it's about children - issue 4, 2015 by east tennessee children's hospital

11

16

7

135

CPR class for parents and teens age 14 and older

Safe Sitter class for children ages 11 to 14

JAN.

JAN.

MAR.

FEB.

MAR.

6 p.m. to 10 p.m.Children’s Hospital’s Koppel Plaza BuildingClass costs $25.Log on to www.etch.com/healthykids to register. Learn CPR so you can respond to emergencies in your home.

9 a.m. to 3 p.m.Children’s Hospital’s Koppel Plaza BuildingClass costs $25.Log on to www.etch.com/healthykids to register. Learn correct babysitting techniques, emergency responses and how to use babysitting as a business.

Mark Your Calendar

2 It’s About Children, Issue 4 • 2015

14

4

15 On any given day

Meet Steven Godbold

Pain minimized in this “Farmer’s” almanac

Read our annual report to learn the ways we care for children and their families in the East Tennessee region.

Children’s Hospital introduced Steven Godbold as the new Vice President for Operations. Rudy McKinley retired aft er 27 years of service.

Children’s Hospital off ers services to manage JoshuaJohn’s pain.

It’s About Children is a publication of the Marketing Department at

East Tennessee Children’s Hospital.Editor: Jessica Boyd

Designer: Deborah HostermanCover photo by Michael Dayah

Connect with us:www.etch.com/ItsAboutChildren

[email protected]

Spotlight

8

24

18

National Pancake Day

MEDIC blood drive

WIVK/WOKI Radiothon

MAR.

FEB.

FEB.

7 a.m. to 10 p.m.Participating IHOP restaurantsGet a free short stack of pancakes; then donate to Children’s Miracle Network Hospitals.

7 a.m. to 4 p.m.Children’s Hospital’s Koppel Plaza Building(Meschendorf Conference Room)It’s free.Call 865-541-8165 for more information. All blood used at Children’s Hospital is provided through MEDIC. One donation can help up to three people. Donors must be at least 17 years old, weigh more than 110 pounds and have an ID.

6 a.m. to 6 p.m.Listen live on WIVK 107.7 FM and NewsTalk 98.7. To donate, log on to www.etch.com/Radiothon. Money raised goes toward our Home Health Care program.

3Donate at www.etch.com/ItsAboutChildren

Visit www.ihoppancakeday.com for more information. All funds raised locally go directly to Children’s Hospital to help purchase medical equipment.


JoshuaJohn’s family


Pain minimizedin this “Farmer’s”

AlmanacChildren’s Hospital offers services

to manage JoshuaJohn’s painfor him and other chronic patients.

continued on page 6

Pain and Palliative Care Service at Children’s Hospital The Pain and Palliative Care Service is for children from infants to young adults who have acute, complex or chronic pain or other distressing signs and symptoms from a life-limiting illness. Children’s Anesthesiologists, PC, Pediatric and Acute Care Nurse Practitioner Lorna Keeton, the service’s program coordinator, explained, “We offer individualized plans of care that revolve around optimizing a patient’s quality of life and minimizing pain and other distressing symptoms.” Prior to the launch of the Pain and Palliative Care Service, a multi-disciplinary team of Children’s Hospital specialists had recognized the need for more than post-operative pain management. Chief of Anesthesia Bob Lembersky, M.D., a former Children’s Hospital Emergency Department physician, joined Children’s Anesthesiologists, PC, after returning from his residency at Children’s Hospital of Chicago. He wanted to help children suffering from all types of pain and distressing symptoms. Lembersky and other Children’s Hospital special-ists, including anesthesiologists William Cox, M.D., and current Pain and Palliative Care Service Medical Director Oliver Hoig, M.D., created a program that provided consistency and continuity for patient families to help with the management of severe pain, nausea, breathing difficulties and anxiety. The group wanted this comprehensive care to expand throughout

Five-year-old JoshuaJohn Waldrop is an active, independent boy who loves to give visitors a tour on his family’s farm in Rutledge, Tenn. “He loves to play with the horses and with the chickens,” his mother Connie said. “He’s just a country boy.” In October 2014, JoshuaJohn’s parents received news that changed their son’s active lifestyle. “We learned he had stage four hepatoblastoma in his liver and lungs,” Connie said. Since then, his parents and the specialists at East Tennessee Children’s Hospital have been working to allow him to live as normally as he can. Other than being born prematurely at 28 weeks (normal is 40 weeks), JoshuaJohn, nicknamed “JDub,” had no problems leading up to his diagnosis. When he started preschool, though, his teacher asked Connie if her son looked sick. Connie said she studied JoshuaJohn for the next few days, and something specific struck her. “We’d been to a dinosaur exhibit, and he looked up at it at one point, and I could tell something was wrong,” she said. Connie and her husband, Josh, took their son to his pediatrician, where he tested positive for strep throat. Additional laboratory results also alerted his pediatrician to refer them immediately to Children’s Hospital. After a liver biopsy, JoshuaJohn’s cancer diagnosis was confirmed, and he started chemotherapy. He and his family spent the next 47 days at the hospital. “I was overwhelmed,” Connie said. “I went from a perfectly healthy child to a really sick child.” JoshuaJohn needed much more than chemotherapy. Because of the location of the tumor in his liver, he was in significant pain and also suffering from nausea as a side effect from the tumor and chemotherapy. His oncologist, Susan Spiller, M.D., referred him to Children’s Hospital’s Pain and Palliative Care Service.

continued from page 5


JoshuaJohn and his mom, Connie.

the hospital, not just post-surgery. In 2013, they hired Keeton as program coordinator.

