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9
14
9
11
11
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 Building
Class 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 Building
Class 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 • 2016
12
4
13 Today is the day
Leader in safety
Cool is the key
Read our annual report to learn
how we help children and families
of the East Tennessee region every
day.
Children’s Hospital Chief Quality
Officer Jeanann Pardue, M.D.,
was awarded the 2016 Tennessee
Hospital Association patient safety
leadership award.
After his traumatic birth, Caiden was
treated with a cooling blanket in the
East Tennessee Children’s Hospital
Neonatal Intensive Care Unit.
It’s About Children is a publication
of the Marketing Department at
East Tennessee Children’s Hospital.
Editor: Jessica Boyd
Designer: Deborah Hosterman
Cover photo by Jessica Shiflett Photography
Connect with us:
www.etch.com/ItsAboutChildren
ItsAboutChildren@etch.com
Spotlight
7
22
National Pancake Day
MEDIC blood drive
MAR.
FEB.
7 a.m. to 10 p.m.
Participating IHOP restaurants
Get 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
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.
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.
4 It’s About Children, Issue 4 • 2016
5Donate at www.etch.com/ItsAboutChildren
Cool is
the Key
The day Caiden Eckhart was born, time and
technology were on his side. From the moment he
was delivered at Parkwest Medical Center
in West Knoxville, the likelihood of Caiden
suffering a brain injury was extremely high
due to his traumatic birth.
Instead, immediately after successful
resuscitation by the labor and delivery team
and the East Tennessee Children’s Hospital
Neonatal Intensive Care Unit (NICU) nurse
stationed there, Caiden was wrapped in a
cooling blanket to begin the recovery process
during transport to Children’s Hospital.
continued on page 6
Story by Cassidy Duckett Britt
losing his blood supply, and we were rushed into the
operating room for an emergency C-section.”
	 Following the C-section, Caiden received a blood
transfusion and CPR. He was put on a ventilator; the
Parkwest staff and Children’s Hospital nurse stationed
there began the cooling process and prepared him for
the transport to Children’s Hospital.	
	 Because Caiden’s blood supply was significantly
decreased, he suffered from a drastic reduction of oxygen
to his brain. When doctors ventilate a patient, there is a
risk of inflammation and damage to the brain because of
the quick increase in blood and oxygen flow. To avoid this
injury, the hospital staff turned to the cooling blanket.
According to Children’s Hospital neonatologist John
Buchheit, M.D., these blankets are “shown to make a
big difference in the outcome of these babies. It makes
	 “He wasn’t breathing,” Caiden’s mother Patty
explained about the moments following her cesarean
section (C-section) that day. “The staff couldn’t detect
a heartbeat. He was completely white.” Caiden also
required a blood transfusion.
	 At 39 weeks (normal gestation is 38 to 42 weeks),
Patty’s pregnancy was considered normal. However, her
final ultrasound measurements showed Caiden’s abdomen
was developmentally three weeks behind the rest of his
body. Caiden was scheduled to be delivered by induction
on August 11, however Patty’s water broke in the
obstetrician’s office two days before the induction date.
	 While receiving an epidural, Patty felt “pressure and
then a big gush.” She had hemorrhaged. “There was a
tear in one of the vessels of the umbilical cord—the blood
that was being pumped to Caiden,” she said. “He was
continued from page 5
6 It’s About Children, Issue 4 • 2016
Caiden
with his
father
Brian.
sense to start [the process] as soon as possible.”
	 The cooling blanket lowered Caiden’s body
temperature to about 91 degrees (normal is 98.6 degrees)
so all of his other systems functioned just below a normal
temperature. This cooling allowed his neurological system
to heal from the period of lost oxygen without having to
compete with other vital systems.
	 Previously, the NICU used cooling caps on location at
Children’s Hospital. While this treatment was incredibly
effective, Dr. Buchheit and the other pediatric experts there
determined the blankets would allow babies born across
East Tennessee to receive treatment more quickly. “All of
our babies are born someplace else,” Dr. Buchheit said.
“We are servicing babies all over the region. We had to
take these important treatments out into the community.”
Applying the blanket—which has less equipment to
transport than a cooling cap—just 30 minutes earlier can
make a massive difference in the outcome for the child.
	 Caiden was transported to Children’s Hospital by
Lifeline, Children’s Hospital’s custom-made ambulance
equipped like a mobile neonatal intensive care unit.
Caiden’s father Brian and grandfather Bill accompanied
him while Patty had to continue her recovery at Parkwest.
“Caiden held their fingers,” Patty said. “They stood there
with him gripping their fingers the entire night.”	
	 Using the cooling blanket is a 72-hour process.
During this time, Caiden was kept in a separate room
that could remain dark and quiet. The cooling blankets
require that babies avoid any stimulation like noise or
light. On Friday afternoon, the NICU staff began Caiden’s
7Donate at www.etch.com/ItsAboutChildren
Caiden in
the NICU.
Caiden with his parents.
8
7.5-hour warming process. His body temperature
increased back to 97 degrees. In the early hours of
that Saturday morning, Patty and Brian were able to
feed Caiden his first bottle.
	 “He was responding to everything so well,” Patty
said. “He had a very strong sucking reflex and started
fighting the ventilator shortly after receiving it, which
was a good sign.”
	 On August 16, Patty’s birthday, she and Brian were
able to bring Caiden home but not before the nurses
celebrated with them. One of Caiden’s nurses tucked
a birthday card into Patty’s bag as they were leaving.
“She also made decorations to hang around Caiden’s
spot in the NICU,” Patty said. “All of the NICU nurses
were awesome. They made me feel loved. They were
patient and compassionate with us yet remained
extremely professional. The care we received was
amazing.”
	 Now four months old, Caiden is experiencing a
food allergy unrelated to his traumatic birth but shows
no sign of other issues. His neurological state recovered
so well due to the cooling blanket, he only requires close
monitoring of his cognitive and motor development as
he continues to grow.
	 For babies like Caiden across East Tennessee, these
cooling blankets start the healing process as soon as
possible while reducing the risk for developmental delays
and loss of brain function. For more information about
the cooling technology, visit www.etch.com/nicu.
It’s About Children, Issue 4 • 2016
9Donate at www.etch.com/ItsAboutChildren
The Eckhart family.
New NICU focused on
family-centered care
	 For babies like Caiden in the East Tennessee Children’s
Hospital Neonatal Intensive Care Unit (NICU), avoiding
stimulation like light and sound is essential to the recovery
process. As Children’s Hospital leadership began planning
for the expansion to the Scripps Networks Tower, they
kept this important need in mind. The new space, which
opened in November, includes 44 private NICU rooms to
ensure each baby will have space to heal with their family
surrounding them.
	 “Any family who wants to visit can be there all day,”
neonatologist John Buchheit, M.D., said. “Having extra
space and the ability to be with your baby is going to be
better for every family and patient. It also gives us the
opportunity to have siblings visit in the room with the
baby.”
	 With the new space comes an expansion in the
technologies that monitor and protect the hospital’s
tiniest patients. As always in the NICU, precautions are
in place to protect the babies from any outside germs
or colds.
	 Most of all, families like the Eckharts can be
comforted by the individual space allotted to each baby.
Patients can spend weeks or months in the NICU, so
private rooms create consistency and a sense of home.
“For the family,” Dr. Buchheit said, “that’s a big deal.”
10 It’s About Children, Issue 4 • 2016
The new NICU has private rooms to make families more comfortable. Parents can
now visit at any time, and siblings will even have special visitation hours to see their
new baby brother or sister. Each room has a window or is connected to a light court
to provide natural lighting during a patient family’s stay.
11Donate at www.etch.com/ItsAboutChildren
The NICU has
multiple light courts
featuring art from
Tennessee artists.
This piece, called
“Kaleidoscope,” is
by Yvonne Bobo
of Memphis.
The NICU waiting
room is light-filled,
comfortable and
family-friendly and
even houses a play
room with toys to
entertain patients’
siblings.
12 It’s About Children, Issue 4 • 2016
Leader in Safety
	 East Tennessee Children’s Hospital Chief Quality Officer
Jeanann Pardue, M.D., was awarded the 2016 Tennessee
Hospital Association (THA) patient safety leadership award.
	 Dr. Pardue has become a driving force in increasing
patient safety at Children’s Hospital. In 2012, through her
leadership, Children’s Hospital joined Solutions for Patient
Safety (SPS), a network of more than 100 children’s
hospitals sharing the goal of creating a culture of safety
at each hospital.
	 Since then, she has helped Children’s Hospital set a
remarkable pace of embracing and implementing a safety
culture. “Progress in any endeavor comes as a result of
committed individuals who can translate the importance of
their ideas into the culture of their environment,” Children’s
Hospital President and CEO Keith Goodwin said. “Dr.
