Nationwide Children's Hospital (Columbus)

This article is about Nationwide Children's Hospital (Columbus). For other similarly named hospitals, see Children's Hospital (disambiguation).

Nationwide Children's Hospital
Nationwide Children's Hospital in Columbus, Ohio
Geography
Location	700 Children's Dr., Columbus, Ohio, United States
Organization
Care system	Commercial, Medicaid
Hospital type	Community
Affiliated university	The Ohio State University
Services
Emergency department	Level I trauma center
Beds	420
History
Founded	1894
Links
Website	http://www.nationwidechildrens.org/
Lists	Hospitals in Ohio
Other links	The Research Institute at Nationwide Children's Hospital

Nationwide Children’s Hospital is a primary pediatric hospital in Columbus, Ohio, with more than 950 medical staff members and over 6,800 total employees. In recent years, the hospital has been ranked as one the best hospitals in the United States by US News & World Report.^[1] It is also the pediatric teaching hospital for The Ohio State University School of Medicine.

Clinical services

In 2009, Nationwide Children’s Hospital had 18,472 inpatient discharges, performed 18,873 surgeries and saw 914,456 [outpatient] visits. The hospital system has 125 specialties within its main downtown campus and its 34 outpatient care centers throughout the central Ohio area. These include seven Close To Home Centers, which offer diagnostic and therapeutic services, and eight Primary Care Centers, which offer primary care check-ups for children from birth through age 21.^[2]

Three Close To Home Centers in Dublin, East Columbus and Westerville offer urgent care services. Other outpatient facilities include the Homecare Center, the Center for Autism Spectrum Disorders, the Sports Medicine and Orthopedic Center and the Orthopedic Center. Also on site is the Outpatient Care Center, which provides subspecialty ambulatory clinics; an outpatient lab and outpatient pharmacy, and pediatric and surgical specialists. The system also has an urgent care center that offers immediate treatment for illnesses and injuries that do not require hospital emergency room attention.

Family centered care

The hospital provides “family centered care", focusing on the family’s needs, as well as the child’s, to promote and maintain the health of the child in the context of the family and community.^{[citation needed]}

Research and education

Research

The Research Institute at Nationwide Children’s Hospital is one of the fastest growing pediatric research centers in the United States.^[3] Organized research began after the Second World War with the recognition of E. coli III as a source and cause of epidemic diarrhea, and the development of a treatment for histoplasmosis. In 2009, among free-standing children’s hospitals, The Research Institute ranked 9th based on NIH funding and amongst all other pediatric research organizations ranked 18th based on NIH funding.

The Research Institute contains Biobehavioral health, Cardiovascular medicine, Cell and Developmental Biology, Childhood Cancer, Clinical and Translational Research, Gene Therapy, Injury Research and Policy, Innovation in Pediatric Practice, Microbial Pathogenesis, Molecular and Human Genetics, Perinatal Research, Mathematical Medicine^[4], and Vaccines and Immunity departments.

Children’s Hospital Investigative Laboratory Division, CHILD, was created in the 1950s when the hospital realized a separate organization was needed to manage research. The first medical science research building at [Nationwide] Children’s Hospital, Ross Hall, was completed in 1961. CHILD evolved into Children’s Hospital Research Foundation, a non-profit corporation that was incorporated on May 12, 1964. Two years later in 1966, research expenditures exceeded $1 million for the first time. And in 1987, the new Wexner Center for Pediatric Research opened. In 2003, Children’s Hospital Research Foundation was renamed the Columbus Children’s Research Institute. Also that year, the Research Institute not only began a human testing phase for a new HIV/AIDS vaccine, but they finished the year with $34 million in external research awards. A new 160,000-square-foot (15,000 m²) research building opened in 2004. In 2006, the Nationwide Foundation donated a 10-year, $50 million gift to support child safety and injury prevention, neonatal intensive care, and the heart center at Nationwide Children’s Hospital. In 2007, the Columbus Children’s Research Institute was renamed The Research Institute at Nationwide Children’s Hospital.

Prominent researchers at this institute include neurologist Dr. Jerry Mendell, who led the world's first clinical trial for gene therapy for duchenne muscular dystrophy at the institute in 2007.^[5]

Education

Nationwide Children’s Hospital houses the Department of Pediatrics for The Ohio State University School of Medicine. It is a teaching hospital offering nationally recognized pediatric residencies and fellowships in medical and surgical specialties. The residency programs offered are a dual residency with OhioHealth's Doctors Hospital, Internal Medicine and Pediatric Residency, Genetics Residency, Pediatric Neurology, Pediatric Pharmacy, Pediatric Research Pathway, Pediatric Residency, and Pediatric Surgery. Fellowships are available in 33 areas of patient care, including Cardiology, Child Abuse and Maltreatment, Critical Care, Gastroenterology, Neonatal-Perinatal Medicine, Ophthalmology, and Surgical Critical Care.

