The document is the 2017-2018 annual report for East Tennessee Children's Hospital. It includes stories about patients like Audrey, who has been cancer-free for 10 years, and information about the hospital's services. The hospital provides comprehensive care through multiple clinics and specialists, and also focuses on family-centered care through services like child life, social work, and their facility dog. The hospital's reach extends across 16 counties in Tennessee as well as parts of Kentucky and Virginia through outpatient clinics, home health, and rehabilitation services.
2. 26
16
30
27
Safe Sitter class for
children ages 11 to 14
JAN.
FEB.
MAR.
APR.
9 a.m. to 3 p.m.
Children’s Hospital’s
Koppel Plaza Building
Class costs $
26.
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 | 2017-2018 Annual Report
3. 10
30
4
34 Family Changes
Annual Report
It Takes a Village
Meet Audrey
2017-2018 retirements, new recruits,
and in memoriam.
See how Children’s is more than
a hospital.
Eli has the most severe case of
spina bifida ever recorded. But
that doesn’t slow him down.
Audrey has been cancer-free for
10 years. Her mother, Krista, shares
their story.
It’s About Children is a publication
of the Marketing Department at
East Tennessee Children’s Hospital.
Editor: Leandra Wilkins
Designer: Deborah Hosterman
Cover photo by Neil Crosby
Connect with us:
www.etch.com/ItsAboutChildren
ItsAboutChildren@etch.com
Spotlight
28
8
25
13
12
9
CPR class for parents and
teens age 14 and older
Car seat inspections
JAN.
JAN.
MAR.
MAY
FEB.
MAR.
6 p.m. to 10 p.m.
Children’s Hospital’s
Koppel Plaza Building
Class costs $
26.
Log on to www.etch.com/healthykids
to register. Learn CPR so you can
respond to emergencies in your
home.
10 a.m. to 1 p.m.
Knoxville Police Department
It’s free.
You don’t have to register to attend.
We’ll teach you everything you need to
know to make sure your car seat is used
and installed correctly. For information
on other car seat inspections in the region,
visit www.sittingsafer.com.
2017-2018 Annual Report | 3
4. Krista and daughter,
Audrey, take their
role as childhood
cancer advocates
very seriously.
4 | 2017-2018 Annual Report
5. Hello neighbor,
Allow me to introduce myself. I’m Audrey’s mom.
That’s a title I take very seriously, because ten years ago, I didn’t
know how long I’d get to use it.
Audrey was diagnosed with Stage 4 Neuroblastoma when she was
11 months old. Neuroblastoma is a type of cancer that starts with solid
tumors in the abdomen. From there, the cancer spreads quickly and
aggressively. At the time of her diagnosis, Audrey had tumors in her
abdomen, her spinal fluid, along both sides of her spinal column, and
even a few lesions on her skull. She was literally being eaten alive
by cancer.
Audrey is my first-born. She is the reason I am mommy and not just
Krista. The realization that she could be so sick shook me to my core.
Neuroblastoma is a major battle in a terrifying war. So, like any general
facing an enemy army, I turned to my strategists. I looked for the
experts, and I found them at East Tennessee Children’s Hospital.
Cancer is a very scary word, and it tends to be accompanied by even
bigger, scarier words. Biopsy. Chemotherapy. Metaiodobenzylguanidine.
The doctors at East Tennessee Children’s Hospital took all these big,
scary words and made them digestible for me and my husband. They
helped me realize that there was a survival rate, and that Audrey
was going to get there.
Audrey
MEET
10 years cancer-free
continued on page 6
2017-2018 Annual Report | 5
6. Over time, East Tennessee Children’s Hospital
became like a second home to us. Audrey’s
oncologist, Dr. Shahid Malik, and the nurses and
staff throughout the hospital made our time there
more than an existence – they gave us life. They
listened when I voiced my concerns. They modified
our treatment plan to fit our family. They celebrated
treatment milestones with us. We felt more than
doctor-patient care; we felt love. And that truly
impacted the recovery process.
