Milestones. For one child, it might mean having her end-of-chemotherapy celebration. For a teenager, it could mean finally standing taller after spinal surgery to correct his severe scoliosis. For a mother, it could mean learning the results of her child’s genetic testing and finally knowing the cause of her illness.
This past year, Dayton Children’s reached our own key milestone as we finalized our strategic road map, Destination 2020. Destination 2020 outlines the milestones we need to reach to successfully meet our mission and deliver the very best pediatric care to all children in our region, regardless of ability to pay.
This plan was developed with input from physicians and employees, as well as partners and leaders in the community. Everyone shares the same goal: To help Dayton Children’s remain an independent, locally-governed children’s hospital.
Read more on Destination 2020 here.
A new milestone was reached in the Soin Pediatric Trama and Emergency Center with 74,391 children who came to us for care. Another milestone was set with 60,996 visits to specialists. And for the third year in a row, parents gave us record scores – 91.8 percent – for satisfaction.
Destination 2020 calls for Dayton Children’s to join together to find new and innovative care models. The Southwest Ohio Neonatal Collaborative is a new joint venture with Miami Valley Hospital designed to strengthen the quality of care for the region’s sickest, most fragile newborns by combining our expertise as the pediatric leader and Miami Valley's expertise as the region's high-risk maternity center. Together we will make Dayton the best and safest place to be born.
We had an outstanding year in developing new ways to connect with our community pediatricians and recruited nine additional subspecialists, improving our access to care for the families we serve.
Dayton Children’s Comprehensive Cancer and Blood Disorders Center was awarded a three-year national reaccreditation with commendation to the cancer program by The Commission on Cancer (CoC) of the American College of Surgeons (ACoS). Dayton Children's is one of only 10 freestanding pediatric institutions in the country to achieve this accreditation.
The Women’s Board and the TWIGs auxiliaries set milestones for raising $700,000 for the pediatric cancer and blood disorders care endowment. This endowment will fund two positions that are dedicated to the unique needs of children with cancer – a social worker and child life specialist.
Together with our partners at the Montgomery County Prosecutor’s office, Sheriff’s Department, Children Services, the Dayton Police Department, and hundreds of generous supporters, we broke ground on the new CARE House facility, which will strengthen our community’s response to child abuse victims.
Personally, I achieved a milestone of my own this year as I celebrated my first year at Dayton Children’s. It’s been awe-inspiring and humbling to witness the care and commitment of the talented pediatric experts caring for our region’s kids.
The future for Dayton Children’s is bright and with your support, we will continue to reach milestones on our path to Destination 2020 together. Follow our journey of Milestones in the Making.
Riding a horse for the first time is a magical moment for most children, a milestone that speaks of the essence of childhood. Growing up in Jackson Center, Landon Reese has been around horses since he was 6 months old. However, in June 2012, the animal that Landon loved so much brought him close to death, placing him on a path that now has far different milestones than other children.
Landon was horseback riding when his life was forever changed. The horse next to Landon kicked his hind leg knocking Landon in the head. The force fractured Landon’s skull, causing severe trauma to his brain.
Landon was sent by CareFlight to Dayton Children’s where he underwent two brain surgeries and spent eight weeks in a coma in the pediatric intensive care unit. Through his willful spirit and lust for life, he’s overcoming milestones that most 8-year-old boys will never overcome.
Dayton Children’s is dedicated to helping every child in our region reach their own unique milestones through high-quality, specialized pediatric care that can only be found at Dayton Children’s.
This past year, we’ve hit milestones along our path to Destination 2020 in four key areas: exceptional patient experience, right services, physician integration and strong care alliances.
Despite continued headwinds from a highly-competitive environment, uncertainties in Medicaid funding and reimbursements and a nationwide shortage of pediatric subspecialists, Destination 2020 will guide us to remaining an independent, locally-governed children's hospital and advancing our role as a leader in improving the health of all children in our region.
Achieved organization-wide record high parent satisfaction (for the third year in a row) of 91.8 percent!
Registered nurses called 27,842 patients perceived to be high risk through the emergency department outreach program, improving quality of care.
