Children’s Hospital offers services to manage JoshuaJohn’s pain for him and other chronic patients. Learn more about our Pain and Palliative Care Service and read our annual report in this issue of It's About Children by East Tennessee Children's Hospital.
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It's About Children - Issue 4, 2015 by East Tennessee Children's Hospital
1.
2. 11
16
7
13
5
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 • 2015
3. 14
4
15 On any given day
Meet Steven Godbold
Pain minimized in this
“Farmer’s” almanac
Read our annual report to learn
the ways we care for children and
their families in the East Tennessee
region.
Children’s Hospital introduced
Steven Godbold as the new
Vice President for Operations.
Rudy McKinley retired after 27
years of service.
Children’s Hospital offers services
to manage JoshuaJohn’s pain.
It’s About Children is a publication
of the Marketing Department at
East Tennessee Children’s Hospital.
Editor: Jessica Boyd
Designer: Deborah Hosterman
Cover photo by Michael Dayah
Connect with us:
www.etch.com/ItsAboutChildren
ItsAboutChildren@etch.com
Spotlight
8
24
18
National Pancake Day
MEDIC blood drive
WIVK/WOKI Radiothon
MAR.
FEB.
FEB.
7 a.m. to 10 p.m.
Participating IHOP 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
(Meschendorf Conference Room)
It’s free.
Call 865-541-8165 for more information.
All blood used at Children’s Hospital is
provided through MEDIC. One donation
can help up to three people. Donors must be
at least 17 years old, weigh more than 110
pounds and have an ID.
6 a.m. to 6 p.m.
Listen live on WIVK 107.7 FM and
NewsTalk 98.7. To donate, log on to
www.etch.com/Radiothon. Money raised goes
toward our Home Health Care program.
3Donate at www.etch.com/ItsAboutChildren
Visit www.ihoppancakeday.com for more
information. All funds raised locally go
directly to Children’s Hospital to help
purchase medical equipment.
4. 4 It’s About Children, Issue 4 • 2015
JoshuaJohn’sfamily
6. PainandPalliativeCareService
atChildren’sHospital
The Pain and Palliative Care Service is for children from
infants to young adults who have acute, complex or chronic
pain or other distressing signs and symptoms from a life-
limiting illness. Children’s Anesthesiologists, PC, Pediatric and
Acute Care Nurse Practitioner Lorna Keeton, the service’s
program coordinator, explained, “We offer individualized
plans of care that revolve around optimizing a patient’s
quality of life and minimizing pain and other distressing
symptoms.”
Prior to the launch of the Pain and Palliative Care Service,
a multi-disciplinary team of Children’s Hospital specialists
had recognized the need for more than post-operative pain
management. Chief of Anesthesia Bob Lembersky, M.D., a
former Children’s Hospital Emergency Department physician,
joined Children’s Anesthesiologists, PC, after returning from
his residency at Children’s Hospital of Chicago. He wanted to
help children suffering from all types of pain and distressing
symptoms. Lembersky and other Children’s Hospital special-
ists, including anesthesiologists William Cox, M.D., and
current Pain and Palliative Care Service Medical Director Oliver
Hoig, M.D., created a program that provided consistency and
continuity for patient families to help with the management
of severe pain, nausea, breathing difficulties and anxiety. The
group wanted this comprehensive care to expand throughout
Five-year-old JoshuaJohn Waldrop is an active,
independent boy who loves to give visitors a tour on his
family’s farm in Rutledge, Tenn.
“He loves to play with the horses and with the chickens,”
his mother Connie said. “He’s just a country boy.”
In October 2014, JoshuaJohn’s parents received news that
changed their son’s active lifestyle. “We learned he had stage
four hepatoblastoma in his liver and lungs,” Connie said.
Since then, his parents and the specialists at East
Tennessee Children’s Hospital have been working to allow
him to live as normally as he can.
Other than being born prematurely at 28 weeks (normal
is 40 weeks), JoshuaJohn, nicknamed “JDub,” had no
problems leading up to his diagnosis. When he started
preschool, though, his teacher asked Connie if her son
looked sick. Connie said she studied JoshuaJohn for the
next few days, and something specific struck her.
“We’d been to a dinosaur exhibit, and he looked up
at it at one point, and I could tell something was wrong,”
she said.
Connie and her husband, Josh, took their son to his
pediatrician, where he tested positive for strep throat.
Additional laboratory results also alerted his pediatrician to
refer them immediately to Children’s Hospital.
After a liver biopsy, JoshuaJohn’s cancer diagnosis was
confirmed, and he started chemotherapy. He and his family
spent the next 47 days at the hospital.
“I was overwhelmed,” Connie said. “I went from a
perfectly healthy child to a really sick child.”
JoshuaJohn needed much more than chemotherapy.
Because of the location of the tumor in his liver, he was in
significant pain and also suffering from nausea as a side
effect from the tumor and chemotherapy. His oncologist,
Susan Spiller, M.D., referred him to Children’s Hospital’s
Pain and Palliative Care Service.
continued from page 5
6 It’s About Children, Issue 4 • 2015
JoshuaJohnandhismom,Connie.
7. the hospital, not just post-surgery. In 2013, they hired Keeton
as program coordinator.
