Our Shining All-Stars2015 PATIENT SERVICES ANNUAL REPORT

1 I TABLE OF CONTENTS

Our All-Star Roster2015 PATIENT SERVICES ANNUAL REPORT

Welcome 2

Microsystem Stress Report 3

Kappa Kidney Camp 5

Division of Adolscent andTransitional Medicine 7

The Liberty Campus Expansion 9

Liberty Simulation Training 11

Psychiatry's Care Journey 13

Equine Behavioral Therapy 17

Horticulture Therapy 19

Neuromotor Program 21

NICU Live Video Feed 23

Leadership Rounding 27

Patient Services Awards 29

Year in Review 31

Nationally RecognizedNursing Certifications 35

Writers: Chris KleinLora LucasSuzanne McMillenJennifer Myers - Managing Editor

Design: Laura Kujawa

Colleagues and Friends,

Last year we heard a considerable amount of talk about"All-Stars" in Cincinnati – in July we hosted Major LeagueBaseball’s All-Star extravaganza.

At Cincinnati Children’s, our All-Stars weren’t limited to one night on the baseball field.In 2015 our All-Stars brought their best to our patients and families every day of the week,every week of the year. This annual report highlights some of the reasons why CincinnatiChildren’s staff are deemed All-Stars every day.

From our outstanding nurses to our incredible social workers, physical therapists and otherallied health professionals, this report captures the dedication and enthusiasm of our entirePatient Services team. It also highlights some of the innovative ways we are helping patientsreach their full potential. From neuromotor therapy to horticulture and equine therapy, we’reproviding every patient individualized care to reach their goals. You’ll also learn how weexpanded our Liberty campus to better serve our families, and how our leaders are improvingstaff and patient satisfaction through rounding.

I am proud to share their stories with you.

Sincerely,

Cheryl Hoying PhD, RN, NEA-BC, FACHE, FAANSenior Vice President of Patient Services

WELCOME I 2

“Every day our All-Stars arestretching their capabilitiesto improve the outcomes forour patients.”

The Cancer and Blood Diseases Unit(CBDI) formed a multidisciplinary team toreduce catheter associated blood streaminfections (CABSI).

They initiated a study to determine whichquantitative and qualitative factors correlatedto cause an increase in events of patient harm.The team developed predictive measures andprevention/mitigation strategies in order tominimize the impact of the microsystem stress.Their overall aim was to reduce events ofpatient harm in units which were stressed,believing that higher levels of stress resultedfrom unpredicted and sustained increases inpatient volume and acuity.

Decreasing staff stress, patient harm

Although plenty of data existed already, itwas not available as often as necessary, norwas it consolidated into a single report thatcould help to predict and avoid staff stress.

Through input, assessment and trials,the Steering Committee coordinated thedevelopment of a Microsystem Stress Reportwhich provides relevant, reliable informationon the Medical Center’s 17 inpatient unitsat the Burnet Avenue location.

A separate report provides inpatient data forPsychiatry. The report effectively consolidatesquantitative and qualitative data that is sharedweekly with directors, assistant vice presidents,vice presidents and the chief nursing officer.

By reviewing literature, experience andhistorical data from Cincinnati Children’s, theteam looked at a large number of possiblemetrics. They narrowed the list to those thatbest correlated with patient harm, specificallyin CBDI and the Neonatal Intensive CareUnit. They determined the following factorsto be most important for analysis on a shift byshift basis:

• Nursing hours per patient day• Volume ADC• Capacity• Staffing measures• Float staff• Qualitative stress scale measures

3 I MICROSYSTEM STRESS REPORT

MICROSYSTEM STRESS REPORT I 4

Data enables leaders to quickly identify areasthat need further analysis, and helps signalweek-to-week trends. Data is used to supportinterventions that include: pre-assigning floatpool, increasing full-time staff, redeploying fulltime staff from other programs, establishinga Knowledge Incentive Bonus. Mitigationstrategies also can be reliably developedfrom the report.

Although future changes to the MicrosystemStress Report are in the works to make it evenmore useful to hospital leaders, the report isfrequently shared at conferences, enablingit to positively impact staff and patients farbeyond the walls of Cincinnati Children’sHospital Medical Center.

Learnings from the committee’s work aresignificantly impacting operations.These learnings include:

1. Prolonged stress in complex medical systems withhigh-risk patients can contribute to an increase inharm to patients.

2. By identifying key processes and reliably executingmitigation strategies, outcomes due to staff stress canbe stabilized.

3. A defined plan to support a stressed microsystem iskey to dealing appropriately with the situation.

4. Prediction and prevention are key elements of asuccessful plan.

Success

6th Annual Ohio Hospital Association/ Ohio Patient Safety Institute,Dr. Frank Dono Best Practice Award: "Outcomes resilience after system stress: arapid-cycle response to mitigate the impact of system stress on CLABSI"

Cancer & Blood Diseases Institute (CBDI)CLABSI Task ForceL to R: Kelly Vu, RN; Alyssa Rickert, RNII;

Rosalie Weakland, MSN, RN, CPHQ, FACHE,

Ohio Hospital Association/Ohio Patient Safety

Institute; Deanna Hawkins, MSN, RN, NEA-BC

Members of the Patient Services Steering Committee include: Whittney Brady, DNP, RN;Deb Browning, MSN, RN, CENP; Laura Flesch, MSN, RN, CRNP; Jackie Hausfeld, MSN, RN,NEA-BC; DeAnna Hawkins, MSN, RN, NEA-BC; Barb Tofani, MSN, RN; Bill Vidonish, MBA, BSIE

5 I KAPPA KIDNEY CAMP

On the surface, Kappa Kidney Camp might look like any other youth summercamp. There is a pool for swimming and a lake for boating and fishing. Thereis horseback riding, rock climbing, and arts and crafts. In the evenings thereare camp fires and karaoke.

Dialysis/Nephrology

Kappa Kidney Camp

But Kappa Kidney Camp offers something elsethat most other camps don’t – a full medicalcare staff to support children age 8 to 18 whoare undergoing dialysis or who have had akidney transplant. This includes the ability toeither transport campers to a local facility orprovide on-site dialysis, depending on patient

need. And, supported by sponsors andvolunteers, the five-night, six-day camp isalso offered free of charge.

Cincinnati Children’s Hospital staff encouragespatients in dialysis to take advantage of thecamp opportunity. Staff members including

social services, child life, nurses, doctors,and pharmacists all support the campersthroughout the week and visit them at campduring the day. Some staff members have evengiven up personal time to register campers inBellefontaine, Ohio.

KAPPA KIDNEY CAMP I 6

Korie Frost, LISW, Dialysis/Nephrology, sees the opportunity asnot only a time for her patients to get the camp experience, butalso a time to form bonds with the other campers.“People don’t truly understand what these kids are going through,” she says.“So it’s awesome that this camp is available to them. All the kids there have hada transplant or have dialysis, so they know what each other are going through- they have all been there.” She adds that if there is a patient there currentlywaiting for a kidney transplant, he or she can talk to other campers who havealready been through the experience.

34 Campers

Each loving the experience of trying the newexperiences offered at Kappa Kidney Camp.

