Children’s National faculty are helping shape the future of biomedical research through service on National Institutes of Health peer review panels.
Eleven Children’s National faculty members are helping shape the future of biomedical research through service on the National Institutes of Health (NIH) peer review panels. Recognized by NIH leadership for their work in 2025, these experts brought their knowledge and experience to the rigorous evaluation of grant proposals competing for federal funding. Their contributions help identify promising science, strengthen the research process and move discoveries with the potential to improve health one step closer to reality.
The big picture
NIH invests about $38 billion each year in medical research through competitive grants. Peer reviewers assess the research question, study plan, team and potential impact of each proposal before funding decisions are made.
NIH selects reviewers based on their research accomplishments, publications and other scientific contributions. Serving on a panel requires substantial time and preparation, from reading detailed applications and writing assessments to taking part in panel discussions.
Reviewers also gain first-hand knowledge of the NIH review process that they can share with colleagues preparing future applications. Their service supports the national research community while strengthening research at Children’s National.
Four Children’s National experts are taking on an even greater role in the NIH peer review process. As standing members of a study section, these leading scientists are formally appointed (often via the NIH Director or designees) to a chartered review group for a term lasting 4 to 6 years.
Fabbri serves on the Molecular Cancer Diagnosis and Classification study section, reviewing applications on the discovery, development and validation of molecular signatures of cancer.
Koutroulis serves on the Surgery, Trauma and Anesthesiology study section, reviewing grants on sepsis, wound healing, trauma, anesthetics and surgical complications.
Limperopoulos serves on the Developmental Brain Disorders study section, reviewing applications to investigate genetic, metabolic, immune, microbiome, infectious, environmental and behavioral factors in the fetal, neonatal, pediatric and adolescent brain that lead to abnormal brain development and function.
Patel serves on the National Institute for Child Health and Human Development study section.
Standing members make an ongoing commitment to review grant applications, take part in panel discussions and bring specialized knowledge to important funding decisions. Through this service, Drs. Fabbri, Koutroulis, Limperopoulos and Patel are helping the NIH identify promising research and support discoveries that could shape the future of health and medicine.
Why it matters
“Serving as an NIH peer reviewer is a meaningful commitment that strengthens the entire biomedical research community,” said Catherine Bollard, MBChB, MD, senior vice president and chief research officer at Children’s National. “Our faculty are helping uphold a rigorous, trusted process while bringing valuable insight back to Children’s National and supporting the next generation of discoveries that improve health.”
This service reflects the strength of the research community at Children’s National which includes experts across disciplines who not only pursue bold ideas but also help determine which ideas can move science forward. By bringing their knowledge, leadership and commitment to the NIH peer review, these faculty members are strengthening research nationwide and helping build a healthier future for children and families everywhere.
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Children’s National in Washington, D.C., was once again ranked as a top hospital in the nation by the U.S. News & World Report 2026-27 Best Children’s Hospitals annual rankings. This marks the 10th straight year Children’s National has made the Honor Roll, a distinction awarded to only 10 children’s hospitals nationwide.
Children’s National also ranked in all 11 specialty services and is the highest U.S. News ranked children’s hospital in Washington, D.C, Maryland and Virginia. Recently, U.S. News introduced pediatric & adolescent behavioral health as a service line in its rankings. While there are no ordinal rankings for behavioral health, the Children’s National program was named one of the top 50 programs in the country for the third year in a row.
“We’re so proud to reach this milestone of being named among the nation’s top children’s hospitals for the 10th year in a row,” said Michelle Riley-Brown, MHA, FACHE, president and chief executive officer of Children’s National. “Our leadership in specialties like neurology, cancer, neonatology, and diabetes and endocrinology underscores our belief that kids are our everything. It also shows what’s possible when our teams bring their expertise, commitment and heart to make sure every child receives the best care.”
The annual rankings are the most comprehensive source of quality-related information on U.S. pediatric hospitals and recognize the nation’s top 50 pediatric hospitals based on a scoring system developed by U.S. News.
“Earning a place on U.S. News’ Best Children’s Hospitals list is a testament to Children’s National’s dedication to clinical excellence and patient safety,” said Ben Harder, chief of health analysis and managing editor at U.S. News. “These rankings highlight the standout hospitals in each specialty and each region.”
The bulk of the score for each specialty service is based on quality and outcomes data. The process includes a survey of relevant specialists across the country who are asked to list hospitals they believe provide the best care for patients with the most complex conditions.
The Children’s National specialties ranked in the top 10 nationally by U.S. News are:
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As chief of the Division of Cardiac Critical Care Medicine, Dr. Su leads a multidisciplinary team of specially trained physicians in providing intensive pediatric cardiac critical care.
Children’s National has named Lillian Su, MD, The MacCutcheon Family Professor of Cardiac Critical Care Medicine.
Dr. Su serves as chief of the Division of Cardiac Critical Care Medicine at Children’s National. She is a nationally recognized expert in cardiac critical care medicine and is the immediate past president of the Pediatric Cardiac Intensive Care Society.
The big picture
Dr. Su joins a distinguished group of Children’s National physicians and scientists who hold an endowed chair. Children’s National is grateful to generous donors who have altogether funded 52 professorships.
These appointments support groundbreaking work on behalf of children and their families. They foster new discoveries and innovations in pediatric medicine. Endowed professorships also carry prestige and honor that reflect both the recipient’s achievements and the donor’s commitment to advancing and sustaining knowledge.
Why it matters
As chief of the Division of Cardiac Critical Care Medicine, Dr. Su leads a multidisciplinary team of specially trained physicians in providing intensive pediatric cardiac critical care.
Dr. Su’s research focuses on improving outcomes for children with complex heart conditions. She studies team dynamics, cardiac resuscitation and the integration of technology into critical care. Her work helps clinical teams more effectively recognize and respond to life-threatening events.
As The MacCutcheon Family Professor of Cardiac Critical Care Medicine, Dr. Su plans to advance the use of predictive analytics and technology to help care teams identify risk earlier and guide decision-making for children with complex heart conditions. She aims to build on the institution’s leadership in cardiac critical care while creating new tools that improve outcomes and enhance the patient and family experience.
“I am honored to serve as The MacCutcheon Family Professor of Cardiac Critical Care Medicine and grateful for the family’s generosity,” Dr. Su says. “Every child who enters our unit has a unique story. My hope is to use technology and data to help us see that story more clearly, make better decisions and help more children with complex heart conditions return home healthy and thriving.”
This endowed professorship was made possible through a generous investment from the MacCutcheon family. Their vision and generosity are ensuring that Dr. Su and future holders of this professorship will launch bold new initiatives to rapidly advance the field of pediatric cardiac critical care, elevate our leadership and improve entire lifetimes for children with special hearts.
Moving the field forward
Jim MacCutcheon’s involvement with Children’s National dates back to 1983. He has served in many leadership positions, most notably on the boards of directors of Children’s National and the Children’s National Hospital Foundation. Jim, together with his daughters Megan MacCutcheon, Candice Kessler and Colleen Crowley, established The MacCutcheon Family Foundation Cardiovascular Operating Room and The Halle MacCutcheon Playroom on the Heart and Kidney Unit, in addition to The MacCutcheon Family Professorship in Cardiac Critical Care Medicine. They have also supported mobile health, various events and capital improvement projects.
“The MacCutcheon family has been an extraordinary partner in strengthening heart care at Children’s National,” says Wayne J. Franklin, MD, MBA, senior vice president of the Heart and Lung Center. “Their enduring commitment continues with this professorship, which accelerates innovation in cardiac critical care. Under Dr. Su’s leadership, we have an opportunity to reimagine care for our most fragile heart patients using new technologies and innovative data analytics to improve health outcomes for generations to come.”