Minimizingtherisk
Many pain medicines used long-term can be harmful to
the developing brain and have undesirable side effects. Pain
and Palliative Care Service provides for integrative therapies
in addition to medications. Through this approach, Keeton
can refer patients for massage therapy, physical therapy, art,
psychology services and use of essential oils. In the future, the
group is also interested in exploring the use of acupuncture.
Lembersky said, “We are working to minimize any
potential developmental or cognitive problems by incorporating
these treatments.”
Workingtogether
Keeton works with families to individualize care for
each patient, utilizing all therapy options through Pain and
Palliative Care Service.
“A lot of the service’s role is education and getting
parents involved,” Keeton said. “Families need the education
to feel empowered and learn how to help their child
themselves.”
Parents and families can help to alleviate their child’s
symptoms by learning massage therapy techniques from the
group’s board-certified massage therapist, Teresa Combs.
They can also incorporate the use of essential oils at home.
7Donate at www.etch.com/ItsAboutChildren
JoshuaJohnandhishorse,JJ’sBooneshineCash.
“Ourjobistobettercoordinateservicesandcaresothat15yearoldsaredoing
what15yearoldsshoulddo,and5yearoldsaredoingwhat5yearoldsshoulddo.”
–LornaKeeton,ProgramCoordinator,PainandPalliativeCareService
8. 8
JoshuaJohn’sjourney
As his pain increased, JoshuaJohn’s parents wanted
him to feel better but were worried about pain medication,
opting for integrated treatment options instead to lessen his
need for medication. “Lorna helped us understand it all,”
Connie said.
Together, Pain and Palliative Care Service, Connie and
Josh created a plan that consisted of frequent massage
therapy and the use of essential oils. Peppermint oil helps
subside his nausea, Connie said. “I can tell a huge difference
in his nausea with the oils.”
Through the course of his treatment, JoshuaJohn had
two major surgeries at Children’s Hospital to remove tumors.
Both times, through Pain and Palliative Care Service, he had
an epidural to minimize his pain. Epidurals use powerful
medicines to provide steady pain relief after surgery.
Connie said the epidurals kept JoshuaJohn completely
comfortable. “I would suggest that to any child’s parent
who has had those surgeries,” she said.
While JoshuaJohn has continued chemotherapy
treatment at home, coming to Children’s Hospital for
scans and lab work weekly, he has also continued his pain
management plan.
“When he first got sick, he was just sitting and reading
books,” Connie said. “He’s into everything again. Lorna has
his pain plan perfect.”
Now, JoshuaJohn can spend time as a 5 year old
should. He is back to playing on the farm with his siblings,
swinging on his swing set and attending his home-school
classes. “Ninety percent of the time, he’s a normal child,”
Connie said. “We do everything we can to make sure
he stays that way.”
Connie and her family are thankful for a hospital so
close to home. “It’s a family atmosphere,” she said.
“Everybody knows JDub.”
It’s About Children, Issue 4 • 2015
JoshuaJohnandhispuppy,Tuff.
9. Many of the services provided by Pain and Palliative Care Service are not reimbursed by insurance companies.
If you would like further information or wish to support the efforts of the Pain and Palliative Care Service with a
donation, please contact Carlton Long, Vice President for Development and Community Services, at 865-541-8172,
or visit www.etch.com/giving.
9Donate at www.etch.com/ItsAboutChildren
JoshuaJohnwithhissisters,KoltandKail.
10. JoshuaJohn
meetshishero
In May 2015, the Waldrops received an
unexpected phone call.
“Alan Jackson’s personal assistant called us
and said that Alan Jackson wanted to meet
JoshuaJohn,” Connie said.
JoshuaJohn loves Jackson’s version of “I’ll Fly
Away,” and Connie had recently posted a video of
JoshuaJohn singing it on Facebook. The video got
attention and eventually made its way to Jackson.
“He flew us from Knoxville to Nashville,” she
said. The family spent the weekend in Nashville,
Tenn., visiting the Country Music Hall of Fame and
staying in the Omni Hotel next to the museum.
“We spent the whole day with Alan Jackson and
his wife and his personal assistant,” she said.
Over the weekend, they rode in Jackson’s
airplane and took a limo around town, and Jackson
even presented JoshuaJohn with an autographed
guitar.
After such a special weekend, Connie said
JoshuaJohn considers Jackson not just a hero but
his friend.
10 It’s About Children, Issue 4 • 2015
AlanJacksonpresentsasignedguitartoJoshuaJohnwhileinNashville.
11. Children’sHospital
PediatricAnesthesiology
A critically important part of any surgery is managing
your child’s anesthesia. Compared to adults, children
respond differently to anesthesia. Physiologically, their
respiratory and heart rates are different, and anatomically,
their airways are different.
Parents don’t routinely choose their child’s anesthesiologist,
but as a parent, you can choose the hospital where the
anesthesiologist and the entire surgical team are most
prepared to care for your child. At Children’s Hospital, the
anesthesia team spends each day caring only for infants,
children and adolescents.
Surgical patients at Children’s Hospital have many
different needs, from ear tubes and tonsillectomies to
emergencies like appendectomies and broken bones. Major
operations, such as brain surgeries and spinal fusions,
happen at Children’s Hospital almost every day, and the
pediatric anesthesia team is part of every case. At Children’s
Hospital, every anesthesia dose is carefully measured for
each child based on several variables.
