The Johns Hopkins Hospital
The Johns Hopkins Hospital is the teaching hospital and biomedical research facility of the Johns Hopkins School of Medicine, located in Baltimore, Maryland, U.S. It was founded in 1889 using money from a bequest by philanthropist Johns Hopkins. Johns Hopkins Hospital and the school of medicine are the founding institutions of modern American medicine and the birthplace of numerous medical traditions including rounds, residents and housestaff. Many medical specialties were formed at the hospital including neurosurgery, by Harvey Cushing; cardiac surgery by Alfred Blalock; and pediatrics and child psychiatry, by Leo Kanner.
Oncologysince its inception in 1973, the sidney kimmel comprehensive cancer center at the johns hopkins hospital has been dedicated to better understanding human cancers and finding more effective treatments. For over forty years the kimmel center has been turning research into results. From the beginning, kimmel cancer center leaders had a unique vision of what our cancer center should be. Its hallmarks were interdisciplinary collaboration and innovation that transcended the artificial boundaries of individual departments, laboratories, and clinics. Our mission was to rapidly transfer discoveries about cancer from the bench to the bedside. That focus and mission remains unchanged today. With the convergence of technology, brilliant scientific minds, and the commitment of those who have funded these discoveries, we have come to a time when we can begin to alter the course of cancer in ways we could only imagine four decades ago. The johns hopkins kimmel cancer center is one of the nation's 41 comprehensive cancer centers designated by the national cancer institute, and one of the first to earn that status. Research led by its faculty is among the most highly-cited in cancer research and clinical care. The strength of our research and treatment programs was recognized early on by the national cancer institute, becoming one of the first to earn comprehensive cancer center status and recognition as a "center of excellence." hopkins has pioneered fields such as cancer genetics, bone marrow transplant medicine and cancer immunotherapy. The kimmel cancer center is the only comprehensive cancer center in the state of maryland. It encompasses a wide spectrum of specialty programs for both adults and children coping with cancer, including bone marrow transplantation and new drug development. During the fiscal year ended June 30, 2018, 2,853 inpatients were treated at the sidney kimmel comprehensive cancer center at johns hopkins hospital. During the same period there 100,849 adult outpatient and 8,157 pediatric outpatient visits made in the center. Patients who visit the kimmel cancer center have access to some of the most innovative and advanced therapies in the world. Because kimmel cancer center research scientists and clinicians work closely together, new drugs and treatments developed in the laboratory are quickly transferred to the clinical setting, offering patients constantly improved therapeutic options.the kimmel cancer center's bone marrow transplant program (bmt), has been an internationally renowned program in the area of blood and marrow transplantation for more than 30 years. In that time, bmt has become an accepted, curative therapy for a broad range of diseases, including malignant diseases that involve the bone marrow such as leukemia and lymphoma, nonmalignant diseases that involve the bone marrow such as aplastic anemia and a variety of inherited diseases. To date, more than 5,000 bone marrow transplants have been performed at johns hopkins, a national cancer institute-designated comprehensive cancer center that is fully accredited by the national marrow donor program as an unrelated donor transplant center. As a national referral center for bmt, hopkins performs around 300 transplants each year. The work by center investigators in cancer genetics and epigenetics is recognized as the classic model for deciphering the mechanisms of cancer initiation and progression. The pioneering research that defined cancer as a genetic disease was done at our center. These discoveries led to the first genetic tests for a hereditary cancer and a screening stool test for colon cancer. Our investigators were the first to map a cancer genome, deciphering the genetic blueprints for colon, breast, pancreatic, and brain cancers. Of the 75 cancers for which all genes have been sequenced, 68 have been done at the kimmel cancer center. These discoveries have paved the way for personalized therapies with our investigators undertaking the first use of personalized genome scanning to reveal the gene mutation that caused a person's inherited from of pancreatic cancer.
Neurosurgerythe department of neurosurgery at the johns hopkins hospital ("jhh") continues its mission to improve the lives of patients by building upon a tradition of deep collaboration. The department is comprised of over 20 full time clinical neurosurgeons that provide care to our patients with the help of specialized nurses and other health care providers in the operating rooms, outpatient clinical building, and our inpatient critical care and acute care units. During fiscal year 2012 the johns hopkins hospital opened its' new clinical facilities the sheikh zayed tower and the charlotte r. Bloomberg children's center which offer enhanced levels of neurological and neurosurgical care. The opening of these facilities enables jhh to provide patient-focused neurological services including state-of-the-art adult and pediatric operating rooms that include intra-operative mri machines that provide real-time images of the brain during surgery. In addition, our neurological critical care unit ("nccu") provides complete intensive care management to more to patients admitted from neurosurgery, neurology, orthopedic/spine, otolaryngology and plastic surgery.our surgeons are able to bring new and exceptional treatments to our adult and pediatric patients faster because of our tight network of experts who specialize in conditions such as brain tumor, cerebrovasular disease, functional disorders, peripheral nerve conditions, spinal deformity, tumors and repair and trauma. We operate several neurological centers of care at johns hopkins hospital including the epilepsy center at johns hopkins which evaluates and cares for patients with seizure disorders from infants through the elderly. A unique aspect of our epilepsy center is that we provide a continuum of care for our patients across the age spectrum making use of enhanced epilepsy monitoring equipment that is specifically designed for the evaluation of adult and pediatric seizure disorders. Our comprehensive brain tumor center is one of the largest brain tumor treatment and research centers in the world. We treat an extremely large number of patients affected by all types of brain tumors. We tailor the best and most advanced therapies that each unique tumor demands. Our team consists of skilled surgeons, neurologists and oncologists that can provide the most effective and safest treatment even on the most challenging types of tumors. Patients come to johns hopkins for neurological care from the local baltimore community and the mid-atlantic region as well as from around the nation and the world to receive the most cutting-edge care, and find that we are a place of hope and care. Each year, we provide over 30,000 outpatient consultations and perform more than 4,000 brain, tumor, vascular and peripheral nerve operations in the johns hopkins outpatient center. In our hospital, we also provided care to over 3,000 adult and 500 pediatric patients with neurosurgical diseases. Johns hopkins has emerged as one of the most comprehensive neurological centers of its kind as recognized by our top three ranking in the nation in neurology and neurosurgery by u.s. News and world report.
