James Whitcomb Riley Hospital for Children

James Whitcomb Riley Hospital for Children

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Riley Hospital for Children at Indiana University Health is a nationally ranked children's hospital
Children's hospital
A children's hospital is a hospital which offers its services exclusively to children . The number of children's hospitals proliferated in the 20th century, as pediatric medical and surgical specialties separated from internal medicine and adult surgical specialties...

 located on the Indiana University-Purdue University Indianapolis campus in Indianapolis
Indianapolis
Indianapolis is the capital of the U.S. state of Indiana, and the county seat of Marion County, Indiana. As of the 2010 United States Census, the city's population is 839,489. It is by far Indiana's largest city and, as of the 2010 U.S...

, Indiana
Indiana
Indiana is a US state, admitted to the United States as the 19th on December 11, 1816. It is located in the Midwestern United States and Great Lakes Region. With 6,483,802 residents, the state is ranked 15th in population and 16th in population density. Indiana is ranked 38th in land area and is...

.

It is named for James Whitcomb Riley
James Whitcomb Riley
James Whitcomb Riley was an American writer, poet, and best selling author. During his lifetime he was known as the Hoosier Poet and Children's Poet for his dialect works and his children's poetry respectively...

, a writer and poet who lived in Indiana. In 1916, a group of prominent citizens who knew Riley started the Riley Memorial Association (later called Riley Children's Foundation
Riley Children's Foundation
The Riley Children's Foundation is a nonprofit organization established in 1921 as the Riley Memorial Association with the intentions of constructing a children's hospital...

) to build a children's hospital in memory of Riley. The hospital opened in 1924. In 1950, the foundation started Camp Riley, a camp in south central Indiana for children with disabilities.

In 2011, ten specialty programs of Riley at IU Health were ranked among the top children's hospitals nationwide by U.S.News & World Report 2011-2012 edition of America's Best Children's Hospitals and placed Riley's Urology 3rd, Pulmonology 12th, Diabetes & Endocrinology 12th, Cardiology & Heart Surgery 25th, Gastroenterology 27nd, Neurology & Neurosurgery 28th, Cancer 28th, and Neonatology 30th.

In 1997, Riley Hospital for Children united with Indiana University Hospital
Indiana University Hospital
Indiana University Hospital is a teaching hospital in Indianapolis, Indiana, USA, affiliated with the Indiana University School of Medicine and Indiana University Health....

 and Methodist Hospital
Methodist Hospital
Methodist Hospital is the name of numerous medical institutions.* The Methodist Hospital, Houston, Texas* Methodist Medical Center of Illinois, Peoria, Illinois* Methodist Hospital of Indianapolis, Indianapolis, Indiana...

 to form Clarian Health
Clarian Health
Indiana University Health is a non-profit, academic medical health center and is Indiana's most comprehensive healthcare system, comprising more than 20 hospitals and health centers statewide...

. On January 24, 2011, Clarian Health officially became known as Indiana University Health to affirm the health system’s unique partnership with Indiana University School of Medicine
Indiana University School of Medicine
The Indiana University School of Medicine is a leading medical school and medical research powerhouse connected to Indiana University. With several teaching campuses in the state, the School of Medicine has its predominant research and medical center at the Indiana University – Purdue University...

. The names of all hospitals within the health system align with the IU Health name, with Riley Hospital being named Riley Hospital for Children at Indiana University Health.

For 13 consecutive years, IU Health has been ranked among the nation's top hospitals by U.S.News & World Report. Additionally, all of the Indiana pediatricians listed in America's Top Doctors, a national
Nation
A nation may refer to a community of people who share a common language, culture, ethnicity, descent, and/or history. In this definition, a nation has no physical borders. However, it can also refer to people who share a common territory and government irrespective of their ethnic make-up...

 consumer publication, have Riley-based practices.

Riley Hospital for Children is Indiana's first and only comprehensive children's hospital
Children's hospital
A children's hospital is a hospital which offers its services exclusively to children . The number of children's hospitals proliferated in the 20th century, as pediatric medical and surgical specialties separated from internal medicine and adult surgical specialties...

