Mt. Washington Pediatric Hospital
Mt. Washington Pediatric Hospital is a 102-bed non-profit children's hospital set in the scenic neighborhood of Mt. Washington in Baltimore that provides long-term care for children with complex health problems. MWPH is jointly owned by University of Maryland Medical System. Funded by patient revenue and private charitable donations, Mt. Washington Pediatric Hospital is a comprehensive sub-acute care facility for children from birth to young adult. Mt. Washington Pediatric Hospital has a unit at Prince George's Hospital Center in Cheverly, Maryland. MWPH accreditations include Commission on Accreditation of Rehabilitation Facilities and The Joint Commission. In 1922, Johns Hopkins social worker Hortense Kahn Eliasberg founded Happy Hills Convalescent Home at a home off Falls Road. On July 10, 1922, Happy Hills welcomed its first patient. During The Great Depression, Happy Hills appealed for state aid; the depressed economy left a large amount of real estate available, so trustees purchased The Whitelock Estate on West Rogers Avenue in Mt. Washington where the hospital sits today.
On October 22, 1930, Happy Hills Home for Convalescent Children was dedicated. Dr. Wilfred H. Smith, Director of Johns Hopkins Hospital, wrote to trustees: “Happy Hills has met a real need in Baltimore. I congratulate you upon the increase in your facilities. I prophesy that the future will demand of you still further expansion.” In the 1940s, the work load at the hospital placed further demands on staff nurses, who influence trustees to hire the first volunteer coordinator. Happy Hills celebrated its 20th anniversary in 1942. In that year, more than 2,700 children received care; the original founder, Hortense Kahn Eliasberg was honored in a presentation by Union Trust Company for her efforts and contribution to the health of the children of Baltimore. Richard F. Cleveland, the eldest son of the late U. S. President Grover Cleveland and last original founding member becomes Board President in 1952. With the prevalence of polio, Mt. Washington cared for many patients admitted with the devastating disease.
Happy Hills answered the patients’ needs with specialty areas of medicine, nutrition and recreation. Improved technology meant the addition of x-rays and laboratories. Happy Hills celebrated its 40th anniversary in 1964; the Baltimore Sun noted “its likeness to a special pediatric hospital rather than a convalescent home.” In 1964 Happy Hills began the journey to its name today. Starting with the changing of the name to Happy Hills Hospital in 1964 in 1975 to Mt. Washington Pediatric Hospital. Mt. Washington Pediatric Hospital gained certification from The Joint Commission in 1979. Shortly after Joint Commission certification, the hospital received accreditation from Commission on Accreditation of Rehabilitation Facilities. Mt. Washington Pediatric Hospital became the first children’s hospital in Maryland accredited for comprehensive inpatient rehab and early childhood development and respite care. On September 26, 1986, groundbreaking began for the expanded hospital. A few years on September 15, 1989, Mayor Kurt Schmoke declared it “Mt. Washington Pediatric Hospital Day” in Baltimore.
The Outpatient Care Center opened in November 1990, providing a variety of outpatient services including orthopedic, adaptive equipment, Down Syndrome clinics. In 1996, the hospital opened its sleep clinic which continues today, assisting with the diagnoses of a variety of pediatric issues. In 1997, a new unit opened at Prince George’s Hospital Center. In 2000, the new outpatient center opened and was called the Jack & Mae Rosenberg Center for Pediatric Respiratory Medicine. Outpatient and Day Feeding Programs began to assist with feeding disorders in 2001. In 2005, the innovative Weigh Smart® program was added as a multi-disciplinary and holistic approach to pediatric weight management, it was followed in by Weigh Smart Jr. ® designed for weight management of toddlers and preschool-aged children and involving medical, nutritional and behavioral components. In 2006, MWPH entered into a unique joint ownership with University of Maryland Medical System and Johns Hopkins Medicine; the Center for Pediatric & Adolescent Rehabilitation renovations were completed.
