Download the 2012 Annual Report - Arkansas Children's Hospital

2012 was unlike any other year in our 100-year history. Wecelebrated a milestone anniversary. We launched our mostambitious capital campaign on record. And we welcomedpatients, as well as their families, into the largest clinicalexpansion ever undertaken at Arkansas Children’s Hospital.Yet, while all this transpired around us, our work continued.While the ribbon was cut on the new South Wing, a surgical teamremained focused on the task at hand.While we gathered to announce our $160 million Century of Possibilitycampaign, research scientists continued their search for answers.While pediatric expertise arrived in northeast Arkansas with the openingof our second ACH/UAMS Centers For Children, a trauma teamresponded as Angel One arrived on our main campus in Little Rock.It was a year in which we opened newdoors, broke old barriers, and challengedourselves like never before.But more than anything, it was a yearof unprecedented caring.Looking back, we realize what made this year truly unique was that inmany ways, it was like every year in our history.1

When Trudy and Tom Baxter were askedto serve as chairs of the 2012 ACH CentennialCelebration Committee, they accepted therole without hesitation. Anyone who knowsthem certainly isn’t surprised, because theyknow what thishospital means tothe Baxters.Thirty-one years ago,their son Trav turnedto ACH for help as anorthopedic patient andwe delivered. Fromthat day forward, theBaxters have returnedthe favor. Time andtime again.Trudy began pushingthe patient gift cartfrom room to room. The book cart, too. Today, she’salso a member of the ACH Auxiliary and has servedas that organization’s president. Tom was one of theoriginal members of the Committee For The Futureand is a past member of the ACH Foundation Board.He is currently serving as chairman of the ArkansasChildren’s Hospital Board of Directors.Throughout this year they have gained an evengreater appreciation of the impact ACH has onthe lives of so many.They have heard stories from parents who are inawe of the care their child received.They have heard thepassion in the voices ofphysicians as they talkabout ACH.They have listened as nursesshared stories of childrenwho made lasting impressionson their lives.And they have heardfriends of this hospitalexplain with greatconviction why theyare compelled to give.At every event, function and gathering connected tothe Centennial, the people in attendance have alsoconnected. Everyone understands the significance ofwhat this year means. Bringing people together fora common cause like never before. That’s the power100 years of caring brings to the party.2012 was more than ayear of celebration.It was the yearwe launched anew Century ofPossibility.The Possibility of GivingAt the March 5, 2012 Centennial celebration event, the ACH Foundationannounced the largest fundraising mission in the hospital’s history.The Century of Possibility Centennial Campaign, will raise $160 millionto support pediatric care, research, education and prevention programsat ACH and ACH Research Institute.4 5

At Arkansas Children’s Hospital, we’ve always worked hard to provide family-centered care. With the258,000 square-foot South Wing, we’re now able to deliver that care to more families than ever before.2012 was more than ayear of celebration.It was the yearwe opened thedoors to a newlevel of care.While we may have broken ground in 2008, the planning for this state-of-the-art environment pre-dates that by quitesome time. Our planning team began their deliberative process by visiting 13 children’s hospitals around the country inorder to bring the best ideas and most forward-thinking features back home to Arkansas. So that children here cancontinue to be cared for in the kind of hospital they deserve.What’s so special about the new South Wing? Four stories. An additional 54 inpatient beds and 90 new diagnostic andtreatment rooms. A new Emergency Department, Infant/Toddler Unit and Hematology/Oncology Unit. In addition, theSouth Wing includes new clinic space for Dental, Neuroscience, Audiology, Hematology/Oncology and Ear, Nose &Throat. There’s also expanded space for the Cardiovascular ICU and the NICU, including private rooms. These are theeasily seen, bricks-and-mortar improvements. What may not be as tangible are the health benefits supported by thisinnovative space and its design. This is an environment that taps into – and celebrates – nature’s healing properties. There’sa beautiful rooftop garden, a meditative labyrinth and a light-filled atrium that brings the outside in, giving patients andfamilies a relaxing and restorative experience.This family-first approach is carried throughout the South Wing. Our private patient rooms were designed to accommodatefamily members in comfort. They feature an abundance of natural light, along with shower facilities, computerswith Internet access and separate zones for patients, families and caregivers. Each inpatient floor also includes a “familyhouse,” complete with kitchen, dining area, workspace, laundry facilities and even a place for siblings to play.The South Wing embodies something called “evidence-based design,” which takes into account patient health, well-being,mood and safety. The result is a technologically advanced clinical space without the look and feel of a hospital. It’s achildren’s hospital for the 21st century. And it’s a testament to our commitment to family-centered care – in 2012 and forcountless years to come.The new South Wingpromotes healing, inside and out.76