Audrey has been off treatment for 10 years. Out of
the 13 families with whom we started our journey,
Audrey is one of only two children who survived.
And survivor is a title she takes very seriously.
Audrey has made a lot of friends at East
Tennessee Children’s Hospital, and she decided
at a very young age that she would do anything
to help them. She is a spokesperson for the
hospital through the Children’s Miracle Network
Ambassador Program, which means we travel to
different businesses and events to share her
journey. Audrey’s story has been shared across
the state and across the country. She’s even
made a couple celebrity friends along the way.
My daughter doesn’t remember being sick, which is
a blessing, but she is aware of how her survival has
impacted others, and she remains active in raising
awareness for pediatric cancer research – as well
as money for her beloved hospital.
Over the years, Audrey has started a few of her own
charities to help the hospital. Each year, her charity
Evergreen Elves collects decorated, 3-foot Christmas
trees to deliver to children in her community. She
also raises money for Camp Eagle’s Nest (the
hematology and oncology camp for East
Tennessee Children’s Hospital patients) through
Audrey’s Jingle in July.
In her spare time, Audrey performs with a junior
improv acting group. She loves to sing and dance.
Earlier this year, East Tennessee Children’s Hospital
made her the star of their surgery education
materials. In a three-minute video, Audrey helped
prepare patients and families for their upcoming
surgery. Like any 12-year-old who has had to
mature way too early in life, she took the role
very seriously.
continued from page 5
continued on page 8
6 | 2017-2018 Annual Report
7. Left to right:
Audrey, age 12
months, on her
last day of inpatient
chemotherapy.
East Tennessee
Children’s Hospital
has not only saved
my daughter’s life;
they have given her
a childhood.
Audrey stars in
Children’s Hospital’s
surgery tour video.
Visit www.etch.com/
specialties/pediatric-
surgery to watch the
full performance!
Audrey with her oncologist, Shahid Malik, M.D.
2017-2018 Annual Report | 7
8.
9. Hi!
I’m Audrey, and I’m a cancer survivor.
I was diagnosed with a very serious
kind of cancer when I was just a baby.
I don’t really remember my treatment,
but I do remember my nurses
dancing with me on my fifth birthday.
I remember riding tricycles through
the hallway when I went in for my
nine-year check-up. And I know I’ve
eaten too many popsicles to count.
Being sick is scary, and it was
definitely scary for my parents. But
the nurses and doctors at Children’s
Hospital made it less scary. They
know how to play, just like they
know how to heal.
There are thousands of kids like me
who need East Tennessee Children’s
Hospital to make them better. We’re
lucky to have this hospital and donors
like you who help make miracles
happen.
Thanks!
Audrey
2017-2018 Annual Report | 9
14. East Tennessee Children’s Hospital is the only independent, non-profit comprehensive
regional pediatric center in East Tennessee. It is more than a place for emergencies
or surgeries. The multi-specialty clinics at Children’s Hospital combine experts from
various practices to treat everyday illnesses and complex cases. For parents, these
clinics provide access to the resources they need, all under one roof.
Clinics
• Hematology/Oncology
• Diabetes
• Grow With Me
• Cystic Fibrosis
• Infectious Disease
• Healthy Ways
• Cleft Lip and Palate
• Dermatology
• Gynecology
• Rheumatology
• Diagnostic
• Child Advocacy/
Abuse Pediatrics (CAP)
• Genetics and Metabolic
• Developmental-
Behavioral Pediatrics
• Sleep Medicine
• Multi-specialty
2018 AT A glance
Mark Ray, M.D.,
Pediatric
otolaryngologist
Reconstructive
surgeon
Smile saver
Mia, age 3
Diagnosis: Cleft
lip and palate
15. Subspecialties
With more than two-dozen subspecialties, Children’s Hospital offers a range
of services from head to toe, all in one convenient location.
