Dell Children’s services directory Only in Austin. Only at Dell Children’s.

Dell Children’s Medical Center 4900 Mueller Blvd. Austin, TX 78723 Dear Provider,

Thank you for entrusting Dell Children’s Medical Center to partner in your patient’s care. We value the trust you offer us to care for your patient. Together, we share a commitment to deliver the best possible care for children and their families right here in Central Texas. As you know, the Dell Children’s network encompasses the most pediatric specialists and specialty programs in our region. And we’ve recently expanded our pediatric specialist recruitment by partnering with Dell Medical School at The University of Texas at Austin and UT Health Austin, attracting top talent from across the nation to participate in groundbreaking work that will transform delivery of care here and everywhere.

This Dell Children’s Service Directory is designed to acquaint you with our growing network of pediatric services and how you can access those services for your patients. Some of our centers of excellence include:

•• The only American College of Surgeons (ACS) Level I pediatric trauma center in Central Texas •• The only American College of Surgeons (ACS) Level I Verified Pediatric Surgery Center in Central Texas •• The only Level IV Neonatal Intensive Care Unit (NICU) in the Austin area •• The Texas Center for Pediatric and Congenital Heart Disease •• Dell Children’s Neuroscience Center •• National Association of Epilepsy Centers (NAEC) Epilepsy Level IV designation •• Children’s Blood and Cancer Center •• The Grace Grego Maxwell Mental Health Center •• Designation by the American Nurses Credentialing Center as a Magnet hospital

I hope that this directory is a helpful resource for your referrals, and again thank you for your partnership in leading the way to improving outcomes for the sick and injured children of Central Texas. Please feel free to reach out to our Physician Engagement team with questions at [email protected].

Sincerely,

Christopher M. Born, MBA, CPA President, Dell Children’s Medical Center Table of contents

Adolescent medicine...... 2 Imaging at Dell Children’s Medical Center...... 48

Aerodigestive program...... 58 Infectious diseases...... 23

Allergy, asthma and immunology...... 3 Limb Discrepancy and Deformities Clinic...... 64

Anesthesiology...... 4 Marnie Paul Specialty Care Center...... 58

Audiology...... 59 Musculoskeletal Tumor Clinic...... 64

Behavioral and mental health ...... 5 Neonatal Intensive Care Unit (NICU)...... 24

Child abuse...... 54 Nephrology...... 33

Child Life and Expressive Therapies...... 55 Orthopedics...... 65

Child Neurology Consultants of Austin...... 26 Otolaryngology (ENT)...... 38

Children’s Cardiology Associates...... 6 Pathology...... 42

Children’s Comprehensive Care Clinic...... 56 Pediatric cardiology and cardiovascular surgery...... 8

Children’s emergency care...... 14 Pediatric Cardiology of Austin...... 6

Children’s Health Express mobile unit...... 59 Pediatric Critical Care Unit (PICU)...... 44

Clinical and metabolic genetics...... 16 Pediatric hospital medicine...... 43

Complex and palliative medicine...... 34 Pediatric opthalmology and adult strabismus...... 40

Craniofacial and reconstructive plastic surgery...... 10 Pediatric orthopedics...... 36

Cystic fibrosis (pediatric and adult)...... 60 Pediatric rheumatology...... 49

Dell Children’s Medical Group...... 32 Pediatric surgery...... 50

Dell Children’s Neuroscience Center...... 26 Pediatric Transport Team...... 57

Dell Children’s support services...... 54 Pulmonary and sleep...... 47

Dermatology...... 12 Spasticity...... 67

Developmental behavioral pediatrics...... 13 Spina bifida program...... 67

Endocrinology...... 15 Spine and Neuromuscular Clinic...... 66

Foot and ankle...... 61 Spine and scoliosis...... 35

Fracture Clinic...... 62 Sports Medicine Clinic...... 68

Gastroenterology...... 18 Therapy services...... 31

Hand Clinic...... 63 Tracheostomy/ventilator program...... 69

Hand surgery...... 20 Trauma Clinic...... 69

The Hearing Center at Dell Children’s...... 40 Trauma services...... 45

Hematology/oncology...... 21 Urology...... 52 Adolescent medicine Dell Children’s Medical Group

Phone 512-324-6534, Fax 512-324-6532

Main location (services also offered at other locations) Capital Plaza 5339 N. Interstate 35 Frontage Road, Suite 100 Austin, TX 78723

Summary of services •• Faculty appointment with Dell Medical School at The University of Texas at Austin and The • Pediatric and adolescent medicine fellowship- • University of Texas Medical Branch at Galveston trained and board-certified physician in the greater Medical School Austin area seeing patients on a consultative basis for multiple medical conditions •• Provide Dell Children’s Medical Center coverage for patients with acute medical problems and • Participation in the National Eating Disorder • outpatient clinic Quality Improvement Collaborative

•• Medical management of eating disorders in Conditions treated (partial list) patients of all ages •• Abnormal uterine bleeding • Close collaboration with institutional and • •• Amenorrhea community dietitians and therapists for a variety of patients •• Anorexia nervosa

•• Consultations for pubertal and menstrual •• Avoidant/restrictive food intake disorder management in patients with complex medical •• Bone health concerns needs (seizure disorders, genetic conditions, developmental delay, autism spectrum disorder, •• Breast conditions etc.) •• Bulimia nervosa

•• Medical management of adolescents with •• Female athlete triad gynecologic concerns such as abnormal uterine bleeding, amenorrhea and polycystic ovary •• Gender dysphoria syndrome •• Menstrual concerns in medically complex patients

•• Medical treatment of gender non-conforming, •• Menstrual disorders gender diverse and transgender children and adolescents •• Polycystic ovarian syndrome • Premature ovarian insufficiency •• Ongoing collaboration with The University of • Texas at Austin School of Nursing, Department •• Sexually transmitted infections of Psychology and Department of Educational • Vaginitis Psychology in research and treatment for complex • patients

2 Allergy, asthma and immunology Dell Children’s Medical Group

Phone 512-628-1870, Fax 512-628-1871

Main location (services also offered at other locations) Strictly Pediatrics Building 1301 Barbara Jordan Blvd. Austin, TX 78723

Summary of services •• Faculty appointments at Dell Medical School at The University of Texas at Austin •• Comprehensive evaluation of allergic and immunologic disorders by pediatrics and allergy, •• Provide Dell Children’s Medical Center coverage asthma and immunology fellowship-trained and for patients with acute medical problems and board-certified physicians outpatient clinic •• Skin testing for environmental allergens, foods, Conditions treated drugs, insects, and contact allergens •• Allergic conjunctivitis •• In-office laboratory testing; pediatric phlebotomy services •• Allergic rhinitis (seasonal allergy including hay or cedar fever, indoor and outdoor) •• In-office pulmonary function testing •• Anaphylaxis •• In-office infusion center; outpatient administration and monitoring of IVIg and biological agents •• Asthma

•• Medically supervised oral and drug challenges •• Drug allergy

•• Immunotherapy (allergy shots) insect venom, •• Eosinophilic esophagitis allergic asthma, allergic rhinoconjunctivitis •• Food allergy including food protein-induced •• Step-up treatment for asthma including enterocolitis (FPIES) immunotherapy and biologic agents •• Immunodeficiency (primary and secondary)

•• Evaluation of recurrent infections •• Insect allergy

•• Evaluation of abnormal SCID newborn screen •• Sinusitis

•• Management of immunodeficiency and bone •• Skin allergy (urticaria, contact dermatitis, marrow transplant patients in close collaborations angioedema, atopic dermatitis/eczema with state and nationwide experts

•• Participation in food allergy research including clinical trials and patient database with multidisciplinary team; full-time food allergy research coordinator, pediatric psychology services and pediatric dietitian

3 Anesthesiology US Anesthesia Partners of Central Texas

Phone 512-324-0000 ext.86227

Location Dell Children’s Medical Center 4900 Mueller Blvd. Austin, TX 78723

Summary of services •• Family-centered care with multiple options to reduce the stress of children and parents on the The services listed below include both provider and day of surgery hospital services:

•• Fellowship-trained and board-certified pediatric Conditions treated anesthesiologists providing complex care to all •• Offer a full range of anesthetic services including: children from neonates to young adults •• Acute pain control •• The anesthesia care team includes the specialized care of certified registered nurse anesthetists •• Advanced regional anesthesia (CRNA) •• General anesthesia

•• Preoperative screening clinic for medically complex •• Sedation patients who require surgery •• Specialization in all complex pediatric cases •• Outcome tracking through NSQIP and clinical including: quality improvement •• Cardiac anesthesia (complex cardiac surgery, •• Faculty appointments at Dell Medical School at interventional cardiology, and electrophysiology) The University of Texas at Austin •• Complex plastics (cranial vaults, cleft lips and •• 24/7 coverage at Dell Children’s Medical Center palates) of Central Texas, American College of Surgeons (ACS) Level 1 pediatric trauma center in Central •• Neonatal (tracheoesophageal fistula, Texas and Level IV NICU diaphragmatic hernia, intestinal atresia)

The services listed below include hospital services: •• Neurosurgery (epileptic foci, brain and spine tumors) •• Specializing in early recovery after surgery (ERAS) programs that reduce narcotic use in our patients •• Orthopedics (spinal fusions, congenital and lead to a faster return to normal living anomalies)

•• Regional anesthesia that includes both upper and •• Trauma lower extremity home nerve catheter programs •• Comprehensive, multidisciplinary, acute pain allowing for excellent nonnarcotic pain control for service with a dedicated team that effectively outpatient surgery treats acute post-surgical pain and acute pain •• Sedation services for patients needing radiologic in chronic pain patients by utilizing neuraxial and minor procedures (epidural, caudal, spinal) and peripheral nerves blocks along with multimodal analgesia

4 Behavioral and mental health Dell Children’s Medical Group

Phone 512-324-0029

Location Grace Grego Maxwell Mental Health Unit at Dell Children’s Medical Center 4900 Mueller Blvd. Austin, TX 78723

The Grace Grego Maxwell Mental Health Unit provides care for patients ages 6-17 who may be experiencing a mental health crisis. Treatment takes place in our 24-bed inpatient unit and brings children and adolescents back to a level of safety and stability, so they can return home as quickly as possible.

Summary of services Conditions treated

•• Immediate evaluation and assessment to •• Anxiety disorders determine appropriate level of care •• Attention deficit hyperactivity disorder (ADHD) •• 24-hour nursing and psychiatric care from •• Bipolar disorder interdisciplinary treatment team •• Cutting and self-harming •• Team includes fellowship-trained and board- certified physician psychiatrists, specially trained •• Depression nursing staff and licensed social workers •• Psychosis or altered mental status •• Caregivers committed to working with patients •• Suicidal thoughts/behaviors and their families to identify and help manage behavioral and mental health concerns and develop a treatment plan to address these needs upon the child’s return to their home

•• Outpatient programs where stabilized patients can continue treatment

5 Pediatric Cardiology of Austin Children’s Cardiology Associates An affiliate of MEDNAX An affiliate of MEDNAX

Phone 512-320-8388, Fax 512-320-8398 Phone 512-454-1110, Fax 512-374-1354

Main location (services also offered at other locations) Main location (services also offered at other locations) Central Office (PCA) Central Office (CCA) 1110 E. 32nd St. 4314 Medical Parkway, Suite 200 Austin, TX 78722 Austin, TX 78756

Summary of services •• Advanced EP catheterization/devices including radiofrequency (RF) and cryoablation procedures, The services listed below include both provider and pacemaker implantation, implantable cardiac hospital services: defibrillator (ICD) and implantable loop recorders •• Management of pediatric, congenital and acquired •• ECMO support for cardiac patients heart disease by fellowship-trained and board- certified physicians •• Advanced cardiac MRI services •• Management of adult congenital heart disease Conditions treated (partial list) (ACHD) •• Aberrant coronary artery •• Transthoracic and transesophageal echocardiograms (ICAEL accreditation) •• Aortic stenosis

•• Fetal echocardiography (ICAEL accreditation) •• Atrial ectopic tachycardia

•• Prenatal cardiac consultation •• Atrial septal defect

•• Arrhythmia management to include EKG, Holter •• Coarctation of the aorta monitor, event monitor, exercise stress test and •• Complex congenital heart disease interventional electrophysiology lab •• Congenital heart block •• Faculty appointments at Dell Medical School at The University of Texas at Austin •• Coronary fistula

•• Provide 24/7 Dell Children’s Medical Center •• Dilated cardiomyopathy coverage for patients with acute medical problems •• Double outlet right ventricle and outpatient clinic •• Heterotaxy syndrome The services listed below are hospital services: •• Hypertrophic cardiomyopathy •• Inpatient care for diagnosis and management of congenital heart disease •• Hypoplastic left ventricle • Hypoplastic right ventricle •• Pre/postoperative care for complex congenital • heart disease •• Long QT syndrome

•• Interventional cardiac catheterization in children •• Marfan syndrome and adults including transcatheter pulmonary valve replacement, device closure of septal defects, •• Myocarditis intravascular stents, PDA closure, etc. •• Patent ductus arteriosus

6 •• Pericardial effusion

•• Pulmonary stenosis/atresia

•• Repaired adult congenital heart disease

•• Supraventricular tachycardia (SVT)

•• Tetralogy of fallot

•• Transposition of the great arteries

•• Truncus arteriosus

•• Ventricular septal defect

•• Ventricular tachycardia

7 Pediatric cardiology and cardiovascular surgery Texas Center for Pediatric and Congenital Heart Disease

Phone 855-324-0091, Fax 512-380-7532

Location Dell Children’s Medical Center 4900 Mueller Blvd. Austin, TX 78723

The Texas Center for Pediatric and Congenital Heart Disease offers comprehensive and complex care for patients and families in Central Texas. The center is committed to providing comprehensive medical and surgical care for children, adolescents and adults with congenital heart disease. We manage and repair highly complex heart defects while keeping families close to home.