Pardue’s ability to galvanize our teams around the concept
of patient safety and zero mistakes has driven our success.”
	 She has worked tirelessly to improve multiple processes
to increase quality and safety for patient families and staff
as well as increase communication between leadership
News
and staff. She recently partnered with Children’s Hospital’s
Family Advisory Council to improve staff engagement of
families. She also represents medical staff on the Clinical
Performance Improvement Council (CPIC) to help bridge
the communication between nursing staff and physicians.
	 Dr. Pardue now serves as a mentor to many other
hospitals new to this initiative. She has spoken regionally
and nationally on Children’s Hospital’s safety culture work.
Last year, she led the development of a partnership of
all children’s hospitals in Tennessee called the Children’s
Hospital Alliance of Tennessee (CHAT), a quality
improvement committee that serves as a forum for
hospitals to share data and best practices to accelerate
the improvement in the quality and safety of inpatient
care provided in Tennessee’s pediatric hospitals. Tennessee
was the second state to form this kind of partnership
and several other states and regions have formed to
model the example set.
	 Dr. Pardue was presented the award at the THA
annual meeting in Nashville in October.
13Donate at www.etch.com/ItsAboutChildren
SPECIAL SECTION
Board of Directors
John Q Buchheit, M.D., Chairman
Larry B. Martin,Vice Chairman
Steven D. Harb, Secretary/Treasurer
Cathy Ackermann
Scott Brice, M.D.
Daniel K. Carter
Jim Clayton
Randall L. Gibson
Keith D. Goodwin
R. Gale Huneycutt,Jr.
A. David Martin
Christopher A. Miller, M.D.
David A. Nickels, M.D.
Laura Palenkas
David D. Stevens
Barbara Summers, M.D.
Andrea Anne White
Kim Wood
Board Chairmen Emeritus
James S. Bush, Chairman
Donald H. Parnell
Dennis B. Ragsdale
Senior Leadership
Keith D. Goodwin, President and Chief Executive Officer
Bruce Anderson, Vice President for Legal Services
Joe Childs, M.D.,Vice President for Medical Services
Hella Ewing,Vice President for Patient Care and
Chief Nursing Officer
Steven Godbold,Vice President for Operations
Caryn Hawthorne,Vice President for Financial Services
Carlton Long,Vice President for Institutional Advancement	
Sue Wilburn,Vice President for Human Resources	
Jeanann Pardue, M.D., Chief Quality Officer
Lise Christensen, M.D., Chief Clinical Officer
Medical Staff Officers
Barbara Summers, M.D., Chief of Staff
Cameron J. Sears, M.D.,Vice Chief of Staff
Carlos Angel, M.D., Secretary
Ryan Redman, M.D., Chief of Medicine
Glaze Vaughan, M.D., Chief of Surgery
14 It’s About Children, Issue 4 • 2016
15Donate at www.etch.com/ItsAboutChildren
	 Most parents do not plan to be at our doorstep.
They plan for normal days – carpooling to school,
buying snacks for halftime or making dinner for their
family. But every now and then, it’s their day to
come to East Tennessee Children’s Hospital.
	 Our staff is here every day.We are the experts in
pediatric care in our region, and we are here when you
don’t expect to be here.We are here when your plans
change; your unplanned days are our expertise.
	 And we’re here after you leave.When you go
home from the Emergency Room or the Neonatal
Intensive Care Unit or the inpatient surgery floor, we’re
here after you walk out our front doors.We’re here
for the check ups, the follow-up appointments, the
scans, the physical therapy and the laboratory tests.
Each time you return to the hospital or one of our
outpatient centers, we will be happy to hear how the
normal days are going — school plays, soccer practices,
homework and all.
	 No matter the day, we’re cheering you on.
	 Your unexpected trip is our every day.We come
to Children’s Hospital to serve and care for the
children and families of our region.We do this by
offering expert care and by engaging the entire family
to determine what’s best for your child.We serve you
by continuing to strive for better ways to improve the
health of our community.
	 We serve this region so that your daughters and
sons will grow up to do the same.They deserve it every
single day.
	 We are excited to share our fiscal year 2016
accomplishments with you in this annual report.
We hope they give you a glimpse at our mission
every day: East Tennessee Children’s Hospital will
improve the health of children through exceptional,
comprehensive, family-centered care, wellness and
education.
	 Thank you,
Keith Goodwin, President and CEO
Meet Jake
16 It’s About Children, Issue 4 • 2016
	 When David and Ginger Yates noticed their son Jake
wasn’t babbling as much as his fellow triplets,Addy and
Jack, they knew where to go.A year earlier, they had spent
nine days with Jake in the Neonatal Intensive Care Unit
(NICU) at East Tennessee Children’s Hospital; the newborn
was having breathing problems.
	 “I can’t imagine what it would be like if our time with
Children’s Hospital had ended with just the NICU,” David said.
	 Now 2 years old,Jake has been treated at the Children’s
Hospital Rehabilitation Center for occupational and speech
therapy sessions for more than a year.When he began his
sessions with speech pathologist Julie Browning,Jake would
hold onto a train—his favorite toy—and ignore her. Browning
used this interest to connect with him.
	 “We started learning more vocabulary by asking for
another piece of train tracks or another train car,” Browning
said. “We work to build vocabulary to express wants and
needs and communicate with his family.”
	 For David, hearing his son speak has been life-changing.
“Before, he wouldn’t really try to speak. He’s just completely
turned around,” he said. “We could not have put him in
kindergarten on time if it weren’t for Children’s Hospital.
He had the tools—he just needed help using them.”
	 Jake will continue to attend speech therapy until he is
3. Because he has been a patient at Children’s Hospital since
birth,Jake and his family have developed strong bonds with
staff members. “Besides Ginger and I, no one knows Jake as
well as Julie,” David said of Jake’s speech pathologist. “He’s
so lucky.They’ve done nothing but great things for me and
my son.”
Jake with speech pathologist Julie Browning at
the Children’s Hospital Rehabilitation Center.
17Donate at www.etch.com/ItsAboutChildren
18 It’s About Children, Issue 4 • 2016
One-year-old Jack
and his mom, Rebecca.
19Donate at www.etch.com/ItsAboutChildren
424
Doctors
Unique patients: 148,707
Hospital admissions: 5,799
NICU patient days: 18,268
PICU patient days: 2,384
Outpatient visits: 168,458
Per day: $
461,010
Per year: $
168,268,705
660
Nurses
152
Beds
34
Subspecialties
Highlights and accomplishments
Inside Children’s Hospital
Patients stats
Payer mix Financial highlights
Cost to operate Children’s Hospital
This report highlights our 2016 fiscal year—July 1, 2015, to June 30, 2016.
•	 Children’s Hospital continued its work to improve patient safety processes by 46%.
•	 All inpatient clinical units were designated as a high reliability unit (HRU).Children’s Hospital is among 	
	 the 16% of participating pediatric hospitals with at least one HRU designation and a leader in the network 	
	 by achieving all inpatient units named as HRU.
•	 ProjectADAM Coordinator Karen Smith led efforts in the signing of a new automated external defibrillator/	
	 CPR bill withTennessee Governor Bill Haslam.
•	 Scripps Networks Interactive announced a $10 million gift for Children’s Hospital’s expansion,now called 	
	 the Scripps NetworksTower.
•	 Children’s Hospital added genetics as a specialty,hiring clinical geneticistAustin Hamm,M.D.
•	 etHIN was extended for an additional three years.etHIN is a non-profit community partnership in East 	
	 Tennessee that creates a regional network of health care providers who work together to improve patient 	
	 outcomes and strive to reduce the cost of health care.
Gross revenue
Deductions from revenue
Expenses
Available for reinvestment
30.3%
PPO/HMO
Commercial $
444,797,200
$
275,943,502
$
6,799,632
$
168,268,705
2.0%
Other
67.7%
Tenncare/
Medicaid
Kenneth, 8 years old.