Endocrinology
Pulmonology
C a r d i o l o g y
Physiatry • Urology
Nephrology • Psychology
Genetics • Dentistry
Dermatology
Gastroenterology
Allergy Immunology • Neurology • Ophthalmology
Otolaryngology • Pathology • Perinatology
Radiology • Hematology Oncology • Rheumatology
Outpatient Nutrition Services • Pain Palliative Care
Pediatric Hospitalist Services • Infectious Diseases
Sleep Medicine • Developmental-Behavioral Pediatrics
Child Abuse Pediatrics • Pediatric Intensive Care
Neonatal Intensive Care
Emergency Medicine
S u r g e r y
Oral Maxillofacial Surgery
Neurosurgery
Reconstructive Surgery
S e d a t i o n
Anesthesiology
2017-2018 Annual Report | 15
16. Because children are special, they deserve the best possible health care given in a
positive, family-centered atmosphere of friendliness, cooperation, and support. From
toys and dogs to interpreters and nutrition coaching, Children’s Hospital is more than
a building. It is the people and the connections they make to build a healthier East
Tennessee.
Child Life
• Visits with patients by Child Life specialists . . . . . . . . . . . . . . . . . . 19,014
• Sessions of support, coping and distraction for procedures . . . . . . . . . 17,752
• Family and sibling supportive interactions . . . . . . . . . . . . . . . . . . . 5,744
Social Work
• Families served by Social Work . . . . . . . . . . . . . . . . . . . . . . . . . . 7,786
• Families helped by Interpretive Services . . . . . . . . . . . . . . . . . . . . . 7,651
• Languages interpreted . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
Legal Aid
• Families referred to free legal aid* . . . . . . . . . . . . . . . . . . . . . . . . . 209
*Free onsite legal services provided by the Child Health Law Partnership, in partnership with
Legal Aid of East Tennessee, and with generous funding from Trinity Health Foundation.
Facility Dog
Farley is Children’s Hospital’s only four-legged employee. Thanks to a grant from
PetSmart Charities and the Children’s Hospital Volunteers, Farley is able to work full-
time as a facility dog, bringing comfort and support to her coworkers. In 2018, Farley
became a certified Human Animal Bond in Tennessee (HABIT) dog, so she can also
serve as a backup to our HABIT partners if they are not able to visit with a patient.
• Staff handlers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
• Hours served per week . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
• Service commands learned . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
• Staff visits . . . more than 60 departments, offsite locations, and specialty clinics
• Peer support offered . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Emergency Department,
Surgery, Neonatal Intensive Care Unit, Pediatric Intensive Care Unit
SNAPSHOT OF services
Facility dog Farley
with ER Tech Elissa in the
Emergency Department
3,584
Hours of family support
by hospital chaplains
14,040
Hours spent with
registered dieticians
16 | 2017-2018 Annual Report
20. CHILDREN’S HOSPITAL
IN YOUR home
20 | 2017-2018 Annual Report
Children's Hospital Home Health Care provides follow-up care to children who do not
need to be in the hospital, but who still need extra medical attention during recovery
or illness. The home health team includes nurses, therapists, social workers, and
practitioners who are skilled at assessing a child's condition, answering equipment
questions, and coordinating care. Families across 16 counties take advantage of
Children's Hospital Home Health services because they appreciate receiving expert
care in the comfort of their own home.
Home Health visits: 35,912
Home health
nurse Kayla
with Taylor,
age 8 months
Gold Winner | Home Health Care
21. elevated FAMILY CARE
Physical therapist Carrie (left) consults
with baby Liam’s family in the NICU.
Carrie is 1 of only 650 neonatal
professionals in the country to have
earned a certification in neonatal massage.
2017-2018 Annual Report | 21
Children’s Hospital Rehabilitation Center provides local children access to
comprehensive, pediatric-focused physical medicine, sleep studies and physiatry
outside of the hospital walls. Over the past year, this center introduced ways to
involve families in their child’s care, including a nurse who is specially-certified in
massage therapy for premature newborns, and a new intensive feeding program
for children with complex eating disorders. Children’s Hospital Rehabilitation Center
elevates family-centered care in the hospital and in the community.
