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					2008


Community
Benefit Report




             www.seattlechildrens.org
Our Mission
We believe all children have unique needs
and should grow up without illness or injury.
With the support of the community and through
our spirit of inquiry, we will prevent, treat and
eliminate pediatric disease.


          Our Vision
          We will be the best children’s hospital.

          •	 We	will	provide	patients	and	their	families	
             excellent care with compassion and respect.
          •	 We	will	provide	superior,	accessible,	
             cost-effective service.
          •	 We	will	attract	and	retain	the	best	talent	
             at all levels of the organization.
          •	 We	will	be	one	of	the	top	five	pediatric	
             research institutions.
          •	 We	will	be	the	nation’s	premier	
             pediatric educator.
          •	 We	will	achieve	worldwide	prominence	
             by integrating patient care, research,
             education and advocacy.
Welcome to Seattle Children’s
Report to the Community
Seattle Children’s is a leader in improving the health of children in our communities and reducing
inequities that prevent children and families from living full, healthy lives.

Children’s offers superior medical care to children from           services to every child in our region, regardless of insurance
Washington, Alaska, Montana and Idaho, serving the largest         coverage or financial circumstances. In fact, Children’s
geographical area of any children’s hospital in the United         provided an unprecedented $86.2 million in uncompensated
States. In addition, families living beyond our primary service    care during fiscal year 2008.
region increasingly seek care from our world-renowned                  Beyond providing the best medical care available,
specialists in programs such as cancer, organ transplants and      Children’s offers an array of services to support families, as
craniofacial specialties. In 2008, U.S. News & World Report        well as numerous programs to improve the health and safety
magazine ranked Children’s the eighth-best hospital in the         of families and the livability of our community. We also
country for pediatric care, up one spot from its 2007 ranking.     conduct research to advance pediatric medical care for
   As we work to meet the healthcare needs of a growing            children everywhere.
population, we remain focused on our mission to prevent,               The programs, services and people highlighted in this
treat and eliminate pediatric disease and our vision to be the     report exemplify how Children’s makes a difference in
best children’s hospital. Through these commitments, our           the greater Seattle community and the Northwest region.
communitybenefits from:                                            More information is available at www.seattlechildrens.org.
•	 Hope	that	illness	and	injury	can	be	prevented	through	
   advocacy, community partnerships and culturally                 Total 2008 Value to the Community: $161,177,000
   appropriate health and safety education.
•	 Outstanding	medical	care	for	every	child	in	our	region,	         Health	Professional	                           Community	Programs
   regardless of a family’s ability to pay.                             Education                                     and Services
                                                                      $14,408,000                                     $5,341,000
•	 Research	that	leads	to	innovative	treatments	and	
   potential cures for devastating diseases.

In 2008, Children’s medical teams treated kids of all ages
during 263,667 patient visits, including 13,482 admissions to
the hospital and 37,508 visits to our emergency room. We
performed 11,180 day surgeries and cared for children during
201,497	appointments	in	outpatient	clinics.	Our	clinicians	also	
made specialty care available to children in our region through     Research	Programs                              Uncompensated Care
regional clinics, telemedicine and outreach programs in               $55,236,000                                     $86,192,000
Washington, Alaska, Montana and Idaho. And we offered these


                                                                                      Seattle Children’s Community Benefit Report 2008   2
Making a Difference: Uncompensated Care
Given the financial struggles that many families face, Seattle Children’s uncompensated care
program makes an important difference for children in the Northwest.


Whether	a	child	is	visiting	Odessa	Brown	Children’s	Clinic	for	                Medicaid	payment	shortfalls	account	for	the	majority	of	
preventive care or undergoing complex brain surgery at the                 uncompensated care dollars in any given year. Approximately
hospital’s main campus, Children’s provides the best pediatric             43% of Children’s patients are covered by Medicaid, a
medical care to every child in our region, regardless of a                 government assistance program that provides medical
family’s ability to pay.                                                   coverage	to	income-qualifying	families.	However,	the	program	
    Despite unprecedented need, Children’s continues to                    reimburses Children’s for only about 69% of treatment
uphold our commitment to uncompensated care. During                        costs	and	just	a	fraction	of	physician	charges.	During	2008,	
fiscal year 2008, Children’s provided $86.2 million in                     Children’s uncompensated care program covered $77.3 million
uncompensated care, an increase of more than $20 million                   in shortfalls from Medicaid reimbursements.
from the previous year.                                                        Children’s also provided $8.9 million in financial assistance
                                                                           to families in need. Even for families with private medical
                                                                           insurance plans, paying hospital bills for a critically or
                                                                           chronically ill child can be overwhelming.




