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Fall 2012ChildrensOmaha.org
CYBERBULLYINGIs Your Child Affected? 4
HEALTHTEACHEROnline Wellness Program 9
HELICOPTER PARENTCould You Be One? 11
JustKids
Family Meals Promote
Children’s Healthy living
p6
Your Online Source for Health InfoFor the latest information and news, support groups, events, patient stories and perspectives from our physicians, check out these online resources:
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JustKids is published by Children’s Hospital & Medical Center to provide general health information. It is not intended to provide personal medical advice, which should be obtained directly from a physician. © 2012. All rights reserved. Printed in U.S.A.
➍ Stop Cyberbullying
➎ Parenting U Classes
➏ Family Meals Promote Children’s Healthy Eating
➐ Cholesterol Tests for Children
➑ Kids’ Stuff: Be Wary When Buying Used
➒ HealthTeacher Online Educational Wellness Program
➓ Power Play: Why Children Need Time for Fun
Grounding the Helicopter Parent
Children’s Recognized by U.S. News & World Report
Contents
ChildrensOmaha.org JustKids Gary A. Perkins President and CEO Martin W. Beerman Vice President, Marketing
and Community Relations David G.J. Kaufman, MD Medical Advisor Dannee Schroeder Senior Editor
NeW FeTAl CAre CeNTer TAKeS ShAPeChildren’s Hospital & Medical Center, Alegent Creighton Health Strive to Fill Service Gap
2 To find a physician, call 1-800-833-3100
What’sNew?Children’s Hospital & Medical Center and Alegent Creighton
Health are working together to launch a new Fetal Care Center
available to serve families from across the region. The Fetal
Care Center at Children’s Hospital & Medical Center in
affiliation with Alegent Creighton Health will focus on the
coordination of care for babies diagnosed with complex
congenital defects before birth.
“The Fetal Care Center represents a high level of medical
collaboration focused on doing what’s best for the patient,”
says Kathy English, executive vice president and chief
operating officer at Children’s. “We’re taking the pediatric
expertise of Children’s Hospital & Medical Center and
combining it with the obstetrical experience and expertise
of Alegent Creighton Health to give very sick babies the
best chance of survival from birth and beyond.”
“Providing a seamless continuum of care for the families
that have babies with complex congenital conditions has been
our guiding force,” says Lisa Strasheim, operations leader for
women’s and children’s services at Alegent Creighton Health.
“From high risk medical management of the pregnancy to
delivery of the baby, our goal is to provide the best care for
these babies while also providing the safest environment
for the mother,” Strasheim added.
Planning for each StageWhile each situation will be unique based on diagnosis,
the service involves comprehensive care planning and
coordination that encompasses every stage from fetal
diagnosis through birth and post-delivery treatment.
“We are pleased to provide this new, higher level of care
to families together with Alegent Creighton Health,” says
English. “The Fetal Care Center gives our specialists the
opportunity to be involved early on and to develop a fully
integrated and multidisciplinary approach to treatment
that can begin at the moment of birth.”
A fetal care coordinator, based at Children’s, will interact
directly with expectant mothers who have been referred to
the Fetal Care Center due to a prenatal diagnosis of a complex
congenital defect. The fetal care coordinator will assist in
scheduling appointments with pediatric specialists and
others who will be involved in the baby’s post-birth care.
Alegent Creighton Health Bergan Mercy Medical Center
will be closely involved in perinatal aspects of care with the
mother, including labor and delivery.
“As a system that delivers more babies than anyone in the
region, Alegent Creighton brings the experience and expertise
needed to provide the best delivery and post-partum care for
mothers in whatever environment the family and physician
determines is best for the baby,” says Strasheim.
Choosing Where to DeliverThe location of delivery may be at a mother’s home hospital,
Alegent Creighton Health Bergan Mercy Medical Center, or
Children’s Hospital & Medical Center.
“The decision on where the baby will be delivered will be
made by the team of physicians in collaboration with the
mother’s obstetrician rooted in what is best and safest for
mother and baby,” explains English. “Based on past experience,
we know that some babies should be delivered at Children’s
because they require immediate intervention in the operating
room or the pediatric hybrid heart catheterization lab.”