. Riley employs top physicians and researchers to improve the growth of life sciences
Life sciences
The life sciences comprise the fields of science that involve the scientific study of living organisms, like plants, animals, and human beings. While biology remains the centerpiece of the life sciences, technological advances in molecular biology and biotechnology have led to a burgeoning of...

 in central Indiana, to boost the quality of care and further its statewide partnerships and service given to Hoosier
Hoosier
Hoosier is the official demonym for a resident of the U.S. state of Indiana. Although residents of most U.S. states typically adopt a derivative of the state name, e.g., "Indianan" or "Indianian", natives of Indiana rarely use these. Indiana adopted the nickname "Hoosier State" more than 150...

 families and children.

Fact Sheet

  • 455 staffed beds
  • 16,923 admissions and observation cases
  • 353,986 total subspecialty outpatient visits
  • 2,034 full-time staff
  • 334 medical staff

Programs and Facilities

  • An internationally ranked ECMO program in the state’s most comprehensive neonatal unit
  • The world’s largest pediatric sleep disorders center [3]
  • One of the nation’s largest autism treatment centers – The Christian Sarkine Autism Treatment Center [3]
  • One of the most experienced pediatric orthopedic programs in the nation, with the states only pediatric-based sports medicine program.
  • One of the nation’s largest pediatric residency programs and the only training site in Indiana for pediatric specialists. [3]
  • Indiana’s only:
    • Nationally ranked pediatric heart and cancer programs Riley Children's Cancer Center
    • Robotic rehabilitation center for children with cerebral palsy and other movement disorders
    • Pediatric Level I Trauma Center
    • Pediatric burn center [3]
    • Pediatric dialysis program [3]

The Riley Hospital Neonatal Intensive Care Unit (NICU)


Established in 1970, the Riley Hospital Neonatal Intensive Care Unit
Neonatal intensive care unit
A Neonatal Intensive Care Unit —also called a Special Care Nursery, newborn intensive care unit, intensive care nursery , and special care baby unit —is an intensive care unit specializing in the care of ill or premature newborn infants.The problem of premature and congenitally ill infants is not a...

 (NICU) was the first in Indiana
Indiana
Indiana is a US state, admitted to the United States as the 19th on December 11, 1816. It is located in the Midwestern United States and Great Lakes Region. With 6,483,802 residents, the state is ranked 15th in population and 16th in population density. Indiana is ranked 38th in land area and is...

. Today the Riley NICU is Indiana's most comprehensive neonatal unit and staffs more than 30 neonatologists, 180 neonatal nurses and 20 neonatal respiratory therapists, along with social workers, dietitians and other important staff. Two parents are also employed full-time by the NICU as family support professionals working alongside the social workers.

In 2008 Child magazine recognized the Riley neonatal and pulmonary care departments in the top 10 among select specialties that were ranked. Riley Hospital for Children is the only pediatric's hospital in Indiana to be recognized in any category by Child magazine.

The director of neonatal/perinatal medicine at Riley Hospital for Children, James Lemons, MD, was named the 2008 winner in the Physician category of the Indianapolis Business Journal Health Care Hero awards. Dr. Lemons was recognized for building one of the best neonatology programs in the country, as well as for his untiring advocacy for families and his ceaseless commitment to patients.

Child magazine recognized Riley Hospital's NICU among the nation's top 10 for several years because of Dr. Lemons' commitment to excellence. He has been included in every single edition of America's Top Doctors, the prestigious publication for consumers in which tens of thousands of physicians and hospital leaders select the nation's top doctors. His research programs have been supported by continuous NIH funding and other grants for 25 years.

