Seattle Children's

Last updated

Seattle Children's
Seattle-childrens-logo-vector.svg
Seattle Children's hospital, 2014-10-13.jpg
Seattle Children's
Geography
Location Laurelhurst, Seattle, Washington, United States
Organization
Care system Private
Type Specialist
Affiliated university University of Washington School of Medicine
Services
Emergency department Yes
Beds407
Speciality Pediatric hospital
Helipad FAA LID: 0WA8
History
Opened1907
Links
Website seattlechildrens.org
Lists Hospitals in Washington State

Seattle Children's (previously Children's Hospital and Regional Medical Center; previously Children's Orthopedic Hospital) is a children's hospital in the Laurelhurst neighborhood of Seattle, Washington, United States. The hospital specializes in the care of infants, children, teens, and young adults aged 0–21 in several specialties. [1] [2]

Contents

History

The hospital was founded as the seven-bed Children's Orthopedic Hospital in 1907 by Anna Herr Clise after her 5-year-old son, Willis, died of inflammatory rheumatism in 1898. [3] It was originally a ward of the downtown Seattle General Hospital. It moved to a cottage on Queen Anne Hill the next year, and in 1911 influential community members including Herbert Gowen and Mark A. Matthews dedicated a full 40-bed hospital at the same location. [4] [5]

The library at the hospital was founded in 1946. [6]

In 1953, Children's moved to a new campus in Laurelhurst, east of the University of Washington (See 1951-1953: A New Campaign). [7]

A research division, Seattle Children's Research Institute (SCRI), was established in 2006. [8]

In December 2007, Seattle Children's purchased a seven-story building in the Denny Triangle, near downtown Seattle and South Lake Union. [9] With this purchase, Children's acquired nearly 2 square blocks for the research institute. [10]

In 2008, the institution formally changed its name to Seattle Children's. [11] In 2008, the hospital was awarded Magnet recognition by the American Nurses Credentialing Center (ANCC) and was recognized again in 2013. [12] Also the same year, the SCRI received a $1M donation from the Bill and Melinda Gates Foundation (BMGF). [13]

In 2010, Seattle Children's opened a clinic in Bellevue, Washington. [14]

In 2011, Seattle Children's began charging an added facility charge for hospital-based clinic visits, including urgent care. [15] [16]

In 2013, Seattle Children's opened a 330,000 square foot expansion at the main campus in Seattle. The expansion included a new cancer and critical care unit as well as a new emergency department with 38 exam rooms. The facility added 80 new private beds in single patient rooms. The building is expected to use 47 percent less energy and 30 percent less water than similar-sized hospitals in the region. [17]

In 2013 Seattle Children's filed a lawsuit against the Washington State Insurance commissioner for certifying insurance plans in the state's new health insurance exchange (established under the Affordable Care Act) for failing to provide coverage for the hospital; the hospital also filed an administrative appeal with the insurance commissioner's office. [18] The hospital dropped the suit and appeal in 2014 when several insurance plans covered it. [19]

In 2014, Seattle Children's received the largest donation in its history: $73.9M from Jack R. MacDonald. [20] The same year, its Research Institute received a $3M donation from the BMGF for an Infant Breathing Support Invention. [21]

In 2017 the hospital had a total of 403 beds. [22]

ER entrance to Seattle Children's Emergency entrance to Seattle Children's, 2014-10-13.jpg
ER entrance to Seattle Children's

In 2018, the hospital broke ground on a new 310,000-square-foot addition to the hospital. The new nine floor addition features eight new operating rooms, two cardiac catheterization labs, 20 inpatient rooms, a new outpatient clinical space for the oncology and hematology center and an outpatient infusion center. The new addition will cost around $400 million and open up in 2022. [23] [24]

In 2019, the Seattle Center for Infectious Disease Research was absorbed by the SCRI. [25] [26]

In November 2020, Seattle Children's launched Seattle Children's Therapeutics, a nonprofit therapeutics development enterprise devoted to envisioning next-generation therapies for pediatric diseases. [27] Dwayne "The Rock" Johnson also collaborated with Microsoft and billionaire Bill Gates to donate Xbox Series X consoles to the Seattle Children's along with 19 other children's hospitals throughout the country. [28] [29] [30]

Controversies

In 2015 the hospital warned the public that due to its improper sterilization of surgical equipment, around 12,000 children and young adults treated there since 2010 were at risk of infection from bacteria or blood-borne viruses, including hepatitis B and C and HIV; it had issued a similar warning two years earlier. [31]