In 1931, the pediatric residency program began at Children’s Hospital. Six years later, in 1937, the teaching of pediatrics was moved from the Starling Loving Hospital at The Ohio State University to Children’s Hospital. Dr. Earl H. Baxter became the first chairman of The Ohio State University Department of Pediatrics in 1943. The Pediatric Pathology residency program began in 1953 and was followed by the Pediatric Dentistry program in 1954. Dr. Bruce Graham became chairman of the Department of Pediatrics at OSU and Medical Director of the hospital in 1964 and was the first to combine these two positions. Dr. Grant Morrow III became chairman of the Department of Pediatrics at OSU and Medical Director of the hospital in 1978. The Internal Medicine-Pediatrics residency program began in 1983, followed by the neonatology fellowship in 1984 and the Pediatric Hematology/Oncology fellowship in 1985. In 1990, construction began on the new $18.3 million education building that opened in 1992. Dr. Thomas N. Hansen was named chairman of the Department of Pediatrics at OSU and Medical Director of the Hospital in 1995. The Department of Pediatrics was awarded the prestigious Ohio State University Departmental Teaching Excellence Award in 1999, and the Educational Building was renamed the Ann Isaly Wolfe Education Building in recognition of her support. In 2003, new fellowship programs begin in pediatric nephrology, pediatric ophthalmology, and pediatric physical medicine and rehabilitation. A year later, another new residency program in pediatric orthopedic surgery began. Nationwide Children’s Hospital is home to the International Symposium on the Hybrid Approach to Congenital Heart Disease (ISHAC).

History

Children’s Hospital of Columbus opened in 1894 with 9 patient beds, which quickly grew to 15 beds. In 1923, the cornerstone for the new hospital was laid, and in 1924, the new hospital opened accommodating 75 patients with the ability to expand to 150 beds immediately (eventually going to 300 beds). It was in 1931 that the hospital began taking private patients for $4 per week. In 1954, construction began on the Sellers Wing, which was a physical therapy building used to house polio patients. In 1965, the federal government granted money to be used for the establishment of Children & Youth (C&Y) Clinics throughout the city. These clinics grew into the Close To Home network of clinics since government funding decreased and the hospital continued to privately support them. The first successful kidney transplant in central Ohio was performed at Children’s in 1966, on an 11 year-old boy. Also in 1966, a new infant intensive care service (NICU) opened, specializing in the care of the seriously ill infants. It was operated independently of the regular intensive care unit (ICU). In 1999, Children’s and OhioHealth announced a relationship to operate the Neonatal Special and Intensive Care units at OhioHealth Central Ohio hospitals, which are: Doctors Hospital West, Grant Medical Center and Riverside Methodist Hospital. In 2003, Children’s began an $80 million, 160,000-square-foot (15,000 m²) clinical expansion and started renovating 100,000 square feet (9,300 m²) of existing space. Children’s became the first freestanding children’s hospital in Ohio to receive “Magnet Recognition” in 2004, which is the highest honor for excellence in nursing. In 2005, the hospital performed its first lung transplant on a 23-year-old cystic fibrosis (CF) patient.^[6] In 2006, a “Domino” heart and double lung transplant was performed, involving the world’s youngest living heart donor. The transplant was performed successfully, by the Children’s Hospital Heart Center team led by Dr. Mark Galantowicz.^[7]

In 2007, the hospital received a gift of $50 million from the Nationwide Foundation of the Nationwide Insurance Company of Columbus, Ohio, and was accordingly renamed Nationwide Children's Hospital.^[8]

Expansion

Nationwide Children’s hospital plans to open a new, 12-story, 750,000-square-foot (70,000 m²) main hospital in 2012. Other components of the hospital’s 2012 Master Facilities plan include “Research III,” a $93 million, six-floor research facility, which will add 225,000 square feet (20,900 m²) to the current 375,000 square feet (34,800 m²) of research space. The hospital states that Research III will be home to the new Cardiovascular and Pulmonary Research Facility with state-of-the-art equipment including hybrid suites. The planned expansion will be done using green design principles, including a LEED-certified new central energy plant.

Houston firm FKP Architects will be the master designer for the expansion.^[9]

Controversy and criticism

The Abercrombie & Fitch Emergency Department and Trauma Center

In 2008, Nationwide Children’s Hospital in Columbus planned to rename its emergency room the Abercrombie & Fitch Emergency Department and Trauma Center in exchange for a $10 million donation from Abercrombie & Fitch, a locally based retail clothing corporation. A letter written by the Campaign for a Commercial-Free Childhood and signed by over 100 doctors and children’s advocacy groups urged the hospital not to go ahead with the renaming, arguing that, "Given this company's appalling history of targeting children with sexualized marketing and clothing, no public health institution should be advertising Abercrombie & Fitch."^[10][11]

References

1. ^ America's Best Children's Hospitals: Nationwide Children's Hospital, US News and World Report. Retrieved 06-17-2010
2. ^ Fast Facts, Nationwidechildrens.org.
3. ^ Nationwide Children’s Hospital to Break Ground in 2010 for Third Research Facility as Final Piece to Expansion Plan, newswise, inc.. Retrieved 03-24-2010
4. ^ mathmed.org
5. ^ OSU/Nationwide Children`s, Research for Muscle Biology and Disease, J.M. Bio. Retrieved 03-24-2010
6. ^ The Columbus Dispatch http://www.dispatch.com/live/contentbe/dispatch/2005/07/20/20050720-B1-01.html
7. ^ MSNBC http://www.msnbc.msn.com/id/11150890/
8. ^ Academic Dictionaries and Encyclopedias: Nationwide Mutual Insurance Co. Retrieved 3.24.2010
9. ^ http://www.fkp.com/portfolio/by_project_type/pediatric_centers/nationwide_childrens_hospital
10. ^ From the Associated Press: http://www.cnn.com/2008/US/03/12/abercrombie.hospital.ap/index.html
11. ^ Foxnews.com,"...Advocates protest Abercrombie and Fitch name on Ohio children's hospital" (March 12, 2008). Retrieved 5-26-2010