Seattle Children's Provider News

Seattle Children’s Addresses High Census Opportunities

Seattle Children’s is experiencing higher inpatient and ICU daily census than we have in previous years.

As the respiratory season and high-volume admission time approaches, our goal is to prioritize our hospital’s inpatient capacity for children who can only receive care at Children’s, such as our transplant, oncology and children with complex chronic medical conditions.

Last year, during viral season, we diverted a significant number of patients without a comprehensive plan. This year, we began planning early to manage anticipated capacity concerns.

New pathways are in development for previously healthy children with acute illness — such as asthma, bronchiolitis and croup — who may benefit from longer observation in the Emergency Department (ED) to avoid the need for admission.

We recognize this will affect a small portion of our acutely ill patients, may result in longer ED stays and less ED capacity for incoming patients, and will return patients to the community, and your practice, who have a higher level of illness than were discharged in the past.

To assist with this process, Children’s is adding care coordination resources to arrange next-day follow up with the patient’s primary care provider/team (preferred, when available), a visit in urgent care for minor issues, a telemedicine visit in their home or a return to the ED.

When Children’s does not have capacity for all the children who need admission, patients with routine pediatric issues will be directed to local hospitals, taking the patient’s diagnosis and residence into consideration. If you have preferences in these locations, it would be helpful to let us know.

Thank you for your partnership during this time. Please send your feedback to Ruth McDonald, Vice President, Associate Chief Medical Officer.

Recognizing and Treating Anxiety

A Q&A With Dr. Kendra Read

Anxiety affects 30% of children and adolescents at some point in their lives. Of those, 8.3% are severely impaired by it.

Anxiety in children can be a part of normal development, but unhealthy levels of anxiety can lead to significant distress and impairment in school, social and home functioning.

Unfortunately, patients with anxiety disorders do not always receive the help they need. When they do receive treatment, it is often insufficient or not evidence based.

We spoke with Dr. Kendra Read, an attending psychologist within Seattle Children’s Psychiatry and Behavioral Medicine department, to find out how providers can identify childhood anxiety, which treatment options are most effective and what information they should provide to parents. Read on to learn more. Read full post »

New Medical Staff November 2018

Medical Providers

  • Kate Arbon, MD, Allegro Pediatrics – Bellevue, Pediatrics
  • Richard Cody, MD, University of Washington, Radiology
  • Lorin Hall, MD, Virginia Mason Memorial Hospital, Hospital Medicine
  • Kevin Kollins, MD, Seattle Children’s Pediatric Cardiology of Alaska, Cardiology
  • Min Lee, MD, Allegro Pediatrics – Bellevue, Pediatrics
  • Alyssa Ludke, MD, Allegro Pediatrics – Bellevue, Pediatrics
  • Ulrike Mietzsch, MD, University of Washington, Neonatology
  • Joseph Reis, MD, Seattle Children’s, Radiology
  • Nicole Stettler, PhD, Seattle Children’s, Psychology
  • David Wang, MD, Seattle Children’s, Emergency

Read full post »

Seattle Children’s Develops End of Life and Bereavement Standard Work

Providing compassionate end of life care for children is an essential part of Seattle Children’s mission. It is also a highly emotional time for families, providers and staff. To support staff and providers in this important work, Children’s has developed an End of Life and Bereavement Pathway.  Resources available as part of this work include:

  • A clinical standard work algorithm
  • An End of Life and Bereavement care plan
  • Numerous Job Aids

We recognize and honor that every patient and family will have different needs, wishes, and goals, and as such, these resources are intended to be adapted to each individual situation.

For more information please email EoLandBereavement@seattlechildrens.orgRead full post »

Cleft Lip and Cleft Palate: Critical Elements of Care Guide now Available

Seattle Children’s partnered with the Washington State Department of Health to create the new Cleft Lip and Cleft Palate: Critical Elements of Care guide.

