Health Care, Ramesh Sachdeva

What Is the Dyad Model?

A respected presence in the field of pediatrics, Dr. Ramesh Sachdeva serves as the senior vice president and chief clinical officer at Florida’s Nicklaus Children’s Health System. As part of his responsibilities, Dr. Ramesh Sachdeva works closely with the president of the hospital using the Dyad model to ensure efficiency in operations.

The Dyad model is an organizational structure whereby both clinical and non-clinical hospital personnel work together under a defined system of cooperation designed to help medical institutions achieve their goals. The Dyad model has its origins dating back to 1908 at the Mayo Clinic when Dr. William Mayo, a physician, appointed Harry Harwick, an administrator, to assist him in managing business operations and creating a suitable environment for business expansion.

In today’s fast-changing healthcare sector, the Dyad leadership structure creates an enabling environment for partnerships among various departments. Under this structure, clinical leaders with medical expertise work together with their non-clinical colleagues with expertise in operations, human resources, and finance to complement each other and ensure every facet of a hospital’s operations is well-managed.

Health Care, Medical

The Dyad Model of Leadership in Healthcare

Dr. Ramesh Sachdeva leverages his nearly three decades of experience working in pediatric medicine to inform his work as senior vice president and chief clinical officer for Nicklaus Children’s Health System. Overseeing all hospital operations, Dr. Ramesh Sachdeva works in tandem with the president of the organization in what is called a dyad model of leadership.

A popular leadership strategy in the healthcare field, the dyad model pairs up both clinicians and non-clinicians (in a hospital setting, usually administrators) to take advantage of both skillsets. For hospitals and other healthcare situations, complex challenges are a daily struggle. Leadership methods that take advantage of different perspectives to arrive at a useful model for all involved are usually viewed with approval.

For most healthcare systems adopting a dyad model, a respected leader from among the physicians is paired to work in a close partnership with an administrator that has a history of success. In some situations, these dyad models exist down the leadership chain, going from the very top of the hospital down to lower levels as well. Communication is key for this setup to work; partners must be able to respect different viewpoints and acknowledge differences in skills and background for the partnerships to be effective.

Children

Understanding Childhood Epilepsy

Children

NCHA Names New President to Run Hospital

A recognized leader in pediatric medicine for three decades, Dr. Ramesh Sachdeva holds a juris doctor degree in addition to his medical degree. Formerly an associate director with the American Academy of Pediatrics, Dr. Ramesh Sachdeva currently serves as the senior vice president and chief clinical officer at Nicklaus Children’s Health System in Miami, Florida.

In February 2020, Nicklaus Children’s Health System (NCHS) announced the appointment of Perry Ann Reed as its new chief operating officer. She will also serve as president of the Nicklaus Children’s Hospital, where she will be in charge of the facility’s day-to-day operations. Ms. Reed has been working in health care administration for more than two decades. In her most recent position, she served as executive director of North Carolina’s WakeMed Children’s Hospital & Women’s Services.

In his comments on the hire, NCHS president and CEO Matthew A. Love pointed to Perry’s experience as one of the major assets she brings to the table. He also praised her ability to work with key stakeholders on both the staff and administrative levels as an example of the health and growth the hospital will experience under her leadership.

Children, Medical

Nicklaus Children’s Hospital’s New President and CEO

Medical, Ramesh Sachdeva

MetaECHO 2019

 

MetaECHO 2019 pic
MetaECHO 2019
Image: echo.unm.edu

As the associate executive director and medical director of quality initiatives for the American Academy of Pediatrics (AAP), Dr. Ramesh Sachdeva has spearheaded initiatives such as the creation of the AAP Quality Division. An active member of the field, Dr. Ramesh Sachdeva has given presentations and participated on panels for events such as the Project ECHO MetaECHO conference.

An initiative of the University of New Mexico, Project ECHO (Extension for Community Healthcare Outcomes) reimagines health care education and provision as a decentralized, demonopolized knowledge-sharing community. By connecting specialist medical educators with primary care providers across the world, Project ECHO hopes to expand specialty medical services to rural and underserved communities.

Each year, Project ECHO brings together members of the global ECHO community, including government officials, medical educators, global health experts, and other health care professionals, for its international MetaECHO conference. Over several days, attendees share ideas, discuss innovative uses of technology, and network in the service of the larger ECHO vision.

MetaECHO 2019 will take place March 13-16, 2019, at the Albuquerque Convention Center & Hyatt Regency in Albuquerque, New Mexico. In addition to seminars and presentations on topics such as ECHO and the opioid epidemic, ECHO and behavioral health, and methods for evaluating ECHO programs, conferees can attend keynote speeches by prominent figures such as Don Berwick, MD, president emeritus of the Institute for Healthcare Improvement.

To learn more about the conference, please visit echo.unm.edu/metaecho-2019-conference.