Riley Sets the Standard for ECMO Treatment


Riley Hospital for Children NICU encounters hundreds of reasons why newborn babies are in distress and require comprehensive procedures. One of those reasons is meconium
Meconium
Meconium is the earliest stools of an infant. Unlike later feces, meconium is composed of materials ingested during the time the infant spends in the uterus: intestinal epithelial cells, lanugo, mucus, amniotic fluid, bile, and water. Meconium is almost sterile, unlike later feces, is viscous and...

 aspiration, a condition where babies inhale a substance called meconium in utero – a bowel movement in the amniotic fluid. Meconium is like tar in newborn lungs. Infants are then rushed to the Neonatal Intensive Care Unit (NICU) at Riley Hospital for Children where, neonatologists begin a procedure called extracorporeal membrane oxygenation
Extracorporeal membrane oxygenation
In intensive care medicine, extracorporeal membrane oxygenation is an extracorporeal technique of providing both cardiac and respiratory support oxygen to patients whose heart and lungs are so severely diseased or damaged that they can no longer serve their function...

, or ECMO.

ECMO functions as a heart and lung bypass machine and helps by providing oxygen and removing carbon dioxide from the blood when the baby's lungs or heart, or both, are not functioning properly and requires a collaborative effort from many of the pediatric specialists, including neonatologists, pediatric surgeons and cardiovascular surgeons, pediatric perfusionists, pediatric radiologists and specially trained ECMO technicians.

In 1996 Riley was the first hospital in Indiana that could offer this lifesaving treatment. Offering ECMO requires a collaborative effort from many of the pediatric specialists at Riley, including neonatologists, pediatric surgeons and cardiovascular surgeons, pediatric perfusionists, pediatric radiologists and specially trained ECMO technicians.

In 2004 Riley provided ECMO treatment to the 500th baby in need, making it one of the most experienced centers for this lifesaving treatment anywhere. The experience also gives Riley outstanding results, exceeding national survival rates as reported by the Extracorporeal Life Support Organization.

Pediatric Pulmonary Program


Indiana's highly regarded Pediatric Pulmonary Program was created in 1976 and currently treats more than 14,000 patients annually. Its department includes 24 national and international physician leaders, 19 nurses, 10 respiratory therapists and social workers and dietitians. This program and the pediatric pulmonologists at Riley Hospital for Children and Indiana University School of Medicine
Indiana University School of Medicine
The Indiana University School of Medicine is a leading medical school and medical research powerhouse connected to Indiana University. With several teaching campuses in the state, the School of Medicine has its predominant research and medical center at the Indiana University – Purdue University...

 Physicians lead Indiana
Indiana
Indiana is a US state, admitted to the United States as the 19th on December 11, 1816. It is located in the Midwestern United States and Great Lakes Region. With 6,483,802 residents, the state is ranked 15th in population and 16th in population density. Indiana is ranked 38th in land area and is...

 in diagnosing and treating infants, children and adolescents who have acute and chronic respiratory disease
Respiratory disease
Respiratory disease is a medical term that encompasses pathological conditions affecting the organs and tissues that make gas exchange possible in higher organisms, and includes conditions of the upper respiratory tract, trachea, bronchi, bronchioles, alveoli, pleura and pleural cavity, and the...

 from moderate asthma
Asthma
Asthma is the common chronic inflammatory disease of the airways characterized by variable and recurring symptoms, reversible airflow obstruction, and bronchospasm. Symptoms include wheezing, coughing, chest tightness, and shortness of breath...

 to the most complex lung
Lung
The lung is the essential respiration organ in many air-breathing animals, including most tetrapods, a few fish and a few snails. In mammals and the more complex life forms, the two lungs are located near the backbone on either side of the heart...

 problems.

National Prominence


Riley's pulmonary intensive care programs ranked 7th overall in the United States by Child magazine. No other Indiana hospitals pediatric pulmonary intensive care programs made the national rankings.

Pulmonology Services and Research


In addition to caring for patients throughout the Midwest, Riley Hospital for Children is active in researching ways to prevent serious lung damage in children with cystic fibrosis
Cystic fibrosis
Cystic fibrosis is a recessive genetic disease affecting most critically the lungs, and also the pancreas, liver, and intestine...

 and its research efforts in the treatment of asthma allow Riley to offer selected patients the latest medications before they are available to the public.