170 Marshmallows toasted for s'mores

Accompanied by all our favorite campfire songs.

112 Cannon balls into the pool

Nothing beats showing off your best bomb toyour new friends.

56 Strikes at the bowling alley

During the pizza party at the lanes.

Kristen Robbins, a 14-year old dialysis patient atCincinnati Children’s, looks forward to attendingcamp each year and swimming in the pool.

For most kids, going to summer camp is a normalpart of life, but for those undergoing dialysis,normal isn’t always easy. Frost says she likesto make her patients feel as normal as possible.“There are always barriers and a lot to jugglein [their] lives,” she says, “but I want them to beable to do everything a normal kid can do. Thiscamp is something nice we can offer as a pieceof that normalcy.”

“Even if you go thereand you know absolutely,positively nobody,” she says,“you will leave with friends.”

Friends2015 Highlights

7 I DIVISION OF ADOLESCENT AND TRANSITIONAL MEDICINE

The need for the TransgenderClinic at Cincinnati Children’s isundeniable, reflected in the fact that4 in 10 transgender teens in theUnited States attempt suicide.*

Our Division of Adolescent and TransitionalMedicine at Cincinnati Children’s has been inexistence for more than 40 years and is arecognized leader in the field; so it was nosurprise that we led the way in establishing atransgender health clinic in July of 2013. TheTransgender Health Clinic was founded byDr. Lee Ann Conard, DO, RPh, MPH, a recruitfrom Pittsburgh familiar with transgender youth,along with social worker Sarah Painer, MS, MSW,LISW-S. The Clinic offers treatment and servicesfor transgender children in a variety of methodsranging from puberty blocker and genderaffirming hormones, to legal referral, as wellas patient and family support.

In December 2014, the clinic was put to thetest with Leelah Alcorn’s tragic and very publicsuicide. The death of the 17-year old from KingsMills, OH was a call to action for the transgender

Division of Adolescent and Transitional Medicine

Treatment, Support and Communityfound at the Transgender Health Clinic

The families of these transgender youth haveneeds very specific to their child’s treatmentand the Clinic is equipped to handle them.

*American Society for Suicide Prevention- National Transgender Discrimination Survey(NTDS) 2014

DIVISION OF ADOLESCENT AND TRANSITIONAL MEDICINE I 8

community. This global issue had become a local issue, with the face ofa young child, Leelah. When the community demanded a resource forchildren like Leelah and their families, Cincinnati Children’s Hospital wasready. Together, Conard and Painer further developed the TransgenderHealth Clinic at Cincinnati Children’s main campus to be a framework oftransgender education, offering exceptional treatment options andsupport for patients aged 5-24 years old.

Cincinnati Children’s Hospital believes that together we can change theoutcome for child health: Dr. Conard and her staff at the TransgenderHealth Clinic are doing just that for transgender youth. In January of2015, 115 patients attended the Clinic; by January of 2016 that numberwas at 365. Although becoming more common in the medical community,the work being done at the Clinic is a revolutionary step for the physicaland mental health needs of transgender youth. The success of theTransgender Clinic has allowed for interdisciplinary days for patients andfamilies to see all of the providers necessary for this life-altering process.This combination of expert medical care enables the Clinic to supportneeds ranging from endocrinology to social work. Without these servicesmany transgender youth would go without medical supervision.

"The Transgender Clinic made me feel like people cared abouttransgender kids, when I didn’t think anyone ever could." Dani, apatient of the Clinic, described how his experience at the TransgenderClinic changed his entire outlook on, not only being transgender, but howthe world saw him. Dani came to Children’s after his mother reached outto a physician about her son’s special needs. A few months later, Dani

was sitting in the Transgender Clinic having discussions about top(breast) surgery and testosterone-implants, something he never thoughtpossible. "The interconnected continuity of care at Children’s is whatmakes them so special. The love Dani and I have felt from the staff ofthe Trans Clinic, is immeasurable," Dani’s mother, Shar shared abouther experience at the Clinic.

The benefits of the Transgender Clinic go far beyond that of justthe patient. The families of these transgender youth have needsvery specific to their child’s treatment and the Clinic is equipped tohandle them. Monthly meetings, designed to support the youth as wellas their guardians, allow issues such as legal questions and socialproblems to be addressed. These support groups create a communitysupport system for these very special families, and the number of thoseattending continues to grow. Preventing more tragedy is the ultimategoal of the Clinic. Regardless if a child receives surgery or suppressivetherapy, the treatments at Cincinnati Children’s Hospital are changinglives – perhaps even saving lives. As Dr. Conard said, "...because thesekids have a high rate of suicide, we're kind of doing something to keepthem alive."

“The love Dani and I havefelt from the staff of theTrans Clinic, is immeasurable.”Dani’s mother, Shar shared about herexperience at the Clinic

Acceptance

9 I THE LIBERTY CAMPUS EXPANSION

The Liberty CampusExpansionA Full Service Hospital

A3N oriented a total of 60 RN’s to surgicalnursing for the Liberty Inpatient unit. Thesenurses included all A6S RNs and new RNswho were hired to work at the LibertyInpatient Unit.

THE LIBERTY CAMPUS EXPANSION I 10

Families of Butler and Warren counties nowhave the best of both worlds. The newlyexpanded Liberty Campus officially opened inmid-August establishing the facility as a full-service hospital. The expansion provides aclearer choice for community pediatricians oncefaced with having to choose between proximityand pediatric expertise for their patients. Withthe addition of the Liberty inpatient unit on the4th floor, and Children’s mission to begin caringfor an increased number of surgical patients,it was vital that experienced surgical RN’s berecruited to Liberty from A3N, the surgicalshort-stay unit at the Burnet campus. In order tomaintain continuity of safe patient care it wasimperative to get the appropriate skill mix ofRNs and ensure that nurses from A6S and newhires to the Liberty Inpatient Unit were properlyoriented to care for surgical patients.

The A3N leadership team led by Laurie Gregor,MSN, MEd, RN, clinical director; Beth Dendler,MSN, RN, CPN, A3N Education Specialist; andA3N clinical managers: Stephanie Greger, BSN,RN, CPN; Cori Gelvin, MSN, RN; and HeatherPrichard, BSN, RN, CPN invited the Libertyinpatient clinical director to attend their unitmeetings to provide information about theexpansion of the inpatient surgical unit atLiberty and to recruit staff. A total of three town

hall unit meetings were held followed by directemails to staff to clarify specific information. Asa result, seven full-time RNs were selected totransfer to the Liberty Inpatient unit. The A3Nleadership team worked diligently to re-fillthose positions, and all seven positions werefilled and oriented prior to the A3N RN transfersdeparted from base. While hiring their own newstaff, A3N also oriented a total of 60 RN’s tosurgical nursing for the Liberty Inpatient unit.These nurses included all A6S RNs and newRNs who were hired to work at the LibertyInpatient Unit. This was a tremendousundertaking for the A3N nursing team andespecially the A3N Education Specialist, Beth

Dendler. This partnership leveraged the talentand clinical expertise of RNs at Base to trainand orient the Liberty inpatient team in order toachieve safe and competent care for surgicalpatients at Liberty.