Minimizing the risk Many pain medicines used long-term can be harmful to the developing brain and have undesirable side effects. Pain and Palliative Care Service provides for integrative therapies in addition to medications. Through this approach, Keeton can refer patients for massage therapy, physical therapy, art, psychology services and use of essential oils. In the future, the group is also interested in exploring the use of acupuncture. Lembersky said, “We are working to minimize any potential developmental or cognitive problems by incorporating these treatments.”

Working together Keeton works with families to individualize care for each patient, utilizing all therapy options through Pain and Palliative Care Service. “A lot of the service’s role is education and getting parents involved,” Keeton said. “Families need the education to feel empowered and learn how to help their child themselves.” Parents and families can help to alleviate their child’s symptoms by learning massage therapy techniques from the group’s board-certified massage therapist, Teresa Combs. They can also incorporate the use of essential oils at home.


JoshuaJohn and his horse, JJ’s Booneshine Cash.

“Our job is to better coordinate services and care so that 15 year olds are doing what 15 year olds should do, and 5 year olds are doing what 5 year olds should do.”

– Lorna Keeton, Program Coordinator, Pain and Palliative Care Service

8

JoshuaJohn’s journey As his pain increased, JoshuaJohn’s parents wanted him to feel better but were worried about pain medication, opting for integrated treatment options instead to lessen his need for medication. “Lorna helped us understand it all,” Connie said. Together, Pain and Palliative Care Service, Connie and Josh created a plan that consisted of frequent massage therapy and the use of essential oils. Peppermint oil helps subside his nausea, Connie said. “I can tell a huge difference in his nausea with the oils.” Through the course of his treatment, JoshuaJohn had two major surgeries at Children’s Hospital to remove tumors. Both times, through Pain and Palliative Care Service, he had an epidural to minimize his pain. Epidurals use powerful medicines to provide steady pain relief after surgery. Connie said the epidurals kept JoshuaJohn completely comfortable. “I would suggest that to any child’s parent who has had those surgeries,” she said.

While JoshuaJohn has continued chemotherapy treatment at home, coming to Children’s Hospital for scans and lab work weekly, he has also continued his pain management plan. “When he first got sick, he was just sitting and reading books,” Connie said. “He’s into everything again. Lorna has his pain plan perfect.” Now, JoshuaJohn can spend time as a 5 year old should. He is back to playing on the farm with his siblings, swinging on his swing set and attending his home-school classes. “Ninety percent of the time, he’s a normal child,” Connie said. “We do everything we can to make sure he stays that way.” Connie and her family are thankful for a hospital so close to home. “It’s a family atmosphere,” she said. “Everybody knows JDub.”

It’s About Children, Issue 4 • 2015

JoshuaJohn and his puppy, Tuff.

Many of the services provided by Pain and Palliative Care Service are not reimbursed by insurance companies. If you would like further information or wish to support the efforts of the Pain and Palliative Care Service with a

donation, please contact Carlton Long, Vice President for Development and Community Services, at 865-541-8172, or visit www.etch.com/giving.


JoshuaJohn with his sisters, Kolt and Kail.

JoshuaJohn meets his hero

In May 2015, the Waldrops received an unexpected phone call. “Alan Jackson’s personal assistant called us and said that Alan Jackson wanted to meet JoshuaJohn,” Connie said. JoshuaJohn loves Jackson’s version of “I’ll Fly Away,” and Connie had recently posted a video of JoshuaJohn singing it on Facebook. The video got attention and eventually made its way to Jackson. “He flew us from Knoxville to Nashville,” she said. The family spent the weekend in Nashville, Tenn., visiting the Country Music Hall of Fame and staying in the Omni Hotel next to the museum. “We spent the whole day with Alan Jackson and his wife and his personal assistant,” she said. Over the weekend, they rode in Jackson’s airplane and took a limo around town, and Jackson even presented JoshuaJohn with an autographed guitar. After such a special weekend, Connie said JoshuaJohn considers Jackson not just a hero but his friend.


Alan Jackson presents a signed guitar to JoshuaJohn while in Nashville.

Children’s HospitalPediatric Anesthesiology

A critically important part of any surgery is managing your child’s anesthesia. Compared to adults, children respond differently to anesthesia. Physiologically, their respiratory and heart rates are different, and anatomically, their airways are different. Parents don’t routinely choose their child’s anesthesiologist, but as a parent, you can choose the hospital where the anesthesiologist and the entire surgical team are most prepared to care for your child. At Children’s Hospital, the anesthesia team spends each day caring only for infants, children and adolescents. Surgical patients at Children’s Hospital have many different needs, from ear tubes and tonsillectomies to emergencies like appendectomies and broken bones. Major operations, such as brain surgeries and spinal fusions,

happen at Children’s Hospital almost every day, and the pediatric anesthesia team is part of every case. At Children’s Hospital, every anesthesia dose is carefully measured for each child based on several variables. Even before a surgical procedure, toddlers and teens may become anxious. Pediatric anesthesiologists at Children’s Hospital quickly build trust with each child to lessen that anxiety. It is because of their specialized training that they know how to meet the unique health care needs of young patients. There are more than 20 nurse anesthetists, one nurse practitioner and eight pediatric anesthesiologists at Children’s Hospital specially trained in pediatric anesthesia to care for your child.



