State of the children's hospital fy2014

State of the Children’s

Hospital

Fiscal Year 2014January 22, 2015

Mission

• Carilion Clinic:

– To improve the health of the communities we

serve

• Carilion Clinic Children’s Hospital

– To provide quality pediatric care in a patient

and family-centered environment for infants,

children and adolescents

Values

• Compassion……....for children and their families

• Curiosity……………to improve the future of child health

• Commitment……….to service and quality for all

• CommUNITY………of ALL disciplines working together

• Courage……………to always do what’s right for our

patients

Carilion Clinic CCCH

Where we’ve been—

Retirements and Departures

• Dr. Kathy K—Retired

• Dr. Colleen K—Cincinnati Children’s

• Erin H—Working for CMNH in SLC

• Lisa B—Now a manager in OB/GYN

• Nora B—Now director of quality at

Friendship nursing homes

Where we’ve been—New

Providers in FY 14

• Dr. Scott Otallah—Pediatric Neurology

• Dr. Tom Donohue—Pediatric Medicine at Postal

• Dr. Violet Fernandes—Pediatric Hematology & Oncology/ Palliative Care

• Dr. Natalia Jaimes—General Pediatrics

• Dr. PJ Whalen—Pediatric Hospitalist

• Sarah Shepherd—PNP in Developmental Pediatrics

• Alden Baker—LCSW in behavioral health and adolescent

Where we’ve been—Other

newcomers in FY 14• Misty and Paige

• CMNH

• Laura • New Quality Facilitator

• Betsy • New Senior Marketing Consultant

– Starts in February

• Kelli • First ever dedicated department of pediatrics

research coordinator

Where we’ve been—Space

• Pediatric Medicine Botetourt is now in Daleville

• Endocrine moved to separate space in the CRCH MOB

• New ped GI clinic in Radford

Where we’ve been—

Educational Leadership• Dr. Erica Reynolds became residency

program director

• Dr. Joelle Miller became clerkship director

Where we’ve been—Residency• Third year of residency

– First class will graduate in June

• Graduation will be held June 14—save the date!

• Half subspecialty careers, half generalists

• 4th year chief next year (Jess)

• Site visit August

– Final accreditation decision Feb

Residency—Continued

• Interview season over

– Over 800 applications

– 87 candidates interviewed for 6 spots

– Match Day is March 20, 2015 at 1:00 pm

817

87

6

What’s Coming NextIn Clinical Care ?

• New M.D. provider in PICU

• New Lynchburg location opening Feb 9

• Recruitment in progress for third endocrine

doc

• Multiple business plans in development:

– Succession planning as well as growth

BY THE NUMBERS….

In FY 2014 CCCH saw…• 19,141 unique patients in our hospital

based services • Does not include our myriad outpatient general or

specialty physician practices

• 542 NICU admissions• Does not include intermediate admissions

• 447 PICU admissions

• 1575 inpatient pediatric admissions

• 493 patients transported by our neo-peds

critical care transport team

On the Outpatient side…

• 22,182 General Pediatrics visits

• 44,175 Visits to Pediatric Medicine• Postal Drive and Daleville locations combined

• 38,414 units of service in Pediatric Therapies• OT/PT/speech/EI combined

• 13,540 pediatric emergency department visits at

CRMH• Does not include Velocity Care

OUTREACH

Referral Area

30 + Regional Facilities and 41 Counties

Subspecialty Outpatient referrals have increased to

• Adolescent Medicine

• Pediatric Cardiology

• Pediatric Hematology/oncology

• Pediatric Neurology

• Pediatric Surgery

• All others have remained stable on a per-

provider clinical FTE basis

FY14 Pediatric Outreach Efforts• Annual Pediatric conference - 250 attendees

• Was held at Hotel Roanoke this year—most attendees ever

• Weekly Grand Rounds Webcast • Started in April 2014

• 20 Sessions

• 305 Participants – well-received

• Monthly Lunch & Learn Webcast

• Quarterly before June 2014, now monthly

• Topics of interest to ED/NICU/inpatient peds and PICU

providers/EMS

• 6 Completed

• 340 Participants and growing

• Community Events• 3 day Science Fair

• Events with CCCH Ambulance and NPTT Staff

2014 Virginia Science Fair

2015 Plans

• Outreach Webpage

(www.carilionclinic.org/Outreach)

• Pediatric Case of the Month Webcast –

Recorded for webpage library

• Pediatric Grand Rounds – Recordable and

mobile device friendly

• Pediatric Simulations in outlying facilities

2015 Community Outreach

Plans

• Will update webpage • carilionclinic.org/kids

• Aiming for weekly posts to Close To Home Blog • (guest bloggers or commenters are welcome)

• Additional branded Facebook posts

• Branded Youtube Videos for parent education and

general information

• Children’s Hospital YouTube playlist has been

created by MRC on Carilion Clinic’s YouTube

page

DID YOU KNOW?

Did you know?

• We have a collaborative adult congenital

heart disease clinic • Our pediatric cardiologists with Dr. Tim Ball and

the adult cardiology fellows?

• Pediatric Medicine in Daleville now has

Lactation support services?

• We now have two providers who can

provide PCIT? • evidence-based form of play therapy

• We now provide sublingual therapy for

grass pollen allergy?

Did you know?

• All of our general outpatient pediatric

offices are able to provide basic

spirometry testing for patients with

asthma?

• We are teaching “love and logic” parenting

classes?

• Care Connection is focusing on

transitioning chronic kids from pediatric to

adult subspecialists?

Did you know?

• NICU increased maternal provision of

breast milk by more than 5% over the past

3 years?

• Pediatric Therapies is able to offer Hippo

Therapy again? Via Children’s Hospital

donated funds.

• Pediatric Therapies were able to expand

their “equipment clinic”?

Did you know?

• 79 children and adults attended family

camp this summer?

• 136 children and adults attended the

Children’s Hospital Holiday party?

• Our NICU has not had a VAP in over 15

months?

OUR STAFF, OUR UNITS, OUR

STARS

Awards

• NICU received Five Star Excellence

award from PRC

– Top 10% nationwide “EXCELLENT”

overall patient care

• NICU/PEDS/PICU-HIGH

RELIABILITY award for 12 months

with ZERO CAUTI or CLABSI

Awards

• Kim W RN (inpatient peds)—Healthcare

with the Human Touch award

• Compassion Award—the multidisciplinary

group who made a “homecoming” dance

for heme/onc patient

• JCHS Excellence in Nursing Award to

Stephanie C, BSN, from Lynchburg clinic

Certifications

• Certifications in Peds/PICU rose from 46%

to 68% of nurses in FY 14

• 9 RNs from Peds and PICU earned CAP

status

KUDOS

I raise my hat to the providers and

staff who have made this year

phenomenal!

Thanks for Coming

Thanks for Caring

Ned says…