Imagine the excitement of learning you areexpecting your first child. Now imagineexcitement being replaced by fear. That’swhat happened to Melissa and Derek whentwo months into their pregnancy an ultrasoundrevealed Nathan had gastroschisis, acondition in which his intestines were floatingoutside his body.Facing a potentially lifethreateningsituation,Nathan would requiresurgery moments afterhe was born. For thenext seven monthsthey waited, hoped andprayed.“It was the longest sevenmonths of my life,”said Nathan’s mother,Melissa. “The doctorsreassured us they wouldtake great care of our baby, but the waiting wasmore difficult than you could imagine.”Extra precaution was taken throughout Melissa’spregnancy. The primary concern was for Nathan tobe a full-term baby. There was a strong possibilityNathan would be underweight when he was born.Had he arrived early, his existing complicationscould have increased dramatically.Careful planning made all the difference. Nathan’sbirth was scheduled for June 13, 2012 at UAMS. Heweighed five pounds, one ounce. The first part of theplan had come together. Nathan was full-term andhis weight, while not ideal, was manageable.Moments after Nathan was born, and before hisparents even had an opportunity to hold him, he wastransported by ambulance to ACH where a surgicalteam awaited.After a successful surgery,he spent the next sevenweeks in the NeonatalIntensive Care Unit hereat ACH. In the seventhweek of his stay, Nathanhad the distinction of beingone of the first babiesto occupy the SouthWing’s new NeonatalIntensive Care Unit.It was here, in the comfortof an environment designed specifically for them,that Melissa, Derek and Nathan spent the nighttogether as a family for the very first time.For us, it was the true definition of family-centeredcare. For them, it was the beginning of their livestogether.2012 was more than ayear of celebration.It was the yearNathan arrivedand changed hisparents’ livesforever.The Possibility of GivingEvery week, critically ill babies are transported to ACH’sNeonatal Intensive Care Unit for life-saving care. Last year,the Angel One transport team made more than 2,100 trips,enfolding the region in a network of care.8 9

After Landon complained of a headache forthe third time in five days, his mother choseto take him to the emergency departmentat Chicot Memorial Hospital in Lake Village,Arkansas. Good choice.Landon’s initial test results were negative. But hisslightly elevated blood pressure prompted physiciansto order a CT scan asa precaution. Anothergood choice.The scan revealed a tumoron Landon’s brain.Physicians immediatelycontacted ArkansasChildren’s Hospital.Hours later he wasairlifted to ACH andadmitted into intensivecare.The next day, a team ofneurosurgeons performed a complete resection ofLandon’s medulloblastoma tumor during a six-hoursurgery. Fortunately, the cancer had not spread, butLandon’s fight was just beginning. What followed wasan exhausting regimen of radiation, chemotherapy andtransfusions.“Landon’s treatment protocol was rigorous. He hadradiation treatments every Monday through Fridayfor six consecutive weeks,” said Dr. Shelley Crary, theoncologist in charge of Landon’s care.Crary continued, “With each treatment, Landonexperienced the full spectrum of side effects, fromfatigue, to headaches, to nausea.” Landon and hismother will tell you without hesitation that theradiation treatments were the most difficult partof the journey.Chemotherapy came next. For each treatment, Landontravels two hours to ACH, where he spends threedays in the hospital. Oneweek after each visit, hebegins a series of chemoinjections. One every dayfor 14 straight days. Theyare administered by hismother. It’s not an easytask.The chemotherapy injectionsalso help to maintainhis white blood cellcount. If the count dropsbelow a certain level, hischemotherapy must bepostponed. In the midstof all this, Landon has had no less than ten blood andplatelet transfusions.The experience has changed Landon. He is kinder.More gentle. Reflective. He is mature beyond hisseven years. His mother speculates that Landonrealizes how fortunate he is to be alive. But there’sone thing she knows for sure: Landon is the mostcourageous child she has ever known.2012 was more than ayear of celebration.It was the yearLandon’s battlewith cancerwas waged onall fronts.The Possibility of GivingMore than 90 percent of children in Arkansas with cancerreceive treatment at ACH. Because of ACH’s Circle ofFriends, hundreds of kids are successfully fighting cancer.1213