20 It’s About Children, Issue 4 • 2016
965
transports in
Lifeline, our
critical care
ambulance
Outpatient population
168,458 patient visits
21Donate at www.etch.com/ItsAboutChildren
Primary service area visits
753 patient visits
other states
Scott
1,934
1.38%
Campbell
3,649
2.60%
Claiborne
2,139
1.52%
Union
2,551
1.82%
Grainger
2,092
1.49%
Jefferson
4,411
3.14%
Knox
67,521
48.14%
Anderson
6,837
4.87%
Morgan
1,031
0.74%
Roane
4,232
3.02% Loudon
4,144
2.95%
Monroe
3,140
2.24%
Blount
12,367
8.82%
Sevier
10,804
7.70%
Cocke
1,956
1.39%
Hamblen
140,268 patient visits
Tennessee
511 patient visits
Virginia
788 patient visits
Kentucky
3,457
1.38%
Home Health visits: 35,817
Rehabilitation visits: 15,654
Subspecialty visits: 67,345
Adolescent Gynecology
Adolescent Medicine
Child Abuse Pediatrics
Developmental-Behavioral Pediatrics
Neonatology
Pediatrics
Pediatric Allergy and Immunology
Pediatric Anesthesiology
Pediatric Cardiology
Pediatric Dentistry
Pediatric Dermatology
Pediatric Emergency Medicine
Pediatric Endocrinology
Pediatric Gastroenterology
Pediatric Genetics
Pediatric Hematology/Oncology
Pediatric Infectious Diseases
Pediatric Intensive Care
Pediatric Nephrology
Pediatric Neurology
Pediatric Neurosurgery
Pediatric Ophthalmology
Pediatric Orthopedics
Pediatric Otolaryngology
Pediatric Perinatology
Pediatric Physical Medicine, Rehabilitation
and Physiatry
Pediatric Pulmonology and Respiratory Care
Pediatric Radiology
Pediatric Reconstructive Surgery
Pediatric Sedation
Pediatric Sleep Medicine
Pediatric Sports Medicine
Pediatric Surgery
Pediatric Urology
Outpatient statistics
Multi-disciplinary clinic visits
	 Hematology/Oncology Clinic: 3,772
Diabetes Clinic: 2,912
	 Cystic Fibrosis Clinic: 569
	 Infectious Disease Clinic: 304
	 Rheumatology Clinic: 76
	 Weight Management/Healthy Ways Clinic: 293
	 Cleft Lip and Palate Clinic: 147
Dermatology Clinic: 137
Gynecology Clinic: 95
22 It’s About Children, Issue 4 • 2016
8,305
Gwennie, 3 years old.
23Donate at www.etch.com/ItsAboutChildren
13,468
movies viewed
by patients from
the movie cart
24 It’s About Children, Issue 4 • 2016
Services
Hours of Social Work services: 27,306
Families served by Social Work: 6,532
Hours of interpretation services: 12,904
Families helped by Interpretive Services: 7,500
Languages interpreted: 25
Top three languages interpreted: Spanish, Arabic and Kirundi
Chaplain hours: 3,072
Hours dietitians spent with inpatient families: 421
Hours dietitians spent with outpatient families: 1,327
Patient meals: 114,447
23,397 visits with patients by Child Life specialists
8,159 sessions of medical play and preparation to increase familiarization and
understanding of medical procedures and hospitalization
12,941 sessions of support, coping and distraction for procedures
Social Work and
Interpretative Services
Food & Nutrition
Child Life
	 Every day, thousands of caretakers in our region create special meals
for children with allergies, speak languages from across the world and
play games and read books with their families.When they arrive at
Children’s Hospital, we aim to meet the needs of every family regardless
of background. From Child Life to Social Work, our services make the
transition from the normal everyday routines of home to visiting the
hospital as smooth as possible.
4,463
therapy
dog visits
Baylor, 9, with Jody Daugherty, x-ray technologist.
25Donate at www.etch.com/ItsAboutChildren
Clinical Stats
Lab tests: 434,021
CT scans: 5,732
MRIs: 3,054
Electrocardiograms (EKGs): 3,572
X-rays: 51,541
Chemotherapy treatments: 2,580
Sleep studies: 976
Surgeries: 10,862
Transports from other hospitals: 965
Nebulizer treatments: 18,773
26 It’s About Children, Issue 4 • 2016
Johnston, 3 years old.
Total
community
benefit
dollars:
$5,013,536
Every time a family walks through our doors, we learn more
about the challenges facing our friends and neighbors in East
Tennessee.To better meet the needs of every patient and family,
Children’s Hospital invests dollars and time in programs that
address the challenges of the everyday. Through researching
issues in our communities, educating parents and caretakers
about opportunities to improve health and safety at home and
providing care no matter the circumstance, our staff can better
meet the real needs of every family in our 16-county region.
27Donate at www.etch.com/ItsAboutChildren
Today is the day we
serve the community.
Education: $1,737,431
Research: $134,163
Charity care: $1,109,332
Anderson, 12, and respiratory
therapist Mandy Stiles completing
a pulmonary function test for asthma.
28 It’s About Children, Issue 4 • 2015
Community outreach
	 Even if today is not the day you come to Children’s Hospital, you may see our
familiar logo at an event at your school, church or fire station.We spend our days
reaching out to the community through our injury prevention and health programs
so that you and your family can learn preventative, healthy habits to avoid coming
through our doors. From asthma to automated external defibrillators, Children’s
Hospital’s community outreach programs tirelessly share education and information
with families in our region to keep every child healthier and safer—and to keep
normal routines intact every day.
29Donate at www.etch.com/ItsAboutChildren
MEDIC blood drives: 4
Sponsorship: $132,033
AEDs placed in schools: 57
Schools certified as ready to respond to sudden cardiac arrests: 98
Schools served by Project ADAM programs: 199
Students served by Project ADAM programs: 99,831
Individuals trained to administer CPR in schools: 1,176
AED heart-safe drills conducted: 108
Participants in injury prevention education programs: 19,056
Helmets distributed: 3,058
Car seats distributed and installed correctly: 817
Car seats inspected: 1,640
Car seat inspection events conducted: 72
Car passenger safety technicians trained: 255
Children involved in activities and programs to improve nutrition
and commitment to physical activity: 12,418
Childhood Obesity Coalition programs:
Kids Can Bike, Healthy Kids Club, Grub Club and Health Happens
Children screened for asthma: 656
Children with abnormal screening: 225
3,058
bicycle
helmets
distributed
Project ADAM Tennessee
Injury Prevention
Wellness
Ava, 6, with Maggie Bosley, R.N.
30 It’s About Children, Issue 4 • 2016
Today is the day you
care for patients at
Children’s Hospital.
	 You drive through the parking garage to an open spot, walk to the
elevator and make sure your badge is securely clipped to your scrubs.
Your education and experience has prepared you to serve families of our
region—the region in which you have chosen to invest your skills and
livelihood.Your normal day is to adapt and adjust to the abnormal; your
role at Children’s Hospital is understanding that the patients and
families you meet are not having normal days.They need your patience,
your guidance and your expertise.You walk to your office, clinic or station
and choose to spend another day caring for the patients who need you.
31Donate at www.etch.com/ItsAboutChildren
3,629
sessons of patient
family and sibling
support with our
Child Life
specialists
Average tenure: 9 years and 3 months
Number of applicants: 12,306
Number hired: 515
Number of employees: 1,950
Medical residents, fellows and students: 79
Undergraduate nursing students: 1,131
Senior preceptorships: 21
Advanced practice practicum requests: 65
Students in other health care positions:
Child Life students: 12
Lean process students: 23
Lab students: 4
Continuing medical education participants: 1,909
Continuing nursing education participants: 737
Trainees in our pediatric simulation center: 1,431
Participants include physicians, nurses, nurse practitioners,
physician’s assistants, respiratory therapists, patient care assistants,
paramedics, students, midwives and more.
Employee statistics
Educational opportunities
Today is the
day you
decided to
give to
Children’s
Hospital.
	 Your child has been a patient.Your
niece, nephew, neighbor or newborn
has been helped in some way; you know
how much Children’s Hospital means
to our region and to every family with
children. Every day, you commit to
improving our community through
your stewardship, leadership and
volunteerism.You give your time.You
give donations.You give Children’s
Hospital the chance to do more for
every child today and for years to come.
Your everyday outlook on service to
our community makes an impact on
the children and their families we
serve every day.
32 It’s About Children, Issue 4 • 2016
Bryson, 3 years old.
Donors
Pledges toward hospital expansion:
$15.5 million
Annual donations: $9.8 million
Donors: 5,742
Cost to raise a dollar: $0.12
Volunteers
Number of active volunteers: 285
Volunteer visits with patients: 20,187
Volunteer hours: 51,796
Value of volunteer hours: $1,042,663
Funds raised by volunteers: $251,000
33Donate at www.etch.com/ItsAboutChildren
Today is the day
we planned for
tomorrow.
34 It’s About Children, Issue 4 • 2016
	 In November, East Tennessee Children’s
Hospital opened a brand new 245,000-square
foot expansion project, the Scripps Networks
Tower, adjacent to the main hospital building.
The building is named for national media
company Scripps Networks Interactive.
Headquartered in Knoxville, Scripps Networks
Interactive donated $10 million to Children’s
Hospital.This gift is the largest single corporate
gift in Children’s Hospital’s 79-year history.