Today A3N remains involved in a "SiblingUnit" partnership with A6N/S and the LibertyInpatient Unit. As a Sibling group, they worktogether with the Manager of Patient Servicesto ensure that staffing needs are coveredamong all surgical units. A3N continues towork with A6S and the Liberty Inpatient Unitas they hire new staff to complete theirsurgical orientation.

Collaboration

Liberty Inpatient Unit, A3N, A6S – Teamwork that benefits patients and families

11 I LIBERTY SIMULATION TRAINING

With the opening of the Liberty campus expansion in August of 2015,Patient Services leadership wanted to ensure the interdisciplinaryclinical teams were prepared for their new environment.

There was a desire to maintain the same level of confidence and assurance for ourpatients and families that they have grown to expect from Cincinnati Children’s at themain hospital. This desire resulted in a robust simulation training program for clinicianstransitioning to the newly expanded, 4th floor inpatient unit. Liberty simulations weremultidisciplinary and multispecialty with a goal of identifying potential latent safetythreats, refining processes and defining appropriate roles for this new setting. Thesimulation course work was provided by the Liberty Simulation Center led by GaryL. Geis, MD, Medical Director of the Center for Simulation and Research and wasfacilitated by unit and frontline leaders.

The need for simulation training, both prior to the opening of the42 bed inpatient unit and continuing into its opening, is due to theunique environment. The new inpatient unit consists of medical,surgical, intermediate care and Cancer & Blood Diseases

Institute (CBDI) patients with all of the care providers working together on the sameunit. In addition, the MRT and code team are built within this group, therefore theneed to continue the training to maintain practice and care competencies. Generalparticipation included: CBDI; Pediatric ICU; Hospital Medicine RNs, Surgical APRN’s,and physicians; Respiratory Therapists, Pharmacy and Telehealth MDs.

Liberty Simulation Training

Preparing Our Clinical Teamfor their New Space

Patient Safety Simulation TrainingThe Patient Safety Simulation Training is a four hour trainingsession with the purpose of continuous, multifacetedtraining. This is an on-going staff training and team buildingfor the interdisciplinary team, initial training of new hires,and implementation of standards and models identified aspotential safety concerns. Scenarios are centered aroundwhat is current on the unit. The expectation is for all staffto attend two of these Patient Safety Simulation Trainingsa year.

LIBERTY SIMULATION TRAINING I 12

The Liberty Simulation Course Phases

We continue in Phase IV with ongoing In Situ and Patient Safety Simulation Training.The In Situ training is completed on the unit each week; this is a mock MRT and/or code training for any and all staffon the unit at the time. The training incorporates the PICU through the use of telemedicine along with membersthroughout Liberty campus that are part of the Code team i.e., ED, transport team, MPS, Pharmacy etc. The sessionis organized with the Simulation Center and the unit educator to determine which patient scenario to simulate,schedule and facilitate. A weekly newsletter is later distributed to all disciplines for learning and sharing.

In situ: Liberty Expansion CourseScenario Development SessionsThese were the initial in situ sessions used to pilot theproposed scenarios within the Simulation Center.Attendees at these initial sessionswere educators from various keyareas, as well as nursing leaders.

Lab: Liberty ExpansionCourse “Pilot” SessionsThe pilot courses were run again within a 4-hour labsession in the simulation center, an introductory talk, a

5-10 minute talk on patientsafety, and followed by adebriefing session. Attendeesat these sessions were alsoeducators from various key areas,as well as nursing leaders.

Lab: Liberty ExpansionCourse Training SessionsThe actual 4-hour lab sessions inthe simulation center used todeliver the training course to futureLiberty providers. These wereinterdisciplinary team simulationsthat included current and newCincinnati Children’s employees. Our team trained 175participants including; Patient Services from the Medical/Surgical unit, CBDI and Critical Care. In addition HM, CBDIand APRNs from the provider perspective were trained withRespiratory, Pharmacy and Telehealth as well.

Lab: Liberty ExpansionCourse “Pilot” SessionsThese sessions took place withinthe actual environment at LibertyTownship. The purpose was to testthe rooms and equipment, whilerunning through all eight scenarios.These took place over two full

days prior to opening. Ongoing simulation sessions and thesafety course continue within the existing space and arescheduled bi-monthly/monthly.

13 I PSYCHIATRY’S CARE JOURNEY

All families should have a similar experience regardless of the unit to which they are admitted.

families to improve the comfort level ofparents managing their child’s conditionwhen they return home. As a result, thePsychiatry Cluster Coordinating Counciland Psychiatry Patient Family ExperienceCommittee collaborated to standardize thecare process in the Psychiatry Division.

In the spirit of relationship-based care theentire interdisciplinary team needed a clearunderstanding of what to offer families, how

Mapping Out the Pathto Success

Psychiatry’s Care Journey

Cincinnati Children’s Hospital has the largestand most comprehensive Psychiatry/BehavioralHealth Division in the nation for pediatricpatients. In a continuing effort to be the bestat getting better, staff concerns and familyfeedback prompted an idea to bubble up.Even with highly individualized content for eachchild/family, direct care providers noticed thatthe process for care varied across units in thedivision. There was a strong desire to enhancethe education process and interactions with

to offer it, and how to document what wasprovided. Documentation needed to bepurposeful, collaborative, non-repetitive andeasily accessed. “If a child re-admits, we needto be able to easily see what work our team haspreviously done with the family and what theirresponse was and then assess where to begin,rather than just start over,” says Heather Morath,BBA, BSN, RNII-BC, FY15 Psychiatry ClusterCoordinating Council Chair.

PSYCHIATRY’S CARE JOURNEY I 14

The work began with staff training to provide individualized,empathetic relationship-based care to families. The training focusedon mutual goals for staff education, a standardized path, availableresources, and documentation. Next it was decided to develop aCare Journey Map as a visual tool for teach back to families.

A subgroup of Patient/Family Education completed Design Thinking™training under the leadership of Julie Elkus, Director of Innovationwith the Anderson Center. They followed families from admissionthrough discharge to gain a deeper understanding of their uniqueexperiences. Several prototype maps were created to include agreedupon components. The Care Journey was discussed with the Patient/Family Advisory Council and feedback was solicited on two versionsof the map from parents and councils. The psychiatry Epic specialistthen created a patient education record corresponding with thestandardized tool and process.

Joan Morris, MSHA, MBA, RN, program manager for Health Literacyprovided training on the topics of health literacy, plain language andteach back processes for trainers. Small tests of change were performedwith the new tool and electronic record on specific units utilizing nurse,social worker and staff feedback. The Care Journey Map was submittedto Center for Professional Excellence Patient/Family Education forcontent approval and to create additional resources in Health Topics.The Care Journey Map’s first test launch on unit P2W began with teamtraining on the Care Journey process and tool.

This work is a true example of transcending silos and workingtogether to change outcomes through coordinated, collaborativework leveraging the unique skills of various groups and individualsin our organization. The work team was comprised of members frommultiple groups of stakeholders including: Shared Governance, PatientFamily Experience Committee, Patient and Family Advisory Council,Center for Professional Excellence, and the Anderson Center.

