2016 Community Benefit Report

Transcription

1 2016 Community Benefit Report

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3 Contents Our commitment to the community 2 Our 2016 impact in dollars 14 Our impact on Georgia s children 18 Unreimbursed care 22 Wellness 26 Specialty and preventive services 36 Our impact on pediatric care 46 Physician training 50 Research 54 Children s by the numbers 58 Specialties and programs 60 1

4 Care for the kids of Georgia today... and tomorrow Children s Healthcare of Atlanta is solely committed to children s health, and is the only freestanding pediatric healthcare provider in Georgia. We have expertise and capabilities that others don t, and we view it as our responsibility to serve children who need our services. To keep up with the growing demands of our community, we recently announced plans to develop a new campus to include a larger replacement hospital. The campus will also be home to the Children s Center for Advanced Pediatrics, which will house physicians who treat kids with chronic and complex diseases. These children often see multiple specialists, and this new facility will save patients and families the time spent traveling and coordinating care. Not only do we treat the sick and injured, but we also focus on keeping healthy children well and out of our hospitals. Strong4Life, our child wellness program, offers healthcare-provider training, outreach efforts, obesity prevention programs and several camps. It is the largest public awareness and solutions movement for childhood obesity and wellness ever in our state. Children s is also a leader in pediatric health research, working closely with Emory University School of Medicine and the Georgia Institute of Technology. Nowhere else in the U.S. will you find a premier children s healthcare system, top medical school and leading engineering university collaborating to improve the lives and health of children. Our strong clinical programs, combined with these leading university partnerships, are enabling us to develop innovative treatments, devices and cures. We know healthier kids grow up to be healthier adults. Investing in preventive wellness programs and researching new treatments and cures will have a direct impact on Georgia s future. 2

5 Through our programs in 2016, we provided $202.5 million in community benefit, of which $132.5 million was the cost of caring for children whose families could not pay. This care ranged from treating broken bones to providing lifesaving cancer therapies. We are committed to provide the same high-quality care to all patients regardless of their ability to pay. For these and many other reasons, Children s is much more than just a group of hospitals. We are a robust healthcare System of leading physicians, caregivers and researchers touching many areas of kids lives in every county in Georgia and beyond. As you read this report and learn more about our continued commitment, we hope that our mission is clear: to make kids better today and healthier tomorrow. For generations to come, we will remain steadfast in that mission and keep striving to improve. Jonathan D. Goldman Chairman of the Board, Children s Healthcare of Atlanta Donna Hyland President and CEO, Children s Healthcare of Atlanta 3

6 OUR MIS SION

7 To make kids better today and healthier tomorrow. 5

8 Neighborhood locations Alpharetta Highway Century Boulevard Chamblee Cherokee Cobb Duluth East Cobb Executive Park Fayette Forsyth Hamilton Creek Hamilton Mill Houston Mill Hudson Bridge Ivy Walk Marietta Meridian Mark Mount Zion North Druid Hills North Point Old Milton Parkway Sandy Plains Satellite Boulevard Snellville Suwanee Town Center Webb Bridge EGLESTON SCOTTISH RITE HUGHES SPALDING MARCUS AUTISM CENTER 6

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10 EGLESTON Egleston, one of our three pediatric hospitals, has 295 licensed beds. At Children s, we treat two-thirds of the pediatric trauma patients in Georgia. Egleston houses the state s only Level 1 pediatric trauma center. Since 1991, we have treated more than 1,100 patients at Egleston with ECMO, a lifesaving heart and lung bypass machine that assumes the functions of these organs and allows them to heal during a critical illness. Egleston is one of only a few pediatric ECMO centers in the Southeast. Our Sibley Heart Center has one of the highest volumes in the country, with approximately 1,000 heart surgeries annually. 8

11 SCOTTISH RITE Scottish Rite has 319 licensed beds and is home to our Limb Deficiency Program, the only on-site, hospital-based pediatric orthotics and prosthetics program in Georgia, as well as specialized programs like fracture care and sports medicine. Our Orthopaedics Program has one of the highest volumes in the country. We have an intraoperative MRI system specially designed for use in neurosurgery operating rooms, and we perform more pediatric brain tumor surgeries than any other hospital in Georgia. Scottish Rite houses our Level 2 Pediatric Trauma Center and Commission on Accreditation of Rehabilitation Facilities (CAFR)- accredited Inpatient Rehabilitation Program, one of the largest of its kind in the country. 9