The Scripps Networks Tower houses:
•	 A new neonatal intensive care unit with
	 44-private rooms and a rooftop garden
•	 A new inpatient/outpatient surgery center
•	 A multi-specialty outpatient clinic featuring 	
	 an updated diabetes/endocrinology center
•	 Light-filled pedestrian walkways
•	 Two levels of parking
•	 An art collection featuring artists from
	 across the state of Tennessee
	 Scripps Networks Tower will also house an
expanded state-of-the-art pediatric simulation
and innovation center to be named in honor
of Scripps Networks Interactive.This center
will allow health care providers to train for
emergencies and complex procedures on a
variety of infant, child and teen-sized medical
mannequins, as well as develop new innovations
that will improve the care we provide.
35Donate at www.etch.com/ItsAboutChildren
The Scripps Networks Tower at
Children’s Hospital opened in November.
Your Dollars at Work
Major sponsors:Presenting sponsor:
36 It’s About Children, Issue 4 • 2016
‘Twas the night before Christmas
	 The 32nd-annual Fantasy of Trees
kicked off the holiday season in East
Tennessee while supporting East Tennessee
Children’s Hospital. More than X attended
the festive event to Christmas shop,
purchase holiday decorations, enjoy
children’s crafts and more.
	 This year, Fantasy of Trees raised more
than X for Children’s Hospital’s pediatric
anesthesia department. These funds will
purchase the Aisys Digital Anesthesia
Machine to help our clinical staff deliver
safe pediatric anesthesia and provide
necessary updates to the current equipment.
	 Children’s Hospital extends a special
thanks to all who attended the event, as well
as all the volunteers and sponsors.
Media sponsors:
Donate at www.etch.com/ItsAboutChildren
ATENCIÓN: si habla español, tiene a su disposición
servicios gratuitos de asistencia lingüística. Llame al
1-865-541-8000
‫:ةظوحلم‬ ‫اذإ‬ ‫تنك‬ ‫ثدحتت‬ ‫ركذا‬ ‫،ةغللا‬ ‫نإف‬ ‫تامدخ‬ ‫ةدعاسملا‬
1-0008-145-568 ‫ةيوغللا‬ ‫رفاوتت‬ ‫كل‬ ‫.ناجملاب‬ ‫لصتا‬ ‫مقرب‬
注意 : 如果您使用繁體中文, 您可以免費獲得語言援助
服務. 請致電 1-865-541-8000
CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ
ngôn ngữ miễn phí dành cho bạn. Gọi số 1-865-541-
8000.
주의: 한국어를 사용하시는 경우, 언어 지원 서비스를
무료로 이용하실 수 있습니다. 1-865-541-8000 번으
로 전화해 주십시오.
ATTENTION : Si vous parlez français, des services
d’aide linguistique vous sont proposés gratuitement.
Appelez le 1-865-541-8000.
ໂປດຊາບ: ຖ້າວ່າ ທ່ານເວົ້າພາສາ ລາວ,
ການບໍລິການຊ່ວຍເຫຼືອດ້ານພາສາ,
ໂດຍບໍ່ເສັຽຄ່າ, ແມ່ນມີພ້ອມໃຫ້ທ່ານ.
ໂທຣ 1-865-541-8000.
ማስታወሻ: የሚናገሩት ቋንቋ ኣማርኛ ከሆነ የትርጉም እር
ዳታ ድርጅቶች፣ በነጻ ሊያግዝዎት ተዘጋጀተዋል፡ ወደ ሚከ
ተለው ቁጥር ይደውሉ 1-865-541-8000.
ACHTUNG: Wenn Sie Deutsch sprechen, stehen
Ihnen kostenlos sprachliche Hilfsdienstleistungen zur
Verfügung. Rufnummer: 1-865-541-8000.
સુચના: જો તમે ગુજરાતી બોલતા હો, તો નિ:શુલ્ક ભાષા સહાય સેવાઓ
તમારા માટે ઉપલબ્ધ છે. ફોન કરો 1-865-541-8000.
注意事項:日本語を話される場合、無料の言語支援
をご利用いただけます。1-865-541-8000 まで、お電
話にてご連絡ください。
PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari
kang gumamit ng mga serbisyo ng tulong sa wika
nang walang bayad. Tumawag sa 1-865-541-8000
ध्यान दें: यदि आप हिंदी बोलते हैं तो आपके लिए मुफ्त में भाषा
सहायता सेवाएं उपलब्ध हैं। 1-865-541-8000 पर कॉल करें।
ВНИМАНИЕ: Если вы говорите на русском языке,
то вам доступны бесплатные услуги перевода.
Звоните 1-865-541-8000.
‫:هجوت‬ ‫رگا‬ ‫هب‬ ‫نابز‬ ‫یسراف‬ ‫وگتفگ‬ ‫یم‬ ‫،دینک‬ ‫تالیهست‬
‫ینابز‬ ‫تروصب‬ ‫ناگیار‬ ‫یارب‬ ‫امش‬ ‫مهارف‬ ‫یم‬ ‫.دشاب‬ ‫اب‬
1-865-541-8000 ‫سامت‬ ‫.دیریگب‬
ICITONDERWA: Nimba uvuga Ikirundi, uzohabwa
serivisi zo gufasha mu ndimi, ku buntu. Woterefona
1-865-541-8000.
37
We provide free interpretive services.
Your Dollars at Work
	 Children’s Hospital’s chronically-ill high school-aged
patients danced the night away at special teen dance in
September at The Grande Event Center. More than 120 people
enjoyed refreshments, dancing and even a photo booth.
	 One Unforgettable Night was organized by Corey
Ozair and Crystal Jacobs. Local celebrities joined in on the
celebration, like former WWE star Glenn Jacobs, members
of the Lady Vols basketball team, The Voice’s Emily Ann
Roberts and country music singer Lawson Bates.
One unforgettable night
PolicyStatement•TitleVI,CivilRightsActof1964Section504,RehabilitationActof1973•Section1557, AffordableCareAct
East Tennessee Children’s Hospital Association, Inc. (“Children’s
Hospital”) complies with the provisions of the Civil Rights Act of
1964 and the Rehabilitation Act of 1973, Section 1557 of the
Affordable Care Act and all requirements imposed pursuant thereto.
No person shall, on the grounds of race, color, national origin, age,
sex, gender identity, limited English proficiency, or physical or mental
disability, be excluded from participation in, be denied benefits of, or
otherwise be subjected to discrimination in the provision of any care
or service.
Our commitment includes (but is not limited to) the following:
1. 	 Inpatient and outpatient care is provided on a nondiscriminatory 	
	 basis. All patients receive care without regard to race, color,
	 national origin, age, sex, gender identity, limited English
	 proficiency, or physical or mental disability.
2. 	 All patients are assigned to rooms, floors, and the like without
	 regard to race, color, national origin, age, sex, gender identity,
	 limited English proficiency, or physical or mental disability.
3. 	 Patients will not be asked if they are willing or desire to share a
	 room with a person based on race, color, national origin, age,
	 limited English proficiency, or physical or mental disability.
4. 	 Employees are assigned to patient services without regard to the
	 race, color, national origin, age, sex, gender identity, limited
	 English proficiency, or physical or mental disability of either the
	 patient, parent/guardian or the employee.
5. 	 Staff privileges will not be denied to qualified personnel on the
	 basis of race, color, national origin, age, sex, gender identity,
	 limited English proficiency, or physical or mental disability.
6. 	 All facilities of this institution will be utilized without regard to
	 race, color, national origin, age, sex, gender identity, limited
	 English proficiency, or physical or mental disability.
7. 	 Transfer of patients from the rooms assigned and/or selected
	 will not be made based on race, color or national origin, age,
	 limited English proficiency, or physical or mental disability. Any
	 patient may request to change the room assigned and/or selected
	 provided that the room requested is readily available.
8. 	 We provide free aids and services to people with disabilities to
	 communicate effectively with us, including qualified sign
	 language interpreters. If you need interpretive services, please
38 It’s About Children, Issue 4 • 2016
notify any staff member or the Care Coordination department 	
	 at 865-541-8457.
9. 	 We provide free language services to people whose primary
	 language is not English, such as qualified interpreters and
	 information written in other languages. If you need interpretive
	 services, please notify any staff member or the Care Coordination
	 department at 865-541-8457.
10.	 The nondiscriminatory policy of the institution applies to
	 patients, parents/guardians, physicians and all responsible
	 employees. Under no circumstances will the application of this
	 policy result in the segregation or resegregation of buildings,
	 wings, floors, or rooms for reasons of race, color, national origin,
	 age, limited English proficiency, or physical or mental disability.