Even before a surgical procedure, toddlers and teens
may become anxious. Pediatric anesthesiologists at
Children’s Hospital quickly build trust with each child to
lessen that anxiety. It is because of their specialized training
that they know how to meet the unique health care needs
of young patients.
There are more than 20 nurse anesthetists, one nurse
practitioner and eight pediatric anesthesiologists at
Children’s Hospital specially trained in pediatric anesthesia
to care for your child.
11Donate at www.etch.com/ItsAboutChildren
13. In April 2015, board-certified therapeutic massage
therapist Teresa Combs joined the East Tennessee
Children’s Hospital Pain and Palliative Care Service to
provide a unique approach to pain management.
Combs works two afternoons per week seeing up
to 10 patients per day who have been referred to Pain
and Palliative Care Service. Patients benefitting from
massage therapy include Neonatal Intensive Care Unit
(NICU) patients, Hematology/Oncology patients, post-
operative patients and many others in need of pain and
stress relief who are interested in integrated methods
of care.
Combs has been certified in massage therapy since
2002, and she is trained in many types of massage
techniques, including NICU therapy, Cranio-Sacral therapy
and Reiki – a type of energy massage.
Massage therapy helps patients alleviate pain and
stress by increasing blood flow to the muscles and
improving muscle tone. Massage therapy is also used as
a distraction from pain. Combs’ has unique, child-friendly
ways to involve patients in the process, too.
“For some children, I ‘make a pizza on their back,’”
Combs explained.
As she pretends to “roll out the dough” and “add
sauce,” she is using particular massage techniques while
explaining to patients how it is helping and what they are
feeling as she works. She even provides “toppings” of the
child’s choice to help complete the story.
Massage can be for the entire body or limited to
certain body parts based on the child’s medical condition.
Massage of the feet and legs help to introduce a child
to massage. For infants, massage can provide increased
weight gain, better sleep, improved breathing patterns and
lower levels of stress hormones.
“Sometimes babies receiving regular massage are out
of the hospital earlier than those who are not receiving
regular massage therapy,” she said.
Combs and the Pain and Palliative Care Service want
to help parents and other family members of patients
continue to provide therapeutic touch and other massage
techniques at home for their child.
Combs spends time with interested family members
educating them. Pending additional funding, Combs hopes
to have the opportunity to spend more time at the bedside
encouraging and helping parents feel more comfortable to
offer infant massage and provide another way to positively
bond with their baby.
“Education is a big goal,” she said.
MassagetherapyforPainandPalliativeCare
NursePractitionerLornaKeetontalkswith
Madeline“Gigi”Keeneyaboutessentialoils.
13Donate at www.etch.com/ItsAboutChildren
14. 14 It’s About Children, Issue 4 • 2015
Meet Steven Godbold
In September, East Tennessee Children’s Hospital
welcomed Steven Godbold as its new Vice President for
Operations. Godbold replaced Rudy McKinley, who retired
after more than 27 years of service to Children’s Hospital.
Godbold served as CEO of Niswonger Children’s
Hospital in Johnson City, Tenn., for five years prior to joining
administration at Children’s Hospital. He has been working
in pediatric health care since 2000.
Godbold will oversee multiple departments including
Respiratory Care, Security, Laboratory, Neurology Lab,
Sleep Medicine Center, Food and Nutrition Services,
Environmental Services, Materials Management, Lean
Process, Information Systems, Radiology, Pharmacy and
Engineering.
“I am 100 percent invested in pediatric health care and
advancing the care of children in our community,” Godbold
said. “When you see sick children in the hospital, it makes
News
you want to go home and hug and kiss your own.
Looking at my two young daughters now makes me
want to work that much harder to create a system where
no child falls through the cracks when it comes to health
and well-being.”
President and CEO Keith Goodwin said Godbold’s
drive and passion to care for children and families helped
him rise to the top of the list of qualified candidates for the
job. He added, “We are thrilled that Steven has joined East
Tennessee Children’s Hospital. His experience, coupled with
knowledge of East Tennessee, makes him a perfect fit with
our leadership team.”
Godbold and his wife, Meredith, have two daughters,
9-year-old Sarah Morgan and 7-year-old Eliza.
Vice President for Operations Steven Godbold, left, with Director
of Security Steve Bohanan, right.
16. Harley Yacko, 1 year,
her mother Jaclyn Hayashi
and Keith Goodwin
16 It’s About Children, Issue 4 • 2015
17. 17Donate at www.etch.com/ItsAboutChildren
On any given day at East Tennessee Children’s
Hospital, our staff members and volunteers give the
best possible care and attention to children from
across our region. From play therapy to child-friendly
equipment, Children’s Hospital is the only medical
center in the region organized to provide family-
centered care.
A day at Children’s Hospital for a patient and
his or her family may include visits from a Child
Life specialist, arts and crafts with our team of
dedicated volunteers and sessions with a wide
variety of pediatric specialists as part of his or her
individualized care plan. For Harley Yacko and her
mom Jaclyn Hayashi, positive interactions and time
to play are part of the healing process.
The dedication of our diverse team to our patients
and families is evident in their commitment to their
work here each day. From Radiology to Children’s
Hospital’s senior leadership, our staff members
continue to learn new skills and adapt to new
technologies for the betterment of our patients.
While the numbers in this report are essential to
understanding our commitment to our community,
they do not tell the whole story. Our success is in the
everyday. It is in every moment a child smiles, laughs
and feels safe in our care. We are honored to provide
this care to your children.