Kicked-off the renovation of the dining area, setting an example for the children in our region by offering healthy options.
Launched the next phase of our clinical information system to create efficiencies with scheduling appointments, billing and patient chart access.
TWIG’s and Women’s Board members raised $1.7 million for the comprehensive pediatric cancer and blood disorders care endowment to provide a dedicated child life specialist and social worker to support the unique needs of children with cancer and their families.
Began work with a leading architectural firm to frame options for a 10-to-20 year campus renewal plan.
Expanded services to Centerville with a new outpatient testing center in Sugarcreek Plaza and brought orthopaedic services to our Middletown location, bringing needed services as close to home as possible for patients and families.
Moved forward in our Magnet journey with a site visit. Magnet designation recognizes nursing excellence and innovations in professional nursing practice.
Launched the online Special Needs Resource Directory, offering families more than 600 resources for children with asthma to autism.
Launched the Dr. Mom Squad blog, comprised of four Dayton Children’s physicians to connect with moms in the community, share medical expertise, and share what it’s like to be a doctor and a mom.
Implemented the Physician Connection program, a quick, efficient way for community physicians to consult directly with pediatric specialists, resulting in immediate consultations and improved communication.
Electronically connected to the top pediatric practices through an electronic medical record interface, strengthening our communication between community physicians and Dayton Children’s.
Improved patient wait times through better access to pediatric specialists.
Established a care alliance with Miami Valley Hospital to elevate the quality of care and strengthen the health care delivery system for mothers and babies by drawing on the expertise of the two regional high-risk centers.
Collaborated with the Air Force and the Wright State University Boonshoft School of Medicine for more than 30 years to offer the country’s only civilian/military integrated pediatric residency program. Forty-nine residents are being trained to treat chronically-ill and healthy children.
Dayton Children’s will continue to develop long-range plans for the campus renewal and spearhead new services and programs when and where they’re needed, including expanded mental health services and a more expansive pediatric sports medicine program.
In addition, every angle will be explored for ways to reduce wait times for specialists, providing patients and families expert care when they are needed, as close to home as possible.
At year’s end, Dayton Children’s reached new milestones in several key areas, including 284,981 patient visits and a record-breaking 74,391 patient visits in our emergency room.
Yet when worried parents bring a sick or injured child to Dayton Children’s, these big numbers translate into a single child who needs care.
With volume up 2.2 percent above last year, Dayton Children’s ended the year with an operating income of $22.3 million or 9.3 percent of revenue, a 4.1 percent decrease compared to last year. With a stronger than average flu season, inpatient volumes were up 2.8 percent (a 1.3 percent increase in census and a 1.5 percent increase in acuity).
Outpatient volume was also up slightly (1.8 percent versus last year), which is the result of the addition of subspecialists in endocrinology and orthopaedics and our expansion of services into Springfield and Middletown.
However, we did experience the impact of high-deductible plans on some of our services such as outpatient surgery and medical imaging.
In addition, we also had record-high emergency department volumes, largely due to two factors: strengthened customer service and efficiency, which enabled us to handle the increase in volume, as well as a stronger than usual flu season.
Reimbursement was a real bright spot for the year with actual reimbursement coming in at 56.2 percent of charges versus our forecast of 52.8 percent. We also experienced a strong revenue cycle, including strong cash collections and reductions in bad debt expense.
Operating expenses came in close to budget despite some unplanned expenses tied to the development of the campus renewal plan.
New telethon record—$2.5 million! Dayton Children’s celebrated 30 years of miracles on the 2013 Children’s Miracle Network Hospitals Telethon, held June 1-2 and broadcast live from the hospital on WHIO-TV. Once again, we were honored to have Cheryl McHenry and Mike Hartsock of WHIO Channel 7 and Nancy Wilson of K99.1FM serve as the hosts for the two-day event.
Through the generous donations of local businesses, organizations, schools and individuals, Dayton Children’s reached a record $2.5 million raised! The money will support the purchase of new medical equipment and state-of-the-art technology, needy patient funds, the child advocacy centers and various programs and services offered at the hospital.