Questions/concerns? You may contact our Office of Patient Experi-
ence at 865-541-8724 or 865-541-8586. If you still have concerns after
speaking with us, you may contact the agencies listed below. If you
believe that Children’s Hospital has failed to provide required services
or discriminated in another way on the basis of race, color, national
origin, age, disability, sex or gender identity, you can file a grievance
with the Office of Patient Experience, Children’s Hospital,
2018 Clinch Avenue, Knoxville, TN 37916, 865-541-8724 or fax
865-541-8778 or email at mwynn@etch.com. You can file a grievance
in person, by mail, by fax, or by email. You may also contact and/or
file a grievance with:
The Tennessee Department of Health
Office of Civil Rights compliance
Bureau of Licensure and Regulation
665 Mainstream Drive, Second Floor
Nashville, TN 37243
Office of Civil Rights
U.S. Department of Health and Human Services
200 Independence Avenue, SW
Room 509F, HHH Building
Washington, D.C. 20201
800-868-1019; 800-537-7697 (TDD)
This information is provided in compliance with Section 1557
of the Affordable Care Act.
39Donate at www.etch.com/ItsAboutChildren
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 15010
Knoxville,Tennessee 37901-5010
RETURN SERVICE REQUESTED
Email ItsAboutChildren@etch.com 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-PROFIT
ORGANIZATION
U.S.POSTAGE
P A I D
PERMIT 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 heirs
30% paid
in taxes
· Take care of heirs
· Reduce, redirect or
eliminate your taxes
· Support those
organizations
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, your
tax burden can be reduced while helping heal children in your community.
Need advice? Let us help by calling 865-541-8567 or email DVarlan@etch.com.

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It's About Children, Issue 4, 2016

  • 1.
  • 2. 9 14 9 11 11 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 Building Class 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 Building Class 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 • 2016
  • 3. 12 4 13 Today is the day Leader in safety Cool is the key Read our annual report to learn how we help children and families of the East Tennessee region every day. Children’s Hospital Chief Quality Officer Jeanann Pardue, M.D., was awarded the 2016 Tennessee Hospital Association patient safety leadership award. After his traumatic birth, Caiden was treated with a cooling blanket in the East Tennessee Children’s Hospital Neonatal Intensive Care Unit. It’s About Children is a publication of the Marketing Department at East Tennessee Children’s Hospital. Editor: Jessica Boyd Designer: Deborah Hosterman Cover photo by Jessica Shiflett Photography Connect with us: www.etch.com/ItsAboutChildren ItsAboutChildren@etch.com Spotlight 7 22 National Pancake Day MEDIC blood drive MAR. FEB. 7 a.m. to 10 p.m. Participating IHOP restaurants Get 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 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. 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.
  • 4. 4 It’s About Children, Issue 4 • 2016
  • 5. 5Donate at www.etch.com/ItsAboutChildren Cool is the Key The day Caiden Eckhart was born, time and technology were on his side. From the moment he was delivered at Parkwest Medical Center in West Knoxville, the likelihood of Caiden suffering a brain injury was extremely high due to his traumatic birth. Instead, immediately after successful resuscitation by the labor and delivery team and the East Tennessee Children’s Hospital Neonatal Intensive Care Unit (NICU) nurse stationed there, Caiden was wrapped in a cooling blanket to begin the recovery process during transport to Children’s Hospital. continued on page 6 Story by Cassidy Duckett Britt
  • 6. losing his blood supply, and we were rushed into the operating room for an emergency C-section.” Following the C-section, Caiden received a blood transfusion and CPR. He was put on a ventilator; the Parkwest staff and Children’s Hospital nurse stationed there began the cooling process and prepared him for the transport to Children’s Hospital. Because Caiden’s blood supply was significantly decreased, he suffered from a drastic reduction of oxygen to his brain. When doctors ventilate a patient, there is a risk of inflammation and damage to the brain because of the quick increase in blood and oxygen flow. To avoid this injury, the hospital staff turned to the cooling blanket. According to Children’s Hospital neonatologist John Buchheit, M.D., these blankets are “shown to make a big difference in the outcome of these babies. It makes “He wasn’t breathing,” Caiden’s mother Patty explained about the moments following her cesarean section (C-section) that day. “The staff couldn’t detect a heartbeat. He was completely white.” Caiden also required a blood transfusion. At 39 weeks (normal gestation is 38 to 42 weeks), Patty’s pregnancy was considered normal. However, her final ultrasound measurements showed Caiden’s abdomen was developmentally three weeks behind the rest of his body. Caiden was scheduled to be delivered by induction on August 11, however Patty’s water broke in the obstetrician’s office two days before the induction date. While receiving an epidural, Patty felt “pressure and then a big gush.” She had hemorrhaged. “There was a tear in one of the vessels of the umbilical cord—the blood that was being pumped to Caiden,” she said. “He was continued from page 5 6 It’s About Children, Issue 4 • 2016 Caiden with his father Brian.
  • 7. sense to start [the process] as soon as possible.” The cooling blanket lowered Caiden’s body temperature to about 91 degrees (normal is 98.6 degrees) so all of his other systems functioned just below a normal temperature. This cooling allowed his neurological system to heal from the period of lost oxygen without having to compete with other vital systems. Previously, the NICU used cooling caps on location at Children’s Hospital. While this treatment was incredibly effective, Dr. Buchheit and the other pediatric experts there determined the blankets would allow babies born across East Tennessee to receive treatment more quickly. “All of our babies are born someplace else,” Dr. Buchheit said. “We are servicing babies all over the region. We had to take these important treatments out into the community.” Applying the blanket—which has less equipment to transport than a cooling cap—just 30 minutes earlier can make a massive difference in the outcome for the child. Caiden was transported to Children’s Hospital by Lifeline, Children’s Hospital’s custom-made ambulance equipped like a mobile neonatal intensive care unit. Caiden’s father Brian and grandfather Bill accompanied him while Patty had to continue her recovery at Parkwest. “Caiden held their fingers,” Patty said. “They stood there with him gripping their fingers the entire night.” Using the cooling blanket is a 72-hour process. During this time, Caiden was kept in a separate room that could remain dark and quiet. The cooling blankets require that babies avoid any stimulation like noise or light. On Friday afternoon, the NICU staff began Caiden’s 7Donate at www.etch.com/ItsAboutChildren Caiden in the NICU. Caiden with his parents.
  • 8. 8 7.5-hour warming process. His body temperature increased back to 97 degrees. In the early hours of that Saturday morning, Patty and Brian were able to feed Caiden his first bottle. “He was responding to everything so well,” Patty said. “He had a very strong sucking reflex and started fighting the ventilator shortly after receiving it, which was a good sign.” On August 16, Patty’s birthday, she and Brian were able to bring Caiden home but not before the nurses celebrated with them. One of Caiden’s nurses tucked a birthday card into Patty’s bag as they were leaving. “She also made decorations to hang around Caiden’s spot in the NICU,” Patty said. “All of the NICU nurses were awesome. They made me feel loved. They were patient and compassionate with us yet remained extremely professional. The care we received was amazing.” Now four months old, Caiden is experiencing a food allergy unrelated to his traumatic birth but shows no sign of other issues. His neurological state recovered so well due to the cooling blanket, he only requires close monitoring of his cognitive and motor development as he continues to grow. For babies like Caiden across East Tennessee, these cooling blankets start the healing process as soon as possible while reducing the risk for developmental delays and loss of brain function. For more information about the cooling technology, visit www.etch.com/nicu. It’s About Children, Issue 4 • 2016
  • 10. New NICU focused on family-centered care For babies like Caiden in the East Tennessee Children’s Hospital Neonatal Intensive Care Unit (NICU), avoiding stimulation like light and sound is essential to the recovery process. As Children’s Hospital leadership began planning for the expansion to the Scripps Networks Tower, they kept this important need in mind. The new space, which opened in November, includes 44 private NICU rooms to ensure each baby will have space to heal with their family surrounding them. “Any family who wants to visit can be there all day,” neonatologist John Buchheit, M.D., said. “Having extra space and the ability to be with your baby is going to be better for every family and patient. It also gives us the opportunity to have siblings visit in the room with the baby.” With the new space comes an expansion in the technologies that monitor and protect the hospital’s tiniest patients. As always in the NICU, precautions are in place to protect the babies from any outside germs or colds. Most of all, families like the Eckharts can be comforted by the individual space allotted to each baby. Patients can spend weeks or months in the NICU, so private rooms create consistency and a sense of home. “For the family,” Dr. Buchheit said, “that’s a big deal.” 10 It’s About Children, Issue 4 • 2016 The new NICU has private rooms to make families more comfortable. Parents can now visit at any time, and siblings will even have special visitation hours to see their new baby brother or sister. Each room has a window or is connected to a light court to provide natural lighting during a patient family’s stay.
  • 11. 11Donate at www.etch.com/ItsAboutChildren The NICU has multiple light courts featuring art from Tennessee artists. This piece, called “Kaleidoscope,” is by Yvonne Bobo of Memphis. The NICU waiting room is light-filled, comfortable and family-friendly and even houses a play room with toys to entertain patients’ siblings.