Pain and Palliative Care Service Massage Therapist Teresa Combs works with patient Boyuan Zhang Evans.

In April 2015, board-certifi ed therapeutic massage therapist Teresa Combs joined the East Tennessee Children’s Hospital Pain and Palliative Care Service to provide a unique approach to pain management. Combs works two afternoons per week seeing up to 10 patients per day who have been referred to Pain and Palliative Care Service. Patients benefi tting from massage therapy include Neonatal Intensive Care Unit (NICU) patients, Hematology/Oncology patients, post-operative patients and many others in need of pain and stress relief who are interested in integrated methods of care. Combs has been certifi ed in massage therapy since 2002, and she is trained in many types of massage techniques, including NICU therapy, Cranio-Sacral therapy and Reiki – a type of energy massage. Massage therapy helps patients alleviate pain and stress by increasing blood fl ow to the muscles and improving muscle tone. Massage therapy is also used as a distraction from pain. Combs’ has unique, child-friendly ways to involve patients in the process, too. “For some children, I ‘make a pizza on their back,’” Combs explained. As she pretends to “roll out the dough” and “add

sauce,” she is using particular massage techniques while explaining to patients how it is helping and what they are feeling as she works. She even provides “toppings” of the child’s choice to help complete the story. Massage can be for the entire body or limited to certain body parts based on the child’s medical condition. Massage of the feet and legs help to introduce a child to massage. For infants, massage can provide increased weight gain, better sleep, improved breathing patterns and lower levels of stress hormones. “Sometimes babies receiving regular massage are out of the hospital earlier than those who are not receiving regular massage therapy,” she said. Combs and the Pain and Palliative Care Service want to help parents and other family members of patients continue to provide therapeutic touch and other massage techniques at home for their child. Combs spends time with interested family members educating them. Pending additional funding, Combs hopes to have the opportunity to spend more time at the bedside encouraging and helping parents feel more comfortable to offer infant massage and provide another way to positively bond with their baby. “Education is a big goal,” she said.

Massage therapy for Pain and Palliative Care

Nurse Practitioner Lorna Keeton talks with Madeline “Gigi” Keeney about essential oils.



Meet Steven Godbold In September, East Tennessee Children’s Hospital welcomed Steven Godbold as its new Vice President for Operations. Godbold replaced Rudy McKinley, who retired after more than 27 years of service to Children’s Hospital. Godbold served as CEO of Niswonger Children’s Hospital in Johnson City, Tenn., for fi ve years prior to joining administration at Children’s Hospital. He has been working in pediatric health care since 2000.

Godbold will oversee multiple departments includingRespiratory Care, Security, Laboratory, Neurology Lab, Sleep Medicine Center, Food and Nutrition Services, Environmental Services, Materials Management, Lean Process, Information Systems, Radiology, Pharmacy and Engineering. “I am 100 percent invested in pediatric health care and advancing the care of children in our community,” Godbold said. “When you see sick children in the hospital, it makes

News

you want to go home and hug and kiss your own. Looking at my two young daughters now makes me want to work that much harder to create a system where no child falls through the cracks when it comes to health and well-being.” President and CEO Keith Goodwin said Godbold’s drive and passion to care for children and families helped him rise to the top of the list of qualifi ed candidates for the job. He added, “We are thrilled that Steven has joined East Tennessee Children’s Hospital. His experience, coupled with knowledge of East Tennessee, makes him a perfect fi t with our leadership team.” Godbold and his wife, Meredith, have two daughters, 9-year-old Sarah Morgan and 7-year-old Eliza.

Vice President for Operations Steven Godbold, left, with Director of Security Steve Bohanan, right.

Harley Yacko, 1 year,her mother Jaclyn Hayashi

and Keith Goodwin



On any given day at East Tennessee Children’s Hospital, our staff members and volunteers give the best possible care and attention to children from across our region. From play therapy to child-friendly equipment, Children’s Hospital is the only medical center in the region organized to provide family-centered care. A day at Children’s Hospital for a patient and his or her family may include visits from a Child Life specialist, arts and crafts with our team of dedicated volunteers and sessions with a wide variety of pediatric specialists as part of his or her individualized care plan. For Harley Yacko and her mom Jaclyn Hayashi, positive interactions and time

to play are part of the healing process. The dedication of our diverse team to our patients and families is evident in their commitment to their work here each day. From Radiology to Children’s Hospital’s senior leadership, our staff members continue to learn new skills and adapt to new technologies for the betterment of our patients. While the numbers in this report are essential to understanding our commitment to our community, they do not tell the whole story. Our success is in the everyday. It is in every moment a child smiles, laughs and feels safe in our care. We are honored to provide this care to your children.