Specialized Care for Breathing Problems


Riley Hospital for Children treats breathing problems including asthma
Asthma
Asthma is the common chronic inflammatory disease of the airways characterized by variable and recurring symptoms, reversible airflow obstruction, and bronchospasm. Symptoms include wheezing, coughing, chest tightness, and shortness of breath...

, wheezing, coughing, chest pain
Chest pain
Chest pain may be a symptom of a number of serious conditions and is generally considered a medical emergency. Even though it may be determined that the pain is non-cardiac in origin, this is often a diagnosis of exclusion made after ruling out more serious causes of the pain.-Differential...

, viral respiratory infections, structural abnormalities in the respiratory system
Respiratory system
The respiratory system is the anatomical system of an organism that introduces respiratory gases to the interior and performs gas exchange. In humans and other mammals, the anatomical features of the respiratory system include airways, lungs, and the respiratory muscles...

 and chronic lung disease in premature infants. Special programs are offered for children and adults with cystic fibrosis
Cystic fibrosis
Cystic fibrosis is a recessive genetic disease affecting most critically the lungs, and also the pancreas, liver, and intestine...

 and for children with apnea
Apnea
Apnea, apnoea, or apnœa is a term for suspension of external breathing. During apnea there is no movement of the muscles of respiration and the volume of the lungs initially remains unchanged...

 (stopping breathing).

Pulmonary Programs, Centers and Services


Riley Asthma Care Center - The Riley Asthma Care Center treats children with moderate to severe asthma, offering an educational approach to asthma management that can help patients and their families take control of their asthma.

Riley Infant Lung Center - At the Riley Infant Lung Center, a specially-trained team of pediatric clinicians provides pulmonary care for infants with chronic lung conditions and breathing problems. As the only program of its kind in the region, it coordinates care of the infant before discharge from the nursery, provides evaluation and treatment during the important period of infancy and continued care for those with chronic respiratory problems.

Infant Lung Function Testing - Riley is the only children's hospital in the state and one of the few in the country with the capability to test lung function in infants.

Children's Lung Function - One of the busiest diagnostic services in the country, the laboratory evaluates lung function in children as a guide for diagnosis and therapy. Spirometry, bronchodilator response, bronchoprovocation and metabolic exercise evaluations are used to assess children ages three and older.

Bronchoscopy Program - Using state-of-the-art equipment, the Bronchoscopy Program evaluates infants with noisy breathing or distress. Functional dynamic assessment of the airway in children of all ages quickly pinpoints areas of concern and guides treatment options.

Children's Sleep Disorders Center - The Children's Sleep Disorders Center offers state-of-the-art evaluation of sleep disorders of all kinds, including sleeplessness, arousal disorders, obstructive sleep apnea and narcolepsy. It is the only pediatric facility in Indiana accredited by the American Academy of Sleep Medicine and it is nationally recognized. All of the resources are focused on meeting children's unique needs. The latest computerized equipment permits a wider variety of measurements than is typically available in adult sleep labs.

Children's Apnea Program - The Children's Apnea Program has been in existence for nearly two decades as a hospital-based program with community outreach. It serves as the primary referral center for the evaluation of children with apnea in Indiana, Illinois and Ohio. Physician referral is requested so physicians at Riley can work cooperatively with the infant's primary physician.

Riley Hospital North's REACT Program - The Department of Pediatrics at Riley Hospital North offers a unique program of pediatric asthma care through the Emergency Department at Clarian North Medical Center with the support of the Indiana State Aerie & Auxiliary Fraternal Order of Eagles. Riley Emergency Asthma Care and Teaching (REACT) services focus on asthma education. An asthma specialist is in the Emergency Department Monday through Friday from 6-10 p.m. to speak with parents while their child receives medical care for the asthma attack. After these hours and on weekends, parents will receive asthma education through a short video they will watch in the Emergency Department exam room. To view the educational video, please click here.

Methacholine Challenges - Riley offers a state-of-the-art pulmonary function laboratory for children. Riley physicians frequently perform methacholine challenges to determine a patient's airway reactivity, an essential component of asthma.

