Tennessee Emergency Medical Services for Children Foundation

Transcription

1 Tennessee Emergency Medical Services for Children Foundation General Information Contact Information Nonprofit Address Tennessee Emergency Medical Services for Children Foundation 3841 Green Hills Village Drive Suite 3045 Nashville, TN Phone (615) Web Site Web Site Facebook Facebook Twitter Twitter At A Glance Year of Incorporation

2 Mission & Impact Statements Mission To ensure that every child in Tennessee receives the best pediatric emergency care in order to eliminate the effects of severe illness and injury. Background The national Emergency Medical Services for Children Project, which began in 1989 when funding was initially granted to the states, considers the emotional, family, and cultural needs of children equal to their medical needs when faced with a life-threatening illness or injury. The Tennessee Emergency Medical Services for Children Foundation (TN EMSC) is the charitable organization in Tennessee which seeks to advocate for these children s needs, to advise the state government concerning current state of the art pediatric emergency/critical care services, and to facilitate the provision of these services across the breath of the state and across the continuum of pediatric care. 2

3 Impact When traumatic events strike, children are at greater risk than adults. Why? Because children vary in size and development, providers can be ill-equipped to serve them. For example, until our efforts, many ERs didn t have oxygen masks that would fit children! CPR protocols are different for children, as is medicine dosing. Many health workers simply don t see enough children to retain their skills. In an effort to provide real life teaching moments to healthcare providers that do not care for critically ill and children on a routine basis; grant funding was obtained to purchase high fidelity pediatric manikins. Experienced pediatric nurses provide education utilizing the simulators at hospitals and EMS services throughout their region. Currently children do not receive appropriate pain medication for long bone fractures. These simulators will be used to teach evidence based pediatric pain management. The 15th Annual Update in Acute and Emergency Pediatric Care conference was held in Franklin, TN. The conference was attended by nearly 200 healthcare providers. The conference focused on quality and service and the opening speaker, Paige Klingborg, MD, delivered a spectacular message, "Pediatric Shock-From First Contact to PICU: How Do We Manage Our Kids?" setting the tone for two days of engaging and interactive presentations from a range of experts. Resuscitation of a child is done by teams of providers. Leadership topics were added to agenda to enhance the team including High Conflict Leadership: Managing Self and Others by Steve Joiner, PhD. Tennessee has had a disaster plan for a myriad of topics including pets but did not have one for children. A great success this year was the inclusion of pediatrics into Tennessee s Emergency Support Function (ESF #8). This document provides the mechanism for coordinated assistance in response to a public health and medical disaster. The Eighth annual EMS Star of Life was held in May It is designed to honor the accomplishments of EMS personnel from all regions of Tennessee who provide exemplary life-saving care to adult and pediatric patients. The ceremony included a presentation of the actual adult or pediatric patient scenarios and reunited the EMS providers with the individuals they treated. It is a very moving event and it is often the first time the EMS providers have been reunited with the patient whose life they saved. Goals: 1. To identify and obtain funding for pediatric dosing systems for EMS providers. Currently, an EMS provider must do multiple math calculations at the scene of a critically ill and injured child. Studies have indicated that pediatric patients experience adverse events related to medication errors at a rate of 3:1 compared to adults. It is our goal to purchase a system that is easy to use and will take the math out of giving a child life saving medication. 2. To diversify the board of directors. Currently, the board comprises health care providers and a parent. Gaining expertise in marketing, finance, legal, etc will assist us to create better solutions to our challenges. 3. To diversify funding streams to accelerate meeting the emergency medical needs of children. 3

