Winter 05

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Health Service Helps Hoosier Kids

The Greek mythological centaur Chiron was a unique blend of man and horse, known for its healing abilities and wisdom. Similarly, members of Children’s Health Services Research at the IU School of Medicine and Riley Hospital for Children straddle two worlds as pediatricians and researchers whose expert advice is offered throughout Indiana.

The CHSR is one of a handful of pediatric research/medical informatics think tanks in the nation and includes a diverse team of educators and researchers led by Stephen M. Downs, MD, MPH. It has four areas of focus: community pediatrics and medical home care; disseminating information through health policy research, clinical policy analysis and advocacy; research and service concentrating on those children with special health care needs, living in poverty, and those facing social and cultural barriers; and using information and technology to improve knowledge of children’s health care and quality of health services.

“We have an extremely fertile environment with lots of talented people,” says Dr. Downs. “This gives us a unique opportunity to use informatics and health services research to help the youngest and most vulnerable patients.”

The think tank also directly contributes to medical education. Supported by a $2.5 million grant from the Anne E. Dyson Foundation, all first- and second-year residents do a month of training with CHSR and community service groups with which it has collaborative partnerships: the Indiana Parent Information Network, the Indianapolis-based Hispanic Education Center, and the Julian Center’s programs that provide services to abused mothers and their children. These efforts build on the IU Pediatrics Training Program, which is responsible for training more than 85 percent of all practicing pediatricians in the state.

Nearly a year ago, CHSR began a pilot study of the Child Health Improvement Through Computer Automation program, a computer-based decision support system to assist pediatricians at Wishard Health Services who treat 55,000 young patients annually. Here’s how it works: at a child’s first appointment at a Wishard care facility, the parent fills out a CHICA form. That information is loaded into the computer system and passed along to the medical staff who will treat the youngster that day and future visits.

CHSR members also work with informatics experts and researchers at the IUSM-affiliated Regenstrief Institute, Inc., and have developed scripts to help nurse managers identify patients who are likely to have trouble managing their disease or disorder. CHSR faculty members also have assisted the Indiana State Department of Health to establish a chronic disease management program for asthmatic youngsters.

To learn more about the programs and staff at the Indiana Children’s Health Services Research, go to www.ichsr.org.

Cindy Fox-Aisen, PhD, is a national media liaison in the School’s Office of Public and Media Relations.