12 HUGHES SPALDING In February 2006, Children s assumed management of Hughes Spalding Children s Hospital. In 2009, after spearheading a fundraising campaign that raised more than $43 million, Children s opened Hughes Spalding on the site where the old facility previously existed. The 24-bed hospital is a safety net for some of Georgia s most vulnerable children, serving families whose insurance coverage consists of approximately 90 percent Medicaid and self-insurance. Services include an Emergency Department, inpatient unit, Primary Care Center and several specialty clinics, including asthma, sickle cell and child protection. The Children s Asthma Center at Hughes Spalding treats nearly 3,000 kids annually and supports patient families in nonclinical environments, including schools. The primary care medical home treats approximately 10,000 children annually through more than 23,000 visits. The Sickle Cell Disease Clinic at Hughes Spalding cares for one of the largest sickle cell disease populations in the country. The Emergency Department at Hughes Spalding manages approximately 60,000 patient visits annually. 10

13 MARCUS AUTISM CENTER A subsidiary of Children s, Marcus Autism Center is one of three National Institutes of Health (NIH) Autism Centers of Excellence. It is one of the largest and most comprehensive centers in the country for the diagnosis and treatment of autism spectrum disorder (ASD) and related conditions. The Centers for Disease Control and Prevention (CDC) estimates 1 in 68 children in the U.S. is diagnosed with ASD. In Georgia, that rate is 1 in 64 an approximate total of more than 39,000 children. In 2016, Marcus Autism Center saw more than 5,000 individual patients and reached more than 10,000 children across Georgia. The center has an internationally recognized research program that focuses on earlier diagnoses through eye tracking and other measurements and on improved treatments through behavioral and pharmacological clinical trials. 11

14 OUR VI SION

15 Best care... healthier kids. 13

16 Our 2016 impact in dollars Unreimbursed clinical care Wellness $132.5 Specialty pediatric services and preventive care Physician training Research $36.9 $6.5 $17.3 $9.3 dollars in millions Total of $202.5 million 14

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18 Our 2016 impact in dollars $202.5 million Total community benefit These are programs or activities that provide treatment or promote health and healing as a response to our community s needs. $132.5 million Unreimbursed clinical care We are committed to serving the underserved and providing unreimbursed healthcare to the children of Georgia. In 2016, Children s provided $132.5 million in care for which we did not get paid. $6.5 million Wellness These programs provide education, awareness and support to the community, other not-for-profits and school systems, and are designed to keep our children healthy and out of the hospital. Wellness includes obesity prevention initiatives such as healthy habits education for kids and parents, training for key influencers in the lives of children, healthcare provider training, and outreach and education in the community. 16

19 $17.3 million Specialty pediatric services and preventive care This is the cost of providing specialty pediatric services that go beyond traditional medicine to create a healing environment specially designed for kids. Services include health screenings, asthma care and education, injury prevention, child life specialists, family libraries, play areas, a 24-hour nurse advice line and hospital-based classrooms. $9.3 million Physician training This is the cost of providing education to prospective physicians less the federal support of our Graduate Medical Education Program. We are training the next generation of caregivers as the pediatric teaching site for Emory University and the Morehouse School of Medicine with 97 residents and 117 fellows. $36.9 million Research This includes the cost of facilities, equipment and salaries to support research. Children s collaborates with Emory University, Georgia Tech and other academic institutions in more than 600 active research studies. Advances in medicine and enhanced patient care are a direct result of research. 17

20 Our impact on Georgia s children We treat kids from all 159 counties in Georgia. While the delivery of unreimbursed care is one way we meet our community s needs, we also offer extensive wellness programs and subsidized health services to augment care and improve the health of Georgia s children. 18

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23 OUR IMPACT through subsidized health services because children need access to specialized care

24 Our impact on Georgia s children Cranial Remolding Program This program evaluates and treats infants with head shape deformities using STARband cranial remolding helmets. Board-certified orthotists and prosthetists in the program have access to five STARscanners, which provide an external 3-D image to evaluate skull asymmetry. In addition, we provide education to parents, pediatricians and healthcare providers through local in-services, state and national presentations, and published literature. In 2016, we evaluated 1,289 infants. Dental and orthodontic services We offer comprehensive dental services to patients ages 21 and younger who receive certain medical services, including craniofacial, hematology/oncology, cardiac and transplant services. This includes preventive dental services, orthodontics, pit and fissure sealants, dental health education, restorative and surgical dental procedures, and sedation and general anesthesia services. In 2016, we had 7,055 dental patient appointments and 5,243 orthodontic patient appointments. Judson L. Hawk Jr., MD, Clinic for Children Through this clinic, we offer comprehensive care for children with complex medical issues, such as cerebral palsy, cystic fibrosis (CF) and spina bifida. Specialists provide services to patients and families in one appointment, reducing the number of school and work absences. In 2016, the clinic handled 6,509 patient visits. 22