“I know what I’m responsible for and whatthings we are going to work on together.”From a family who had experience in the Care Journey process

Connection

Psychiatry Care Journey TeamWinner's of the 2015 Patient Education Advocacy AwardPictured from Left to Right: Rachel Zimmer; AdrienneMartin, MSN, RN; Adam Hill, MSN, RN-BC, CPN; Julia Elkus;Melissa Worrell, MA; Heather Morath, BBA, BSN, RNII-BC;Mica Dulle, MSN, RN-BCAward winners not pictured: Krista Keehn, MS RN-BC;Robin Brewer, MHSII; and Amberly Schmaltz, MSN, RN

15 I PSYCHIATRY’S CARE JOURNEY

As of early December there were 15 patients that had beenadmitted and discharged from P2W since the initiation of theCare Journey process. We called the families involved to gettheir thoughts post discharge and have revisited the PatientFamily Advisory Council as well.

Here’s what families have said about their experience in theCare Journey process:• “Feels like, “Okay, I’m not alone”• “This feels more like partnering”• “This is what I wanted, what I needed”• “It makes me feel cared about”

Here are some comments we’ve received with follow-up callsfrom parents on 2W since we started using the map:• “It kept me informed step by step of what was going to happen,

ahead of time”• When asked to rate connection/relationship with the treatment

team on a 1-5 parent stated: “I would give them a 10 if I could”• “It helped me walk him through his coping skills.”• When asked to rate connection relationship with the treatment

team parent stated they felt: “very connected”

To date all staff on one of our inpatient units (P2W) have been trainedon the purpose and use of the Care Journey process, the map, and theinterdisciplinary EMR documentation. The map was officially rolled out onP2W on November 16, 2015. A small team is auditing the P2W charts totrack use of map, completions of map, and to identify opportunities forcontinued improvement. We continue to solicit feedback from the caregiversand unit management. We are working to identify inter-professional staff(RN, MHS, and social worker) "super users" to provide continuous peer-to-peer feedback and coaching. Adjustments will be made as needed andthe Care Journey process will roll out to our inpatient unit at the LindnerCenter of Hope in early 2016. The Care Journey should reach all of ourinpatient units by the end of the 2015/16 fiscal year.

Please shareyour child’shistory, andyour concernswith us.

Together, wewill create goalsfor your child’shospital stay.

1 2

Psychiatry’s Care Journey Map

Partnering in theCare Journey

It sounds like we’re headed in the rightdirection mapping out the path for successin our psychiatric care journey process!

“It gave me a heads up of what toexpect and the when and where of thetreatment. I had a better look at whatto expect with the treatment. It wasreally helpful. Makes you feel like youare part of it.”From a parent of a child on 2W

PSYCHIATRY’S CARE JOURNEY I 16

Together, wewill talk aboutthe needs of theentire family.

We will explain thepurpose of familymeetings, and howour team will partnerwith you in treatingyour child.

We will share yourchild’s evaluationand any testingneeded.

We will discuss yourchild’s diagnosis withyou.

I know andunderstand my child’smedication(s) (whatthey are for, time,dosages, possibleside effects).

I know my child’striggers (things thatmake my child mador sad).

I know my child’sstrengths and copingskills (things that helpmy child stay calm).

I know interventionsthat I can use tohelp manage mychild’s behavior andto support my child.

Together we willdiscuss when mychild can return toschool and how Ican help prepare forthis transition.

Please shareyour child’shistory, andyour concernswith us.

I have madearrangements tofill my child’sprescriptionsbefore discharge.

I know outpatientservices available,and how to schedulefollow-up appointmentsfor medication,therapies, etc.

If I have problemsgetting my child’smedications, I knowwho I can call.

I understand mychild’s safetyplan, and whatsteps to take ifmy child is in crisis.

3 1 2 3

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Sharing information together

Understanding your child’s needs

Working together so you can carefor your child at homeTransition home

Howare

you?

Howare

you?

Howare

you?

"Our program focuses on utilizing this alternative treatment modality toimprove self-esteem, build healthy relationship skills, and learn effectivecommunication techniques with an emphasis on assertiveness training,"says Kristi Van Vranken, CTRS.

Through this experiential therapy, participants learn about themselves and others by participatingin activities with the horses, and then processing (or discussing) feelings, behaviors, and patterns.Non-verbal communication, assertiveness, creative thinking, problem-solving and leadership areamong the many skills that equine therapy enhances.

17 I EQUINE BEHAVIORAL THERAPY

It is widely recognized among behavioral experts that animals, particularlyhorses, have a calming and therapeutic effect on people with behavioraland psychological challenges.

Cincinnati Children’s Hospital Medical Center’s Division of Child and Adolescent Psychiatry haspartnered with Cincinnati Therapeutic Riding & Horsemanship (CTRH) to bring equine facilitatedlearning (EFL) to our clients at the College Hill campus. For residential clients with behavioralissues, the opportunity to participate in the equine program provides them a goal to work toward,and a reason to learn and maintain positive relationship behaviors. Many of the kids at CincinnatiChildren’s College Hill campus have a strained or turbulent family dynamic leaving them withminimal positive relationship role models. Our practice model of comprehensive coordinated carefacilitates partnering with community-based organizations to promote the best possible outcomesfor all of our patients at Cincinnati Children’s.

Equine Behavioral Therapy

Utilizing the therapeutic effect of animalsto facilitate learning for our kids

Many clients have stated,“I never thought I would beable to ride a horse” andare often shocked at theirprogress within the programfrom start to finish.

In 2015, 14 clients participated in thisequine learning program, both on andoff site. We anticipate an increase inthe numbers for 2016 with the end ofconstruction on campus at College Hill.

“It’s pretty hard to notfeel important when youare on top of a horse.”A former participant

Pride

Many clients form special bonds with their horse,and behaviorally are able to identify similaritiesand differences that exist with other significantpeople in their lives.

The Equine Therapy program was initiated 12years ago by a Certified Therapeutic RecreationSpecialist (CTRS) and equine therapist. Thepartnership with Cincinnati Therapeutic Ridingallows clients to be transported in groups oftwo-three for sessions at their campus in Milford.The recent renovation of the small animalbuilding on the College Hill campus and theaddition of a "pole barn" and riding ring allowsclients to participate at our own facility in thewarm weather months. Treatment teams assess

potential candidates for the program todetermine the best suited clients most likelyto benefit from the interactive therapy. Eachsession consists of a recreation specialist anda horse expert alongside of the client. The totalprogram lasts six weeks (2 sessions per week),but kids don’t actually ride until the end ofweek three. The beginning stages of thetherapy focus on building a relationship withthe horse through grooming and ground work.