The pediatric cancer and blood disorders care endowment was created to enhance an already family-focused cancer care program that will connect patients with multiple resources dealing with care, treatment, education, support groups and other resources. The funds raised from CHA-CHA will fund a child life and a social work position dedicated to the unique needs of cancer patients and families at Dayton Children’s.
The Woman’s Board of Dayton Children’s announced its record-breaking donation of $433,148, raised from this year’s CHA-CHA fundraiser. The sold-out event in May 2013 was a huge success allowing The Women’s Board to significantly surpass its goal of $300,000 for the pediatric cancer and blood disorders care endowment at Dayton Children’s.
The Terrific Women in Giving (TWIGs) started off the year in celebration by donating $295,000 to fulfill its three-year pledge of $500,000 for the pediatric cancer and blood disorders care endowment.
The force of more than 300 women volunteers throughout 20 TWIGs branches raised money through children’s clothing sales, auctions, golf outings and the TWIGs largest fundraiser, the Sugarplum Festival of Trees, which has been an annual holiday tradition for 45 years.
Each day 13 children are reported abused or neglected in Montgomery County. Established in 1999, CARE House serves victims of child abuse through a centralized, child-focused approach that brings together law enforcement, child protection services, prosecution, mental health experts, medical professionals and victim advocates to help reduce the trauma victim's experience after abuse has been reported. CARE House is currently located in a more than 100-year-old Victorian-period home across the street from Dayton Children’s and serves more than 600 children a year, often the worst of the nearly 5,000 cases of abuse reported in Montgomery County annually. The new facility will allow Dayton Children’s to better accommodate the number of children and families that come through the door each day. The new advocacy center will double in size and is expected to open its doors in spring 2014.
Dayton Children’s is one of only 10 pediatric facilities accredited by the American College of Surgeons Commission on Cancer. Therefore, sharing that children in our region can receive world-class cancer care right here in Dayton, Ohio, is vital. In response, Dayton Children’s wanted to create a video that showcases how the hospital not only heals kids with cancer, but also helps them cope by using their vivid imagination.
Four children with cancer were featured in the video The World of Hope, as an astronaut, princess, cowboy and knight, capturing the essence of childhood that kids often miss from spending months in the hospital. The video was released on #GivingTuesday, the Tuesday after Thanksgiving, a national movement to donate to non-profit organizations during the holiday shopping season. Using the power of social media, The World of Hope video raised $10,411 and received nearly 15,000 views on YouTube. All proceeds benefited the pediatric cancer and blood disorders care endowment.
Each November for the past 15 years, our partners at K99.1FM have broadcast the Cares for Kids Radiothon from Dayton Children’s lobby. K99.1FM Breakfast Club hosts Nancy Wilson and Frye Guy (James Frye) shared the stories of patients and families, which helped to raise more than $200,000 to purchase needed medical equipment for the hospital.
Improving the health of all children, one child at a time. Dayton Children’s believes it takes a village to raise a child. That’s why the hospital fiercely believes commitment to children should extend beyond the hospital walls and into the community to improve the health of all children.
How effective are we outside of our walls? Our care goes beyond surgery and stitches - it’s far reaching into the community through advocacy and outreach programs so all children may have a better chance at a healthy and safe life. This past year, we continued on our quest to educate the community on ways to prevent injury, illness and improve the health of our region’s children.
Investing in kids...investing in our community. Last fiscal year, Dayton Children’s provided more than $20 million in programs and services to support kids in our community. In the hospital’s immediate vicinity, children who are not patients often need care through screenings, vaccinations, and health and safety education. These programs illustrate our unwavering commitment to care for the kids in our community.
This report outlines our unique footprint in the Dayton region as a leader in children’s health. The financial data included in this report reflects community benefit programming and activities for fiscal year 2011-2012.
We live our mission to serve all children, regardless of their ability to pay. As a not-for-profit hospital, we know that status comes with a price; the price is that we must always do what is in the best interest of the patients and the community.
Medicaid is the nation’s largest public provider of health insurance to low-income families and children. Nationally, children’s hospitals provide 44 percent of care to children on Medicaid. At Dayton Children’s, nearly 60 percent of patients are covered by Medicaid.