Keith Goodwin, President and CEO

104,305patientmeals

33Starlight

video gamesystems

387transports in

Lifeline, our critical care ambulance

2,563toy cars distributed

to future racecar drivers

300active

volunteers

460rehabilitationsessions in

the pool

1,420breathing

treatments

2,671dolls distributed

to littleprincesses

3,470electro-

cardiograms

6,257therapy dog

visits

428doctors

647nurses

33pediatric

specialties

Noah Reichert, 6, and Genevieve Dorris, R.N.

152beds

Inside Children’s Hospital


Every day, hundreds of specialists wake up to care for our region’s children.Here is a look at what we did this year.


highlightsThis report highlights our 2015 fi scal year—July 1, 2014, to June 30, 2015.

Serenity Brooks, 1 year, and Chelsea Ameen, R.N.

Employee honors

Volunteer Services Director Cheryl Allmon was named a Health Care Hero by the Greater Knoxville Business Journal.

Second-fl oor Health Unit Coordinator Denise Hall was named the Certifi ed Health Unit Coordinator of the Year from the National Association

of Health Unit Coordinators, Inc.

Recognized by Press Ganey as a Workplace of

Distinction for sustaining 90th- percentile satisfaction on our employee

engagement survey. Received the Guardian of Excellence award from

Press Ganey for achieving 95th percentile or higher on

employee engagement survey.

Received the Press Ganey Pinnacle of Excellence Award, which honors the top performing organizations on the basis of extraordinary achievement and consistently high levels of excellence between Jan. 2013-2015.

Recognized by the Solutions for Patient

Safety National Network as one of the top children’s hospitals

out of more than 96 in the network for quality care and improving

patient outcomes.

Launched telemedicine to

reach patients in the Morristown area.

Recognized by Interactive Health as being one of the 67 healthiest

companies in America for the third year in a row. Children’s Hospital is the only pediatric hospital and only company in

Tennessee included.

Laboratory offi cially became College of

American Pathologists (CAP) accredited

in May 2015.

Samari Tyler, 8, with Brenda Hendry, R.N.

Every day, your childis our priority.

From sneezes and sniffl es to chronic conditions, our staff members are dedicated to addressing all of your child’s health needs. On any given day, we may treat children from down the block or across the country. No matter where your family is from, you’ll be treated like you’re at home.


patient population71,974 unique patients • 144,783 patient visits


Primary Service Area

836 patient visitsother states

1,812Scott

3,594Campbell

2,075Claiborne

2,624Union

2,177Grainger

4,478Jefferson68,244

Knox

6,972Anderson

1,913Morgan

3,312Roane

4,327Loudon

3,554Monroe

12,568Blount

10,765Sevier

2,028Cocke

3,570 Hamblen

142,332 patient visitsTennessee

547 patient visitsVirginia

1,068 patient visitsKentucky

Stephanie and Addison HeltonHome Health visits 32,883

Rehabilitation visits 12,239

Subspecialties:Adolescent gynecologyAdolescent medicineDevelopmental-behavioral pediatricsNeonatal intensive carePediatricsPediatric allergy and immunologyPediatric anesthesiologyPediatric cardiologyPediatric dentistry and pedodonticsPediatric dermatologyPediatric emergency medicinePediatric endocrinologyPediatric forensic medicinePediatric gastroenterologyPediatric hematology and oncologyPediatric infectious diseasesPediatric critical care

Pediatric nephrologyPediatric neurologyPediatric neurosurgeryPediatric ophthalmologyPediatric orthopedicsPediatric otolaryngologyPediatric pulmonologyPediatric radiologyPediatric reconstructive surgeryPediatric sedationPediatric sleep medicinePediatric sports medicinePediatric surgeryPediatric urologyPerinatologyPhysical medicine, rehabilitation and physiatry

outpatient statistics

Hematology/oncology 3,396

Diabetes 2,933

Cystic fi brosis 553

Infectious disease 298

Rheumatology 284

Weight management 270

Cleft lip and palate 120

Dermatology 125

Gynecology 106

Hematology/oncology 3,396

Multi-disciplinaryclinic visits


patient stats5,983

hospital admissions

96,415non-emergency outpatient visits

68,884 Emergency Department visits

16,387 Neonatal Intensive Care Unit (NICU) patient days

2,120 Pediatric Intensive Care Unit (PICU) patient days


clinical stats845

transports

272 babies treated

for drug dependency

9,959 surgeries

870 sleep studies

436,215 lab tests

5,569 CT scans

2,874 MRIs

49,708 X-rays

2,422 chemotherapytreatments

Pediatric Ophthalmologist Gary Gitschlag, M.D., and 8-year-old McC lain Hardin


Services

21,848 visits with patients

by Child Life specialists

17,673 sessions of therapeutic

play, distraction, medical play and preparations

for procedures

3,095family and sibling

supportive interactions

27,984 hours of social work services for 4,062 families

14,997hours of interpretations for 13,853

families in 28 languages

Top three languages interpreted:Spanish, Burmese, Kirundi

8,040hospital rounds by our

security offi cers

87,600nightly family passes issued by security

3,328hours of family support by chaplains


Tiffany Smith, Child Life specialist , and 7-year-old Sophia Reichert

Every day, our careextends beyond

the bedside. We build our individualized care plans around your whole family. Our social workers, chaplains, interpretive services and Child Life specialists work together to give you and your family emotional support and help with logistics. On any given day, you can focus on your child. We’ll take care of the rest.

