Riley Children's Health Annual Report – October 2026

The palliative care team at Riley Children’s Health provides expert care for symptom management and shared decision- making for children with lifespan-limiting or life-threatening illness. Amplifying our patient’s voice with other medical teams, we support families in medical decision-making, goals of care discussions, advance directives, and complicated pain and symptom management. With a goal to help patients experience the best possible quality of life, our team also oversees end-of-life care for patients in pediatric hospice. PALLIATIVE CARE

The palliative care team at Riley Children’s offers inpatient and outpatient clinical visits, as well as home-based care in partnership with hospice services.

Palliative Care Volume: 2024 – 2025

2024

1,970

392

2025

1,295

328

TOP DISTINCTIONS

Patient visits

New consultations

■ International reputation for teaching end-of-life education curricula ■ Serves as the medical leadership group for home-based pediatric hospice services in Indiana ■ Offers training tracks for clinical palliative care fellows

Palliative care services are integrated across specialties at Riley Children’s. Our team receives referrals for new consultations from several clinical departments.

15% Hematology and oncology

13% Pediatric intensive care unit

22% Maternal fetal medicine

6%

Cardiology

Palliative Care Referral Sources 2025

4% Developmental medicine 4% Other

3% Pulmonology

2% Neurology

1% Rehabilitation 1% Stem cell transplant

29% Neonatal intensive care unit

DIVISION CHIEF A. Ioana Cristea, MD, MS, ATSF Professor of Clinical Pediatrics, IU School of Medicine > Connect with Dr. Cristea on Doximity.

Palliative care graduate training Riley Palliative Care offers an ACGME-accredited pediatric palliative care fellowship .

5 board certified physicians

See full team member list >

T 317.944.3478

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