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Dr. Shein serves as chief of the multidisciplinary Division of Critical Care at Children’s National, charged with caring for seriously ill or injured infants and children, supporting their families, educating tomorrow’s clinicians and performing cutting-edge research.
Children’s National named Steven L. Shein, MD, FCCM, as the DC Lawyers Care for Children Professor of Critical Care Medicine.
Dr. Shein serves as chief of the multidisciplinary Division of Critical Care at Children’s National, charged with caring for seriously ill or injured infants and children, supporting their families, educating tomorrow’s clinicians and performing cutting-edge research. The division includes the Pediatric Intensive Care Unit (PICU), an embedded Neuro Intensive Care Unit and a critical care sedation service.
The big picture
Dr. Shein joins a distinguished group of Children’s National physicians and scientists who hold an endowed chair. Children’s National is grateful to generous donors who have altogether funded 52 professorships.
These appointments support groundbreaking work on behalf of children and their families. They foster new discoveries and innovations in pediatric medicine. Endowed professorships also carry prestige and honor that reflect both the recipient’s achievements and the donor’s commitment to advancing and sustaining knowledge.
Why it matters
Dr. Shein joined Children’s National in 2025 after 12 years at Rainbow Babies & Children’s Hospital in Cleveland, Ohio, where he served as chief of Pediatric Critical Care Medicine and held the Linsalata Family Distinguished Chair in Pediatric Critical Care and Emergency Medicine. Dr. Shein is a nationally recognized clinician, researcher and educator. He co-founded a research consortium dedicated to critical bronchiolitis (the most common disease seen in PICUs) and has authored more than 120 peer-reviewed manuscripts and numerous book chapters.
He is an internationally recognized expert in pediatric critical care, particularly in his research on acute respiratory failure. Through this professorship, he aims to build on the strengths of the division to propel it into one of the nation’s best.
“In 1975, Children’s National became one of the first pediatric critical care programs in the world. It is an honor to lead the division into its second fifty years. Thank you to our donors who recognize that professorships are foundational and transformational for academic programs like ours. These funds will be used for pilot grants to develop new research and knowledge, to support dissemination of our findings in journals and high-impact meetings, to enable faculty members to acquire cutting-edge skills that enhance our clinical practice and to support educational and quality improvement programs,” said Dr. Shein. “Together, these efforts not only benefit our patients, their families and the team at Children’s National; they advance the field of critical care and improve outcomes of children across the globe and into the future.”
Moving the field forward
Established in 2017, the professorship was made possible through a generous investment from the DC Lawyers’ Golf Classic. The tournament emerged from the friendship of co-founders John Devaney and Jerry Stouck and their families’ critical care experiences at Children’s National. Carter Phillips engaged his firm, Sidley Austin LLP, as the lead sponsor, which helped create the endowed fund. Over 14 years, the tournament raised $2 million to elevate critical care medicine.
The founding partners of the DC Lawyers’ Golf Classic, through their vision and generosity, ensure that Dr. Shein and future holders of this professorship will launch bold, new initiatives to rapidly advance the field of pediatric critical care, elevate our leadership and improve entire lifetimes for children facing life-threatening illnesses and injuries.
“We are thrilled that Dr. Shein is assuming this professorship and hope it continues to ensure that critical care clinicians at Children’s National can treat the whole child and their families with the best evidence and technology available,” Mr. Stouck said.
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Neuroinflammation is a central feature of many pediatric neurologic conditions, yet its precise role has remained difficult to define. A recent study, published in the Journal of Neuroinflammation by researchers at Children’s National Hospital, applies high-sensitivity cerebrospinal fluid (CSF) proteomics to better understand this process across diseases, revealing distinct inflammatory signatures in post-hemorrhagic hydrocephalus (PHH) and anti-NMDA receptor encephalitis (NMDARE).
This collaborative effort brought together experts from the divisions of Critical Care Medicine, Neurosurgery, Neurology and Pathology and Laboratory Medicine, reflecting a multidisciplinary approach to complex pediatric brain disorders. The analysis showed that PHH is associated with a broad, sustained inflammatory response, while NMDARE demonstrates a more targeted immune profile.
Dive deeper
Neuroinflammation has been widely studied in adults, where CSF proteomics has helped identify biomarkers and therapeutic targets. In children, however, progress has been slower due to limited access to CSF samples and less sensitive analytical tools.
To address this gap, researchers used a high-sensitivity, multi-targeted proteomic platform to analyze CSF samples from children with PHH, NMDARE and brain tumor–associated hydrocephalus.
Their findings showed stark differences between conditions. PHH demonstrated a large number of differentially abundant proteins and enrichment of complement, coagulation and platelet-related pathways, pointing to a widespread inflammatory response. NMDARE, in contrast, exhibited a narrower profile, with fewer altered proteins and pathways centered on cytokine signaling and humoral immunity.
What this means
“These findings show that neuroinflammation is disease-specific rather than uniform across pediatric central nervous system (CNS) conditions,” says corresponding author Terry Dean, MD, critical care specialist at Children’s National.
In PHH, the persistence of complement and coagulation pathway activation over weeks suggests these mechanisms may be key drivers of disease progression and potential targets for intervention in a condition that currently lacks medical therapies.
In NMDARE, the identification of B‑cell–related proteins such as IGLC2, MZB1 and CD79B points to promising biomarker candidates. These markers may also extend beyond a single disease, with potential relevance across autoimmune CNS disorders.
How it worked
The study leveraged a pediatric CSF biorepository at Children’s National, enabling access to rare samples and longitudinal data collection.
Using advanced proteomic profiling, researchers analyzed hundreds of inflammation-associated proteins and identified disease-specific patterns through differential expression and pathway analysis.
This approach allowed the team to detect low-abundance inflammatory mediators that may have been missed by earlier techniques, providing a more detailed view of pediatric neuroinflammation.
Why this matters
Sometimes the most important advances come from clarifying how diseases differ at a molecular level. This study shows that pediatric neuroinflammation is not a single process, but a collection of distinct, disease-specific responses.
By identifying persistent inflammatory pathways in PHH and potential biomarkers in NMDARE, the work lays the foundation for more precise diagnostics and targeted therapies. It also highlights the importance of investing in pediatric research infrastructure, such as biorepositories, to enable discovery.
For clinicians and researchers, these insights move the field closer to tailoring treatment based on the underlying biology of each condition, an essential step toward improving outcomes for children with neurologic disease.
Read the full study “Characterizing CSF inflammatory proteomics in pediatric post-hemorrhagic hydrocephalus and Anti-NMDAR encephalitis” in the Journal of Neuroinflammation here.
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Children’s National is ranked one of the top 10 pediatric hospitals in the nation by U.S. News & World Report. Our faculty and staff are proud of the impact made on the lives of children and families in our community. Your participation in the U.S. News & World Report annual reputational survey validates the quality of care we provide and reflects the mutual respect and trust we share as healthcare professionals.
How to determine your voting eligibility
Voting for the U.S. News & World Report Best Children’s Hospitals rankings can be done only through Doximity.
To participate, physicians must:
Be board-certified and meet the eligibility criteria for the voting categories.
For child and adolescent psychologists, your account must be up to date with your specialty and subspecialty correctly marked.
Be a credential-verified member of Doximity (you must have an active and claimed Doximity profile).