It included a colorful Baltimore street theme, flat screen TVs, mobile computers, a new play area and transitional apartment for families. In addition to the CPAR renovations, a modern and larger rehab pool was installed in the Rehabilitation wing. In 2010, the Concussion Clinic opened, along with the Balance Clinic, including the new state-of-the-art NeuroCom® equipment. In addition, the Community Advocacy program began with the goal of reaching out to more residents of the Baltimore community to increase awareness of current health issues important to families. In 2011, MWPH was recognized as one of 217 hospitals in the United States receiving Stage 6 HIMMS designation for its use of electronic medical records; the hospital has been recognized for establishing one of the first programs in the region addressing childhood obesity. Other programs include: Asthma/Respiratory Diseases Balance Clinic Center for Neonatal Transitional Care Concussion Assessment & Management Program Developmental Evaluation Clinic Diabetes Clinic Endocrine Clinic Gastroenterology Infusion Service Lead Treatment Program Neurodevelopmental Services Neuropsychology/Psychology Orthopaedics Pediatric C
University of Maryland Rehabilitation & Orthopaedic Institute
University of Maryland Rehabilitation & Orthopaedic Institute is a rehabilitation hospital located along the border of the Forest Park neighborhood of northwest Baltimore City and Woodlawn, Baltimore County in Maryland. It lies on and is incorporated into the historic hospital building and grounds of the former James Lawrence Kernan Hospital; the hospital is now a part of the growing University of Maryland Medical System, centered at South Greene, West Baltimore, West Lombard Streets on the downtown westside historic campus of the University of Maryland at Baltimore. The James Lawrence Kernan Hospital was built between 1860 and 1867 as Radnor Park, a two-story, five-bay, Victorian mansion. In the first decades of the 20th century, alterations were carried out to the original house which made the house over into a combination of the Greek Revival and Colonial Revival styles; the additional surrounding 1920s-era hospital structures were built in a style that blends well with the old historic mansion and its grounds.
James Lawrence Kernan, was a theater manager and philanthropist of the late Victorian and early Edwardian eras in Baltimore. He had the landmark Kernan Hotel on West Franklin Street with its adjacent to the west Maryland Theater of Beaux Arts/Classical Revival styled architecture constructed and opened in 1903, in the middle of the newly central theatre/entertainment district of North Howard Street, in the southwest corner of the Mount Vernon-Belvedere neighborhood, adjacent to the old first downtown campus of the newly founded Johns Hopkins University; the "rathskeller" in the basement of the hotel was the site of the first "jazz band" music in the town led by John Ridgley when it opened in 1903. It was listed on the National Register of Historic Places maintained by the National Park Service of the U. S. Department of the Interior in 1979. Famous "imbedded" CBS television international news reporter/correspondent Kimberly Dozier, following her injuries from an improvised explosive device in the Iraq War in 2006, spent time at Kernan recovering.
Several former Baltimore Colts football players, including quarterback Johnny Unitas in the year before his death, were recipients of physical therapy at Kernan Hospital. University of Maryland Rehabilitation & Orthopaedic Institute home page James Lawrence Kernan Hospital, Baltimore County, including photo from 1976, at Maryland Historical Trust Kernan Hospital on Google Street View
Adventist HealthCare Washington Adventist Hospital
Adventist HealthCare Washington Adventist Hospital is a 204-licensed bed acute care facility located in Takoma Park, United States. Washington Adventist Hospital provides a range of health services such as cardiac and vascular care, maternity services, cancer care, surgical services including robotic surgery and orthopedics and emergency services. Washington Adventist Hospital operates as part of Adventist HealthCare, a health-care company that includes hospitals, home health agencies and other health care services. Adventist HealthCare is headquartered in Maryland. Erik Wangsness joined Washington Adventist Hospital as president in September 2014. Washington Adventist Hospital is proposing to relocate to a new facility that would be built on 48-acres of land near White Oak, about six miles from the current location, in the center of its primary service area; the new hospital will partner with the Food and Drug Administration located in White Oak, to collaborate on health research and medical innovation.