Child Life is only at Children’s Hospital.


On any given day:Child Life

Often when Tiffany Smith arrives at Children’s Hospital at 8 a.m., she does not know what to expect for her workday. As a Child Life specialist on the inpatient surgery fl oor and Pediatric Intensive Care Unit (PICU), Smith is responsible for working with other caregivers to create individualized plans to address each of her patient’s needs. For a patient having a procedure, this plan may include using her surgery prep book to explain to him where he will go, where his parent or guardian will be and what will happen - all in child-friendly terms. When a patient needs an IV, Smith may use toys, activities or deep breathing to distract him from the process. “We are there to help patients cope and support them through any procedure,” Smith said. “We advocate for the things that make patients comfortable during something like an IV, like how they will sit, where their parents will stand and what coping methods they need.” The fi rst part of Smith’s day includes reviewing the list of patients under her watch and visiting them to determine what they will need that day. “Patients who are new to the hospital may need entirely different interventions than patients with chronic conditions who have been with us for a long time,” she said. “We collaborate with patients, families and the health care team to assess the need for Child Life.” Child Life specialists also provide support to siblings by including them in explanations of what to expect and distracting games and activities. This focus on family-centered care allows anxiety surrounding the hospital visit to be relieved for the rest of the family, too. Throughout her day, Smith relies on play-based therapy methods. “Children play. It’s what they do, what they know and how they learn,” she said. “Sometimes we play with baby dolls to show them what IVs or bandages will look like. Sometimes we play without a specifi c goal to allow them to feel safe and share what they’re feeling. There’s so much you can learn from a child through play.” During follow-ups with patients who have previously had surgery, Smith provides guidance on what they can do to heal and recover. She may detail what the playroom has to offer and encourage them to walk there - which gets them moving - or use painting or drawing to help them sit up in a chair. Her efforts are coordinated with the health care team’s goals for the patient. Before she leaves, Smith documents her day’s work for the evening Child Life specialist. In the morning, she will take the specialist’s notes into consideration as she plans the interven-tions and activities for the day. In a job that requires the constant reassessment of the needs of her patients and their families and coordination with other clinical team members, Smith has learned to rely on only one thing every day: change.


$6,135,788in community benefi t

These are programs and services designed

to improve health in communities and

increase access to health care. They’re

integral to the mission of Children’s Hospital.

$2,895,597Community Benefi t programs

$2,170,517Education of medical students,

residents and healthprofessionals

Every day, we carefor our community.

We are proud to work with partners to positively impact children’s health and safety through programs aimed at creating a healthier community. Through injury and obesity prevention programs, CPR and AED training, asthma screenings and other wellness initiatives, we continue to help address the needs of communities in East Tennessee.

$242,804Research

$826,870Charity care


4MEDIC blood drives

22health fairs and presentations

$140,269given to community partner

organizations that promote the health and well-being of children

and economic development

CommunityOutreach


Children’s Hospital’s Childhood Obesity C oalition hosts the Grub C lub weekly throughout the year at the New Harvest Park Farmer’s Market. Local schools bring students to learn from the C oalition’s gardener, Jennifer Baldy, at right.

Wellness

16,560children involved in activities and programs to improve nutrition and commitment to physical activity

10 school nurses funded in 13

Title 1 Knox County elementary schools

1,009 people screened for asthma,

95 percent of which were children and 232 of which had an abnormal screening

without a known history of asthma

Training

17,728 participants in injury prevention

education programs

572individuals trained to administer

CPR in schools

76AED heart-safe drills conducted

Injury Prevention

1,871helmets

distributed

417car seats

distributed and installed

correctly

68car seat inspection events conducted

Project ADAM

79automated external defibrillators

(AEDs) placed in schools

74schools certified

as ready to respond to

sudden cardiac arrests

115,289students served by

Project ADAM programs


As part of our commitment to our community, we are proud to host the Project SEARCH program. Project SEARCH provides skills training and workplace internships for individuals with signifi cant disabilities, particularly youth transitioning from high school to adult life. Project SEARCH participants at Children’s Hospital work in a variety of areas to learn skills like stocking shelves and changing linens. They also learn life skills that can be applied outside of work. Through Project SEARCH, we hope to make a difference in the lives of youth and adults with special needs even after they leave our facility.

Project SEARCH intern Sarah French and patient care assistant Pamela McLean

Every day, our staffstrives for excellence.

Caring for your child is a privilege, and our staff members must have the proper expertise and experience to deserve this honor. We invest in training our doctors, nurses and other clinical staff members so your child can receive the best care possible. On any given day, continuing education of our providers can make the difference in your child’s care.