  • 12. 12 It’s About Children, Issue 4 • 2016 Leader in Safety East Tennessee Children’s Hospital Chief Quality Officer Jeanann Pardue, M.D., was awarded the 2016 Tennessee Hospital Association (THA) patient safety leadership award. Dr. Pardue has become a driving force in increasing patient safety at Children’s Hospital. In 2012, through her leadership, Children’s Hospital joined Solutions for Patient Safety (SPS), a network of more than 100 children’s hospitals sharing the goal of creating a culture of safety at each hospital. Since then, she has helped Children’s Hospital set a remarkable pace of embracing and implementing a safety culture. “Progress in any endeavor comes as a result of committed individuals who can translate the importance of their ideas into the culture of their environment,” Children’s Hospital President and CEO Keith Goodwin said. “Dr. Pardue’s ability to galvanize our teams around the concept of patient safety and zero mistakes has driven our success.” She has worked tirelessly to improve multiple processes to increase quality and safety for patient families and staff as well as increase communication between leadership News and staff. She recently partnered with Children’s Hospital’s Family Advisory Council to improve staff engagement of families. She also represents medical staff on the Clinical Performance Improvement Council (CPIC) to help bridge the communication between nursing staff and physicians. Dr. Pardue now serves as a mentor to many other hospitals new to this initiative. She has spoken regionally and nationally on Children’s Hospital’s safety culture work. Last year, she led the development of a partnership of all children’s hospitals in Tennessee called the Children’s Hospital Alliance of Tennessee (CHAT), a quality improvement committee that serves as a forum for hospitals to share data and best practices to accelerate the improvement in the quality and safety of inpatient care provided in Tennessee’s pediatric hospitals. Tennessee was the second state to form this kind of partnership and several other states and regions have formed to model the example set. Dr. Pardue was presented the award at the THA annual meeting in Nashville in October.
  • 14. Board of Directors John Q Buchheit, M.D., Chairman Larry B. Martin,Vice Chairman Steven D. Harb, Secretary/Treasurer Cathy Ackermann Scott Brice, M.D. Daniel K. Carter Jim Clayton Randall L. Gibson Keith D. Goodwin R. Gale Huneycutt,Jr. A. David Martin Christopher A. Miller, M.D. David A. Nickels, M.D. Laura Palenkas David D. Stevens Barbara Summers, M.D. Andrea Anne White Kim Wood Board Chairmen Emeritus James S. Bush, Chairman Donald H. Parnell Dennis B. Ragsdale Senior Leadership Keith D. Goodwin, President and Chief Executive Officer Bruce Anderson, Vice President for Legal Services Joe Childs, M.D.,Vice President for Medical Services Hella Ewing,Vice President for Patient Care and Chief Nursing Officer Steven Godbold,Vice President for Operations Caryn Hawthorne,Vice President for Financial Services Carlton Long,Vice President for Institutional Advancement Sue Wilburn,Vice President for Human Resources Jeanann Pardue, M.D., Chief Quality Officer Lise Christensen, M.D., Chief Clinical Officer Medical Staff Officers Barbara Summers, M.D., Chief of Staff Cameron J. Sears, M.D.,Vice Chief of Staff Carlos Angel, M.D., Secretary Ryan Redman, M.D., Chief of Medicine Glaze Vaughan, M.D., Chief of Surgery 14 It’s About Children, Issue 4 • 2016
  • 15. 15Donate at www.etch.com/ItsAboutChildren Most parents do not plan to be at our doorstep. They plan for normal days – carpooling to school, buying snacks for halftime or making dinner for their family. But every now and then, it’s their day to come to East Tennessee Children’s Hospital. Our staff is here every day.We are the experts in pediatric care in our region, and we are here when you don’t expect to be here.We are here when your plans change; your unplanned days are our expertise. And we’re here after you leave.When you go home from the Emergency Room or the Neonatal Intensive Care Unit or the inpatient surgery floor, we’re here after you walk out our front doors.We’re here for the check ups, the follow-up appointments, the scans, the physical therapy and the laboratory tests. Each time you return to the hospital or one of our outpatient centers, we will be happy to hear how the normal days are going — school plays, soccer practices, homework and all. No matter the day, we’re cheering you on. Your unexpected trip is our every day.We come to Children’s Hospital to serve and care for the children and families of our region.We do this by offering expert care and by engaging the entire family to determine what’s best for your child.We serve you by continuing to strive for better ways to improve the health of our community. We serve this region so that your daughters and sons will grow up to do the same.They deserve it every single day. We are excited to share our fiscal year 2016 accomplishments with you in this annual report. We hope they give you a glimpse at our mission every day: East Tennessee Children’s Hospital will improve the health of children through exceptional, comprehensive, family-centered care, wellness and education. Thank you, Keith Goodwin, President and CEO
  • 16. Meet Jake 16 It’s About Children, Issue 4 • 2016 When David and Ginger Yates noticed their son Jake wasn’t babbling as much as his fellow triplets,Addy and Jack, they knew where to go.A year earlier, they had spent nine days with Jake in the Neonatal Intensive Care Unit (NICU) at East Tennessee Children’s Hospital; the newborn was having breathing problems. “I can’t imagine what it would be like if our time with Children’s Hospital had ended with just the NICU,” David said. Now 2 years old,Jake has been treated at the Children’s Hospital Rehabilitation Center for occupational and speech therapy sessions for more than a year.When he began his sessions with speech pathologist Julie Browning,Jake would hold onto a train—his favorite toy—and ignore her. Browning used this interest to connect with him. “We started learning more vocabulary by asking for another piece of train tracks or another train car,” Browning said. “We work to build vocabulary to express wants and needs and communicate with his family.” For David, hearing his son speak has been life-changing. “Before, he wouldn’t really try to speak. He’s just completely turned around,” he said. “We could not have put him in kindergarten on time if it weren’t for Children’s Hospital. He had the tools—he just needed help using them.” Jake will continue to attend speech therapy until he is 3. Because he has been a patient at Children’s Hospital since birth,Jake and his family have developed strong bonds with staff members. “Besides Ginger and I, no one knows Jake as well as Julie,” David said of Jake’s speech pathologist. “He’s so lucky.They’ve done nothing but great things for me and my son.”
  • 17. Jake with speech pathologist Julie Browning at the Children’s Hospital Rehabilitation Center. 17Donate at www.etch.com/ItsAboutChildren
  • 18. 18 It’s About Children, Issue 4 • 2016 One-year-old Jack and his mom, Rebecca.
