Arkansas Children's Hospital Centennial Celebration

Arkansas Children’s Hospital

A NEW

CENTURY OF CARE, LOVE & HOPE

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June 13, 2012 Dear Friend, Since 1912, Arkansas Children’s Hospital has been changing children’s lives. For every day of those 100 years, it has been our privilege to offer Care, Love and Hope.

Every Arkansan, no matter how young or old, has in some way been touched by Arkansas Children’s Hospital.

That special person who needed care at ACH could be your child, your niece or nephew, your neighbor, or someone from your school or church. Our focus is their care, getting these children back to doing what they should be doing: being kids, not patients.

This year in leading up to our official Centennial birthday celebration in March to present, we’ve shared with you much history about Arkansas Children’s Hospital, some of which you’ll discover in the pages in your hands. Now I’d like to invite you to take a step into our children’s future, beginning with the opening of our new South Wing, the largest construction project in the history of ACH. The South Wing will create an additional 54 inpatient beds to serve you and your family. In July, we’ll welcome you to an expanded Heart Center and Neonatal Intensive Care Unit (NICU), new HematologyOncology and Infant Toddler units and a new Emergency Department and Trauma Center. New clinics in the building include hematology-oncology, dental, neurology, audiology/speech pathology and ear, nose and throat. All the spaces in the South Wing, including the rooftop garden, atrium and healing garden, are designed to improve the overall health and well-being of our patients and their families.

We hope you’ll find this special Arkansas Times publication informative, inspirational and motivational.

While you’re reading, please help Children’s help children for the next 100 years and consider a gift to ACH.

Sincerely,

Jonathan R. Bates, MD President & Chief Executive Officer

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Protecting the High Quality of Our Drinking Water For Generations to Come!

Refreshing water is essential to sustaining the healthy lives of our families, and especially our precious children. It is necessary for the everyday activities of bathing and drinking, cooling and heating, and even playing. In addition, water is indispensable to the quality of the economic vibrancy of our metropolitan community.

Central Arkansas Water has delivered high quality drinking water for more than a century to the cities and communities in our metropolitan area at an affordable price. Our goal has always been the continual enhancement of water quality, protection of public health, and regulatory compliance. Learn more about what you can do to help protect our water quality, visit us online at carkw.com under Watershed Management.

Scan this QR code to learn more about what we can do for your business.

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CONTENTS

12 8 10 12 23 26 28 29 30 32 34 35 36 37 Edited by Michael Haddigan, Downstream Communications 38 Photos: Kelley Cooper, Arkansas Children’s Hospital; and ACH archives 39 On the cover: Sarah Smith, 11, is one of 40 thousands of patients who will benefit from the new South Wing at Arkansas Children’s Hospital. 41 42 published by 43 44 45 501.375.2985 • arktimes.com 46 © 2012 ARKANSAS TIMES LIMITED PARTNERSHIP

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ARKANSAS TIMES

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Arkansas Children’s Hospital: Where Miracles Happen Every Day Chase Hill South Wing: Putting Children and Families First ACH South Wing: Floor by Floor The Bale Family: Generations of Generosity A Family’s Journey Angel One Flies Lifesaving Missions 100 Years: ACH’s History of Care, Love and Hope Ruth Olive Beall ACH Timeline Dr. Betty Lowe ACH Teaches Medical Staff, Families and Children Stella Boyle Smith Telemedicine Closes Gap for Distant Patients, Students PULSE Center Educates Through Simulation ACHRI Provides Research to Save, Improve Children’s Lives Samantha Johnson ACH Works To Prevent Injuries and Illness in Children Fighting Childhood Obesity Philanthropy: Until No Child Needs Us, We Need You How You Can Help The Beckoning Future of Arkansas Children’s Hospital

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The new ACH South Wing brings more space and better privacy for sick and injured children and their families.

Arkansas Children’s Hospital WHERE MIRACLES HAPPEN EVERY DAY

E

mma Cornwell came into this world in 2008 with a rare heart defect.

Open heart surgery and other treatment at Arkansas Children’s Hospital (ACH) gave her a new life.

“Emma’s certainly a miracle,” said her mother, Stacy.

Today, Emma dances with abandon and takes gymnastics.

“We are so thankful and blessed by everything ACH has done for Emma,” said her father, Brian.

Chase Hill was diagnosed at age 4 with acute lymphoblastic leukemia (ALL), a

potentially fatal cancer of the white blood cells. After treatment at ACH, his cancer went into remission, and he continues to receive care as an outpatient.

“My son is a very healthy and highspirited child, and we owe this to God and ACH for all they have done for Chase,” says Vontifany Smith.

No child’s case is typical at Arkansas Children’s Hospital. But the expert, compassionate, family-centered care each child receives is a constant.

All ACH caregivers and non-medical staff are devoted to the same thing, said Jonathan Bates, MD, the hospital’s presi-

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dent and chief executive officer.

“It’s just about more healthy children,” he said. “Always has been, and always will be.”

A CONSTANT FOCUS ON MAKING CHILDREN’S LIVES BETTER Since the hospital began as a children’s home 100 years ago, ACH has grown in both size and sophistication. Children with conditions barely understood at the start of the hospital’s first century are now routinely and successfully treated.

The hospital’s new South Wing is the latest in a long series of continuous

improvements benefiting sick and injured children and their families. The South Wing expansion promises to carry the private, nonprofit hospital’s tradition of excellence well into its next century.

Arkansas Children’s Hospital is now an internationally recognized medical leader dedicated to improving, sustaining and restoring children’s health and development.

Caregivers and staff at Arkansas’s only pediatric hospital provide high quality, cost-effective, fully accessible services for the state’s most precious resource — our children — without regard to race, religion or ability to pay, from birth to age 21.

Donors and volunteers across Arkansas and beyond share that dedication to service and to children. Their generosity has given ACH the power to shape a bright future of caring for children and saving precious lives.

“It takes dollars to drive dreams, ambitions and important programs,” says John Bel, president of the Arkansas Children’s Hospital Foundation. “We want to make Arkansas one of the healthiest places to be a child in the entire country.”

CONTINUALLY EXPANDING TO MEET NEEDS A history of the hospital’s last 100 years is written across the existing ACH campus, which spans 29 city blocks and houses 316 beds, all built around the site of the first hospital building.

“We’ve built on the installment plan,” joked David Berry, ACH senior vice president and chief operating officer. “We’ve continued to add and grow and continue to add on to the original buildings in all directions.”

Dr. Bates said the pace of ACH’s growth is determined by the needs of children. And those needs continually grow.

“We see more than 300,000 patient visits a year at our campus. And there are quite a few more that we’d like to see,” he said.

ACH concentrates not just on the volume of care but also on its quality. Guided by the principles of family-centered care, the staff works to appreciate the needs and concerns of the entire family and encourages families to play a role in their child’s healing and recovery.

“We’re trying to get families to engage with us as part of the team and to help us understand what their child’s needs are, what the family’s expectations are, and

how we can do better in meeting those expectations,” Berry said.

Arkansas Children’s Hospital provides excellent pediatric care, clinical services, teaching and research and prevention programs. ACH also operates many specialty clinics and outpatient centers. Specialties include cardiac care, childhood cancer, pediatric orthopedics and neonatology, among many others.

PROVIDING CARE AROUND THE STATE The ACH Angel One transport program can reach sick or injured children by helicopter anywhere in the state within an hour. And the Angel One medical team provides care as soon it reaches the patient and continues it throughout the return flight to Little Rock.

The Centers for Children in Lowell is part of a statewide collaborative between Arkansas Children’s Hospital and the University of Arkansas for Medical Sciences Department of Pediatrics. A Jonesboro office opened recently and will be expanding its clinic space in a new facility later this summer.

The centers in Lowell and Jonesboro, as well as clinics offered throughout the state, provide access to pediatric subspecialty services and ACH expertise to areas outside Little Rock, saving many families expensive and time-consuming trips to Little Rock for treatment of their children.

Javaris Williams, 16, plays on the Fayetteville High School baseball practice squad. He goes for checkups for a heart defect in Lowell and in Little Rock once a year at alternating six-month intervals.

A man of very few words, Javaris says the Lowell location saves him from taking time off from school and sports for long drives to Little Rock.

“It’s not as a big of a hassle to go to Lowell,” he said.

An A-and-B student, Javaris wants to go to the University of Texas in Austin to study sports management.

SUPPORTING PEDIATRIC CARE ACH is the comprehensive clinical, research and pediatric teaching affiliate of UAMS and is home to the Department of Pediatrics. The Arkansas Children’s Hospital education program trains doctors, nurses and other medical professionals using the latest in innovative teaching methods. And it provides education for

pharmacists, physical and occupational therapists, radiological technologists, dietitians, speech pathologists and other caregivers.

The Arkansas Children’s Hospital Research Institute carries out groundbreaking studies of a wide variety of scientific and social issues affecting children’s health, such as autism, allergies, genomics, nutrition, injury prevention and childhood obesity.