Rehab visits: 17,421
22. EXPANDING
reach
IMPROVING
access
Urgent Care Medical Director
Dr. Rita Westbrook (left) and
nurse Amanda help Nora,
Children’s Hospital Urgent
Care’s very first patient
22 | 2017-2018 Annual Report
This year, East Tennessee Children’s
Hospital, in partnership with
TeamHealth, opened Knoxville’s first
pediatric urgent care center. The
West Knoxville location is open
evenings and weekends, to serve
families after their primary care
provider’s office has closed – and
the board-certified pediatricians
automatically send patient charts
to a child’s physician to ensure
seamless care. From colds to cuts,
Children’s Hospital Urgent Care is
improving access to expert care in
the community.
Urgent care visits: 1,579
25. 2017-2018 Annual Report | 25
5-year-old Nova
donated $376,
and became Children’s
Hospital’s youngest donor
by selling produce at her
parent’s farmer’s market
in Loudon, Tenn.
26. 100
200
300
400
500
600
700
800
900
1000
1100
1200
x $1,000
Fantasy of Trees
• December 2017
• $400,000
• Raised for new and
replacement surgical
equipment
Radiothon
• February 2018
• $140,207
• Raised for a new
Lifeline ambulance
Star 102.1’s
Dancing with the
Knoxville Stars
• April 2018
• $89,000
• Raised for ventilators,
child-sized wheelchairs,
car seats for children
with special needs,
and more
Children’s Hospital
Golf Classic
• July 2018
• $110,000
• Raised for hospital
services and equipment
Butterfly Dash
and Burger Bash
• August 2018
• $100,000
• Raised for Pain and
Palliative Care Program
CHILDREN’S HOSPITAL events
Total raised: $839,207
26 | 2017-2018 Annual Report
27. Dr. Amet Patel, a hospitalist
at Children’s Hospital,
took home the top
fundraising prize with
professional dance
partner Emily Norris at
the 10th annual Dancing
with the Knoxville Stars
2017-2018 Annual Report | 27
32. 32 | 2017-2018 Annual Report
Read more about Eli’s journey
at www.etch.com/light.
Learn how to donate at
www.etch.com/giving
33. IT TAKES A
village
2017-2018 Annual Report | 33
This is Eli. He is my son, and if he doesn’t look
like a typical 2nd grader, that’s because he isn’t.
He’s so much more.
Eight years ago, when I was pregnant, my doctor
told me Eli probably wouldn’t survive childbirth.
Before he was born, Eli was diagnosed with the
most severe case of spina bifida ever recorded.
I remember asking God for patience, and God
gave me Eli. God gave us 40 diagnoses, 44
surgeries, 30 subspecialists and one awesome
Children’s Hospital. They have saved Eli more
times than I can count. They are more than just
doctors and nurses, they are my family.
As Eli’s mom, I learned there is no rule book and
no instruction manual for caring for kids like Eli.
Eli takes a village, and Children’s Hospital is my
village. As a frequent visitor, I see the kids they
help daily. It’s families like us who rely on
Children’s Hospital to keep our kids alive.
Each day is a new adventure with my son. Each
day is a new challenge. Each day with Eli is a
blessing and not guaranteed. Eli will never be the
star quarterback, nor will he ever be able to do
things all the other kids do, but he is perfect and
he is mine. I thank God everyday for giving him to
me. And every time we are at Children’s Hospital
and I see Eli laughing with his nurses or joking
with complete strangers, I know he is right where
he needs to be.
We have met so many families who are blessed
by this organization. From our friends at the
hospital, to Children’s Hospital Rehabilitation
Center and Home Health Care, there are so many
families who benefit from the resources this
hospital offers. Anyone who helps support East
Tennessee Children’s Hospital isn’t just supporting
a hospital; they’re helping families and children
live up to their full potential.
Thank you for giving kids like Eli a future.