Keith Goodwin, President and CEO
19. 104,305
patient
meals
33
Starlight
video game
systems
387
transports in
Lifeline, our critical
care ambulance
2,563
toy cars distributed
to future race
car drivers
300
active
volunteers
460
rehabilitation
sessions in
the pool
1,420
breathing
treatments
2,671
dolls distributed
to little
princesses
3,470
electro-
cardiograms
6,257
therapy dog
visits
428
doctors
647
nurses
33
pediatric
specialties
Noah Reichert, 6, and Genevieve Dorris, R.N.
152
beds
Inside Children’s Hospital
19Donate at www.etch.com/ItsAboutChildren
Every day, hundreds of specialists wake up to care for our region’s children.
Here is a look at what we did this year.
21. 21Donate at www.etch.com/ItsAboutChildren
highlights
This report highlights our 2015 fiscal year—July 1, 2014, to June 30, 2015.
Serenity Brooks, 1 year,
and Chelsea Ameen, R.N.
Employee honors
Volunteer Services Director Cheryl Allmon was named a Health
Care Hero by the Greater Knoxville Business Journal.
Second-floor Health Unit Coordinator Denise Hall was named the Certified
Health Unit Coordinator of the Year from the National Association
of Health Unit Coordinators, Inc.
Recognized by Press
Ganey as a Workplace of
Distinction for sustaining 90th-
percentile satisfaction on our employee
engagement survey. Received the
Guardian of Excellence award from
Press Ganey for achieving 95th
percentile or higher on
employee engagement survey.
Received the Press
Ganey Pinnacle of Excellence
Award, which honors the top
performing organizations on the
basis of extraordinary achievement
and consistently high levels of
excellence between
Jan. 2013-2015.
Recognized by
the Solutions for Patient
Safety National Network as one
of the top children’s hospitals
out of more than 96 in the network
for quality care and improving
patient outcomes.
Launched
telemedicine to
reach patients in the
Morristown area.
Recognized by
Interactive Health as being
one of the 67 healthiest
companies in America for the
third year in a row. Children’s
Hospital is the only pediatric
hospital and only company in
Tennessee included.
Laboratory officially
became College of
American Pathologists
(CAP) accredited
in May 2015.
22. Samari Tyler, 8, with
Brenda Hendry, R.N.
Every day, your child
is our priority.
From sneezes and sniffles to chronic conditions,
our staff members are dedicated to addressing all
of your child’s health needs. On any given day, we
may treat children from down the block or across
the country. No matter where your family is from,
you’ll be treated like you’re at home.
22 It’s About Children, Issue 4 • 2015
23. patient population
71,974 unique patients • 144,783 patient visits
23Donate at www.etch.com/ItsAboutChildren
Primary Service Area
836 patient visits
other states
1,812
Scott
3,594
Campbell
2,075
Claiborne
2,624
Union
2,177
Grainger
4,478
Jefferson68,244
Knox
6,972
Anderson
1,913
Morgan
3,312
Roane
4,327
Loudon
3,554
Monroe
12,568
Blount
10,765
Sevier
2,028
Cocke
3,570 Hamblen
142,332 patient visits
Tennessee
547 patient visits
Virginia
1,068 patient visits
Kentucky
24. Stephanie and Addison HeltonHome Health visits 32,883
Rehabilitation visits 12,239
Subspecialties:
Adolescent gynecology
Adolescent medicine
Developmental-behavioral pediatrics
Neonatal intensive care
Pediatrics
Pediatric allergy and immunology
Pediatric anesthesiology
Pediatric cardiology
Pediatric dentistry and pedodontics
Pediatric dermatology
Pediatric emergency medicine
Pediatric endocrinology
Pediatric forensic medicine
Pediatric gastroenterology
Pediatric hematology and oncology
Pediatric infectious diseases
Pediatric critical care
Pediatric nephrology
Pediatric neurology
Pediatric neurosurgery
Pediatric ophthalmology
Pediatric orthopedics
Pediatric otolaryngology
Pediatric pulmonology
Pediatric radiology
Pediatric reconstructive surgery
Pediatric sedation
Pediatric sleep medicine
Pediatric sports medicine
Pediatric surgery
Pediatric urology
Perinatology
Physical medicine, rehabilitation and physiatry
outpatient statistics
Hematology/oncology 3,396
Diabetes 2,933
Cystic fibrosis 553
Infectious disease 298
Rheumatology 284
Weight management 270
Cleft lip and palate 120
Dermatology 125
Gynecology 106
Hematology/oncology 3,396
Multi-disciplinary
clinic visits
24 It’s About Children, Issue 4 • 2015
26. clinical stats
845
transports
272
babies treated
for drug dependency
9,959
surgeries
870
sleep studies
436,215
lab tests
5,569
CT scans
2,874 MRIs
49,708 X-rays
2,422 chemotherapy
treatments
Pediatric
Ophthalmologist
Gary Gitschlag, M.D.,
and 8-year-old
McClain Hardin
26 It’s About Children, Issue 4 • 2015
27. Services
21,848
visits with patients
by Child Life
specialists
17,673
sessions of therapeutic
play, distraction, medical
play and preparations
for procedures
3,095
family and sibling
supportive
interactions
27,984
hours of social work services for 4,062 families
14,997
hours of interpretations for 13,853
families in 28 languages
Top three languages interpreted:
Spanish, Burmese, Kirundi
8,040
hospital rounds by our
security officers
87,600
nightly family passes issued by security
3,328
hours of family support by chaplains
27Donate at www.etch.com/ItsAboutChildren
28. Tiffany Smith, Child Life specialist,
and 7-year-old Sophia Reichert
Every day, our care
extends beyond
the bedside.