Have all certifications and board documents currently up-to-date in your Doximity profile.
You have to claim your profile on Doximity.com to participate in the online survey. If you have not yet claimed your Doximity profile, go to Doximity.com, and click “Find My Profile.”
Once your profile has been claimed, you must confirm your email address and board certifications.
Verified Doximity members will receive an email inviting them to participate in the U.S. News survey.
For more information on how to claim your profile, visit Doximity.com
How to update and verify existing Doximity account information
Your Doximity profile must have up-to-date licenses, certifications and board documents.
Once you are logged in, your profile will automatically be in “Edit Mode.” You are able to add new items or edit existing information.
Update your Doximity profile and ensure your information is current.
Once registered, users wishing to participate in the online survey should:
Watch for an email from Doximity about the annual member survey.
Even if you don’t see the email, if you are a registered Doximity user, you can still vote by logging in to Doximity.com with your username and password during the voting period.
Once logged in, look for a U.S. News graphic or button on the homepage and click on it.
The survey asks users to name the hospitals that provide the best care in your respective specialty, without consideration to location or cost. Pediatric specialists will list 10 hospitals. The order in which you list the hospitals does not matter.
Please note: Children’s National Hospital is listed as “Children’s National Hospital Washington, DC” on the survey.
Visit Doximity’s FAQs if you have issues or questions about registration or claiming your profile.
How to cast your vote
In February 2026 when voting opens, all survey-eligible physicians will receive a notification on the Doximity app for Android or iOS. If you do not use the Doximity app, you will receive an email when voting opens.
Log in to your Doximity account at doximity.com or via the mobile app.
Click the Notifications icon or tap the “Submit your Nominations” button on the homepage. You can also search for “U.S. News Best Hospitals”
Select 10 hospitals in your respective specialty that you believe provide the best care in the United States.
Submit your vote
Having technical issues?
If you have difficulty registering with Doximity or completing the survey, please visit Doximity support for assistance.
Vote
The 2026 U.S. News & World Report Best Children’s Hospitals reputation voting will open in mid-February. Look for your Doximity notification to vote.
In 2025, Innovation District readers gravitated toward stories that explored how research and clinical innovation are reshaping pediatric care in real time. This year’s most popular articles highlighted advances in complex surgical care, evidence-based treatments for chronic and neuropsychiatric conditions and emerging technologies — from wearable data to artificial intelligence — that are changing how clinicians diagnose, treat and support children and families. Read on for our list of the most popular articles we published on Innovation District in 2025.
The Cervical Spine program at Children’s National Hospital is responsible for treating a range of conditions, including trauma, congenital abnormalities and tumors. These conditions can lead to instability or misalignment of the cervical spine. “There are unique challenges in pediatric cases due to anatomical differences. The cervical spines of children are more at risk for injury because of their developmental stage and structural characteristics,” says Matthew Oetgen, MD, MBA, chief of Orthopaedic Surgery and Sports Medicine at Children’s National. (2 min. read)
Increasing evidence-based treatment is a key component of the Addictions Program at Children’s National Hospital, created in 2022 and led by Sivabalaji Kaliamurthy, MD. “We really want to focus on intervening in an evidence-based manner in the primary care setting because that is where most of our patients are going to first access care outside of the emergency room,” explains Dr. Kaliamurthy. (3 min. read)
For many children with short stature and other rare genetic growth disorders, there have been no next steps after usual treatment options prove ineffective. Researchers at Children’s National Hospital are digging deeper to find the root genetic causes of short stature disorders and creating novel, nuanced treatment options that have the opportunity to change how the field approaches these cases. (4 min. read)
Denver D. Brown, MD, nephrologist at Children’s National, is looking at whether untreated metabolic acidosis could potentially contribute to cardiovascular outcomes in children with chronic kidney disease (CKD). Here, she explains her motivation, findings and future directions for this critical research. (3 min. read)
A multidisciplinary therapy model developed at Children’s National shows promise for children with PANS and PANDAS, significantly reducing symptoms through structured cognitive-behavioral therapy and family-centered care. The approach could offer a new standard for treating these rare, complex neuropsychiatric disorders. (2 min. read)
A study from Children’s National reveals that common wearable devices like Fitbits may hold the key to improving how we identify Attention-Deficit/Hyperactivity Disorder (ADHD) in adolescents. By analyzing patterns in heart rate, activity levels and energy expenditure, researchers were able to predict ADHD diagnoses with striking accuracy, offering a glimpse into a future where objective, real-time data supports earlier and more personalized mental healthcare. (2 min. read)
A novel implantable pacemaker designed specifically for infants has demonstrated safety and effectiveness in stabilizing heart rhythms for at least two years. The multi-center study of 29 infants showed stable pacing, normal electrical parameters and expected battery life, offering a viable alternative to standard-size devices for the smallest children. (2 min. read)
Children who had heart surgery and come from less advantaged neighborhoods in the Washington, D.C., region are much more likely to die in the long term than those from neighborhoods with more wealth and opportunity. The finding was part of a presentation titled, Socioeconomic Disadvantage Is Associated with Higher Long-Term Mortality After Cardiac Surgery, by Jennifer Klein, MD, MPH, cardiologist at Children’s National Hospital, during the Society of Thoracic Surgeons Annual Meeting in Los Angeles. (2 min. read)
Experts from Children’s National traveled to Uganda to continue work on a pilot program applying artificial intelligence (AI) to the diagnosis of rheumatic heart disease (RHD). The team created a tool that uses AI to predict RHD by identifying leaky heart valves on handheld ultrasound devices, then prompts a referral for a full echocardiogram. (2 min. read)
Food insecurity is rising in Washington, D.C. and it’s hitting families with children the hardest. That’s why Children’s National Hospital created the Family Lifestyle Program (FLiP) – a multi-layered intervention, which offers Patient Navigation (FLiP-PN) and a Produce Prescription Intervention (FLiPRx). FLiP is a Food Is Medicine, clinical-community initiative that helps families get access to fresh food, build healthy habits and lower their risk of diet-related diseases like diabetes and obesity. (3 min. read)
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In 2025, Children’s National Hospital was featured in major national news outlets for pioneering advances in pediatric care, groundbreaking clinical research and powerful human stories of healing and hope. From gene therapy for sickle cell disease and innovative pacemakers for newborns to breakthrough transplants, cancer trials and emerging mental health concerns like AI psychosis, these stories highlight the hospital’s leadership across the full spectrum of pediatric medicine. The following ten highlights showcase the patients, families and experts behind this impact, as reported by outlets including NBC News, The Washington Post, Good Morning America, USA Today, Healio, ABC News and ESPN.