25 Unreimbursed care: $132.5 million Marcus Autism Center Marcus Autism Center is dedicated to the diagnosis and treatment of children with autism spectrum disorder (ASD) and related conditions. We perform cutting-edge research on enabling earlier diagnoses and increasing the effectiveness of evidence-based treatments for ASD. In 2016, we saw more than 5,000 individual patients and reached more than 10,000 children across Georgia and beyond. We also continued work as an NIH Autism Center of Excellence, recording thousands of visual and vocal measurements over infants first years of development. Primary Care Center The Children s Primary Care Center of Chamblee provides health checkups and sick visits predominantly for children who rely on Medicaid. In 2016, we managed 18,375 patient visits, which included 8,032 well-child checkups and 10,343 sick visits and nurse visits. Additionally, the center s nursing staff administered more than 12,467 vaccines. Trauma care The Level 1 Pediatric Trauma Center at Egleston hospital and Level 2 Pediatric Trauma Center at Scottish Rite hospital give Children s the only designated pediatric trauma centers in the state. These allow us to provide high-quality trauma care for patients across the continuum of care, from injury prevention efforts to hospitalization and rehabilitation. There are no other tertiary care facilities in metro Atlanta capable of providing this level of excellence in pediatric care to a traumatically injured child. In 2016, more than 24,000 children visited our Emergency Departments for trauma care. 23

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27 OUR IMPACT through wellness programs because children need obesity prevention

28 Our impact on Georgia s children Camp Strong4Life Camp Strong4Life is a clinical treatment program for overweight and obese children and their families. It is designed for rising fourth-, fifth- and sixth-grade children with a body mass index (BMI) in or above the 85th percentile. Camp programming is based on the premise of simple, sustainable change through the adoption of healthy habits all while having fun. The curriculum is developed by a multidisciplinary team of physicians, dietitians, exercise physiologists, child psychologists and recreation therapists. Camp Strong4Life gives children the chance to experience overnight camp in an outdoor setting, build long-lasting friendships and make memories that last a lifetime. In 2016, 93 campers and their families participated in Camp Strong4Life. To date, Camp Strong4Life has worked with 387 campers and their families. Community events Each year, Strong4Life interacts with approximately 30,000 Georgia parents and children at more than 30 community events, including health fairs, 5K walk/run events and festivals. At these events, Strong4Life helps families learn about the four Strong4Life 4 Healthy Habits: make half of your plate veggies and fruits, drink more water, limit screen time and be active. Through an interactive demonstration, families learn about the sugar content of popular beverages and ways they can limit these drinks in favor of water. Strong4Life distributes educational handouts and fun giveaways that reinforce our healthy habits. 26

29 Wellness: $6.5 million Strong4Life.com In 2016, Strong4Life.com received 900,000 visits from Georgia parents, equipping them with the daily tools, tips and inspiration they need to support better nutrition and physical activity habits for their families at home and on the go. The website also offers unique tools and training resources for healthcare providers, school personnel and community organizations that are critical influencers in the lives of Georgia s children. The content is continuously updated with practical tips to support healthy habits. Strong4Life Challenge The Strong4Life Challenge is a school-based program that teaches elementary school children about the importance of good nutrition and physical activity in a fun and challenging way, energizing the entire school community. The challenge kicks off with an exciting schoolwide pep rally, led by the Strong4Life Challenge team, which is followed by visits from the team to the cafeteria and physical education classes, where Strong4Life messages are reinforced. In 2016, we offered the challenge program in 55 elementary schools. To date, the Strong4Life Challenge has reached nearly 140,000 kids in 194 schools. 27

30 Our impact on Georgia s children Strong4Life Clinic The Strong4Life Clinic is a multidisciplinary program for families struggling with weight and weight-related health issues. Offering both medical and surgical treatment options, this family-centered program provides support from a dedicated team of professionals, including doctors, dietitians, psychologists and exercise physiologists. The clinic provides intensive treatment of obesity using a motivational approach to improve obesity-related illnesses, nutrition, physical activity and mental health support needs. This team works with patients and families to develop personalized behavior-change plans to help achieve success. In 2016, there were 1,221 patient visits to the Strong4Life Clinic. Since December 2011, the program has managed 5,552 patient visits. Strong4Life Prevention at the Pediatrician s Office Program Research shows that influencing parents of young children is an effective way to prevent childhood obesity and that brief, targeted messages added to well-child visits may affect feeding practices of parents. Strong4Life created the Prevention at the Pediatrician s Office Program, in which physicians provide evidence-based prevention messages at 6-, 9-, 12- and 15-month well-child checkups and provide families with a children s book reinforcing the same messages. Physician messages and books promote the four Strong4Life Healthy Habits, which have been modified to be appropriate for various ages. In 2016, we distributed 37,686 books to healthcare providers in Georgia. To date, we have distributed more than 100,000 books to 602 healthcare providers throughout the state. 28