EQUINE BEHAVIORAL THERAPY I 18

19 I HORTICULTURE THERAPY

Is planting seeds and harvesting vegetables therapeutic?Just ask the dozens of residential psychiatric patients at our College HillCampus who visit the on-site greenhouses one or more days a week.Accompanied by a Recreation or Occupational Therapist, and assistedby horticulturalist Mardie Hay, patients have found that growing/nurturingplants can:

• Improve social skills

• Decrease anger and aggression

• Develop healthy relationship skills

• Improve coping/self-expression

• Increase leisure awareness

• Increase confidence and self-esteem

Pineapples, sugar snap peas, herbs and scented geraniums growalongside lots of unusual plants throughout the greenhouses and in12 raised beds just outside. The smells and humidity are a gardener’sparadise which explains why the program’s annual employee andfamily Plant Sales are such a hit. Employees love to wander the rowsof fragrant plants. The next sale will be mid-spring at College Hill.

Planting, Growingand Harvesting

Horticulture Therapy for Kids

HORTICULTURE THERAPY I 20

“Each patient has a treatment goalfor their horticulture experience,” saysMardie Hay who has found that somekids take better care of the plantsthan they do themselves.

"Some plants can be damagedif touched. It’s amazing howcareful the kids are with thoseparticular species." She adds,"I’m always surprised – andpleased – to see how many

kids come on Friday afternoons which isoptional, and get up for 9 a.m. sessions onWednesdays and Thursdays. They obviouslyare benefiting from what they do here."

Caring for plants can lay the foundation forkids to learn better self-care strategies andhealth management skills to calm one’sthoughts and feelings.

At our College Hillcampus our caregiversstrive to make a differencein improving every child’shealth whether it is inthe greenhouse or atthe bedside.

21 I NEUROMOTOR PROGRAM

Some children are born with motor challenges. Others acquirethem. In either case, a child with a neuromotor diagnosis often facesdifficulties and frustrations with movement. The effect on daily lifecan be profound.

Accordingly, many of these children find themselves in long term relationships withchronic care providers, including physical and occupational therapists.

Innovators in the Division of Occupational Therapy and Physical Therapy aredeeply committed to offering state-of-the-art opportunities for improved function.Their Neuromotor Program represents an important shift in the types of therapyservices offered and the way that those services are delivered.

It seems to be working. “Many of our patients have involuntary movements, difficultywith balance, mobility problems, or muscle weakness. But when we use innovativeapproaches and good science, we move in the right direction. And when the patientand family are a central part of our decisions, we almost always can celebratesignificant progress in a short amount of time.” Jen Angeli, PhD, DPT and co-directorof neuromotor research for the Division reflects on the power of optimized care.“Using the right tools, on the right kids, at the right time is powerful. In theNeuromotor Program, we watch children reach their full potential.”

Neuromotor Program

Changing the Way They Play

In 2015, the Division of OccupationalTherapy and Physical Therapy servedover 600 kids in this program.

NEUROMOTOR PROGRAM I 22

Occupational Therapy and Physical Therapyare home to many state-of-the-art pieces ofequipment (including neuroprosthetic devices,virtual reality and biofeedback systems,robotic gait systems, and unweighting devices).The challenge for therapists working in theNeuromotor Program isn’t having access togood tools; it’s matching each patient with thetools that will deliver the very best results.

The Neuromotor Program offers specializedassessments for infant motor performance,cortical visual impairment, and three-dimensional motion analysis. The Programencompasses a wide range of treatmentservices, including serial casting, orthoticmanagement, upper extremity neuromotortraining, lower extremity locomotor training,constraint induced movement therapy,hippotherapy, goal directed task training,and evolving wellness offerings. Childrenin the Neuromotor Program can access aneuroprosthetic clinic, and their post-operativeneeds are managed comprehensively after

surgeries like selective dorsal rhizotomy orsingle event, multilevel orthopedic surgery.

All services offered in the NeuromotorProgram are bolstered by evidence. Toensure optimal outcomes, the NeuromotorTherapy team follows guidelines that identifythe most effective ways to practice. “Whereguidelines don’t exist, we accept theprofessional responsibility to review theliterature and write them,” says Karen Harpster,PhD, OTR/L and co-director of neuromotorresearch. The group has presented theirpioneering efforts at many rehabilitationconferences and now enjoys an internationalreputation for their bold leadership in theeffective implementation of programming forchildren with neuromotor diagnoses. “This is aprogram full of clinical experts” says Harpster,“and leadership with pie-in-the sky vision.”

The challenge for therapistsin the Neuromotor Programisn’t having access to goodtools; it’s matching eachpatient with the therapeuticoption that will deliver thebest results.

"In the NeuromotorProgram, we watchchildren reach theirfull potential.”Jen Angeli, DPT, PhD

Results

23 I NICU LIVE VIDEO FEED

Giving birth is both a joyful and stressful time. But the added stress of havinga newborn in the NICU is an extra challenge for parents, especially whenstruggling with the balance of wanting to be there for their infant and alsoneeding to maintain their lives and care for other children.

Neonatal Intensive Care Unit

NICU Live Video Feed

To help alleviate stress in NICU parents,Cincinnati Children’s Hospital was the first inthe region to implement NICVIEW® live-videostreaming. The camera system, placed behindeach bed on the unit, provides parents with areal-time video feed of their infant. Parents canlog into the feed twenty-four hours a day fromany internet device – a computer at home,laptop, or mobile device – to see their baby.

The system provides a secure video feedprotected by a special code, which parentscan use themselves and also give out tofamily members or friends. This is especiallyimportant during flu season, when visitorrestrictions on the NICU are strict. With videostreaming available, parents have anotheroption for allowing friends and family to “visit”their baby and can include friends and familyall over the world.

Implemented in October 2014, the cameraswere in demand even before they ever hit theirgo-live date and were utilized immediatelyby a mother of twins on the unit. NICU clinicaldirector Rachel Wilson, MSN, RN recalls beingnotified of a phone call from a University ofCincinnati Medical Center nurse who wascaring for the new mother. It had been atraumatic delivery and she was depressedthat she couldn’t leave to see her babies.They requested a Skype call, but Wilson knewthose were not always reliable. Luckily, she

was able to offer the new webcam system. Thevideo stream allowed the new mother to seeher babies and bond with them. With that stressand depression alleviated, she could focus onhealing herself.

“People love it,” says Wilson. “When we weren’tfully live, parents wanted to stay in their bedspot and were refusing to move to a nicerprivate room – because [those rooms] didn’thave NICVIEW yet. Once they get it, they don’twant to lose it.”

The live video streamingsustains that intimateconnection between childand parent.

Love

NICU LIVE VIDEO FEED I 24

The camera system, placedbehind each bed on theunit, provides parents witha real-time video feed oftheir infant.

The video is only blocked when the “privacy”setting on the camera is activated, whichcaregivers use to stop the stream while theyprovide care for their patients. There wereinitial concerns on the unit that nurses wouldn’twant to be watched, “but when they see howmuch the families lean on it,” says Wilson,“ andthat they can actually go home at night – that’sreally what we’re all here for.”

25 I NICU LIVE VIDEO FEED

Viewed Across the Countryand Around the World

Cincinnati Children's NICU Live Video Feed Connections

9,2741

17,6601

In 2015 usage of our NICU live videofeed rapidly spread from the localregion across the country andaround the world.

The maps indicate by color the highest viewingusage per location to our NICU. The bar charton page 26 reflects viewing usage by monthand correlates to patient census.