Children’s National patient Wedam, 19, begins the first steps for intensive gene therapy for sickle cell disease, discussing his skepticism while his mother expresses her joy and gratitude for the treatment. (NBC News)
Charles Berul, MD, pediatric electrophysiologist and emeritus chief of Cardiology, discusses his study highlighting the safety and efficacy of an innovative smaller pacemaker designed for newborns with critical congenital heart disease. (Healio)
Catherine Bollard, MBChB, MD, senior vice president and chief research officer, and the NexTGen team are poised to recruit patients for a new clinical trial that will take on an old, implacable foe: children’s solid tumors. (The Washington Post)
Yves d’Udekem, MD, PhD, chief of Cardiac Surgery, talked to Good Morning America about how an 11-year-old’s groundbreaking partial heart transplant will change his life and the lives of other children in need of valve replacements. (Good Morning America)
The Lilabean Foundation along with Brian Rood, MD, medical director of the Brain Tumor Institute, talked about how patients like Kasey Zachman are the motivation behind finding a cure for brain cancer. (ABC News)
USA Today Sports spoke with Gavin Brown and his parents, as well as Yi Shi, MD, a pediatric nephrologist at Children’s National Hospital, about their kidney transplant journey. (USA Today)
After Jayden Daniels visited Commanders fan Sarah Addison at Children’s National Hospital while she was being treated for myeloid leukemia, they quickly became friends. (ESPN)
A baby boy in Maryland is back home after being given a second chance at life, just before his first birthday. The boy’s mother and his surgeon, Manan Desai, MD, share the remarkable story of a moment that changed all of their lives. (NBC4)
Ashley Maxie-Moreman, PhD, clinical psychologist, spoke to ABC7 about what AI psychosis is and what parents need to know. (ABC7)
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Lillian Su, MD, has joined Children’s National Hospital as chief of Cardiac Critical Care. Dr. Su is a nationally recognized expert in cardiac critical care medicine and team dynamics.
“There is a lot of opportunity for innovation in cardiac critical care with the monumental leaps that technology and AI have taken in the past few years.” Dr. Su said. “Children’s National has the right type of experts who are both creative as well as clinically excellent to be at the forefront of that type of innovative care, especially in a city such as Washington, D.C.”
She is current president of the Pediatric Cardiac Intensive Care Society (PCICS) and returns to Children’s National where she was an attending cardiac critical care medicine physician from 2008 to 2016 and Medical Director of the Board of Visitors Simulation program. Most recently, she was medical director of the Cardiovascular Intensive Care Unit (CVICU) at Phoenix Children’s Hospital and before that served as director of the simulation program at the Heart Center of Lucille Packard Children’s Hospital.
In addition to her clinical leadership, Dr. Su’s established research and academic work focuses on human behavior and team dynamics during cardiac arrest events. She has published research and presented on the complicated intersection of human skills and technology, including discussions of how to optimize partnerships between the necessary roles of humans in patient care and the integration of technology to enhance that care. Her work has been presented at the Academy of Management, the Society of Industrial and Organizational Psychology, the American College of Cardiology, the Extracorporeal Life Support Organization (ELSO), Society of Critical Care Medicine (SCCM), PCICS, and most recently at the World Congress of Cardiology and Cardiac Surgery. She has been the co-editor of two simulation books, Comprehensive Healthcare Simulation: ECMO simulation and Neonatal and Pediatric ECMO Simulation Scenarios. She serves on the American Heart Association Get With the Guidelines for Resuscitation Pediatric Task Force.
“I’m honored and delighted to welcome Dr. Su back to Children’s National,” says Wayne J. Franklin, MD, MBA, senior vice president of the Children’s National Heart and Lung Center. “She is a dedicated clinician and an international leader who is committed to excellence in patient care, research and education. The Heart and Lung Center team, along with the patients and families we serve, will greatly benefit from her exceptional expertise and leadership.”
Dr. Su is board certified in pediatrics and pediatric critical care. She completed fellowships in pediatric critical care medicine at Children’s Hospital Pittsburgh and cardiac critical care medicine at Children’s Hospital of Philadelphia. Dr. Su attended medical school at Temple University in Philadelphia and completed residency and internship at Cedars Sinai Medical Center in Los Angeles.
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A comprehensive study of available peer-reviewed research found several common categories of stressors for all intensive care environments, specifically based on data from the NICU and PICU.
Critically ill infants who must spend their early days after birth in an intensive care environment such as neonatal intensive care unit (NICU), pediatric intensive care unit (PICU) or cardiac intensive care unit (CICU) face a multitude of overlapping stressors that can impact long-term neurodevelopment and well-being. A comprehensive study of available peer-reviewed research found several common categories of stressors for all intensive care environments, specifically based on data from the NICU and PICU. However, the nurse-researchers did not find any studies looking at the additional challenges faced by infants with congenital heart disease who begin their lives in the CICU.
The study, conducted by cardiac intensive care providers at Children’s National Hospital, including lead author Christine Riley, PhD, RN, APRN, a nurse practitioner in the Cardiac Intensive Care Unit (CICU), reiterates the importance of understanding these stressors, how they impact already fragile newborns and how best to mitigate them and give every infant their best chance to thrive during and after an intensive care unit stay.
Why it matters
The findings, that infants in intensive care face a multitude of overlapping stressors caused by their environment, routine care and painful procedures, show that these vulnerable patients experience a significant cumulative stress burden. As the authors note, these stressful encounters have profound short- and long-term physiological and neurodevelopmental impacts, highlighting the importance of finding these sources of stress and taking steps to reduce them wherever possible. They write that efforts to do so are, “fundamental to improving patient care and optimizing recovery in this vulnerable population.”
The review also revealed a missed opportunity in the research to date — the specific experiences of infants with congenital heart disease in the CICU. The unique anatomy of and different standards of care required for babies born with heart disease likely create additional stress factors influencing both short- and long-term growth and development.
Children’s National leads the way
Dr. Riley and colleagues point out that, “studies to date overwhelmingly focus on preterm infants in neonatal intensive care settings, with limited research addressing the stressful experiences of infants with congenital heart disease, highlighting a crucial area for future investigation.”
An innovative nurse-led clinical research program in the CICU at Children’s National brings bedside care providers and families together in the unit for collaborations that will focus on identifying those CICU-specific stressors and create efforts to improve the neurodevelopment and long-term quality of life for infants who start their lives there.
The program’s research portfolio seeks to define and measure stress and the impact of the stress burden for both families and infants. The program hopes to also develop wellness tools for families that can be administered as part of routine bedside care to help set parents and their babies up for greater resilience in the face of current and future challenges.
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Children’s National Hospital in Washington, D.C., was ranked as a top hospital in the nation by the U.S. News & World Report 2025-26 Best Children’s Hospitals annual rankings. This marks the ninth straight year Children’s National has made the Honor Roll list. The Honor Roll is a distinction awarded to only 10 children’s hospitals nationwide.
For the fifteenth straight year, Children’s National ranked in 10 specialty services and is the highest U.S. News ranked children’s hospital in Washington, D.C., Maryland and Virginia. Last year, U.S. News introduced pediatric & adolescent behavioral health as a service line in its rankings. While there are no ordinal rankings for behavioral health, the Children’s National program was named one of the top 50 programs in the country for the second year in a row.
“To be named among the nation’s top children’s hospitals for nine years in a row is a reflection of the extraordinary expertise, innovation and heart that our teams bring to every child and family we serve,” said Michelle Riley-Brown, MHA, FACHE, president and chief executive officer of Children’s National. “Our leadership in specialties like neurology, cancer, and diabetes and endocrinology underscores the national impact of our work, and we remain focused on setting new standards in pediatric care.”
The annual rankings are the most comprehensive source of quality-related information on U.S. pediatric hospitals and recognizes the nation’s top 50 pediatric hospitals based on a scoring system developed by U.S. News.
“Being a top-ranked pediatric hospital means more than just excelling in a single specialty — it means being a pillar of outstanding care for your entire region,” said Ben Harder, chief of health analysis and managing editor at U.S. News. “Our rankings acknowledge these hospitals for their comprehensive excellence, helping families find the very best care conveniently located within their state and community.”
The bulk of the score for each specialty service is based on quality and outcomes data. The process includes a survey of relevant specialists across the country, who are asked to list hospitals they believe provide the best care for patients with the most complex conditions.