9 years, 7 monthsis the average tenure of a

Children’s Hospital employee

12,960new applicants for open positions

Employee statsEnvironmental Services staff member Melissa Hopson


Success at Work Success at Work (SAW) offers for frontline/entry-level employees the chance to prepare for continuing education, job advancement, professional and personal growth and career planning.

Employee wellness Employee Health and Wellness offers annual wellness screenings. The most recent screenings included 1,114 employee and 489 spouse participants. Seventy-nine percent of participants met their health goals and were in the low-risk category – compared to the 64 percent average of other participating companies. Children’s Hospital wellness screenings resulted in the early diagnosis of serious health conditions in 34 participants. Participants also experienced nearly 478 health improvements related to blood pressure, cholesterol and blood sugar.

14 participants completed program

2 completed leadership training

1 promoted to shift supervisor

80medical fellows,

residents and students

861undergraduate

students

100students in other health care positions such as respiratory therapists

and emergency medical technicians

2,476continuing medical

education participants

1,161continuing nursing

education participants

1,193trainees in our pediatric

simulation center

Educational opportunities

David Moritz, respiratory therapist, instructs neonatal intensive care unit (NICU) nurses at a neonatal resuscitation course in the Simulation Center.


Denise Majors, R.N., likens her job to air traffi c control. As the shift leader in the Surgery Department, Majors is in charge of making sure the scheduled surgeries run smoothly and that all patients are transported to the right places at the right times. With 14 years at Children’s Hospital under her belt, Majors is able to easily navigate this complex position. Each day includes a wide variety of surgeries, and Majors and her team set up the operating suites for all procedures, which includes preparing all the instruments the surgeons need. After all, Majors knows it’s more than effi ciency. Whether it’s a routine tonsillectomy or a lengthy neurology procedure, she and her team are aware there is a nervous parent or loved one waiting on the fl oor for their child. Her day begins at 5 a.m.; she reviews the day’s scheduled surgeries, gives assignments to her nursing and scrub tech teams and assigns transporters to retrieve patients from the Outpatient Surgery Department and bring them to Surgery. When surgeries begin at 7 a.m., Majors monitors the nine operating rooms, two endoscopy suites and one bronchoscopy suite on the fl oor, keeping track of which patients are where, what surgeries are happening and which patients will be heading to the fl oor next. “I keep an eye on all the rooms so I can be prepared,” she said. “I know approximately how long procedures will take, so I can alert our transporter to get the next patient when the doctors are almost fi nished.” By keeping the patients moving from waiting to surgery to recovery, Majors allows the surgeons to speak with families in between procedures without worrying about the logistics of patient transport. “I handle any questions the surgeons may have about patients and the fl ow of the day,” she explained. “If I have to move any procedures to other operating suites, I let the entire team of doctors, anesthesia staff and my team know so we all can be prepared.” As her day ends at 3 p.m., Majors waits for the height of the activity on the fl oor to dissipate before she heads home. All surgeries have usually been completed by this time, and Majors was essential in making sure they ran on schedule. She won’t leave until, she said with a laugh, “all the planes have landed.”

On any given day:Surgery


Denise Majors, R.N., and 17-year-old Blythe Gul ley


Your generosity allows us to treat all children regardless of fi nancial situation and provide the most up-to-date, child-friendly equipment available. The support of donors like you has led to our 245,000 square-foot expansion, which will be completed in 2016. The new space will include 44 Neonatal Intensive Care Unit (NICU) rooms to address the growing need for private spaces for babies to heal in their fi rst days of life. The building will also be home to new operating rooms and expand services for children with chronic conditions like cystic fi brosis and diabetes. In addition to our donors, we rely on the dedication of our team of volunteers. From cleaning playrooms to singing to patients in the waiting room, these men and women allow our staff to focus on providing the best care possible to our patients. On any given day, the children of our community benefi t from your donations, our volunteers’ time and the commitment this region has to healing the most vulnerable of all of us.

Your generosity allows us to treat all children

Every day,we are grateful

for our community’s

support.


$8,043,191in donations toward our

hospital expansion

$4,076,210in other annual donations

5,746donors

$0.08the cost to raise a dollar

Donors



22,618visits with patients

by volunteers

6,229hours cuddlers spent

holding babies born drug dependent in the NICU

54,879volunteer hours, which

is a cost savings of more than $1 million

$48,000raised by volunteers who

parked cars on game days, all of which was

donated to the hospital expansion

22,618

Volunteers

Volunteers Tyrone Beach and Kaitlyn Dowling with

3-year-old Jaden Angel


Volunteers

fi nancial highlights$407,230,125

$246,225,177

$164,840,182

$4,393,303

Gross revenueDeductions from revenueExpensesAvailable for reinvestment

Cost to operateChildren’s Hospital

$577,303 a day$210,715,622 a year

payer mix

65.4 percentMedicaid/TennCare

32.3 percentcommercial

2.3 percentother



On any given day at Children’s Hospital, we strive to provide family-centered care, wellness and education to our region’s children. Our accreditations in cystic fi brosis, cleft palate, sleep medicine and diabetes care, child-sized equipment and expertise in pediatric care mean you never have to look beyond East Tennessee for your child’s health care needs. With the support of our donors and community, we’ve created a friendly, safe space for children to heal. As we expand to meet the growing needs of our region, we remain focused on why we’re here on any given day: the children who need us.