When Laura and her husband, Mike, tickedthe “special needs” box on their adoptionpaperwork, their five-year wait quickly cameto an end 14 days later.The baby girl they brought home from China in 2007faced an uphill battle to correct a severe cleft lip andpalate – a condition that would certainly impactevery aspect of theirdaughter’s life.In 2010, before the ageof four, Chloe had herfirst two surgeries. InJanuary 2010, doctorsat Arkansas Children’sHospital repaired herpalate and then, just twomonths later, repairedher lip.This past year, Chloeendured two more tripsinto the operating room,having her tonsils and adenoids removed in May of2012 in preparation for follow-up surgery to lengthenher palate in June.Looking ahead, Chloe will have a bone graft transplantedfrom her hip in order to correct a hole in herpalate. “Chloe is missing bone in her upper jaw,“explained Emily Copeland, ENT specialty nurse andCleft Team coordinator. “Without this surgery, herpermanent teeth would have no place to reside. Inaddition, the surgery will enhance her facial growth,as well as her speech.”One final procedure will take place when Chloereaches the age of 16, when she’ll have surgeryto straighten the septum in her nose and improveher breathing. In addition, Chloe continues to havespeech therapy sessions twice a week.Chloe’s mom often thinks about what her daughter’schallenges would be had she not received ACH’sexpert care. How would she smile? How would sheapproach life? In Chloe’scase, surgery has changedthe entire course of herlife, revealing a differentchild.The new Chloe isconfident, happier,outgoing. Being more atease, she enjoys makingnew best friends in herpre-kindergarten class,and has even startedtaking piano lessons.Chloe, a typical daddy’sgirl, has so much to look forward to now. Includingthe family’s annual “Gotcha Day” celebrationcommemorating the day they brought home theirlittle girl. And because of this family’s commitmentto getting her the very best care, Chloe can greet notjust Gotcha Day, but every day, with a big smile.2012 was more than ayear of celebration.It was the yearChloe’s smile wastransformed.The Possibility of GivingMore than $26.7 million was raised for the constructionof the South Wing, the largest expansion in the hospital’s100-year history. But the need doesn’t end there. With yourhelp, even more kids can receive the critical care they need.1617

The healing began as soon as this baby’sfamily found its way to our doors. And intoa nurse’s heart.For more than 20 years, Carmen has cared forcountless sick babies in her role as pediatric nursespecialist in the Infant/Toddler Unit. Like so manyother ACH nurses, Carmen’s approach to care goesbeyond pediatricexpertise. She careson a personal level.She is equally adeptat soothing cryingyoung ones as she isadministering lifesavingmedications. It’sa unique skill set builtout of necessity, butstrengthened througha deep passion for herprofession.Carmen has seen a lotof changes over the years, but none more dramaticthan the Infant/Toddler Unit’s move to the newSouth Wing.Now, she and every member of her team have anenvironment that complements their compassion.More than patient rooms, it’s a comfortable havenfor families to stay with their children while they healand recover. It’s in this space that miracles happenevery day for children like Christopher.Christopher was three months old when he wastransported here to receive the care he desperatelyneeded after being born at 27 weeks, weighing just2.2 pounds. From the day he was born, Christopherhad struggled with breathing problems. Now, finally,at the only hospital in the area perfectly equippedto care for him, Christopher is making remarkableprogress.He is now eight monthsold and receiving thehighest level of pediatriccare, including physicaltherapy, occupationaltherapy and frequentrespiratory treatments.Each hands-on sessionnot only provides valuable“touch” therapy, but alsostrengthens the bondbetween patient andcaregiver.Christopher isn’t the onlyone who benefits fromthese connections. His nurse, Carmen, ends many ofher workdays in a rocking chair with a baby cradledin her arms.The benefits of these quiet moments together areimmeasurable for the babies. And for Carmen.2012 was more than ayear of celebration.It was the yearChristopher andCarmen’s bondwas forged.The Possibility of GivingThe ACH Auxiliary is the hospital’s oldest fundraisingorganization. For the last two years, the group has raised thefunds to support construction of the new Infant/Toddler Unitin the South Wing.1819

