december 31, 2014. In addition, children's hospital had to write-off approximately $5,464,519 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. Safe kids louisiana, inc. Is a separate corporation that is partially supported by children's hospital as part of its benefits program. As part of safe kids worldwide, it is dedicated to reducing the number of unintentional childhood injuries - the number one killer of children ages 14 and under. The tooth bus is a community service providing free dental care to children in need. The bus is a mobile dental office that travels to various locations throughout the new orleans area to provide routine dental exams and other standard procedures to children of all ages who meet eligibility requirements. 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. Both 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 child care 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 centers similar to ours 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 2014, gnoin had 13,059 visits to the immunization unit and administered 26,877 vaccines. The school kids immunization program (skip i) and (skip ii) grew out of a need to increase the immunization rates for school-age children identified by gnoin. Skip works with individual schools and reviews all the students' 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 2014, skip immunized 6,173 students and administered 8,590 vaccines. The combined immunization programs, skip i, skip ii & gnoin, are the number one providers of immunizations in the state. The programs immunized a total of 19,232 children and administered 35,467 vaccinations in 2014. 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 2014, services were provided to an average of 106 patients per month. **total visits:_100,277

patient care, general/other: in 2014 children's hospital provided care to children from all 64 parishes in louisiana, from 43 other states and 4 foreign countries. Patient visits totaled 145,028. Included in these visits were 72,136 physician clinic visits, 56,493 emergency room visits, 7,070 outpatient surgical visits, 3,567 medical visits and 5,762 inpatient admissions or 40,765 patient care days.

medical research, general/other:the research institute for children is in collaboration with children's hospital and louisiana state university health sciences center (lsuhsc). The institute also has a formal affiliation with the university of new orleans (uno). Researchers from allergy/immunology, endocrinology, oncology, nephrology, gene therapies and microbiology comprise the majority of the group. The total number of research personnel is 32 comprised of 10 administrative and support professionals, 2 postdoctoral researchers, 13 lsuhsc faculty members, 2 lsuhsc staff members, 2 uno faculty members, and 3 students. Medical researchers:_32________

professional education:resident teaching & graduate medical education programschildren's hospital has become an increasingly important teaching center for both undergraduate and graduate education. Approximately 80 trainees in pediatrics emergency medicine as a combined program with internal medicine/pediatric programs obtain most of their training at the hospital. In addition, residents in anesthesiology, emergency medicine, general surgery, neurology, neurosurgery, orthopaedics, 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, endocrinology, gastroenterology, hematology/ oncology, infectious disease, neonatal intensive care, nephrology and pathology 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. 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. The professionalism forums are held quarterly where faculty members meet in large groups during a noon conference to discuss possible opportunities to improve upon professionalism in residents' careers. The clinical reasoning skills sessions are conducted quarterly with all interns as a group to practice clinical reasoning in groups of 4-5 residents with faculty supervision. 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 other wednesday morning to formally present a topic related to their specialty. On the alternating wednesday mornings, final year residents present grand rounds. 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 pediatric residency training program. This program received full accreditation at the highest level of five years following the acgme site visit in 2011. All other resident and fellow training programs are also site-visited at specified intervals and are fully accredited by the acgme. Medical residents:_360 other program revenue include (but are not limited to) the following: the proceeds from the annual fund drive, in 2014, were dedicated to supporting epilepsy surgery program at the hospital. The drive raised $872,479. The 28th annual cmn telethon netted a total of $1,308,441 in revenue. The broadcast took place on may 31 and june1. Boo at the zoo, an annual joint fundraiser with the zoo that provides a safe trick-or-treat environment for children up to age 12, was held at the audubon zoo on the evenings of october 17, 18, 24 and 25. The event was a sellout three of the four nights and netted $136,890 for each organization. There were more than 16,000 attendees over the three-night event. The 32nd annual sugarplum ball was held at the new orleans lakefront airport on march 28. The event netted $207,193 to support the neonatal intensive care unit at the hospital. Other general programs include cafeteria revenue, printing, medical records & abstracts, rebates, employee prescriptions, billing services, gift shop, parenting center memberships and class registrations.