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Children's Hospital of Philadelphia


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Babies born early or with complex medical conditions often spend their first days in the neonatal intensive care unit. After they go home — and as they grow — these children may also have medical conditions or developmental challenges that require special attention.

The Neonatal Follow-up Program at Children’s Hospital of Philadelphia (CHOP) specializes in providing comprehensive medical and developmental care that addresses the needs of premature and medically complex infants after they leave the hospital, and provides families with the resources they may need from infancy into early childhood.

This program does not replace a child’s pediatrician or well-child check-ups; it is for children who need continued monitoring, care coordination and early interventions after they “graduate” from neonatal intensive care units (NICUs) at CHOP or within CHOP’s Neonatology and Newborn Care Network. Current hospitals participating include the Hospital of the University of Pennsylvania, Pennsylvania Hospital, Virtua Hospital, Holy Redeemer Hospital and Chester County Hospital.

Your child’s neonatal team will let you know if your child could benefit from this program, and will help set up your child’s first appointment before you bring your baby home from the hospital. The Neonatal Follow-up Program will then work closely with your child’s primary care physician and other specialists to care for your child as they grow.

The Neonatal Follow-up Program includes a team of specialists with expertise in identifying and helping families manage the challenges that children who have been in the NICU may face. Our experienced team will work with your family and your child’s other healthcare providers to create an individualized care plan that helps your child develop to their fullest potential.

Services available through this program include nutritional, medical, neuromotor, developmental, psychological, and psychosocial evaluations and treatment. Early, coordinated intervention to address concerns related to your child’s health and development can make sure they continue to grow and develop new skills.

Your child’s first visit to the Neonatal Follow-up Program typically occurs within two to three months of discharge from the hospital. Learn more about what to expect at your first appointment and beyond .

Why choose us?

For more than 30 years, the Neonatal Follow-up Program has been providing comprehensive, high-quality care to medically complex babies and children who have spent time in the N/IICU. Each year, nearly 1,500 children benefit from the expertise of our world-recognized neonatal specialists, our multidisciplinary team, and our commitment to family-centered care.

Neonatal care at CHOP has been consistently ranked among the nation’s best by . The number of patients we care for and the complexity of care we provide gives us experience that is unmatched in the region. With a commitment to research and educating the next generation of care providers, we are dedicated to improving outcomes and delivering the best possible clinical care to our unique patient population.

Our team of physicians, nurse practitioners, psychologists, developmental specialists, therapists, and social workers is uniquely qualified to treat babies and children with serious conditions. Our program has served as a model of care for other facilities across the county who are looking for ways to improve the transition from hospital NICU to home.

A cornerstone of our approach is support for your family. We know caring for a medically complex child at home can be challenging — physically, emotionally and financially — and we can help you access services and resources to meet your family’s needs during the first years of your child’s life.

The Neonatal Follow-up Program is available at CHOP’s main campus and at several additional CHOP Care Network locations in Pennsylvania and New Jersey. Talk to your child’s healthcare provider about whether your child could benefit from this program.

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With your support, we can continue to provide innovative care, pioneering treatments and lifesaving cures to vulnerable newborns and infants in our care.

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ABSTRACT Using information supplied by immigrants interviewed by the Mexican Migration Project (MMP) we analyze the social security coverage of jobs held by legal and other-than-legal Mexican immigrants who work in the United States. Our analysis suggests that about half the Mexican-born migrants residing in the United States who are wage earners and heads of household earn their incomes in jobs that are not covered by social security. Since workers in uncovered jobs tend to earn below-average wages, their earnings account for less than half the wages earned by Mexican immigrants. Evidence from the MMP survey shows that social security coverage is higher among Mexican immigrants who are authorized to live in the United States than it is among undocumented Mexican immigrants. Coverage among working legal permanent residents is less than 75%, but the coverage rate among undocumented workers is even lower, about 25%. Based on annual earnings reports in the March CPS we estimate that in 2007 about 1.4% of all U.S. wages, or $87 billion, was earned by Mexican immigrant heads of household. Our estimates imply that about 52% of this total was earned in social-security-covered jobs while the remainder, about $41 billion, was earned in jobs not covered by social security. The MMP surveys show that only a small proportion of undocumented migrants report a change in their legal status that allowed them to live and work legally in this country. Two-thirds of legalizations occurred within five years of the enactment of the Immigration Reform and Control Act in 1986. In the absence of this kind of special legislation, only a small percentage of undocumented workers are likely to be granted permanent residency status in the future. Thus, the social-security-covered wages of most of the undocumented workers who earn them will never result in an increased claim for social security benefits.

Executive Summary

An estimated 11 million immigrants live in the United States without legal authorization to do so. Most of these immigrants work, and many hold jobs that are covered by social security. Their social security taxes increase the OASDI Trust Fund and, at least temporarily, improve the solvency of the social security program. Using information supplied by Mexican migrants to the United States in the Mexican Migration Project (MMP), we analyze the social security coverage of jobs held by legal and other-than-legal Mexican immigrants who work in the United States. We also track changes in the legal status of undocumented workers who enter the United States and earn wages inside and outside the social-security-covered sector. If undocumented workers eventually legalize their status, it is possible their social security contributions could eventually result in a claim on social security, reducing the net gain to the OASDI Trust Fund from undocumented workers’ contributions. We investigate whether migrants in the MMP who entered the United States as undocumented workers earned social-security-covered wages and ultimately became legal permanent residents.

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