We build our individualized care plans around
your whole family. Our social workers, chaplains,
interpretive services and Child Life specialists
work together to give you and your family emotional
support and help with logistics. On any given day,
you can focus on your child. We’ll take care of the rest.
Child Life is only
at Children’s Hospital.
28 It’s About Children, Issue 4 • 2015
29. On any given day:
Child Life
Often when Tiffany Smith arrives at Children’s Hospital at 8 a.m., she does not know what
to expect for her workday. As a Child Life specialist on the inpatient surgery floor and Pediatric
Intensive Care Unit (PICU), Smith is responsible for working with other caregivers to create
individualized plans to address each of her patient’s needs. For a patient having a procedure,
this plan may include using her surgery prep book to explain to him where he will go, where his
parent or guardian will be and what will happen - all in child-friendly terms. When a patient
needs an IV, Smith may use toys, activities or deep breathing to distract him from the process.
“We are there to help patients cope and support them through any procedure,” Smith said.
“We advocate for the things that make patients comfortable during something like an IV, like
how they will sit, where their parents will stand and what coping methods they need.”
The first part of Smith’s day includes reviewing the list of patients under her watch and
visiting them to determine what they will need that day. “Patients who are new to the hospital
may need entirely different interventions than patients with chronic conditions who have been
with us for a long time,” she said. “We collaborate with patients, families and the health care
team to assess the need for Child Life.”
Child Life specialists also provide support to siblings by including them in explanations of
what to expect and distracting games and activities. This focus on family-centered care allows
anxiety surrounding the hospital visit to be relieved for the rest of the family, too.
Throughout her day, Smith relies on play-based therapy methods. “Children play. It’s what
they do, what they know and how they learn,” she said. “Sometimes we play with baby dolls to
show them what IVs or bandages will look like. Sometimes we play without a specific goal to
allow them to feel safe and share what they’re feeling. There’s so much you can learn from a
child through play.”
During follow-ups with patients who have previously had surgery, Smith provides guidance
on what they can do to heal and recover. She may detail what the playroom has to offer and
encourage them to walk there - which gets them moving - or use painting or drawing to help
them sit up in a chair. Her efforts are coordinated with the health care team’s goals for the
patient.
Before she leaves, Smith documents her day’s work for the evening Child Life specialist.
In the morning, she will take the specialist’s notes into consideration as she plans the interven-
tions and activities for the day. In a job that requires the constant reassessment of the needs of
her patients and their families and coordination with other clinical team members, Smith has
learned to rely on only one thing every day: change.
29Donate at www.etch.com/ItsAboutChildren
30. $
6,135,788
in community benefit
These are programs and services designed
to improve health in communities and
increase access to health care.They’re
integral to the mission of Children’s Hospital.
$
2,895,597
Community Benefit programs
$
2,170,517
Education of medical students,
residents and health
professionals
Every day, we care
for our community.
We are proud to work with partners to positively
impact children’s health and safety through programs
aimed at creating a healthier community. Through
injury and obesity prevention programs, CPR and AED
training, asthma screenings and other wellness
initiatives, we continue to help address the needs of
communities in East Tennessee.
$
242,804
Research
$
826,870
Charity care
30 It’s About Children, Issue 4 • 2015
32. 4
MEDIC blood drives
22
health fairs and presentations
$
140,269
given to community partner
organizations that promote the
health and well-being of children
and economic development
Community
Outreach
32 It’s About Children, Issue 4 • 2015
Children’s Hospital’s Childhood Obesity Coalition
hosts the Grub Club weekly throughout the year at
the New Harvest Park Farmer’s Market. Local schools
bring students to learn from the Coalition’s gardener,
Jennifer Baldy, at right.
33. Wellness
16,560
children involved in activities and
programs to improve nutrition and
commitment to physical activity
10
school nurses
funded in 13
Title 1 Knox County
elementary schools
1,009
people screened for asthma,
95 percent of which were children and
232 of which had an abnormal screening
without a known history of asthma
Training
17,728
participants in injury prevention
education programs
572
individuals
trained to
administer
CPR in schools
76
AED heart-safe
drills conducted
Injury Prevention
1,871
helmets
distributed
417
car seats
distributed
and installed
correctly
68
car seat inspection
events conducted
Project ADAM
79
automated external defibrillators
(AEDs) placed in schools
74
schools certified
as ready to
respond to
sudden cardiac arrests
115,289
students served by
Project ADAM programs
33Donate at www.etch.com/ItsAboutChildren
34. As part of our commitment to our community, we are
proud to host the Project SEARCH program. Project
SEARCH provides skills training and workplace
internships for individuals with significant disabilities,
particularly youth transitioning from high school to
adult life. Project SEARCH participants at Children’s
Hospital work in a variety of areas to learn skills like
stocking shelves and changing linens. They also learn
life skills that can be applied outside of work. Through
Project SEARCH, we hope to make a difference in
the lives of youth and adults with special needs even
after they leave our facility.
