Nationwide Children's Hospital (Columbus)
Encyclopedia
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. It is also the pediatric teaching hospital for The Ohio State University
Ohio State University
The Ohio State University, commonly referred to as Ohio State, is a public research university located in Columbus, Ohio. It was originally founded in 1870 as a land-grant university and is currently the third largest university campus in the United States...

 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.

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
Family centered care
Family-centered care or Family-centered service has been discussed and promoted most prominently in the context of child health, and especially concerning chronic conditions of childhood. This approach provides an expanded view of how to work with children and families...

", 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.

Research

The Research Institute at Nationwide Children’s Hospital is one of the fastest growing pediatric research centers in the United States. Organized research began after the Second World War with the recognition of E. coli III as a source and cause of epidemic diarrhea
Diarrhea
Diarrhea , also spelled diarrhoea, is the condition of having three or more loose or liquid bowel movements per day. It is a common cause of death in developing countries and the second most common cause of infant deaths worldwide. The loss of fluids through diarrhea can cause dehydration and...

, and the development of a treatment for histoplasmosis
Histoplasmosis
Histoplasmosis is a disease caused by the fungus Histoplasma capsulatum. Symptoms of this infection vary greatly, but the disease primarily affects the lungs...

. 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
Cancer
Cancer , known medically as a malignant neoplasm, is a large group of different diseases, all involving unregulated cell growth. In cancer, cells divide and grow uncontrollably, forming malignant tumors, and invade nearby parts of the body. The cancer may also spread to more distant parts of the...

, Clinical and Translational Research, Gene Therapy
Gene therapy
Gene therapy is the insertion, alteration, or removal of genes within an individual's cells and biological tissues to treat disease. It is a technique for correcting defective genes that are responsible for disease development...

, Injury
Injury
-By cause:*Traumatic injury, a body wound or shock produced by sudden physical injury, as from violence or accident*Other injuries from external physical causes, such as radiation injury, burn injury or frostbite*Injury from infection...

 Research and Policy, Innovation in Pediatric Practice, Microbial Pathogenesis, Molecular
Molecular genetics
Molecular genetics is the field of biology and genetics that studies the structure and function of genes at a molecular level. The field studies how the genes are transferred from generation to generation. Molecular genetics employs the methods of genetics and molecular biology...

 and Human Genetics
Human genetics
Human genetics describes the study of inheritance as it occurs in human beings. Human genetics encompasses a variety of overlapping fields including: classical genetics, cytogenetics, molecular genetics, biochemical genetics, genomics, population genetics, developmental genetics, clinical genetics,...

, Perinatal Research, Mathematical Medicine, and Vaccines and Immunity
Immunity (medical)
Immunity is a biological term that describes a state of having sufficient biological defenses to avoid infection, disease, or other unwanted biological invasion. Immunity involves both specific and non-specific components. The non-specific components act either as barriers or as eliminators of wide...

 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
Vaccine
A vaccine is a biological preparation that improves immunity to a particular disease. A vaccine typically contains an agent that resembles a disease-causing microorganism, and is often made from weakened or killed forms of the microbe or its toxins...

, but they finished the year with $34 million in external research awards. A new 160000 square feet (14,864.5 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.

Education

Nationwide Children’s Hospital houses the Department of Pediatrics for The Ohio State University
Ohio State University
The Ohio State University, commonly referred to as Ohio State, is a public research university located in Columbus, Ohio. It was originally founded in 1870 as a land-grant university and is currently the third largest university campus in the United States...