The comprehensive program includes the •• Electrophysiology services including following subspecialties catheterization, pacemakers, implantable defibrillators •• Fellowship-trained and board-certified physician pediatric cardiovascular surgeons •• Adult congenital heart disease management

•• Pediatric cardiology (specialties in interventional, •• Cardiac magnetic resonance imaging (MRI) and MRI, fetal, electrophysiology, adult congenital) magnetic resonance angiography

•• Pediatric cardiac anesthesiologists •• Computerized tomography (CT)

•• Pediatric cardiovascular surgical nursing team •• Echocardiography (ECHO)

•• Pediatric cardiac surgical technicians •• Electrocardiography (EKG)

•• Pediatric perfusionists •• Fetal echocardiography

•• Pediatric cardiac intensivists •• Exercise stress test

•• Neonatal Intensive Care Unit (NICU) Level IV •• Extracorporeal membrane oxygenation (ECMO) (The only pediatric ECMO program in Central •• Pediatric Intensive Care Unit (PICU)/ Cardiac ICU Texas) • Pediatric cardiac catheterization lab staff • •• Neurodevelopmental outcomes • Pediatric echocardiography technicians • •• Single Ventricle Program • Pediatric critical care transport • •• Anomalous Coronary Program • Child Life support services • •• Faculty appointments at Dell Medical School at The University of Texas at Austin Summary of services •• Provide 24/7 Dell Children’s Medical Center • Complex congenital heart surgery • coverage for patients with acute medical problems •• Cardiac Surgery Clinic and outpatient clinic

•• Interventional cardiac catheterization

8 Procedures •• Septal myectomy •• Absent pulmonary valve repair •• Single ventricle repair - tricuspid atresia •• Anomalous left coronary artery reimplantation •• Single ventricle repair - double inlet left ventricle •• Aortic stenosis repair – valvular •• Single ventricle repair - hypoplastic left heart syndrome •• Aortic stenosis repair – supravalvular • Tetralogy of Fallot repair •• Aortopulmonary window repair • • Total anomalous pulmonary venous repair •• Atrial septal defect repair • • Transposition of the great arteries, d-type repair •• Atrioventricular septal defect, complete repair • • Tricuspid atresia repair •• Atrioventricular septal defect, partial repair • • Truncus arteriosus repair •• Bicuspid aortic valve repair • • Vascular ring repair •• Blalock-Taussig shunt • • Ventricular septal defect repair •• Coarctation of the aorta repair • •• Coronary artery fistula repair Conditions • Damus-Kaye-Stansel procedure • •• Anomalous coronary artery • Dilated cardiomyopathy repair • •• Aortic stenosis • Double aortic arch repair • •• Arrhythmias • Double-inlet left ventricle repair • •• Atrial septal defect • Double-outlet right ventricle repair • •• Atrioventricular canal defect • Ebstein’s anomaly repair • •• Cardiomyopathy • Eisenmenger complex repair • •• Coarctation of the aorta • Electrophysiological defects repair • •• Eisenmenger syndrome • Endocardial cushion defect repair • •• Endocarditis • Fontan operation • •• Heart failure • Hypertension, pulmonary treatment • •• Heart murmurs • Hypertension, systemic treatment • •• Hypoplastic left heart syndrome • Hypertrophic cardiomyopathy repair • •• Kawasaki disease • Hypoplastic left heart syndrome repair • •• Long QT syndrome • Interrupted aortic arch repair • •• Patent ductus arteriosis • Jatene arterial switch operation • •• Pericarditis • Kawasaki disease treatment • •• Pulmonary atresia • Marfan syndrome repair • •• Pulmonary stenosis • Mitral stenosis repair • •• Rheumatic heart disease • Mitral valve prolapse repair • •• Syncope • Norwood procedure • •• Tetralogy of Fallot • Partial anomalous pulmonary venous repair • •• Total anomalous pulmonary venous return • Patent ductus arteriosus ligation and division • •• Transposition of great arteries • Pulmonary atresia repair • •• Tricuspid atresia • Pulmonary stenosis repair • •• Truncus arteriosus • Ross procedure • •• Ventricular septal defect •• Sano modification of the Norwood procedure 9 Craniofacial and reconstructive plastic surgery Dell Children’s Medical Group

Phone 512-324-0918, Fax 512-324-0644

Location Strictly Pediatrics Building 1301 Barbara Jordan Blvd., Suite 301 Austin, TX 78723 Summary of services Craniofacial conditions treated

•• Cleft lip/palate care from birth to adulthood •• Apert syndrome by fellowship-trained and board-certified •• CHARGE syndrome pediatric providers. Care for all aspects with multidisciplinary specialist team, accredited by the •• Cleft lip and palate ACPA (American Cleft-Craniofacial Association) •• Cleidocranial dysplasia and high-quality outcomes •• Craniofacial microsomia •• Surgical treatment of skin lesions •• Craniofacial trauma •• Oversee pediatric wound clinic at Dell Children’s Medical Center and assist other surgical services •• Craniofacial tumors with complex wound closures •• Craniosynostosis •• Offer pediatric microsurgery coverage of wounds •• Crouzon syndrome and reconstruction through transplantation of vascularized tissue from one part of the body to •• DiGeorge syndrome another •• Ear reconstruction (Patients with microtia are •• Facial reanimation through local facial treated with either medpor or cartilage ear reconstructive techniques or free tissue transfer reconstruction)

•• Participate in research studies, including research •• Fibrous dysplasia studies to discover genetic determinates of •• Goldenhar syndrome craniosynostosis •• Moebuis syndrome •• Accredited Craniofacial Fellowship with Accreditation Council for Graduate Medical •• Obstructive sleep apnea/airway disorders Education for 7 years •• Orthognathic surgery • Faculty appointments at Dell Medical School at • •• Pfeiffer syndrome The University of Texas at Austin •• Pierre Robin sequence •• Provide 24/7 Dell Children’s Medical Center coverage for patients with acute medical problems •• Plagiocephaly and outpatient clinic •• Saethre-Chotzen syndrome

•• Septorhinoplasty

•• Stickler syndrome

10 •• Treacher Collins syndrome Hand and Upper Extremity Clinic •• Van der Woude syndrome conditions treated

•• Vascular anomalies care (Hemangioma, vascular •• Brachydactyly malformations, with multidisciplinary approach) •• Camptodactyly • Velocardiofacial syndrome (22Q Deletion) • •• Congenital conditions and traumatic injuries General/Reconstructive Plastics Clinic •• Fingertip crush injury conditions treated •• Hand fractures

•• Acquired deformities •• Hand tumors

•• Benign and malignant tumors •• Juvenile arthritis

•• Birthmarks •• Madelung’s deformity

•• Breast deformity/asymmetry •• Marcodactyly

•• Congenital deformities •• Nerve injuries

•• Congenital ear anomalies •• Polydactyly

•• Facial fractures •• Radial dysplasia

•• Hemangiomas •• Tendon injuries

•• Lower extremity reconstruction •• Thumb hypoplasia

•• Nevi •• Trigger thumb •• Rhinoplasty

•• Scar revision

•• Spina bifida deformities and complications

•• Traumatic deformities

•• Truncal reconstruction

11 Dermatology Dell Children’s Medical Group

Phone 512-628-1920, Fax 512-628-1921

Main location (services also offered at other locations) Strictly Pediatrics Building 1301 Barbara Jordan Blvd., Suite 200A Austin, TX 78723

Summary of services Conditions treated

•• Fellowship-trained and board-certified pediatric •• Acne and adolescent dermatologists managing all skin, •• Alopecia (hair loss) hair and nail conditions •• Atopic dermatitis •• General pediatric/adolescent dermatology care including birthmarks, inflammatory skin disorders •• Autoimmune diseases including lupus, morphea, or and infectious skin disorders dermatomyositis

•• Surgical and laser treatment of birthmarks, scars •• Birthmarks and hypertrichosis with local anesthesia in the •• Genetic skin conditions including ichthyosis, office or with sedation in the operating room at neurofibromatosis and tuberous sclerosis Dell Children’s Medical Center (if appropriate) •• Hemangiomas •• Light therapy treatments with narrow-band UVB or excimer laser for various skin conditions such as •• Hidradenitis suppurativa atopic dermatitis, vitiligo and psoriasis •• Hyperhidrosis •• Hyperhidrosis treatment with Botox injections, •• Molluscum contagiosum iontophoresis and other therapies •• Nevi (moles) •• Multidisciplinary monthly vascular anomalies clinic with plastic surgery, hematology, interventional •• Onychomycosis (nail fungus) radiology and other services as needed •• Port wine stains • Multidisciplinary coordinated care of patients • •• Psoriasis with genetic skin disorders such as epidermolysis bullosa, neurofibromatosis and tuberous sclerosis •• Scabies

•• Inpatient consultation for dermatologic •• Scars manifestations of complicated medical conditions •• Seborrheic dermatitis • Multidisciplinary monthly dermatology- • •• Skin growths rheumatology clinic with rheumatology •• Skin infections •• Provide faculty appointments with Dell Medical School at The University of Texas at Austin •• Skin pigmentation issues including fellows in craniofacial/plastic surgery •• Tinea capitis

•• Provide 24/7 Dell Children’s Medical Center •• Tinea versicolor coverage for patients with acute medical problems and outpatient clinic •• Vitiligo •• Warts 12 Developmental behavioral pediatrics Dell Children’s Medical Group

Phone 512-324-0098, Fax 512-380-4274

Main location (services also offered at other locations) Capital Plaza 5339 N. Interstate 35 Frontage Road, Suite 100 Austin, TX 78723

Summary of services •• Pediatric psychometrist

•• Fellowship-trained and board-certified •• Speech and language pathologists developmental pediatrician •• Dedicated RN coordinator • Monitoring of children ages birth to 14 years old • •• Social workers with developmental and behavioral conditions including medication management for anxiety, •• Faculty appointments at Dell Medical School at depression, autism and ADHD The University of Texas at Austin

•• Developmental assessments (individual and •• Provide Dell Children’s Medical Center coverage interdisciplinary team approach) for patients with acute medical problems and outpatient clinic •• ADHD assessment and treatment recommendations

•• Autism assessment (individual and interdisciplinary Conditions treated team approach) and case management •• Autism spectrum disorders

•• Cognitive behavioral therapy •• ADHD

•• Developmental follow-up and monitoring for NICU •• Global developmental delay graduates and children with genetic syndromes •• Anxiety disorder •• Preliminary genetic testing and pharmacogenetic testing •• Developmental coordination disorder including motor and speech dyspraxia •• Parent child interaction therapy (PCIT) •• Emotional and behavioral disorders •• Developmental assessments in collaboration with ECI and Austin First Steps NICU follow-up program •• Genetic disorders including Fragile X, Down syndrome, Williams syndrome, Turner syndrome, •• Seton Comprehensive Autism Program with Klinefelter syndrome and DiGeorge syndrome providers from Dell Medical School and The University of Texas at Austin including Steve •• Monitoring for NICU graduates Hicks School of Social Work, Moody College •• Fetal alcohol spectrum disorders of Communication, College of Education, and a pediatric neurologist •• Oppositional defiant disorder • Social pragmatic communication delay •• Comprehensive developmental pediatrics team • includes the following: •• Specific developmental delay (speech delay, fine motor delay, gross motor delay) •• Developmental behavioral pediatrician • Specific learning disorder •• Dedicated nurse practitioner • • Speech/language disorders •• Pediatric psychologist • 13 Children’s emergency care US Acute Care Solutions

Locations Dell Children’s Medical Center Dell Children’s Emergency Care 4900 Mueller Blvd. at Seton Medical Center Williamson Austin, TX 78723 201 Seton Parkway Phone 512-324-0150 Round Rock, TX 78665 Phone 512-324-4287 Dell Children’s Emergency Care at Seton Medical Center Hays Dell Children’s Emergency Care 6001 Kyle Parkway at Seton Southwest Hospital Kyle, TX 78640 7900 Farm to Market Road 1826 Phone 512-504-5125 Austin, TX 78737 Phone 512-324-9010 Dell Children’s Emergency Care at Seton Northwest Hospital Dell Children’s Emergency Care 11113 Research Blvd. at Providence Health Center Austin, TX 78759 6901 Medical Parkway Phone 512-324-6601 Waco, TX 76712 Phone 254-751-4180

Dell Children’s Medical Center, the only American College of Surgeons (ACS) Level 1 pediatric trauma center in Central Texas, provides clinical management and multidisciplinary coordination of trauma care for injured children from birth through age 14. Summary of services The services listed below include hospital services: The services listed below include both provider and •• Ketamine sedation for major procedures in the hospital services. emergency department

•• Pediatric emergency medicine fellowship-trained •• Non-invasive sedation for minor procedures to and board-certified physicians offer Level 1 trauma alleviate pain and fear capabilities at Dell Children’s Medical Center •• Intra-nasal sedatives and narcotics • Access to comprehensive selection of Dell • •• Access to sexual assault nurse examiners that are Children’s Medical Group subspecialists for certified and trained to care for pediatric patients emergent referral •• Social workers with emergency room experience •• Faculty appointments at Dell Medical School at for mental health crises and to help in abuse and The University of Texas at Austin neglect cases • Provide 24/7 Dell Children’s Medical Center • •• Child Life distraction/play therapists to help coverage for patients with acute medical problems children with pediatric ER experience

•• Online appointments for non-urgent problems (InQuickER online portal or mobile device)

14 Endocrinology Dell Children’s Medical Group

Phone 512-628-1830, Fax 512-628-1831

Main location (services also offered at other locations) Strictly Pediatrics Building 1301 Barbara Jordan Blvd., Suite 200 Austin, TX 78723

Summary of services •• Disorders of glucose homeostasis (diabetes mellitus – Type 1 DM, Type 2 DM, MODY, neonatal • Specialists in care of patients with diabetes (Type • diabetes, steroid-induced diabetes, cystic fibrosis- 1, Type 2, MODY, steroid induced, cystic fibrosis- related diabetes, hypoglycemia) related diabetes and neonatal diabetes) •• Disorders of growth (tall stature and short stature) •• Fellowship-trained and board-certified physician specialists in the care of patients with various types •• Disorders of mineral homeostasis (calcium of endocrine disorders disorders, vitamin D disorders)