Project SEARCH intern Sarah French and
patient care assistant Pamela McLean
Every day, our staff
strives for excellence.
Caring for your child is a privilege, and our
staff members must have the proper expertise and
experience to deserve this honor. We invest in training
our doctors, nurses and other clinical staff members
so your child can receive the best care possible. On
any given day, continuing education of our providers
can make the difference in your child’s care.
34 It’s About Children, Issue 4 • 2015
35. 9 years, 7 months
is the average tenure of a
Children’s Hospital employee
12,960
new applicants for open positions
Employee stats
Environmental Services staff member
Melissa Hopson
35Donate at www.etch.com/ItsAboutChildren
Success at Work
Success at Work (SAW) offers for frontline/
entry-level employees the chance to prepare for
continuing education, job advancement,
professional and personal growth and career
planning.
Employee wellness
Employee Health and Wellness offers annual
wellness screenings. The most recent screenings
included 1,114 employee and 489 spouse
participants. Seventy-nine percent of participants
met their health goals and were in the low-risk
category – compared to the 64 percent average
of other participating companies.
Children’s Hospital wellness screenings
resulted in the early diagnosis of serious health
conditions in 34 participants. Participants also
experienced nearly 478 health improvements
related to blood pressure, cholesterol and blood
sugar.
14 participants completed program
2 completed leadership training
1 promoted to shift supervisor
37. 80
medical fellows,
residents and students
861
undergraduate
students
100
students in other health
care positions such as
respiratory therapists
and emergency medical
technicians
2,476
continuing medical
education participants
1,161
continuing nursing
education participants
1,193
trainees in our pediatric
simulation center
Educational
opportunities
David Moritz, respiratory therapist, instructs
neonatal intensive care unit (NICU) nurses at a
neonatal resuscitation course in the Simulation Center.
37Donate at www.etch.com/ItsAboutChildren
38. Denise Majors, R.N., likens her job to air traffic control. As the shift
leader in the Surgery Department, Majors is in charge of making sure the
scheduled surgeries run smoothly and that all patients are transported to
the right places at the right times.
With 14 years at Children’s Hospital under her belt, Majors is able to easily
navigate this complex position. Each day includes a wide variety of surgeries,
and Majors and her team set up the operating suites for all procedures, which
includes preparing all the instruments the surgeons need.
After all, Majors knows it’s more than efficiency. Whether it’s a routine
tonsillectomy or a lengthy neurology procedure, she and her team are aware
there is a nervous parent or loved one waiting on the floor for their child.
Her day begins at 5 a.m.; she reviews the day’s scheduled surgeries, gives
assignments to her nursing and scrub tech teams and assigns transporters
to retrieve patients from the Outpatient Surgery Department and bring them
to Surgery.
When surgeries begin at 7 a.m., Majors monitors the nine operating
rooms, two endoscopy suites and one bronchoscopy suite on the floor, keeping
track of which patients are where, what surgeries are happening and which
patients will be heading to the floor next.
“I keep an eye on all the rooms so I can be prepared,” she said. “I know
approximately how long procedures will take, so I can alert our transporter to
get the next patient when the doctors are almost finished.”
By keeping the patients moving from waiting to surgery to recovery, Majors
allows the surgeons to speak with families in between procedures without
worrying about the logistics of patient transport. “I handle any questions the
surgeons may have about patients and the flow of the day,” she explained. “If
I have to move any procedures to other operating suites, I let the entire team
of doctors, anesthesia staff and my team know so we all can be prepared.”
As her day ends at 3 p.m., Majors waits for the height of the activity on
the floor to dissipate before she heads home. All surgeries have usually been
completed by this time, and Majors was essential in making sure they ran on
schedule. She won’t leave until, she said with a laugh, “all the planes have
landed.”
On any given day:
Surgery
38 It’s About Children, Issue 4 • 2015
39. Denise Majors, R.N., and
17-year-old Blythe Gulley
39Donate at www.etch.com/ItsAboutChildren
40. Your generosity allows us to treat all children
regardless of financial situation and provide the
most up-to-date, child-friendly equipment available.
The support of donors like you has led to our 245,000
square-foot expansion, which will be completed in
2016.
The new space will include 44 Neonatal Intensive
Care Unit (NICU) rooms to address the growing need
for private spaces for babies to heal in their first
days of life. The building will also be home to new
operating rooms and expand services for children
with chronic conditions like cystic fibrosis and
diabetes.
In addition to our donors, we rely on the
dedication of our team of volunteers. From cleaning
playrooms to singing to patients in the waiting room,
these men and women allow our staff to focus on
providing the best care possible to our patients.
On any given day, the children of our community
benefit from your donations, our volunteers’ time and
the commitment this region has to healing the most
vulnerable of all of us.
Your generosity allows us to treat all children
Every day,
we are grateful
for our
community’s
support.