Children’s and Alegent Creighton Health anticipate the first
deliveries through the Fetal Care Center could occur in late
2012. Outpatient care coordination officially began on July 15.
We’re taking the pediatric expertise of Children’s Hospital & Medical Center and combining it with the obstetrical experience and expertise of Alegent Creighton Health to give very sick babies the best chance of survival from birth and beyond.
— Kathy English, executive vice president and chief operating officer, Children’s Hospital & Medical Center
ChildrensOmaha.org 3
Kids suffer stress. And one big reason for back-to-
school stress is fear of bullies.
A study in the Journal of Developmental & Behavioral
Pediatrics found that nine out of 10 third through sixth
graders answered “yes” to questions such as, “Other
students tease me” or, “At recess, I play by myself.”
Bullying hurts. Kids who often get bullied may:
• Feel depressed, lonely and anxious
• Have low self-esteem
• Want to stay home from school
• Get sick or cry more often
• Have trouble sleeping
• Think about suicide.
The New Face of Bullying Boys aren’t the only bullies. These days,
girls are increasingly likely to join them.
And kids’ bullying may go further than
hitting and kicking or teasing and excluding.
Cyberbullying can take place via instant
messaging (IM), email, chat rooms, web pages,
video games, and images and messages sent
via cell phones.
The worst thing about cyberbullying? It’s
anonymous, and it doesn’t end at the school
yard. Cybervictims can be attacked 24 hours
a day, every day of the week.
Making School a Safe PlaceDoes your child seem stressed? Symptoms may
include nightmares, eating disturbances and
new fears or behaviors, such as stubbornness.
To see if bullying is the cause, ask your child:
• Who sits with you at lunchtime?
• Have you ever gotten a mean email,
text or IM?
• Do you ever see someone picking on
another kid? What happens?
• Who could you ask to help a kid
who’s being bullied?
In addition, give your child the following tips:
• Always tell a trusted adult if you see bullying
going on. Bring a friend if you’re scared to
do this alone.
• Stay in a group. Join activities to meet
other kids.
• Try not to let the bully see you’re upset. Tell
him or her calmly to stop, or just walk away.
• Never reply to a cyberbully. If possible,
block communication from this person,
save the nasty message and tell an adult.
My Child, The BullyBullying is a learned behavior. If you suspect
your child is a bully, act quickly:
PuT A STOP TO BullYiNG
To learn more, enter the search term “bully” at our website at HealthLibrary.ChildrensOmaha.org.
Making School Days Happy for your Child
• Talk with your child. Explain that this
type of behavior is unacceptable and
will result in firm consequences.
• Learn what’s going on in your child’s life.
Is peer pressure involved? Is your child
bullying to avoid being bullied himself?
• Set a good example. Make sure you
handle problems or conflict in a mature
and calm manner.
• Seek professional help if needed.
“All children are potentially negatively
impacted by bully behavior, including the
victim, the witness and yes, even the bully,”
says Mike Vance, PhD, a pediatric psychologist
with Children’s Behavioral Health. “Open
communication with adults is key to establishing
prevention programs. Prevention programs are
superior to reaction programs because they stop
the problem before it hurts anyone.”
4 To find a physician, call 1-800-833-3100
Children’s experts Offer helpful Tips with Free Parenting u Classes
PARENTING U UPCOmING DATEsEach session will be held in the Glow Auditorium at Children’s Hospital & medical Center from 6 to 7 p.m. Call 800-833-3100, or log on to ChildrensOmaha.org/ParentingU to register today.
Here For You: Parenting U Classes This Fall
With the arrival of a child, there are some things you learn automatically, like how little sleep an adult actually needs to function, the importance of sippy cups, and that polar bears may be hiding in your closets. For other
lessons—including the skills to get through those all-important first years—there’s Parenting U from Children’s Hospital & medical Center. These are FREE classes given by professionals known for their knowledge of children. Along with a new topic each week, we’ll provide food, child care and prizes.
Free PAreNTiNG ClASSeS
Call 800-833-3100, or log on to ChildrensOmaha .org/ParentingU to register today.