The Children’s National specialty services that U.S. News ranked in the top 10 nationally are:
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Children’s National Hospital hosted its fifteenth annual Research, Education and Innovation Week from March 31–April 4, 2025, bringing together clinicians, scientists, educators and innovators from across the institution to celebrate discovery and collaboration. This year’s theme, “Empowering the Future in Pediatric Research and Innovation with Equity, Technology and a Global Reach,” served as a call to action for advancing science that improves child health both locally and around the world.
Each day of the week-long event featured thought-provoking lectures — now available to watch — dynamic panel discussions, interactive workshops and vibrant poster sessions, all highlighting the diverse and interdisciplinary work taking place across Children’s National.
Centering the patient and the planet
REI Week began on Monday with a powerful keynote lecture from Lynn R. Goldman, MD, MS, MPH, Michael and Lori Milken dean of the Milken Institute School of Public Health at the George Washington University. In her talk, “Children: Uniquely vulnerable to climate-related threats,” Dr. Goldman underscored the urgent need to protect children from the environmental hazards of a changing climate and to integrate climate science into pediatric care and advocacy.
At mid-morning, Mary-Anne “Annie” Hartley, MD, PhD, MPH, director of the LiGHT Laboratory at École Polytechnique Fédérale de Lausanne, introduced the “MOOVE” platform — Massive Open Online Validation and Evaluation of clinical LLMs. Her talk demonstrated how artificial intelligence, when rigorously validated, has the potential to transform clinical decision-making and global health equity.
Monday’s final keynote, “Zinc and childhood diarrhea,” was presented by Christopher Duggan, MD, MPH, director of the Division of Nutrition at Harvard Medical School. Dr. Duggan highlighted the global health impact of zinc supplementation in reducing childhood mortality — a reminder that simple, evidence-based interventions can save millions of lives.
In that first day, the first poster session of the week showcased projects in adolescent medicine, global health, infectious diseases, oncology and more. The session reflected the full breadth of research taking place across Children’s National.
Ambroise Wonkam, MD, PhD, professor of genetic medicine at Johns Hopkins University, then delivered Tuesday’s Global Health Keynote Lecture, “Harnessing our common African genomes to improve health and equity globally.” His work affirmed that inclusive genomics is key to building a healthier world.
Later, the Global Health Initiative event and GCAF Faculty Seminar encouraged attendees to pursue collaborative opportunities at home and abroad, reflecting the growing global footprint of Children’s National research programs.
Transforming education and care delivery
On Wednesday, Larrie Greenberg, MD, professor emeritus of pediatrics, kicked off the day with a Grand Rounds keynote on educational transformation: “Shouldn’t teachers be more collaborative with their learners?” He followed with a CAPE workshop exploring the effectiveness of case-based learning.
In the Jill Joseph Grand Rounds Lecture, Deena J. Chisolm, PhD, director of the Center for Child Health Equity at Nationwide Children’s Hospital, challenged attendees to move beyond dialogue into action in her talk, “Health equity: A scream to a whisper?,” reminding researchers and clinicians that advocacy and equity must be foundational to care.
The day continued with a poster session spotlighting medical education, neonatology, urology and neuroscience, among other fields.
Posters and pathways to progress
Throughout the week, poster sessions highlighted cutting-edge work across dozens of pediatric disciplines. These sessions gave attendees the opportunity to engage directly with investigators and reflect on the shared mission of discovery across multiple disciplines, including:
The REI Week 2025 Awards Ceremony celebrated outstanding contributions in research, mentorship, education and innovation. The winners in each category were:
POSTER SESSION AWARDS
Basic & Translational Research
Faculty: Benjamin Liu, PhD
“Genetic Conservation and Diversity of SARS-CoV-2 Envelope Gene Across Variants of Concern”
Faculty: Steve Hui, PhD
“Brain Metabolites in Neonates of Mothers with COVID-19 Infection During Pregnancy”
Faculty: Raj Shekhar, PhD
“StrepApp: Deep Learning-Based Identification of Group A Streptococcal (GAS) Pharyngitis”
Post docs/Fellows/Residents: Dae-young Kim, PhD
“mhGPT: A Lightweight Domain-Specific Language Model for Mental Health Analysis”
Post docs/Fellows/Residents: Leandros Boukas, MD, PhD
“De Novo Variant Identification From Duo Long-Read Sequencing: Improving Equitable Variant Interpretation for Diverse Family Structures”
Staff: Naseem Maghzian
“Adoptive T Lymphocyte Administration for Chronic Norovirus Treatment in Immunocompromised Hosts (ATLANTIC)”
Graduate Students: Abigail Haffey
“Synergistic Integration of TCR and CAR T Cell Platforms for Enhanced Adoptive Immunotherapy in Brain Tumors”
High School/Undergraduate Students: Medha Pappula
“An ADHD Diagnostic Interface Based on EEG Spectrograms and Deep Learning Techniques”
Clinical Research
Faculty: Folasade Ogunlesi, MD
“Poor Air Quality in Sub-Saharan Africa is Associated with Increase Health Care Utilization for Pain in Sickle Cell Disease Patients”
Faculty: Ayman Saleh, MD
“Growth Parameters and Treatment Approaches in Pediatric ADHD: Examining Differences Across Race”
Post docs/Fellows/Residents: Nicholas Dimenstein, MD, MPH
“Pre-Exposure Prophylaxis (PrEP) Eligibility in the Pediatric Emergency Department”
Staff: Tayla Smith, MPH
“The Public Health Impact of State-Level Abortion and Firearm Laws on Health Outcomes”
Graduate Students: Natalie Ewing
“Patterns of Bacteriuria and Antimicrobial Resistance in Patients Presenting for Primary Cloacal Repair: Is Assisted Bladder Emptying Associated with Bacteriuria?”
Graduate Students: Manuela Iglesias, MS
“Exploring the Relationship Between Child Opportunity Index and Bayley-III Scores in Young Children”
High School/Undergraduate Students: Nicholas Lohman
“Preliminary Findings: The Efficacy, Feasibility and Acceptability of Group Videoconference Cognitive Behavioral Therapy with Exposure and Response Prevention for Treating Obsessive-Compulsive Disorder Among Children and Young People”
Community-Based Research
Faculty: Sharon Shih, PhD “Assessing Pediatric Behavioral Health Access in DC using Secret Shopper Methodology”
Post docs/Fellows/Residents: Georgios Sanidas, MD “Arrested Neuronal Maturation and Development in the Cerebellum of Preterm Infants”
Staff: Sanam Parwani
“Intersectionality of Gender and Sexuality Diversity in Autistic and Non-Autistic Individuals”
Graduate Student: Margaret Dearey “Assessing the Burden of Period Poverty for Youth and Adolescents in Washington, DC: A Pilot Study”
Quality and Performance Improvement
Faculty: Nichole L. McCollum, MD
“A Quality Improvement Study to Increase Nurse Initiated Care from Triage and Improve Timeliness to Care”
Post docs/Fellows/Residents: Hannah Rodriguez, MD
“Reducing Unnecessary Antibiotic Use in a Level IV NICU”
Staff: Amber K. Shojaie, OTD, OTR/L
“Implementing Dynamic Axilla Splints in a Large Burn Patient”
Meleah Boyle, PhD, MPH
“Understanding and Addressing Environmental Sustainability to Protect the Health of the Children’s National and Global Communities”
Eiman Abdulrahman, MD
“Research Capacity Building to Improve Pediatric Emergency and Critical Care in Ethiopia”
Pilot Awards
Alexander Andrews, MD
“EEG as a Diagnostic and Prognostic Marker in Severe Pediatric Malaria, Blantyre Malawi”
Daniel Donoho, MD & Timothy Singer, MD
“Feasibility Study of a Novel Artificial Intelligence-Based Educational Platform to Improve Neurosurgical Operative Skills in Tanzania”
Hasan Syed, MD
“Bridging the Gap an Educational Needs Assessment for Pediatric Neurosurgery Training in Pakistan”
Sofia Perazzo, MD & Lamia Soghier, MD, MEd, MBA
“QI Mentorship to Improve Pediatric Screening and Follow-up in Rural Argentina”
Benjamin Liu, PhD
“AI-Empowered Real-Time Sequencing Assay for Rapid Detection of Schistosomiasis in Senegal”
Rae Mittal, MD
“Assessment and Enhancement of Proficiency in Emergency Child Neurology Topics for Post-Graduate Emergency Medicine Trainees in India”
Innovation Day ignites bold thinking
Thursday, REI Week shifted to the Children’s National Research & Innovation Campus for Innovation Day, a celebration of how bold ideas and collaborative culture can accelerate progress in pediatric medicine.
