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  Home Ventilation Program
Children's Home Ventilation Program provides "house calls" for children who are ventilator-dependent to reduce Emergency Department admissions and ICU admissions.
 
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Children's Hospital Boston and its physicians join Alternative Quality Contract
The Children's Hospital Integrated Care Organization, which includes Children's Hospital Boston, Children's Physicians' Organization and the Pediatric Physicians' Organization at Children's, signed a new agreement with Blue Cross Blue Shield of Massachusetts. The main achievements of the contract include modest rate increased below general inflation over the three-year contract and establishment as the first pediatric-only Alternative Quality Contract provider. The agreement represents another step in Children's and its physicians'' long-term effort to improve care while keeping it affordable.

 

 

Delivering psychiatric treatment in the ED
When a suicidal teenager comes to an emergency department, the usual care model is to evaluate them for inpatient psychiatric treatment, but the wait for a bed can take hours, even days. Elizabeth Wharff, PhD, MSW, LICSW, director of Children's Emergency Psychiatry Service, has piloted an alternative to boarding: a new model for ED-based treatment called family-based crisis intervention.

Avoiding the needle: engineering blood vessels to secrete drugs
Protein-based recombinant drugsólike Factors VIII and IX for hemophilia or insulin for diabetesóare costly to manufacture and require patients to endure IV hookups or frequent injections. A technique developed at Children's, combining gene therapy with tissue engineering, may someday enable the body itself to make these drugs on demand.

 

 
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Developmental dysplasia of the hip
Developmental dysplasia of the hip (DDH) is the most common hip deformity in children. Early diagnosis and treatment of DDH is associated with improved outcomes. Young-Jo Kim, MD, PhD, director of Children's Hospital Boston's Adolescent and Young Adult Hip Program, explains the signs and symptoms of DDH and the various treatment approaches.
 
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Pediatric Neurocritical Care Program
Children's Hospital Boston is now home to the first multidisciplinary and comprehensive Pediatric Neurocritical Care Program in the nation. The program brings together Children's experts in the Medical and Surgical Intensive Care Unit, critical care medicine, neurology, neurosurgery, neuroanesthesia, neuroradiology and stroke in a coordinated model of tertiary and quaternary care that centers on protecting and treating the brains of critically ill and injured children.
 

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  Adolescent Substance Abuse Guidelines Guidelines
The American Academy of Pediatrics recently released guidelines aimed at helping pediatricians screen adolescents for substance abuse. Sharon J. L. Levy, MD, MPH, director of Children's Hospital Boston's Adolescent Substance Abuse Program, discusses the recommendations for screening and brief intervention.
 
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News Notes

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  • In memoriam: Mary Ellen Avery, MD
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CME Calendar
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Clinical Trials

  • Mentored clinical career study in adolescent substance abuse
  • The epilepsy phenome/genome project
  • Cerebral visual impairment in children born prematurely
 
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