Washington Adventist Hospital would maintain robust medical and health services at its Takoma Park location including behavioral health services, a primary care clinic, physician offices, rehabilitation services and a Federally Qualified Health Center operated by Community Clinic, Inc. When Washington Adventist Hospital first opened in 1907, it was Montgomery County’s first cardiac center. Today, more than 400 open-heart surgeries and 5,000 interventional cardiology procedures are performed annually at the hospital; the founding of Washington Adventist Hospital by the Seventh-day Adventist Church in 1907 was the beginning of the Adventist HealthCare system. Called the Washington Sanitarium, the hospital began its transition from a long-term to acute-care facility after World War I, it changed its name to the Washington Sanitarium and Hospital and added an acute-care hospital building for surgical and emergency cases. Next to the Sanitarium, the Adventist Church built a college now called Washington Adventist University.
The first group of nurses graduated from the hospital in 1909. Dr. Lauretta Kress, wife of the hospital’s medical director, Dr. Daniel Kress, was the first female surgeon in Montgomery County. In 1916, she opened a maternity ward and during her hospital career delivered more than 5,000 babies. In 1940, the hospital added the Lisner wing. A special procedures room was built in 1959 to study the heart, kidneys and other organs. In 1962, the Intensive Care Unit, the second to operate in a metropolitan hospital, opened; the hospital built a $14 million five-story wing and changed its name to Washington Adventist Hospital in 1973. Developments over the next decades included the opening of a Short Stay Surgery Unit in 1977 and a critical care modernization in the early 1990s. Washington Adventist Hospital opened the first Chest Pain Center in the D. C. area in 1992. In 2005, the hospital created a Vision for Expanded Access to address inequalities in access to health care; as part of the vision, Adventist HealthCare created the Center on Health Disparities In October 2014, as part of a branding initiative to emphasize the Adventist HealthCare system name, the hospital's named changed from Washington Adventist Hospital to Adventist HealthCare Washington Adventist Hospital.
To ensure access to health care for the under-served in the community, Washington Adventist Hospital has partnered with several community organizations including the Mercy Health Clinic, Mary’s Center for Maternal and Child Care and CASA de Maryland's Multicultural Center in Langley Park. The Center on Health Disparities works to train interpreters as Qualified Bilingual staff that are available to assist patients and their families who may not speak English, during a medical encounter; the hospital provides non-medical services for men and women. Medical services include cardiology, oncology, wound care, surgical services, special care services, emergency services. Washington Adventist Hospital expanded its cardiac services in 2010, adding a new medical director of cardiac surgery and team of surgeons from Cardiac Vascular and Thoracic Surgery Associates Washington Adventist Hospital was the first in the region to perform open-heart surgery and numerous cardiac procedures, including mitral valvuloplasty, the first in the mid-Atlantic to perform a revolutionary type of surgery called Mini- Maze that can correct atrial fibrillation, a common form of heart rhythm abnormality and a major cause of stroke.
Washington Adventist Hospital claims to be a recognized leader in the transradial approach to cardiac catheterizations, which allows interventional cardiologists to use an artery in the wrist to gain access to heart arteries. In November 2013, the hospital became the first Transradial Catheterization Training Center in Maryland, allowing physicians from around the country to learn from Washington Adventist Hospital cardiologists how to perform this innovative, interventional heart procedure. Washington Adventist Hospital’s board-certified cardiologists, electrophysiologists, interventional radiologists and cardiac and vascular surgeons provide the following cardiac and vascular care. ECG, holter monitoring, stress testing Vascular ultrasound Nuclear medicine Magnetic resonance anteriography CT imaging Angiography Emergent and routine abdominal aortic aneurysm stent graft Carotid stenting Arterial embolization Full spectrum of cardiac surgeryBypass Surgery Beati
University of Maryland St. Joseph Medical Center
University of Maryland St. Joseph Medical Center is a 300-bed regional medical center in Towson, Maryland operated by Catholic Health Initiatives. On December 1, 2012, University of Maryland Medical System acquired all the assets of St. Joseph Medical Center from Catholic Health Initiatives and renamed the hospital to University of Maryland St. Joseph Medical Center. An agreement was made between University of Maryland Medical System and the Archdiocese of Baltimore to continue the religious mission and Catholic traditions at University of Maryland St. Joseph Medical Center. Prior to this acquisition, St. Joseph's was experiencing money issues and loss of long-time patients in their cardiology department after their former star cardiologist Mark Midei lost his medical license due to multiple lawsuits filed against him over the issue of heart stents. University of Maryland St. Joseph Medical Center website
A health system sometimes referred to as health care system or as healthcare system, is the organization of people and resources that deliver health care services to meet the health needs of target populations. There is a wide variety of health systems around the world, with as many histories and organizational structures as there are nations. Implicitly, nations must design and develop health systems in accordance with their needs and resources, although common elements in all health systems are primary healthcare and public health measures. In some countries, health system planning is distributed among market participants. In others, there is a concerted effort among governments, trade unions, religious organizations, or other co-ordinated bodies to deliver planned health care services targeted to the populations they serve. However, health care planning has been described as evolutionary rather than revolutionary; the World Health Organization, the directing and coordinating authority for health within the United Nations system, is promoting a goal of universal health care: to ensure that all people obtain the health services they need without suffering financial hardship when paying for them.