REI Week 2025 reaffirmed the values that define Children’s National: a commitment to excellence, collaboration and equity in pediatric research and care. As discoveries continue to emerge from our hospital and our research campuses, the connections built and ideas sparked during this week will help shape the future of pediatric health — locally and globally.
By elevating voices from the bedside to the bench, with the support of the executive sponsors Nathan Kuppermann, MD, MBChB, Catherine Bollard, MBChB, MD, Kerstin Hildebrandt, MSHS, Linda Talley, MS, RN, NE-BC and David Wessel, MD, REI Week demonstrated that we must embrace the community in all aspects of our work. Because we know that there are answers we can only get from the patients that we serve—and we need to be their voice.
Research, Education & Innovation Week will be back next year on April 13-17, 2026.
Posters at the REI Week 2025 Monday, March 31 poster session.
Panelists discuss innovation during REI Week 2025.
Global Health Initiative community engagement event during REI Week 2025.
Chris Rees presents his REI Week 2025 lecture.
Nathan Kuppermann listens to a presenter during the REI Week 2025 Tuesday, April 1, poster session.
Michelle Riley-Brown, Nathan Kuppermann, Catherine Bollard and Naomi Luban on stage during the REI Week 2025 awards ceremony.
Brandy Salmon presents on innovation programs at Virginia Tech during the REI Week 2025 Innovation Day.
Catherine Bollard listens to a presenter during the REI Week 2025 Monday, March 21 poster session.
Ambroise Wonkman poses for a picture with Children’s National staff.
Tanzeem Choudhury presenting during REI Week 2025.
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In 2024, Children’s National Hospital continued to make remarkable strides across diverse areas of pediatric medicine, from groundbreaking technological innovations to critical health advocacy. The following compilation showcases ten significant stories that demonstrate the breadth and depth of the hospital’s impact, as featured in major national news outlets including NBC Nightly News, CNN, The Washington Post, The New York Times, NPR, The Today Show, Healio, and POLITICO. Delve into our 2024 news highlights for more.
Charles Berul, M.D., and a patient family talk about the pill-sized pacemaker that saved the life of Abby, an infant born with deadly heart defects. (NBC Nightly News)
Sivabalaji Kaliamurthy, M.D., addiction psychiatrist and director of the Addictions Program, spoke to CNN about the impact of drug addiction on teen health and the lack of resources available to treat opioid use disorder. (CNN)
Susma Vaidya, M.D., M.P.H., associate medical director of the IDEAL Clinic, shared her concerns about childhood obesity treatment recommendations issued today by a leading panel of independent U.S. health experts. (The Washington Post)
Shideh Majidi, M.D., M.S.C.S., and Emily Frymark, clinical dietitian, spoke about how the food pharmacy, created in partnership with the Capital Area Food Bank, benefits patients with diabetes and other chronic conditions. (The Washington Post)
Kendric Cromer, a 12-year-old boy being treated at Children’s National Hospital, became the first person in the world with sickle cell disease to begin a commercially approved gene therapy that may cure the condition. “This is a big effort,” says David Jacobsohn, M.D., ScM, M.B.A. (The New York Times)
Mikael Petrosyan, M.D., associate chief of General and Thoracic Surgery, discusses the stress medical staff face when treating young victims of gun violence. (NPR)
Landon, an 11-year-old patient, rang the bell at Children’s National Hospital with family, friends, doctors and nurses cheering after finishing his final round of chemotherapy. (The Today Show)
Monika Goyal, M.D., M.S.C.E., pediatric emergency medicine specialist and co-director of the Center for Translational Research, emphasized the need for awareness in addressing period poverty in teenagers and young adults. (Healio)
Kolaleh Eskandanian, Ph.D., M.B.A., P.M.P., vice president and chief innovation officer, participates in a panel discussion covering AI data collection, associated risks, reliance and other topics related to artificial intelligence. (POLITICO)
Children’s National patient Kendric Cromer, 12, became one of the first children ever to be treated with a newly approved gene therapy that will free him from the sickle cell disease that has stolen his childhood. (The New York Times)
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2024 marked another groundbreaking year for Children’s National Hospital, showcasing remarkable advances across the spectrum of pediatric medicine, research and healthcare innovation. From pioneering surgical procedures to breakthrough artificial intelligence applications, the institution continued to push the boundaries of what’s possible in children’s healthcare. Read on for our list of the most popular articles we published on Innovation District in 2024.
A study led by researchers at Children’s National Hospital showed that babies born during the COVID-19 pandemic have differences in the size of certain structures in the brain, compared to infants born before the pandemic. The findings suggest that exposure to the coronavirus and being pregnant during the pandemic could play a role in shaping infant brain development. (3 min. read)
Children’s National Hospital was ranked as a top hospital in the nation by the U.S. News & World Report 2024-25 Best Children’s Hospitals annual rankings. This marks the eighth straight year Children’s National has made the Honor Roll list. The Honor Roll is a distinction awarded to only 10 children’s hospitals nationwide. (2 min. read)
In January 2023, a team of multidisciplinary doctors performed the first case in the world of using bilateral high intensity focused ultrasound (HIFU) pallidotomy on Jesus, a 22-year-old patient with dyskinetic cerebral palsy. The procedure is part of a clinical trial led by Chima Oluigbo, M.D., pediatric neurosurgeon at Children’s National Hospital. (3 min. read)
A novel ultrasound device developed by Bloom Standard received the Food and Drug Administration’s valued breakthrough device designation with the help of Children’s National Hospital. The device that enables autonomous, hands-free ultrasound scans to be performed anywhere, by any user. (2 min. read)
Understanding the effects of Lyme disease on the developing fetal brain is essential to ensure timely prenatal and postnatal treatments to protect the fetus and newborn. In response to this need, Children’s National Hospital is leading a pilot study to establish the groundwork needed for a larger study to determine the effect of in utero exposure to Lyme disease on pregnancy and early childhood neurodevelopmental outcomes. (3 min. read)
Five years ago, Cayden was born 6 weeks early weighing less than four pounds and at risk of dying from her critical congenital heart disease. Today, she’s a happy five-year-old. Early diagnosis of her hypoplastic right ventricle, double inlet left ventricle and critical coarctation of the aorta allowed for the team at Children’s National Hospital to create a careful plan for safe delivery and to offer an innovative hybrid HLHS surgical approach at the hospital within 24 hours after she was born. (1 min. read)
Children’s National Hospital appointed Wayne J. Franklin, M.D., F.A.C.C., as the new senior vice president (SVP) of the Children’s National Heart Center. In this role, Dr. Franklin oversees the full spectrum of heart care services including cardiac imaging and diagnostics, interventional cardiology, electrophysiology, cardiac anesthesia, cardiac surgery and cardiac intensive care. (2 min. read)
By pioneering artificial intelligence (AI) innovation programs at Children’s National Hospital, Marius George Linguraru, D.Phil., M.A., M.Sc., and the AI experts he leads are ensuring patients and families benefit from a coming wave of technological advances. The team is teaching AI to interpret complex data that could otherwise overwhelm clinicians. (4 min. read)
Painting a sobering picture, a research team led by Children’s National Hospital culled years of data demonstrating that maternal mental illness is an under-recognized contributor to the death of new mothers. They called for urgent action to address this public health crisis. (3 min. read)
Children’s National Hospital appointed Nathan Kuppermann, M.D., M.P.H., as its new executive vice president, chief academic officer and chair of Pediatrics. In this role, Dr. Kuppermann oversees research, education and innovation for the Children’s National Research Institute as well as academic and administrative leadership in the Department of Pediatrics at George Washington University School of Medicine & Health Services. (2 min. read)
Researchers from Children’s National Hospital presented findings from the first clinical trial of the medication vosoritide for children with hypochondroplasia – a rare genetic growth disorder. During the phase 2 trial, researchers found vosoritide increased the growth rate in children with hypochondroplasia, allowing them to grow on average an extra 1.8 cm per year. (2 min. read)
Since its establishment in July 2023, the Center for Prenatal, Neonatal & Maternal Health Research at Children’s National Hospital has gained recognition through high-impact scientific publications, featuring noteworthy studies exploring the early phases of human development. (3 min. read)
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Jones presented seven key takeaways from the early development and implementation of the NeuroCardiac Critical Care Program.