The hospital’s Injury Prevention Center works to reduce the number of injuries and fatalities to Arkansas children through an aggressive and proactive program including ATV safety. It has assisted in successful legislation to institute graduated driver’s license for teens as well as anti-texting and driving. ACH’s Community Outreach program provides education on wide-ranging topics that include health literacy, fire safety, hygiene, healthy choices and traffic safety.

THE BEST PEOPLE IN THE BEST PLACE The hospital’s pediatric breakthroughs, intensive treatments, unique surgical procedures and forward-thinking medical research have placed ACH among the largest and best children’s hospitals in the United States.

The ACH staff of more than 4,400 employees includes more than 500 physicians, as well as 80 residents in pediatrics and pediatric specialties.

Today, ACH physicians are frequently recognized for outstanding performance and achievement in caring for young patients. Doctors from Arkansas Children’s Hospital are consistently listed on Best Doctors and Top Doctor lists locally and nationally.

The hospital ranked for four consecutive years among FORTUNE magazine’s top 100 Best Companies to Work For®, most recently at No. 75.

Arkansas Children’s Hospital has never been satisfied with “good enough” or “state-of-the-art.” ACH has continually advanced to the next frontier of excellence in the care of children.

“We still have great opportunities to engage our patients, our families and our staff in helping us to get better,” Berry added. “We will continue to ask over and over again as we enter our next century, ‘how do we continuously get better at what we do?’” ✪

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After treatment for leukemia at ACH, six-year-old Chase Hill is in remission and enjoys a happy, active life.

Chase Hill

S

ix-year-old Chase Hill enjoys hip-hop dance classes, watching movies and collecting toy cars.

But only a few years ago, his family faced the prospect of losing him.

In August 2010, Chase came down with a fever. His mother, Vontifany Smith, took him to his pediatrician who diagnosed him with a virus. Later that week, his stomach began to swell, and a doctor not associated with ACH suggested the virus was causing constipation.

But Vontifany feared something else might be causing her son’s swelling. So she took Chase to the Arkansas Children’s Hospital Emergency Department.

“That day changed the lives of my family in ways that words cannot express,” says Vontifany.

Once at ACH, Chase was diagnosed with acute lymphoblastic leukemia, a cancer of the white blood cells. Doctors admitted him to the Donald W. Reynolds Pediatric Intensive Care Unit and immediately began his treatment. A mass growing in Chase’s chest was causing swelling of his liver and spleen.

“I was very scared, angry, worried and doubtful, but the medical staff at ACH gave me and my son a sense of assurance that we brought him the right place at the right time,” said Vontifany.

After two weeks of treatment, the mass began to shrink and Chase’s doctors transferred him to the HematologyOncology unit, where he stayed for several more weeks.

“During that initial phase of Chase’s

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treatment, we received excellent treatment from the oncology staff,” Vontifany says. “Everyone was wonderful, and the social worker for the unit was instrumental in keeping my family encouraged, uplifted and informed with all the resources needed to make this event bearable.”

Chase officially went into remission in October 2010. He will continue treatment through 2013 to ensure his cancer does not return. Chase returns to the hospital biweekly for lab visits and monthly for chemotherapy.

“My son is a very healthy and highspirited child,” Vontifany said. “And we owe this to God and Arkansas Children’s Hospital for all they have done for Chase.” ✪

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South Wing PUTTING CHILDREN AND FAMILIES FIRST 1 2 A R K A N S A S C H I L D R E N ’ S H O S P I TA L 1 9 1 2 -2 0 1 2 • a c h 1 0 0 . o r g

The Charles “Boe” and Myrna V. Adams Rooftop Garden offers children and families a place for play and relaxation in the open air.

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s Arkansas Children’s Hospital moves into its next century of service, the hospital also passes another milestone with the completion of its most ambitious construction project to date, the South Wing.

The striking new glass-covered edifice promises to lead the hospital into a new day in family-centered medical care for children.

The 258,000-square-foot, four-story South Wing adds 54 net beds, bringing the hospital’s total to 370. Some 90 new diagnostic and treatment rooms have been built, and the new wing has doubled or tripled the size of key medical units and clinics.

“The South Wing is a project like none we’ve ever done before. It really meets the needs expressed by our patients and staff,” said David Berry, ACH senior vice president and chief operating officer. 

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Sky cranes seem a constant fixture at ACH as the hospital continually grows to meet the needs of Arkansas children.

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The wing has a new and larger Emergency Department (ED). It also includes additions to the neonatal and cardiovascular intensive care units, as well as new hematology-oncology and infant-toddler units. New clinics in the building include hematologyoncology, dental, neurology, audiology/speech pathology and ear, nose and throat.

Over the next five years, ACH will redevelop the spaces the ED, units and clinics will vacate for other healthcare and support spaces.

FAMILY CENTERED FEATURES Some of the most notable features of the South Wing are the bright, new single-patient rooms with accommodations for family members.

Parents of sick and injured children are enthusiastic about the South Wing’s new facilities.

When Stacy Cornwell’s daughter Emma was being treated for a heart defect before completion of the South Wing, cramped quarters allowed space for only one parent at a time to stay with her. The new South Wing’s patient rooms have space that more comfortably accommodates parents who want to stay with their children.

“When your child is so sick, you really need that time to bond,” she said. “Now both parents will be able to stay and have that bonding with the child.”

Each room has abundant natural lighting, shower facilities and separate zones for patients, family and caregivers. The new patient rooms include computers with Internet access, educational content, ondemand movies, game stations and music.

Rooms are designed so that routine staff duties don’t disturb patients unnecessarily. For example, without ever entering the patient rooms, staff members can deposit fresh linens in specially designed cabinets accessible from inside the rooms.

The “family house” in each inpatient unit offers a small kitchen, dining area, work space and laundry facilities. There are also spaces where patients and siblings can play. 

The airy atrium named for ACH pioneer Stella Boyle Smith provides patients, family and staff room to move — rain or shine.

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The South Wing carries on the hospital’s overall “Healing Is in our Nature” theme with soft earth-tone colors and features of nature in the reception areas (above), nursing stations (right) and family houses (below).

“People are stressed when they come here, so we wanted to make it homey.”

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The Charles “Boe” and Myrna V. Adams Rooftop Garden — with a walking labyrinth and the climatecontrolled, two-story indoor garden, the Stella Boyle Smith Atrium — gives patients, families and staff quiet “away” spaces to relax and reflect.

For young cancer patients, the South Wing offers a private and secluded outdoor healing garden, named in honor of Alton L. Miles, that is also visible to patients from their treatment chairs.

ACH President and Chief Executive Officer Jonathan Bates, MD, said the South Wing reinforces the hospital’s focus on family-centered care.

“Kids do better when their folks are around,” he said. “Familiar faces and familiar voices make a huge difference.”

In the past, doctors thought of pediatric medical care as something separate from family concerns, Dr. Bates said. Now, medical professionals embrace families as important members of the healing team. 

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The interiors of the South Wing were crafted with the understanding that all aspects of the interiors play a role in healing.

And the environment where patients and family spend time is important as well.

A HEALING ENVIRONMENT “We’re learning things about the room, the temperature, the humidity, the color, the sounds and the smells.

All have something to do with how a patient heals,” Dr. Bates said.

The South Wing interior design uses images of landscapes, wildlife, farms and outdoor activities combined with soft earth-tone colors evoking the natural world.

Reinforcing the hospital’s overall “Healing Is in Our Nature” theme, inspired by the Natural State, each floor uses individual supporting elements: where the river meets  1 8 A R K A N S A S C H I L D R E N ’ S H O S P I TA L 1 9 1 2 -2 0 1 2 • a c h 1 0 0 . o r g

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Children receiving treatment for cancer may wander through the “healing garden,” and those receiving treatment inside can look out on the calming view.

the Delta; where the forest meets the river; where the mountain meets the forest; and where the air meets the mountain.

The effect is soothing and thoughtprovoking, and was developed keeping the geography of Arkansas in mind. For instance, the river/Delta floor contains images one might see in Stuttgart or Helena, while the air/ mountain floor looks more like Eureka Springs in color and architecture.

“The South Wing is a project like none we’ve ever done before. It really meets the needs expressed by our patients and staff.”

DAVID BERRY SVP & COO Arkansas Children’s Hospital 2 0 A R K A N S A S C H I L D R E N ’ S H O S P I TA L 1 9 1 2 -2 0 1 2 • a c h 1 0 0 . o r g

PLANNING TO GROW Arkansas Children’s Hospital broke ground for the South Wing in September 2008, but the new wing has long been on the minds of hospital leaders.

“Those of us who work in facilities have seen this building in our heads for years,” Berry said. “And now it’s a reality.”

Beginning in January 2007, planners for the new building visited 13 different U.S. children’s hospitals to identify the best design features and to learn best practices. They wanted to allow departments to expand, to add bed and clinic space to accommodate current and future growth, and to move inpatient units and outpatient clinics out of the older parts of the existing hospital and into new space.

The South Wing planners followed principles of evidence-based design, an approach that takes into account patient health, well-being, mood and safety, as well as staff stress and safety.