4 Needs 1. To expand board of directors with diverse background including legal, marketing, creative services, and accounting. 2. To provide a pediatric medication dosing manual for each ambulance in the state for a total of $725, To include "pediatric patients" in a full scale weather-related disaster. 4. Financial partners to underwrite the infrastructure costs associated with 2 person office at a cost of $75, Ambulance services in Tennessee respond every year to over 1 million 911 calls. The EMS Star of Life Awards Dinner & Ceremony Program to provide day-to-day lifesaving services on the medical "front line" in Tennessee. The program presents actual patient scenarios and reunites the EMS caregivers with the individuals they saved from the eight EMS regions across the state. Sponsors are needed to underwrite this $ 35,000+ event. Other ways to donate, support, or volunteer You can easily donate online here Or you can send your gift to 3841 Green Hills Village Drive, Suite 3045, Nashville, TN Service Categories Primary Organization Category Health Care / Emergency Medical Services & Transport Secondary Organization Category Public Safety, Disaster Preparedness and Relief / Disaster Preparedness and Relief Service Tertiary Organization Category Education / Adult Education Areas of Service Areas Served TN Statewide As the president of the TN Emergency Medical Services for Children (TN EMSC) Foundation, I am passionate about continuing to move forward TN EMSC's mission of ensuring every child in Tennessee receives the best pediatric emergency care in order to eliminate the effects of severe illness and injury. We believe exceptional care should be offered to every child, every time no matter where they are in the state. The TN EMSC Foundation is a nonprofit dedicated to bettering the system of emergency care for our children. Our members include parents, teachers, hospital representatives, paramedics, nurses, doctors and more who want the best emergency care possible for children in Tennessee. Through this network of partners and advocates, we are fortunate to have access to a range of expertise that allows us to implement evidence-based care across the state. I have spent 38 years in pediatric patient care, including 12 ½ years as a nurse in 4

5 the PICU at Children's Hospital at Erlanger. Children's at Erlanger is one of the four Comprehensive Regional Pediatric Centers in Tennessee. CRPCs have the highest designation in the state to take care of children and serve as the foundation for an exceptional system of pediatric care. Now as a CRPC Coordinator, I help to train and support the emergency professionals and paramedics who are on the frontlines of pediatric emergency care. Along with the other CRPC Coordinators across the state, we ensure these providers have the resources and skills necessary to take care of our kids. The Foundation is also focused on safety and accident prevention. Over the years this has included educating lawmakers about policies to keep children safe including a comprehensive seat belt law and a ban on texting while driving. We collaborate with the Tennessee Department of Health to make sure that our emergency departments are prepared to take care of the special needs that our children have when they are sick or injured. This includes assisting emergency departments with education, securing resources to get the pediatric equipment they need to care for children and reviewing what is needed per our state rules to maintain outstanding pediatric care. I am honored to serve as the president of this wonderful organization. I invite you to take a look around the site and join us as we lead the way to a healthier and safer tomorrow for our children!marisa Moyers, RN, ADN TN EMSC Foundation President CEO Statement My goal as the Executive Director is to lead a diverse group of volunteer stakeholders to make a difference in the lives of critically ill and injured children and the clinicians who care for them. Our desire is to have a positive impact on the lives of children and their families throughout Tennessee by ensuring clinicians have the training and tools to deliver effective and efficient treatment. At TN EMSC our mission is to significantly improve the survival rate of children with acute, life-threatening illness or injury every single day through: Our innovative collaborations and relationships directly influence a child s outcome and provide hope to their family Our dedication to the healthcare professionals who provide care when it is most critical and Our significant capabilities to address the needs of children through public policy The goal of the Tennessee Emergency Medical Services for Children Foundation is to advocate for the highest quality of care for the ill and injured children who come into our hands, whether you are a physician, nurse, nurse s aid, paramedic, EMT, social worker, hospital administrator, educator, or parent. The Foundation works behind the scenes to coordinate communication among facilities, to seek opportunities to promote injury prevention, to formulate and implement a state plan for disaster management that addresses the specific needs of children, and to encourage an exchange of knowledge and experience between healthcare professionals, families, school systems, and government. 5