Medical, Ramesh Sachdeva

American Academy of Pediatrics Issues New Report on Military Children

 

Dr. Ramesh Sachdeva
Dr. Ramesh Sachdeva

A physician with a juris doctor and advanced degrees in business, Dr. Ramesh Sachdeva has worked in the health care field for over three decades. Since 2012, Dr. Ramesh Sachdeva has served as associate executive director of the American Academy of Pediatrics (AAP).

A recent report issued by AAP provides updated recommendations for physicians who care for children of military families. The report, which appears in the January 2019 issue of the journal Pediatrics, updates 2013 guidelines that identify best practices for meeting the physical and mental health needs of military children who receive care in both military and civilian medical centers.

According to the report, military children move geographic locations as frequently as every two years. Research has shown that these frequent moves can lead to an increase in mental health encounters and emergency department visits. Studies have also shown that some military children are at higher risk of maltreatment and substance abuse.

To better support military children, the recent AAP report recommends that physicians work closely with military programs and community-based resources that help families of deployed service members. The report also recommends that physicians establish clinical processes within their own practices to identify military children and document their parents’ deployment and mental health histories. More information about the report and other recent work from AAP is available at www.aap.org.

Medical, Ramesh Sachdeva

AAP and the Pediatric Environmental Health Specialty Units

Pediatric Environmental Health Specialty Units pic
Pediatric Environmental Health Specialty Units
Image: aap.org

Dr. Ramesh Sachdeva works as a pediatrics professor at the Medical College of Wisconsin in tandem with his role as associate executive director of the American Academy of Pediatrics (AAP). At AAP, Dr. Ramesh Sachdeva has led initiatives in a number of areas, including environmental health.

For more than six decades, AAP has been addressing pediatric environmental health issues such as lead poisoning and water and air pollution. Over the years, the organization has expanded its efforts to focus on other topics, including the health effects of mold, BPA and PCB exposure, and climate change.

Today, AAP works in partnership with the Centers for Disease Control and Prevention, Environmental Protection Agency, and American College of Medical Toxicology to oversee a national network of Pediatric Environmental Health Specialty Units (PEHSUs). The North American PEHSU network helps health care providers, parents, government agencies, and community organizations protect children and adolescents from environmental hazards.

For its part, AAP establishes and supports PEHSUs in federal regions 1-5, which cover the eastern United States from Wisconsin and Mississippi to Florida, Virginia, Maine, and other states in between. In addition to addressing questions regarding the health impacts of various environmental factors, AAP and PEHSUs across the country provide guidance during natural disasters, health news events, and community hearings.

Medical, Ramesh Sachdeva

AAP Studies Marijuana Use by Pregnant and Breastfeeding Mothers

 

Marijuana Use  pic
Marijuana Use
Image: webmd.com

Dr. Ramesh Sachdeva has spent the past 30 years serving in leadership and research roles at institutions throughout the country. In his current position, he serves as executive director of the American Academy of Pediatrics, the leading organization behind some of the most important research and advances in pediatric care.

A recent report issued by AAP urges continued research into the effects of marijuana use on childhood development. With more states legalizing the drug for recreational use, research indicates that tetrahydrocannabinol (THC)–the mind-altering chemical found in marijuana–is transmitted to the fetus through the placenta and present in breastmilk as well. These facts are particularly germane given research that indicates women are using marijuana more and more to deal with the effects of morning sickness.

Researchers have found that THC can have a negative effect on neurotransmitters that are responsible for developing networks of nerve cells in children. More research is needed to study the overall effects of marijuana on childhood development, but even so, the AAP says that women should refrain from using the drug while pregnant or breastfeeding.

Children, Ramesh Sachdeva

Common Causes of Sleeplessness in Children

 

Sleeplessness pic
Sleeplessness
Image: webmd.com

Dr. Ramesh Sachdeva functions as the associate executive director of the American Academy of Pediatrics. Dr. Ramesh Sachdeva also serves as a professor of pediatrics, critical care, and sleep medicine at the Medical College of Wisconsin.

Children can experience sleeplessness or insomnia for several reasons, ranging from unhealthy lifestyles to more complex medical issues. In certain cases, insomnia in children may be caused by something as simple as poor sleep habits that are upheld by parents or guardians. A child who does not exercise regularly and drinks soda or other caffeinated beverages shortly before bedtime will likely experience a myriad of sleep-related health issues. Similarly, children should have a fixed sleep schedule, as opposed to being able to go to bed and wake up at their discretion.

At the other end of the spectrum, a healthy, well-raised child can still experience difficulty sleeping due to underlying medical conditions, such as sleep apnea, also known as sleep disordered breathing (SDB). Children with severe SDB will develop obstructive sleep apnea (OSA), a condition where most or all of the child’s airway becomes blocked, resulting in loud snoring, unrestful sleep, and constant waking up throughout the night.

Typical symptoms of insomnia in children include sudden mood swings, difficulty with memory, and a decreased attention span. If an adult believes a child is struggling with sleeplessness, he or she should discuss the situation with a trusted pediatrician.