31 Wellness: $6.5 million Strong4Life Provider Program The Strong4Life Provider Program equips healthcare providers with evidence-based counseling techniques to help them initiate patient conversations about BMI measurement, nutrition and physical activity during well-child visits. The program gives providers the skills and tools necessary to educate patients and families about Strong4Life healthy habits, effectively manage overweight or obese patients, and help all families set goals to improve healthy behaviors. In 2016, we trained 201 healthcare providers throughout the state. To date, we have trained more than 3,200 healthcare providers in Georgia. 29

32 Our impact on Georgia s children Strong4Life Registered Dietitian (RD) Training and Referral Program Identifying a critical need to increase capacity to address Georgia s childhood obesity crisis, the Strong4Life Registered Dietitian (RD) Training and Referral Program was designed to improve knowledge and skills in the area of pediatric obesity assessment, prevention and management. In addition to providing education, the program functions to recruit Georgia RDs who are able to accept referrals for pediatric weight management to join our RD referral network. This network is promoted online at strong4life.com and through newsletters to Georgia pediatric providers in need of referral resources for their patients with weight challenges. To date, Strong4Life has trained more than 300 Georgia-based RDs. The Strong4Life RD referral network includes 40 RDs trained as referral resources for Georgia s pediatric providers. Strong4Life School Nurse Program The Strong4Life School Nurse Program addresses childhood obesity by leveraging school nurses and clinic assistants as key influencers in a school setting. The program seeks to create a level of confidence for nurses and clinic assistants to discuss healthy eating and nutrition with students and parents through motivational interviewing and other methods. To date, we have offered a total of 12 webinars and trained 899 school nurses and clinic assistants in 76 counties throughout the state. 30

33 Wellness: $6.5 million Strong4Life School Nutrition Program The Strong4Life School Nutrition Program provides training and resources for school cafeteria staff so they are better equipped to encourage students to make healthy food choices in the cafeteria. The program helps cafeteria staff implement simple and cost-effective practices that can influence the school nutrition environment. In 2016, we trained 1,748 school nutrition directors, managers and staff in 572 Georgia schools. To date, we have trained more than 3,000 school nutrition staff in more than 1,400 Georgia schools. 31

34 Our impact on Georgia s children Strong4Life Wellness Blueprint Program Youth organizations have an opportunity to promote child health and wellness by increasing access to healthy foods and beverages, providing opportunities for physical activity and serving as healthy role models for kids. To support youth organizations in their efforts to create an environment of wellness, Strong4Life developed the Wellness Blueprint Program. Through this program, Strong4Life engages organization leaders to develop an individualized wellness blueprint, which is a written set of standards an organization commits to achieving to promote the health and wellness of those reached by their programs and services. We are working with several large community and youth organizations, including City of Atlanta Parks and Recreation, Roswell Parks and Recreation, Gwinnett County Parks and Recreation, Camp Twin Lakes and Big Brothers Big Sisters of Metro Atlanta, to implement a wellness blueprint. Strong4Life Women, Infants and Children (WIC) Training Program The Strong4Life WIC Training Program provides nutritionists with the Special Supplemental Nutrition Program for WIC the necessary tools and resources to motivate families to choose healthy lifestyles that prevent or reduce childhood obesity. Through this program, WIC nutritionists learn how to enhance goal-setting and increase caregiver goal adherence. In 2016, we trained 210 WIC nutritionists. To date, more than 600 WIC staff from all of Georgia s public health districts have completed the program. 32

35 Wellness: $6.5 million Supplemental education for providers Strong4Life offers supplemental education to healthcare providers through a series of on-demand webcasts, events and grand rounds focused on helping providers treat the numerous and varied childhood obesity comorbid conditions. The goal is to educate providers on how to identify, diagnose and treat these conditions within their office when appropriate, instead of referring to a specialist upon initial diagnosis. 33

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37 OUR IMPACT through specialty services and preventive care because children need care made just for them 35