6 Programs Programs EMS Star of Life Program Description Ambulance services in Tennessee respond every year to over 1 million 911 calls. The EMS Star of Life Awards Program honors the dedication of those who provide day-to-day lifesaving services on the medical "front line" in Tennessee. The program presents actual patient scenarios and reunites the EMS caregivers with the individuals they treated from the eight EMS regions across the state. This event promotes best practice delivery of emergency medicine. The criteria for the nominations are that the EMS provider must follow best practice protocol and the patient must be neurologically intact. Budget 40,000 Population Served,, Short Term Success Long term Success Program Success Monitored By Examples of Program Success The quality of the Star of Life event is determined by number of award applicants, number of awardees and their family in attendance, ticket sales, press coverage, and feedback via phone or . Delivery of best practice medicine and improved documentation as demonstrated on EMS patient run reports. Interviews were completed with the planning committee two days after the event to solicit their opinion of the event and areas for enhancement and retooling. The purpose of the Star of Life is to reinforce best practice for emergency medical services providers (EMT, EMT-P). The patient scenario is read to the audience with specific best practices highlighted. The Star of Life program provides the opportunity to highlight best practice scenarios to the EMS professionals in attendance. One of the eight examples was a two year old toddler that had fallen into a septic tank. The child required CPR and the use of a special measuring tape to determine the size of equipment needed for this child and the dosage for the medications. The best practice of care was delivered to this child including a special IV that had to be placed so that getting the right medicines and dosage, could be possible. The utilization of this tape measure and the subsequent care provided was highlighted at the event. 6

7 Annual Update in Acute & Emergency Care Pediatrics Conference Description The Annual Update in Acute & Emergency Care Pediatrics Conference is sponsored by Tennessee Emergency Medical Services for Children Foundation and the four Comprehensive Regional Pediatric Centers (CRPCs) across Tennessee. The mission of the conference is to promote pediatric emergency care to physicians, nurses, emergency medical services, and the community through outreach. This conference, routinely attended by more than 200 healthcare providers, is the only conference of its kind in the state of Tennessee. It brings together physicians, nurses, pre-hospital providers, and administrative decision makers from across the state to focus on acute and emergency care needs of children. Evaluation of our conference is measured through a number of tracking methods including: demographic information, attendee program evaluations, and speaker evaluations. 90% of participants will report increased learning from each workshop. Population Served,, Long term Success Program Success Monitored By Examples of Program Success More highly educated, supported, and committed healthcare providers meeting the acute and emergency needs of children with best practice medicine. Hospital discharge data is reviewed to determine if transfer of acutely ill and injured children is being completed Attendees stated: the simulation lab increased my confidence to handle true emergencies." "I was always taught to push fluids for sickle cell anemia discovered that this could have adverse outcomes. Great visuals and excellent presentation! Lots of new info. Gave me new tools for both assessment & treatment. 7

8 Mock Resuscitation Codes to non children hospital emergency departments & EMS agencies in Tennessee Description The majority of care delivered by emergency departments and ambulances are to adults. Medical care for children requires special training and equipment. Emergency care providers need to be aware of and trained on these differences. Budget 1500 Category Population Served Long term Success Program Success Monitored By Examples of Program Success Health Care Ambulatory & Primary Health Care Infants/Babies (under age 5), Children Only (5-14 years), The long term success of completing mock codes is that the care given to a child will fit each individual child s size, medical needs, and level of developmental growth. Program success will be monitored by evaluation forms and the score card of each mock code visit. Initially at one hospital, the emergency department team took greater than 30 minutes to find the equipment to administer oxygen to a child manikin. Currently, when the mock code team arrives unannounced, the emergency department delivers timely best practice care. At a rural hospital facility the emergency department staff did not know what to do with the child manikin. Once a room was found, the emergency equipment cart was brought to the room but did not have a heart monitor. The only heart monitor in the emergency department was being used on another patient. Following this mock code visit, the emergency department developed a contingency plan and purchased another heart monitor. When mock codes first began in non children s hospital emergency departments across the state, the child manikin was taken from the parent into an examination room and the parent was left in the waiting room. Parents are now viewed as a partner in the health care team and kept informed about the condition of the child. 8