40 It’s About Children, Issue 4 • 2015
41. $8,043,191
in donations toward our
hospital expansion
$4,076,210
in other annual donations
5,746
donors
$0.08
the cost to raise a dollar
Donors
41Donate at www.etch.com/ItsAboutChildren
42. 42 It’s About Children, Issue 4 • 2015
22,618
visits with patients
by volunteers
6,229
hours cuddlers spent
holding babies born drug
dependent in the NICU
54,879
volunteer hours, which
is a cost savings of more
than $1 million
$48,000
raised by volunteers who
parked cars on game
days, all of which was
donated to the hospital
expansion
22,618
Volunteers
43. Volunteers Tyrone Beach and
Kaitlyn Dowling with
3-year-old Jaden Angel
43Donate at www.etch.com/ItsAboutChildren
45. 45Donate at www.etch.com/ItsAboutChildren
On any given day at Children’s Hospital, we strive to provide family-centered
care, wellness and education to our region’s children. Our accreditations in cystic
fibrosis, cleft palate, sleep medicine and diabetes care, child-sized equipment and
expertise in pediatric care mean you never have to look beyond East Tennessee for
your child’s health care needs.
With the support of our donors and community, we’ve created a friendly, safe
space for children to heal. As we expand to meet the growing needs of our region,
we remain focused on why we’re here on any given day: the children who need us.
Board of Directors
Dee Haslam, Board Chairman
Larry B. Martin, Board Vice Chairman
Steven D. Harb, Board Secretary/Treasurer
John Q. Buchheit, M.D., Member at Large
Andrea Anne White, Member at Large
Cathy Ackermann
Scott W. Brice
Jim Clayton
Randall L. Gibson
Keith D. Goodwin
Lewis W. Harris, M.D.
R. Gale Huneycutt, Jr.
A. David Martin
Christopher A. Miller, M.D.
David A. Nickels, M.D.
Laura Palenkas
Barbara Summers, M.D.
Kim Wood
Board Chairmen Emeritus
James. S. Bush
William G. Byrd
Donald H. Parnell
Dennis B. Ragsdale
Senior Leadership
President/CEO: Keith Goodwin
Vice President for Legal Services: Bruce Anderson
Vice President for Medical Services: Joe Childs, M.D.
Vice President for Patient Care: Hella Ewing
Vice President for Operations: Steven Godbold
Vice President for Finance: Zane Goodrich
Vice President for Development and
Community Services: Carlton Long
Vice President for Human Resources: Sue Wilburn
Chief Quality Officer: Jeanann Pardue, M.D.
Chief Clinical Officer: Lise Christensen, M.D.
Medical Staff Officers
Chief of Staff: Barbara Summers, M.D.
Vice Chief of Staff: Cameron Sears, M.D.
Secretary: Carlos Angel, M.D.
Chief of Medicine: Ryan Redman, M.D.
Chief of Surgery: Glaze Vaughan, M.D.
Department of Medicine: Kevin Brinkmann, M.D.
Department of Surgery: Bob Lembersky, M.D.
46. Your Dollars at Work
46 It’s About Children, Issue 4 • 2015
continued on page 48
Smokin’Up theValley
Spinning tires, revving motors and loud cheers
filled the air at the 1-75 Raceway in Niota, Tenn.,
in September, all to raise funds for East Tennessee
Children’s Hospital.
Every fall for the past five years, Whitney and
Josh Watson of Sweetwater organize the all-day truck
pull and dyno day called Smokin’ Up the Valley.
Typically around 3,000 people attend, either as
participants or just to watch, as pick-up trucks are
cleaned up for the “Show ‘N Shine,” compete in dirt
drag races and join in for the sled pull. Annually,
about 100 people enter their trucks in the day’s
competitions, and prior to this year’s event, Smokin’
Up the Valley has raised more than $63,000.
This year’s event was the most successful yet,
with 3,500 people in attendance, raising $30,704.
The Watsons have organized Smokin’ Up the
Valley for several years, but in 2010, they had the
idea to donate proceeds to Children’s Hospital, an
organization close to their hearts.
“We decided we didn’t want to make a profit on
this event,” Whitney said. “We wanted to give back.”
The Watson’s son, 11-year-old Jabe, spent the first
four days of his life in Children’s Hospital’s Neonatal
Intensive Care Unit (NICU). “He had breathing issues
and a heart murmur they were monitoring,” Whitney
said. “He did really well and has no problems now.”
Three years later, the Watsons were back with
their daughter, now 8-year-old Kate. “When I was
pregnant, doctors found a cystic hygroma on her
neck,” Whitney said. “Typically that signifies a
chromosome defect. When she was born, she was
diagnosed with down syndrome.”
Kate is monitored for her heart, eyes and
breathing. She has been a patient in cardiology,
otolaryngology, physiatry and rehabilitation at
Children’s Hospital.
47. Visit www.etch.com to see more photos
from the 2015 Smokin’ Up the Valley.
47Donate at www.etch.com/ItsAboutChildren
48. Your Dollars at Work
Now, Kate does therapy at school and has regular
appointments with Children’s Hospital pediatric
physiatrist Nadine Trainer, M.D.
“Everything is working really well for her,” she said.
Whitney said they are thankful for a Children’s
Hospital that is so close to their home.
“Children’s Hospital is 45 minutes away, and it’s nice
to have doctors that specialize in children so close.”
“We’ve had many doctors through Children’s
Hospital we’ve had to see,” Whitney said. “We’re very
appreciative of all the doctors we have.”
It’s important to Whitney and Josh that their
children are treated like children. “That’s what they see
all day is kids,” Whitney said of Children’s Hospital’s
specialists. “That’s just really comforting to me.”
Now, the Watson children are active and healthy.