Evidence-based design features include day lighting, family spaces, decentralized work spaces with technology integrated into the spaces to avoid an institutional feel. Most importantly, it provides spaces without the look and feel of a hospital.

“People are stressed when they come here, so we wanted to make it homey,” said architect Kent Taylor of the Cromwell architecture and engineering firm.

Planners worked to ensure that the environment would be appealing to patients and to “educate and distract,” Taylor said. “We wanted to make it child-friendly, not childish.”

But ACH is still a hospital. The cheery interiors take nothing away from the serious business of 

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medicine. And in that sense, the South Wing is all business.

FROM THE GROUND UP After the groundbreaking, construction workers and technicians began installing updated and highcapacity underground electrical circuitry, sewer lines, pipes and other infrastructure. ACH spent $36 million on such infrastructure before aboveground construction began, Dr. Bates explained.

“I hated to put that kind of money in the ground and bury it,” he joked.

“But a lot of it was preparing the hospital for the long run so we wouldn’t fall behind as patient needs grow in the future.”

Two separate electrical substations feed power to the hospital. And ACH has three separate emergency power generators so that if one or even two generators fail for whatever reason, a third is standing by to provide lifesaving electrical power to the hospital.

The South Wing is also built to strict standards for resistance to earthquakes, Taylor said.

The structure includes almost 3 million pounds of steel, and almost all of it is recycled. Laid end-to-end, the 52,000 feet of beams and columns would stretch 10 miles.

The South Wing’s seven main air handlers supply enough air to fill Little Rock’s War Memorial Stadium once an hour with purified air.

At least 30 percent of the air supplied by the air conditioning system is fresh. In the Emergency Department, 100 percent air is continually cycled and replaced with fresh, treated air through a heat exchanger to save energy and money.

GROWING FOR KIDS The needs of children and families, a great idea, planning, design, funding and construction of the South Wing came together much in the way different instruments combine to form a symphony.

“All of that has to come together in just the right time with the right ingredients in the right quantities to make a project really work,” Berry said. “And this project, we think, has really done that.” ✪ 2 2 A R K A N S A S C H I L D R E N ’ S H O S P I TA L 1 9 1 2 -2 0 1 2

Children on this stairway can reach for the stars in this realistic window on the constellations .

Arkansas Children’s Hospital South Wing: Floor by Floor 1st FLOOR In Honor of Walmart/Sam’s Club Associates Patient Care Floor Theme: Where the River Meets the Delta

2nd FLOOR J.B. Hunt Transport Services Patient Care Floor Theme: Where the Forest Meets the River

3rd FLOOR Will Golf 4 Kids and Color of Hope Gala Patient Care Floor Theme: Where the Mountain Meets the Forest

4th FLOOR Theme: Where the Air Meets the Mountain

Log a Load for Kids of Arkansas Emergency Department • Level 1 Pediatric Trauma Center • 52,000 patient visits annually • Receptionist area staffed by personnel with medical training • Sick and well waiting rooms • 5 trauma rooms • 33 private exam rooms • Dedicated X-ray suite • Separate decontamination space

Circle of Friends Hematology-Oncology Clinic • 100 new pediatric cancer patients diagnosed annually • 11 clinic exam rooms • 4 procedure rooms • 6 private infusion rooms Alton L. Miles Healing Garden • Private outdoor healing garden allows cancer patients to go outside or to look outside during treatment

Roy and Christine Sturgis Concourse

Neurosciences Center • 19,000 patient visits annually • 32 exam rooms • 9 EEG rooms • Separate “soft” waiting area with less noise and fewer distractions for patients who have autism spectrum disorders Delta Dental of Arkansas Foundation Dental Clinic • 8,800 patient visits annually • 4 X-ray rooms, including 2 panoramic X-ray units • 13 treatment rooms • 2 quiet treatment rooms for extra privacy • 4 hygienist rooms with ceiling TVs for patients • Lab for making dental appliances

Neonatal Intensive Care Unit (NICU) • 900 babies receive care annually • Can serve 100 babies, combined with existing NICU beds • 22 private rooms so families can stay with their children while learning about home care • Sibling playroom Arkansas Children’s Hospital Auxiliary Infant Toddler Unit • 30 private rooms • Family lounge and support center with playroom • Special family suite for very ill or newly diagnosed children

David M. Clark Cardiovascular Intensive Care Unit (CVICU) • More than 625 procedures last year • 31 heart transplants last year (a record for ACH) • Brings the CVICU rooms total to 40, including old and new unit

Willard and Pat Walker Charitable Foundation Ear, Nose and Throat Clinic • 14,000 patient visits annually • 19 exam rooms • 4 treatment rooms • Camera room with 3-D X-ray camera for surgery prep Audiology and Speech Pathology Clinic • 20,000 patient visits annually • 7 sound booths • 7 amplification labs for testing hearing aids etc.

• 7 private consultation rooms • Sound suite with research equipment • “Technology wall” so patients and parents can see/ touch/try new devices

Stella Boyle Smith Atrium • Natural light • Plants, benches Charles “Boe” and Myrna V. Adams Rooftop Garden • Play area • Richard W. Averill Foundation Walking Labyrinth • Staff courtyard • Plants, benches

Hematology-Oncology Unit • More than 90 percent of all pediatric cancer cases in Arkansas are treated at ACH • 26 private rooms • Family lounge and support space, play room, teen room • Special family suite for very ill or newly diagnosed children

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The Bale family: Generations of generosity

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n March, ACH Foundation board member Sharon Bale and her husband John “Johnny” Hardin Bale, Jr. donated $1 million to support the Arkansas Children’s Hospital fetal heart program.

The donation from the Bales, owners of the Bale Automotive Group of Little Rock, was a gift of life to generations of children yet to be born. The Bale Family Fetal Heart Center, a collaboration between ACH pediatric cardiologists and the UAMS obstetrics/gynecology department, will diagnose and care for unborn children with cardiac conditions.

The gift was further evidence of the Bale family’s deep commitment to the health of children through Arkansas Children’s Hospital. Through four generations, the Bale family has served ACH, carrying on a legacy of civic responsibility and philanthropy.

The birth of the Bales’ grandson, the first of the family’s fifth generation, moved the family “from the road of duty to the highway of passion,” Johnny Bale said.

John Hardin Bale IV received treatment at ACH for a congenital heart defect and other health issues.

“Even though we worked for and supported ACH all those years, it was when we began our walk in the shoes of so many families before us that we really understood what we were working for,” said Sharon Bale.

Johnny, an ACH board member since 1974, follows in the footsteps of his grandfather and father who were also board members. His grandfather, Hardin Bale, served on the board from 1927 to 1948.

John Hardin, Sr. served from 1948 to 1974.

Johnny Bale was board chair from 2000-2003, served a year on the ACH Research Institute board and six years on the ACH Foundation board.

Sharon Bale has been active in the ACH Auxiliary for years and in 2009 was elected to serve on the ACH Foundation board.

The Bales’ sons, Hardin and Hunter, are ACH volunteers and members of Children’s Circle of Care. Hunter also serves on

The Bale family donated $1 million to ACH to support the fetal heart center program. The Bales made the gift after their oldest grandson, John Hardin Bale IV, was treated at the hospital. Here, John Hardin (left) plays with his cousin, Evans Bale, who was also an ACH patient.

the ACH building and grounds committee.

Like ACH, the Bale Automotive Group is celebrating its centennial in 2012.

Johnny Bale said the new fetal heart center will enable diagnoses before children are born, bringing together the doctors and clinical teams to treat these conditions upon birth.

“This program also moves our knowledge and science forward and gives the possibility to intervene in-utero to avoid life-threatening heart defects,” he said.

“The fetal heart program can prevent another parent or grandparent from walking in our shoes, and that will be glorious!” ✪

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John H. Bale, Sr. served on the ACH board from 1948-74.

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A family’s journey: Emma Cornwell and her father, Brian

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rkansas Children’s Hospital patients and families in many ways have made the hospital’s history over the course of its first century.

And in one case, a single family embodies two generations of ACH’s history of compassion and lifesaving care.

Emma Cornwell and her father, Brian, are both ACH patients.

When Emma was born in 2008, a nurse noticed her skin was a bluish color and some of her oxygen levels were low.

After a few tests and consultation with Arkansas Children’s Hospital, an Angel One ambulance rushed Emma to ACH. Once at the hospital, Emma’s doctors diagnosed a rare heart defect known as total anomalous pulmonary venous return (TAPVR). She was admitted to the Neonatal Intensive Care Unit (NICU) and placed on a ventilator.

Only nine days after she was born, ACH doctors performed open-heart surgery to repair Emma’s heart defect.

The surgery went very well, and her doctors discharged her from the hospital 18 days later.

“We were so excited to take our little girl home, although we knew she might need to return to ACH eventually,” said her mother Stacy.

Eight months later, her parents noticed she wasn’t eating well and wasn’t gaining weight.

ACH doctors diagnosed Emma with failure-to-thrive, severe reflux and a paralyzed vocal cord, which can sometimes result from open-heart surgery.