Tuesday, Sept. 11 Preparing for Your Newborn steven sindelar, mD, FAAP, Children’s Physicians
Tuesday, Sept. 18 Baby’s First Yearsmichelle mogenson, DO, FAAP, Children’s Physicians
Tuesday, Sept. 25Effective Time Out TechniquesAshley Harlow, PhD, NCsP, Children’s Behavioral Health
Tuesday, Oct. 2Mastering Potty TrainingKatie Anglim, mD, FAAP, Children’s Physicians
Tuesday, Oct. 9Healthy Nutrition for ToddlersLaura Wilwerding, mD, FAAP, Children’s Physicians
Tuesday, Oct. 16Surviving the Trying Two’sTony Yaghmour, mD, FAAP, Children’s Physicians
Tuesday, Oct. 23 Childhood Obesity Prevention & ManagementCristina Fernandez, mD, FAAPChildren’s Weight management Clinic
Tuesday, Oct. 30Preparing for Your Newborn Jamie Drake, mD, FAAP, Children’s Physicians
ChildrensOmaha.org 5
feature story
In a new research review, scientists combined
the results of 17 different studies. Eating
three or more family meals per week reduced
children’s and teens’ odds of being overweight
by 12 percent.
Eating together also made children
24 percent more likely to eat healthy foods
such as fruits and veggies. They were also less
likely to munch on fried foods or unhealthy
snacks, or to develop eating disorders.
A New TraditionToday’s families are busy. So, how can parents
keep family meal time important despite
everyone’s hectic schedules? Make it a
family tradition.
During meals, casual conversation can be
an easy and natural way to learn about and
The newest weapon in the war on childhood obesity just might be the family dinner table.
become involved with your child’s life.
Reviewing family schedules and arranging
events during meals also can avoid future
confusion or misunderstandings.
With today’s busy lives, creating a mealtime
tradition may seem difficult. But eating doesn’t
have to occur at the same time every night.
And meals certainly don’t need to be elaborate.
Whether you’re doing the cooking or ordering
carryout, sitting down for a few minutes
together can do wonders for a family.
To get the most from family meals, invite
your children to help plan and prepare them.
When the table’s set, turn off the TV and
concentrate on catching up.
Meals on the GoYou can even keep your family meal tradition
when you’re on the go. Simply pack the family
meal ahead of time and take it with you. When
planning a healthy meal-on-the-go, keep these
tips in mind:
• Go with grain. Select healthy whole-grain
For Children’s and Kohl’s, Obesity Prevention = Cure
FAmILY mEALsPROmOTE HEALTHY EATING
Obesity is the top health issue facing families. A new health assessment co-sponsored by Children’s suggests 30 percent of children age 5 to 17 in Douglas, sarpy and Pottawattamie Counties are overweight or obese. Nearly half of the parents surveyed said their children don’t eat five servings of fruits and vegetables, and 20 percent
admitted that three or more of their child’s meals in the past week consisted of fast food.
These discoveries are the inspiration behind a new, community-based program at Children’s called Healthy Kohl’s Kids. With a focus on prevention, the program will dish up information to fuel smart choices for healthy eating
and exercise. Through outreach to schools and involvement in community events, Children’s hopes to shape healthy habits and build healthier families now and into the future. Funding will come in part from Kohl’s Department stores. since 2000, Kohl’s has donated more than $1.2 million to Children’s Hospital & medical Center.
bread, tortillas, pitas or crackers.
• lower the fat. Try low-fat versions
of lunchmeat. Tuna packed in water
is another good choice.
• Vary the veggies. Add thinly sliced
vegetables to sandwiches. Pack a
little bag of carrots or pepper strips.
• Favor fruit. Bananas, apples, sliced
kiwi, raisins or dried apricots are all
great choices.
• Don’t forget dessert. Choose a healthy
treat such as vanilla wafers, graham
crackers or a low-fat granola bar.
Looking for some ideas to eat healthier? Check out our wide variety of healthy recipes at http://health library.childrensomaha.org/Library/Recipes.
heAlThY reCiPeS ONliNe
6 To find a physician, call 1-800-833-3100
Cholesterol Tests for Children? You Bet!When you think of health threats to grade-
schoolers, you probably don’t include cholesterol.
Yet children with high cholesterol face an increased
risk for heart attacks and strokes later in life.
So in November 2011, the American Academy of
Pediatrics and the National Heart, Lung and Blood
Institute announced new guidelines that promote
cholesterol screenings for kids. An expert panel
now recommends that children ages 9 to 11 should
receive at least one cholesterol screening, with one
more between ages 18 and 21.