Comprehensive transplant center at johns hopkinsfor more than 50 years, solid organ transplantation has been conducted at johns hopkins, and some of the most innovative discoveries in transplant research have emanated from this program. The practice of organ transplantation happens every day at the johns hopkins hospital, but successful transplantation is far from routine. The evaluation of potential organ recipients, and potential living organ donors, is a complex and painstaking process that involves a multidisciplinary team consisting of transplant surgeons, cardiologists, pediatric cardiologists, nephrologists, hepatologists, infectious diseases experts, pediatric nephrologists, pediatric hepatologists, pathologists, radiologists, social workers, patient advocates, nutritionists, immunogenetics experts, substance abuse experts, pharmacists, psychiatrists, the chaplain's service and more. Organ transplantation also involves the timely, selfless decision-making of grieving family members of brain dead donors, and the bravery and generosity of living related donors, whose organs will save and extend the lives of those on the waiting lists.expertise and dedication on the part of the team, who work 365 days each year, 24 hour a day, to manage several thousand patients in end stage organ failure awaiting transplantation on our transplant wait lists, and who recover organs from local, regional and national hospitals when organs are matched to our patients. Countless high-stakes decisions are made on behalf of our patients on the wait list some of whom will die unless a matched organ becomes available. For each organ that becomes available, the team must decide if the organ is healthy enough, and if the recipient is stable enough to withstand complex surgery to save their life.we provide care to our abdominal transplant patients on the 9th floor of the zayed inpatient care tower, in a dedicated transplant unit of 32 beds. Additionally, abdominal transplant patients have a dedicated ambulatory space on the fourth floor of the johns hopkins outpatient center, which is designed for multidisciplinary care. Thoracic transplant patients share services with the cardiovascular and lung surgery teams on the 10th floor of the zayed tower. Transplant patients have access to intensive care services in the surgical intensive care unit, the cardiovascular intensive care unit, and the pediatric intensive care unit. Medical units in hepatology, cardiology, pulmonary and pediatric medical and surgical units further support the inpatient transplant program.organ transplantation is a highly regulated service, and a team of quality and regulatory professionals help the team to meet quality standards and expectations on a daily basis, by collecting and submitting data on all of our wait listed and transplanted patients to the united network for organ sharing (unos), and to the srtr, the scientific registry of transplant recipients. Oversight of all organ transplant programs in the us comes under the auspices of unos, cms, and state regulatory agencies, and standards for outcomes, ongoing quality monitoring and continuous quality improvement are mandated in order to maintain the certification of the program. Outcomes are shared with patients nationally, on all parameters, including wait list time to transplant, wait list mortality, one and three year graft survival, and one and three year patient survival. At johns hopkins, some of the transplant milestones and discoveries include: innovations in living donor and recipient research, transplant epidemiology, and novel transplant procedures that have changed transplant practice around the world first laparoscopic living donor nephrectomy first multi-center paired kidney exchange first five-person kidney exchange innovative hepatitis c and hiv-positive organ transplant programmingour transplant programs include adult and pediatric kidney transplant, adult and pediatric liver transplant, adult and pediatric heart transplant, adult pancreas transplant, adult lung transplant, and multi-organ transplant for patients in need of multiple organs. We also offer care to all patients in end-stage organ failure who may or may not qualify for an organ transplant. Our multidisciplinary care team provides extensive education for patients and caregivers and trains transplant surgeons, and transplant medical and nursing specialists in all disciplines.currently, there are over 1,400 patients on the johns hopkins kidney transplant wait list, 376 patients on the liver transplant wait list, 40 patients on the heart transplant wait list, and numerous patients on the lung, pancreas and multi-organ wait lists. In fy '2018, we performed 382 adult and pediatric solid organ transplants, evaluated over 1,600 patients for transplant candidacy, and added 818 patients to our wait lists.the program goal is to provide each patient with their best opportunity to live the fullest, most enriching lives possible. Our experienced and dedicated multidisciplinary team is determined to bring their skills and expertise to as many patients facing end-stage organ failure as possible.