Sample HealthCare Essay Paper on Texas Children’s Hospital

Healthcare is one of the most important part of human life. For this reason, many spend millions in addition to healthcare covers to ensure that they remain of good health. Parents and guardians, especially, spend fortunes to secure the health of their children. Pediatric hospitals, therefore, are among the best equipped of hospitals given the delicate nature of the clientele that the hospitals attend to. One of the pediatric hospitals that stand distinguished from the rest is Texas Children’s Hospital, which ranks among the highest in the US in different specialties (US News & World Report n.p.). From its inception to date, the hospital has grown exponentially in not only the number of children complications and beds it can handle but also in the staff, as well as a notable increase in the number of surviving children after cardiac operations.

The groundwork for the establishment of the Hospital began in the 1940s, during which the charter for the construction of the hospital came in place. According to the Texas Children’s Hospital, after the charter, the next step in the establishment of the Hospital was the securing of the Texas Children’s Foundation, which would support in building the hospital, in addition to setting aside 6 acres of land for the same. After this, the Hospital’s groundbreaking ceremonies were held on 23 May 1951, even as on the same day, Baylor College of Medicine established a teaching affiliation, where Texas Children’s hospitals would be the College’s primary pediatric training site (Texas Children’s Hospital n.p.).

With the charter in place and groundbreaking ceremony done, the Hospital embarked on operations, including the dedication of the 3-story 106-bed hospital in 1953. At this time, Dr. Russell Blattner became the physician-in-chief, running the hospital between 1954 and 1977 (Texas Children’s Hospital n.p.). The Hospital admitted its first patient in 1954, signaling its full operation. Even in admitting its first patient, the Hospital also welcomed Dr. Benjy F. Brooks. She was, at the time, the first and only female pediatric surgeon.

Established as a pediatric hospital, Texas Children’s Hospital expanded its services and domains, adding experts in different fields such as cardiovascular diseases, social services, leukemia and other blood disorders. Other experts the Hospital brought on board including those with qualification in congenital disabilities, learning disabilities, mental retardation, pediatric research and developmental problems. The addition of the specialists opened the hospital for patients with a diverse range of health needs including conjoined twins (which the Hospital separated in 1964) and respiratory failure.

Aside from the children, who are the main patients in the Hospital, women have also benefitted immensely. The hospital’s Pavilion for Women is one of the biggest in the country catering to women, mothers, and babies. The Pavilion provides its clientele with high-quality expert health care, having been established in 2011 (Texas Children’s Hospital n.p.). Creating the Pavilion has helped in expanding the hospital’s reach of the community; in addition to adding more staff as it was taken even more patients. At the end of 2013, the Texas Children’s Hospital had already catered to 3.2 million patients in addition to performing about 26,000 surgeries since its establishment (Texas Children’s Hospital n.p.).


Texas Children’s Hospital is the largest pediatric hospital in Texas, and arguably among the biggest in its category in the nation. It largely caters to children and women (through the Pavilion for Women). These are perhaps the most important, and stakeholders with the highest level of contact with the hospital. Known as external stakeholders, the patients (children and women), are only among the many of external stakeholders that provide input to the institution (Fottler 527). Other external stakeholders that provide information to the hospital include suppliers, third-party payers as well as the financial community.

Another group of especially relevant external stakeholders that provide input to the hospital is the providers. The providers were particularly important as they provide some of the essential equipment, medical supplies, and transportation as well as ambulatory services to the hospital. Vehicle manufacturers (for ambulances), plane manufacturers and repair (for the Cessna Bravo), equipment manufacturers (for pumps, transport incubators, defibrillators among other devices) and supplies manufacturers make up part of the external stakeholders. On the other hand, banks, charity organizations, health insurance companies, and banks are also among the external stakeholders that provide input.

Although it operates as a non-profit organization, the hospital has competitors, who not the only gun for the patients, but also for similar professional skills (Fottler 527). Given its operation on a national scale (2017 ranking put the hospital at 4th position among pediatric hospitals); Texas Children’s Hospital faces competition not only from within Texas but nationally as well. Tenet Healthcare based in Dallas, Health Management Associates (Naples, Florida), Community Health Systems (Franklin, Tennessee), Universal Health Services (King of Prussia, PA) and Massachusetts General Hospital (Boston, Massachusetts). While these are among the largest competitors, the Memorial Herman Health System, Methodist Hospital, St. Likes Episcopal Health Systems and Triumph Healthcare are competitors in the Houston area.

Special-interest groups are also part of the external stakeholders. They include regulatory services (government and professional bodies), labor unions, private accrediting associations and the local community (Fottler 527). The special interest stakeholders ensure that the hospital’s impact is in line with not only its mission but also the interests of these groups. It is for this reason that the hospital is proud of certifications (1980 board certification of its 24-hour Emergency center).