•• Stimulation testing and challenge testing for •• Disorders of puberty (delayed or early puberty) diagnosis of various endocrine disorders •• Disorders of puberty in male and female •• Hospital consultation for all the services at Dell adolescents Children’s Medical Center, Seton Healthcare •• Disorders of sex differentiation Family; informal consultation to outlying hospitals and primary care practices •• Disorders of the hypothalamic-pituitary axis (hypopituitarism from different etiologies; •• Faculty appointments at Dell Medical School at hyperprolactinemia, diabetes insipidus, empty sella The University of Texas at Austin syndrome) • Provide Dell Children’s Medical Center coverage • •• Endocrine disorders in survivors of childhood for patients with acute medical problems and cancer outpatient clinic •• Endocrine neoplasia (primary or secondary) Conditions treated (partial list) •• Endocrine syndromes (Turner syndrome, •• Adrenal disorders (CAH, adrenal hypoplasia, Klinefelter syndrome, Prader-Willi syndrome, primary and secondary adrenal insufficiency, Noonan syndrome, Russell-Silver syndrome, adrenal hyperfunction) skeletal dysplasia)

•• Autoimmune polyglandular syndromes •• Lipid disorders

•• Disorders of bone metabolism •• Thyroid disorders (hyperthyroidism, hypothyroidism, thyroid nodules, thyroid cancer • Disorders of energy balance (comorbidities of • and treatment) childhood obesity)

15 Clinical and metabolic genetics Dell Children’s Medical Group

Phone 512-628-1840, Fax 512-628-1841

Main location (services also offered at other locations) Strictly Pediatrics Building 1301 Barbara Jordan Blvd., Suite 200 Austin, TX 78723

Summary of services •• Complex genetic testing interpretation

•• Fellowship-trained and board-certified physicians •• In-depth information and education resource for provide diagnosis, explanation and information on healthcare providers the disease, syndrome or condition through: •• Mitochondrial (respiratory chain defect) disease •• Outpatient consultations at the request of therapy primary care providers or specialists for •• Clinical trials (phase II/III pharmacotherapy for identification of syndromes, known genetic selected genetic diseases) disorders and for the exclusion of genetic disease •• International collaboration for identification of new syndromes and genetic diseases •• Inpatient consultations for diagnosis or management •• Contributing to advancement of knowledge through research and publication in peer-reviewed •• Genetic counseling: complex testing with informed journals consent •• Ages served: birth to age 20 for all service lines; •• Determination and communication of genetic birth to end of life for metabolic disorders, birth recurrence risk through adulthood for most genetic counseling • Multifactorial disease risk assessment • •• 24/7 telephone availability for providers and •• Counseling support and information including established patients local, regional, national and international •• Faculty appointments at Dell Medical School at support groups for specific rare disorders The University of Texas at Austin and University of •• Identification of genetic screening and intervention Texas Health Science Center at San Antonio options •• Provide Dell Children’s Medical Center coverage •• Management of inborn errors of metabolism in for patients with acute medical problems and children and adults outpatient clinic

• Consultant service for the DSHS newborn • screening program for metabolic diseases

(accounts for 44 of the 52 total screened conditions) for 88 counties

16 Conditions treated (partial list) •• Lysosomal storage disease enzyme replacement therapies and substrate replacement therapies •• Acute and chronic rhabdomyolysis •• Outpatient management of metabolic diseases • Acute metabolic acidosis • with pharmacologic and dietary therapies including •• Complex epilepsy syndromes co-management phenylketonuria, cystinosis, galactosemia, urea cycle disorders, organic acid disorders and • Dysmorphic features • congenital hyperlipidemias •• Family history of known or suspected genetic •• Syndrome identification disease •• Syndromic autism •• Global developmental delays

•• Hyperammonemia

17 Gastroenterology Dell Children’s Medical Group

Phone 512-628-1810, Fax 512-628-1811

Main location (services also offered at other locations) Strictly Pediatrics Building 1301 Barbara Jordan Blvd., Suite 200 Austin, TX 78723

Summary of services •• Aerodigestive Clinic

•• Fellowship-trained and board-certified physicians •• Collaboration with ENT, pulmonary and GI to provide diagnosis and management of children coordinate care of children with complex airway, with acute and chronic digestive illnesses of lung and feeding issues the esophagus, stomach, intestine, colon, •• Eosinophilic esophagitis and food allergy liver, bile ducts, gallbladder and pancreas by a multidisciplinary team including pediatric •• Collaboration with allergy and GI to enhance gastroenterologists, advanced nurse practitioners, care for children with these disorders nurses, dietitians and social workers. •• In-office infusion services for children with •• Intestinal rehabilitation program for children with inflammatory bowel disease and other conditions short bowel syndrome •• In-office breath hydrogen and methane testing for •• Comprehensive management through the carbohydrate malabsorption and for small intestinal inpatient-outpatient continuum by a dedicated bacterial overgrowth team with physician, NP, dietitian, social worker •• In-office H. pylori breath testing participating in all Austin-area NICUs •• In-office wireless capsule endoscopy •• Cystic fibrosis program •• In-office anorectal manometry as a minimally •• Pediatric gastroenterology support inpatient and invasive screen for Hirschsprung’s disease outpatient •• Home health management •• Chronic abdominal pain program •• Central line care and teaching •• Multidisciplinary care of children with chronic debilitating abdominal pain with MD, NP, •• Port-a-cath teaching and access psychology and social work; goals include •• Conventional upper endoscopy and colonoscopy improved quality of life, return to school and activities •• Endoscopic control of bleeding

•• Improve Care Now •• Polypectomy

•• Nationwide consortium of Pediatric •• Banding ligation of varices Gastroenterology Centers dedicated to •• Intralesional injection with steroids improving the quality of care for children with Crohns and ulcerative colitis. •• Injection of Botox

18 •• Dilatation of strictures •• Gastritis, H. pylori, gastroparesis

•• Esophageal impedance monitoring •• GERD, achalasia, esophageal dysmotility

•• Needle knife separation of duodenal webs •• Inflammatory bowel disease, Crohn’s disease, ulcerative colitis •• Endoscopic retrograde cholangiopancreatography (ERCP) diagnostic and therapeutic •• Malabsorption, pancreatic insufficiency

•• Endoscopic ultrasound •• Pancreatitis, acute, chronic and recurrent

•• Gastrostomy placement, replacement and •• Peptic ulcer disease management •• Short bowel syndrome •• Cecostomy placement •• Liver diseases including: •• Liver biopsy •• Alpha 1 antitrypsin deficiency •• Endoscopic drainage of pancreatic pseudocyst •• Autoimmune hepatitis •• Faculty appointments at Dell Medical School at •• Biliary atresia The University of Texas at Austin •• Choledochal cyst •• Provide 24/7 Dell Children’s Medical Center coverage for patients with acute medical problems •• Chronic hepatitis B and C and outpatient clinic •• Cystic fibrosis-associated liver disease

Conditions treated (partial list) •• Fatty liver

•• Abdominal pain, nausea, vomiting, constipation, •• Gestational alloimmune liver disease bloating, encopresis and diarrhea •• Hepatotoxicity •• Autoimmune enteropathy •• Neonatal cholestasis •• Celiac disease •• Portal hypertension •• Cystic fibrosis •• Primary sclerosing cholangitis •• Dysphagia, food impactions, foreign body removal •• Various metabolic liver diseases •• Eosinophilic esophagitis •• Wilson’s disease •• Feeding issues

19 Hand surgery Seton Institute of Reconstructive Plastic Surgery

Phone 512-324-0137, Fax 512-406-6520

Main location (services also offered at other locations) Dell Children’s Medical Center 4900 Mueller Blvd. Austin TX, 78723

The fellowship-trained and board-certified surgeons and physicians involved in hand and upper extremity care manage congenital hand conditions including trauma related to the hand and wrist. The scope of practice includes a dedicated nurse and independently functioning advanced practice nurses. Summary of services Conditions treated

•• Pediatric hand and wrist disorders with •• Assessment and intervention of acute traumatic management of injuries and reconstructive surgery hand/upper extremity injuries: for congenital and post-traumatic conditions •• Fingertip crush injuries •• Care for children of all ages, infants through •• Hand/wrist/upper extremity fractures adolescents •• Tendon injuries •• Clinical focus includes hand and wrist disorders, microsurgery and peripheral nerve surgery •• Assessment and intervention of congenital hand deformities: •• Education concerning injuries and congenital deformities •• Brachydactyly (short fingers)

•• Independent review and interpretation of imaging •• Camptodactyly (bent fingers) during visit •• Madelung deformity •• Minor procedures for appropriate congenital •• Polydactyly (extra digits, feet included) deformities in office •• Radial dysplasia •• Surgical discussion and planning •• Syndactyly (fused digits, feet included) •• Co-management and multidisciplinary conferences with orthopedics including Central Texas Pediatric •• Trigger thumb Orthopedics •• Upper limb growth disorders •• Full on-site radiology, fluoroscopy and immediate •• Hand and wrist surgery image detailing •• Microsurgery and peripheral nerve surgery •• On-site occupational therapy

•• On-site wound care

•• Faculty appointments at Dell Medical School at The University of Texas at Austin

•• Provide 24/7 Dell Children’s Medical Center coverage for patients with acute medical problems and outpatient clinic

20 Hematology/oncology Dell Children’s Medical Group

Phone 512-628-1900, Fax 512-628-1901

Main location (services also offered at other locations) Strictly Pediatrics Building CBCC Survivorship Children’s Blood & Cancer Center 1301 Barbara Jordan Blvd., Suite 402 1301 Barbara Jordan Blvd., Suite 401 Austin, TX 78723 Austin, TX 78723

Comprehensive care for infants, children, adolescents and young adults with hematology and oncology diagnoses in cohesive inpatient and outpatient settings. The multidisciplinary care team consists of fellowship-trained and board- certified hematology/oncology physicians, nurse practitioner and nurse. A pharmacist, nutritionist, psychologist, Child Life, social work and chaplain are also major team contributors. Collaborative care begins at diagnosis and continues through survivorship and into adulthood.

Summary of services in conjunction with clinical trial eligibility, coordination and implementation •• Family-centered care that features Child Life interventions, social work and psychology support •• Comprehensive care for bleeding and clotting as well as neuropsychology testing, critical to the disorders, including hemophilia; designated success of all oncology and many hematology as a regional Hemophilia Treatment Center in patients. In addition, Child Life staff offer support, 2017. Multidisciplinary patient management including school visits, for student-patients before, includes physicians, nurse practitioners, nurses, during and after therapy. Specialized teen support physical therapy, social work, nutrition and dental groups and family events occur monthly assessment

•• Extensive clinical research program with more than •• Comprehensive care for patients with sickle cell 80 clinic trials open to enrollment disease. Multidisciplinary patient management includes physicians, nurse practitioners, nurses, • All nurses administering chemotherapy and/or • physical therapy, social work, nutrition and dental biotherapy agents have successfully completed assessments, with the potential to perform advanced training through the Pediatric automated red blood cell exchange transfusions for Chemotherapy and Biotherapy Provider Program those on chronic transfusion protocols offered through the Association of Pediatric Hematology Oncology Nurses (APHON). •• Survivorship care is provided to oncology patients two years off therapy and beyond. This program • Diagnostic technology available; functional • provides a treatment summary and extensive magnetic resonance imaging (fMRI); follow-up for possible late effects from radiation, brachytherapy, stereotactic radiosurgery; intra- chemotherapy and surgery as well as nutrition and arterial chemotherapy or embolization for emotional components as survivor’s transition to a solid tumors, radio frequency ablation (RFA) life after cancer and cryoablation for treatment of tumors and interventional radiology •• Palliative care, surgical oncology, radiation oncology, interventional radiology •• Dedicated pediatric brain tumor program with expertise in coordinating the care of neuro- •• Fertility preservation program that includes sperm oncology patients through surgical, chemotherapy banking and oocyte preservation and radiation therapies as well as rehabilitation •• Onsite laboratory and pharmacy services

21 •• Faculty appointments at Dell Medical School at Conditions treated (partial list) The University of Texas at Austin •• Hematology •• Provide 24/7 Dell Children’s Medical Center • Bone marrow failure syndromes coverage for patients with acute medical problems • •• General hematology •• Member of Children’s Oncology Group (COG) for more than 20 years. The Children’s •• Anemias Oncology Group (COG), a National Cancer • Thalassemia Institute-supporting clinical trials group, is a • research collaborative of more than 9,000 •• Hemoglobinopathy experts in childhood cancer at more than 200 •• Red blood cell membrane defects leading children’s hospitals, universities and cancer centers across North America, Australia, •• Red blood cell enzyme defects New Zealand and Europe •• Hemophilia •• Member of Beat Childhood Cancer, a group of •• Hemostasis and thrombosis (bleeding and 40+ research centers and children’s hospitals clotting) offering an international network of childhood cancer clinical trials linked with laboratory •• Immune thrombocytopenic purpura and programs developing novel therapies and immune hematology technologies •• Sickle cell disease •• Member of the Texas-Oklahoma Pediatric •• Vascular anomalies Neuro-Oncology Consortium (TOPNOC), a network of leading children’s hospitals and •• Oncology centers throughout Texas and Oklahoma that •• Acute lymphoblastic leukemia (ALL) are committed to clinical and translational research to improve outcomes for children •• Acute myeloid leukemia (AML) diagnosed with brain tumors •• Bone tumors (osteosarcoma, Ewing’s sarcoma)

•• Central nervous system tumors; brain tumors

•• Hodgkin and non-Hodgkin lymphoma

•• Liver tumors

•• Neuroblastoma

•• Renal tumors (Wilms, clear cell sarcoma, malignant rhabdoid tumor)

•• Soft tissue sarcomas (rhabdomyosarcoma, non- rhabdoid soft tissue sarcomas)

22 Infectious diseases Dell Children’s Medical Group

Phone 512-628-1820, Fax 512-628-1821

Main location (services also offered at other locations) Strictly Pediatrics Building 1301 Barbara Jordan Blvd., Suite 200 Austin, TX 78723

Summary of services •• Involvement in physician leadership positions in evidence-based medicine, infection prevention and • Fellowship-trained and board-certified physicians • antibiotic stewardship provide evaluation and management of complicated infections in immunocompromised •• Faculty appointments at Dell Medical School at children The University of Texas at Austin

•• Inpatient and outpatient consultative services for •• Provide Dell Children’s Medical Center coverage neonates and children with known or suspected for patients with acute medical problems and infectious diseases outpatient clinic •• Prenatal consultations for women with a concern Conditions treated for congenital infection •• Bacterial infections •• International adoption consultative services include pre-adoption record review, availability while family •• Bone and joint infections is overseas with child and post-adoption evaluation •• Central nervous system infections

•• International travel consultations for children and •• Fever of unknown origin their families including travel immunizations and prescriptions •• Fungal infections

•• Care of children exposed to and infected with HIV •• Hepatitis A, B and C infection

•• Consultation regarding prophylaxis for exposure to •• HIV infection communicable diseases •• Immunocompromised patients with infection

•• Consultation for infection prevention for •• Lyme disease healthcare-associated infection and antibiotic stewardship •• Multi-drug resistant bacterial infections • Opportunistic Infection •• Outpatient infusion services including antibiotic • and immunoglobulin infusions for patients who are •• Prolonged fever immunosuppressed or have infections requiring IV infusion therapy •• Recurrent febrile episodes, rheumatic fever, cat scratch disease •• Outpatient supervision of patients needing long- term home IV antibiotic therapy for infections •• Recurrent fever • Recurrent infection •• Immunizations • • Tuberculosis •• Active research in multiple projects pertaining • to pediatric infectious diseases including: acute •• Viral infections: RSV, EBV, CMV, varicella, herpes, flaccid myelitis, bone and joint infections, complex influenza pneumonia, fungal infections in childhood, Kawasaki disease, antibiotic stewardship 23 Neonatal Intensive Care Unit (NICU) Pediatrix Medical Group, a MEDNAX Company

Phone 512-324-0173

Locations Dell Children’s Medical Center (Level IV – highest designation possible) 4900 Mueller Blvd. Austin, TX 78723

Seton Medical Center Austin (Level III) 1201 W. 38th St. Austin, TX 78705

Fellowship-trained and board-certified physicians offer quality care for premature and term neonates who require critical and intensive care, including infants born at 22 weeks gestation or above and infants with congenital anomalies.