38 Our impact on Georgia s children Asthma Care and Education (ACE) Program Through this program, specialists from Children s supply school and day care personnel with the necessary resources, equipment and education to care for children with asthma. In 2016, we conducted 29 on-site and web-based asthma programs that reached 1,080 Children s employees, school nurses, school staff and after-school program staff. We also distributed more than 3,000 pieces of asthma equipment to children and schools enrolled in the program, provided developmentally appropriate asthma education to 135 campers and 80 volunteers at Camp Breathe Easy, and conducted three educational ACE programs for 178 physicians, nurses and other healthcare professionals. The Ronald McDonald Care Mobile provides asthma care where families live, work and play. It is integrated and operational in two elementary schools and one middle school in Atlanta Public Schools, with plans to expand in Cancer Survivor Program This program, through the Aflac Cancer and Blood Disorders Center, offers continued long-term follow-up for childhood cancer survivors who last received treatment two or more years ago. More than 80 percent of all childhood cancer survivors experience late effects from their cancer treatment that result in chronic health conditions like short stature, heart and lung problems, or trouble learning in school. This program evaluates former pediatric cancer patients for evidence of late effects of cancer treatment and assists survivors in getting help for these health conditions if they occur. The multidisciplinary team includes an oncologist, endocrinologist, psychologist, nurses, nurse practitioners and a social worker. In 2016, the program met with more than 220 new cancer survivors and had follow-up appointments with 641 survivors.

39 Specialty/preventive: $17.3 million Child life Our certified child life specialists provide life-affirming and life-strengthening care that includes educating patients about their illnesses and treatments, supporting patients during stressful experiences and encouraging patients to communicate through evidence-based, developmentally appropriate activities. They also provide support for siblings and other family members, especially in times of grief and death. Our child life team includes 46 certified child life specialists, four boardcertified music therapists and one artist-in-residence. In 2016, our child life specialists had more than 25,000 patient encounters. The Zone, an in-hospital recreation area at Scottish Rite that features a movie theater, basketball court, koi pond and putt-putt golf, held 485 events in 2016 and served more than 20,000 visitors. Concussion Program The Concussion Program provides treatment for and education about concussions to children, parents, coaches, schools and healthcare professionals. Our program s multidisciplinary approach combines the expertise of several teams, including emergency medicine, neurology, neurosurgery, sports medicine, urgent care, neuropsychology, physiatry and rehabilitation services. A dedicated Concussion Program nurse coordinator, along with a nurse team, calls head injury patients seen at any Children s facility to help manage each child s care and serves as a resource for healthcare professionals. Through the program, we provide return-to-school and return-to-play guidelines, and a concussion toolkit. In 2016, our program managed more than 7,961 calls. 37

40 Our impact on Georgia s children Family libraries Our family libraries contain a wealth of consumer health information. The libraries also offer recreational services, including books, magazines, movies, special events and animal-assisted therapy. In 2016, we prepared 683 customized information packets to assist families in taking an active role in their child s care. In total, we served 308,999 patrons, with 54,858 materials circulated and 15,914 SmileGrams delivered. Health Law Partnership (HeLP) A collaboration with Georgia State University College of Law and the Atlanta Legal Aid Society, HeLP combines the healthcare expertise of hospital professionals with the legal expertise of attorneys to improve the health and well-being of low-income children and their families. Unsanitary living conditions can exacerbate illnesses, and poverty can prevent children from receiving needed medications. In 2016, HeLP handled more than 600 active cases, representing more than 500 unique clients. The work resulted in financial benefits to clients totaling close to $1 million. Injury prevention Preventable injuries are the leading cause of death for children from birth to age 19. We serve as the lead agency for Safe Kids Georgia, a statewide network dedicated to the prevention of accidental injuries among children. In 2016, Safe Kids Georgia, through its 33 local coalitions across approximately 65 counties, provided education to more than 360,000 children, caregivers and professionals. 38

41 Specialty/preventive: $17.3 million Our certified child passenger safety technicians inspected 5,700 child safety seats. Safe Kids Georgia s coalitions distributed more than 24,000 educational materials and 11,300 safety devices to residents throughout the state, including car and booster seats, bike helmets, smoke alarms, carbon monoxide detectors, gun locks and personal flotation devices. Throughout the year, Safe Kids Georgia and Children s work together to advocate for legislation that helps protect children and keep them safe from injuries and death. Interpretive and translation services The Children s interpreting and translation team consists of highly qualified, certified interpreters and translators who work with doctors, nurses, family service personnel and other healthcare team members. These specialists serve as advocates for our patients and their families, and help them with diagnosis, discharge and treatment plans. Our team includes 40 Spanish interpreters and translators at the hospitals. We also have foreign language interpreters, phone interpreters, video interpreters and a sign language interpreter. Our video and telephone services are available 24 hours a day and provide interpretation in more than 150 different languages. In 2016, our Spanish interpreting and translation team had 74,053 encounters with patients and families to provide communication and cultural assistance. The team translated nearly 435,000 words in projects for educational, marketing and informational materials for hospital-based communications. 39

