Task2C799 (2)
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Brandy Ruff
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Healthcare Ecosystems (C799)
Task #2
Cincinnati Children’s Hospital Medical Center
Cincinnati Children’s Hospital Medical Center (CCHMC) is a world renowned
Non-Profit Accredited Pediatric Hospital. Named #2 in the nation among Honor Roll
hospitals in U.S. News and World Reports 2018-2019 Best Children’s Hospitals. They
were ranked in the Top 10 in all specialties- cancer, gastroenterology, nephrology,
neurology, neurosurgery, urology, diabetes, endocrinology, pulmonology, orthopedics,
neonatology, cardiology, and heart surgery. CCHMC was founded in 1931. The center’s
focus at first was studying congenital birth defects, the heart-lung machine, and the
development of the oral polio vaccine. Today, CCHMC has been a leader in medical
advancements for more than 80 years and is still striving to be #1 in the nation!
A.
Impact on Growth
Since the 1930’s, CCHMC has been on the rise and has grown with magnificent
findings in research, which in turn has led the facility to be one of the largest in the
nation regarding research. In the 1930’s, “scientists develop[ed] a method of preserving
and transporting whole blood, which saves lives on the battlefields of World War II”.
(Cincinnati Children's, 1999-2108)
During the 1950’s, Dr. Helmsworth and Leland Clark, PhD
developed the first heart-lung machine which opened the door to open heart surgeries.
In the 1970’s, William Schubert and John Partin identified the unique morphological
symptoms of Reye syndrome, a deadly disease that damages the liver and brain. In the
1980’s, Dr. Whitsett’s group identified and cloned proteins in surfactant, a substance
that’s critical to lung function. This therapy improved lung function in premature babies.
During the 1990’s, scientists identified and discovered a way to treat enzyme defects
responsible for liver failure. Researchers also created a compound that provided total
protection against the genital herpes virus. In the 2000’s, researchers discovered, “that
tobacco smoke and childhood exposure to tobacco smoke lead to more than one-third
of attention deficit hyperactivity disorders among children in the United States.”
(Cincinnati
Children's, 1999-2108)
Also, a rotavirus vaccine was developed and is currently used in
more than 100 countries around the world!
Over the past decade CCHMC has had two additions: one 11 story building and a 14
story building built for research purposes. Currently a new state of the art 600,000
square foot clinical care building is being built, which will provide more beds and more
up to date equipment and rooms for the Emergency Department and Intensive Care
department. B. Service
CCHMC supports legislation that will help the hospital fulfill its mission to “improve
child health and transform delivery of care through fully integrated, globally recognized
research, education and innovation”
(Cincinnati Children's Hospital Medical Center, 2017)
. Staff
in the Office of Government Relations work in close partnership with the city, state, and
federal legislators to identify and advance goals to provide the best care for the patients
in our nation and among the world. The health and hospital levy provides $4.7 million
dollars to CCHMC per year for care of those that need care but can’t afford it. In
Hamilton County there are two hospitals that receive payments from the levy.
Children’s is one of the hospitals “that have requested continued financial support from
the Levy”
(Hamilton County, Ohio, 2017)
. CCHMC provided $225.1 million in free or
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discounted services to families not able to pay their medical bills while on Medicaid.
Children’s has “contributed $5.5 million in services to community and nonprofit health
organizations.”
(Cincinnati Children's Hospital Medical Center, 1999-2018 )
CCHMC has served
27,932 children and families through the community outreach and health education
programs. Partnerships also play a huge role for CCHMC and how they care for their
patients. They can access a vast network of resources that leads them to stay on top of
any new developments that effect children’s health and provide their own discoveries to
as many patients as they can. Advantages of Children’s partnerships include benefiting
patient families served by the hospital and also improves access to care and the quality
of care for the children throughout Ohio and the world. CCHMC partners with the
Children’s Hospital Association (CHA) which is “a voice for health systems devoted to
the well-being of America's 70 million children and their families and they work to ensure
children's access to health care and the continuing ability of children's hospitals to
provide services needed by children.”
(Cincinnati Children's Hospital Medical Center, 2017)
CHA
is comprised of non-profit organizations including pediatric hospitals, large pediatric
units of medical centers, and related health systems, also included rehabilitative care of
children with serious chronic or congenital illnesses. CCHMC is also associated in the
Coalition of Independent Children’s Hospitals. This is a partnership with more than 24
other pediatric hospitals to advance focus and funding in pediatric research. Another
partnership is the Ohio Children’s Hospital Association (OCHA). There are six member
hospitals in this association that are committed to saving, protecting, and advancing
children’s lives. Ohio has the strongest network of children’s hospitals in the nation,
making sure that all three million children in Ohio have access to the highest quality of
care possible. All children are provided the medical care they need, regardless of the
ability to pay for the care provided. (VOC) Voices for Ohio’s Children, is another
partnership that represents children’s interests to be at the top of every community’s
agenda, so that all Ohio’s children are ready for success.
C1. Impact on Healthcare Delivery
Health Informatics can provide a tool for patients to provide their clinicians with
critical information, and to share information with family, friends, and other patients.