Offer pre-operative and post-operative supportive care for infants who undergo surgery for complex congenital anomalies and manage on-site 24/7 access to neonatal surgeons and pediatric anesthesiologists for neonatal patients in need of surgical consults.

Summary of services •• Faculty appointments at Dell Medical School at The University of Texas at Austin The services listed below include both provider and hospital services: •• Provide 24/7 Dell Children’s Medical Center coverage for patients with acute medical problems; • Capacity to readmit sick neonates from home, • neonatologist and neonatal nurse practitioner either from direct admissions or the emergency department The services listed below include hospital services:

•• Rooms available with negative pressure for •• Dedicated neonatal transport team serving Central isolation of appropriate patients Texas and beyond by air or land with capacity to provide inhaled nitric oxide and high- frequency • Extend on-site access to all pediatric subspecialists • oscillatory ventilation during transport and pediatric surgical subspecialists to coordinate care of complex neonatal patients •• Total body cooling for hypoxic ischemic encephalopathy •• Prenatal consultations for expectant mothers who have a child with a congenital anomaly and or •• Peritoneal and hemodialysis for neonatal patients anticipated premature birth in renal failure

•• March of Dimes Family Support Program •• Neonatologists co-manage neonates on extracorporeal membrane oxygenation •• Outcomes tracking in Vermont Oxford Network Very Low Birth Weight Database •• Dedicated lactation specialist available 24/7. Breast pumps available to all moms •• Outcomes tracking in the Mednax Clinical Data Warehouse •• Donor breast milk provided to all infants < 1500 grams and donor breast milk bridge program • Neonatal outreach, neonatal resuscitation program • available to all infants in the first five days of life and STABLE courses provided throughout Central with parental consent Texas

24 •• Child Life, physical therapy, speech therapy, Conditions treated (partial list) occupational therapy and music therapy available • Bladder extrophy to all NICU patients • •• Cleft lip and palate •• Neonatal dietitian dedicated to nutritional support of all NICU patients •• Complications of prematurity (necrotizing enterocolitis, intraventricular hemorrhage, •• Single patient room NICU design with 30 beds; retinopathy of prematurity, bronchopulmonary two rooms available to accommodate multiple dysplasia, etc.) gestations •• Congenital airway anomalies •• Family visitation, including siblings, allowed 24/7 at the bedside (restrictions on sibling visitation in •• Congenital anomalies (myelomeningocele, place during cold and flu season) congenital diaphragmatic hernia)

•• Ronald McDonald Charities family room available •• Congenital heart defects for family use •• Early and late onset sepsis •• Family experience rooms for families preparing for • Feeding failure hospital discharge with their infants • •• Gastroschisis •• Palliative care services available in the NICU •• Hydrocephalus •• NICU social worker and case manager •• Hyperbilirubinemia •• Psychosocial support for NICU families as appropriate with on-site psychologists •• Hypoglycemia

•• Intestinal (atresia or stricture, etc.)

•• Intestinal failure

•• Micrognathia

•• Omphalocele

•• Persistent pulmonary hypertension

•• Prematurity

•• Renal failure

•• Respiratory distress

25 Dell Children’s Neuroscience Center Specialty: Pediatric neurology

Dell Children’s Medical Group Child Neurology Consultants of Austin 1301 Barbara Jordan Blvd. 6811 Austin Center Blvd., Suite 400 Austin, TX 78753 Austin, TX 78731 Phone 512-628-1855 Phone 512-494-4000 Fax 512-380-7544 Fax 512-494-4024

Dell Children’s Comprehensive Epilepsy •• Partnership with the Department of Neurology Program summary of services through Dell Medical School at The University of Texas at Austin •• Level IV designation with the National Association of Epilepsy Centers (NAEC), (highest designation •• School nurse training and education and reflects full range of care) •• Participation in clinical research trials •• Eight-bed inpatient epilepsy monitoring unit (EMU) General Neurology Program summary of at Dell Children’s Medical Center with on-site services dedicated 24-hour nursing and advanced practice providers (APPs) and on-call physicians •• Fellowship-trained and board-certified physicians offer comprehensive neurological evaluation and •• Fellowship-trained and board-certified physicians care for patients from birth to age 21 provide interdisciplinary epilepsy care featuring a full range of antiepileptic medicines, dietary •• Pediatric Headache Clinic with a board-certified therapy and surgical treatments for epilepsy pediatric headache specialist

•• Embedded EEG studies in the outpatient clinic •• Muscular Dystrophy Clinic and Spasticity Clinic (ABRET-accredited EEG lab) •• Baclofen pump, injections of botulinum toxin for •• Ambulatory home EEG monitoring spasticity dystonia and migraines

•• Specialized epilepsy clinics, including Surgical •• Inpatient consultation and management service at Epilepsy Clinic and Ketogenic Diet Clinic Dell Children’s Medical Center

•• Curative and palliative surgical management of •• Education of medical students from Dell Medical intractable seizures (focal resection, lobectomy, School at The University of Texas at Austin hemispherotomy, corpus callosotomy, VNS) and other institutions and training of resident physicians in pediatrics, child and adult neurology and psychiatry •• Minimally invasive surgical options, such as MRI- guided, stereotactic thermal laser ablation Conditions treated •• Advanced neurophysiology studies, including •• ADHD subdural EEG monitoring, stereotactic EEG and magnetoencephalography (MEG) •• Autism

•• Functional diagnostic capabilities that include •• Brain injury and concussions functional MRI (fMRI), intracarotid sodium •• Brain tumors amobarbital studies (Wada) and transcranial magnetic stimulation (TMS) •• Cerebral palsy

26 •• Complications of prematurity •• Nervous system infections

•• Diseases of the peripheral nerves (neuropathies) •• Neurofibromatosis (NF1 and NF2)

•• Dizziness and balance problems •• Neuro-immunological disorders (multiple sclerosis and others) •• Epilepsy and seizures •• Neuromuscular disorders (myopathies and •• General neurology muscular dystrophy) •• Genetic disorders •• Prenatal consults for neurologic fetal anomalies •• Headaches including migraines and other types •• Spinal cord diseases •• Increased intracranial pressure (pseudotumor •• Stroke in children cerebri) •• Syncope (autonomic disfunction and syncope •• Learning disabilities and developmental delay laboratory) •• Metabolic disorders with neurologic manifestations •• Tuberous sclerosis complex (TSC) •• Movement disorders (tics and Tourette syndrome)

27 Dell Children’s Neuroscience Center Dell Children’s Medical Group Specialty: Pediatric neurosurgery

Phone 512-324-0907, Fax 512-324-0642

Location Strictly Pediatric Building 1301 Barbara Jordan Blvd., Suite 307 Austin, TX 78723

Summary of services •• Research for neural birth defects with expertise in repair of complex congenital anomalies of the brain • Fellowship-trained and board-certified surgeons • and spinal cord offer Level 1 trauma care and coordination for patients with brain and spinal cord injuries •• Outcomes tracking in the National Surgical Quality Improvement Program (NSQIP) with distinction in • Care of cervical spine injuries and disorders • many areas •• Expertise in endoscopic neurosurgery for •• Faculty appointment with Dell Medical School at hydrocephalus The University of Texas at Austin •• Expertise in complex surgery of the skull base •• Provide 24/7 Dell Children’s Medical Center •• High-volume providers of surgery for craniofacial in-house coverage for patients with acute malformations neurosurgical problems •• Specialists in pediatric cerebrovascular disorders Conditions treated (partial list) • Innovative surgery for childhood epilepsy including • •• Arachnoid cyst complex intracranial electroencephalographic monitoring, brain mapping, resective surgery and •• Arteriovenous malformation hemispherotomy •• Astrocytoma • Insertion of vagus nerve stimulators (VNS) for • •• Brain and spinal cord tumors-glioma epilepsy •• Brain and spinal cysts •• Extensive experience in brain tumor surgery including use of intraoperative MRI-guided surgery •• Cervical spine fractures, spinal cord injury, herniated disc •• MRI-guided thermal laser ablation surgery for epilepsy and tumors •• Chiari malformation

•• Prenatal consultations for expectant mothers who •• Congenital spinal anomalies such as have a child with a neurological birth defect myelomeningocele, spinal cord lipomas and lipomyleomeningocele •• National leaders in care for Chiari malformation and syringomyelia •• Cortical dysgenesis

•• Surgery for movement disorders and spasticity •• Craniopharyngioma including baclofen pump •• Craniosynostosis

•• Member of Children’s Oncology Group (COG) •• Dandy-Walker malformation with expertise in coordinated care and surgery of surgical oncology patients •• Dermal sinus tracts

28 •• Dystonia •• Pituitary tumors

•• Ependymoma •• Rasmussen’s encephalitis

•• Epidural hematoma •• Skull fractures

•• Extratemporal epilepsies •• Spasticity

•• Germinoma •• Sturge-Weber

•• Glioblastoma •• Subdural hematoma

•• Hydrocephalus •• Syringomyelia and syringobulbia

•• Juvenile pilocytic astrocytoma •• Temporal lobe epilepsies

•• Lennox-Gastaut syndrome •• Tethered spinal cord

•• Medulloblastoma •• Tuberous sclerosis

•• Moyamoya disease •• Tumors of the cranial and peripheral nerves

•• Neurofibromatosis

Dell Children’s Neuroscience Center Specialty: Pediatric physical medicine and rehabilitation

Outpatient referrals: Inpatient referrals: Strictly Pediatrics Dell Children’s Medical Center 1301 Barbara Jordan Blvd. 4900 Mueller Blvd. Austin, TX 78723 Austin, TX 78723 Phone 512-628-1893 Phone 512-324-9999 x87736 Fax 512-380-4268 Fax 512-324-0923 Summary of services for outpatient Summary of services for inpatient pediatric pediatric physical medicine and physical medicine and rehabilitation rehabilitation •• Board-certified physicians offer Level 1 trauma care •• Outpatient clinic for new patients and ongoing care and coordination including care of severely brain post hospitalization injured patients; comprehensive neurosciences and orthopedics programs •• Botox and phenol injection therapy for patients with spasticity •• Full consultation services for inpatients needing rehabilitation assessment and treatment •• Comprehensive Care Clinic services for efficient patient visits •• Faculty appointments at Dell Medical School at The University of Texas at Austin •• Full-service electromyography and nerve conduction studies and interpretation •• 24/7 Dell Children’s Medical Center in-house coverage for patients with rehabilitation needs •• Faculty appointments at Dell Medical School at The University of Texas at Austin

29 Dell Children’s Neuroscience Center Dell Children’s Medical Group Specialty: Pediatric neuropsychology

Phone 512-324-3560, Fax 512-324-3586 (Pediatric Neuropsychology Clinic)

Main location (services also offered at other locations) Pediatric Neuropsychology Clinic 1600 W. 38th St., Suite 320 Austin, TX 78731

Summary of services Specialty areas

•• Fellowship-trained and board-certified providers •• Cochlear implant evaluations offer comprehensive cognitive evaluations covering •• Epilepsy and seizure disorders intellectual functioning, visual-spatial processing, language functioning, memory functioning and •• Hematology/oncology (embedded within executive functioning. Testing also includes Children’s Blood & Cancer Center) evaluation of sensory/motor functioning and •• Inpatient rehabilitation for brain injuries screening of emotional or behavioral concerns that may interfere with cognitive performance •• Traumatic brain injury and concussion

•• Thorough review of the patient’s developmental, medical, academic and psychosocial history by a clinical neuropsychologist to help guide differential diagnosis

•• Testing completed by trained technicians under the direction of clinical neuropsychologists

•• Neuropsychological report generated for the parent/guardian and results shared with referring physician

•• Direct consultation with physicians provided when requested and in conjunction with participation on medical treatment teams

•• Assistance provided for educational planning, when appropriate

•• Pre-authorization completed by staff within the neuropsychology clinic

•• Follow-up consultation service offered to ensure that recommendations from the assessment are effective

30 Therapy services Phone 512-324-0138, Fax 512-324-0726

Main location (services also offered at other locations) Dell Children’s Anderson Outpatient Rehabilitation Dell Children’s Medical Center 4900 Mueller Blvd. Austin, TX 78723

Physical therapy – acute care, inpatient Speech therapy - acute care, inpatient rehabilitation and outpatient services rehabilitation and outpatient services

•• Adaptive sports and recreation •• Augmentative and alternative communication (AAC)

•• Aquatic therapy •• Cognitive assessment and treatment

•• Developmental intervention •• Cognitive and executive functioning assessment and treatment •• Functional strengthening •• Feeding and swallowing assessments and •• Gait training treatment •• Neurological intervention •• Fiberoptic endoscopic evaluation of swallowing •• Pelvic floor assessment and biofeedback treatment (FEES)