42 Our impact on Georgia s children Limb Deficiency Program The Limb Deficiency Program offers comprehensive services that address the medical, therapeutic and emotional needs of children with congenital or acquired upper- and lower-extremity limb deficiency. Our services include state-of-the-art orthotic and prosthetic devices designed to meet the functional demands of active growing children. Specialty prosthetic devices include high-definition silicone limb replacement prostheses and microprocessor intelligent prosthetic technology. The program hosts a variety of child and family events that include a weeklong summer camp and equestrian events at no cost to families. We offer no-cost consultations for parents and physicians seeking specialized care to families considering adopting a child with limb deficiencies. In 2016, we provided care for approximately 245 children, 150 of whom required prosthetic intervention. Music therapy Our music therapists are available to assist a wide range of patients, particularly those with cancer and blood disorders, as well as patients in our intensive care units and rehabilitation programs. Music therapy includes expressing feelings through songwriting or playing instruments, singing, making legacy videos and other musical activities. In 2016, our music therapists held more than 5,400 patient sessions. 40

43 Specialty/preventive: $17.3 million Nurse advice line Our 24-hour nurse advice line helps caregivers determine appropriate levels of care for their children and can help bridge the gap for patients without access to a pediatrician. It is staffed by specially trained pediatric nurses with an average of more than 15 years of telephone triage experience. The nurse advice line provides patients with direct access to skilled nurses who give home care advice or referrals to a higher level of care when needed. Our team also provides care management services, including registered nurses dedicated to patients with concussions and diabetes. In 2016, the nurse advice line staff handled 81,047 calls from parents and guardians across Georgia. Patient family financial assistance We provide financial assistance to patient families in emergency situations associated with the medical needs of the patient to promote timely discharge and to help prevent readmission related to social needs, including prescriptions, transportation, utility bills, lodging, meal bags and durable medical equipment. In 2016, we provided financial assistance to 782 patient families. 41

44 Our impact on Georgia s children Project S.A.V.E. Project S.A.V.E. helps Georgia s schools and communities become recognized as HeartSafe, which means they have implemented our comprehensive program to prevent sudden cardiac deaths. To receive HeartSafe certification, a school or community commits to teaching CPR, implementing automated external defibrillators (AED), and preparing coaches, school nurses and other staff members to manage cardiac emergencies. Since Project S.A.V.E. began in 2004, the lives of 40 students and 45 adults have been saved because their schools and communities were prepared when they experienced sudden cardiac arrest. In 2016, more than 1,600 teachers, coaches, administrators and school support staff were certified in CPR and AED training, and 79 new instructors were added to the program, bringing the total close to 1,000 since its inception. Additionally, 84 new schools joined Project S.A.V.E., making a total of 1,218 HeartSafe schools. Project S.A.V.E. also provides hands-only CPR training for AJC Peachtree Road Race volunteers and is working with 27 Boys & Girls Clubs of Metro Atlanta to help them meet HeartSafe criteria. Also in 2016, Carl, Ga., became the first city in the state to receive HeartSafe certification. School Program Our School Program is available for patients who miss school because of hospitalizations and clinic appointments. Certified hospital teachers serve as liaisons between patients and schools to coordinate instruction and educational support. The team educates parents on available services at their children s local schools and provides the latest medical updates and recommendations to school teachers. In 2016, our program provided 2,723 instructional sessions with patients, and a total of 4,222 patients were helped through additional advocacy services. 42

45 Specialty/preventive: $17.3 million Scoliosis Screening Program Collaborating with metro Atlanta school systems and primary care physicians, we offer tertiary scoliosis screening to students who have been identified as having signs of scoliosis during previous screenings. These screenings take place at Egleston, four Urgent Care Centers and two imaging centers. Conducted by a registered nurse, each screening includes a spinal evaluation with an X-ray. Parents and primary care providers receive recommendations for appropriate follow-up treatment as needed. In addition, the program offers scoliosis screening training for public health workers, school nurses and medical personnel. In 2016, more than 500 children from 25 counties were evaluated at our clinics. Eighty healthcare professionals from the Georgia Department of Education and Georgia Department of Public Health, representing 159 counties and 181 school districts in Georgia, attended our annual Scoliosis Screening Conference. Throughout the year, we received more than 350 patient referrals from primary care physicians for the Scoliosis Screening Program. We work in partnership with the departments of public health and education to provide regulatory review recommendations. Sickle Cell Education Day This annual conference is designed to help educate patients with sickle cell disease and allow their families to share ideas on coping and healing. In 2016, 269 patients and volunteers attended Sickle Cell Education Day. 43