NICU LIVE VIDEO FEED I 26

NICU Camera Use by Month - 2015

Views

"My parents in Californiacan watch their grandbabywhile I am at home with myother children; it makesthem feel included."– NICU mother

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

30,000

22,500

15,000

7,500

0

27 I LEADERSHIP ROUNDING

Leadership Rounding plays a starringrole: Trust, Recognition, Innovation

Exercising our strategic goal toenhance the development of staffand leaders, Cincinnati Children’sclinical leadership integrated thepractice of leadership rounding intotheir daily work in 2015.

The literature indicates that leadershiprounding improves both staff and patientsatisfaction as the one-on-one, verticalcommunication elevates trust and opennessamong colleagues. As a result, new managersin Patient Services received leadership roundingtraining during orientation. In all, LeadershipDevelopment Team members Julie Moody, MSN,MEd, RN and Sarah Herrle, MPH, BSN, RN,CPN met individually with 56% of Allied Healthprofessionals and 33% of nursing leadership tostreamline the rounding process and educatevia individual coaching sessions and groupclasses. Here’s how several leadership starsdescribe their profound experiences with therounding process.

Assistant Vice President Jean Storey, MSN, RN,a champion of the rounding initiative, has seenthe benefits not only within the Heart Institutewhich she helps lead, but throughout thePatient Services Division. She believes thatone of the most beneficial aspects of rounding

“Leadership rounding provides theperfect avenue for staff to share theirthoughts and successes.”Ashley Mantica, PharmD

Lead

LEADERSHIP ROUNDING I 28

is the connection and the trust that resultsbetween leaders and staff. “Rounding createsan environment that supports creative andinnovative ideas from all members of the team,”she says. Not only is rounding a reliablemethod to identify areas of risk and concernsprior to an event, Jean sees other benefitsthat are equally important. “The consistent,focused and intentional conversation thatoccurs with rounding provides an avenuefor meaningful recognition of team membersand other departments. It’s an opportunityto celebrate accomplishments!” She adds,“Learning about and building upon oursuccesses is an essential part of roundingand helps build morale and reaffirms oursense of purpose and meaningful work.”

Sharon Kwiecinski, MSN, RN, clinical manager,Transport Team has been amazed at what shehas learned through rounding. “When I wasrounding with one of my team members andasked what would make his job easier, he said‘putting Wi-Fi in the ambulance garage to getreports written immediately and save time.’ Itwas such an easy fix and made a big differencefor everyone,” says Sharon. “I always thought Ihad my finger on the pulse, but rounding hasreally enlightened me.”

Although Sharon tries to be predictive andschedule her staff for rounding in advance, itsometimes proves difficult when the personshe schedules gets called out on a run. Thatdoesn’t stop her, she just moves to the nextperson on her list and circles back later. Beinga role model for her staff is Sharon’s tip forsuccess. “As a leader, if I set the tone andmake rounding a valuable tool, then I get great

information that improves everyone’ s workenvironment.” Being committed to her team’ssuccess is what makes Sharon Kwiecinski astand out Rounding Star!

Before rounding was formally implemented,Ashley Mantica, PharmD already was meetingroutinely with staff. She has found, however, thatstructured rounding increases communicationand helps managers find and address issuesthat were not previously discussed. With theexpansion of the Liberty campus, Ashleybelieves that formal rounding has helpedthe staff move through many departmentalchanges including moving into a new work-space, changing work flow and using a newautomated dispensing technology. She hasfound that rounding is a great tool for trackingprogress towards goals and highlighting staffaccomplishments. “Leadership roundingprovides the perfect avenue for staff to sharetheir thoughts and successes.”

Leadership Rounding also has strengthenedAshley’s relationships with the pharmacy team.“A personal meeting with each staff memberand the subsequent casual conversation that

rounding incorporates, has boosted camaraderieand improved communication among the entirepharmacy team.”

The cascading effect of information sharing,both vertically and horizontally across all levelsof staff, has changed how we communicate oursuccesses and opportunities for improvementin Patient Services. Leadership rounding hascreated a space for open dialogue andacknowledgment in the reporting structure thatkeeps everyone informed of what is workingand what needs more attention, ultimatelyimproving satisfaction for employees and thepatients and families we serve.

“As a leader, if I set thetone and make roundinga valuable tool, then I getgreat information thatimproves everyone’ swork environment.”– Sharon Kwiecinski, MSN, RN

29 I NURSING AWARD WINNERS

Patient Services Awards

Ruth Lyons Award of Child Life and IntegrativeCare DistinctionBrian H. Schreck, MA, MT-BC

Zenith Award, Respiratory TherapyShannon Alten, RRT, RTII

Ann Brandner Award - Social WorkYvonne Stepter, MSW, LISW

Director’s Award for Excellence-SpeechShannon Alten, RRT, RTII

Pease & Sporck- Nursing Awards• Burton R. Pease Award Nursing Leadership:

Clarice E. Poe, BSN, RNII, CPN• B. Robison-Sporck Award:

Angela Jordan, RNII, CPN

Melanie Hunt Registered Dietitian of the Year AwardTherese O’Flaherty, MS, RD, LD, CSP

David Gerard Huschart, RPh Pharmacist Excellence AwardDenise LaGory, RPh

Barbara Jean Black Technical Excellence-PharmacyAnna Yamson, CPHT

Award for Clinical Excellence in Occupational Therapy/Therapeutic RecreationJill Bakker, OTR/L, MEd

Lauren Grant, RNIIRegistered Nurse

“We are All Stars for our patients at Cincinnati

Children’s because we promote having healthy

children in the community.”

Kiara Chitman, RMAMedical Assistant IIHopple Street Neighborhood Location

NURSING AWARD WINNERS I 30

Award for Clinical Excellence in Physical TherapyRobyn McHugh, PT, DPT, OCS, CSCS

Award for Service Excellence in Division of OT, PT, TRDenise Speeg, AAB

Managing Success AwardCarol Tierney, PhD, RN, NEA-BC

Patient Education Advocacy Award: PsychiatryCare Journey Team (Photo with story on page 14)

• Rachel Zimmer• Adrienne Martin, MSN, RN• Adam Hill, MSN, RN-BC, CPN• Julia (Julie) Elkus• Melissa Worrell, MA• Heather Morath, BBA, BSN, RNII-BC• Mica Dulle, MSN, RN-BC• Krista Keehn, MS RN-BC• Robin Brewe, MHSII• Amberly Schmaltz, MSN, RN

Robert E. Davis Award of Excellence-Patient EscortsLonnie Banks

Maggie P. Montgomery Award-HUCKimberly Woods, HUC

Carol McKenzie Award for Excellence in AdvancedPractice Nursing-WinnerAmy Myer, MSN, CNP

Russ Garrison, OTR/LOccupational TherapistCincinnati Children’s Outpatient - Drake

“I’m an All Star for our patients at

Cincinnati Children’s because I help

kids with brain injuries return to

independence by challenging them

in the unique aquatic environment.”

31 I OPTIMAL OUTCOMES

Cincinnati Children’s strives toprovide the best possible outcomesfor our patients and families bygrowing our professionals andadvancing clinical practice.