From 2001 on, it was revealed that a strain of deadly mold in the air handling systems of operating rooms (Aspergillus) was detected by hospital administrators. The mold caused 14 infections and 6 deaths. [32] In 2018 the mold was revealed and hospital staff agreed to clean up the mold. HEPA filters were installed and operating rooms were reopened in July that year. [33] In November 2019, mold allegations again resurfaced when an infant tested positive for a mold infection. [34] In early 2020, the health inspectors from the State of Washington came in and questioned hospital authorities on why HEPA filters were not installed in the ORs. [35] The mold has led to a lawsuit. [36]

The move follows a pledge that the hospital would undertake a ‘rigorous’ review following the departure of Dr. Ben Danielson. [37]

Texas transgender investigation

In November 2023, the office of Texas Attorney General Ken Paxton issued a civil investigative demand to the hospital for any and all medical records of transgender minors being treated at the hospital, as well as the number of children originally from Texas being treated at the hospital, and guidance for how to “wean” trans patients off gender affirming medication. The demand cited Texas laws banning the care, despite the hospital being located outside of Texas. In response, the hospital filed suit. [38] [39]

Awards

In 2016, it was ranked as the 5th best children's hospital in America by U.S. News & World Report and was ranked #4 in nephrology, #6 in cancer, #5 in neonatology, #13 in gastroenterology and GI surgery, #11 in pulmonology and #9 in neurology and neurosurgery. [40]

As of 2020 Seattle Children's has placed nationally in all 10 ranked pediatric specialties on U.S. News & World Report.[ citation needed ]

The Resident Education and Advocacy in Child Health (REACH) program, founded by Suzinne Pak-Gorstein, at Seattle Children's won the National Teaching Program Award in 2014. [41] [42]

U.S. News & World Report rankings for Seattle Children's [43]
SpecialtyRank (In the U.S.)Score (Out of 100)
Neonatology#1479.3
Pediatric Cancer#1187.9
Pediatric Cardiology & Heart Surgery#1674.2
Pediatric Diabetes & Endocrinology#1078.9
Pediatric Gastroenterology & GI Surgery#1881.3
Pediatric Nephrology#893.2
Pediatric Neurology & Neurosurgery#1087.3
Pediatric Orthopedics#1780.0
Pediatric Pulmonology & Lung Surgery#1278.4
Pediatric Urology#1580.1