“My son is now the picture of health, and our little
girl is doing great.”
Originally, the possibility of heart surgery loomed
for Kate, and while physicians monitor her atrial septal
defect (ASD), no surgery is required.
“Considering all of the things we were told when
she was born, we have been very blessed.”
48 It’s About Children, Issue 4 • 2015
Smokin’ Up the Valley event organizers presented a check from this year’s
proceeds to Children’s Hospital. First row, from left, are Gavin Selvage,
Jabe Watson and Kate Watson. Second row, from left, are Smokin’ Up the
Valley Master of Ceremonies Tim Selvage, event organizers Whitney and
Josh Watson, and Children’s Hospital’s Vice President for Development and
Community Services Carlton Long.
49. Annually, the Robert M. Goodfriend Family Award
is presented at the East Tennessee Children’s Hospital
donor dinner. The award is given to an individual,
family, foundation or business whose support has been
both generous and sustained throughout the years.
The 2015 award recipient is the Haslam family of
Knoxville.
The Haslam family has been involved at Children’s
Hospital since 1963, when Jim Haslam joined the Board of
Directors. Since then, the family’s three generations have
been an active participant in the hospital’s operations.
They have financially supported the hospital by
donating close to $5 million in support of multiple projects,
building campaigns and events.
In 2005, a generous gift from the Haslams provided
a state-of-the-art Neonatal Intensive Care Unit (NICU)
which was named in their honor. The family has supported
the most recent expansion, as the new NICU with 44 private
rooms will also bear their name.
Currently, Dee Haslam is serving as Chairman of the
Board of Directors. She and her husband Jimmy, son of
Jim, were instrumental in raising generous funds for the
current expansion, assisting Children’s Hospital in raising
more than $15 million.
The third generation of the family is now helping
make philanthropic decisions for the family and their
corporation. Most recently, they donated $140,000 to the
Children’s Hospital Safe Travels program, which enabled
the Injury Prevention program to supply car seats and
booster seats to children in East Tennessee.
See a complete list of donors at the donor dinner by
visiting www.etch.com/giving.
Generous giving
49Donate at www.etch.com/ItsAboutChildren
Bottom row, from left, are Jim and Natalie Haslam, Ann Bailey, Robert and Wendy Goodfriend and Steve Bailey.
Top row, from left, are Hannah Haslam, David and Annie Colquitt and Matt and Leigh Avery.
50. Your Dollars at Work
Making schools heart safe
On a Tuesday in September, Alcoa High School
sophomore Austin Atchley fell to the ground during
gym class. Atchley is actually quite healthy. He was
participating in a first-response drill for Project ADAM
Tennessee, a national program led locally by East
Tennessee Children’s Hospital, and his role in the drill
was to be a victim of cardiac arrest.
Annually, about 1,000 children and teens suffer from
sudden cardiac arrest, and deaths due to cardiac arrest
could have been prevented with the use of an automated
external defibrillator (AED).
Children’s Hospital provides schools with
information, materials, training and support in the
management of AEDs in area schools. Children’s
Hospital’s Project ADAM Coordinator Karen Smith
helps schools coordinate and train emergency response
teams and assists with practice drills. Team members
and school staffs are offered CPR and AED training to
learn the signs of sudden cardiac arrest.
Atchley was assisting with a drill to train Alcoa
High School’s first-response team as well as local first
responders. At the drill, Austin was playing badminton
in physical education class when he pretended to fall to
the ground, as if suffering from cardiac arrest. P.E. teacher
Hank Snyder responded first by calling 911 and then
alerting the school’s first-response team.
The school’s first-response team rushed to the gym
and resorted to an alternate plan after an AED didn’t
arrive. Snyder requested a student to retrieve an AED
from its location in the hallway, and from there, the team
took turns administering CPR to a mannequin lying next
to Atchley.
Atchley was impressed by the response of his school’s
staff. “It’s cool to see what they’ll do to save your life,” he
said. “It’s nice to know there’s someone in school to help.”
Though staff was warned, Smith said it was important
to make the drill seem as real as possible. “It’s meaningful
to have a victim rather than just a mannequin,” she
explained.
Smith said drills are important in helping school’s
first response teams feel comfortable. By training
teams, staff will be confident they know how best to
respond if a cardiac event does occur.
Project ADAM isn’t just for students. “It’s for the
community, staff, visitors, everyone,” Smith explained.
“Schools are the heart of the community.”
Project ADAM Tennessee’s goal for the 2015-16
school year is for all public schools in East Tennessee to
have one or more AEDs on their campuses. Smith will
continue to work with schools on maintaining CPR and
AED training as well as maintenance of effective response
programs.
Since 2011, Children’s Hospital and Project ADAM
Tennessee have helped place 195 AEDs in East Tennessee
schools.
50 It’s About Children, Issue 4 • 2015
Donate to Children’s
Hospital’s Project
ADAM Tennessee
program at
www.etch.com/giving.
“There is a 70 percent survival
rate when a trained team is
in place, and they have a
practiced plan.” – Karen Smith,
Project ADAM Coordinator
51. 51Donate at www.etch.com/ItsAboutChildren
Student Austin Atchley, left, pretends to be a victim during a Project ADAM drill
at Alcoa High School while Project ADAM Coordinator Karen Smith, back, coaches
the first-response team as they administer CPR to a mannequin.
52. 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
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