•• Serial casting •• Language and articulation therapy

•• Sports medicine and injury prevention •• Modified barium swallow studies

•• Vestibular rehabilitation/concussion management •• VitalStim/NMES •• Wound care Conditions treated (partial list)

Occupational therapy – acute care, inpatient •• ACL rehabilitation and injury prevention rehabilitation and outpatient services •• Cerebral palsy •• Activities of daily living •• Concussions •• Adaptive sports and recreation •• Feeding disorders •• Casting/bracing/custom splinting •• Muscular dystrophies •• Constraint-induced movement therapy •• Musculoskeletal spine and extremity injury and pain •• Feeding therapy •• Neonatal brachial plexus injury •• Fine motor skills •• Spasticity •• Hand therapy •• Spina Bifida •• Hand writing •• Spinal cord injury •• Upper extremity strengthening and conditioning •• Torticollis and plagiocephaly •• Visual and perceptual skills •• Traumatic brain injuries

31 Dell Children’s Medical Group Specialty: Pediatric psychiatry and psychology

Phone 512-324-3315, Fax 512-324-3314

Main location (services also offered at other locations) Dell Children’s Medical Center 4900 Mueller Blvd Austin, TX 78723 Summary of services Conditions treated (partial list)

•• Fellowship-trained and board-certified physicians •• ADHD offer outpatient psychiatric and psychological •• Adjustment disorders evaluations of children up to 17 years old with behavioral, developmental, emotional, thought, •• Anxiety educational, or social problems •• Autism •• Evidence-based treatment of children with •• Bipolar disorder behavioral, emotional, thought, or social problems including: •• Catatonia

•• Pharmacologic interventions •• Depression

•• Psychotherapy interventions - psychodynamic •• Disruptive mood dysregulation disorder psychotherapy, behavior therapy, cognitive •• Eating disorders behavioral therapy, parent-child interaction therapy, grief therapy, social skills interventions, •• Functional neurological symptom disorder trauma-focused CBT, supportive therapy •• Gender dysphoria • Intensive outpatient program – middle school • •• Illness anxiety disorder and high school groups with parenting component; dialectical behavioral therapy-based •• Obsessive-compulsive disorder

•• Acute inpatient hospitalization for psychiatric •• Oppositional defiant disorder problems •• Panic disorder • Consultation to children hospitalized for medical • •• Post-traumatic stress disorder issues who have or develop problems with behavior, emotion, adjustment, pain management, •• Reactive attachment disorder or thought disorders •• Schizophrenia and other psychotic disorders

•• Expertise in developing comprehensive treatment •• Social anxiety plans for children •• Substance-related disorders including delirium and •• Expertise in the treatment of children with complex others care needs •• Tic disorders •• Providers have faculty appointments at Dell Medical School at The University of Texas at Austin

•• 24/7 availability of emergency phone consultation with pediatric psychiatry providers for Dell Children’s patients

32 Nephrology Dell Children’s Medical Group

Phone 512-628-1860, Fax 512-628-1861

Location Strictly Pediatrics Building 1301 Barbara Jordan Blvd., Suite 200 Austin, TX 78723 Summary of services Conditions treated

•• Fellowship-trained and board-certified physicians •• Acute dialysis services in the PICU, NICU and IMC offer comprehensive nephrology care for pediatric in the form of hemodialysis, peritoneal dialysis and patients continuous renal replacement therapy (CRRT)

•• In-center hemodialysis and home peritoneal •• Anticoagulation for CRRT offered with citrate dialysis for patients with end-stage renal disease regional anticoagulation or heparin through the Children’s Dialysis Center of Central •• Performing CRRT on ECMO patients via the Texas ECMO circuit •• Prenatal consultations for congenital urinary tract •• Acute hemodialysis and CRRT on an emergent abnormalities basis for patients with inborn errors of metabolism •• Multidisciplinary kidney stone clinic with our •• Hypertension, hematuria, proteinuria, nephrotic pediatric urology colleagues syndrome, glomerulonephritis, chronic kidney •• Multidisciplinary tuberous sclerosis program disease, congenital anomalies of the kidney and urinary tract and electrolyte abnormalities •• National multi-center pediatric peritoneal dialysis study collaborative (SCOPE) •• Inpatient consultations for the PICU, NICU, emergency department and regular inpatient •• International multi-center pediatric acute kidney units of Dell Children’s Medical Center and Seton injury study collaborative (ppAKI-RG) Medical Center Austin •• Social workers, dietitians and Child Life specialists •• Long-term post-renal transplant care for patients available to assist our patients who have had kidney transplants •• Active members of the medical student and •• Close collaboration with UT Health Science pediatric resident education programs Center in San Antonio •• Active in the American Society of Pediatric •• The primary center for post-transplant care Nephrology, serving in committee leadership roles after pre- and post-transplant urological surgery •• Faculty appointments at Dell Medical School at is performed in Austin The University of Texas at Austin •• Ultrasound-guided percutaneous renal biopsies •• Provide Dell Children’s Medical Center coverage for patients with acute medical problems and outpatient clinic

33 Complex and palliative medicine Dell Children’s Medical Group

Phone 512-324-0197, FAX 512-324-0780

Location Dell Children’s Medical Center 4900 Mueller Blvd., RM 3J.015 Austin, TX 78723

The fellowship-trained and board-certified physicians offer specialized medical consultation for infants and children with serious life-limiting or life-threatening conditions. The focus is to provide relief from the symptoms, pain and stress of a serious illness — whatever the diagnosis. The goal is to improve quality of life for both the child and the family.

Summary of services the perinatal team to develop a family-centered plan of care •• Offers a wide variety of support to families, including talking to siblings, communication •• Expertise in end-of-life planning and management between healthcare providers and family members, when appropriate, including hospice referral and emotional support, locating community resources bereavement for services such as counseling and support •• Services for children in all care settings, including groups, spiritual support, understanding child’s the hospital, outpatient clinic or at home; referral health condition for complementary therapies as available • Assessment and management of all realms • •• Referral for complementary therapies as available of distress related to serious illness (physical, psychological, spiritual, social) by a specialized •• Physicians and nurse practitioners who are board- interdisciplinary team consisting of physicians, certified in pediatrics and the medical specialty of nurse practitioners, nurses, social worker and palliative medicine chaplain •• 24/7 immediate provider availability by phone • Assessment of and advocacy for patient’s and • •• Faculty appointments at Dell Medical School at family’s goals of care in collaboration with primary The University of Texas at Austin medical providers to decide the best care plan for child and family throughout the disease trajectory •• Provide Dell Children’s Medical Center coverage for patients with acute medical problems •• Care coordination with other medical specialties, social services, home nursing and other services Support to families involved in the child’s care •• Communication between healthcare providers and •• Palliative medicine services for children any family members time during a serious illness, from pre-diagnosis, •• Emotional support through the process of diagnosis and treatment, to eventual cure, or through continuing illness and end •• Locating community resources for services such counseling and support groups of life. (Palliative services can be given alongside and integrated with cure-directed treatments) •• Spiritual support

•• Prenatal consultation for life-limiting or life- •• Talking to siblings threatening fetal diagnoses and coordination with •• Understanding child’s health condition

34 Conditions treated •• Nausea

•• Any serious life-limiting or life-threatening •• Pain condition at any stage of illness including: •• Problems with sleep • Anxiety • •• Shortness of breath •• Constipation

•• Depression

•• Fatigue

•• Loss of appetite

Spine and scoliosis

Phone 512- 324-3580, Fax 512- 324-3581

Main location Seton Spine & Scoliosis Center 1600 W. 38th St., Suite 200 Austin, TX 78731

Summary of services Conditions treated

•• Fellowship-trained and board-certified surgeon •• Congenital scoliosis offers minimally invasive scoliosis surgery •• Idiopathic scoliosis (adolescent and juvenile) •• Halo-gravity traction and vertebral •• Neuromuscular scoliosis column resection for severe scoliosis •• Scheuermann’s kyphosis •• Fusionless scoliosis tethering/stapling •• Severe scoliosis •• Spondylosis and spondylolisthesis pars repair and fusion •• Spondylosis/Pars defects/spondylolisthesis

•• Scoliosis and kyphosis surgery

•• Cranio-cervical surgery

•• Pediatric, adolescent scoliosis and kyphosis conservative care

•• Faculty appointment at Dell Medical School at The University of Texas at Austin

•• Provide Dell Children’s Medical Center coverage for patients with acute medical problems

35 Pediatric orthopedics Central Texas Pediatric Orthopedics

Phone 512-478-8116, Fax 512-478-9368

Main location (services also offered at other locations) Strictly Pediatrics Building 1301 Barbara Jordan Blvd., Suite #300 Austin, TX 78723

Summary of services •• Pediatric hand program with management of injuries and reconstructive surgery for congenital Physician providers are board-certified by the American and post-traumatic conditions Board of Orthopedic Surgery and have completed pediatric orthopedic fellowships. •• Pediatric foot and ankle program with management of clubfoot using Ponseti method and late surgical The services listed below include both provider and management of complicated congenital foot and hospital services: ankle problems •• Fellowship-trained and board-certified surgeons •• Pediatric hip reconstruction program for and physicians offer pediatric orthopedic management of complex hip disorders, including consultation and surgical management of patients congenital hip dysplasia, Legg-Perthes and slipped for Dell Children’s Medical Center capital femoral epiphysis •• Provide comprehensive fracture care in patients •• Pediatric limb reconstruction and lengthening under age 16 program using external fixation devices such as •• Office management within 24 to 48 hours of Ilizarov and spatial frame, as well as magnetically simple orthopedic injuries and fractures controlled and lengthening devices

•• Faculty appointments at Dell Medical School at •• Coordinated management of pediatric The University of Texas at Austin neuromuscular conditions at the Dell Children’s Medical Center Marnie Paul Specialty Care Center • Provide 24/7 Dell Children’s Medical Center • including management of patients with cerebral coverage for patients with acute medical problems palsy, muscular dystrophy, spina bifida and many and outpatient clinic other complex neuromuscular disorders The services listed below include hospital services: Conditions treated •• Pediatric spine surgery, including management • Accessory navicular of early onset scoliosis with VEPTR devices and • MAGEC (magnetically controlled expanding rods), •• Clubfoot kyphosis and spondylolisthesis •• Coordinated management of low back pain using •• Pediatric sports medicine program with McKenzie physical therapy approach arthroscopic procedures for treatment of knee and •• Coordinated management of musculoskeletal shoulder injuries, including ACL reconstruction and infections, including septic arthritis and management of shoulder and elbow problems in osteomyelitis throwing athletes

36 •• Developmental hip dysplasia (DDH)

•• Evaluation and management of common childhood problems with ambulation, including in-toeing, flatfeet, knock-knees and bowlegs

•• Legg-Perthes

•• Neuromuscular disorders, including cerebral palsies, spina bifida and muscular dystrophy

•• Pediatric fractures and dislocations

•• Scheuermann’s kyphosis

•• Scoliosis (idiopathic, congenital, neuromuscular, early onset)

•• Slipped capital femoral epiphysis

•• Sports injuries

•• Tarsal coalition

•• Treatment of angular deformities such as Blount’s disease, metabolic bone disease and rickets

•• Treatment of complex congenital and post- traumatic limb deficiencies with reconstruction and lengthening procedures using different types of external and internal fixation devices

37 Otolaryngology (ENT) Dell Children’s Medical Group

Phone 512-324-2720, Fax 512-324-2724

Main location (services also offered at other locations) Midtown Austin 3705 Medical Parkway, Suite 200 Austin, TX 78705

Summary of services •• Vascular anomalies program including surgery for vascular anomalies of the head and neck; The services listed below include both provider and coordinated program with plastic surgery, hospital services: dermatology and interventional radiology •• Fellowship-trained and board-certified surgeons •• Sleep Clinic - coordinated program with and physicians offer surgery for conditions of the pulmonology head and neck in infants, children and adolescents •• Multidisciplinary evaluation and treatment for • Hearing loss program - screening and evaluation • children with complex sleep disorders, including for children with hearing disorders advanced surgery for obstructive sleep apnea and •• Surgical repair for hearing disorders (conventional sleep-disordered breathing hearing aids, bone-anchored hearing aids and •• Tracheostomy (chronic ventilator program) cochlear implantation) as well as acute and chronic - coordinated program with pulmonology, middle ear disease respiratory therapy, speech therapy, dietary and •• Multidisciplinary pediatric cochlear implant team social work (pediatric otology, audiology, areawide educational •• Care and support for children with tracheostomies audiologists, speech therapy) and their families •• Aerodigestive program - coordinated program •• Faculty appointments at Dell Medical School at with pediatric otolaryngology, pulmonology, The University of Texas at Austin gastroenterology, feeding therapy and nutrition •• Provide 24/7 Dell Children’s Medical Center • Multidisciplinary evaluation and treatment for • coverage for patients with acute medical problems children with complex disorders of the airway and outpatient clinic and digestive tract, including airway obstruction, aspiration and swallowing disorders Conditions treated

•• Endoscopic and open surgical management of •• Acute and chronic middle ear disease (recurrent complex airway disorders; includes evaluation and ear infections, cholesteatomas, tympanic treatment for children with swallowing disorders, membrane perforations, etc.) aspiration problems or other airway problems •• Acute and chronic nasal problems •• Craniofacial program - coordinated program with •• Acute and chronic sinus diseases craniofacial surgery; airway evaluations and repair for children with craniofacial anomalies or acquired •• Airway problems (stridor, recurrent croup, craniofacial problems laryngeal problems, subglottic stenosis, tracheal stenosis, infections of the head and neck)

38 •• Conductive and sensorineural hearing loss •• Same-day or next-day appointments for nasal and ear canal foreign bodies •• Evaluation and surgery of salivary gland disorders •• Sleep apnea •• Failed hearing screens •• Sleep-disordered breathing •• Masses and cysts of the head and neck (preauricular cysts and sinuses, branchial cysts •• Tongue and lip tie and sinuses, thyroglossal duct cysts, thyroid and •• Tonsil and adenoid problems parathyroid masses) •• Treatment of chronic sinus disease associated with •• Non-dental oral cavity diseases cystic fibrosis •• Otitis externa

39 The Hearing Center at Dell Children’s Dell Children’s Medical Group

Phone 512-324-2720 ext. 80617

Main location Strictly Pediatrics Professional Building 1301 Barbara Jordan Blvd., Suite 307 Austin, TX 78723

Ascension care teams at The Hearing Center at Dell Children’s offer a comprehensive, multidisciplinary hearing program, all in one convenient location. Although we serve anyone with hearing loss, pediatrics is our specialty. We embrace all abilities and communication choices. Our fellowship-trained and board-certified surgeons and physician team works closely with clients and their hearing care providers from evaluation to rehabilitation to develop a plan that’s right for each person. Our multidisciplinary team includes otolaryngologists, audiologists, speech and auditory verbal therapists and a hearing care coordinator. Summary of services •• Hearing aids - devices worn on the ears that make sounds louder •• Speech and language therapy - intervention that is intended to enhance a patient’s communicative •• Bone-anchored implants - device worn on the head potential through listening and spoken language or to give sound access for people with conductive other means of communication hearing loss.