Doctors performed a procedure to relieve Emma’s acid reflux, and placed a gastrostomy-button, also known as a G-button, so her family could supply nutrition and medicine.

In October 2011, Emma had the G-button removed. ACH cardiologists will continue to monitor Emma for the rest of her life. She’s now an active child who loves dance and gymnastics, her mother said.

Brian Cornwell and his daughter, Emma.

Emma’s father Brian Cornwell was born with a rare heart defect, different from his daughter’s. He was so small that his mother fed him with a medicine dropper.

Stacy Cornwell said there wasn’t a lot doctors could do at the time.

“Back in the ’70s, they didn’t know what to do,” she said.

As the years went by, ACH doctors kept pace with medical advances, and

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treated Brian “step-by-step.” Since age 14, Brian has had four surgeries. He continues to be treated at ACH, where the doctors specialize in treating congenital heart defects such as Brian’s.

“Because of my experiences with ACH, when we heard Emma might have a heart defect, we knew exactly where we wanted her to go,” Brian said. “We are so thankful and blessed by everything ACH has done for Emma.” ✪

Angel One flies lifesaving missions of mercy to help sick and injured children

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he Angel One program is dedicated to providing care, love and hope.

And that’s what Angel One does — at 180 miles an hour.

Arkansas Children’s Hospital Angel One helicopters can reach critically ill patients anywhere in the state within an hour for treatment and transport back to Little Rock.

“Getting our critical care practitioners to the patient is often as important as getting them to Little Rock,” said Michele Moss, MD, Angel One co-medical director. “They are so ill that they need to be transported fast by a highly trained pediatric team that can provide a high level of critical care.”

Care begins as soon as the team reaches the patient and continues on the flight to ACH. The lifesaving transport program operates two state-of-the-art Sikorsky S-76 C+ helicopters, and an on-call airplane for long distance transports, and four ambulances. The program carries out about 2,100 patient transports a year with an average of almost six transports a day. More than half of the transports are by helicopter.

The current Angel One helicopters, in use since 2002, can carry multiple patients at a time and even fly on instruments in bad weather with poor visibility. The helicopters are big enough to carry the patient and six adults. This usually allows room for a parent to fly along, and that’s important to parents.

“The kids are pretty cool either way, but it is real important to families,” Dr. Moss said.

ACH has two Angel One flight teams.

The neonatal team transports newborns and includes a specially trained registered nurse and respiratory therapist.

For transporting older patients, the team includes a registered nurse, respiratory therapist and a pediatric or emergency medical resident.

“If we think there are going to be additional complications, we can add more crew — another pilot or another nurse, therapist or doctor,” Dr. Moss said.

ACH’s two helicopters and four ambulances extend the hospital’s healing reach to all corners of the state.

Each helicopter is equipped to carry an extracorporeal life support system device or ECMO. ECMO is life-saving support for the most severe forms of acute heart and/ or lung failure. It uses a pump to pull blood out of the body, cycle it through an artificial lung to remove carbon dioxide and receive oxygen. The pump provides enough blood flow to support the workload of a failing heart.

Angel One was the first in the nation to use mobile ECMO by helicopter, and in 1996 ACH became the first pediatric program accredited by the Commission on Accreditation of Medical Transport Services.

The transport service’s ground ambulances are equipped for transport of critical-care pediatric and neonatal patients as well. They serve as mobile intensive care units, and can simultaneously carry two incubators, called isolettes, with

controlled temperature and humidity, and an oxygen supply for premature infants. The ground ambulances also carry ECMO devices.

Another piece of technology has proven highly popular with fearful or anxious child patients — a DVD player for movies or cartoons.

“If we need to do some entertaining, the patient can wear their little headsets and listen to music or watch a DVD,” said Dr. Moss. “We’ve got the standard movies: ‘Nemo,’ ‘Toy Story,’ that kind of thing.”

The helicopter crews adhere to strict maintenance schedules to keep them flying.

“But at some point you’re spending more time and money replacing things than you are flying the helicopter,” Dr. Moss said. “Then it’s time to get new helicopters. That time is coming soon for Angel One.” ✪

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Arkansas Children’s Hospital’s History of Care, Love and Hope

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rkansas Children’s Hospital’s first century began with a dream of caring for lost and forgotten children.

Over the decades, the dream grew from a small children’s home to a world-class children’s hospital improving the health and well-being of all Arkansas children and their families.

The new South Wing is the latest chapter in the hospital’s history. But the ACH roots go back to the start of the 20th Century.

children. As a boy, Pugh lived a life of struggle and work. His own father died while Pugh was still young. And as the family’s oldest son, he left school in his early teens to work and support his mother and siblings.

As a result of his experience, Pugh wanted to do all he could to ease the burdens of other children and enable them to make their own way in the world.

So Pugh organized a group of public officials, clergy and business people to create a children’s home in Little Rock.

A SAFE HAVEN FOR CHILDREN In the century’s first decade, Arkansas real estate dealer Horace G. Pugh made a decision with consequences he could have never imagined.

Pugh had long dreamed of founding a haven for orphaned, neglected or abused

FROM FIRST HOME TO FIRST HOSPITAL In March 1912, the group founded the Arkansas Children’s Home Society. The Society acquired its first facility in 1913 when Emma Hannaford donated a Victorian house and 30 acres in Morrilton.

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Beall took over as superintendent, becoming in her 27 years of service a giant in the hospital’s history. Beall’s hard-nosed management and compassionate commitment to children brought Arkansas Children’s Hospital through its toughest times and spurred changes that brought the hospital into modernity.

Arkansas Children’s Hospital in 1940 stood on the brink of two great challenges — the outbreak of World War II and the polio epidemic that would strain the hospital’s resources for the next decade.

World War II sent many hospital staffers into the military, and by 1943 ACH was using the first group of medical students from the University of Arkansas School of Medicine to fill gaps left by staff away in the war.

The scores of children who turned up at the home provided ample evidence of the great need for it. The Sayle-Hannaford Memorial Home took in a total of 157 children that first year alone.

Hearing of his success with other children’s homes, the board hired Dr. Orlando P. Christian as superintendent in 1916. Dr. Christian would serve the Arkansas children’s home for 17 years, a time of steady improvement and expansion.

In January 1918, Chicot County cotton planter Capt. E.S. Hilliard donated $5,000, and the Society used the money to buy a house in Little Rock and moved the children’s home to the state capital.

In Sept. 1922, the Society moved into a new home in Little Rock donated by Mrs. Catherine Forney-Smith, and the children’s home took root in the neighborhood where it remains today.

Before long, ambitious plans were under way for a new hospital. In Nov. 1924, the new hospital building was completed, making it the first new construction at the present site of Arkansas Children’s Hospital.

WEATHERING THE DEPRESSION, POLIO AND WORLD WAR II In the aftermath of the Great Depression, ACH struggled financially but managed to remain open.

In 1933, the hospital saw a momentous changing of the guard when failing health forced Dr. Christian to retire. Ruth Olive

a bill sponsored by Governor Bill Clinton, the hospital established its first Neonatal Intensive Care Unit (NICU).

The ACH transport program, which began in 1978 with one van, expanded to the air, using a leased plane that allowed children from all over Arkansas to reach critical care sooner. In 1985, the program expanded again with a helicopter named Angel One.

A TURNING POINT While doctors, staff and administrators worked to save and nurture children, another equally important force was taking shape.

After decades of informal collaboration, Arkansas Children’s Hospital and UAMS in 1969 began a formal affiliation, working together to provide treatment for patients and education to medical students, interns and residents.

Another giant came on the scene in 1975 when Dr. Betty Lowe joined the staff, becoming ACH medical director two years later. Dr. Lowe played a key role in making ACH one of the nation’s best children’s hospitals.

In the 1970s, financial issues presented the very real possibility that ACH might need to close entirely or move from its current location. In 1976, the hospital board, under the leadership of Robert Cress, decided to stay at the current location.

BEYOND THE BEDSIDE As ACH was becoming a leader in caring for sick kids, it began to turn its attention to efforts aimed at helping kids stay out of the hospital. Investing in research and prevention efforts with the aim of understanding and reducing illnesses and injuries became an important priority.

The Arkansas Children’s Hospital Research Institute opened in 1992 and in 1997 the Arkansas Children’s Nutrition Center, the nation’s second pediatric nutrition center and one of only six nutritional research facilities funded by the United States Department of Agriculture, was established.

The ACH Injury Prevention Center opened with the aim of reducing the number of children and teenagers hurt and killed each year in Arkansas by unintentional and preventable injuries.

In the first decade of the new millennium, ACH continued to grow and mature and began to expand its focus to caring for children beyond the walls of the hospital.

In order to provide specialty care closer to home, ACH and UAMS collaborated to open the Centers for Children in Lowell, the first pediatric subspecialty facility in northwest Arkansas. A similar location recently opened in Jonesboro, and specialty clinics are offered throughout the state.

EXPANDING SPECIALTY CARE The next few years saw more progress for ACH in expanding pediatric care, funding and services. The hospital turned its focus to training and recruiting pediatric specialists, ensuring that children did not need to leave the state for care.