46 Our impact on Georgia s children Stephanie V. Blank Center for Safe and Healthy Children The Stephanie V. Blank Center for Safe and Healthy Children works closely with law enforcement, the Division of Family and Children Services, medical providers in the community and child advocacy centers across Georgia to identify, treat and prevent child abuse, neglect and sexual exploitation. In 2016, the Center for Safe and Healthy Children provided 1,970 comprehensive medical evaluations in outpatient clinics, Emergency Departments, inpatient consultations and telemedicine visits. The Center for Safe and Healthy Children also provided 233 forensic interviews; 749 behavioral health assessments, evaluations and therapy sessions; and 110 social work consults after hours in the Scottish Rite and Egleston Emergency Departments. In addition, the Center for Safe and Healthy Children staff trained more than 10,000 professionals nationally and internationally on various child maltreatment topics, either in person or through webinars or computer-based trainings. Those trained include medical personnel, law enforcement, child advocates, school staff, social workers, behavioral health providers, parents and other professionals interested in child welfare. Center for Safe and Healthy Children staff participate in clinical and outcomes research on topics including the commercial exploitation of children and abusive head trauma. 44

47 Specialty/preventive: $17.3 million Summer camps In collaboration with Camp Twin Lakes, we support several camps for children with a number of health conditions who could not otherwise attend a summer camp. As these campers have fun and make new friends, they remain under the caring supervision of health professionals and volunteers who are trained to meet their medical needs. Each camp has at least one registered nurse who is on-site 24 hours a day. In 2016, camps supported by Children s hosted nine weeks of overnight or day camp and five family camp weekends. Combined, our camps hosted 849 campers and 390 volunteers. Telemedicine Program Our Telemedicine Program improves access to pediatric specialists throughout Georgia. With more than 30 specialists and more than 80 presenting sites in Georgia, this program uses specialized, high-definition cameras that allow pediatric specialists to provide consultations and evaluations for patients in communities with limited access to services. In 2016, our specialists provided 1,048 clinic visits and 470 research visits to children across the state. Project ECHO, a telementoring initiative that aims to help primary care providers manage the complex care of specialty patients, launched in 2016 and reached 952 session participants. 45

48 Our impact on pediatric care Our hospitals are vital centers of education, training the next generation of pediatric physicians and specialists, and are home to advanced research that results in lifesaving discoveries, such as innovative cancer therapies and specialized surgical procedures. 46

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51 OUR IMPACT through teaching because we need more pediatric specialists

52 Our impact on pediatric care Solving a growing problem According to national projections, Georgia will have a shortage of about 2,500 physicians by That shortage could grow to more than 5,000 physicians by The number of new physicians coming into the state has declined by 55 percent over the past 10 years. Georgia ranks ninth in pediatric population nationwide, but 39th in physician supply per capita. Our state is experiencing a shortage of pediatric and pediatric subspecialist physicians. This shortage not only makes it more difficult to provide high-quality care to Georgia s children, it could cost the state and unreimbursed healthcare organizations millions of dollars. 50

53 Physician training: $9.3 million Children s continues to be proactive about the growing shortage of physicians through active physician training. We are working with our academic partners to facilitate residency and fellowship training programs. In 2016: We retained 50 percent of our pediatric residents and fellows to continue providing care for children in our state. The teaching program required $9.3 million from Children s to support 97 full-time equivalent (FTE) residents from seven institutions and 110 FTE fellows through our Graduate Medical Education Program, which provided on-site training. We provided on-site training to allied health students and offered internships to students in physical, occupational and speech therapy. 51

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55 OUR IMPACT through research because it advances pediatric care 53

56 Our impact on pediatric care Preparing for tomorrow today We are committed to advancing pediatric medicine and finding solutions to perplexing medical conditions. To do this, we collaborate with investigators from Emory University, Georgia Tech, the CDC and Morehouse. An example of this medical research is the Aflac Cancer Center, which has been selected to lead a national sickle cell disease study and to host an international clinical trial analyzing the safety and effectiveness of an innovative cancer treatment. In 2016, we had more than 5,800 patients participating in clinical trials and recruited six new investigators from across the U.S. We continued our research partnership with Georgia Tech through the Children s Pediatric Technology Center (PedTech), which is recognized within the Engineered Biosystems Building and other Georgia Tech campus facilities where joint research is taking place. The collaborative research fostered through this partnership brings together clinicians from Children s, academic scientists from Emory University and, through PedTech, engineers from Georgia Tech to solve important problems in pediatrics and develop technological solutions for improving the health of children. Research advancements, along with the long-term sustainability of our research enterprise, are heavily dependent on the external funding awarded to our pediatric investigators. Children s is affiliated with the Emory University Department of Pediatrics, one of the fastest-growing recipients of NIH funding in the country. It is now ranked No. 5 in the country for NIH funding for pediatrics.* 54

