2015 annual report - east tennessee childrens hospital

Harley Yacko, 1 year,her mother Jaclyn Hayashi

and Keith Goodwin

Annual Report 2015 | 2

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


4 | Annual Report 2015

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


Inside Children’s Hospital

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

152beds

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.

Primary Service Area


patient population

142,332 patient visitsTennessee

547 patient visitsVirginia

836 patient visitsother states

71,974 unique patients • 144,783 patient visits

1,068 patient visitsKentucky

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

Stephanie and Addison Helton


Home 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

$242,804Research

$826,870Charity care


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.


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.

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


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 stats

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

Environmental Services staff member Melissa Hopson


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.

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

www.etch.com

2018 Clinch Ave. • P.O. Box 15010

2015 annual report - east tennessee childrens hospital

Health & Medicine