                                                       Zachary’s story:
                                                       Zachary	Sessoms	was	just	2	weeks	old	when	he	began	treatment	at	Seattle	
                                                       Children’s to correct his right foot, which had developed in the shape of a
                                                       “J.” But shortly after a series of orthopedic procedures, new concerns about
                                                       Zach’s health arose. By the time he was 2 years old, Zach had visited several
                                                       medical specialists at Children’s.
                                                           When the bills exceeded the limitations of the Sessoms’ insurance
                                                       plan, the family turned to Children’s for help. “When Children’s told us we
                                                       qualified for financial assistance, it relieved so much stress and worry during
                                                       a critical time for our family,” says Zach’s mom, Wendy Sessoms. “Zach
                                                       is a real patient and we are a real family who has been touched by the
                                                       generosity of the community.”
                                                           Children’s long-standing commitment to uncompensated care ensures
                                                       that families like Zach’s experience hope, healing and peace of mind during
                                                       difficult times.




3   Seattle Children’s Community Benefit Report 2008
Making a Difference: Patient Care
Seattle Children’s provides the most advanced medical care available,
delivered by compassionate doctors and nurses.


We also offer services that promote healing and support             Beyond medicine: pastoral and spiritual care
families during a child’s hospitalization and beyond. And           supports healing.
because we believe all children deserve to grow up without          Children’s chaplains contribute to the hospital’s healing
illness	or	injury,	many	of	our	clinicians	share	their	skills	and	   environment by caring for the diverse spiritual and emotional
expertise with worthy causes throughout the country and             needs of patients, families, staff and volunteers. Led by
around the world.                                                   chaplain Martha Dimmers, the members of Children’s
                                                                    Pastoral	and	Spiritual	Care team come from diverse
Guest Services: providing a smooth hospital stay                    backgrounds, represent many faith traditions and embrace
In preparing to go to the hospital, families face a lot of          many	more.	Patients	and	families	aren’t	the	only	ones	the	team	
questions:	Where	will	they	sleep?	How	will	they	get	around?	        cares for 24 hours a day, seven days a week. More than 25%
And where will they eat their meals? The Guest Services team        of the team’s time is spent working with Children’s staff and
answers questions and offers resources for a smooth arrival,        volunteers. “When care teams face difficult clinical challenges,
stay and departure from the hospital. These resources include:      our chaplains bring a kind of support to them that can be
•	 Assistance	in	finding	housing                                    tremendously renewing and energizing,” says Ruth Benfield,
                                                                    vice	president	of	Psycho-Social	Services.
•	 Arranging	transportation	on	Children’s	shuttle,	which	
   transports families to and from the Sea-Tac airport, the
   Greyhound bus station, the Amtrak train station, Seattle
   ferry	terminals,	the	Seattle	Ronald	McDonald	House	and	
   local hotels
•	 Information	to	prepare	for	a	clinic	visit,	surgery	or	
   hospital stay
•	 Information	about	amenities	near	the	hospital
•	 Video	teleconferencing	to	connect	with	family	and	
   friends away from the hospital

Each month, over 150 families receive personal assistance
from	a	Guest	Services	specialist.	Over	200	families	are	
served by the hospital’s free shuttle services.




Tigest Abetew, guest services specialist, helps                     Volunteer Clarita Portwood leads a prayer service in Spanish and
a family from Alaska.                                               English in Children’s chapel.




