California State University, Fresno
A non-profit children’s hospital w/a medical staff of more than
Children’s Hospital is the premier pediatric medical center in
The Nephrology program at Children’s is the only dedicated
pediatric peritoneal dialysis program in theValley.
The clinic provides comprehensive and continuous inpatient
and outpatient care for Nephrology patients.
SOCIAL WORK DEPT
The mission of Children's
Hospital Central California is
to provide high quality,
comprehensive health care
services to children,
regardless of their ability to
“With caring and
compassion, we guide our
patients and families
through the entire health
care process. As guides, we
want our patients and
families to feel secure and
supported through out their
health care experiences…”
There are six core values that Children’s
Hospital use to guide their practice:
• Compassionate care
The Nephrology clinic at Children’s Hospital
works collaboratively w/the social worker,
doctors, nurses, medical assistants, dietician
and dialysis specialist.
Their primary goal is to provide the best care
and support possible for the patient and the
• (12) other board members
totaling 16 members.
• President & Chief Officer
• Vice-President & Chief
• Vice-President MedicalAffairs &
Chief Medical Officer
• Vice-President & Chief Nursing
• Vice-President & Chief Financial
• Vice-President Human
• Vice-President Facilities and
• Vice-President Revenue Cycle
• Vice-President Corporate
Medical Staff Officers:
• Chief of Staff
• Vice Chief of Staff
• Dept of Anesthesiology &
• Dept of Cardiology &
• Dept of Emergency
• Dept of Medical Imaging
• Dept of Medicine
• Dept of Pathology &
• Dept of Surgery
Board of Directors:
• Past Chairman
• (29) more members, totaling 35.
The services provided by the Nephrology clinic
and the hospital per SocialWorker as a whole go
beyond medical care, they also include:
• Psychosocial support and assessment
• Crisis intervention
• Support Groups
• Mediation of family conflicts and disputes
• Coordination and facilitation of
• Aftercare follow-up
Children’s Hospital provides services to patients
all throughout the CentralValley.
The Hispanic population makes up a large
percentage of the patients at Children’s Hospital.
In the Nephrology clinic, about 70% of the
patients seen by the SocialWorker are CCS
patients (California Children Services).
• *CCS is a secondary medical program funded by the state
of California to help low-income families pay their child’s
The Nephrology clinic serves many populations
• Undocumented immigrants
• Low income families who are at a high risk due to lack of
transportation and other barriers that could possibly stand
in the care of the child’s medical condition
• Families who do not speak English, this in return causes
• Families w/poor adherence which at times causes difficulty
in clear communication.
• Child Protective Services families
Ex: domestic violence, drug abuse, child abuse, medical
• Children’s Hospital provides medical services to patient’s
regardless of their inability to pay
• The SocialWorkers encourage patients to work toward
citizenship if they are undocumented so that they can
receive some sort of medical assistance when they turn 21.
• Promote cultural & ethnic diversity:
The hospital and staff are culturally sensitive of their patients and
interpretation services are available in various ways (i.e. phone &
They also provide spiritual services and chaplain services as
requested by the patient’s family.
• Importance of human relationships:
The staff at Children’s Hospital understands the importance
of building a strong relationship with the patient and their
families to gain their trust.
• Dignity and worth of the person:
Children’s Hospital is respectful and caring toward patients
and their families.
• Termination of Services:
Prior to terminating a patient, they are given 3 weeks to find a new physician
and are given a list of physician references to choose from if they’d like to.
The SocialWorker also provides the patient with a letter of termination.
Medical records can not be released without the consent of the patient.
To access medical records the individual must have valid reason(s) to do so.
HIPPA (Health Insurance Portability and AccountabilityAct) protects the
confidentiality of patients
Children’s Hospital does not make medical decisions without the patient’s or
their family’s consent.
SocialWorkers do not speak to children alone without the consent of their
To date, Children’s Hospital
with its physician continues
to be the pre-eminent
provider of pediatric
services for Central
California and the Western
United States.The continue
to be an indisputable
resource for healthcare
solutions, information, and
advocacy for children in an
expanding pediatric market
The department of Social
Services at Children’s
consists of Master’s level
and Licensed SocialWorkers
who continue to promote
physical, emotional and
psychological well-being in
their patients and their
2010-2011 Undergraduate Field Education