Exercise Challenges - Riley also evaluates children who have problems with exercise, including children with a most rare condition of exercise-induced anaphylaxis.

The Latest Technologies for Diagnosis


Indiana University School of Medicine
Indiana University School of Medicine
The Indiana University School of Medicine is a leading medical school and medical research powerhouse connected to Indiana University. With several teaching campuses in the state, the School of Medicine has its predominant research and medical center at the Indiana University – Purdue University...

 Physicians' Pulmonary Diagnostic Center provides specialized lung function testing for children through the Pediatric Pulmonary Function Laboratory. This specialized laboratory performs testing for physicians throughout Indiana and is one of only a few places in the country to offer pulmonary function testing
Pulmonary function testing
Pulmonary Function Testing is a complete evaluation of the respiratory system including patient history, physical examinations, chest x-ray examinations, arterial blood gas analysis, and tests of pulmonary function. The primary purpose of pulmonary function testing is to identify the severity of...

 for infants. Other diagnostic methods include fiber optic bronchoscopy
Bronchoscopy
Bronchoscopy is a technique of visualizing the inside of the airways for diagnostic and therapeutic purposes. An instrument is inserted into the airways, usually through the nose or mouth, or occasionally through a tracheostomy. This allows the practitioner to examine the patient's airways for...

, an outpatient procedure that lets doctors see inside the child's air passages. Our metabolic and exercise testing laboratory, which is also available to physicians throughout Indiana, is used to help evaluate the cause of a child's breathing problems.

The Christian Sarkine Autism Treatment Center


The Christian Sarkine Autism Treatment Center (CSATC) at Riley @ IU Health is one of the nation’s largest autism treatment centers and is the only pediatric autism academic and research program in Indiana. CSATC frequently consults on, and participates in, industry-sponsored clinical trails and is on the forefront of novel treatment development for autism and related disorders.
CSATC services include:
  • traditional diagnostic interview
  • medication management
  • behavioral assessment and treatment
  • supportive counseling
  • co-treatment therapy models
  • educational consultations.[1]

CSATC has National Institute of Mental Health-funded project grants to study various treatments in autism, and has been active in collaborating on other large multi-site, federally funded research. [2]. Additionally, CSATC has been awarded competitive grants from Autism Speaks, the National Alliance for Research on Schizophrenia and Depression, and the Fragile X Research Association. [2]
CSATC is committed to helping children with autism and related disorders to achieve their potential and to participate as fully as possible in family, school and community life.

[1] Information based on the flyer About Christian Sarkine Autism Treatment Center (2011).

[2] Christian Sarkine Autism Treatment Center. (2011). http://psychiatry.medicine.iu.edu/autism


Helping Answer Needs by Developing Specialists in Autism (HANDS in Autism])


The HANDS in Autism, founded in 2004, is an outreach and training extension of CSATC. Focus areas of the program include [3]:
  • providing hands-on learning opportunities for professionals and establishing coaching and mentoring relationships to increase knowledge and its practical application through a variety of trainings
  • advancing local and state-wide capacity to ensure sustainability, supportability and consistency of academic and behavioral supports to students with an autism spectrum disorder (ASD)
  • facilitating collaboration and establishing consistent, comprehensive information and resources across schools, families and medical/community systems to develop supportive networks and effect best educational outcomes for students with an ASD

[3] Information based on the informational flyer About HANDS in Autism (2011).

The Riley Heart Center


The Riley Heart Center concentrates on the treatment of congenital heart defects and acquired cardiovascular diseases in newborns, children and adolescents. The Riley Heart Center is Indiana's only dedicated pediatric inpatient unit for cardiovascular care.
The Riley Heart Center is the only comprehensive cardiac inpatient unit in Indiana
Indiana
Indiana is a US state, admitted to the United States as the 19th on December 11, 1816. It is located in the Midwestern United States and Great Lakes Region. With 6,483,802 residents, the state is ranked 15th in population and 16th in population density. Indiana is ranked 38th in land area and is...

 created exclusively for children. The center provides specialized testing, an accredited echocardiogram program, interventional lab and digital telemedicine
Telemedicine
Telemedicine is the use of telecommunication and information technologies in order to provide clinical health care at a distance. It helps eliminate distance barriers and can improve access to medical services that would often not be consistently available in distant rural communities...