•• Auditory verbal therapy – intervention designed to •• Cochlear implants - surgically implanted device teach children to use their hearing (provided by a that works with an external processor (worn on hearing aid or a cochlear implant) for understanding the ear) to stimulate the cochlea (hearing organ) speech, learning to talk and learning to listen directly to provide access to sound.

•• Audiology diagnostics - testing that allows an •• Device programming – settings administered by audiologist to determine if a hearing loss is present, audiologists to a hearing device to provide best what part of the ear is causing the loss and the best access to sound way to treat the hearing loss Conditions treated •• Coordination of complex care – collaboration •• Auditory neuropathy spectrum disorder among various specialists to manage care •• Conductive hearing loss •• Counseling and family care – counseling that empowers clients and their families to optimize •• Mixed hearing loss outcomes •• Sensorineural hearing loss (SNHL)

Pediatric ophthalmology and adult strabismus Dell Children’s Medical Group

Phone 512-324-6755, Fax 512-324-6753

Main location (services also offered at other locations) Seton Northwest Hospital MOB 11111 Research Blvd., Suite 220 Austin, TX 78759 40 Summary of services •• Chalazia (styes) and blepharitis (chronic eyelid inflammation) •• Fellowship-trained and board-certified pediatric ophthalmologists provide comprehensive medical •• Congenital/infantile and juvenile cataracts, and surgical eye and vision care in both the including traumatic and other acquired forms of inpatient and outpatient settings for children and cataracts in children adults •• Congenital/infantile and juvenile glaucoma, •• Strabismus surgery – incisional and including traumatic and other secondary glaucoma chemodenervation (with botulinum toxin) in children

•• Nystagmus null point surgery •• Conjunctivitis (allergic, viral, bacterial, contact)

•• Chalazion excision •• Diplopia (double vision)

•• Nasolacrimal duct probing and stenting •• Idiopathic intracranial hypertension and papilledema •• Cataract extraction with or without intraocular lens implantation •• Keratitis (corneal inflammation), corneal infections and abrasions •• Secondary intraocular lens implantation •• Nystagmus (rhythmic eye shaking) •• YAG laser posterior capsulotomy for secondary cataract •• Ocular complications in craniosynostosis

•• Eyelid lesion excisions •• Ocular torticollis

•• Ptosis repair •• Ocular trauma, including the acute and long-term care of chemical exposures, lacerations, blunt • Orbital dermoid excision • trauma, hyphemas and other ocular contusions •• Ocular, periocular and eyelid laceration repair •• Orbital/periorbital dermoid cysts •• Examination under anesthesia with multimodal •• Preseptal and orbital cellulitis diagnostic imaging, including fluorescein angiography, ocular coherence tomography, •• Ptosis (drooping eyelids), nasolacrimal duct A/B-scan ultrasonography, retinoscopy, obstructions and other etiologies of epiphora keratometry, tonometry and fundus photography (tearing) (using RetCam imaging system) •• Retinopathy of prematurity (ROP; retinal disease •• Assist in the multidisciplinary care of children in premature babies), including both the screening with rheumatologic, dermatologic, neurologic, for and treatment of acute ROP as well as of neuro-oncologic, genetic and other systemic-based associated long-term ocular sequelae pathologies with ocular complications •• Routine eye care, including glasses and general •• Faculty appointments at Dell Medical School at eye/vision health evaluations The University of Texas at Austin •• Strabismus due to cranial neuropathies, complex •• Provide Dell Children’s Medical Center coverage misinnervation and fibrotic syndromes for patients with acute medical problems and •• Strabismus in both the pediatric and adult outpatient clinic population

Conditions treated •• Uveitis, including the screening for and treatment thereof •• Amblyopia (poor vision development) due to refractive, deprivational, or strabismic etiologies

41 Pathology Clinical Pathology Associates

Phone 512-324-0000 ext. 87067

Main location Dell Children’s Medical Center 4900 Mueller Blvd. Austin, TX 78723

Summary of services •• Availability for consultation for fetal loss and perinatal autopsies •• Specialty pathology and laboratory consultative services from board-certified pediatric •• Consultation of surgical biopsies performed at pathologists, including evaluation of: outside facilities

•• Congenital anomalies •• Flow cytometry services include lymphoma/ leukemia phenotyping •• Hematologic lymphomas and leukemias •• Real-time evaluation of ciliary biopsies •• Hirschsprung disease •• Faculty appointments at Dell Medical School at • Pediatric brain tumors • The University of Texas at Austin •• Pediatric solid tumors •• Provide 24/7 Dell Children’s Medical Center •• 24/7 availability for consultation for esoteric test coverage for patients with acute medical problems selection, specimen collection best practices and assistance with interpretation of laboratory test results

42 Pediatric hospital medicine Dell Children’s Medical Group

Phone 512-324-3262 (directly admit a patient)

Main location Dell Children’s Medical Center 4900 Mueller Blvd. Austin, TX 78723

Summary of services Conditions treated (partial list)

•• Board-certified physicians offer specialized care •• Acute kidney injury of hospitalized children prioritizing a patient and •• Acute respiratory failure family-centered approach •• Bronchiolitis •• Up-to-date and evidence-based treatment of common and rare pediatric conditions •• Dehydration

•• Expert coordination of care in children requiring •• Diabetes pediatric subspecialty consultation and/or complex •• Gastrointestinal infections and disorders medical conditions •• Kawasaki disease •• Available for consultation and co-management of surgical patients with underlying complex medical •• Pneumonia conditions •• Seizures •• Participate and lead multiple hospital quality •• Skin and soft tissue infections improvement initiatives •• Status asthmaticus •• Active participation and collaboration in national quality improvement projects with the American •• Urinary tract infection Academy of Pediatrics and the Children’s Hospital Association of Texas

•• Faculty appointments with Dell Medical School at The University of Texas at Austin, The University of Texas Medical Branch and Texas A&M University

•• Primary educators for Dell Medical School at The University of Texas at Austin Pediatric Residency Program and for third and fourth year medical students of Dell Medical School at The University of Texas at Austin and others

•• Provide 24/7 Dell Children’s Medical Center in- house coverage of acute care units, intermediate care unit and emergency room consultations

43 Pediatric Critical Care (PICU) Dell Children’s Medical Group

Phone 512-324-0515

Main location Dell Children’s Medical Center 4900 Mueller Blvd. Austin, TX 78723

Fellowship-trained and board-certified physicians specialize in the care of children with life-threatening illnesses who need support in an ICU setting, in collaboration with all pediatric medical and surgical sub-specialties. Summary of services Conditions treated

•• Medical/surgical management •• Acute and chronic respiratory conditions, including asthma, pneumonia and pulmonary hypertension •• Deep sedation •• Acute kidney failure •• Extracorporeal membrane oxygenation •• Congenital heart defects and other heart •• Management of traumatic injury conditions

•• Management of shock •• Craniofacial conditions •• Continuous renal replacement therapy •• Endocrine and metabolic disorders, including diabetic ketoacidosis •• Management of congenital heart disease •• Epilepsy and other nervous system conditions •• Therapeutic apheresis •• Gastrointestinal conditions •• Non-invasive respiratory support •• General medical/surgical conditions •• Mechanical ventilation •• Hematology and oncology conditions •• Sedation for bedside procedures •• Infections such as bacterial meningitis or sepsis •• Therapeutic apheresis •• Intoxications or overdose •• Advanced mechanical ventilation strategies such •• Near drowning as HFOV and VDR •• Traumatic injuries, including traumatic brain injury •• Faculty appointments at Dell Medical School at The University of Texas at Austin

•• Provide 24/7 clinical services at Dell Children’s Medical Center

44 Trauma services - American College of Surgeons-verified Level 1 pediatric trauma center

Main location Dell Children’s Medical Center 4900 Mueller Blvd. Austin, TX 78723

Dell Children’s Medical Center, the only American •• Orthopedic management College of Surgeons Level 1 pediatric trauma center •• Burn management for burns <20 percent TBSA in Central Texas, provides clinical management and and

•• Surgical management of chest, abdominal and •• Study protocols – The group has more than genitourinary injuries 25 institutional review board-approved study protocols and has published numerous peer- •• Neurosurgical management reviewed publications •• Concussion management 45 •• Collaborating and providing services to other •• Provide in-patient injury prevention researchers that are interested in contributing consultations to the current body of knowledge regarding the •• Provide special needs – motor vehicle occupant care of injured children protection consultations •• Injury Prevention – The Injury Prevention •• Patients with multisystem injuries are admitted program at Dell Children’s Medical Center works to the Pediatric Trauma Service; patients with a to strengthen individual knowledge and skills, single system injury (i.e. isolated fracture) may provide community education and access to be admitted to a surgical subspecialty service resources, educates providers, fosters coalitions and networks, influences organizational practice •• We work closely with the following and advocates on all levels for policy and legislation departments: that protects children from injury. •• Anesthesia •• Coordinate Safe Kids Austin coalition activity – • Child abuse resources and education team lead agency • •• Critical care •• Develop and implement safety initiatives related to multiple injury risk areas: car passenger •• Emergency medicine safety, pedestrian safety, sleep safety, water • ENT safety, bike and pedestrian safety, home safety • •• Hand surgery •• Lead injury prevention advocacy efforts (local, state, national) •• Neurosurgery •• Operate community child passenger safety •• Ophthalmology inspection services across a seven-county • Orthopedic region • •• Pediatric surgery •• Operate two community safety stores (internal/ external) •• Physical medicine/rehabilitation •• Provide expert technical assistance to local, •• Plastic/reconstructive surgery state and national injury and violence prevention organizations and various projects (GETAC, Safe •• Urology States, NCPSB, CATRAC, Trauma Prevention Coalition)

46 Pulmonary and sleep Dell Children’s Medical Group

Phone 512-380-9200, Fax 512-380-9201

Main location (services also offered at other locations) Strictly Pediatrics 1301 Barbara Jordan Blvd., Suite 303 Austin, TX 78723

Summary of services •• Provide 24/7 Dell Children’s Medical Center coverage for patients with acute medical problems •• Fellowship-trained and board-certified physicians and outpatient clinic offer comprehensive care for pediatric sleep medicine and pulmonology patients Conditions treated (partial list) •• Nationally recognized and accredited Pediatric and •• Allergic bronchopulmonary aspergillosis Adult Cystic Fibrosis Center. The center is also engaged in clinical research trials. •• Apnea of prematurity • Aspiration •• Multidisciplinary program for the care of patients • with tracheostomies and home ventilator •• Asthma •• Multidisciplinary aerodigestive program for •• Bronchiectasis management of patients with pulmonary and feeding concerns; evaluations include: coordinated •• Bronchomalacia endoscopic evaluation of the airway and GI tract •• Bronchopulmonary dysplasia and functional endoscopic evaluation of swallowing •• Chronic lung disease •• Multidisciplinary sleep apnea program for management of complex pediatric obstructive sleep •• Congenital pulmonary lesions apnea patient, including management of pediatric •• Cystic fibrosis CPAP and non-invasive ventilation patients •• Hypersensitivity pneumonitis •• High-risk asthma program to target medically and socially fragile patients with emphasis on asthma •• Insomnia including in patients with education neurodevelopmental disorder

•• Interpretation of pulmonary function testing, •• Narcolepsy including plethysmography, exercise testing and •• Neuromuscular disease methacholine challenge •• Obstructive sleep apnea •• Biologic agents, including XOLAIR, NUCALA and FASENRA for management of asthma •• Pediatric interstitial lung disease

•• Flexible bronchoscopy for diagnostic and •• Periodic limb movement disorder in sleep therapeutic management •• Pulmonary hypertension •• Part of a multidisciplinary muscular dystrophy •• Pulmonary hypoplasia program •• Recurrent croup •• Interpretation of sleep studies performed at the only accredited sleep laboratory in Central Texas •• Restless legs syndrome dedicated to the pediatric population •• Restrictive chest wall disease •• Inpatient pediatric pulmonary consultation service •• Tracheomalacia •• Faculty appointments at Dell Medical School at The University of Texas at Austin 47 Imaging at Dell Children’s Medical Center Austin Radiological Association

Phone 512-324-1199, Fax 512-380-0552 (Non-sedation) Phone 512-324-0140, Fax 512-324-0733 (Sedation)

Locations Dell Children’s Medical Center 4900 Mueller Blvd., 2nd floor Austin, TX 78723

ARA Children’s Imaging Center 1301 Barbara Jordan Blvd., Suite 100 Austin, TX 78723

Summary of services •• Utilize imaging ultrasound, CT, or fluoroscopy for guidance in performing procedures including: •• Fellowship-trained and board-certified physicians provide comprehensive radiology and imaging •• Arthrocentesis for joint aspiration and services used in the evaluation and treatment of medication injections pediatric patients and pediatric diseases including: •• Biopsies and abscess drainages, including bone •• CT (low dose radiation available) biopsies

•• Fluoroscopy •• Inserting long IV lines (PICCs, ports, dialysis catheters and central lines) •• MR •• Performing diagnostic and therapeutic • Nuclear medicine and interventional radiology • angiography and venography, including balloon procedures dilation, stent and embolization procedures and •• Ultrasound radiofrequency ablation to destroy tumors

•• X-ray •• Placing or replacing feeding tubes or cecostomy tubes •• Pediatric radiologists serving as consultants to help the patient’s physician decide what imaging is most •• Treating vascular malformations and tumors, helpful in the evaluation of their patient and to including venous malformations, lymphatic interpret the imaging malformations, AVMs and certain types of hemangiomas