“Neurodevelopmental care is not a decision on a day-to-day basis. It is a series of micro-decisions embedded in our practice every single day,” says Melissa Jones, MSN, APRN, CPNP-AC, director of the NeuroCardiac Critical Care Program at Children’s National Hospital.
Several years ago, Jones and colleagues in the Cardiac Intensive Care Unit (CICU) at Children’s National launched the program, which involved team education, implementation of evidence-based best practices, research and quality improvement efforts with the goal of optimizing brain neurodevelopment for patients in cardiac intensive care.
More than 1,000 people around the world registered for a recent virtual educational webinar hosted by the Congenital Heart Academy focused on the topics of neuroprotection for children with congenital heart disease. During the webinar the team outlined the process and lessons learned from developing this important, novel program.
What it is
The NeuroCardiac Critical Care Program at Children’s National is an integrated, multidisciplinary group of clinicians focused on eliminating secondary brain injury, optimizing brain development and promoting healthy family bonding in the CICU.
The team prioritizes several key areas, including:
Weekly neurodevelopmental rounds
Environmental changes
Pain and sedation management
Parent and caregiver engagement
Neuromonitoring guidelines
Jones presented the multidisciplinary team-oriented approach that led to the launch of the program, which continues to evolve and grow in the CICU today. She also offered a series of lessons learned, such as:
Even the patients who are the most fragile can receive developmentally supportive care.
Elevating and disseminating the expertise of the team is key.
Continuous staff educations and buy-in is essential.
Working with existing resources (people and material) is important.
Early and small wins can build traction for the team.
Taking care of parents is developmental care.
Culture change takes time, patience and persistence.
Children’s National leads the way
Children’s National is a national leader in the study of neurodevelopment across the lifespan of children born with congenital heart disease. This includes cutting edge work to understand the fetal brain, earlier diagnosis and intervention for heart disease and how congenital heart anomalies affect growth and development in utero, studies of neuroprotection strategies for use in the operating room, neurologically supportive approaches in cardiac critical care, and neuropsychological support systems as these children grow up and into adulthood.
Cardiac critical care and telehealth experts at Children’s National have been longstanding contributors to the knowledge sharing efforts of the Congenital Heart Academy from its beginning, including leading a precursor international, multi-disciplinary knowledge sharing telehealth series for critical care strategies started during the COVID-19 pandemic.
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An evolving, continuous surveillance telecritical care model in the pediatric Cardiac Intensive Care Unit (CICU) at Children’s National Hospital has demonstrated early findings pointing to its ability to act as an additional virtual layer of safety for patient care that supports bedside providers by identifying concerning health trends based on a patient’s data.
Children who are hospitalized with congenital heart disease are more likely to experience cardiac arrest than children without cardiovascular diseases. Though these children are more likely to survive cardiac arrest today than a decade ago thanks to improvements in treatment options, survival after a cardiac arrest while in the hospital is still low. Additional solutions to minimize this serious complication are sorely needed.
An evolving, continuous surveillance telecritical care model in the pediatric Cardiac Intensive Care Unit (CICU) at Children’s National Hospital has demonstrated early findings pointing to its ability to act as an additional virtual layer of safety for patient care that supports bedside providers by identifying concerning health trends based on a patient’s data. The model aims to minimize cardiac arrest, ensure clear and effective communication, support escalation of care when appropriate and – simultaneously – be minimally disruptive to the bedside teams’ workflow.
What this means
The Board of Visitors Telehealth Command Center, housed within the CICU at Children’s National, recently reported its initial experience after its first four years of operation, successfully conducting 18,171 virtual surveillance activities on children admitted to its CICU – analyzing data from remote monitoring, video camera feed from patient rooms, data from electronic medical records and an artificial intelligence (AI) prediction tool dashboard. This work led to 248 critical communications with bedside teams, who subsequently provided interventions that may have prevented or decreased the severity or length of time of a patient’s cardiac arrest.
This study showed that the models tested in this large dataset have successfully blended AI and remote clinician expertise to capture concerning trends in the health of critically ill pediatric patients and then share vital information with bedside care providers. The study also shows the importance of adapting any telecritical care system to ensure it works in concert with highly trained professionals. These professionals rightly remain the first line of defense against any concerning trend in a patient’s status.
Children’s National leads the way
This is the first report in the pediatric critical care setting using a continuous care model to support a pediatric CICU to prevent cardiac arrest in children with critical heart disease. Most previous reports of telecritical care in children describe a model based on physician-to-physician communication used to connect rural and isolated populations or international cases, with clinical expertise provided from a remote distance.
What’s next
Ongoing research is being conducted to explore direct connections between tele-critical care communications and patient outcomes, such as reducing cardiac arrest in children after congenital heart surgery.
Continued refinement of virtual surveillance workflows and AI tools will allow for earlier detection, communication and intervention – in the hopes of identifying concerning trends earlier and intervening sooner.
Development of automated triggers for virtual surveillance and communications, helped by more AI tools, to remove the need for the personal assessment of a physician or nurse at the tele-critical care unit to trigger communications.
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The team supported R’s heart using a VAD and an innovative implantation technique to increase the likelihood he would tolerate the device well.
A case study published in the Journal of Thoracic and Cardiovascular Surgery Techniques demonstrates a proof of concept that temporary use of a VAD to support a single ventricle heart may give that heart time to grow stronger and allow for corrective and lifesaving procedures under cardiopulmonary bypass instead of heart transplant.
What it means
The cardiac surgery team at Children’s National Hospital was able to offer a young boy’s family a lifesaving surgical option, after they were told elsewhere that their only choice was palliative care.
Baby R was born with a series of complex congenital heart conditions: Heterotaxy syndrome, unbalanced atrioventricular septal defect (AVSD), severe atrioventricular valve regurgitation, reduced ventricular function and obstructed total anomalous pulmonary venous drainage (TAPVD).
