Children's Hospitals Today - Winter 2017 - 23


INNOVATION / FEATURE

SPECIALTY CARE

DIAGNOSTICS
22 | Pulse oximetry
This simple, painless, fast test to determine the amount of oxygen in a
baby's blood and the baby's pulse rate is a major advance in detecting
congenital heart defects (CHDs). According to the Centers for Disease
Control, approximately 18 in every 10,000 babies born in the United States
each year have a critical CHD. And now, laws requiring CHD screening
have been introduced or passed in at least 24 states.
PHILANTHROPY

21 | Improved
accountability
The Bill &
Melinda Gates
Foundation is
transparent about
the investments
it makes, sharing
information about
the strategy and
financials behind
the investments,
as well as the
outcomes. "It's
innovation in the
sense that it was
a different brand
of philanthropy
for pediatrics and
global health, and
it brought about
accountability for
the philanthropic
investment, which
pediatric global
health had not
seen," Chang says.

23 | Polymerase chain reaction (PCR)
PCR is a lab technique that reproduces small segments of DNA or
ribonucleic acid (RNA) for testing. PCR is capable of diagnosing viruses,
including everything from bronchiolitis and pneumonia to HIV, much
faster. What used to take 24 hours now takes 90 minutes with PCR.

24 | CT scans
While the technology has advanced to give providers high-resolution
images for diagnostics, the radiation doses of this medical imaging
have dropped-minimizing health risks and side effects.
For more on how children's hospitals are using this technology
more safely, visit childrenshospitals.org/ctscans.

The rate of social change brings a brand new era
of pediatric health care needs.
NEONATAL ABSTINENCE SYNDROME (NAS): Every 25 minutes,
a baby is born with NAS, according to the Centers for Disease
Control. But treating babies born drug dependent is just not
something providers were trained for in medical school. Now,
children's hospitals around the country are developing protocols
to treat these infants and help give them a better start to life.

GENDER CARE: A growing number of children, adolescents and
young adults do not identify with traditional definitions of male or
female, or their gender identity is different from their sex at birth.
Children's hospitals are taking notice and action. Five children's
hospitals in the United States now have clinics dedicated to caring
for young people with gender-identity concerns.

GET IN TOUCH

ACCESS TO CARE

STACY NICHOLSON
M.D., M.P.H., physicianin-chief, Phoenix
Children's Hospital
CRITICAL CARE

For more, visit childrenshospitals.org/nas.

What are the biggest changes youʼve seen
in childrenʼs health care over the last 25
years? What are the trends you see coming?
Email magazine@childrenshospitals.org.

WARREN MOORE
CEO, Children's
Specialized Hospital

"The future is calling
for an enterprise
model of pediatric
care. Most insurance
products are currently
focused on the adult-
families find out their
network doesn't offer
access to the pediatric
specialist they want."

25 | Social issues

For more, visit childrenshospitals.org/gender.

"There will be an
increase in the
role specialty care
organizations and
post-acute care
facilities play in
caring for children
with chronic and
complex medical
needs. Care will focus
on keeping them out
of hospitals, while
the parents' role in
managing care
will become
more prevalent."

"Children's hospitals
will move to a greater
intensity of critical
care patients. Care
will continue to move
to the outpatient
arena, with fewer
medical and surgical
beds and more critical
care capacity."
THOMAS D. KMETZ
Division president,
Women's and Children's
Services and Norton
Children's Hospital

CHILDREN'S HOSPITAL S TODAY Winter 2017

23


http://www.childrenshospitals.org/ctscans http://www.childrenshospitals.org/nas http://www.childrenshospitals.org/gender

Table of Contents for the Digital Edition of Children's Hospitals Today - Winter 2017

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Children's Hospitals Today - Winter 2017 - Cover1
Children's Hospitals Today - Winter 2017 - Cover2
Children's Hospitals Today - Winter 2017 - Contents
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