According to WHO, healthcare systems' goals are good health for the citizens, responsiveness to the expectations of the population, fair means of funding operations. Progress towards them depends on how systems carry out four vital functions: provision of health care services, resource generation and stewardship. Other dimensions for the evaluation of health systems include quality, efficiency and equity, they have been described in the United States as "the five C's": Cost, Consistency and Chronic Illness. Continuity of health care is a major goal. Health system has been defined with a reductionist perspective, for example reducing it to healthcare system. In many publications, for example, both expressions are used interchangeably; some authors have developed arguments to expand the concept of health systems, indicating additional dimensions that should be considered: Health systems should not be expressed in terms of their components only, but of their interrelationships. The World Health Organization defines health systems as follows: A health system consists of all organizations and actions whose primary intent is to promote, restore or maintain health.
This includes efforts to influence determinants of health as well as more direct health-improving activities. A health system is therefore more than the pyramid of publicly owned facilities that deliver personal health services, it includes, for example, a mother caring for a sick child at home. It includes inter-sectoral action by health staff, for example, encouraging the ministry of education to promote female education, a well known determinant of better health. Healthcare providers are individuals providing healthcare services. Individuals including health professionals and allied health professions can be self-employed or working as an employee in a hospital, clinic, or other health care institution, whether government operated, private for-profit, or private not-for-profit, they may work outside of direct patient care such as in a government health department or other agency, medical laboratory, or health training institution. Examples of health workers are doctors, midwives, paramedics, medical laboratory technologists, psychologists, chiropractors, community health workers, traditional medicine practitioners, others.
There are five primary methods of funding health systems: general taxation to the state, county or municipality national health insurance voluntary or private health insurance out-of-pocket payments donations to charitiesMost countries' systems feature a mix of all five models. One study based on data from the OECD concluded that all types of health care finance "are compatible with" an efficient health system; the study found no relationship between financing and cost control. The term health insurance is used to describe a form of insurance that pays for medical expenses, it is sometimes used more broadly to include insurance covering disability or long-term nursing or custodial care needs. It may be provided from private insurance companies, it may be purchased by individual consumers. In each case premiums or taxes protect the insured from unexpected health care expenses. By estimating the overall cost of health care expenses, a routine finance structure can be developed, ensuring that money is available to pay for the health care benefits specified in the insurance agreement.
The benefit is administered by a government agency, a non-profit health fund or a
University of Maryland Medical Center
The University of Maryland Medical Center is a teaching hospital with 757 beds based in Baltimore, that provides the full range of health care to people throughout Maryland and the Mid-Atlantic region. It gets 165,000 outpatient visits each year. UMMC has 6,500 employees as well as 1,000 attending physicians, provides training for about half of Maryland's physicians and other health care professionals. All members of the medical staff are on the faculty of the University of Maryland School of Medicine; the University of Maryland Medical Center was named one of the nation's best acute-care hospitals in patient safety and quality of care in 2006 and 2007 by the Leapfrog group. It is part of the University of Maryland Medical System, a private, not-for-profit health system that includes nine acute care and rehabilitation hospitals as well as outpatient facilities throughout Maryland; the University of Maryland Medical Center is one of the nation’s oldest teaching hospitals. It was created in 1823 as the Baltimore Infirmary, located on the same site as today’s medical center, on the West side of downtown Baltimore.