By the early 1980s, the hospital’s inpatient admissions and budgets had risen dramatically. The hospital’s board approved a major expansion program and, by a healthy majority, Pulaski County voters approved a one-mill tax to help pay for hospital operations.

In addition, with partial funding from

LOOKING FORWARD TO THE NEXT CENTURY OF CARE, LOVE AND HOPE In March 2012, ACH celebrated 100 years of Care, Love and Hope and announced the Century of Possibility Centennial Campaign to prepare for the next 100 years.

As Arkansas Children’s Hospital looks to the future, it will work toward all that is possible for children. The focus remains on providing the best care for sick and injured kids, supported by efforts in research, education and prevention aimed at keeping children out of the hospital. ✪

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Ruth Olive Beall T

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he Saturday Evening Post once admiringly referred to Arkansas Children’s Home and Hospital superintendent Ruth Olive Beall as the “the Terrible-Tempered Angel of Arkansas” because of her insistence on hard work and efficiency and her great success in convincing potential donors of her resolve.

“She is like a pounding surf; just keeps moving in until something crumbles. When she calls, you save time by complying immediately,” Dr. Joseph F. Shuffield of Little Rock said of her in the same article.

Beall served as superintendent for 27 years, from 1934 to 1961. She is probably the most memorable of any hospital superintendent and one of the most devoted to children.

She saw ACH through some its darkest days during the Great Depression, World War II and the polio epidemic of the 1940s and 1950s.

Former residents at the Children’s Home remembered Beall fondly.

Kenneth Dodson lived at the home from 1926 to 1934, his daughter Sandra Fulmer said.

“I heard many stories over the years of his time at the Children’s Home,” she recalled.

“And they were all good memories to him.

He particularly mentioned the lady who was director at the time, Ruth Beall. She was very kind to him.”

Wayne Harris, then an 8-year-old, came to the Arkansas Children’s Home and Hospital in 1933 and stayed for 10 years until he was drafted for service in World War II. Beall worked to give children lives that were close to those of children living with their families, he said.

“We went to school like everyone else.

We dressed like everyone else. She wanted us to feel like normal kids,” Harris said of Beall.

Ruth Olive Beall died in 1974 at age 78.

She is buried in Little Rock’s Roselawn Memorial Park.

Her legacy lives on today though the Ruth Beall Society, an organization of individuals, couples and families whose wills, trusts or other estate plans include ACH as a beneficiary. The annual Ruth Olive Beall Awards honor ACH and community physicians who also demonstrate her commitment to children. ✪

Grandfather Bale Knew Best He saw cars as a way to improve living…

He saw Arkansas Children’s Hospital as a way to improve the lives of children and began his service on its board in the late 1920s.

The Bale family continues the legacy of selling automobiles and supporting Arkansas Children’s Hospital!

Join us in congratulating

Arkansas Children’s Hospital

on 100 years

and the opening of the South Wing.

We Are Honored To WAlk WiTH you inTo THe nexT CenTury of poSSiBiliTy!

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Arkansas Children’s Hospital Timeline March 5, 1912 — The Arkansas Children’s Home Society, an orphanage for the underprivileged children of Arkansas is officially incorporated.

May 1913 — Emma Hannaford of Morrilton deeds a house to the Arkansas Children’s Home Society for a children’s home.

1916 — Dr. Orlando P. Christian joins the Society as superintendent to begin 17 years of service.

January 1918 — The Arkansas Children’s Home Society moves into a house in Little Rock after a $5,000 donation by Capt. E.S. Hilliard, a Chicot County cotton planter.

1920s — Stella Boyle Smith becomes a volunteer, beginning a long association with Arkansas Children’s Hospital that would also see her serve as a fundraiser and a philanthropist until her death in 1994.

September 1922 — The Arkansas Children’s Home Society moves into a new home in Little Rock donated by Mrs. Catherine Forney-Smith.

March 9, 1926 — The new hospital building, the first construction at the present site of Arkansas Children’s Hospital, opens with a fully equipped operating room, two beds and an all-volunteer medical staff.

February 1934 — Ruth Olive Beall becomes superintendent of Arkansas Children’s Hospital. She will serve for 27 years.

June 1936 — Franklin Delano Roosevelt and Eleanor Roosevelt visit Arkansas. Mrs. Roosevelt stops at Arkansas Children’s Hospital to see patients and returns for another visit the next year.

January 1942 — The Board of Arkansas Children’s Home and Hospital votes to establish a convalescence ward for polio patients.

May 1943 — First group of medical students from the University of Arkansas School of Medicine are assigned to Arkansas Children’s Home and Hospital to fill gaps left by staff away in World War II. 1953 — Burn Center opens to become the first facility of its kind, and still Arkansas’s only burn center.

July 1954 — Board of Trustees votes to close the Children’s Home and change the institution’s name to Arkansas Children’s Hospital.

1967 — The current Auxiliary forms and its members over time give thousands of volunteer hours and donate more than $7.5 million.

October 1969 — After decades of informal collaboration, ACH and UAMS begin a formal affiliation, working together to provide treatment for patients and education to medical students, interns and residents.

1975 — Dr. Robert H. Fiser, Jr. becomes chairman of the UAMS Department of Pediatrics. In June, Dr. Betty Lowe of Texarkana takes up the position of ACH Director of Pediatric Education. She becomes medical director two years later.

August 1978 — Neonatal transport service begins with a van that logs 9,000 miles in its first six months.

March 1980 — With partial funding from a bill sponsored by Governor Bill Clinton, ACH establishes its first Neonatal Intensive Care Unit (NICU) with six bassinets.

October 1981 — The first cardiac surgery performed at the hospital on a baby just 25 days old.

1982 — Arkansas Children’s Hospital Foundation established.

1983 — Circle of Friends formed, collecting over time more than $10 million and establishing 12 chapters statewide.

1983 — Cardiovascular Intensive Care Unit (CVICU) opens; ACH air transport program begins with a leased plane.

May 1983 — Arkansas Children’s Hospital begins affiliation with Children’s Miracle Network Hospitals, a relationship that results in donations of more than $67 million through 2011.

November 1985 — The NICU Transport System expands with a helicopter named Angel One allowing critically ill and injured children to reach high-level care sooner.

1986 — Committee for the Future, a young professionals group, forms to raise funds and awareness for the hospital. Through 2011, the group raises more than $5 million.

March 1990 — Arkansas Children’s Hospital performs its first heart transplant on an infant only 17 hours old. Since then, more than 270 transplants have been performed at the hospital, including a record-setting 31 in 2011.

October 1991 — ACH and UAMS sign cooperative agreement to create a pediatric research institute. Hospital board member Anne Hickman chairs the fundraising campaign, and the Arkansas Children’s Hospital Research Institute opens in 1992 at ACH.

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May 1993 — Jonathan Bates, MD, joins ACH as president and chief executive officer.

1995 — The Horace C. Cabe Foundation funded the first endowed chair at ACH. To date, there are 28 fully endowed chairs, each representing a gift of more than $1 million.

November 1997 — The hospital establishes the Arkansas Children’s Nutrition Center, the nation’s second pediatric nutrition center and one of only six nutritional research facilities funded by the United States Department of Agriculture.

March 2003 — New Pediatric Intensive Care Unit (PICU) opens, made possible by an $8.4 million grant from the Donald W. Reynolds Foundation, part of the “Best Care for the Sickest Children” campaign chaired by Witt Stephens, Jr. and Ray Hobbs.

May 2007 — Arkansas Children’s Hospital and UAMS Department of Pediatrics collaborate to open Centers for Children, the first pediatric subspecialty facility in northwest Arkansas.

July 2007 — The Injury Prevention Center at ACH opens and begins working to reduce the number of children and teenagers hurt and killed each year in Arkansas by unintentional and preventable injuries.

September 2008 — Arkansas Children’s Hospital breaks ground for the South Wing, a 258,000 square-foot expansion to open in July 2012.

April 2009 — Donor-supported mobile dental program initiated to provide dental care to children across the state, currently with three mobile dental vans.

August 2010 — ACH places the final beam atop the South Wing expansion. During the topping out ceremony, Kirk Thompson, CEO of J.B. Hunt Transport Services, announces a corporate commitment of $5 million toward the building’s construction.

November 2010 — ACH becomes the only pediatric Level 1 trauma center in Arkansas.

March 2012 — ACH celebrates 100 years of Care, Love and Hope and announces the Centennial Campaign to prepare for the next 100 years.

For additional timeline entries and historical photos, please visit ach100.org.

Arkansas Loggers Carry the Load For Kids and have raised $5.5 million since 1993.

We are proud to support the South Wing!

arkforests.org

Dr. Betty Lowe

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hen Betty Lowe, MD, of Texarkana joined Arkansas Children’s Hospital in 1975 as director of pediatric education, ACH had only 45 beds and a handful of doctors and medical residents to care for patients.

Dr. Lowe quickly set about building a comprehensive professional staff, playing a key role in the evolution of ACH into one of the nation’s leaders in pediatric care with hundreds of beds and scores of pediatric specialists.