57 Research: $36.9 million This includes $30 million from the NIH, and Emory University and Children s received $56.8 million in total extramural funding for fiscal year We have numerous research success stories in infectious diseases, drug discovery, newborn medicine, sickle cell disease, oncology, transplant medicine, device development and autism. Our cross-cutting research centers, each focused on an important area of child health, enable these discoveries. The research centers include: Aflac Cancer and Blood Disorders Center Center for Childhood Infections and Vaccines Center for Clinical and Translational Research Center for Cystic Fibrosis and Airways Disease Research Center for Drug Discovery Center for Pediatric Innovation Center for Transplantation and Immunemediated Disorders Children s Center for Neurosciences Research Children s Heart Research and Outcomes Center Clinical Outcomes Research & Public Health Marcus Autism Center Pediatric Technology Center * Blue Ridge Institute for Medical Research: NIH Funding Rank of U.S. Medical Schools

58 OUR VAL UES

59 Care about people. Passionate about kids. Dedicated to better. 57

60 Children s by the numbers One of the largest pediatric clinical providers in the country Our not-for-profit healthcare system includes: 638 licensed beds 3 hospitals Marcus Autism Center 27 neighborhood locations, including seven Urgent Care Centers More than 80 telemedicine presenting sites across Georgia More than 50 pediatric cardiologists at 24 statewide locations More than 10,600 employees Access to more than 2,000 pediatric physicians and practitioners representing more than 60 pediatric specialties and programs 7,000 volunteers In 2016, we managed: 1,008,830 patient visits 391,277 patients (from all 159 counties in Georgia) * 27,836 hospital admissions 161,475 inpatient days 973,482 outpatient visits 42,781 surgical procedures (inpatient and outpatient) 236,595 Emergency Department visits 154,091 Urgent Care Center visits 42,331 primary care visits 81,047 calls from parents across Georgia to the Children s nurse advice line 58 *These are unique patients. This means each patient is counted once during the year.

61 We continued making strides with Strong4Life, our program designed to lead the fight against childhood obesity in Georgia. In 2016, Strong4Life: Served more than 300,000 kids. Worked with a total of 600 schools, school cafeteria managers and students. Saw 1,221 total patient visits in the Strong4Life Clinic. Hosted 93 campers and their family members, reducing and/or maintaining 76 percent of campers BMI at Camp Strong4Life. Children s has been recognized by multiple organizations. We have: Earned the Gold Seal of Approval by upholding national standards for healthcare quality and safety from The Joint Commission, a not-for-profit that accredits and certifies healthcare organizations in the U.S. Ranked among the nation s top pediatric hospitals on U.S. News & World Report s Best Children s Hospitals list. We ranked in all 10 specialties, and six specialty area ranked among the top 20 in the nation. Earned a spot on Fortune magazine s 100 Best Companies to Work For list for the 12th consecutive year in

62 Specialties and programs Specialties and programs Acupuncture Adolescent medicine Allergy and immunology Anesthesiology Cardiology Cardiothoracic surgery Child abuse pediatrics Clinical molecular genetics Colon and rectal surgery Critical care Cystic fibrosis Dentistry Dermatology Developmental behavioral pediatrics Developmental pediatrics Emergency medicine Endocrinology Family medicine Gynecology Hand Surgery Hematology/oncology Hepatology Infectious diseases Interventional neuroradiology Medical genetics Neonatal and perinatal medicine Nephrology Neurocritical care Neurology Neuro-Ophthalmology Neuropsychology Neuroradiology Neurosurgery Ophthalmology 60

63 Oral and maxillofacial surgery Orthodontics Orthopaedic surgery Otolaryngology (ENT) Otology/neurotology Palliative care Pathology Pediatrics Pediatric Emergency Department Pediatric hospitalist Pediatric surgery Pediatric urgent care Physical medical and rehabilitation Plastic surgery Psychiatry Psychology Pulmonary diseases Radiation oncology Radiology Radiology interventional Radiology/vascular interventional Rheumatology Sleep medicine Sports medicine Toxicology Urology Vascular surgery 61

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66 As a not-for-profit organization, we are dedicated to keeping the cost of materials as low as possible. Every effort has been made to keep the expense involved in the production of this report to a minimum Children s Healthcare of Atlanta Inc. All rights reserved. SYS rb.12/17 64

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68 choa.org