First in Maryland to perform combined heart and liver transplant: 2007 First in Maryland to offer a newly approved artificial cervical disc to patients with degenerative disc disease in the neck: 2007 First in the Mid-Atlantic region to perform minimally invasive, beating heart, multiple-vessel coronary artery bypass surgery with the assistance of a surgical robot: 2006 First in U. S. to have performed 1,000 minimally invasive kidney removals from living kidney donors: 2005 First in Maryland to offer SIR-Spheres, microscopic beads infused with radiation to treat cancerous tumors in the liver: 2004 Maryland's first accredited Primary Stroke Center: 2004 First in the U. S. to use Statscan, a low-dose X-ray scanner that provides full body images for trauma patients in 13 seconds: 2003 First in Mid-Atlantic region to perform cryosurgery for prostate cancer: 1993 Maryland's first single-lung transplant: 1992 First in Mid-Atlantic region to use a Gamma Knife to destroy brain tumors and vascular malformations without surgery: 1992 First in Mid-Atlantic region to develop and open Accredited Simulation Center: 2007 First laparoscopic gall bladder removal in the Northeastern U.
S.: 1989 First in Maryland to use supported angioplasty to open blocked arteries: 1987 First to develop a microwave scalpel which inhibits bleeding during operations: 1983 The world's first Shock Trauma Center: 1968 The University of Maryland Medical Center is a referral center for trauma, cancer care, cardiac care and heart surgery, women's and children's health and organ transplants. It has one of the nation's largest kidney transplant programs and is known for developing and performing minimally invasive surgical procedures; the major components of the University of Maryland Medical Center include: The R Adams Cowley Shock Trauma Center is the world's first center dedicated to saving lives of people with severe, life-threatening injuries sustained in motor vehicle collisions, violent crimes and other traumatic incidents. Shock Trauma has more than 100 inpatient beds dedicated to emergency surgery, intensive care, acute surgical care; the trauma staff treat more than 7,500 critically injured patients each year who arrive by helicopter or ambulance.
It is named after its founder, R Adams Cowley, M. D. who came up with the concept of the "golden hour" — that lives can be saved when trauma patients receive appropriate care within one hour of their injury. Shock Trauma trains physicians and medical personnel from locations overseas and throughout the United States The University of Maryland Greenebaum Comprehensive Cancer Center is designated by the National Cancer Institute as one of the top cancer centers in the country UMGCC is known for providing coordinated care from teams of specialists—medical oncologists, radiation oncologists, surgical oncologists, pathologists and other team members who have expertise in particular types of cancer—who consult on each patient's case and develop a joint treatment plan. UMGCC is known as a center with expertise in laboratory and clinical research. UMGCC researchers particate in new drug development, the center offers more than 100 clinical trials; the University of Maryland Children's Hospital provides care for serious and complex health problems in patients ranging from newborns to young adults.
UMCH has its own pediatric pharmacy and emergency room, is very active in children's health care research. Special programs and services include a headache clinic, asthma program, AIDS program, pediatric surgery and neonatal intensive care unit. Infants born prematurely are transported from around the region to be cared for in the 52-bed NICU — the largest in the state; the University of Maryland Heart Center was recognized as one of the 100 Top Cardiovascular Hospitals by Thomson Healthcare for 2007. The Heart Center is recognized for its expertise in robotic heart surgery, minimally invasive heart bypass and valve surgery, heart transplants and heart pumps; the Heart Center's cardiologists and cardiac surgeons treat a full range of heart problems, including heart failure, coronary artery disease, heart rhythm abnormalities and mitral valve disorders and cardiomyopathy. The Heart Center emphasizes heart disease prevention by educating patients about lifestyle factors, including proper nutrition and exercise.
The University of Maryland Division of Transplantation is one of the nation's largest kidney and pancreas transplant programs with a reputation for its expertise in treating patients who need kidney, pancreas or liver transplants. It is known for its la
National Institutes of Health
The National Institutes of Health is the primary agency of the United States government responsible for biomedical and public health research. It was founded in the late 1870s and is now part of the United States Department of Health and Human Services; the majority of NIH facilities are located in Maryland. The NIH conducts its own scientific research through its Intramural Research Program and provides major biomedical research funding to non-NIH research facilities through its Extramural Research Program; as of 2013, the IRP had 1,200 principal investigators and more than 4,000 postdoctoral fellows in basic and clinical research, being the largest biomedical research institution in the world, while, as of 2003, the extramural arm provided 28% of biomedical research funding spent annually in the U. S. or about US$26.4 billion. The NIH comprises 27 separate institutes and centers of different biomedical disciplines and is responsible for many scientific accomplishments, including the discovery of fluoride to prevent tooth decay, the use of lithium to manage bipolar disorder, the creation of vaccines against hepatitis, Haemophilus influenzae, human papillomavirus.