For Eli,
Dawn
Dawn, left, with son Eli, daughter
Skylar and service dog Tobias.
The family led the runners at the
annual Butterfly Dash to benefit
East Tennessee Children’s Hospital’s
Pain and Palliative Care program.
34. 34 | 2017-2018 Annual Report
Jeffrey Jennings, M.D.
Cardiology
1983 - 2018
Dr. Jennings joined Children’s Hospital
in 1983, following his fellowship in
pediatric cardiology at Duke University
Medical Center. In his 35 years at
Children’s Hospital, Dr. Jennings brought
advanced interventional pediatric
cardiac procedures to the region, such
as balloon valvuloplasty and septal
defect closures. He also held numerous
staff positions within his time at
Children’s Hospital, including Chief
of Staff and Chief of Department of
Medicine, and served on the Board
of Directors for 15 years with several
years as Vice Chairman.
John Rogers, M.D.
Pulmonology
1993 – 2018
As physician at Children’s Hospital
since 1993, Dr. Rogers directed the
cystic fibrosis clinic and led it to be
established as a center. Dr. Rogers was
also the director of the Respiratory Care
Department and Pulmonary Function
Testing Lab for 25 years. His influence
extended even further when he
developed outreach clinics throughout
Tennessee, establishing them in
Kingsport, Morristown, Blountville, and
Harrogate.
CHANGES TO OUR family
Children’s Hospital is more than a hospital – it’s a family. Over the last year, we celebrated
the retirements and decades-long careers of several physicians who impacted the lives
of thousands of children in our community. We also said some final goodbyes to family
members who leave a lasting legacy on our hospital, and we are excited to have welcomed
seven new physicians to the family.
retirements
35. David Nickels, M.D.
Endocrinology
1995 - 2017
After joining the Children’s Hospital
team in 1995, Dr. Nickels started the
hospital’s pediatric endocrinology
practice and served as its director until
June of 2017. Under his leadership, the
practice grew to include five pediatric
endocrinologists and two nurse
practitioners. In his 22 years at Children’s
Hospital, Dr. Nickels served on numerous
boards and committees and held various
positions, including Chief of Staff, Vice
Chief of Staff, Chair of the Ethics
Committee and Institutional Review
Board.
Lazlo Hopp, M.D.
Nephrology
2009 - 2018
After emigrating from Hungary to the
U.S. in the 1980’s, Dr. Hopp joined the
Children’s Hospital nephrology department
in 2009. In addition to being a pediatric
nephrologist, Dr. Hopp also has a published
novel, Life in the Barracks, about a
Hungarian physician who finds himself in
a military camp. As of 2018, Dr. Hopp also
has a new book in publication: Reason
and Unreason in Western Philosophy: The
Struggle of Certainty Against Uncertainty
Through History: A Layman’s Notes on
Philosophy. In retirement, Dr. Hopp is
moving back to Budapest, Hungary, with
his wife and son.
2017-2018 Annual Report | 35
Jim Kimball, M.D.
Boys and Girls Pediatrics
1982 – 2018
Dr. Kimball retired this year after 43
years as a physician. He came to Children’s
Hospital in 1982 after working as an
assistant professor in pediatric hematology-
oncology at Bowman Grey School of
Medicine. Hired under then-president Bob
Koppel as an independent contractor,
Dr. Kimball joined Boys and Girls Pediatrics
in Knoxville as a full partner in 1987. The
practice has been affiliated with East
Tennessee Children’s Hospital for more
than 33 years.
Charles Machen, M.D.
Pediatric Clinic
1998 – 2018
As an adolescent medicine specialist
at East Tennessee Children’s Hospital,
Dr. Machen retires after more than 40
years of experience in pediatrics. Originally
from Louisiana, he made his mark at
Children’s Hospital by operating the
adolescent medical clinic. He was also a
general pediatrician with the Pediatric
Clinic in Knoxville for 19 years, spanning
from 1998 to 2017.
36. IN memory
36 | 2017-2018 Annual Report
John Maddox, Jr., M.D.