Previous recommendations sought cholesterol
screening only in children whose parents had high
cholesterol or heart disease. But relying solely on
family history may miss as many as three out of
five cases of high childhood cholesterol—a major
risk factor for cardiovascular problems.
Controlling Kids’ Cholesterol Screenings can help parents and doctors find and
treat heart disease risk factors at an early age.
Parents can also promote healthy cholesterol levels,
in part by making healthy lifestyle changes:
• limit saturated fats. Chicken nuggets, pizza and
French fries should not be staples in a child’s
diet. Offer healthier unsaturated fats found in
nuts, peanut butter and other nut butters, salmon
and other fatty fish and cooking oils made from
canola, peanuts, corn, safflower or soy. Favor
low-fat or fat-free milk, cheese and yogurt.
• Make fruits, veggies and whole grains a dietary
staple. Instead of handing your child a bag of
potato chips for a snack, offer cut-up carrot sticks
or apple slices. Encourage your child to eat at
least three or four servings of fruit and three or
four servings of vegetables a day. Offer whole-
grain breads, cereals and crackers.
• encourage your child to move. Limit screen
time (television, computer and video gaming) to
a total of two hours a day or less. Head outside
with your child to play. Make at least an hour of
physical activity a daily—and fun—part of your
child’s life.
• Watch your child’s weight. Discuss your child’s
body mass index with a pediatrician to make
sure its within the right range. If your child is
overweight or obese, find ways to cut calories
and fat and to work in more regular exercise.
ChildrensOmaha.org 7
If you’re a new parent
watching expenses, it
can be tempting to buy
secondhand toys, cribs,
playpens and car seats at
thrift stores or yard sales.
But doing so without
checking for safety problems
could put your child at risk.
In 2011 alone, the Consumer
Product Safety Commission
(CPSC) recalled more than
100 children’s products and
toys due to safety issues.
While a 2008 federal law
made it illegal to sell recalled
items, they often turn up at
yard sales, consignment
shops or online auction sites.
Knowing how to tell the good
from the bad can help you
save money while protecting
your family from harm.
Across the BoardNo matter what you need,
these general precautions
apply:
• Check for recalls. Visit the
CPSC website, www.cpsc.gov, to check for recalled products
and to sign up for recall updates via email.
• Don’t buy without a manual. This is especially important for items
such as car seats, playpens and cribs that must be adjusted or
assembled. A manual will include safety warnings for a product.
Without a manual, you run the risk of using or assemblying the
product improperly. This could endanger your child.
Cribs Don’t buy a used crib without double-checking that the item has not
been recalled. The CPSC has recalled more than 11 million drop-side
cribs in which infants have been injured, some fatally, since 2007.
Stricter CPSC safety standards for new cribs took effect in 2011.
Whether your baby’s crib is new or used, it’s important to check
it frequently for broken or loose parts.
KeeP YOur ChilDreN SAFeTo stay up-to-date with the latest safety information about a wide range of product recalls, visit us online at www.ChildrensOmaha.org/Recalls.
Car SeatsDon’t buy a used car seat
because:
• You don’t know whether
it’s been recalled or in
a crash.
• It doesn’t come with an
instruction manual that
specifies how to install
it safely in your vehicle
and restrain your child.
• It could have missing parts
or invisible crash damage.
Toys Buying used toys saves
money and keeps them out of
landfills. To make sure these
items are safe, look out for:
• lead paint. Exposure
to lead can cause brain
damage as well as hearing
and sight disabilities. To be
safe, avoid used toys and
jewelry made in China and
Mexico, as well as anything
with flaking paint.
• Toys made with PVC,
BPA or phthalates. Avoid
toys with a “V,” #3 plastic resin or #7 recycling stamp on the bottom.
• Mercury. In particular, necklaces made in Mexico are often filled
with mercury.
Remember, whether you’re buying new or used baby gear or accepting
free hand-me-downs, double-checking all items for safety is a must.
KIDs’ sTUFF: Be Wary When Buying Used
8 To find a physician, call 1-800-833-3100
Children’s Hospital & Medical Center is putting
the wise old saying about “an ounce of prevention”
into action by sponsoring the HealthTeacher
online wellness educational program. Children’s
is offering the program free of charge to the
413 public and private schools in Douglas,
Washington, Dodge, Saunders, Sarpy and Cass
counties in Nebraska, and Pottawattamie,
Harrison and Mills counties in Iowa.