That combination of defects left his family facing an unthinkable statistic — there was an up to 90% possibility that R would die before reaching his first birthday.
A set of early interventions, including an initial attempt at a single ventricular correction called a bi-directional cavo-pulmonary shunt (BCPS) failed. His already weak heart was left even weaker than before. He continued to decline.
“We don’t ever want to say, ‘There is nothing we can do for your child,’” says Yves d’Udekem, M.D., Ph.D., chief of cardiac surgery at Children’s National. “Instead, we make the impossible, possible.”
The team decided to support R’s heart using a ventricular assist device (VAD) and an innovative technique during implantation of the VAD to increase the likelihood that he would tolerate the device well. By relieving some of the heart’s workload, they hoped that complicating functional issues might improve enough to allow surgeons to operate again and fix some of the structural conditions to optimize blood flow.
Children’s National leads the way
There is literature showing VAD used in this way in adults with heart failure, but until now it had never been successfully applied as a bridge to surgical intervention in a child with a single functioning ventricle. These assist devices are typically used only as a bridge to heart transplant in children.
This is the first documented case where ventricular assist device implantation resulted in gradual improvement in ventricular function, atrioventricular valve regurgitation, and pulmonary vascular resistance.
The improvements culminated in a major milestone: After 8 weeks of VAD support, at 6 months old, R was weaned off the device and had a successful BCPS, the first of several surgical procedures to make blood flow in his heart effective enough to sustain his organs.
When he was 14 months old, he returned for a successful second procedure along the established single ventricle pathway.
What’s next
R is nearly 3 years old and thriving at home, not in the CICU, as he waits to undergo the Fontan procedure — the final structural surgery for his single ventricle heart.
The knowledge and skill of Children’s National Heart Center turned this formerly hopeless situation into a brighter prognosis by repurposing existing technology to save a life.
In their case study conclusion, the team writes, “The observed improvement in ventricular function and AV valve regurgitation following VAD implantation in this patient is proof of the concept that patients with a failing single-ventricle circulation can be bridged to recovery by temporary VAD support. This concept may open new avenues of treatment.”
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Children’s National Hospital in Washington, D.C., was ranked as a top hospital in the nation by the U.S. News & World Report 2024-25 Best Children’s Hospitals annual rankings. This marks the eighth straight year Children’s National has made the Honor Roll list. The Honor Roll is a distinction awarded to only 10 children’s hospitals nationwide.
This year, U.S. News ended ordinal rankings on its Honor Roll. Instead of assigning a numerical rank from 1 to 10, all hospitals on the Honor Roll will be recognized as having attained the highest standards of care in the nation.
In addition, Children’s National tied for #1 pediatric hospital in the Mid-Atlantic region, which includes New York, New Jersey, Delaware, Pennsylvania, the District of Columbia, West Virginia and Virginia. It’s also best in the Mid-Atlantic in Neonatology.
For the fourteenth straight year, Children’s National ranked in 10 specialty services. New this year, U.S. News included behavioral health as a service line in the rankings. Since it’s the first year, there are no ordinal rankings for behavioral health, but the Children’s National program was named one of the top 50 programs in the country.
“In my first year here, I witnessed what makes Children’s National so special — our commitment to collaboration, empowering one another, and charting a bold path forward for pediatric care,” said Michelle Riley-Brown, MHA, FACHE, president and chief executive officer of Children’s National. “I’m proud U.S. News again recognized Children’s National as one of the top in the nation and the highest-ranked pediatric hospital in D.C., Maryland and Virginia. Together, we’ll continue to push the boundaries of care, research and innovation to make a difference for those who matter most — the kids.”
The annual rankings are the most comprehensive source of quality-related information on U.S. pediatric hospitals and recognizes the nation’s top 50 pediatric hospitals based on a scoring system developed by U.S. News.
“For nearly two decades, U.S. News has published Best Children’s Hospitals to empower the parents and caregivers of children with complex medical needs,” said Ben Harder, chief of health analysis and managing editor at U.S. News. “Children’s hospitals appearing on the U.S. News Honor Roll have a track record of delivering unparalleled specialized care.”
The bulk of the score for each specialty service is based on quality and outcomes data. The process includes a survey of relevant specialists across the country, who are asked to list hospitals they believe provide the best care for patients with the most complex conditions.
The Children’s National specialty services that U.S. News ranked in the top 10 nationally are:
https://innovationdistrict.childrensnational.org/wp-content/uploads/2024/10/US-News-Badges-2024-25-CNRI.jpg385685Innovation Districthttps://innovationdistrict.childrensnational.org/wp-content/uploads/2025/09/InnovationDistrict_CN_WebHeader-1396px-1030x151.pngInnovation District2024-10-08 01:00:002026-07-08 10:44:13Children’s National again ranked among the best in the nation by U.S. News & World Report
The research team found that patients who are Black and Medicaid-insured patients experienced the greatest disparities in postoperative sepsis, a rare complication in which patients suffer from infection that can cause multi-organ failure.
Evaluating more than 5 million pediatric hospital stays nationwide, researchers found children who are Black, Hispanic or insured with Medicaid face a greater risk of health events after surgeries than white patients, according to a new study published in the journal Pediatrics.
“We looked at the data, and we calculated the risks,” said Kavita Parikh, M.D., MSHS, medical director of Quality & Safety Research, research director of the Division of Hospital Medicine and first author on the multi-institute study. “Despite decades of focus on eliminating medical errors, we know that children continue to suffer substantial harms in hospital settings, and our study highlights where children who are Black, Hispanic or insured with Medicaid are at the greatest risk.”
The big picture
The study analyzed data from more than 5.2 million hospitalizations collected by the 2019 Kids’ Inpatient Database, a national repository of data on hospital stays. It includes a 10% sample of newborns and an 80% sample of other pediatric discharges from 4,000 U.S. hospitals. More than 80% of patients were younger than 1 year of age.
The research team found that patients who are Black and Medicaid-insured patients experienced the greatest disparities in postoperative sepsis, a rare complication in which patients suffer from infection that can cause multi-organ failure. Patients who are Hispanic experienced the greatest disparity in postoperative respiratory failure, a complication that can limit breathing and ventilation.
Plausible factors cited include structural racism in the U.S. healthcare system, clinician bias, insufficient cultural responsiveness, communication barriers and limited access to high-quality healthcare.
What’s ahead
The study – “Disparities in Racial, Ethnic, and Payor Groups for Pediatric Safety Events in U.S. Hospitals” – is foundational in understanding what is happening among pediatric patients. Dr. Parikh said that researchers now must conduct further studies into these alarming disparities and qualitative work to understand drivers, with the action-oriented goal of developing interventions to improve patient safety in the hospital for all children.
“We brought together leaders in pediatric medicine, health policy and public health to analyze this data, and we are committed to taking the next steps to improve outcomes for pediatric patients,” Dr. Parikh said. “It will take more patient-centered work and research, resources and multifaceted strategies to resolve these worrying disparities for our pediatric patients nationwide.”
https://innovationdistrict.childrensnational.org/wp-content/uploads/2024/02/boy-in-hospital-bed-CNRI.png385685Innovation Districthttps://innovationdistrict.childrensnational.org/wp-content/uploads/2025/09/InnovationDistrict_CN_WebHeader-1396px-1030x151.pngInnovation District2024-02-12 11:00:192024-02-12 11:01:38Black, Hispanic children at greater risk for complications during hospitalization