9 Advocacy Description Our policy team works on legislation in areas such as injury prevention, children s healthcare, and securing funding to meet the trauma and emergency system needs of acutely ill and children. Budget 5000 Category Population Served Short Term Success Human Services Human Services, General/Other Children and Youth (infants - 19 years.), Adults, Short term success is measured by the number of TN EMSC members that contact their legislator regarding issues pertaining to emergency medical services for children. Long term Success Maintaining or enhancing public policy issues to keep children safe and healthy. Program Success Monitored By Examples of Program Success Many national organizations post state by state report cards on many public policy issues that directly affect children. These report cards are reviewed annually to determine the course of action for the upcoming legislative session. TN EMSC was influential in the successful passage of the comprehensive revision to the child passenger safety law in Tennessee which raised the report card grade published by SafeKids Worldwide from a D to an A. Initial state legislation did not include trauma funding for the comprehensive regional pediatric centers in Tennessee. TN EMSC worked to include language in the legislation that secured trauma funding for the children s hospitals. TN EMSC was a key partner with AAA of Tennessee is working to ban text messaging while driving. This legislation successfully passed on its first attempt in the TN legislature in On line education Description The TN EMSC website ( has free on-line courses for the public as well as health care providers regarding pediatric disaster preparedness and care. Budget Population Served,, CEO Comments Even with diminishing financial resources, front line providers continue to be provide healthcare to one of our most vulnerable population, children. TN EMSC desires to enhance the care given to children by providing up to date education and equipment. At the same time highlight their efforts at providing exemplary care at the annual Star of Life program. 9

10 Governance Board Chair Board Chair Kate Copeland MSN, RN, NEA-BC Company Affiliation Monroe Carell Jr. Children's Hospital at Vanderbilt Term July 2017 to June Board Members Name Affiliation Status Kara Adams Kevin Brinkmann MD Michael G. Carr MD TN Disability Coalition/Family Voices T.C. Thompson Children's Hospital at Erlanger Voting Exofficio Exofficio Chris Clarke RN Tennessee Hospital Association Voting Kate Copeland RN, MSN Beckye Dalton MSN, APN, CCNS- BC, CEN Rudy Kink MD Shannon Lankford, BS, CCPM Monroe Carell Jr. Children's Hospital at Vanderbilt Voting Voting Voting Diana L Moses HCA Healthcare Voting Marisa Moyers RN T. C. Thompson Children's Hospital at Erlanger Voting Maureen O'Connor MBA, BBA Le Bonheur Children's Hospital Voting Leslie Phelps RN, BSN, MSHCA Tyler White Regan Williams MD East Tennessee Children's Hospital University of Tennessee Health Science Center Voting Voting Voting Board Demographics - Ethnicity African American/Black 0 Asian American/Pacific Islander 0 Caucasian 14 Hispanic/Latino 0 Native American/American Indian 0 Other 0 0 Board Demographics - Gender Male 4 Female 10 10

11 Unspecified 0 Governance Board Term Lengths 2 Board Term Limits 2 Board Meeting Attendance % 100% Written Board Selection Criteria? Written Conflict of Interest Policy? No Percentage Making Monetary Contributions 100% Percentage Making In-Kind Contributions 100% Constituency Includes Client Representation Number of Full Board Meetings Annually 4 Standing Committees Development / Fund Development / Fund Raising / Grant Writing / Major Gifts Education Board Development / Board Orientation Communications / Promotion / Publicity / Public Relations Executive CEO Comments 2016 was an exciting year for TN EMSC. TN EMSC is respected as a national leader in developing a program that meets the needs of critically ill and injured children. We continue to build upon this exciting momentum and recognition. Our executive director is a coach for the National EMSC Innovation & Improvement Center to assist other states to replicate facility recognition program. A facility recognition program ensures every hospital is equipped to meet the emergency needs of children. Recently, five high fidelity pediatric simulators at a cost of $37,000 each were obtained. These will be used to teach evidence based pediatric emergency care to healthcare providers. When TN EMSC began, hospitals and ambulances were not required to have the most basic equipment for children. When a child was injured, the hospital or ambulance may not have an oxygen mask that fit a child s face and the IV needles were too big. Through legislation this was remedied. However, the percentage of 911 calls for children is about 10% with only a few percent being critically ill or injured. EMS and emergency room health care providers have even less opportunity to be proficient in difficult skills that are not used often. Therefore, the purchase of better equipment and the delivery of education to EMS crews, nurses, and physicians in the care of children is an ongoing need due to the lower incidence of critically ill and injured children than adults and the amount of staff turnover that occur. 11