                                                                                       Seattle Children’s Community Benefit Report 2008   4
Patient	Care




Santa Claus delivers holiday cheer.                                                                                 Aman Tewold and
Patients	at	Children’s	don’t	have	to	worry	about	missing	a	                                                         Ireneo Cayabyab
visit from Santa Claus if they are hospitalized during the                                                          are part of the team
                                                                                                                    that offers free valet
winter holidays. Dr. John Neff, director of the Center for
                                                                                                                    parking to families.
Children	with	Special	Needs,	enjoys	playing	St.	Nick	and	
handing out donated gifts to nearly 200 children and their
families on Christmas Day. “Santa is a symbol of caring, love,
joy	and	laughter.	This	is	very	important	in	an	environment	
where there can be a lot of sadness on a day-by-day basis,”
says Neff.

                                                 Dr. John Neff plays
                                                 Santa Claus during
                                                 the winter holiday.




                                                                       A hospital where magical things happen
                                                                       Seattle Children’s provides many services and benefits that
                                                                       make visits easier for patients and their families:
                                                                       Valet parking relieves stress.
                                                                       When busy families arrive at Children’s emergently or barely
                                                                       on time for clinic appointments, our valet parking service
                                                                       offers some relief during a stressful time. Children’s valets help
                                                                       families unload their vehicles, provide wheelchair service and
                                                                       escort them to the clinic or hospital if necessary — all free of
                                                                       charge.	Valets	also	give	directions,	jump-start	cars	and	watch	
                                                                       for patient transportation to arrive so families can wait
                                                                       comfortably inside the hospital.

                                                                                                                    Animal assisted
                                                                                                                    activities offer
Doctors and nurses make “house calls.”                                                                              patients, family
Children’s doctors, nurses and staff make “house calls” to                                                          and staff interaction
the Seattle	Ronald	McDonald	House (RMH),	which	provides	                                                            with volunteer dogs.
housing for families of children with serious illnesses who
require	care	at	Children’s.	Hospital	executives	and	staff	host	
quarterly	dinners	for	RMH	residents,	and	the	clinical	laboratory	
staff	organize	semi-annual	food	drives	to	stock	the	RMH	house	
pantry.	In	2008,	Hematology-Oncology	nurses	prepared	a	
spaghetti dinner and donated boxes of books. During Cinco
de Mayo, the Neurosurgery Department hosted a Mexican-
themed	meal	complete	with	piñatas.	RMH	activities	coordinator	
Eleanor	Garrison	says	these	efforts	make	a	difference	for	RMH	
residents. “I know it means a lot to families to have those who
care for them at Children’s come to the house and care for
them in a different way.”
                                                                       Therapeutic play promotes healing.
Free books encourage reading.
                                                                       Children’s therapeutic play programs, run through the
Thanks	to	the	Reach	Out	and	Read	program	and	donations	
                                                                       Child Life Department, make an important difference when
from	generous	donors	such	as	Half	Price	Books	in	Seattle,	
                                                                       patients have difficulty coping with hospitalization. Art and
thousands of new books are distributed to patients at
                                                                       music therapists work with patients individually and in groups
Odessa	Brown	Children’s	Clinic — a community clinic of Seattle
                                                                       to relieve tension and offer opportunities for self-expression.
Children’s	—	each	year.	Reach	Out	and	Read	promotes	early	
                                                                       Pet	therapists	and	Pet	Partners	volunteers	bring	smiles	
literacy by giving books to children and advice to parents
                                                                       to patients throughout the hospital and support healing
about the importance of reading. The books are distributed
                                                                       through special visits from therapy dogs and specially
during well-child visits at the clinic.
                                                                       trained pet visitors.



5   Seattle Children’s Community Benefit Report 2008
                                                                                                                       Patient	Care




                                                                                                                    We vaccinated
                                                                                                                    2,176 patients and
                                                                                                                    3,216 household
                                                                                                                    contacts against
                                                                                                                    the flu in 2008.




