CHOC Children’s Grand Rounds Video: Bringing Palliative Care to Your Pediatric Practice

Palliative care in infants and children is a critical and evolving field. In this grand rounds video presentation, Dr. Sirisha Perugu, CHOC Children’s neonatologist, and Meg Mohr, FNP-BC, MSN, coordinator of CHOC’s pediatric advanced care team, provide valuable insight. More specifically, they:

  • define palliative care and provide a brief history of its development;
  • highlight the ways palliative care adds value to culturally sensitive and family- centered care;
  • examine the health care provider’s role in end-of- life care and patient management decisions;
  • and suggest how the health care provider can assist a family whose child requires the added layer of support of palliative care.

Learn more about CHOC’s palliative care services.

View previous grand rounds videos.

CHOC Children’s Hospital Earns National Distinction for Safe, Quality Care

The Leapfrog Group has once again named CHOC Children’s Hospital to its annual list of Top Hospitals, distinguishing CHOC’s commitment to providing the safest, highest quality health care.  CHOC is one of only 12 children’s hospitals in the nation and only two in the state to earn the respected award.

The selection is based on results of The Leapfrog Group’s annual hospital survey, which measures hospitals’ performance on patient safety and quality, focusing on three critical areas:

  • How patients fare
  • Resource utilization
  • Management structures established to prevent errors

Performance across many facets of hospital care, including survival rates for high-risk procedures and ability to prevent medication errors, is considered in establishing the qualifications for the award.

“Leapfrog’s Top Hospital award is widely acknowledged as one of the most prestigious distinctions any hospital can achieve in the United States,” said Leah Binder, president and CEO of The Leapfrog Group.  “Top Hospitals have lower infection rates, better outcomes, decreased length of stay and fewer readmissions.  By achieving Top Hospital status, CHOC has proven it prioritizes the safety of its patients, is committed to transparency, and provides exemplary care for children and families in Orange County.  I congratulate the hospital’s board, staff and clinicians whose efforts achieved these results.”

See the full list of 2015 Top Hospital honorees. 

CHOC Children’s Grand Rounds Video: Insufficient Sleep is a Public Health Concern

The Centers for Disease Control and Prevention has recognized insufficient sleep as a public health concern, says CHOC Children’s pulmonologist Dr. John Saito.

In this grand rounds video, Dr. Saito addresses the problem, which is often rooted in childhood. Disorders and disruptions of sleep in a developing brain may have short- term neurocognitive effects, as well as long- term consequences, especially in children who are medically fragile.

Healthcare providers, educators and parents all need to update their level of understanding sleep and sleep disorders in children in order to identify, diagnose, and reduce the negative health consequences of sleep disruption to the child, to the family and to society.

View previous grand rounds videos.

November is Prematurity Awareness Month – CHOC Offers Innovative and Life-Saving Neonatal Care

In recognition of National Prematurity Awareness month, we’re highlighting the innovative life-saving treatment provided to some of the tiniest and most fragile babies through our neonatology services.

Premature birth is the leading cause of newborn death in the United States. While California has one of the lowest premature birth rates in the nation, almost 9 percent of infants born in 2013 in the state were premature, according to the March of Dimes. Pre-term newborns often need immediate specialized care not available at birthing centers, and CHOC Children’s is ready to help if the baby needs to be transferred.

CHOC uses the latest in life-saving technology and trained neonatal specialists to provide the best possible outcomes for both pre- and full-term newborns. While many hospitals offer neonatal intensive care units (NICUs), the CHOC NICU is rated by the American Academy of Pediatrics as a Level 4 NICU – the highest rating available – and is among the top 25 in the nation, according to U.S. News & World Report.

“Because of our innovation and advanced protocols, our survival of low-birth-weight babies, and the long term quality of health of such babies, admitted to the CHOC NICU are the best in California according to the California Perinatal Quality Care Collaborative,” said Dr. Vijay Dhar, medical director, CHOC NICU. “Coordinated care across multiple specialties ensures that these fragile newborns receive treatment from a full medical team.”

With access to a full range of CHOC pediatric subspecialists, the NICU offers a number of life-saving technologies and advanced respiratory support such as high-frequency ventilation and inhaled nitric oxide; advanced brain and body cooling; the only extracorporeal membrane oxygenation (ECMO) unit in Orange County; and innovative procedures including mandibular distraction and epidural anesthesia.