“Clinicians may use information systems (e.g., electronic medical records) to coordinate
care and share information with other clinicians”
(Phd, 2012)
. Information that patients can
obtain through “Mychart,” online viewing, scheduling, and viewing results helps patients
have greater control over their own care. These online features from Health Informatics
technology helps hospitals and clinicians communicate with one another for the best
option for the patient’s medical care. They can view the patients’ medical history and
any other pertinent information they might want to inquire about. The only thing
providers need to be aware of is biased or bad data then providers would need to
redirect patients to appropriate information resources. For both the patient and provider,
the upmost important thing is identifying that there is high quality information which
enhances their interactions and not impede it. Using online tools for your healthcare
delivery is extremely important as long as the information in the patient’s chart is
correct. About 10 years ago, when hospitals were only using paper trails of patients,
charts, schedules, and health reports would get mixed up or misplaced. This in turn
(especially in cancer care) affected the patient dramatically and could and did alter their
life outcome.
The Health Information Management Department at CCHMC “processes, stores and
retrieves patient medical records”
(Cincinnati Children's, 1999-2018)
. These members are
responsible for making sure that all health information is complete and available for
patients and providers while also taking a major role in the healthcare planning and
research ecosystems within the hospital. Children’s offers patients an online MyChart to
review their medical records and test results. During patient visits in a lot of specialty
areas they also hand out paper instructions for drug use and application. This is very
accommodating for those individuals that don’t have computers or internet access at
home. The nurses also review how to administer medication correctly with the patient
and/or parent. This is a great added service, since a lot of practices don’t do this
currently. Children’s also gives the patient email reminders, phone calls, and even text
messages depending on preference for upcoming appointments. Further, they also mail
directions and instructions before upcoming appointments for the patient. They go
above and beyond to ensure the patient is aware of appointments, their medical visit
and also provide follow up phone calls to ensure excellent customer support and
satisfaction.
C2. Emerging Trends
About a decade ago the US healthcare system was in the news for patients dying
due to lack of preventable medical errors. The National Academy of Medicine and other
healthcare leaders responded that changes needed to occur within our healthcare
system. Children’s was motivated to make this change to keep up with their vision to be
the leader in improving child health. They were already, at the time, in the process of
developing a new strategic plan with the key goal of substantially improving the
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healthcare delivery system. Soon after the call was made Children’s became one of the
early adopters of the transformation plan. As of today, “the commitment to quality
improvement permeates the organization, and the benefits are felt every day by the
patients and their families”
(Children's Hospital, 1999-2018)
. Children’s shares with patients,
parents, caregivers and other hospitals the knowledge that they have learned and
gained on the journey to improving the outcomes for their patients.
Children’s stands out from other hospitals for their innovative BrainSuite operating
rooms that provide the latest robotic and computer guided navigation technology to aid
in assisting surgeons to safely reach and remove tumors and lesions once considered
too risky and dangerous for regular surgery. This preserves areas of the brain that
control important functions like speech and movement. Cincinnati Children’s was the
first children’s hospital in the entire world to use this new advanced system! Children’s Comprehensive Epilepsy Center, “works with the neurosurgery team to
use advanced MRI techniques and stereo-EEG (electroencephalograms) to guide their
way deep into the brain to eliminate the causes of intractable epilepsy”
(Cincinnati
Children's, 1999-2018)
. Children’s has specialists that participate in clinical research to
better understand epilepsy and find more effective ways to treat their patients. The Proton Therapy Center at Cincinnati Children’s is one of only two such centers
in the world. CCHMC has expanded on their ongoing treatment of children with the most
difficult and challenging forms of cancer. They have opened their second proton-therapy
gantry. In this area they use pencil beam radiation that zaps cancer cells while avoiding
other organs in the body. This minimizes short term side effects for children and long
term complications so kids are healthier in the long run. The Proton Therapy Center was
a $120 million investment to provide children with the most sophisticated effective
cancer treatment available. Cincinnati Children’s is the second highest recipient of National Institutes of Health
grants for pediatric research. Grant funding has significantly decreased over the past
decade but Children’s and the researcher’s at Children’s are making great strides to be
#1 in the nation and to improve children’s medical outcome so their future is bright and
optimistic. Children’s Hospital started out with a small house and a few staff members,
as of today it is one of the largest hospitals in Cincinnati with 15,750 employees and still
growing!
Bibliography
Children's Hospital. (1999-2018). About Cincinnati Children's
. Retrieved from Transformational Change Benefits Everyone : https://www.cincinnatichildrens.org/about/quality-measures
Cincinnati Children's. (1999-2018). Hospital Resources
. Retrieved from Health Information Management:
https://www.cincinnatichildrens.org/patients/resources/him
Cincinnati Children's. (1999-2018). Neurology
. Retrieved from We Bring Great Minds Together to Solve the Brain’s Most Challenging Diseases: https://www.cincinnatichildrens.org/service/n/neurology/us-news
Cincinnati Children's. (1999-2108). About Cincinnati Children's
. Retrieved from Cincinnati Children's: https://www.cincinnatichildrens.org/about/history
Cincinnati Children's Hospital Medical Center. (1999-2018 ). About Cincinnati Children's
. Retrieved from https://www.cincinnatichildrens.org/about/corporate/facts-figures
Cincinnati Children's Hospital Medical Center. (2017, April 6). Office of Government Relations
. Retrieved from https://www.cincinnatichildrens.org/service/o/office-government-relations
Hamilton County, Ohio. (2017, May 24). Health Managments Associates
. Retrieved from http://hamiltoncountyohio.gov/UserFiles/Servers/Server_3788196/File/Government/Open
%20Hamilton%20County/Projects/Tax%20Levy%20Review/Reports/Hospital%20Levy%20Review
%20Report%205-24-17%20FINAL.pdf
Phd, C. F. (2012, July 1). HHS Public Access
. Retrieved from PMC: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3146983/
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