Fottler et al. posit that internal stakeholders are among the other group of stakeholders within a hospital setting (527). They indicate that the internal stakeholders are those that operate entirely within the confines of the hospital and for Texas Children’s include the management, professional and nonprofessional staff. With Mark A. Wallace at the helm of the hospital as the president and CEO, the management’s main goal is to provide the internal stakeholders with enough inducements to obtain the internal stakeholders absolute devotion.

Aside from the external and internal stakeholders are interface stakeholders who operate within and without the bounds of the organization (Fottler 527). The interface stakeholders are important since they provide a point of interaction between the organization and the outside environment. For Texas Children’s Hospital, the interface stakeholders include medical staff, the board of trustees, the hospitals, and the corporate office. The interface stakeholders are among the most supportive of the stakeholders as they work to ensure that the hospital’s relationship with the outside environment is solid and amicable. The aim of the interface stakeholders contrasts with that of the external stakeholders, which is usually non-supportive, neutral or hostile (Fottler 527).


Texas Children’s Hospital leadership follows a hierarchical structure with the president and CEO at the helm of the institution. Under the CEO are doctors-in-chief responsible for different specialties including the physician-in-chief, obstetrician/gynecologist-in-chief, surgeon-in-chief, anesthesiologist-in-chief, radiologist-in-chief, and pathologist-in-chief (Texas Children’s Hospital n.p.). The hospital additionally has a board composed of six members. The members include Peter Wareing whose primary company is WareingAthon& Co., William McGee (Fayez Sarofim& Co.), Anthony Petrello (Nabors Industries Ltd.), Ronald Hulme (Parallel Resources Partners, LLC) and Russel Ware (Texas Children’s Hospital, Inc.) (Bloomberg n.p.).

At the helm of the Hospital is Mark A. Wallace, appointed as the president and CEO in 1989. Wallace has seen the Hospital grow to become one of the largest and most comprehensive in the country. The hospital so far has more than 3.3 million in annual patient encounters, attaining international recognition as a referral center, as well as ranking 4th in 2017 on the U.S. News & World Report rankings of the best children’s hospitals (Texas Children’s Hospital n.p.; U.S. News & World Report n.p.). Wallace’s tenure at the helm of the Hospital has seen significant expansion in infrastructure and capacity including the addition of one million square feet of space and the bed capacity from 456 to 639 (Texas Children’s Hospital n.p.).

As aforementioned, the executive team serving under Wallace encompasses a team of professionals in different specialties. Mark W. Kline is the physician-in-chief, treating children with HIV since the late 1980s. Apart from his position as the physician-in-chief, he is also J.S. Abercrombie Professor and Chairman of the Department of Pediatrics at Baylor College of Medicine (BCM), in addition to working at the Baylor International Pediatric AIDS Initiative’s (BIPA) president. The responsibilities are aside from his work as the chair of the Pediatric Infectious Diseases Society International Affairs Committee, besides his certification in pediatrics and infectious diseases by the American Board of Pediatrics.

Michael A. Belfort is an executive member of Texas Children’s Hospital as the chief Obstetrician and Gynecologist. With Texas Children’s Hospital collaboration with Baylor College of Medicine, Belfort also works as the Department of Obstetrics and Gynecology’s head at the institution. He has held the position since 2011 and had more than three decades in obstetrics and gynecology practice (Texas Children’s Hospital n.p.). His work at the Hospital has notably included the running of the Pavilion for Women, providing care for women, fetal and newborns.

Charles D. Fraser, Jr. is yet another member of Texas Children’s Hospital executive. He is the surgeon-in-chief responsible for Congenital Heart Surgery. He has worked as a professor at the Baylor College of Medicine (Professor of Surgery and Pediatrics) as well as an Adjunct Professor of Bioengineering at Rice University (Texas Children’s Hospital n.p.). Dr. Fraser additionally has appointments at the Texas Heart Institute, University of Texas as well as Baylor College of Medicine and Texas Children’s Heart Center. Apart from his work at the Hospital and other academic appointments, Dr. Fraser works to refine surgical treatment for toddlers and adults. Dean Andropoulos, on the other hand, is the anesthesiologist-in-chief. At the Hospital, he leads a team of 65 anesthesiologists, registered nurses, pediatric nurses and fellows and residents (Texas Children’s Hospital n.p.). He is a publisher and editor of more than 70 peer-reviewed articles and 30 textbook chapters respectively. He is also the Vice Chair for Clinical Affairs at Baylor’s Department of Anesthesiology.

Work cited

“Company overview of Texas Children’s Hospital, Inc.”Bloomberg, 2017.

“U.S. News announces the 2017-2018 best children’s hospitals.” US News & World Reports, 2017.

About Us. Texas Children’s Hospital, 2017.

 Fottler, Myron et al. “Assessing key stakeholders: Who matters to hospitals and why.” Hospital & Health Services Administration, vol. 34, no. 4(1989), pp. 525-533.