For babies born as young as 24 weeks, or who weigh less than 1,000 grams, the CHOC NICU has a Small Baby Unit (SBU) — the only one of its kind — to focus on caring for the unique needs of these newborns. We also have the only Surgical NICU on the West Coast, which cares for babies needing complex surgery; the only Cardiac NICU in Orange County that performs open heart surgery on newborns; and a Neurocritical NICU to treat babies with neurological issues such as seizures, asphyxiation and brain damage. All four areas provide the highly specialized care needed for fragile newborns.

CHOC has three NICUs, serving CHOC Children’s Hospital, St. Joseph Hospital and CHOC Children’s at Mission Hospital. In addition, our neonatologists have privileges at more than a dozen hospitals across Southern California. And, we are currently building 36 private, state-of-the-art rooms at CHOC Children’s Hospital, which will further advance the quality, safety and outcomes of our neonatology program.

Neonatal Intensive Care Unit (NICU) Referrals:

When a baby is born, the CHOC Children’s Transport Team is ready and waiting to transport newborns to CHOC from other hospitals in Southern California. Our neonatologists and surgeons are available for consultations with other hospitals around the clock and can collaborate with referring physicians via phone, telemedicine and secure text messaging.

For any questions, to request a consultation with an on-call neonatologist, or to schedule a transport, referring hospitals may call the CHOC Children’s NICU 24/7 at 714-509-8540.

 

CHOC Children’s Research Week 2015

Join us for CHOC Children’s Research Week, being held through Nov. 20 on CHOC Children’s main campus in Orange.

CHOC Research

Tuesday, Nov. 17

Research Resources at CHOC Children’s

8 a.m. – 9:30 a.m., Bill Holmes Tower, second floor, conference room A & B

Presenters: Amit Soni, MD, Megan Bailey, BA, Phuong Dao, JD

 

CHOC Research Institute Open House

Noon – 1:30 p.m., CHOC Research Building, third floor, conference room 2

Refreshments will be served.

 

Wednesday, Nov. 18

Research Grand Rounds

“A Closer Look at Genomics in the Diagnosis and Treatment of Pediatric Cancers”

8 a.m. – 9 a.m., CHOC West, Wade Education Center, second floor

Leonard S. Sender, MD, medical director, Hyundai Cancer Institute

Keri Zabokrtsky, MS, research programs supervisor, CHOC Children’s Hyundai Cancer Genomics Program

Troy A. McEachron, PhD, senior postdoctoral fellow, Integrated Cancer Genomics Division, Translational Genomics Research Institute (TGen)

CME credit available.

 

Scientific Poster Presentations

9 a.m. – 10 a.m., CHOC West, Wade Education Center, second floor

Moderated by Philip Schwartz, PhD, supervisor senior scientist, CHOC Children’s and managing director, National Human Neural Stem Cell Resource

 

Thursday, Nov. 19

2015 CHOC – UC Irvine Child Health Research Awardee Presentations

9:30 a.m. – 11:30 a.m., CHOC Research Building, third floor, conference room 2

Moderated by Michelle Fortier, PhD, co-director, Center on Stress & Health and assistant professor, UC Irvine School of Medicine

Presenters: Antonio Arrieta, MD, Tami John, MD, Calvin Li, PhD, Joanne Starr, MD, Sharief Taraman, MD, & Ruth McCarty, MS, LAc

Light refreshments will be served.

 

Emerging Research Programs

2:30 p.m. – 4 p.m., CHOC Research Building, third floor, conference room 1

Moderated by Brent A Dethlefs, executive director, CHOC Children’s Research Institute

Presenters: Antonio Arrieta, MD, Randy Berg, PhD, Mariella Simon, PhD Candidate, Raymond Wang, MD

Light refreshments will be served.

 

Friday, Nov. 20

Research Subjects’ Perspectives

11 a.m. – 1 p.m., Bill Holmes Tower, second floor, conference room C

Moderated by Kathleen Adlard, clinical nurse specialist, Hyundai Cancer Institute and industry track IRB co-chair

Lunch will be served.

 

Highlights in Nursing Research

1:30 p.m. – 2:30 p.m., Bill Holmes Tower, second floor, conference room B

“Coping with Cancer: The Adolescent and Young Adult Journey”

Nancy Kuntz, MN, RN, CPNP, CPON

“Nursing Evidence-Based Practice: Best Care Based on Well-Designed Studies”

Susan Elliott, PhD, RNC, APRN-BC

Light refreshments will be served.

 

For more information, please call 714-509-4341. Learn more about research services at CHOC.