To learn more, check out these additional resources:

Read full post »

Presentation on Caring for Transgender Patients Coming to Yakima

On November 14, Dr. Samantha Haley and Julia Crouch will be presenting on “Caring for Transgender Patients” in Yakima. For more information, please contact Physician Liaison Kenton McAllister at Kenton.McAllister@seattlechildrens.org.

New Medical Staff November 2018

Medical Providers

  • Debra Anderson, MD, Virginia Mason Memorial Hospital, Hospital Medicine
  • Paul Bikhazi, MD, Seattle Children’s, Otolaryngology
  • Lauren Boydston, MD, Seattle Children’s, Psychiatry
  • Yonatan Buber, MD, University of Washington, Cardiology
  • Molly Cevasco, PhD, Seattle Children’s, Psychology
  • Daniel Hibbard, MD, North Seattle Pediatrics, Pediatrics
  • Juanita Hodax, MD, Seattle Children’s, Endocrinology
  • Nancy McAllister, MD, Seattle Children’s, Hematology-Oncology
  • Carlye Schulte, MD, University of Washington, Pulmonary and Sleep Medicine
  • Michele Tsai Owens, PhD, Seattle Children’s, Pain Medicine
  • Eileen Twohy, PhD, Seattle Children’s, Psychology

Read full post »

Seattle Children’s Providing Influenza Vaccinations to Patients

Seattle Children’s is providing influenza vaccinations to inpatients and outpatients. Patients will be screened for eligibility. Seattle Children’s will also offer the vaccination to the Emergency Department and Urgent Care patients. All vaccinations given to patients are documented in the Child Profile Immunization Registry.

Seattle Children’s efforts to vaccinate patients are in accordance with recommendations from the Centers for Disease Control and Prevention to increase access to the vaccine in healthcare settings.

For questions about flu vaccinations at Children’s, email Dr. Matthew Kronman, infectious diseases specialist.

Changes to PEARL Clinic Referrals

The Seattle Children’s Program to Enhance Attention, Regulation and Learning (PEARL) for ADHD is now accepting limited patients. Our demand continues to exceed supply and as our community partners we want to inform you of changes to our referral process.

Moving forward, all referrals to the PEARL clinic need to include a Vanderbilt Assessment completed within the last 3 months by both the patient’s caregiver and teacher along with the top three reasons for referral. Our goal is to see your patients within 4 months of referral to provide specialized evaluation and treatment services.

Learn more at SeattleChildrens.org. Read full post »

New Medical Staff September 2018

Medical Providers

  • Rachel Baker, MD, Seattle Children’s, Hospital Medicine
  • Kathleyn Brandstetter, MD, Larrabee Ctr for Facial Plastic Surgery, Otolaryngology
  • Emily Brown, MD, Seattle Children’s, Pediatrics
  • David Finnigan, MD, Seattle Children’s, Emergency
  • Elizabeth Hatzenbuhler, MS, BCBA, Seattle Children’s, Psychology
  • Erica Holland, MD, Seattle Children’s, General Anesthesia
  • Fawn Leigh, MD, Seattle Children’s, Neurology
  • Joseph Lesnik, MD, Virginia Mason Memorial Hospital, Hospital Medicine
  • Roberto Montenegro, MD, PhD, Seattle Children’s, Psychiatry
  • Robert Peterson, MD, Seattle Children’s, Emergency
  • Mihai Puia-Dumitrescu, MD, MPH, University of Washington, Neonatology
  • Lauren Rakes, MD, Seattle Children’s, Critical Care
  • Aimee Sato, MD, Seattle Children’s, Neurology
  • Cesalie Stepney, PhD, Seattle Children’s, Psychology
  • Shelton Wright, MD, MS, Seattle Children’s, Critical Care
  • Jasmin Zavala, MD, Sea Mar Comm Hlth Ctr – Seattle, Adolescent Medicine
  • Matthew Zhang, MD, University of Washington, Ophthalmology

Read full post »