2015 in Review

Optimal Outcomes

3.6%

RN turnover rate 10.3%

RN skill mix 90.2%

Number of RN FTEs 3,005

Number of admissions 19,795

Number of ambulatory clinic visits 521,605

Number of beds staffed 626

Number of beds licensed 663

Hospital Facts and Figures - 2015

RN vacancy rate

OPTIMAL OUTCOMES I 32

RN Professional Development

Percentageof certifieddirect care RNs

32.7%

1,325

Total numberof RNs who

have nationallyrecognizedcertification

453

Percentageof certifiedRNs serving

in leadershippositions

88.2%

Total number

of RNs whoare members

of at least oneprofessionalnursingorganization

Numberof NursingGrandRounds livepresentations

12

614

Number ofnurses whoattendedNursingGrandRounds

129 Other

onlinecliniciansacross 11 USstates and 2countries

1732

Number ofnurses whoattended Nursing Grand Rounds

online

RN Continuing Education

Total Nursing Students 1821

Allied Health students 309

Role transition and leadership students 135

Graduate students completing clinicals 177

Undergrad students completing clinicals 1200

Undergrad cohort groups 190

Student Information

33 I CONTINUING EDUCATION

Nursing Continuing Education2015 in Review

Staying current to maintain, develop, and increase theknowledge, skills, and professional performance of ournurses and allied health clinicians.

Number of employees who receivednursing degress in 2015

Doctorate 6

MSN 65

BSN 215

ADN/Diploma 15

Highest nursing degree forRNs in leadership positions

Doctorate 4.2%

MSN 93.6%

BSN 2.0%

ADN/Diploma .2%

Highest nursing degrees for RNs

Doctorate 39

MSN 793

BSN 2,220

ADN/Diploma 698

Highest nursing degree forRNs who provide direct care

Doctorate .1%

MSN 8.0%

BSN 69.1%

ADN/Diploma 22.8%

Total 301

CONTINUING EDUCATION I 34

Grants:

30

Publications:

8

Total Grant Value:

As scientists with backgrounds in nursing, communicationsciences and other allied health specialties, it is critical thatwe stay closely connected with our clinical colleagues inPatient Services. Through these connections we can mosteffectively translate discovery into clinical practice at thepoint of care.

Research in Patient Services

Margie Anna AbplanalpChristina AckersonRebecca AdkinsAshley AlfordBrittany AllisonMarcos AndreottaJessica AndresMarie ApgarMichele ArmstrongEmily-Ann ArnettSamrawit AsratDebra AucielloKeyna Austin

Angela BabanskyjDenise BachVivian BachmanNancy BackMorgan BakerKristy BambergerSarah BarkerKimberly BartholomewSamantha BassKayla BayerCarla BeatyEmily BellMaryPat Benham

Stephanie BennettPamela BernardLauren BernatisMichele BernhardtJessica BerningBecky BerrensKayla BerryPatti BesunerKathy BilzAndrea BinderMary BisharaTami BishopJennifer Bisig

Anne BlackmoreJennifer BlakleyHoney BlankenshipKatherine BloomfieldErica BoellekeLois BogenschutzJennifer BolserNancy BoosveldMonica BorellAnnamarie BorichKari BoswellSusan BowPenny BowdenJennifer BowmanMelissa BowmanCatherine BoyceJaymee BrandenburghTracy BrennanMarji BretzNichole BrockCourtney BrockmanKristin BroeringKaren BrownKayla BuckleyMartha BuddMeghan BuechelStephanie BuganskiSusan BuggBrandi BukenJenna BurgeiVerretta BurkAshley BurwinkelStephanie BurwinkelReilly ButlerMegan ByerlyChristina Byrd

Jamie CallahanAmanda CampbellLinda CarlKimberly CarpenterNicollette CarrollKathryn CarterSamantha CarterKelly Lynn CherryWendy ChouteauJulie CiambarellaJulie ClarkAmy Marie ClineKyle CobbPiper ColemanFaith ComanLauren CombsLesa CombsRobert CombsSharon CookLisa CopeChristopher CorbettKevin CornellMarissa CoutoAmber CramerHeather CrandallNatasha CropperKimberly CroweAlonda CrowellSarah CulverCarla CurryTeri DanielsHeather DarrellKristen DaughtersGina Gay DavidsonG Maria DavisRobyn Davis

35 I NATIONALLY RECOGNIZED NURSING CERTIFICATIONS

Calendar Year 2015

Nationally Recognized Nursing Certifications

Robyn L. McArthur, RN,CPHON, LMT, NCBTMB, HN-BCBurnet Campus

“I am an All Star for our patients at Cincinnati Children’s on the

Cancer and Blood Diseases Institute because I treat the “whole”

person - physically, socially, emotionally, and spiritually. I work

with children and families from initial diagnosis and follow them

throughout treatment. I support, comfort, promote wellness

and well-being through the use of therapeutic presence and by

utilizing various holistic modalities such as massage, relaxation,

and coping techniques.”

Certification demonstrates to patients and families that weare the most skilled and experienced nursing professionals.

Karen DayAmanda DearduffKathleen DellermanBethany DendlerJulie DenlingerElizabeth DewarKimberly DietrichNancy DodsonEmily DonoghueDeborah DonovanLise DufresneElaine DuleyMica Lynn DulleMarykay DuncanShannon DunhamElizabeth DupontKatie DwyerAnitra EdwardsStephanie EggertFelicia EichelbrennerHeidi ElamLinda Elliott-AmannRachel EllisonVeronika ElsaesserNatalie ElsbrockWendy EngelDorothy EvertsChristine FaberRenee FagesAnna FaheyJulie FarrellKate FarrellAngela FaulhaberKristine FeldGwen FeldhausLynette FenchelEileen FiedlerTimothy FikeTheresa FischerPaula FisherRobyn FiteShannon FlahertyLisa Flanigan

Kristina FliehmanCrystal FlukerSarah FojtikTara FoltzMerry Jo FordTiffany FrankCheri FranklinDebra Kay FreeseMary Elizabeth FreyOlivia FriasFrances GaddDenise Annette GaigeConstance GallagherMegan GalloKristen GammAmy GarciaMuriel GarciaMary GarrisonJane GarryJunell GertzJennifer GiltzJulianne GodschalkShelley GoldmanAmanda GoodinAmanda GormanDeborah GraefMaria Graham-FedykLauren GrantMichelle GrauLauren GregersonKayla GrethelChristina GroenkeJessica GrosheimKatelyn GrubeMary GuilfoyleRebecca GunnJessica HaasKimberly HaasJaime HaaseJennifer HackerRebecca Ann HaehnleDeborah HafleyDottie Hammersley

NATIONALLY RECOGNIZED NURSING CERTIFICATIONS I 36

Mattie P DunnCertified Child Life Specialist I

“I am an All Star for our patients at

Cincinnati Children’s because as a child

life specialist at College Hill, using play,

I help children have a more positive

experience with invasive procedure,

such as blood draws.”