She trained a generation of young doctors and recruited the best specialists she could find.

In 1977, she became the ACH medical director. And in the late 1970s, thenGovernor David Pryor appointed her to chair a task force on neonatal care in Arkansas. Due in part to her efforts, in 1979 the state began funding the Arkansas Children’s Hospital Neonatal Intensive Care Unit (NICU), the first of its kind in Arkansas.

Dr. Lowe also served as president of the American Academy of Pediatrics in 1994.

When she retired in 2001 after 26 years of service, the parent of a former ACH patient named Chelsea spoke in her honor.

President Bill Clinton said Dr. Lowe went into medicine so more children could live their dreams.

“To me, she just took care of kids better than anybody,” he said. “And she inspired a whole new generation of doctors to do the same.” ✪

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ACH teaches medical staff, families and children

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he major pillars of health care at Arkansas Children’s Hospital are pediatric care, research, education and prevention.

Education paves the way for the future by enhancing and growing the hospital’s services for patients, families and healthcare professionals across the state and beyond.

The ACH education program provides teaching for medical residents, other physician training and instruction in a wide variety of allied medical fields, including nursing, pharmacy, respiratory therapy and chaplaincy.

EDUCATING CAREGIVERS In a busy children’s hospital like ACH, education could easily be displaced by the daunting demands of critical care. But ACH President and CEO Jonathan Bates, MD, said the focus on and investment in education is also critical because it helps assure that future staff members are ready to serve.

“We need to train people so that we have a new crop coming along year after year,” he said.

Two-thirds of the pediatricians in Arkansas train at Arkansas Children’s Hospital, and most of them stay in Arkansas after their training is complete.

Continuing in-service training keeps skills up to date and introduces new techniques important to maintaining ACH’s place as one of the world’s best children’s hospitals.

ACH, which serves as the pediatric teaching affiliate of the University of Arkansas for Medical Sciences and home to the Department of Pediatrics, is the classroom where medical students study the pediatric component of all disciplines.

ACH uses distance learning and telemedicine to eliminate geographic barriers to education.

And much of the on-site training comes through Arkansas Children’s Hospital’s PULSE Center (Pediatric Understanding and Learning through Simulation Education), which works to improve safety and quality of care, improve teamwork and hone clinical skills.

Grand rounds is an important part of medical education.

Dr. Bates said simulation is a highly effective means of teaching real life skills in a realistic environment.

“We also do a lot of teaching and education that is not for professionals, but for families and kids,” he said. “They’ve got to learn about obesity and diabetes, all kinds of different things that are relevant to their health.”

EDUCATING CHILDREN, TEENS AND FAMILIES Education goes hand in hand with pediatric care, research and prevention priorities. Each priority overlaps with and supports the others.

For example, ACH physicians treat children for obesity and diabetes; the Arkansas Children’s Hospital Research Institute studies underlying causes of both; and the hospital’s prevention program works with communities, schools and children to raise awareness and head off obesity and diabetes before they set in.

Driving safety is also part of the mix.

And ACH community outreach educators counsel parents about the necessity of using car seats, young people about seat belts and all drivers about the dangers of texting while driving.

“There’s a sharp decline going on in deaths of teenagers on the road,” Dr. Bates explained. “All the effort that has gone into safer circumstances for kids to

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drive has made that difference. It’s very exciting.”

ACH still has much to learn about education and its connection to the other priorities, according to Dr. Bates.

“We’re partly learning and partly experimenting in a sense about what techniques help us educate people,” he said. “We’re just getting into the early stages of that.”

Parents say the ACH medical staff effectively communicates information about their children’s conditions and provide complete answers to their questions.

However, many parents who bring their children to ACH for treatment are young and often frightened.

“They don’t often hear the explanation that is offered,” Dr. Bates said. “So if you have a video clip and keep it short, the parents can go back and play it anytime until they understand what it means.”

With the continuous unfolding of medical and technological advances, children are often able to go home earlier than in the past with a medical appliance to monitor their condition or continue treatment.

But parents and children must learn about the devices to use them effectively.

“I’d like to have a video clip at the bedside so whenever parents get a minute, whenever they want to, they can flip this thing on and find out what this technology is, and how it works, and what to watch for,” Dr. Bates said. ✪

Brave New Stella Boyle Smith

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olunteer. Fundraiser. Philanthropist. Few figures in ACH history offer a more complete example of heroic commitment than Stella Boyle Smith.

Smith began her service in the early 1920s as a volunteer making home visits to people who wanted to adopt children from the Arkansas Children’s Home.

She attended the groundbreaking of the first hospital in 1923. And once the hospital opened, Smith performed all types of volunteer work within the facility, from scrubbing operating room floors to bathing children.

During the hard times of the Depression, Smith took an active role in hospital fundraising. Her husband’s railroad job allowed her to travel without charge. So Smith would hop on the train and travel all around collecting donations of money, food, clothing and other necessities.

She was also a member of the hospital’s Auxiliary.

After her death, Smith’s legacy has continued through her trust. Most recently, the trust made a gift of $1 million designated for the atrium in the new South Wing, which will be named the Stella Boyle Smith Atrium in her honor.

She remains a shining example of the power of a committed volunteer. ✪

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Technology makes long distance consultation and teaching about the same as a “face-to-face” encounter.

Telemedicine closes the gap for distant patients, students

S

itting in his Arkansas Children’s Hospital office each Monday, geneticist G. Bradley Schaefer, MD, chief of medical genetics at ACH, visits with families of patients.

This particular group of patients isn’t at the hospital — or even in Arkansas.

They’re in Wichita, KS. The geneticist closes the distance through telemedicine, the delivery of medical care and services using interactive video and audio teleconferencing technology. The technology allows ACH physicians to see patients at distant locations in real time.

“It’s just like having a face-to-face visit,” Dr. Schaefer said. “It’s like watching the Super Bowl on your best TV.” The ability to bridge great distances is a boon to parents of sick and injured children who don’t have the time or the resources to drive to Arkansas Children’s

Hospital in Little Rock or one of the Centers for Children around the state.

Telemedicine offers a solution to the access issue. A physician, nurse or genetic counselor sits in the examination room with the patient to assist as they meet with Dr. Schaefer using high-resolution TV. Ultrasound images, X-rays and other visuals and data are available on both ends at the same time during patient consultations. Finally, and most importantly, the connection is heavily encrypted to preserve confidentiality, according to Dr. Schaefer.

“The feedback I get from patients and families is invariably positive,” he said.

And Dr. Schaefer has encountered some unexpected benefits.

“Children with attention deficit hyperactivity disorder are mesmerized by the fact that the TV is talking to them,” he said.

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Arkansas Children’s Hospital is now studying ways to use telemedicine for providing services to Arkansas students with asthma at distant locations. The study of children ages 7 to 14 is being conducted in the Helena-West Helena, Camden-Fairview, Dollarway, Pine Bluff, Forrest City, Lake Village, McGehee and Brinkley school districts.

Breath Connection is a free, schoolbased program that allows children and families to receive specialized asthma education from trained personnel at ACH. Hospital physicians provide local doctors and school nurses with asthma education and individual treatment for each participating student.

Dr. Schaefer said the potential for telemedicine is vast.

“We can consult anywhere in the United States or other countries that have the technology,” he said. ✪

PULSE Center educates through simulation

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he child had been irritable over the last few days and had lost her appetite, even for her favorite foods. Something was wrong.

Members of an Arkansas Children’s Hospital medical team surrounded the examination table and searched for the cause of the child’s distress.

The “patient” in this case was not a child at all, but a highly sophisticated mannequin, one of the child-sized high-fidelity mannequins at the ACH PULSE Center.

The lifelike “Manikins” are programmed to simulate a medical condition and to respond — or not respond — to caregivers’ treatment of the condition.

“The mannequin is basically a computer with skin,” said the PULSE Center’s Dr. Tonya Thompson, also an associate professor of Pediatrics in the UAMS College of Medicine. “We can program it to replicate all kinds of medical scenarios.”

PULSE stands for Pediatric Understanding and Learning through Simulation Education. In 2007, ACH was the nation’s first

ACH is a pioneer in use of smart “Manikins” and other simulation for training.

children’s hospital to open such a medical simulation learning center. The center provides training and education through medical simulation for thousands of hospital staffers each year — and not just doctors and nurses.

Social workers, paramedics, security officers, chaplains, hospital administrative staff and others also train there on emergency response procedures and on other topics as well.

Trainees review digital video and

audio recordings of the scenario. They critique their own performance, and take cues from the PULSE Center staff on how they might improve.

“This is a very safe space. You can make a mistake without harming an actual patient,” Dr. Thompson said. “If you don’t get it right, we can rerun the scenario.”

To learn more about the PULSE Center at ACH, visit archildrens.org/Services/ The-PULSE-Center.aspx. ✪

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ACHRI provides research to save, improve children’s lives

H

ow much is one-fiftieth of a peanut?

It’s enough to put a child with a peanut allergy into life-threatening shock with severe swelling, painful rashes and itching.