48 Pediatric rheumatology Dell Children’s Medical Group

Phone 512-628-1880, Fax 512-628-1881

Main location (services also offered at other locations) Strictly Pediatrics Building 1301 Barbara Jordan Blvd., Suite 200 Austin, TX 78723 Summary of services Conditions treated (partial list)

•• Fellowship-trained and board-certified physicians •• Autoinflammatory conditions such as PFAPA, offer expertise in the care of patients with familial Mediterranean fever, and other periodic inflammatory arthopathies including juvenile fever syndromes idiopathic arthritis, sarcoidosis •• Juvenile dermatomyositis and other juvenile •• Expertise in the care of patients with connective idiopathic inflammatory myopathies tissue diseases including systemic lupus •• Juvenile idiopathic arthritis (previously known as erythematosus, Sjogren syndrome, mixed juvenile rheumatoid arthritis) connective tissue disease and scleroderma •• Mixed connective tissue disease •• Ultrasound-guided joint injections for the treatment of arthritis •• Post-infectious arthritides such as post- streptococcal reactive arthritis •• Participation in selected drug research trials for patients with rheumatic diseases •• Sarcoidosis

•• Multidisciplinary monthly Dermatology- •• Scleroderma Rheumatology clinic with dermatology •• Sjogren syndrome •• Active member in the American College of •• Systemic lupus erythematosus (SLE) Rheumatology and the Childhood Arthritis and Rheumatology Research Alliance •• Systemic vasculitides including Henoch-Scholein purpura and ANCA-associated vasculitis •• Faculty appointment at Dell Medical School at The University of Texas at Austin

•• Provide Dell Children’s Medical Center coverage for patients with acute medical problems and outpatient clinic

49 Pediatric surgery Austin Pediatric Surgery

Phone 512-708-1234, Fax 512-708-4567

Main location (services also offered at other locations) Strictly Pediatrics Building 1301 Barbara Jordan Blvd., Suite 400 Austin, TX 78723

Dell Children’s Medical Center, the only American College of Surgeons (ACS) Level 1 pediatric trauma center in Central Texas, provides clinical management and multidisciplinary coordination of trauma care for injured children from birth through age 14. Summary of services The summary of services listed below include hospital services: The summary of services listed below include both provider and hospital services: •• Extracorporeal Membrane Oxygenator (ECMO) program for temporary heart-lung bypass support •• Fellowship-trained and board-certified surgeons and physicians offer Level 1 trauma care and •• Experienced providers in the treatment of complex coordination for injured patients including tumor resections of the abdomen and chest in dedicated the trauma team multidisciplinary children program •• Minimally invasive (laparoscopic/thoracoscopic) •• Prenatal consultations for expectant mothers who surgical repair of many pediatric general surgical have a child with a congenital anomaly problems

•• Specialized prenatal evaluation program for fetuses •• Repair of complex congenital anomalies and with identified surgical anomalies in conjunction surgical care of neonatal patients with the maternal fetal medicine services •• Collaborative team for the care of patients with: • Member of Children’s Oncology Group (COG) • •• Thyroid tumors • Outcomes tracking in the National Surgical Quality • •• Biliary atresia Improvement Program (NSQIP) with distinction in many areas •• Complex inflammatory bowel disease surgical problems •• Faculty appointments at Dell Medical School at The University of Texas at Austin

•• Provide 24/7 Dell Children’s Medical Center in- house coverage for patients with acute surgical problems and outpatient clinic

50 Conditions treated (partial list)

•• Abdominal tumors such as neuroblastoma and Wilms tumor

•• Appendicitis

•• Breast masses

•• Congenital anomalies such as intestinal atresias

•• Congenital diaphragmatic hernia (CDH)

•• Cystic fibrosis

•• Esophageal atresia and tracheoesophageal fistula

•• Gastroschisis

•• Gastrostomy placement

•• Head and neck masses/cysts

•• Hernias – all types

•• Hirschsprung’s disease

•• Hydroceles

•• Imperforate anus

•• Lung malformations

•• Lymphangiomas

•• Malrotation correction

•• Necrotizing enterocolitis

•• Nissen fundoplication (antireflux surgery)

•• Omphalocele

•• Ovarian tumors and cysts

•• Pectus excavatum/carinatum

•• Phimosis

•• Pneumothorax

•• Soft tissue masses and infection

•• Thymomas

•• Thyroglossal duct cysts and thyroid tumors

•• Umbilical and inguinal hernias

•• Undescended testis

•• Urachal remnants 51 Urology Children’s Urology

Phone 512 472-6134, Fax 512 472-2928

Main location (services also offered at other locations) Strictly Pediatrics Building 1301 Barbara Jordan Blvd., Suite 400 Austin, TX 78723

Children’s Urology at Dell Children’s Medical Center provides comprehensive treatment for your infant or child in a caring and compassionate environment. Our specialists are board-certified pediatric urologists with more than 60 years combined experience in the management of a diverse group of congenital (inherited) urologic conditions.

Our collaborative and multidisciplinary approach will include monitoring your child’s development, growth and overall health with an emphasis on wellness. Summary of services The services listed below include hospital services: The services listed below include both provider and •• Coordinated care and surgery of urologic oncology hospital services: patients with tumors of the kidney, bladder/ prostate, vagina and testis •• Fellowship-trained and board-certified surgeons and physicians offer Level 1 trauma care •• Minimally invasive (robotic, laparoscopic and consultation at Dell Children’s Medical Center endoscopic) surgical repair of many pediatric and coordination for patients with renal, bladder, general urologic problems urethral and genital injuries •• Repair of common urologic problems, including •• Prenatal consultations for expectant mothers who undescended testes, hydrocele/inguinal hernia, have a child with a congenital anomaly, including varicocele, phimosis, chordee, peno-scrotal hydronephrosis, cystic kidneys, renal agenesis, webbing, penile torsion, scrotal anomalies and renal duplication, ureterocele, renal ectopia and labial adhesions bladder/cloacal exstrophy •• Repair of complex congenital anomalies, including •• Multidisciplinary clinic for kidney stones in hypospadias, epispadias, vaginal and clitoral coordination with nephrology and nutrition anomalies, ambiguous genitalia surgery, disorders of sexual differentiation, prune belly syndrome, • Multimodality approach to recurrent UTIs, • exstrophy of bladder/cloaca and uro-genital sinus dysfunctional voiding and neurogenic bladder, anomalies including video urodynamics and uroflow-EMG •• Complex bladder reconstruction, including • In-office Doppler ultrasonography for rapid • Mitrofanoff/Monti tube, bladder augmentation and diagnosis of many urologic abnormalities /or substitution (neo-bladder) and bladder neck •• Newborn circumcisions reconstruction

•• Faculty appointments at Dell Medical School at •• Vaginal or urethral reconstruction/substitution The University of Texas at Austin using buccal mucosa

•• 24/7 Dell Children’s emergency department •• Multidisciplinary clinic for patient with spina bifida coverage for patients with acute urologic problems in coordination with orthopedics, neurosurgery, physical therapy, occupational therapy, social work,

nutrition

52 Conditions treated (partial list) •• Recurrent UTIs

•• Ambiguous genitalia •• Renal duplication

•• Bladder exstrophy •• Testicular torsion

•• Cancers of the genitourinary system including but •• Trauma to the genitourinary system not limited to Wilms’ tumor, testicular tumors and •• Undescended testicles rhabdomyosarcoma •• Urachal anomalies •• Circumcision complications •• Ureteroceles •• Cloacal exstrophy •• Ureteropelvic junction obstruction •• Concealed penis •• Ureterovesical junction obstruction •• Disorders of sexual differentiation •• Urethral prolapse •• Dysfunctional voiding •• Urethral stricture •• Ectopic ureter •• Urinary frequency •• Epididymitis •• Urinary incontinence •• Epispadias •• Urogenital sinus abnormalities •• Hematuria •• Vaginal agenesis •• Horseshoe kidney •• Varicocele •• Hydroceles •• Vesicoureteral reflux •• Hydronephrosis Urologic specialty specific outpatient •• Hypospadias surgeries (partial list): •• Imperforate hymen •• Circumcision •• Inguinal hernias •• Circumcision revision •• Kidney stones •• Cystoscopy •• Labial adhesions •• Hydrocele repair •• Meatal stenosis •• Hypospadias repair •• Megaureter •• Inguinal hernia repair •• Neurogenic bladder •• Lysis of labial adhesions •• Neurogenic bowel •• Orchiopexy •• Nocturnal enuresis •• Urethromeatoplasty •• Obstructed hemi-vagina •• Varicocele ligation •• Penile chordee or curvature

•• Phimosis or redundant foreskin

•• Posterior urethral valves

•• Prune belly syndrome

53 Dell Children’s support services

Child abuse Dell Children’s Medical Group

Child Abuse Resource and Education (CARE) Program Phone 512-324-0095, Fax 512-324-0183

Main location Dell Children’s Medical Center 4900 Mueller Blvd., Suite 3S.021 Austin, TX 78723 Summary of services

•• Fellowship-trained and board-certified physicians offer medical and psychosocial evaluations of children for whom there is a concern of abuse and/ or neglect including:

•• Medical child abuse

•• Physical abuse

•• Sexual abuse

•• Various forms of child neglect

54 Child Life and Expressive Therapies

Phone 512-324-0146, Fax 512-324-0774

Location Dell Children’s Medical Center 4900 Mueller Blvd. Austin, TX 78723

The Child Life and Expressive Therapies Department •• Family member support (such as sibling orientation at Dell Children’s Medical Center is staffed by for intensive care unit visits and support for parents professionally trained individuals who help to reduce the to assist their children during medical procedures) stress and anxiety that children and their families may •• Play and other activities in fully equipped encounter as a result of illness, injury and hospitalization. playrooms and at the bedside Aiming to create a more positive healthcare experience, staff work closely with the entire interdisciplinary care •• Expressive therapies (art therapy and music team on every inpatient unit and in outpatient areas to therapy) provide the highest quality care for children and youth of •• Psychosocial assessment and developmental all ages. screenings

• School referrals and educational support for Summary of services • patients •• Therapeutic play, including medical play, to help •• Coordination of community events, parties and children express fears and feelings and learn seasonal celebrations techniques for coping with stress or crisis To contact the Child Life specialist or expressive therapist • Education about medical diagnoses and treatment; • assigned to various units or clinics in the hospital, or for age-appropriate preparation for tests, procedures information about any of these services, please contact and surgeries (including pre-op tours) the Child Life Department at 512-324-0146. •• Relaxation training, distraction and coping support before and during medical procedures

55 Children’s Comprehensive Care (CCC) Clinic Dell Children’s Medical Group

Phone 512-628-1898, Fax 512-600-8149

Main location Capital Plaza 5339 Interstate 35 N. Suite 100 Austin TX 78723

Fellowship-trained and board-certified physicians offer comprehensive, multidisciplinary medical home for children with medical complexity - addresses preventive pediatrics; acute care and chronic disease management. Embeds palliative principles though annual discussion of parameters of care and shared decision-making. Summary of services Conditions treated/requirements

•• Integrated behavioral health services through Please note that families must utilize Comprehensive embedded child psychiatry, neuropsychology, Child Care Center (CCC) as their primary care provider. Life and social work Enrollment to CCC requires that a child meet specific •• Care coordination of durable medical equipment, criteria. Please note the items listed below for referral private duty nursing, therapy needs and school consideration. Chronic conditions expected to be needs lifelong and may be life-limiting

•• Primary nursing model providing longitudinal •• Diagnosis of tuberous sclerosis complex (TSC) or relationship-based care suspicion of TSC

•• Wrap-around service for families; to include •• High medical technology (feeding tube, support groups, individual and couples counseling tracheostomy) and sibling camps •• High utilizers (frequent ED, procedures, •• Multidisciplinary Center of Excellence for hospitalization) Tuberous Sclerosis Syndrome - providing disease •• Multiple specialists (two or greater) or medical surveillance, primary care and family support problems involving multiple body systems (two or •• Faculty appointment with Dell Medical School at greater) The University of Texas at Austin •• Neurocognitive involvement and grossly impaired •• 24/7 immediate provider availability by phone function with focused projects to minimize ED visits and •• Patient must be less than age 17 preventable hospitalizations •• Prefer patient to reside in the metro Austin area •• Same-day appointments for acute illnesses •• Profound level of psychosocial stressors that increase medical risk

56 Pediatric Transport Team

Phone 512-324-3515, 512-324-3262

Main location Dell Children’s Medical Center 4900 Mueller Blvd. Austin, TX 78723

The Pediatric Transport Team can be activated by contacting the transfer center. This will allow you to speak directly with the receiving physician, coordinate transport and allow for a smooth transition to Dell Children’s Medical Center.

At Dell Children’s Medical Center, we place a high value on providing family-centered care and, in most cases, are able to invite one of the parents to accompany their child in the ambulance or aircraft. Upon completion of the transport, the transport team will provide a brief update to the referring facility.

The Dell Children’s Pediatric Transport Team was awarded CAMTS (Commission on Accreditation of Medical Transport Systems) accreditation in 2017 and is one of the three fully accredited dedicated pediatric programs in the state of Texas. The team members are part of the skilled staff at Dell Children’s Medical Center. All have a background in critical care, either in the pediatric intensive care unit or the emergency department.

Summary of services Conditions treated/requirements

•• Available 24/7 The Pediatric Transport Team can provide care for a wide range of illnesses and conditions, from basic life support •• Collaborate with the sending facility medical team to initiation of critical care monitoring and therapies. to facilitate early initiation of pediatric-specific treatment modalities •• Asthma exacerbation

•• Medical control is provided by the PICU intensivists •• Congenital heart defects at Dell Children’s Medical Center and the plan of •• Diabetic ketoacidosis care for the patient is a collaborative effort that includes the referring and receiving physicians •• Electrolyte imbalances

•• Arrange for transport by ground ambulance, rotor •• Initiation/maintenance of vasoactive medications wing or fixed wing based on patient acuity and •• Mechanical ventilation with waveform monitoring distance of the transport •• Neurological emergencies •• Trained in and receive ongoing training in, invasive procedures, including airway management, IV/IO •• Nitric oxide administration placement and other procedures •• Respiratory distress/failure, including advanced airway management

•• Sepsis/shock

•• Trauma

57 Marnie Paul Specialty Care Center

Phone 512-324-0137, Fax 512-406-6520

Location Dell Children’s Medical Center of Central Texas – Marnie Paul Specialty Care Center 4900 Mueller Blvd. Austin, TX 78723

The Specialty Care Center (SCC) provides diagnosed-based interdisciplinary teams focusing on the needs of the child. The primary care physician is an integral part of the team and continues to provide the child with coordination of services, acute care and immunizations. The SCC staff is available by phone 7:30 a.m.-4:30 p.m. Monday-Friday. The SCC is open for extended hours as dictated by the program.