20As Arkansas Children’s Hospital reached this incredible milestone, we tooktime to honor those who came before us and thank those who help us todeliver outstanding care today and every day.A. Hollywood celebrity and founder of the Children’s Miracle Network, John Schneider, visitedwith ACH patient Haven McCormack at the Century of Possibility luncheon last March.B. Four Arkansas governors together in one place at the March 5, 2012 Centennial celebration:From left, Governor Mike Beebe (2007-present), former Governor andPresident Bill Clinton (1979-81 and 1983-92) and former Governors and U.S.Senators Dale Bumpers(1971-75) and DavidPryor (1975-79).C. ACH took theCentennial celebrationto the Arkansas StateCapitol to thank legislatorsfor their role inkeeping Arkansas kidshealthier and safe.D. Scout, the ACHmascot, took a breakfrom helping familiesfind their way aroundour campus to enjoythe hospital’s birthdayfestivities.A.B.C.D.2012 was more than ayear of celebration.It was a year thatcommemorated acentury of care,love and hope.Your feedback is invaluable to us. Please takea few moments to help us shape the future of ACH.Visit archildrens.org/survey to share your thoughts.Thank you.Arkansas Children’s HospitalBoard of DirectorsTom Baxter, ChairmanMark Saviers, Vice ChairmanSkip Rutherford, SecretaryMark McCaslin, TreasurerTimothy W. Martin, MD, Chief of StaffDorsey Jackson, Past ChairmanJohn Bale, Jr.Jonathan R. Bates, MDTravis BaxterRon ClarkHaskell DickinsonTamika EdwardsHarry C. Erwin, IIIJeff GardnerSharilyn GasawayCharles M. Glasier, MDPaul HartJ. French HillMarion A. HumphreyRichard F. Jacobs, MD, FAAPDiane MackeyHolly MarrPat McClellandBobbi McDanielBarbara MooreBeverly A. MorrowW. Robert Morrow, MD, FAAPJeffery NolanDaniel W. Rahn, MDRenee TuckerCharles B. Whiteside, IIIEmeritusHillary Rodham ClintonRobert G. CressAnne A. HickmanBetty A. Lowe, MDEach person listed here has devoted his or her time, energy and talents to make our hospital the exceptional institution it is.Our doctors, nurses and staff wouldn’t be as effective as they are, were it not for the support of this dedicated group.Arkansas Children’s Hospital FoundationBoard of DirectorsJonathan R. Bates, MDChairmanCharles B. Whiteside, IIIVice ChairmanFred ScarboroughPresidentMyrna AdamsPat AllenRitter ArnoldSharon BaleGinger BlackmonFrances BuchananWilliam ClarkRobert G. CressHarry C. Erwin, IIIHayden Franks, MDRobin GeorgeBill HannahAnne A. HickmanJennifer JamesonSharon LambMark LarsenTina Bowers LeeJim McClellandBarbara MooreCindy MurphyMarshall NeyRobert Porter, MDSara M. RichardsonPatrick SchueckBelinda ShultsJennifer SmithCarol StephensStephen L. Strange, Sr.Celia SwansonTom WomackEmeritus DirectorsDon EdmondsonHenry Rogers, MDArkansas Children’s Hospital ResearchInstitute Board of DirectorsRonald M. ClarkChairmanRichard F. Jacobs, MD, FAAPPresidentRoss WhippleTreasurerJohn Ahlen, PhDMary Aitken, MDJonathan R. Bates, MDDee Ann EnglishDebra Fiser, MDEllen GrayStacie M. Jones, MDMark MillsapJeff NolanKathy Bennett PerkinsRobert Porter, MDDaniel W. Rahn, MDMark SaviersChildren’s Healthcare SystemBoard MembersPaul Seib, MDPresidentJohn Bale, Jr.Vice PresidentGena G. Wingfield, CFOTreasurerPaula Morris, MDSecretaryJonathan R. Bates, MDDavid T. BerryStephen Canon, MDRichard (Tad) Fiser, MDCindy HollandBarbara MooreW. Robert Morrow, MDGresham Richter, MDBecky Rogers, MDTracy Stewart, MDArkansas Children’s HospitalSenior AdministrationJonathan R. Bates, MDPresident / Chief Executive OfficerFred ScarboroughPresident / ACH FoundationDavid T. BerrySenior Vice President / Chief OperatingOfficerTom W. BonnerSenior Vice President / Public AffairsLori Brown, BSN, MSN, DHASenior Vice President / Chief Nursing OfficerJayant K. Deshpande, MD, MPHSenior Vice President / Chief Quality OfficerScott Gordon, LSCWExecutive Vice PresidentDarrell A. LeonhardtSenior Vice President / Chief InformationOfficerW. Robert Morrow, MD, FAAPSenior Vice President / Medical DirectorGena G. WingfieldSenior Vice President / Chief Financial Officer2012 Centennial Celebration CommitteeTom Baxter, Co-ChairmanTrudy Baxter, Co-ChairmanSharon BaleJohn E. BelJayant K. Deshpande, MD, MPHPam FordScott Gordon, LSCWAnne A. HickmanRichard F. Jacobs, MD, FAAPPat McClellandDan McFadden, APRW. Robert Morrow, MD, FAAPKatie RansdellRobin ReynoldsSkip RutherfordFred ScarboroughUniversity of Arkansasfor Medical SciencesCollege of Medicine FacultyShelley E. Crary, MDAssistant Professor, Department of PediatricsSidney M. Dassinger, MDAssistant Professor, Department of SurgeryElizabeth A. Frazier, MDProfessor, Department of PediatricsStacie M. Jones, MDProfessor, Department of Pediatrics21

