2019 Annual Report | Page 14

kosair charities pediatric convalescent center Since the Kosair Charities Pediatric Convalescent Center (KCPCC) opened in 1975, medical diagnoses and technology advancements have come a long way. Children used to come to us with less than nine medical diagnoses. Now, we are home to 76 children, each of whom have as few diagnoses as 15 or as many as 24. The KCPCC is our pediatric skilled nursing facility, providing short-term, long-term, and respite care for children from birth to age 21. We care for children who face significant medical, developmental, and physical disabilities, many of whom require ventilator support. The increase in diagnoses has changed the way we provide care to children in the KCPCC. It requires more education, hands-on training, detailed time management, and prioritization. Many diagnoses of the past were a bit more straightforward than what doctors are seeing now. With more symptoms to treat, our medical teams figure out which body systems are involved, how many external specialists play a role in treatment, and how to address each symptom without negatively impacting other areas of the body. Even ten years ago, many children in the KCPCC may not have survived their medical conditions or life-altering accidents. But medical advances have extended their lives and allow most to reach adulthood. “We have a lot of patients from birth who’ve had medical problems, but we’re also seeing another population of kids who were typically developing until the time of an incident,” said Dr. Heather Huxol, Medical Director of KCPCC. “And that population has grown a lot.” The complexity of care has increased for our medical team over the years. The medical acuity level is higher, requiring more immediate nursing attention, respiratory intervention, physician services, pharmaceutical prescriptions, and time spent with families to plan for any potential illness or situation that may arise. “We have kids who are turning 21, whose parents start planning for their futures years before that milestone birthday,” explained Erika Rhodes, Medical Social Services Manager. “They aren’t accepted by other facilities because the majority of these facilities have not seen such complex medical diagnoses. The next place for them to go is an adult nursing home, where there is not a doctor on site all day every day, and they can’t provide the level of care the young adult is used to receiving.” The increase in diagnoses and work has been a challenge, but one the KCPCC team has risen to. “We have a physician on site five days a week. She is also always on call. We have respiratory therapists in-house 24/7. We have more registered nurses, licensed practical nurses, and certified nursing assistants than the average nursing facility,” shared KCPCC Jeff Lewis, Senior Vice President and Administrator. “We provide more training and education about the different and new diagnoses we are seeing to learn how to safely and affectively manage the needs of the residents. When we discover a new diagnosis that we haven’t seen before, our training department leads in-services to educate our team on what to look for and how to manage these new diagnoses.” While the needs of the residents in the Kosair Charities Pediatric Convalescent Center may have increased and grown more complex, the mission remains the same. We make every day exceptional for every child.