  • 19. 19Donate at www.etch.com/ItsAboutChildren 424 Doctors Unique patients: 148,707 Hospital admissions: 5,799 NICU patient days: 18,268 PICU patient days: 2,384 Outpatient visits: 168,458 Per day: $ 461,010 Per year: $ 168,268,705 660 Nurses 152 Beds 34 Subspecialties Highlights and accomplishments Inside Children’s Hospital Patients stats Payer mix Financial highlights Cost to operate Children’s Hospital This report highlights our 2016 fiscal year—July 1, 2015, to June 30, 2016. • Children’s Hospital continued its work to improve patient safety processes by 46%. • All inpatient clinical units were designated as a high reliability unit (HRU).Children’s Hospital is among the 16% of participating pediatric hospitals with at least one HRU designation and a leader in the network by achieving all inpatient units named as HRU. • ProjectADAM Coordinator Karen Smith led efforts in the signing of a new automated external defibrillator/ CPR bill withTennessee Governor Bill Haslam. • Scripps Networks Interactive announced a $10 million gift for Children’s Hospital’s expansion,now called the Scripps NetworksTower. • Children’s Hospital added genetics as a specialty,hiring clinical geneticistAustin Hamm,M.D. • etHIN was extended for an additional three years.etHIN is a non-profit community partnership in East Tennessee that creates a regional network of health care providers who work together to improve patient outcomes and strive to reduce the cost of health care. Gross revenue Deductions from revenue Expenses Available for reinvestment 30.3% PPO/HMO Commercial $ 444,797,200 $ 275,943,502 $ 6,799,632 $ 168,268,705 2.0% Other 67.7% Tenncare/ Medicaid
  • 20. Kenneth, 8 years old. 20 It’s About Children, Issue 4 • 2016 965 transports in Lifeline, our critical care ambulance
  • 21. Outpatient population 168,458 patient visits 21Donate at www.etch.com/ItsAboutChildren Primary service area visits 753 patient visits other states Scott 1,934 1.38% Campbell 3,649 2.60% Claiborne 2,139 1.52% Union 2,551 1.82% Grainger 2,092 1.49% Jefferson 4,411 3.14% Knox 67,521 48.14% Anderson 6,837 4.87% Morgan 1,031 0.74% Roane 4,232 3.02% Loudon 4,144 2.95% Monroe 3,140 2.24% Blount 12,367 8.82% Sevier 10,804 7.70% Cocke 1,956 1.39% Hamblen 140,268 patient visits Tennessee 511 patient visits Virginia 788 patient visits Kentucky 3,457 1.38%
  • 22. Home Health visits: 35,817 Rehabilitation visits: 15,654 Subspecialty visits: 67,345 Adolescent Gynecology Adolescent Medicine Child Abuse Pediatrics Developmental-Behavioral Pediatrics Neonatology Pediatrics Pediatric Allergy and Immunology Pediatric Anesthesiology Pediatric Cardiology Pediatric Dentistry Pediatric Dermatology Pediatric Emergency Medicine Pediatric Endocrinology Pediatric Gastroenterology Pediatric Genetics Pediatric Hematology/Oncology Pediatric Infectious Diseases Pediatric Intensive Care Pediatric Nephrology Pediatric Neurology Pediatric Neurosurgery Pediatric Ophthalmology Pediatric Orthopedics Pediatric Otolaryngology Pediatric Perinatology Pediatric Physical Medicine, Rehabilitation and Physiatry Pediatric Pulmonology and Respiratory Care Pediatric Radiology Pediatric Reconstructive Surgery Pediatric Sedation Pediatric Sleep Medicine Pediatric Sports Medicine Pediatric Surgery Pediatric Urology Outpatient statistics Multi-disciplinary clinic visits Hematology/Oncology Clinic: 3,772 Diabetes Clinic: 2,912 Cystic Fibrosis Clinic: 569 Infectious Disease Clinic: 304 Rheumatology Clinic: 76 Weight Management/Healthy Ways Clinic: 293 Cleft Lip and Palate Clinic: 147 Dermatology Clinic: 137 Gynecology Clinic: 95 22 It’s About Children, Issue 4 • 2016 8,305
  • 23. Gwennie, 3 years old. 23Donate at www.etch.com/ItsAboutChildren 13,468 movies viewed by patients from the movie cart
  • 24. 24 It’s About Children, Issue 4 • 2016 Services Hours of Social Work services: 27,306 Families served by Social Work: 6,532 Hours of interpretation services: 12,904 Families helped by Interpretive Services: 7,500 Languages interpreted: 25 Top three languages interpreted: Spanish, Arabic and Kirundi Chaplain hours: 3,072 Hours dietitians spent with inpatient families: 421 Hours dietitians spent with outpatient families: 1,327 Patient meals: 114,447 23,397 visits with patients by Child Life specialists 8,159 sessions of medical play and preparation to increase familiarization and understanding of medical procedures and hospitalization 12,941 sessions of support, coping and distraction for procedures Social Work and Interpretative Services Food & Nutrition Child Life Every day, thousands of caretakers in our region create special meals for children with allergies, speak languages from across the world and play games and read books with their families.When they arrive at Children’s Hospital, we aim to meet the needs of every family regardless of background. From Child Life to Social Work, our services make the transition from the normal everyday routines of home to visiting the hospital as smooth as possible. 4,463 therapy dog visits
  • 25. Baylor, 9, with Jody Daugherty, x-ray technologist. 25Donate at www.etch.com/ItsAboutChildren Clinical Stats Lab tests: 434,021 CT scans: 5,732 MRIs: 3,054 Electrocardiograms (EKGs): 3,572 X-rays: 51,541 Chemotherapy treatments: 2,580 Sleep studies: 976 Surgeries: 10,862 Transports from other hospitals: 965 Nebulizer treatments: 18,773
  • 26. 26 It’s About Children, Issue 4 • 2016 Johnston, 3 years old. Total community benefit dollars: $5,013,536
  • 27. Every time a family walks through our doors, we learn more about the challenges facing our friends and neighbors in East Tennessee.To better meet the needs of every patient and family, Children’s Hospital invests dollars and time in programs that address the challenges of the everyday. Through researching issues in our communities, educating parents and caretakers about opportunities to improve health and safety at home and providing care no matter the circumstance, our staff can better meet the real needs of every family in our 16-county region. 27Donate at www.etch.com/ItsAboutChildren Today is the day we serve the community. Education: $1,737,431 Research: $134,163 Charity care: $1,109,332
  • 28. Anderson, 12, and respiratory therapist Mandy Stiles completing a pulmonary function test for asthma. 28 It’s About Children, Issue 4 • 2015 Community outreach Even if today is not the day you come to Children’s Hospital, you may see our familiar logo at an event at your school, church or fire station.We spend our days reaching out to the community through our injury prevention and health programs so that you and your family can learn preventative, healthy habits to avoid coming through our doors. From asthma to automated external defibrillators, Children’s Hospital’s community outreach programs tirelessly share education and information with families in our region to keep every child healthier and safer—and to keep normal routines intact every day.
  • 29. 29Donate at www.etch.com/ItsAboutChildren MEDIC blood drives: 4 Sponsorship: $132,033 AEDs placed in schools: 57 Schools certified as ready to respond to sudden cardiac arrests: 98 Schools served by Project ADAM programs: 199 Students served by Project ADAM programs: 99,831 Individuals trained to administer CPR in schools: 1,176 AED heart-safe drills conducted: 108 Participants in injury prevention education programs: 19,056 Helmets distributed: 3,058 Car seats distributed and installed correctly: 817 Car seats inspected: 1,640 Car seat inspection events conducted: 72 Car passenger safety technicians trained: 255 Children involved in activities and programs to improve nutrition and commitment to physical activity: 12,418 Childhood Obesity Coalition programs: Kids Can Bike, Healthy Kids Club, Grub Club and Health Happens Children screened for asthma: 656 Children with abnormal screening: 225 3,058 bicycle helmets distributed Project ADAM Tennessee Injury Prevention Wellness
  • 30. Ava, 6, with Maggie Bosley, R.N. 30 It’s About Children, Issue 4 • 2016 Today is the day you care for patients at Children’s Hospital. You drive through the parking garage to an open spot, walk to the elevator and make sure your badge is securely clipped to your scrubs. Your education and experience has prepared you to serve families of our region—the region in which you have chosen to invest your skills and livelihood.Your normal day is to adapt and adjust to the abnormal; your role at Children’s Hospital is understanding that the patients and families you meet are not having normal days.They need your patience, your guidance and your expertise.You walk to your office, clinic or station and choose to spend another day caring for the patients who need you.
  • 31. 31Donate at www.etch.com/ItsAboutChildren 3,629 sessons of patient family and sibling support with our Child Life specialists Average tenure: 9 years and 3 months Number of applicants: 12,306 Number hired: 515 Number of employees: 1,950 Medical residents, fellows and students: 79 Undergraduate nursing students: 1,131 Senior preceptorships: 21 Advanced practice practicum requests: 65 Students in other health care positions: Child Life students: 12 Lean process students: 23 Lab students: 4 Continuing medical education participants: 1,909 Continuing nursing education participants: 737 Trainees in our pediatric simulation center: 1,431 Participants include physicians, nurses, nurse practitioners, physician’s assistants, respiratory therapists, patient care assistants, paramedics, students, midwives and more. Employee statistics Educational opportunities
  • 32. Today is the day you decided to give to Children’s Hospital. Your child has been a patient.Your niece, nephew, neighbor or newborn has been helped in some way; you know how much Children’s Hospital means to our region and to every family with children. Every day, you commit to improving our community through your stewardship, leadership and volunteerism.You give your time.You give donations.You give Children’s Hospital the chance to do more for every child today and for years to come. Your everyday outlook on service to our community makes an impact on the children and their families we serve every day. 32 It’s About Children, Issue 4 • 2016
  • 33. Bryson, 3 years old. Donors Pledges toward hospital expansion: $15.5 million Annual donations: $9.8 million Donors: 5,742 Cost to raise a dollar: $0.12 Volunteers Number of active volunteers: 285 Volunteer visits with patients: 20,187 Volunteer hours: 51,796 Value of volunteer hours: $1,042,663 Funds raised by volunteers: $251,000 33Donate at www.etch.com/ItsAboutChildren
  • 34. Today is the day we planned for tomorrow. 34 It’s About Children, Issue 4 • 2016 In November, East Tennessee Children’s Hospital opened a brand new 245,000-square foot expansion project, the Scripps Networks Tower, adjacent to the main hospital building. The building is named for national media company Scripps Networks Interactive. Headquartered in Knoxville, Scripps Networks Interactive donated $10 million to Children’s Hospital.This gift is the largest single corporate gift in Children’s Hospital’s 79-year history. The Scripps Networks Tower houses: • A new neonatal intensive care unit with 44-private rooms and a rooftop garden • A new inpatient/outpatient surgery center • A multi-specialty outpatient clinic featuring an updated diabetes/endocrinology center • Light-filled pedestrian walkways • Two levels of parking • An art collection featuring artists from across the state of Tennessee Scripps Networks Tower will also house an expanded state-of-the-art pediatric simulation and innovation center to be named in honor of Scripps Networks Interactive.This center will allow health care providers to train for emergencies and complex procedures on a variety of infant, child and teen-sized medical mannequins, as well as develop new innovations that will improve the care we provide.