The peanut allergy is just one of scores of research topics investigated by more than 120 scientists at the Arkansas Children’s Hospital Research Institute (ACHRI) to save and improve the quality of children’s lives.

“Advances in pediatric medicine begin with a vision for a future in which all children can grow up to be healthy adults,” said ACHRI president Richard Jacobs, MD, FAAP. “Researchers at ACHRI share this common vision and have devoted their lives to making it a reality.”

Areas of investigation include other allergies, birth defects, obesity, diabetes, autism, asthma and cancer.

ACHRI research scientists conduct clinical, basic science, prevention and health services research to find new ways of treating illnesses, preventing disease and improving children’s health.

EXPERTISE AND EXPERIENCE ACHRI supports an interdisciplinary research team with expertise and experience that span the breadth of medical disciplines.

The ACH Board of Trustees established ACHRI in 1989. Two years later, an agreement between ACH and UAMS combined the strengths of the two institutions to build ACHRI’s capacity.

The institute’s total research grant base in 1997 was $7.5 million. Today, researchers bring in more than $25 million yearly in grants and contracts from industry, federal and private agencies, philanthropic donations and professional organizations.

ACHRI has long-standing federally funded research programs such as the Arkansas Children’s Nutrition Center — one of only six centers in the USDA’s National Human Nutrition Research

The Arkansas Children’s Hospital Research Institute pushes the frontiers of medical knowledge and pediatric care.

Centers Program and one of two centers to focus only on pediatric nutrition — and the Arkansas Center for Birth Defects Research and Prevention Program funded by the Centers for Disease Control and Prevention.

A HEALTHIER FUTURE FOR BABIES Many new and innovative research projects begin each year at ACHRI, while some ongoing research has already begun saving children’s lives.

Birth defects affect up to four percent of all live births in the United States.

Some 1,300 Arkansas babies are among the 150,000 U.S. children born each year with birth defects.

The Arkansas Center for Birth Defects Research and Prevention seeks to reduce the prevalence of birth defects in Arkansas and the nation, and to decrease their psychological, social and economic impacts.

“In terms of prevention, one of the things we’ve been involved in is a statewide folic acid campaign with the March of Dimes,” said Center Director Charlotte Hobbs, MD. “We’ve seen a decrease in babies born with neural tube defects, spina bifida and anencephaly,

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because of the folic acid campaign.”

Even mothers who do all the right things — avoiding smoking, maintaining appropriate diet and weight, taking folic acid and regularly receiving prenatal care — may still have a child with birth defects.

“Why? We don’t know. Our business is to try and find out,” Dr. Hobbs said.

DONOR GIFTS SUPPORT RESEARCH BREAKTHROUGHS Philanthropy plays an important role in ACHRI’s future. Research grant revenue alone doesn’t provide enough to support research into finding new treatments, preventive measures and cures for diseases and injuries that affect children.

Dee Ann English, an ACHRI donor and an ACHRI board member since 2008, believes research is an important investment for future generations of children.

“Most people know ACH does amazing things for children and their families daily,” English said. “ACHRI does this as well, but it is more behind the scenes and not always as immediate.

However, it is just as important.” ✪

Samantha Johnson

W

hen Samantha was born in Fayetteville in 1995, her pediatrician noticed her feet were blue. After running a few tests, he informed Samantha’s parents, Jill and Charles, that she had a heart defect and needed to receive treatment at Arkansas Children’s Hospital.

“It was scary to see our daughter — who was not even a day old — taken from us to be flown down to Children’s on an Angel One helicopter,” Jill says. “We knew she had a heart problem, but we didn’t know to what extent.”

When Jill and Charles arrived at the hospital, they met with a cardiologist who had devastating news: Samantha had hypoplastic left heart syndrome, a complex, rare heart defect in which the left side of the heart does not develop properly.

When she was 3 days old, doctors performed surgery on Samantha’s heart to help it pump blood. The surgery, called the Nor-

wood Procedure, was unsuccessful. As her condition deteriorated, doctors informed Jill and Charles that Samantha needed a heart transplant.

“Waiting for a heart was absolutely surreal,” Jill says. “The hardest part was reconciling the loss that another family was experiencing to the hope our family was receiving. It was a blessing, but it was a difficult time for us.”

Samantha received her new heart in June 1995, just three weeks after she was added to the transplant list. She remained at ACH for four months as her body healed.

“During our time at the hospital, we received a great deal of support from friends and family in the area, but also from the staff members of the hospital,” says Jill. “Everyone was very professional, and we knew we were in good hands.”

Because she was so young when she received the transplant, Samantha has never known a life without it.

“Most days I feel like a normal teenager,” she says. “I can play most sports and my school curriculum is the same as my peers.

However, I do get sick more than the average teen, so I miss more school than normal.

I take eight medications twice a day so that my body will operate the way it should. I also have quarterly check-ups with my cardiologist and surgery once a year. This is the only way I have ever lived. It is worth it, and I would not change anything.”

Samantha will continue to visit the hospital into adulthood. An active teenager, Samantha loves rock climbing, swimming, dance and playing basketball. ✪

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ACH works to prevent injuries and illness in children

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s a pediatric resident, Mary Aitken, MD, worked in a large hospital as part of teams caring for sick and injured neonates and children. Among these was a baby that survived despite extreme prematurity and was discharged home after weeks of intensive care.

Months later, Dr. Aitken learned the baby had died in a car crash. The fatal injuries the child suffered could have easily been prevented with a secured child safety seat.

Later, she worked to comfort a young girl who was seriously injured while playing in an abandoned building. The girl had her leg amputated despite the trauma team’s efforts, simply because she didn’t have a safe place to play.

Nothing good can come from the death or disability of a child. But the tragedies sparked in Dr. Aitken an idea that likely later saved the lives of other children. The sad experiences interested Dr. Aitken in using prevention as an essential part of health care for children.

Dr. Aitken is now medical director of the ACH Injury Prevention Center (IPC) and is also a professor at the UAMS College of Medicine.

The IPC reaches out to children, parents, family members and lawmakers to spread the word about the vital importance of prevention and creating and maintaining safe environments for children to live and play.

Natural Wonders — a partnership led

by ACH and a host of Arkansas partners, including state agencies, nonprofits, foundations and UAMS — has been working for several years to address issues facing Arkansas children.

“We’re trying to address the problems we see in the hospital before they hurt children,” said Fidel Samour, ACH project analyst. “The project’s key targets are injury prevention, access to comprehensive oral health care and health literacy.”

The IPC is part of Arkansas Children’s Hospital’s broad strategy of preventing injury and illness in children before they occur.

High-energy presentations engage students in learning about healthy habits, including fitness.

Created in 2007, the IPC came as a result of the Natural Wonders project, the firstever comprehensive health study of Arkansas children. The study showed that car and ATV crashes, drowning and other preventable tragedies took a significant toll on the lives and health of children.

It also showed that a third of Arkansas children suffered from untreated dental cavities.

ACH has been working since then to address these and other problems for children.

The ACH Dental Outreach team is fighting poor oral health with the use of mobile dental clinics, specifically designed for pediatric dental care.

The IPC efforts focusing on injury prevention advocacy, research and program development complement outreach efforts from both the IPC and the ACH Community Outreach Department.

Each year the Community Outreach Department visits more than 100 schools and provides activities at numerous health fairs and community events around the state to help spread the word about child health issues.

The team’s high-energy Healthy Habits school presentations emphasize hygiene, nutrition, fitness and safe play to help ele-

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mentary-age students establish a lifetime of healthy choices. Each child receives a goody bag with an activity booklet, crayons, toothbrush, toothpaste and a jump rope.

Mobile Fire Safety Houses teach children about smoke detectors, checking doors, twoways out, crawling low under smoke and the importance of not hiding during a fire.

The five fire safety houses are located at ACH and in Newport, Rogers, Camden and McGehee to serve the entire state. These additional Fire Safety Houses provided by ACH are used by local fire departments for school visits or community events.

FAN Club (Fitness and Nutrition) classroom presentations target middle school students to help teach the importance of daily physical activity and healthy food choices as part of an active lifestyle.

Child Passenger Safety information on the correct use of car seats, booster seats and seat belts is widely offered through educational presentations, training classes, community-wide check-up events and phone consultations for concerned parents, caregivers and other health care professionals.

Teen driving safety programs targeting both adolescents and their parents are offered at schools and in other community settings. ✪

Fighting childhood obesity

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hildhood obesity is nearing epidemic proportions nationally, with alarmingly high rates among Arkansas children. But a team of researchers at the Arkansas Children’s Hospital Research Institute (ACHRI) are looking at the best ways to counter it in every stage of development — from before children are even born to well into their teens.

All of their projects are grouped under the recently launched ACHRI Childhood Obesity Prevention Research Program (COPRP). The initiative focuses on education and advocacy to develop strategies communities can put in place to protect their children.

As the teams at ACHRI and the USDAfunded Arkansas Children’s Nutrition Center (ACNC) work together, they are ensuring a continuum of care and prevention.