“HealthTeacher is an easy-to-access and use
health education tool that is proving its value
nationwide,” says Martin W. Beerman, vice
The MOre YOu KNOW
HealthTeacher Online Educational Wellness Program Helps Children
president of Marketing and Community
Relations at Children’s. “We are bringing it
to this area for the first time and presenting it
to 47 school districts and nearly 160,000
students as a gift to their good health.”
HealthTeacher is a series of online health
education lesson plans for teachers and
resources for parents. It includes a library
of more than 300 kindergarten-through 12th
grade sessions organized around 10 health topics
defined by National Health Education Standards:
nutrition, personal and consumer health,
physical activity, anatomy, alcohol and
other drugs, tobacco, community and
environmental health, family health and
sexuality, mental and emotional health, and
injury prevention. HealthTeacher addresses
the top six health risk behaviors identified
by the U.S. Centers for Disease Control
and Prevention.
“Good and bad habits form very early in
life,” Beerman says. “If we can plant the
seed for good health habits at school and
carry them over to the home, we hope to
teach children how to live a healthier
lifestyle through their adolescence and
into adulthood.”
The program seeks to:
• Increase the health literacy of all teachers.
• Enable teachers to overcome constraints
that limit health education in the
classroom.
• Provide the knowledge, skills and
tools that increase the health literacy
of all students.
• Engage parents and other key
community stakeholders to reinforce
healthy behaviors among children.
In addition to working with many educators
directly, HealthTeacher collaborates with its
healthcare partners to incorporate feedback
and to develop timely, new topics. The
program includes lessons that can be taken
home and used by the entire family to help
influence healthier habits.
“School districts are facing many
challenges today such as limited health
education resources and budget cuts,”
Beerman says. “Keeping children healthy
keeps them in school. An Alliance for a
Healthier Generation survey indicates that
nearly 95 percent of responding parents say
health education is as important as math,
science and English, and we at Children’s
agree with them.
“Comprehensive health education
prepares children for long, healthy lives.
That is why Children’s is taking the lead
by making HealthTeacher a resource for
teachers, parents and children throughout
the metropolitan Omaha area.”
ChildrensOmaha.org 9
Power Play: Why Children Need Time for Fun“OK, you’ve got soccer right after school, then
your violin lesson. On the way to French club
you can work on your finger puppets, and then
you’ve got to finish your science fair diorama
and practice your routine for ballet. That’s
tomorrow after school, right before youth
choir and right after karate class. Now hurry
up—we’re going to be late!”
Experts agree: For too many American families,
life is hurried and overscheduled for children and
parents alike. When you start seriously thinking
that your 6-year-old could use a BlackBerry, it’s
time to sit down, take a deep breath and consider
a recent report from the American Academy of
Pediatrics. In it, child-health experts offer a
ringing endorsement of something many
families aren’t getting much of: playtime.
The Meaning of PlaytimePlaytime means unscheduled time in which
children can just, well, play. Playing with
others—whether peers or parents—is
how children learn to explore the world,
experiment with rules, cooperate and
problem solve. Play encourages children
to exercise, helps them adjust more easily
to school, enhances their ability to learn
and teaches them vital social and
emotional skills.
exercise as Playtime Another benefit of playtime is it’s an excellent
way to keep your child physically active. It is
vital for children’s (and adults) overall health
and well-being that they are physically active.
Kids are much more likely to participate in
activities that they find enjoyable, and don’t
see as work. Active play with friends and
family is a great way for kids to get exercise–
and have a lot of fun at the same time.
“Parents need to lead by example,” says
Jamie Drake, MD, a pediatrician with
Children’s Physicians. “If parents have a
healthy, and active, lifestyle, their children are
more likely to have healthy habits as well.”
help Your Child Get Balanced“But they can’t just play their way into
Harvard, can they?” True. That’s why experts
say this is the key: a balance of school,
structured activities and unstructured
playtime. If you think your children could
benefit from better balance in their lives,
these tips may help:
• Limit children to two extracurricular
activities—ones that they really enjoy.
• Guard family time as precious. Make
family nights a priority over other activities.
• Value—and model—downtime. If your
children see you enjoying walks in the
park or daydreaming in a swing,
they’ll be more likely
to do so, too.