12 Management Executive Director/CEO Executive Director Term Start July Ms. Rhonda G. Phillippi RN, BA Experience Rhonda began working for TN EMSC as the original project coordinator for Vanderbilt Children s Hospital in As the role of TN EMSC expanded to include the entire state instead of only 10 counties, she assumed the role of State Coordinator for TN EMSC in In 2005, TN Emergency Medical Services for Children Foundation, a tax exempt non-profit was established to meet funding and advocacy needs. Rhonda served on the American Heart Association (National), Subcommittee on Pediatric Resuscitation and coauthored Student Textbook Pediatric Advanced Life Support: Coping with Death, Dallas, Ms. Phillippi has a strong interest in preventing injuries to children and was the primary supplicant for the comprehensive revision to the child passenger laws in Tennessee which passed in the spring of She worked with Veronica Gunn, MD two published studies: Improvement in booster seat use in Tennessee and the Differences in Appropriate Child Safety Restraint Use Among Black and White Children in Tennessee. During the 2009 Tennessee General Assembly session she advocated for the ban on cell phone texting while driving. Ms. Phillippi has received numerous awards for her leadership, most recently the "Al Grant" award from the TN Rural Health Assocation for her ability to bring together multi-faceted individuals to the common good of the health of all rural citizens of Tennessee. Ms. Phillippi was also recognized for outstanding service in the best interests and in the highest traditions of the State of Tennessee by Governor Phil Bredesen. Rhonda received her Diploma in Nursing from Mansfield General Hospital School of Nursing, Mansfield, Ohio and a BA in Management and Human Relations from Trevecca University, Nashville, TN. She is pursuing her Masters of Arts from Lipscomb University Institution for Conflict Management. In addition, Ms. Phillippi has her Certificate in Non-Profit Management from the Center for Nonprofit Management, Nashville, TN. Co-CEO Experience Staff Full Time Staff 2 Part Time Staff 0 Volunteers 60 Contractors 0 Retention Rate 100% Plans & Policies 12

13 Does the organization have a documented Fundraising Plan? Under Development Does the organization have an approved Strategic Plan? Number of years Strategic Plan Considers 3 When was Strategic Plan adopted? Nov 2015 In case of a change in leadership, is a Management Succession plan in place? Does the organization have a Policies and Procedures Plan? Does the organization have a Nondiscrimination Policy? Does the organization have a Whistle Blower Policy? Does the organization have a Document Destruction Policy? Awards Awards Award/Recognition Organization Year National EMSC Hero Award for EMSC Advisory Board Member Award/Michael G. Carr, M.D. Al Grant Award for forwarding the cause of rural health in Tennessee over the person's career / Rhonda Phillippi, RN, BA Gold Pen Awards / Silver Award for TN EMSC brochure Award of Excellence / Best Website for an Association with an Annual Budget under $500,000 Scholarship to the Institute of Conflict Management to Rhonda G. Phillippi, RN, BA Institute for Conflict Management Rural Health Association of Tennessee (RHAT)'s 2014 Special Exemplary Project Award Baptist Healing Trust Access to Care Award - Salute to Excellence Finalist EMSC National Resource Center (NRC) Rural Health Association of Tennessee (RHAT) International Association of Business Communicators (IABC) Tennessee Society for Association Executives (TSAE) Lipscomb University 2013 Center for Nonprofit Management and Lipscomb University Rural Health Association of Tennessee Baptist Healing Trust 2014 CEO Comments The organization s staff of two is often stretched thin with responsibilities in a variety of areas. They utilize social 13