1935 – 2018
Dr. Maddox was the first pediatric specialist
at East Tennessee Children’s Hospital, and
practiced pediatric surgery at East
Tennessee Children’s Hospital for almost
forty years. During his tenure he served
as Chief of Surgery, Chief of Staff, and as
a member of the Board of Trustees until
1999. His impact on the community and
the development of East Tennessee
Children’s Hospital is immeasurable.
Upon his retirement in 2003, Children’s
Hospital named a wing of its operating
facilities after him in honorarium.
Drew Perkerson, Pharm.D.
1981 – 2018
Drew came to Children’s Hospital in 2005.
As a health unit coordinator, he attended
to patients and their families after surgery
for more than 14 years. Last year, Drew
received his Doctor of Pharmacy degree
and joined the Children’s Hospital
Pharmacy. His sense of humor and
outgoing personality brought joy to his
patients, coworkers and friends.
37.
38. Board of Directors
John Q. Buchheit, M.D., Chairman
Larry B. Martin, Vice Chairman
R. Gale Huneycutt, Jr., Secretary/Treasurer
Cathy Ackermann
Scott W. Brice, M.D.
Daniel K. Carter
James B. Clayton
Scott Daniel
Brian T. Ferguson
Randall L. Gibson
Keith D. Goodwin
David A. Nickels, M.D.
Kenneth J. Rueter
Cameron J. Sears, M.D.
David D. Stevens
Barbara Summers, M.D.
Andrea Anne White
Kim Wood
Board Chairmen Emeritus
James S. Bush
Donald H. Parnell
Dennis B. Ragsdale
Senior Leadership
Keith D. Goodwin, President and Chief Executive Officer
Joe Childs, M.D., Vice President for Medical Services
Lise Christensen, M.D., Chief Clinical Officer
Hella Ewing, Vice President for Patient Care and Chief Nursing Officer
Steven Godbold, Vice President for Operations
Caryn Hawthorne, Vice President for Financial Services and Chief Financial Officer
Carlton Long, Vice President for Institutional Advancement
Jeanann Pardue, M.D., Chief Quality Officer
Cathy Shuck, Vice President for Legal Services
Sue Wilburn, Vice President for Human Resources
Medical Staff Officers
Cameron J. Sears, M.D., Chief of Staff
Ryan Redman, M.D., Vice Chief of Staff
Allison Schmitt, M.D., Secretary
DeAnn Holbrook, M.D., Chief of Medicine
Jay Crawford, M.D., Chief of Surgery
38 | 2017-2019 Annual Report
39. Over the past ten years as president of East
Tennessee Children’s Hospital, I’ve walked its
hallways countless times. In the dozens of miles
that I’ve clocked throughout the building, I’ve
met families and visited with staff. I’ve sat
through meetings and eaten in the cafeteria.
I’ve built memories and relationships that will
last a lifetime. In short, I’ve built a home here.
And I’m honored to share my home with you.
For fiscal year 2017-2018, our organization
stretched its commitment to patient care in
exciting ways. We introduced new programs,
elevated skilled professionals and extended
access to outlying communities. In short, we
worked hard to ensure that Children’s Hospital
is more than just a collection of buildings in
Knoxville. It’s a network of caregivers throughout
East Tennessee who are dedicated to treating
every patient like family.
I’m proud that my family includes Audrey, who
was battling cancer before I ever joined this
family. I’m continually amazed by the joy and
warmth that Eli and his family bring into our
home. Just walking through the lobby with him
and his service dog brings a smile to strangers’
faces. It reminds me that children need to laugh
to heal. And my family works extra hard to make
this organization a place where families can do
both. Whether you’re here for a few hours or
return year after year, East Tennessee Children’s
Hospital is more than a hospital. It’s a place to
heal, to grow, and to invest in the future.
Thank you,
Keith Goodwin, President and CEO
LETTER FROM
THE CEO
2017-2018 Annual Report | 39
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
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Knoxville,Tennessee 37901-5010
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