NIH's roots extend back to the Marine Hospital Service in the late 1790s that provided medical relief to sick and disabled men in the U. S. Navy. By 1870, a network of marine hospitals had developed and was placed under the charge of a medical officer within the Bureau of the Treasury Department. In the late 1870s, Congress allocated funds to investigate the causes of epidemics like cholera and yellow fever, it created the National Board of Health, making medical research an official government initiative. In 1887, a laboratory for the study of bacteria, the Hygienic Laboratory, was established at the Marine Hospital in New York. In the early 1900s, Congress began appropriating funds for the Marine Hospital Service. By 1922, this organization changed its name to Public Health Services and established a Special Cancer Investigations laboratory at Harvard Medical School; this marked the beginning of a partnership with universities. In 1930, the Hygienic Laboratory was re-designated as the National Institute of Health by the Ransdell Act, was given $750,000 to construct two NIH buildings.
Over the next few decades, Congress would increase funding tremendously to the NIH, various institutes and centers within the NIH were created for specific research programs. In 1944, the Public Health Service Act was approved, the National Cancer Institute became a division of NIH. In 1948, the name changed from National Institute of Health to National Institutes of Health. In the 1960s, virologist and cancer researcher Chester M. Southam injected HeLa cancer cells into patients at the Jewish Chronic Disease Hospital; when three doctors resigned after refusing to inject patients without their consent, the experiment gained considerable media attention. The NIH was a major source of funding for Southam's research and had required all research involving human subjects to obtain their consent prior to any experimentation. Upon investigating all of their grantee institutions, the NIH discovered that the majority of them did not protect the rights of human subjects. From on, the NIH has required all grantee institutions to approve any research proposals involving human experimentation with review boards.
In 1967, the Division of Regional Medical Programs was created to administer grants for research for heart disease and strokes. That same year, the NIH director lobbied the White House for increased federal funding in order to increase research and the speed with which health benefits could be brought to the people. An advisory committee was formed to oversee further development of the NIH and its research programs. By 1971 cancer research was in full force and President Nixon signed the National Cancer Act, initiating a National Cancer Program, President's Cancer Panel, National Cancer Advisory Board, 15 new research and demonstration centers. Funding for the NIH has been a source of contention in Congress, serving as a proxy for the political currents of the time. In 1992, the NIH encompassed nearly 1 percent of the federal government's operating budget and controlled more than 50 percent of all funding for health research, 85 percent of all funding for health studies in universities. While government funding for research in other disciplines has been increasing at a rate similar to inflation since the 1970s, research funding for the NIH nearly tripled through the 1990s and early 2000s, but has remained stagnant since then.
By the 1990s, the NIH committee focus had shifted to DNA research, launched the Human Genome Project. The NIH Office of the Director is the central office responsible for setting policy for NIH, for planning and coordinating the programs and activities of all NIH components; the NIH Director plays an active role in shaping outlook. The Director is responsible for providing leadership to the Institutes and Centers by identifying needs and opportunities in efforts involving multiple Institutes. Within this Office is the Division of Program Coordination and Strategic Initiatives with 12 divisions including: Office of AIDS Research Office of Research on Women's Health Office of Disease Prevention Sexual and Gender Minority Research Office Tribal Heath Research Office Office of Program Evaluation and PerformancePrevious directors: Joseph J. Kinyoun, served August 1887 – April 30, 1899 Milton J. Rosenau, served May 1, 1899 – September 30, 1909 John F. Anderson, served October 1, 1909 – November 19, 1915 George W. McCoy, served November 20, 1915 – January 31, 1937 Lewis R. Thompson, served February 1, 1937 – January 31, 1942 R