Operations PerformedEmergency Department VisitsInpatient AdmissionsOutpatient Visits(includes ED visits)14k55k15k330k13k51k14k310k12k47k13k290k11k43k12k270k10k39k11k250k9k35k10k230k‘03 ‘04 ‘05 ‘06 ‘07 ‘08 ‘09 ‘10 ‘11 ‘12 ‘03 ‘04 ‘05 ‘06 ‘07 ‘08 ‘09 ‘10 ‘11 ‘1214,30813,81413,33313,69112,81512,77312,89512,10912,30910,91752,27950,52452,12847,77444,43342,31839,60139,18740,15738,679‘03 ‘04 ‘05 ‘06 ‘07 ‘08 ‘09 ‘10 ‘11 ‘12 ‘03 ‘04 ‘05 ‘06 ‘07 ‘08 ‘09 ‘10 ‘11 ‘1214,49314,11413,95314,21513,89113,47813,41712,08811,84811,459323,793307,023310,336284,421269,497257,712257,443252,706253,384251,83822Funds Applied$519,192,08148% Salaries and Benefits36% Services and Supplies5% Depreciation and Interest5% Other6% Increase in Net Assets36%5%5% 6%48%It was the yearresourcestranslated toresults.5%6% 2%1% 4%82%Funds Available$519,192,08182% Net Patient Service Revenue6% Grants5% Supplemental Medicaid Reimbursement2% State & County Support1% Non-Operating Revenue4% Other23

1 Children’s WayLittle Rock, Arkansas 72202-3591archildrens.org