, where Riley cardiologists review and interpret more than 2,000 echos annually from outside institutions.

Since 1950, Riley Hospital for Children has been a leader in advancing diagnostic, surgical and outpatient care to those with congenital heart disease. With a reputation for clinical excellence, the cardiac specialists at Riley are among the nation's most experiences and respected.

These board-certified pediatric cardiologists are doctors with special training and skill in finding, treating, and preventing heart and blood vessel disease in children of all ages, from infancy to young adulthood. This team also includes pediatric cardiovascular surgeons, clinical nurse specialists and cardiology social workers, all specialists in the care of children. This team diagnoses and treats conditions that include heart murmurs, rapid breathing, high blood pressure, infections involving the heart or blood vessels, chest pain
Chest pain
Chest pain may be a symptom of a number of serious conditions and is generally considered a medical emergency. Even though it may be determined that the pain is non-cardiac in origin, this is often a diagnosis of exclusion made after ruling out more serious causes of the pain.-Differential...

, heart rhythm disturbances, fainting episodes and questions about participation in sports.

Echocardiograms


An echocardiogram is a study done to evaluate a child's heart by using high frequency sound waves ("ultrasound
Ultrasound
Ultrasound is cyclic sound pressure with a frequency greater than the upper limit of human hearing. Ultrasound is thus not separated from "normal" sound based on differences in physical properties, only the fact that humans cannot hear it. Although this limit varies from person to person, it is...

") that take moving pictures of the heart. The echocardiogram can image the different pumping chambers of the heart. It also takes pictures of the heart valves and vessels. To see the blood flow inside the heart, color Doppler echocardiography
Doppler echocardiography
Doppler echocardiography is a procedure which uses ultrasound technology to examine the heart. An echocardiogram uses high frequency sound waves to create an image of the heart while the use of Doppler technology allows determination the speed and direction of blood flow by utilizing the Doppler...

 (similar to the Doppler used in the weather forecast on TV) is used. Doppler measurements are helpful to calculate the speed of blood flowing through the heart. This information can be used to assess narrowing or leaking of heart valves and other vessels.
Riley was the first hospital in Indiana to have a pediatric echo lab accredited by the Intersocietal Commission for the Accreditation of Echocardiography Laboratories. More than 8,000 pediatric echocardiograms, including about 1,000 fetal echos, are performed at Riley each year.

Riley Safety Store


The Riley Safety Store is the first in the nation to serve all children, including children with disabilities. The Safety Store offers hospital families, staff and the general public low-cost child safety products and injury prevention
Injury prevention
Injury prevention are efforts to prevent or reduce the severity of bodily injuries caused by external mechanisms, such as accidents, before they occur. Injury prevention is a component of safety and public health, and its goal is to improve the health of the population by preventing injuries and...

 education
Education
Education in its broadest, general sense is the means through which the aims and habits of a group of people lives on from one generation to the next. Generally, it occurs through any experience that has a formative effect on the way one thinks, feels, or acts...

.

Indiana
Indiana
Indiana is a US state, admitted to the United States as the 19th on December 11, 1816. It is located in the Midwestern United States and Great Lakes Region. With 6,483,802 residents, the state is ranked 15th in population and 16th in population density. Indiana is ranked 38th in land area and is...

 communities are called to "Get on Board with Child Safety" through educational programs, informational materials, training and community events that emphasize ways to prevent injuries, which are the leading cause of death for children in Indiana and nationwide.

Safe Escape Program


Riley Hospital for Children Safe Escape Program is run as a program of the Riley Safety Store. Through its funding by the U.S. Department of Homeland Security, the program offers families of children with health care needs and disabilities the education, information and equipment they need to prepare for safe escape during emergency evacuations.
The Riley Safe Escape Program is the first of its kind in the nation. The store-based program and the online version empower families to make specific, customized emergency evacuation plans for their home.

External links