Board of Directors Dee Haslam, Board Chairman

Larry B. Martin, Board Vice Chairman Steven D. Harb, Board Secretary/Treasurer John Q. Buchheit, M.D., Member at Large

Andrea Anne White, Member at Large

Cathy Ackermann Scott W. Brice Jim Clayton

Randall L. Gibson Keith D. Goodwin

Lewis W. Harris, M.D. R. Gale Huneycutt, Jr.

A. David Martin Christopher A. Miller, M.D.

David A. Nickels, M.D. Laura Palenkas

Barbara Summers, M.D. Kim Wood

Board Chairmen Emeritus James. S. Bush William G. Byrd

Donald H. Parnell Dennis B. Ragsdale

Senior LeadershipPresident/CEO: Keith Goodwin

Vice President for Legal Services: Bruce AndersonVice President for Medical Services: Joe Childs, M.D.

Vice President for Patient Care: Hella EwingVice President for Operations: Steven Godbold

Vice President for Finance: Zane GoodrichVice President for Development and Community Services: Carlton Long

Vice President for Human Resources: Sue WilburnChief Quality Offi cer: Jeanann Pardue, M.D.

Chief Clinical Offi cer: Lise Christensen, M.D.

Medical Staff Offi cers

Chief of Staff: Barbara Summers, M.D.Vice Chief of Staff: Cameron Sears, M.D.

Secretary: Carlos Angel, M.D.Chief of Medicine: Ryan Redman, M.D.Chief of Surgery: Glaze Vaughan, M.D.

Department of Medicine: Kevin Brinkmann, M.D.Department of Surgery: Bob Lembersky, M.D.

Your Dollars at Work


continued on page 48

Smokin’ Up the Valley Spinning tires, revving motors and loud cheers fi lled the air at the 1-75 Raceway in Niota, Tenn., in September, all to raise funds for East Tennessee Children’s Hospital. Every fall for the past fi ve years, Whitney and Josh Watson of Sweetwater organize the all-day truck pull and dyno day called Smokin’ Up the Valley. Typically around 3,000 people attend, either as participants or just to watch, as pick-up trucks are cleaned up for the “Show ‘N Shine,” compete in dirt drag races and join in for the sled pull. Annually, about 100 people enter their trucks in the day’s competitions, and prior to this year’s event, Smokin’ Up the Valley has raised more than $63,000. Th is year’s event was the most successful yet, with 3,500 people in attendance, raising $30,704. Th e Watsons have organized Smokin’ Up the Valley for several years, but in 2010, they had the idea to donate proceeds to Children’s Hospital, an organization close to their hearts. “We decided we didn’t want to make a profi t on this event,” Whitney said. “We wanted to give back.” Th e Watson’s son, 11-year-old Jabe, spent the fi rst four days of his life in Children’s Hospital’s Neonatal Intensive Care Unit (NICU). “He had breathing issues and a heart murmur they were monitoring,” Whitney said. “He did really well and has no problems now.” Th ree years later, the Watsons were back with their daughter, now 8-year-old Kate. “When I was pregnant, doctors found a cystic hygroma on her neck,” Whitney said. “Typically that signifi es a chromosome defect. When she was born, she was diagnosed with down syndrome.” Kate is monitored for her heart, eyes and breathing. She has been a patient in cardiology, otolaryngology, physiatry and rehabilitation at Children’s Hospital.

Visit www.etch.com to see more photos from the 2015 Smokin’ Up the Valley.



Now, Kate does therapy at school and has regular appointments with Children’s Hospital pediatric physiatrist Nadine Trainer, M.D. “Everything is working really well for her,” she said. Whitney said they are thankful for a Children’s Hospital that is so close to their home. “Children’s Hospital is 45 minutes away, and it’s nice to have doctors that specialize in children so close.”

“We’ve had many doctors through Children’s Hospital we’ve had to see,” Whitney said. “We’re very appreciative of all the doctors we have.” It’s important to Whitney and Josh that their children are treated like children. “Th at’s what they see all day is kids,” Whitney said of Children’s Hospital’s specialists. “Th at’s just really comforting to me.” Now, the Watson children are active and healthy. “My son is now the picture of health, and our little girl is doing great.” Originally, the possibility of heart surgery loomed for Kate, and while physicians monitor her atrial septal defect (ASD), no surgery is required. “Considering all of the things we were told when she was born, we have been very blessed.”


Smokin’ Up the Valley event organizers presented a check from this year’s proceeds to Children’s Hospital. First row, from left, are Gavin Selvage, Jabe Watson and Kate Watson. Second row, from left, are Smokin’ Up the Valley Master of Ceremonies Tim Selvage, event organizers Whitney and Josh Watson, and Children’s Hospital’s Vice President for Development and Community Services Carlton Long.

