Medical Journal Houston

Legal Affairs: King v. Burwell: The Supremes rule in the latest challenge to the Affordable Care Act, see page 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The Leading Source for Healthcare Business News Special Report: Patient Safety July 2015 • Volume 12, Issue 4 • $3.50 Patients deserve transparency INSIDE ▼ Baylor College of Medicine and Texas Heart Institute announce affiliation  see page 8 INDEX ▼ Legal Affairs......................3 Financial Perspectives.......4 THA................................5 Integrative Medicine.........6 Hospital Headlines...........8 Physicians’ Forum.............9 Moving On Up................13 Special Feature................14 BY DR. CHARLES D. FRASER JR., Surgeon-inChief, Texas Children’s Hospital Mortality and complication rates for any health care topic, especially pediatric surgical procedures, are difficult to discuss, but we must not shy away. These statistics are more than just numbers – they are very meaningful, life-and-death data about our children, and we must approach this issue openly, honestly, and candidly. The unfortunate truth is this data for any pediatric surgery is often not easy for parents to find nor is it easy for hospitals to assess. However, we believe the time has come for the public to expect transparent performance outcomes that are reported in a consistent, uniform way. It may be a matter of life or death for children with complex conditions. As a pediatric heart surgeon and surgeon-inchief at Texas Children’s Hospital, families routinely tell me they had no idea where to turn when their child was diagnosed with a major heart defect or other condition that needed a complex surgical repair. Where do parents begin when trying to access information about which hospital and doctor to trust? Surprisingly, until a few years ago it was nearly impossible to base that decision on how a hospital performed: how many procedures they did, what the mortality rates were, what the chances were for complications, etc. Families were left in the dark, forcing them to rely on word of mouth and well-meaning friends and family Please see PATIENT SAFETY page 16 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Breaking Ground: Texas Children’s Hospital opens first-of-its-kind pediatric Heart Failure Intensive Care Unit Bugs and the brain: The emerging science of psychobiotics see page 6 . . . . . . . . . . . . Recently, Texas Children’s Heart Center and the section of Critical Care Medicine cut the ribbon on a new, first-of-its-kind pediatric Heart Failure Intensive Care Unit. This highly specialized 12-bed unit focuses on the treatment of children with heart Patient Marcelo Perez and hospital leaders pose in front of the new Texas Children’s Heart Failure Intensive Care Unit. Photo by: Paul Vincent Kuntz/Texas Children’s Hospital failure, as well as those requiring intensive care before and after heart transplant.   “We are thrilled to be the first in the nation to offer this highly-specialized level of pediatric critical care,” said Dr. Paul Checchia, medical director of the Please see BREAKING GROUND page 17 PRSRT STD US POSTAGE PAID HOUSTON TX PERMIT NO 13187