Summary of services •• Services include case management, coordinated service, diagnostic and episodic care •• Fellowship-trained and board-certified surgeons and physicians offer pediatric, family-centered, •• Program frequency based on meeting the needs of multidisciplinary services in a hospital-based the child and community ambulatory setting

Aerodigestive program

Phone 512-324-0137, Fax 512-406-6520

Main location Dell Children’s Medical Center of Central Texas – Marnie Paul Specialty Care Center 4900 Mueller Blvd. Austin, TX 78723

The clinic provides an opportunity for a multidisciplinary approach to the evaluation and management of patients with breathing and feeding issues. Patients are evaluated by a pediatric otolaryngologist (ENT), pediatric pulmonologist and pediatric gastroenterology (GI) CPNP in conjunction with a dietitian, speech therapist, respiratory therapist, social worker and nurse. The service enables the convenience of a single clinic visit for the patient to see all the above specialists and support for a coordinated care.

Summary of services •• BRAVO capsule

•• Diagnostic and therapeutic endoscopy (rigid •• Esophageal manometry microlaryngoscopy, rigid/flexible bronchsocopy, •• Functional endoscopic evaluation of swallowing; esophagogastroduodenoscopy) video-fluoroscopic evaluation of swallowing (FFES) • Complex open airway reconstruction • •• Endoscopic voice evaluation •• Endoscopic airway reconstruction

•• Esophageal pH and impedance probes

58 Audiology

Phone 512-324-0137, Fax 512-406-6520

Main location Dell Children’s Medical Center of Central Texas – Marnie Paul Specialty Care Center 4900 Mueller Blvd. Austin, TX 78723

Summary of services •• Hearing aids

•• Auditory brainstem response (ABR) with sedation •• Earmolds

•• Non-sedated ABR for infants birth to age 3 months Conditions treated (partial list)

•• Distortion product otoacoustic emissions •• Auditory neuropathy spectrum disorder (ANSD)

•• Visual reinforcement audiometry •• Conductive/mixed/sensorineural hearing loss

•• Conditioned play audiometry •• Developmental delay

•• Traditional behavioral audiometry •• Hearing loss as a result of trauma

•• Tympanometry/immittance testing •• Hearing loss due to ototoxic medication

•• Ototoxicity monitoring •• Preemie monitoring post NICU graduation

•• Inpatient hearing evaluations •• Speech delay

•• Initiation of early identification and intervention •• Speech/language disorder process

Children’s Health Express mobile unit

Phone 512-324-0137, Fax 512-406-6520

Locations will vary, please call for appointments and location.

Summary of services •• Services are provided to all patients regardless of ability to pay. Most visits are $15.00 and may • Well child checks • include any testing or treatment completed on the •• All childhood vaccinations mobile unit •• Sports physicals Conditions treated

•• Acute visits •• Evaluation, treatment and ongoing management of asthma, ADHD, obesity/overweight and other •• Point-of-care testing to include rapid flu, rapid strep, lead, hemoglobin, urine dips and urine hcg chronic issues. (Chronic disease management is tests referred out, but in some cases may be managed temporarily on the mobile until funding can be •• Class D pharmacy on board acquired if the patient is not insured.)

•• Non-emergency acute care and primary care needs for children birth to age 18 59 Cystic fibrosis (pediatric and adult)

Phone 512-324-0137, Fax 512-406-6520

Pediatric location Dell Children’s Medical Center of Central Texas – Marnie Paul Specialty Care Center 4900 Mueller Blvd. Austin, TX 78723

Adult Location Cancer Care Collaborative Clinics 1301 W. 38th St., Suite 113 Austin, TX 78705 Summary of services Conditions treated

•• Assessment and treatment of pulmonary and •• Cystic fibrosis gastrointestinal conditions specific to cystic fibrosis and cystic fibrosis-related metabolic syndrome

•• Independent review and interpretation of imaging during visit

•• Multidisciplinary team to address case management, dietary needs, social and medical needs

•• Social worker to aid in coordination of therapy and provide community resources

•• Referral coordination and collaboration with other subspecialties and hospitals

•• Physical therapy to aid in assessment of needs

•• Mental health screening, counseling and referrals

60 Foot and ankle

Phone 512-324-0137, Fax 512-406-6520

Main location Dell Children’s Medical Center of Central Texas – Marnie Paul Specialty Care Center 4900 Mueller Blvd. Austin, TX 78723 Summary of services Conditions treated (partial list)

•• Prenatal consultation for clubfoot •• Accessory navicular

•• Assessment of condition and education •• Congenital and acquired clubfoot

•• Independent review an interpretation of imaging •• Duplicate toes during visit •• Flat feet •• Surgical discussion and planning •• General ortho conditions •• Social worker to aid in coordination of therapy and •• Hallux valgus (bunions) provide community resources •• Hamstring and achilles contractures •• Referral coordination and collaboration with other subspecialties and hospitals •• Metatarsus adductus

•• In clinic orthotist to collaborate in orthotic •• Other congenital foot deformities decision-making process and adjust braces •• Painful feet •• Physical therapist to aid in assessments of needs •• Skew foot

•• Tarsal coalitions

•• Toe walking

•• Traumatic injury to foot/ankle

•• Vertical talus

61 Fracture Clinic

Phone 512-324-0137, Fax 512-406-6520

Main location Dell Children’s Medical Center of Central Texas – Marnie Paul Specialty Care Center 4900 Mueller Blvd. Austin, TX 78723

Summary of services •• Coordination of DME, braces, wheelchairs, crutches •• Evaluation of fractures and orthopedic injuries Conditions treated •• Application of casts and bracing •• Fractures and orthopedic injuries •• Coordination of physical therapy services

•• Ability to coordinate care with other specialists, wound care or care team

62 Hand Clinic

Phone 512-324-0137, Fax 512-406-6520

Main location Dell Children’s Medical Center of Central Texas – Marnie Paul Specialty Care Center 4900 Mueller Blvd. Austin, TX 78723 Summary of services Conditions treated

•• Assessment and intervention of acute traumatic •• Brachial plexus palsies hand/upper extremity injuries: •• Ganglion cysts •• Tendon injuries •• Hand tumors/masses •• Fingertip crush injuries •• Juvenile arthritis •• Hand/wrist/upper extremity fractures

•• Assessment and intervention of congenital hand deformities:

•• Trigger thumb

•• Polydactyly (extra digits, feet included)

•• Syndactyly (fused digits, feet included)

•• Brachydactyly (short fingers)

•• Camptodactyly (bent fingers)

•• Madelung deformity

•• Radial dysplasia

•• Upper limb growth disorders

•• Education concerning injuries and congenital deformities

•• In-clinic occupational therapist to collaborate in creating custom splints/exercises/casts

•• Independent review and interpretation of imaging during visit

•• Minor procedures for appropriate congenital deformities in office

•• Referral coordination and collaboration with other subspecialties and hospitals

•• Social worker to aid in coordination of therapy and provide community resources

•• Surgical discussion and planning

63 Limb Discrepancy and Deformities Clinic

Phone 512-324-0137, Fax 512-406-6520

Main location Dell Children’s Medical Center of Central Texas – Marnie Paul Specialty Care Center 4900 Mueller Blvd. Austin, TX 78723 Summary of services Conditions treated

•• Examination and assessment of bone discrepancies •• Deformities of thigh, lower leg and deformities •• Flexion deformities •• Determination of surgical requirement •• Unequal limb length – femur, tibia and fibula •• Education on surgical procedures •• Valgus deformities •• Ordering and arranging for further imaging studies •• Varus deformities •• Coordination of physical therapy services

•• Coordination of care with other specialists

Musculoskeletal Tumor Clinic

Phone 512-324-0137, Fax 512-406-6520

Main location Dell Children’s Medical Center of Central Texas – Marnie Paul Specialty Care Center 4900 Mueller Blvd. Austin, TX 78723 Summary of services Conditions treated

•• Examination and assessment of bone lesions •• Abnormalities of bones, joints, muscles and connective tissues seen on imaging •• Determination of surgical requirement •• Bone cysts •• Consent and education by PA on surgical procedures •• Bone tumors

•• Ordering and arranging for further imaging studies •• Vascular malformations

•• Coordination of physical therapy services

•• Coordination of care with general surgery, hematology/oncology and other specialists

64 Orthopedics

Phone 512-324-0137, Fax 512-406-6520

Main location Dell Children’s Medical Center of Central Texas – Marnie Paul Specialty Care Center 4900 Mueller Blvd. Austin, TX 78723 Summary of services Conditions treated

•• Evaluation of bone, joint and muscle problems •• Birth injuries

•• Application of casts and bracing •• Blount’s disease (Bow-leggedness)

•• Coordination of physical therapy services •• Hip dysplasia

•• Ability to coordinate care with other specialists, •• Knee pain wound care or care team

•• Coordination of durable medical equipment, braces, wheelchairs, crutches

65 Spine and Neuromuscular Clinic

Phone 512-324-0137, Fax 512-406-6520

Main location Dell Children’s Medical Center of Central Texas – Marnie Paul Specialty Care Center 4900 Mueller Blvd. Austin, TX 78723

Summary of services •• Kyphosis

•• Assessment of orthopedic conditions and •• Neck pain education •• Scoliosis • Independent review and interpretation of imaging • •• Shoulder pain during visit •• Spondylolisthesis •• Surgical discussion and planning •• Spondylolysis •• Social worker to aid in coordination of therapy and provide community resources •• Vertebral anomalies

•• Referral coordination and collaboration with other Neuromuscular conditions treated subspecialties and hospitals •• Arthrogryposis •• In-clinic orthotist to collaborate in orthotic •• Cerebral palsy decision-making process and adjust braces •• Duchenne muscular dystrophy •• Physical therapy to aid in assessment of needs •• Hip dysplasia/subluxation/dislocation Spine conditions treated •• Scoliosis •• Back pain •• Spina bifida •• Compression fractures •• Spinal muscular atrophy •• Hemivertebrae

66 Spina bifida Program

Phone 512-324-0137, Fax 512-406-6520

Main location Dell Children’s Medical Center of Central Texas – Marnie Paul Specialty Care Center 4900 Mueller Blvd. Austin, TX 78723 Summary of services Conditions treated

•• Coordination of care for those patients with spina •• Caudal regression syndrome bifida using a multidisciplinary approach •• Myelomeningocele with or without hydrocephalus •• Assistance in coordinating prenatal visits with the •• Spinal lipomas neurosurgeon, urologist, or nurse coordinator •• Tethered cord syndrome •• Coordination of surgical procedures

•• Education on the effects and implications of spina bifida: hydrocephalus, tethered cord, bowel programs, bladder programs, latex allergies, folic acid, skin problems

•• Education on CIC (clean intermittent catheterization)

•• Information through the Spina Bifida Association of America

•• Family support through community services

Spasticity

Phone 512-324-0137, Fax 512-406-6520

Main location Dell Children’s Medical Center of Central Texas – Marnie Paul Specialty Care Center 4900 Mueller Blvd. Austin, TX 78723 Summary of services Conditions treated

•• Abnormal muscle tone •• Brain and spinal cord injury

•• Movement disorders •• Cerebral palsy

•• Coordination with referrals to other disciplines •• Stroke within the medical community

67 Sports Medicine Clinic

Phone 512-324-0137, Fax 512-406-6520

Main location Dell Children’s Medical Center of Central Texas – Marnie Paul Specialty Care Center 4900 Mueller Blvd. Austin, TX 78723 Summary of services Conditions treated

•• Evaluation of sports-related injuries •• Ligament/tendon tears (knee, elbow, shoulder, ankle) •• Ordering and arranging for MRIs and CTs •• Low back pain related to sports or activities •• Coordination of physical therapy services •• Meniscal tears •• Coordination of care with general surgery, hematology/oncology and other specialists •• Musculoskeletal pain from sports or activities

•• Physical therapist and athletic trainer provide •• Osgood-Schlatter syndrome education on home exercise and working toward •• Overuse symptoms return to sport •• Sinding-Larsen-Johansson syndrome •• Ability to coordinate with school athletic trainers and coaches •• Unstable patella and shoulder

68 Tracheostomy/ventilator program

Phone 512-324-0137, Fax 512-406-6520

Main location Dell Children’s Medical Center of Central Texas – Marnie Paul Specialty Care Center 4900 Mueller Blvd. Austin, TX 78723 Summary of services Conditions treated

The clinic provides an opportunity for a multidisciplinary •• Cerebral palsy approach to the evaluation and management of patients •• CHARGE association with a tracheostomy and needed ventilator support. Patients are evaluated by a pediatric otolaryngologist •• Chronic lung disease of prematurity (ENT) and a pediatric pulmonologist in conjunction with •• Pulmonary hypertension a dietitian, speech therapist, respiratory therapist, social worker and nurse. The service enables the convenience •• Spinal muscular atrophy of a single clinic visit for the patient to see both the ENT •• Static encephalopathy and pulmonologist plus have support for coordinated care. •• Subglottic stenosis •• Tracheo-bronchomalacia

•• Upper airway conditions requiring a tracheostomy such as Pierre Robin

•• Vocal cord paralysis

Trauma Clinic

Phone 512-324-0137, Fax 512-406-6520

Main location Dell Children’s Medical Center of Central Texas – Marnie Paul Specialty Care Center 4900 Mueller Blvd. Austin, TX 78723 Summary of services Conditions treated

•• Follow-up to traumatic injuries •• Brain injuries

•• Concussion and neuropsychological screening •• Concussions

•• Screenings for solid organ injuries and BCVI •• Lacerations

•• Coordination with care team •• Non-accidental traumas

•• Coordination of care with orthopedics, •• Solid organ injuries neurosurgery, psychology and other specialists

•• Coordination of return to school and physical activity 69 © Ascension 2019. All rights reserved. 517697