FiND The riGhT DOCTOrSelecting a physician who’s a good fit for your family is important. You—and your child—should feel comfortable with the physician. To find the right one for your family, call Children’s Find-A-Doctor service at 1-800-833-3100.
10 To find a physician, call 1-800-833-3100
Some parents say they’re advocating for
their child. Others say they’re just keeping a
watchful eye. No matter how they describe it,
helicopter parenting—the term used when
parents are too involved—can cause problems.
Traits of helicopter parents might include
arguing with teachers to have grades changed,
micromanaging playdates and considering
themselves their child’s best friend. Helicopter
parents often know about their tendencies and
don’t see anything wrong with them.
Not everyone agrees that parents can be too
involved. But some experts say excess attention
may leave children unhappy and unable to
form their own values. In the quest to create
a perfect world for children, helicopter
parents might be doing them an injustice.
Studies say children with helicopter parents
have been found to be more dependent,
neurotic and prone to unexplained aches
and pains—traits few of us want.
GROUNDING THE HELICOPTER PARENT
If you tend to hover, there’s good news. It’s
not too late for a safe landing. You can find the
right balance between providing advocacy and
support on one hand and fostering your child’s
independence and problem-solving skills on
the other hand.
These tips can help:
• Give yourself a time-out. Before you
intervene with the teacher, bring the
forgotten lunch or homework to school, or
sign up your child for something without
asking him, take a breath. Ask yourself if
your child really needs you to do this for
him. Consider the learning experience that
may result if you don’t act. This could be
the lesson that teaches your child to
remember to double-check he has
everything before leaving for school.
• Balance your reaction with common sense.
Your child didn’t share with a friend during
a playdate? Don’t blow your top and ban
those get-togethers until age 30. Instead,
talk with your child about your family’s
rules for sharing and your expectations.
• View failure as an opportunity for growth.
Remember that the painful moments
provide children with a better
understanding of who they are and
where they need improvement.
Not everyone agrees that parents can be too involved. But some experts say that excess attention can leave children unhappy.
ChildrensOmaha.org 11
Non-Profit Org.U.S. Postage
PAIDChildren’s Hospital & Medical Center
8200 Dodge StreetOmaha, NE 68114402-955-5400
881M
Children’s ranked #44 in Cardiology & Heart Surgery and #47 in
Cancer. This is the first ranking for the hospital’s cancer program
and its second consecutive ranking for cardiology and heart surgery.
“We’re honored to be ranked among the best children’s hospitals
in the country. The patients and families we serve provide a constant
stream of inspiration as we challenge ourselves and our organization
to always provide the highest level of care,” said Gary A. Perkins,
FACHE, president and CEO of Children’s.
“We’re very pleased for the recognition of our excellence,” added
Dr. Carl Gumbiner, Children’s senior vice president of medical affairs
and chief medical officer. “But, it’s not the recognition we’re looking
for, it’s the excellence itself.”
This year, U.S. News surveyed 178 pediatric centers to obtain hard data
such as availability of key resources and ability to prevent complications
and infections. The hospital survey made up 75 percent of the rankings.
A separate reputational survey in which 1,500 pediatric specialists —
150 in each specialty — were asked where they would send the sickest
ChildrensOmaha.org
SuBSCriBe NOW To subscribe to health-e kids, our free monthly e-newsletter, visit ChildrensOmaha.org and click on the e-newsletter icon located on the right side of the home page.
children in their specialty made up the remaining 25 percent. Eighty
hospitals across the country ranked in one or more specialties.
“Children’s Hospital & Medical Center deserves high praise for
its accomplishments,” said Health Rankings Editor Avery Comarow.
“It has a reservoir of dedication and expertise that helps the sickest
children. Our goal at U.S. News is to identify and call attention to
pediatric centers like this one.”
Visit www.usnews.com/childrenshospitals for the full rankings and methodology. These rankings are also published in the U.S. News Best Hospitals 2013 Guidebook.
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Children’s Hospital & medical Center has received accreditation or recognition from the following organizations for its delivery of extraordinary healthcare to children.
TWO BEsT CHILDREN’s HOsPITAL RANKINGs FOR 2012-13Children’s Hospital & Medical Center is ranked in two specialties in U.S. News & World Report’s 2012–13 Best Children’s Hospitals rankings.