The Culture of Different MKTG_150064494_2018 Service Line Big Book Full_FIN | Page 60

PA G E 5 8 The Culture of Different PULMONOLOGY How Do You Build a Better Lung? new mechanisms causing BPD that may lead to clinical trials. He also is conducting studies to find the earliest predictors of BPD in premature infants. Through clinical features and biomarkers, the PHLC team hopes to identify early events and target them with specific therapies, such as increasing early vascular endothelial growth factor signaling to encourage lung angiogenesis. Latest Innovations at the Breathing Institute Developing school-based medical records Working through Children’s Colorado’s in-house innovation incubator, the Breathing Institute is partnering with an external co-developer to allow school nurses nationwide to access kids’ electronic health records. This will enable better communication between hospital care teams and school nurses who manage kids with asthma. Using GPS to record inhaler use “Innovation will either happen to us or with us.” says Robin Deterding, MD, Chief, Pediatric Pulmonology. “I’d rather it happens with us.” To that end, Dr. Deterding, who has also taken on the role of Medical Director for the Center for Innovation at Children’s Colorado, is inspiring innovations around the hospital, from adapting wearable technologies for pediatrics to creating more apps for kids’ health. “Innovation is going to allow patients to have better information control and understand their own health,” Dr. Deterding says. “I want our team to be a part of rewriting healthcare for kids.” Here is a small sample of how Dr. Deterding and her team are doing that: Severe asthma is significantly tied to inconsistent inhaler use. Heather Hoch, MD, pediatric pulmonologist, is working with Propel ler Health to use GPS to track where kids use inhalers. It will help providers see where kids are using them most, investigate environmental triggers, and advise patients on avoiding locations that might trigger their asthma. At-home inner-ear EEG, OEG and EMG Ann Halbower, MD, pediatric pulmonologist, and Tam Vu, PhD, a computer scientist at University of Colorado Boulder, developed an in-ear device for kids that monitors brain waves (EEG), eye muscles (OEG), and facial muscles (EMG) while sleeping at home. This helps providers understand symptoms and determine treatment methods for sleep disorders. Drs. Halbower and Vu won the Best Paper Award at the ACM Conference on Embedded Networked Sensor Systems in 2016 for this innovation. Steve Abman, MD has spent almost his entire career at Children’s Colorado, having completed his pediatric residency here and serving as Chief Resident from 1982 to 1983. Twenty-five years after pioneering the use of inhaled nitric oxide to treat newborns with pulmonary hypertension (PH), pediatric pulmonologist Steve Abman, MD, is on his biggest mission yet: preventing and curing the chronic lung disease of premature newborns known as bronchopulmonary dysplasia (BPD). His approach is to blend laboratory and clinical research strategies to learn new methods to improve how the lung’s blood vessels grow and function in premature infants to prevent persistent PH of the newborn and preserve normal lung growth. With the Pediatric Heart Lung Center (PHLC) team of investigators, he is currently studying how events before birth determine vascular health and disease later in life. His animal models of BPD have identified “If you enhance how the blood vessels grow in the lung and restore normal function of those blood vessels, we believe that you can optimize growth of the distal airspace in the lungs as well,” Dr. Abman says. “Clinical care is not isolated from discoveries in the lab,” Dr. Abman says. “It’s getting folks together to share experiences in order to develop new and effective approaches to treatment.” In recognition of Dr. Abman’s contributions to the study of lung disease in the newborn and premature infant, Dr. Abman received the International Arvo Ylppo Medal Award in October 2017 in Helsinki. This honor is awarded from the Chairmen of Pediatrics of the five Finnish medical schools, the Finnish Pediatric Associate, the Foundation for Pediatric Research in Finland and the Mannerheim League for Child Welfare. Dr. Abman donated the award funds “Clinical care is not isolated from discoveries in the lab.” STEVE ABMAN, MD Director, Pediatric Heart Lung Center Dr. Abman’s vision to cure BPD — and all forms of PH, for that matter — extends well beyond Colorado. To better share data and research among all caregivers, Dr. Abman founded PPHNet, an organization of 10 healthcare sites across North America. This collaborative is currently developing a patient registry that will integrate data from electronic health records to learn more about patient histories, outcomes and treatment responses for various kinds of pediatric PH. to the PHLC to help support research expenses for residents, fellows and junior faculty. “Steve Abman is one of the foremost pioneers and a giant in the field of pediatric pulmonology,” says Robin Deterding, MD, Chief of Pediatric Pulmonary Medicine. “Through translational research, clinical care and education, he has improved care for children with pulmonary hypertension and chronic lung disease of prematurity, here in Colorado and around the world.” The Culture of Different 59