 School of Medicine. It is a teaching hospital offering nationally recognized pediatric residencies
Residency (medicine)
Residency is a stage of graduate medical training. A resident physician or resident is a person who has received a medical degree , Podiatric degree , Dental Degree and who practices...

 and fellowship
Fellowship (medicine)
A fellowship is the period of medical training in the United States and Canada that a physician may undertake after completing a specialty training program . During this time , the physician is known as a fellow...

s in medical and surgical specialties. The residency programs offered are a dual residency with OhioHealth's Doctors Hospital, Internal Medicine
Internal medicine
Internal medicine is the medical specialty dealing with the prevention, diagnosis, and treatment of adult diseases. Physicians specializing in internal medicine are called internists. They are especially skilled in the management of patients who have undifferentiated or multi-system disease processes...

 and Pediatric Residency, Genetics
Genetics
Genetics , a discipline of biology, is the science of genes, heredity, and variation in living organisms....

 Residency, Pediatric Neurology
Neurology
Neurology is a medical specialty dealing with disorders of the nervous system. Specifically, it deals with the diagnosis and treatment of all categories of disease involving the central, peripheral, and autonomic nervous systems, including their coverings, blood vessels, and all effector tissue,...

, Pediatric Pharmacy
Pharmacy
Pharmacy is the health profession that links the health sciences with the chemical sciences and it is charged with ensuring the safe and effective use of pharmaceutical drugs...

, Pediatric Research Pathway, Pediatric Residency, and Pediatric Surgery
Pediatric surgery
Pediatric surgery or paediatric surgery is a subspecialty of surgery involving the surgery of fetuses, infants, children, adolescents, and young adults...

. Fellowships are available in 33 areas of patient care, including Cardiology
Cardiology
Cardiology is a medical specialty dealing with disorders of the heart . The field includes diagnosis and treatment of congenital heart defects, coronary artery disease, heart failure, valvular heart disease and electrophysiology...

, Child Abuse
Child abuse
Child abuse is the physical, sexual, emotional mistreatment, or neglect of a child. In the United States, the Centers for Disease Control and Prevention and the Department of Children And Families define child maltreatment as any act or series of acts of commission or omission by a parent or...

 and Maltreatment
Neglect
Neglect is a passive form of abuse in which a perpetrator is responsible to provide care for a victim who is unable to care for himself or herself, but fails to provide adequate care....

, Critical Care, Gastroenterology
Gastroenterology
Gastroenterology is the branch of medicine whereby the digestive system and its disorders are studied. The name is a combination of three Ancient Greek words gaster , enteron , and logos...

, Neonatal-Perinatal Medicine, Ophthalmology
Ophthalmology
Ophthalmology is the branch of medicine that deals with the anatomy, physiology and diseases of the eye. An ophthalmologist is a specialist in medical and surgical eye problems...

, 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
Ohio State University
The Ohio State University, commonly referred to as Ohio State, is a public research university located in Columbus, Ohio. It was originally founded in 1870 as a land-grant university and is currently the third largest university campus in the United States...

 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
Neonatology
Neonatology is a subspecialty of pediatrics that consists of the medical care of newborn infants, especially the ill or premature newborn infant. It is a hospital-based specialty, and is usually practiced in neonatal intensive care units...

 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, 160000 square feet (14,864.5 m²) clinical expansion and started renovating 100000 square feet (9,290.3 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. 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.

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.

Expansion

Nationwide Children’s hospital plans to open a new, 12-story, 750000 square feet (69,677.3 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 225000 square feet (20,903.2 m²) to the current 375000 square feet (34,838.6 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
FKP Architects
FKP Architects is a large architecture firm based in Houston, Texas. It specializes in the design of major academic, research, scientific, and healthcare projects.-Awards:* 2010 Top 100 Green Design Firm...

 will be the master designer for the expansion.

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
Abercrombie & Fitch
Abercrombie & Fitch is an American retailer that focuses on casual wear for consumers aged 18 to 22. It has over 300 locations in the United States, and is expanding internationally....

 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
Campaign for a Commercial-Free Childhood
Campaign for a Commercial-Free Childhood is a "national coalition of health care professionals, educators, advocacy groups, parents, and individuals who care about children [and is] the only national organization devoted to limiting the impact of commercial culture on children." It sponsors the...

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."
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