14 capital within supporters, members, and friends of the EMSC Foundation to assist in delegating tasks and disseminating messaging. Staff regularly participates in events through other local organizations in order to strengthen reach and community engagement. Additionally, staff attends training to fine tune skills in areas of public relations, social media, budgeting, and fundraising. 14

15 Financials Fiscal Year Fiscal Year Start Jan Fiscal Year End Dec Projected Revenue $185, Projected Expenses $185, Endowment Value $0.00 Endowment Spending Policy N/A Endowment Spending Percentage (if selected) 0% Detailed Financials Revenue and Expenses Fiscal Year Total Revenue $82,561 $188,302 $136,817 Total Expenses $197,621 $85,886 $103,235 Revenue Sources Fiscal Year Foundation and Corporation $0 $0 $0 Contributions Government Contributions $0 $0 $0 Federal $0 $0 $0 State $0 $0 $0 Local $0 $0 $0 Unspecified $0 $0 $0 Individual Contributions $10,476 $90,283 $48,923 Indirect Public Support $0 $0 $0 Earned Revenue $42,000 $72,815 $85,187 Investment Income, Net of Losses $0 $282 $0 Membership Dues $1,355 $4,580 $0 Special Events $28,730 $20,342 $2,707 Revenue In-Kind $0 $0 $0 Other $0 $0 $0 15

16 Expense Allocation Fiscal Year Program Expense $178,802 $71,327 $83,528 Administration Expense $18,819 $14,559 $19,707 Fundraising Expense $0 $0 $0 Payments to Affiliates $0 $0 $0 Total Revenue/Total Expenses Program Expense/Total Expenses 90% 83% 81% Fundraising Expense/Contributed Revenue 0% 0% 0% Assets and Liabilities Fiscal Year Total Assets $208,681 $318,251 $223,266 Current Assets $208,681 $318,251 $209,733 Long-Term Liabilities $0 $0 $0 Current Liabilities $6,694 $1,664 $8,892 Total Net Assets $201,987 $316,587 $214,374 Short Term Solvency Fiscal Year Current Ratio: Current Assets/Current Liabilities Long Term Solvency Fiscal Year Long-Term Liabilities/Total Assets 0% 0% 0% Top Funding Sources Fiscal Year Top Funding Source & Dollar Amount Program Revenue $42,000 Contributions, Gifts & Grants $90,283 Earned Revenue $85,187 Second Highest Funding Source & Dollar Fundraising Events Program Services Contributions, Gifts, Amount $28,730 $72,815 Grants $48,923 Third Highest Funding Source & Dollar Amount Contributions, Gifts and Grants $10,476 Fundraising Events $20,342 Fundraising Events $2,707 Capital Campaign Is the organization currently conducting a Capital Campaign for an endowment or the purchase of a major asset? Campaign Purpose Goal: to ensure children receive correct dosage of lifesaving drugs. Why? A study of drug dosing errors by TN paramedics showed only a 52% accuracy rate. In order to increase drug dosing accuracy to > 90%, funds will be used to provide education and purchase a pediatric dosing system customized to align to each EMS department s protocols. Capital Campaign Goal $725, Campaign Start and End Dates May 2017 to Apr 2019 Capital Campaign Raised-to-Date Amount $0.00 as of 0 Capital Campaign Anticipated in Next 5 Years? State Charitable Solicitations Permit TN Charitable Solicitations Registration - Expires Dec

17 Organization Comments TN EMSC is challenged with the federal continuing budget resolution which may result in our grant being reduced. Our board has been proactive and has a three year reserve funding in the event our federal grant is reduced or eliminated. GivingMatters.com Financial Comments Financials taken from the was prepared by AtnipCPA, PLLC. Foundations & Corporations may be included in the Individual Contributions sum. Comments provided by Kathryn Bennett 3/23/17. Created Copyright 2018 The Community Foundation of Middle Tennessee 17