Lucia HammonsSara HansenBritney HarderBrenda HarkleroadMary HarrahJennifer HarrisonMegan HaugerAdriane HausfeldHeather HayesMelissa HaywardCarly HeckmannJudy HeilmanKaren HendricksStephanie HerberJody HesslingDonna HettingerSara HicksDeborah Lynn HighhouseCasey HildebrandHelen HinglCaryn HoganKristina HolderTiffany HoltDebbie HouseKelli HowardSheila HowardJeanne HubbardErin HudsonSara HughesDana HusselLena HusterAmanda HuthMolly IhlendorfDawn JackStephanie JacksonDarlene JacobsCynthia JansenKelly JeffcottMichelle JeffriesAmanda JonesSean JonesAnn KattCheryl Keen

Jorden Kees-FutscherGeraldine Kelly.MancusoKimberly KennedyMelissa KerlinDani KientzKelsey KingAllison KinkadeTonya KirbyKathy KirschnerAmy KitchensKim KlotzMichelle KodishSarah KoettingKerry KohlerCynthia Ann KollstedtSara KoselMary Beth KramerStephanie KruseSara KruszynskiKatilyn KusnierLinda LacinaAngi LandholmKimberly LarvaKristen LaswellKaren Leigh LawleyMarla Layne

Jessica LehnCourtney LeightonRebecca Lynn LeliiKelly LeMasterDenise LeonardKaren Beth LeonardStacy Marie LeviErica LewisMichelle LewyckyjBarbara LiedhegnerStephanie LightnerCourtney LittleMojra LogsdonJill LongMichelle LonnemannKathy LonzoGina LouderbackJean LuchiniTricia LuckhauptCorrie LuskStephanie LuxTheresa Lynn LynchDebbie Sue MaasJennifer MackKaren MackeAmy Maher

Dawn Michelle MalonePaula ManningKathleen MapesMichelle MarowitzTracey MartinAlexandra MathesBrandy MayEmily MayhausDenise McAdamsRobyn McArthurSarah McCallBridget McKibbenPatricia McLainLaurie MeckesConnie Sue MeeksJamie MeisterJill MelchersMcKenna MeneesSandra MenkerJennifer Margaret Merritt

Holly MeyerDeborah MileskyDanielle MillerMelinda MillerVicki MillerHillary MiniardShawn MockSusan MohrLaura MooneyCarrie MooreElizabeth MooreKatherine MooreMargaret MooreJolyn MorganNichole MorganRebecca MorrisDeborah MorseAvril MortelliteMorgan MoulinAshley Muennich

Pamela Mulhall-SmithJulie MullalleyChelsey MullinsKimberly MullinsDeborah MurphyChristine MyersNicole MyersSarah MyersAutumn NaegeleMallory NaylorLari NealNicole NelsonJenifer NeltnerAdam NeuCarolyn NicholsonAnn NiehausRenee NiehausHolly Michelle NienaberJulie NillesKaren Noel

Robin NoelMatthew NorthJennifer O’ConnorTeresa OharaLucy Pui O’QuinnGina OsterbrockErin OsterkampAmber OverlyBrianne OwensMary Susan OwensTonia OwensKimberly PadurBrigette ParkerGina ParsleyJessica PattiJanis PemberTiffany PendergrassLori PerkinsTena PhamAnanda PienaarSara PinkstonLindsay PitcherAbby PitmanAmber PlattAnthony PrickelMolly ProctorAndrea PyleLindsay RackErin RairdenBailey RamsayJulie RanzAmanda ReckerHannah ReedLeslie ReedMelissa ReedBrianne ReedyMeredith ReeveDeborah Reeves

Terri Rehn-DebrulerRebecca Lynne RengeringBarbara RhymerAlyssa RickertMaureen RiderSally RigbyKelsey RoatSydney RobinsonOlivia RoederMolly RoellLaurie RosendahlKathleen RosingEmily RozsonitsZachary RuehlAndrea RufClare RumpkeLisa RustJacqueline RuterChristina SalyersErin SandfossMegan SandlinStacey Van SantenMelissa SaylorJennifer SchackMegan SchaeferElisa SchafferMargery SchafferJean SchottJohn SchroerCarla SchulteAllison SchultenSarah SchultzMary SchumacherAllison SchwandnerRoma SeatAnn SegersDeborah SeiderGina Sharp

37 I NATIONALLY RECOGNIZED NURSING CERTIFICATIONS

Nationally Recognized Nursing Certifications

Quannah Newton, CMAMedical Assistant IIFairfield Neighborhood Location

“I am an All Star for our patients at Cincinnati Children’s because

every day I get the opportunity to help our patients and families

with what can be frightening situations and turn those situations

into positive, courageous experiences for the children. I love that

all of our staff fits together like puzzle pieces to help educate,

guide, and change the outcome for families and their children…..

and I love to give out stickers.”

Elizabeth ShawAnna SheetsRachel SheetsAshley SheldonKimberly ShepardJeffrey ShoemakerCherie ShortLois SiegleMichelle SiekermanRobin SiekmanChristina SimonLauren SimpsonCatherine SipniewskiElizabeth SkulasJacqueline SmithTracy SmithJulie SniderJennifer SorrellLauren SpadaforeMichelle SpauldingElizabeth SpitznagelLisa SpraulJill SpringmyerShari StaffordEmalee StallkampEmily StappJill SteinLaurel SteinChristine SteinmetzErin StephensKatie StephensonJulie StevensonGabrielle StiresDaniel StrongKatrina StylesLucille SullivanDiana SwisshelmBethany Taylor

NATIONALLY RECOGNIZED NURSING CERTIFICATIONS I 38

Kristina TaylorBonnie TedtmanChristina ThomasJuli ThomasMegan ThomasArielle ThompsonErin ThompsonLori TobiasSarah-Ross TolinJean TomasicStephanie TorrensLeslie TreadwayTricia Lee TrimbleLaura TrimboliJessica TrimburJennifer TubbsMary TuckerAngela TurckKathleen TurnerRachelle TutterrowDavid UlmerWendy UngardChristy UngerMarcia VaccarielloPolly VaughanClaudia VelezLaura VestMichele Ann VogelpohlJoseph VormbrockLisa VormohrDonna Marie WalkerAlainna WalleyShannon Rae WalshShannon Marie WanderskiDeborah WardenAmanda WarmothLisa WartmanConnie Wehmeyer

Mary WeingartnerTiffany WeisbergJenny WerdenJulie Ann WestbrookCarrie WhiteKerry Anne WhiteRegina WhitneySusan WieserSarah WilhelmNeka WilliamsAnne WillmannRachel WilpKathryn WilsonRachel WilsonLauren WintersAmy WisemanBrandie WisemanLisa WitteLaura WoesteCheryl WolfenbargerKatherine WooleryCayse WrightLauren WrightTiona WrightJane WuebkerKaitlyn WurtenbergerLacey YeagerLane YoderLauren YoungMargot YoungTrinette YoungPatricia Anne YungKathryn ZieglerMelissa ZimmerShantel Zwissler

Our efforts to promote nursingcertification have increased thepercentage of certified direct-carenurses from 14.3% in 2008 to animpressive 42.52% in 2015.

Pride

www.cincinnatichildrens.org