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References

  1. "Emergency Department in Seattle". Seattle Children’s Hospital. Archived from the original on January 16, 2020. Retrieved January 21, 2020.
  2. "Inpatient Care". Seattle Children’s Hospital. Retrieved November 25, 2020.
  3. "1907: The Beginning of Seattle Children's" Archived December 9, 2012, at the Wayback Machine . Accessed online November 9, 2012.
  4. "Laying the cornerstone of the Children's Orthopedic Hospital, Seattle." Archived December 11, 2013, at the Wayback Machine . Accessed online June 3, 2008.
  5. "This Week Then: How Seattle Children's Hospital Got Its Start". Seattle Magazine. January 2, 2020. Archived from the original on February 3, 2020. Retrieved February 3, 2020.
  6. American Library Directory. Vol. 2 (64th ed.). Information Today, Inc. 2011–2012. pp. 2568–2576. ISBN   978-1-57387-411-3.
  7. "Seattle Children's History". Seattle Children’s Hospital. Retrieved July 21, 2023.
  8. "Seattle Children's History". Seattle Children’s Hospital. Archived from the original on July 15, 2020. Retrieved May 9, 2020.
  9. González, Ángel (December 27, 2007). "Children's Hospital acquires Denny Triangle tower". The Seattle Times. Archived from the original on December 28, 2007. Retrieved December 27, 2007.
  10. "Seattle Children's Master Plan Common Questions." Archived June 18, 2008, at the Wayback Machine . Accessed online June 6, 2008.
  11. "Children’s Hospital changes name to Seattle Children's," Archived May 26, 2011, at the Wayback Machine Puget Sound Business Journal, September 15, 2008.
  12. "Magnet Recognition Program". American Nurses Credentialing Center. Archived from the original on September 26, 2011. Retrieved May 24, 2015.
  13. "SEATTLE CHILDREN'S HOSPITAL GETS $1 MILLION FROM GATES FOUNDATION". HealthLeaders, an HCPro brand. February 19, 2008.
  14. Long, Katherine (June 21, 2010). "Seattle Children's hospital set to open new Bellevue clinic". The Seattle Times. Archived from the original on August 12, 2016. Retrieved May 24, 2016.
  15. "Clinic and Urgent Care Facility Charges" (PDF). December 20, 2011. Archived (PDF) from the original on March 15, 2012. Retrieved December 7, 2011.
  16. "About Your Bill". December 20, 2011. Archived from the original on April 24, 2018. Retrieved April 23, 2018.
  17. Pembroke, Meghan (April 22, 2013). "Seattle Children's Hospital opens Building Hope expansion and first teen and young adult cancer unit". PR Newswire. Archived from the original on June 24, 2016. Retrieved May 24, 2016.
  18. Amy Snow Landa for the Seattle Times. October 4, 2013 Left off many networks, Seattle Children’s sues Archived December 18, 2014, at the Wayback Machine
  19. Lisa Stiffler for Seattle Times' Healthcare Checkup Blog. September 2, 2014 Seattle Children’s, Regence settle dispute over insurance networks Archived June 30, 2015, at the Wayback Machine
  20. "The man behind the largest charitable gift in Seattle Children's history". November 26, 2013. Archived from the original on April 24, 2017. Retrieved May 9, 2020.
  21. "Seattle Children's Research Institute Secures $3 million for Seattle-PAP Infant Breathing Support Invention". Texas Children's Hospital. April 30, 2014.
  22. "Facts and Stats". www.seattlechildrens.org. February 1, 2018. Archived from the original on May 24, 2018.
  23. "Seattle Children's Hospital breaks ground on new building". Q13 FOX News. December 6, 2018. Archived from the original on February 3, 2020. Retrieved February 3, 2020.
  24. Garnick, Coral (December 4, 2018). "Seattle Children's breaks ground on a $400 million campus expansion". www.bizjournals.com. Puget Sound Business Journal. Archived from the original on June 17, 2023. Retrieved June 17, 2023.
  25. "Seattle Children's Research Institute partners with Center for Infectious Disease Research". Washington State Hospital Association. Retrieved February 13, 2020.
  26. Garnick, Coral (July 26, 2018). "Center for Infectious Disease Research to become part of Seattle Children's Research Institute". Puget Sound Business Journal. Retrieved February 12, 2020.
  27. "Eureka Alert".
  28. Napoli, Jessica (November 23, 2020). "Dwayne 'The Rock' Johnson donates Xbox consoles to 20 children's hospitals". Fox News. Retrieved December 1, 2020.
  29. "The Rock and Microsoft team up to donate personalized Xbox consoles to hospitals - TechInSecs". OLTNEWS. November 24, 2020. Retrieved December 1, 2020.
  30. Dennis, Ryan (November 12, 2020). "DWAYNE 'THE ROCK' JOHNSON SURPRISES DOZENS AT CHILDREN'S HEALTHCARE OF ATLANTA WITH XBOBX CONSOLES". oz-magazine. Retrieved December 1, 2020.
  31. Sandi Doughton for the Seattle Times. August 26, 2015 Seattle Children’s warns of potential infection risk Archived August 12, 2016, at the Wayback Machine
  32. "Mold found in baby's heart after surgery; family suing Seattle Children's hospital". The Seattle Times. April 14, 2020. Archived from the original on September 26, 2020. Retrieved April 14, 2020.
  33. "Seattle Children's air monitoring didn't detect mold until after patient's infection, records show". The Seattle Times. January 15, 2020. Archived from the original on January 16, 2020. Retrieved January 21, 2020.
  34. "Seattle Children's used OR without HEPA filter when infant got sick, documents say". KING. January 14, 2020. Archived from the original on January 16, 2020. Retrieved January 21, 2020.
  35. "State questioned Seattle Children's over lack of air filter in OR". Beckers Hospital Review. January 15, 2020. Archived from the original on March 2, 2020. Retrieved January 21, 2020.
  36. "Seattle Children's Hospital Kept Deadly Mold Secret Since 2005 Lawsuit Alleges". nurse.org. Retrieved January 21, 2020.
  37. Kroman, David. "Top Seattle Children's doctor forced to resign after complaints of racism | Crosscut". crosscut.com. Retrieved July 30, 2021.
  38. "Seattle Children's sues Texas AG over request for gender care records". Seattle Times.
  39. "Seattle hospital sues Texas AG who sought records of trans minors". WaPo.
  40. U.S. News & World Report. "Best Children's Hospitals 2015-16". Archived from the original on April 7, 2016. Retrieved May 24, 2016.
  41. "Interactive World Map | University of Washington - Department of Global Health". globalhealth.washington.edu. Retrieved May 17, 2021.
  42. "Suzinne Pak-Gorstein | University of Washington - Department of Global Health". globalhealth.washington.edu. Retrieved May 17, 2021.
  43. "Best Children's Hospitals". U.S. News & World Report. 2020. Archived from the original on December 20, 2019.

47°39′46″N122°16′54″W / 47.66278°N 122.28167°W / 47.66278; -122.28167