Annually, the Robert M. Goodfriend Family Award is presented at the East Tennessee Children’s Hospital donor dinner. The award is given to an individual, family, foundation or business whose support has been both generous and sustained throughout the years. The 2015 award recipient is the Haslam family of Knoxville. The Haslam family has been involved at Children’s Hospital since 1963, when Jim Haslam joined the Board of Directors. Since then, the family’s three generations have been an active participant in the hospital’s operations. They have financially supported the hospital by donating close to $5 million in support of multiple projects, building campaigns and events. In 2005, a generous gift from the Haslams provided a state-of-the-art Neonatal Intensive Care Unit (NICU)

which was named in their honor. The family has supported the most recent expansion, as the new NICU with 44 private rooms will also bear their name. Currently, Dee Haslam is serving as Chairman of the Board of Directors. She and her husband Jimmy, son of Jim, were instrumental in raising generous funds for the current expansion, assisting Children’s Hospital in raising more than $15 million. The third generation of the family is now helping make philanthropic decisions for the family and their corporation. Most recently, they donated $140,000 to the Children’s Hospital Safe Travels program, which enabled the Injury Prevention program to supply car seats and booster seats to children in East Tennessee. See a complete list of donors at the donor dinner by visiting www.etch.com/giving.

Generous giving


Bottom row, from left, are Jim and Natalie Haslam, Ann Bailey, Robert and Wendy Goodfriend and Steve Bailey. Top row, from left, are Hannah Haslam, David and Annie Colquitt and Matt and Leigh Avery.


Making schools heart safe On a Tuesday in September, Alcoa High School sophomore Austin Atchley fell to the ground during gym class. Atchley is actually quite healthy. He was participating in a fi rst-response drill for Project ADAM Tennessee, a national program led locally by East Tennessee Children’s Hospital, and his role in the drill was to be a victim of cardiac arrest. Annually, about 1,000 children and teens suff er from sudden cardiac arrest, and deaths due to cardiac arrest could have been prevented with the use of an automated external defi brillator (AED). Children’s Hospital provides schools with information, materials, training and support in the management of AEDs in area schools. Children’s Hospital’s Project ADAM Coordinator Karen Smith helps schools coordinate and train emergency response teams and assists with practice drills. Team members and school staff s are off ered CPR and AED training to learn the signs of sudden cardiac arrest. Atchley was assisting with a drill to train Alcoa High School’s fi rst-response team as well as local fi rst responders. At the drill, Austin was playing badminton in physical education class when he pretended to fall to the ground, as if suff ering from cardiac arrest. P.E. teacher Hank Snyder responded fi rst by calling 911 and then alerting the school’s fi rst-response team. Th e school’s fi rst-response team rushed to the gym and resorted to an alternate plan aft er an AED didn’t arrive. Snyder requested a student to retrieve an AED from its location in the hallway, and from there, the team took turns administering CPR to a mannequin lying next to Atchley. Atchley was impressed by the response of his school’s staff . “It’s cool to see what they’ll do to save your life,” he said. “It’s nice to know there’s someone in school to help.” Th ough staff was warned, Smith said it was important to make the drill seem as real as possible. “It’s meaningful to have a victim rather than just a mannequin,” she explained.

Smith said drills are important in helping school’s fi rst response teams feel comfortable. By training teams, staff will be confi dent they know how best to respond if a cardiac event does occur.

Project ADAM isn’t just for students. “It’s for the community, staff , visitors, everyone,” Smith explained. “Schools are the heart of the community.” Project ADAM Tennessee’s goal for the 2015-16 school year is for all public schools in East Tennessee to have one or more AEDs on their campuses. Smith will continue to work with schools on maintaining CPR and AED training as well as maintenance of eff ective response programs. Since 2011, Children’s Hospital and Project ADAM Tennessee have helped place 195 AEDs in East Tennessee schools.


Donate to Children’s Hospital’s Project ADAM Tennessee

program at www.etch.com/giving.

“There is a 70 percent survival rate when a trained team is

in place, and they have a practiced plan.” – Karen Smith,

Project ADAM Coordinator


Student Austin Atchley, left, pretends to be a victim during a Project ADAM drill at Alcoa High School while Project ADAM Coordinator Karen Smith, back, coaches

the first-response team as they administer CPR to a mannequin.

Nothing puts a smile on aNothing puts a smile on a child’s face quicker than getting a gift— child’s face quicker than getting a gift

2018 Clinch Ave. • P.O. Box 15010Knoxville, Tennessee 37901-5010RETURN SERVICE REQUESTED

Email [email protected] for questions about the magazine, if you receive a duplicate issue or to update your address. Visit www.etch.com/ItsAboutChildren to sign up to receive this magazine electronically.

NON-PROFITORGANIZATION

U.S. POSTAGE

P A I DPERMIT 433

KNOXVILLE, TN

A smart estate plan ensures that 100% of your money goes exactly where you intend.

Your legacy can go further

100% to heirs 70% to heirs30% paidin taxes

· Take care of heirs· Reduce, redirect oreliminate your taxes

· Support thoseorganizations

you value

OROROROROROROROROR

A smart estate planThe reality for most peopleYour hope for your estate plan

By naming Children’s Hospital as a beneficiary in your estate plan, yourtax burden can be reduced while helping heal children in your community.

Need advice? Let us help by calling 865-541-8567 or email [email protected].

it's about children - issue 4, 2015 by east tennessee children's hospital

Health & Medicine