Pregnant mothers can participate in the obesity prevention efforts through research that has been underway for several years at ACNC. The GLOWING (Growing Life, Optimizing Wellness) study is helping scientists learn how pregnant women might alter the metabolism of the fetus in a way that leads to childhood obesity.

COPRP is also implementing the Arkansas Grow Healthy Study, funded by $4.78 million from the USDA’s National Institute of Food and Agriculture. Over the course of the project, the ACHRI team will conduct a statewide foodshed assessment and will design and implement an aggregation center for fresh locally grown fruits and vegetables, increasing the capacity for serving local produce in schools.

Another well-known community-based project began in 2009 by taking students back to their roots – literally. The ACHRI Delta Garden Study introduces middle schoolers to the process of growing, cooking and eating their own fruits and vegetables.

Funded by a $2 million initial grant from the USDA Agricultural Research Service, the study aims to discover whether gardening can improve children’s health and prevent obesity.

In addition to classwork, students work in the gardens several times a week, and depending on the time of year, they prepare soil, plant vegetables, weed, compost and harvest produce. Researchers hope that,

as side benefits, students will get regular physical exercise and learn healthful eating habits for a lifetime.

Obesity will continue to be a threat to Arkansas in the years ahead, but the researchers at ACHRI believe they are equipping families with the resources they need to fight it. ✪

Child gardeners learn that fresh strawberries taste better than any candy bar could.

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Philanthropy: Until no child needs us, we need you

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enerosity — like inspiration — comes in all shapes and sizes.

People throughout the last century have made ACH a global leader in pediatric care through their contributions.

“One of the great strengths of Arkansas Children’s Hospital and its philanthropic footprint is that the people of Arkansas think of themselves as owners. They are engaged, and they are involved,” said John Bel, Arkansas Children’s Hospital Foundation president.

The Foundation continues to witness such extraordinary philanthropy in its Century of Possibility Centennial Campaign.

The Century of Possibility theme celebrates the storied history of ACH and the caregivers and philanthropists who have contributed to its success.

Announced on March 5, 2012, the campaign will raise $160 million to fund programs and services in four priority areas: pediatric care, research, education and prevention.

Gift commitments to the Century of Possibility Campaign total more than $100 million, with donors providing more than $24 million to the South Wing project.

The 258,000-square-foot wing is helping give ACH physicians, nurses, researchers and other staff the tools they need to reach a new level of quality in pediatric care.

“All we are doing is putting resources in the hands of skilled doctors and nurses so they can make possible the best outcomes for children,” Bel said.

Contributions for the South Wing do more than simply pay for bricks and mortar.

“Every dollar of philanthropy is a powerful dollar because it’s not only going to help us build the building but it’s also going to free up additional funds for other projects,” Bel said.

One of the foundation’s best practices involves welcoming “donor-driven and

Announced during the hospital’s Centennial Celebration, the Century of Possibility Campaign has already raised $100 million toward a goal of $160 million.

donor-responsive” philanthropy.

“The Century of Possibility Campaign is designed so that if a donor has a passion or a concern, we will work to match that passion to children’s needs,” said Bel. For instance, a donor who wants to support ACH work in oncology, neurology, dental care or audiology, or to help cover the hospital’s unmet needs in any area, the Foundation will work to make it happen, Bel said.

ACH Senior Vice President and Chief Operating Officer David Berry agrees. “It’s really about finding opportunities and possibilities for what philanthropy can do for kids,” he said.

And if a donor can’t think of a project to support, Bel joked, “We have no shortage of nurses and physicians who have great ideas on what to do next with the money.”

Bel said he hopes that when the time comes to make a gift, Arkansas Children’s Hospital will be among the first two or three institutions donors consider.

Donors to ACH join a long list of dedicated volunteers and donor groups who have stood up for Arkansas children.

Since 1967, ACH Auxiliary members have contributed thousands of volunteer

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hours and donated more than $8.5 million.

Committee for the Future, a young professionals group, formed in 1986 to raise funds and awareness for the hospital.

Through 2011, the group has contributed more than $5 million.

With 11 chapters statewide, Circle of Friends has collected more than $10 million for ACH since it began in 1983.

And the affiliation of ACH with Children’s Miracle Network Hospitals has resulted in donations of more than $67 million through 2011.

The list goes on.

Extraordinarily generous gifts are always welcome, Bel said, but smaller gifts are also needed. And in fact, most gifts to the Foundation are modest gifts. On an annual basis, the Foundation receives gifts from more than 27,000 donors, making 63,000-plus gifts.

“This is what we call a comprehensive campaign. Every gift from every source counts,” the Foundation president said.

“So $20 memorial gifts for the Neonatal Intensive Care Unit are included in the campaign, and a $5 million gift for a floor in the South Wing building is included, and every gift in between.” ✪

How you can help Arkansas Children’s Hospital is a place where the single purpose of every employee, physician and volunteer is to change children’s lives, one child at a time. Your support is crucial to our cause. With your help, we can do more and do better for kids. We simply cannot do it alone. We need your help.

As we embark on our next century of service, every gift matters. Will you give of your time, talents and treasure to benefit the children of our state? Until no child needs us, we need you.

MAKE A GIFT TO ARKANSAS CHILDREN’S HOSPITAL Every gift makes a difference.

INCLUDE ACH IN YOUR WILL OR OTHER FUTURE PLANS By naming the hospital as a beneficiary in your estate, bequest or trust, you will create a lasting legacy and make an impact on a child’s future.

VOLUNTEER Whether you volunteer in the hospital or through one of the ACH Foundation’s Auxiliary groups, you can make a difference for kids. Hospital: Visit archildrens.org/ volunteers or call 501-364-1825. Auxiliary groups: Visit giving.archildrens.org/volunteergroups or call 501-364-1476.

DONATE Online: Visit giving.archildrens.org or call toll-free: 1-855-ACH-GIVE (1-855224-4483) LEARN MORE Visit giving.archildrens.org and ach100.org or call 501-364-1476 or 1-800-880-7491.

Celebrating

100 ACH YEARS

of

helping children

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The beckoning future of Arkansas Children’s Hospital

S

ince its very beginning, Arkansas Children’s Hospital has kept an eye on the future — from children’s home to Children’s Hospital, from building to building, and from one advance in pediatric care to the next.

The hospital’s leadership has managed to care for the growing needs of Arkansas’s sick and injured children while anticipating the needs of the next generation and beyond.

Clearly, ACH leaders are optimistic about the prospects in store for the next century.

“There are probably huge opportunities in the world of genomics,” said ACH President and CEO Jonathan Bates, MD. “We’ve just started to scratch the surface on that one.”

Technology will also present new opportunities.

The speed and utility of computers and handheld medical devices likely will see vast improvements, Dr. Bates said, and the quantity of digital information about a patient is going to skyrocket.

“Today, we have bedside monitors.

We have medical records,” he said. “But what’s likely to happen is that all of this stuff is going to be blended together.

The electronic bedside equipment is going to flow into the medical record directly.”

Advances in voice recognition will help doctors create medical records as they treat patients.

“The ultimate experience would be if we got to full-motion audio and

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video recording of every moment of a patient’s experience,” Dr. Bates said.

The third area of opportunity is nanotechnology, which involves the design and manufacture of extremely small materials, electronic circuits and mechanical devices at the molecular level of matter.

“They’ve got little tiny motors smaller than a red blood cell fitted with drills,” he said. “Can you imagine if you could send something like that to the right place in someone’s body to fix something?”

The “gee-whiz” factor aside, ACH believes that these technologies will ultimately help them go beyond imaginable limits to continue the work they have done since 1912: changing children’s lives. ✪

The future of ACH and pediatric healthcare will involve many complex scientific and technological advances, but the focus will remain the same as it has been since 1912: changing children’s lives.

SOMETIMES, THE BIGGEST RETURNS ARE THE TINIEST OF ALL.

Congratulations to Arkansas Children’s Hospital on the new South Wing, and on 100 years of investing in children.

The new South Wing at Arkansas Children’s Hospital will add 54 inpatient beds, expanding the Neonatal Intensive Care Unit and pediatric Heart Center. It’s an investment in healthier, happier futures. At Crews & Associates, we appreciate that investment. Our team works hard every day to provide exceptional market execution and investment banking results.

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We’re Moving In! Emergency Department

ACH South Wing

NICU & CVICU

Hem-Onc & ITU

Clinics

PARKING GARAGE ENTRANCE

NORTH

Construction is complete on the new South Wing addition at Arkansas Children’s Hospital! Look for our brand new

EMERGENCY ENTRANCE

EMERGENCY DEPARTMENT I-630

opening July 5 in the South Wing.

Be sure to note the new Emergency

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ARK ARKANS ANSAS CHIL CHILDREN AS

Department entrance on the right.

DREN HOSPITA ’S A HOS PITALL’S

MAIN ENTRANCE

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Visit archildrens.org/southwing for updated information.

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has recently relocated.

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new locations inside the main hospital building.

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South Wing, while some are moving to

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Some clinics and units are moving to the

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coming up at Arkansas Children’s Hospital?