Children's Hospital (CHNOLA)

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: (continued on schedule o)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 and the lakeside clinic are satellite clinics 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 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 $14,848,006 for the year-end december 31, 2021. Benefits to the indigent also include charges in excess of government payments for services provided to medicaid beneficiaries of approximately $819,663,232 for the year-end december 31, 2021. In addition, Children's Hospital had to write-off approximately $5,809,097 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 across the metro new orleans area. 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 entire family. The parenting center offers 1) parenting classes, 2) telephone advice and counseling sessions about parenting, 3) a safe and age-appropriate play space for parents with their young children, encouraging interaction among the families and staff, 4) community outreach programs at schools, businesses, and other institutions and events, as well as biweekly television segments and articles in parenting publications.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. Thrivekids student wellness is a community-based program from Children's Hospital new orleans. The program's mission is to improve both academic and healthcare outcomes for kids through partnering closely with schools to facilitate key resources to students, faculty, and families. School partnership services include staffing campuses with trained experts for nursing and mental health, offering direct clinical services, managing care, and providing professional development for school faculty and staff. Ultimately, the program brings medical expertise beyond the walls of a Hospital and out into the community, leveraging a data driven approach to keep kids in class longer through stabilizing medical and mental health conditions, removing barriers to care, and bypassing disrupters in childhood development. Thrivekids' resources, care coordination, and professional development trainings were available to 150+ schools last year across the greater new orleans area, benefiting 100,000 students. 20 of those schools experienced direct staffing support with school nurses and social workers covering campuses daily, improving student to staff ratios for over 10,000 students. In 2021 thrive kids performed two hours per day of suicidal assessments for students, standing in the gap for crises in a time of need.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 2021, gnoin had 10,779 visits to the immunization unit and administered 22,834 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 2021, skip immunized 2,035 students and administered 3,466 vaccines.the covid pandemic greatly impacted the gnoin-skip programs. The combined immunization programs, skip and gnoin, remains one of the largest providers of immunizations in the state. Combined the programs immunized a total of 12,814 children and administered 26,300 vaccinations in 2021.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 2021, services were provided to an average of 87 patients per month. **total visits: 87,823

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 135 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 (cont'd on sch. O) adolescent psychiatry, endocrinology, gastroenterology, hematology/oncology, Hospital medicine, infectious disease, neonatal-perinatal medicine, and nephrology also receive advanced subspecialty training at Children's Hospital. Most 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. 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 faculty, 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 at noon 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 continued accreditation in 2021. All resident and fellow training programs at lsuhsc and tu are site-visited at specified intervals and are fully accredited by the acgme.medical residents: 521 other revenue consists of professional services to third parties by Children's hospitalspecifically, Children's Hospital has a professional services agreement with Louisiana state university healthcare network to provide revenue cycle management services. Under this agreement, the Hospital performs revenue cycle services for all contract professionals providing medical care at Children's Hospital who are employed by the board of supervisors of Louisiana state university and agricultural and mechanical college. Children's Hospital also provides professional services to several community hospitals to staff and/or manage their neonatal intensive care units.

Patient care, general/other: in 2021 Children's Hospital provided care to children from all 64 parishes in Louisiana, from 46 other states, the district of columbia and 4 foreign countries. Patient visits totaled 181,428. Included in these visits were 118,464 physician clinic visits, 48,643 emergency room visits, 6,861 outpatient surgical visits, and 7,460 inpatient admissions or 55,165 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 new orleans (lsuhsc-no) and tulane university. 104 researchers from 29 divisions participate in activities at Children's Hospital campuses. The total number of research personnel is 13, comprised of 3 administrative support professionals and 10 research staff members.medical researchers: 117