  • 35. 35Donate at www.etch.com/ItsAboutChildren The Scripps Networks Tower at Children’s Hospital opened in November.
  • 36. Your Dollars at Work Major sponsors:Presenting sponsor: 36 It’s About Children, Issue 4 • 2016 ‘Twas the night before Christmas The 32nd-annual Fantasy of Trees kicked off the holiday season in East Tennessee while supporting East Tennessee Children’s Hospital. More than X attended the festive event to Christmas shop, purchase holiday decorations, enjoy children’s crafts and more. This year, Fantasy of Trees raised more than X for Children’s Hospital’s pediatric anesthesia department. These funds will purchase the Aisys Digital Anesthesia Machine to help our clinical staff deliver safe pediatric anesthesia and provide necessary updates to the current equipment. Children’s Hospital extends a special thanks to all who attended the event, as well as all the volunteers and sponsors.
  • 37. Media sponsors: Donate at www.etch.com/ItsAboutChildren ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-865-541-8000 ‫:ةظوحلم‬ ‫اذإ‬ ‫تنك‬ ‫ثدحتت‬ ‫ركذا‬ ‫،ةغللا‬ ‫نإف‬ ‫تامدخ‬ ‫ةدعاسملا‬ 1-0008-145-568 ‫ةيوغللا‬ ‫رفاوتت‬ ‫كل‬ ‫.ناجملاب‬ ‫لصتا‬ ‫مقرب‬ 注意 : 如果您使用繁體中文, 您可以免費獲得語言援助 服務. 請致電 1-865-541-8000 CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 1-865-541- 8000. 주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. 1-865-541-8000 번으 로 전화해 주십시오. ATTENTION : Si vous parlez français, des services d’aide linguistique vous sont proposés gratuitement. Appelez le 1-865-541-8000. ໂປດຊາບ: ຖ້າວ່າ ທ່ານເວົ້າພາສາ ລາວ, ການບໍລິການຊ່ວຍເຫຼືອດ້ານພາສາ, ໂດຍບໍ່ເສັຽຄ່າ, ແມ່ນມີພ້ອມໃຫ້ທ່ານ. ໂທຣ 1-865-541-8000. ማስታወሻ: የሚናገሩት ቋንቋ ኣማርኛ ከሆነ የትርጉም እር ዳታ ድርጅቶች፣ በነጻ ሊያግዝዎት ተዘጋጀተዋል፡ ወደ ሚከ ተለው ቁጥር ይደውሉ 1-865-541-8000. ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: 1-865-541-8000. સુચના: જો તમે ગુજરાતી બોલતા હો, તો નિ:શુલ્ક ભાષા સહાય સેવાઓ તમારા માટે ઉપલબ્ધ છે. ફોન કરો 1-865-541-8000. 注意事項:日本語を話される場合、無料の言語支援 をご利用いただけます。1-865-541-8000 まで、お電 話にてご連絡ください。 PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 1-865-541-8000 ध्यान दें: यदि आप हिंदी बोलते हैं तो आपके लिए मुफ्त में भाषा सहायता सेवाएं उपलब्ध हैं। 1-865-541-8000 पर कॉल करें। ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните 1-865-541-8000. ‫:هجوت‬ ‫رگا‬ ‫هب‬ ‫نابز‬ ‫یسراف‬ ‫وگتفگ‬ ‫یم‬ ‫،دینک‬ ‫تالیهست‬ ‫ینابز‬ ‫تروصب‬ ‫ناگیار‬ ‫یارب‬ ‫امش‬ ‫مهارف‬ ‫یم‬ ‫.دشاب‬ ‫اب‬ 1-865-541-8000 ‫سامت‬ ‫.دیریگب‬ ICITONDERWA: Nimba uvuga Ikirundi, uzohabwa serivisi zo gufasha mu ndimi, ku buntu. Woterefona 1-865-541-8000. 37 We provide free interpretive services.
  • 38. Your Dollars at Work Children’s Hospital’s chronically-ill high school-aged patients danced the night away at special teen dance in September at The Grande Event Center. More than 120 people enjoyed refreshments, dancing and even a photo booth. One Unforgettable Night was organized by Corey Ozair and Crystal Jacobs. Local celebrities joined in on the celebration, like former WWE star Glenn Jacobs, members of the Lady Vols basketball team, The Voice’s Emily Ann Roberts and country music singer Lawson Bates. One unforgettable night PolicyStatement•TitleVI,CivilRightsActof1964Section504,RehabilitationActof1973•Section1557, AffordableCareAct East Tennessee Children’s Hospital Association, Inc. (“Children’s Hospital”) complies with the provisions of the Civil Rights Act of 1964 and the Rehabilitation Act of 1973, Section 1557 of the Affordable Care Act and all requirements imposed pursuant thereto. No person shall, on the grounds of race, color, national origin, age, sex, gender identity, limited English proficiency, or physical or mental disability, be excluded from participation in, be denied benefits of, or otherwise be subjected to discrimination in the provision of any care or service. Our commitment includes (but is not limited to) the following: 1. Inpatient and outpatient care is provided on a nondiscriminatory basis. All patients receive care without regard to race, color, national origin, age, sex, gender identity, limited English proficiency, or physical or mental disability. 2. All patients are assigned to rooms, floors, and the like without regard to race, color, national origin, age, sex, gender identity, limited English proficiency, or physical or mental disability. 3. Patients will not be asked if they are willing or desire to share a room with a person based on race, color, national origin, age, limited English proficiency, or physical or mental disability. 4. Employees are assigned to patient services without regard to the race, color, national origin, age, sex, gender identity, limited English proficiency, or physical or mental disability of either the patient, parent/guardian or the employee. 5. Staff privileges will not be denied to qualified personnel on the basis of race, color, national origin, age, sex, gender identity, limited English proficiency, or physical or mental disability. 6. All facilities of this institution will be utilized without regard to race, color, national origin, age, sex, gender identity, limited English proficiency, or physical or mental disability. 7. Transfer of patients from the rooms assigned and/or selected will not be made based on race, color or national origin, age, limited English proficiency, or physical or mental disability. Any patient may request to change the room assigned and/or selected provided that the room requested is readily available. 8. We provide free aids and services to people with disabilities to communicate effectively with us, including qualified sign language interpreters. If you need interpretive services, please 38 It’s About Children, Issue 4 • 2016
  • 39. notify any staff member or the Care Coordination department at 865-541-8457. 9. We provide free language services to people whose primary language is not English, such as qualified interpreters and information written in other languages. If you need interpretive services, please notify any staff member or the Care Coordination department at 865-541-8457. 10. The nondiscriminatory policy of the institution applies to patients, parents/guardians, physicians and all responsible employees. Under no circumstances will the application of this policy result in the segregation or resegregation of buildings, wings, floors, or rooms for reasons of race, color, national origin, age, limited English proficiency, or physical or mental disability. Questions/concerns? You may contact our Office of Patient Experi- ence at 865-541-8724 or 865-541-8586. If you still have concerns after speaking with us, you may contact the agencies listed below. If you believe that Children’s Hospital has failed to provide required services or discriminated in another way on the basis of race, color, national origin, age, disability, sex or gender identity, you can file a grievance with the Office of Patient Experience, Children’s Hospital, 2018 Clinch Avenue, Knoxville, TN 37916, 865-541-8724 or fax 865-541-8778 or email at mwynn@etch.com. You can file a grievance in person, by mail, by fax, or by email. You may also contact and/or file a grievance with: The Tennessee Department of Health Office of Civil Rights compliance Bureau of Licensure and Regulation 665 Mainstream Drive, Second Floor Nashville, TN 37243 Office of Civil Rights U.S. Department of Health and Human Services 200 Independence Avenue, SW Room 509F, HHH Building Washington, D.C. 20201 800-868-1019; 800-537-7697 (TDD) This information is provided in compliance with Section 1557 of the Affordable Care Act. 39Donate at www.etch.com/ItsAboutChildren
  • 40. 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 15010 Knoxville,Tennessee 37901-5010 RETURN SERVICE REQUESTED Email ItsAboutChildren@etch.com 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-PROFIT ORGANIZATION U.S.POSTAGE P A I D PERMIT 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 heirs 30% paid in taxes · Take care of heirs · Reduce, redirect or eliminate your taxes · Support those organizations 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, your tax burden can be reduced while helping heal children in your community. Need advice? Let us help by calling 865-541-8567 or email DVarlan@etch.com.