Children insured by Medicaid typically require extra care than other patients due to various socioeconomic factors. However, Medicaid only reimburses Dayton Children’s roughly 70 cents on the dollar of costs. Dayton Children’s is responsible to make up the difference.
We report the unpaid costs of Medicaid programs, reflecting the shortfall from government payments versus our actual costs to provide the care.
Dayton Children’s commitment to making the lives of children better is a key part of our mission. Each year we collect data to
determine where and how the children in our region need our help. These community health improvement programs allow us to prevent injuries,
improve health literacy and engage the community in health and safety programs.
Outreach programs include Safe Kids Greater Dayton, Stay Ahead of the Game helmet giveaways, helmet fittings, car seat checks, health fairs and speaking engagements. Dayton Children’s also actively participates in asthma and smoking cessation programs, healthy lifestyles projects and special needs programming.
This category also includes the costs for our MeadWestvaco Family Resource Center, which offers information and support for families so that they can become better advocates for their children’s health.
Educating tomorrow's healers is an important mission of Dayton Children’s. As a teaching hospital, Dayton Children’s hosts approximately 50 medical residents from the Wright State University Boonshoft School of Medicine each year. This valuable learning environment provides the community and medical students important skills that can only be developed at a children’s hospital.
In addition, Dayton Children’s houses this country’s only civilian/military integrated pediatric residency program with Wright-Patterson Air Force Base. This unique partnership offers military residents experience with a wide variety of patients from different ethnic, socioeconomic and geographic settings. Training resident physicians involves significant costs far beyond those usually associated with patient care.
Dayton Children’s contributes to charity events and non-profit organizations that share our mission and improve the quality of life for children and families in our community. Organizations assisted by Dayton Children’s include the Cystic Fibrosis Foundation, Leukemia and Lymphoma Society, the Juvenile Diabetes Research Foundation, American Cancer Society, American Heart Association, Epilepsy Foundation of Western Ohio, March of Dimes, AIDS Resource Center of Ohio, Prevent Blindness Ohio and more.
Dayton Children’s supports several clinical programs offered despite financial loss because they meet an identified community need. These specialty programs include pulmonary, endocrinology, hematology/ oncology, gastroenterology, psychiatry, nephrology, urology, surgery, neurology, developmental pediatrics and our Children’s Health Clinic.
By providing a full complement of pediatric subspecialties, children in our region have access to the comprehensive care they need without having to travel outside of our community.
As a teaching hospital, Dayton Children’s works closely with the department of pediatrics at the Wright State University Boonshoft School of Medicine, not only to prepare the next generation of physicians for tomorrow’s patients, but also to advance patient care through research and written scholarship, including journal articles, abstract publications and presentations, and textbook chapters.
View PDF Report Included with this annual report is the Academic Activity Report on research and other academic activities, jointly presented by Dayton Children’s and the department of pediatrics at Wright State University. Also included in this report are research activities by other members of the Dayton Children’s staff and Dayton Children’s Clinical Trials.
Wright State University faculty and members of the Dayton Children’s professional staff continue to publish papers in excellent peer-reviewed journals and continue to be very well represented, presenting papers and posters at major national meetings. Dayton Children’s pediatric residents and Wright State University Boonshoft School of Medicine students participate in many of the research programs.
The results of a $1.7 million Department of Defense study on the effectiveness of hyperbaric oxygen on motor function in cerebral palsy is published by the American Neurological Association (D. Lacey, PI).
SOAR-Net, the Wright State University Boonshoft School of Medicine and Dayton Children’s practice-based research network, continues to receive national attention for its expanding community-based research programs. SOAR-Net aims to make important contributions that enable primary care clinicians to provide high-quality, culturally-competent care to their young patients. A SOAR-net report on the plight of the underinsured was published in the Journal of Pediatrics.
14 percent of the Wright State University Boonshoft School of Medicine class of 2013 selected pediatrics, making it the second career choice of graduating medical students.
Copyright © 2013
Dayton Children’s Hospital
One Children's Plaza
Dayton, Ohio 45404-1815