Community immunity: protecting vulnerable                                Children’s also offers free flu shots to hospital staff
children with free flu shots for families                            and volunteers as well as to students at the neighborhood
In an effort to better protect patients from the potentially         elementary school. During fiscal year 2008, Children’s clinicians
devastating impact of the flu, Children’s initiated a campaign       vaccinated more than 380 students, family members and
to vaccinate patients and their families during visits to the        teachers	—	thanks	to	a	partnership	between	Virginia	Mason	
hospital. Children’s offers free vaccinations to parents, siblings   Medical	Center,	Group	Health	Cooperative,	Katterman’s	
and anyone else who lives with a patient. The idea is to create      Pharmacy	and	the	Laurelhurst	Elementary	School	PTA.
a ring of protection around patients, which is especially                Furthermore, Children’s physicians and staff provide
important for those who cannot be immunized because they             leadership on the Immunization Action Coalition of Washington,
are too young or they have an underlying health condition.           which is dedicated to increasing public awareness about the
We vaccinated 2,176 patients and 3,216 household contacts            importance of immunizations and to achieving and maintaining
against the flu in 2008.                                             full immunization of all infants, children, adolescents and
    Research published by Dr. Danielle Zerr, medical director of     adults in the state.
Infection Control, suggests that flu vaccines for hospitalized
children could help prevent future admissions. “We learned
that many families weren’t getting immunized against the flu,”
says Dr. Zerr. “Now we’re making sure our most vulnerable
patients have that extra protection.” Read more about
Dr. Zerr’s research on page 13.




                                                                                       Seattle Children’s Community Benefit Report 2008   6
Patient	Care




Going green for children’s health                                                                                Sue Heffernan,
and the environment                                                                                              clinical nurse
                                                                                                                 specialist, shows
As part of our commitment to providing the best pediatric
                                                                                                                 off the phthalate-
medical	care,	Children’s	launched	the	“Clean,	Green	Hospital	
                                                                                                                 free IV bag and
Initiative” to create a healthier environment for patients and                                                   tubing that is now
the community. The Washington State Department of Ecology                                                        being used at
honored Children’s with the 2008 Governor’s Award for                                                            Children’s.
Sustainable	Practices	in	recognition	of	Children’s	efforts	
in the following areas:
•	 Reducing waste: Children’s composts 1,400 pounds of food
   waste from the kitchen each week. In addition, 100% of
   kitchen fat is reprocessed into biodiesel. Recycling bins are
   available throughout the hospital, and the switch to larger,
   re-usable sharps containers is expected to eliminate the
   disposal of nearly 18,000 pounds of plastics. Children’s also
   recycles or reprocesses medical supplies and equipment          •	 Procuring and promoting eco-friendly supplies: Children’s
   such as disposable blood pressure cuffs, pulse oximeters           uses 30% post-consumable paper products and returns
   and operating room instruments. These and other measures           empty printer cartridges to vendors for refilling. All medical
   comprise the reduction or diversion of 284,542 pounds of           devices	containing	PVC	or	mercury	have	been	phased	out.	
   solid waste.                                                       We use phthalate-free medical products whenever possible,
                                                                      and newly purchased mattresses are free of polybrominated
•	 Conserving water: Children’s installed low-flow toilets on         diphenyl	ethers	(PBDEs)	—	organic	compounds	used	as	
   the main campus; retrofitted the surgery autoclave used for        flame retardants.
   cleaning and sterilizing; upgraded the medical air system
   from water-cooled to air-cooled; and switched to microfiber     •	 Embracing greener landscaping practices: Children’s
   mops, which use 10 times less water. Together, these actions       uses integrated pest management to prevent pest
   will save 7,042,276 gallons of water each year.                    damage, applying the most economical and
                                                                      environmentally safe measures.
•	 Preparing healthy, locally grown foods: Children’s uses
   local, fresh and sustainable foods as part of our healthy       •	 Reducing travel in single-occupancy vehicles: Thanks to
   food pledge. We also host Full Circle Farms’ twice-monthly         Children’s award-winning transportation program, 66%
   farmer’s market and feature organic, locally grown produce         of employees commute to work by bus, bicycle, carpool,
   in the cafeteria on market days.                                   vanpool or other transportation alternative. Read more
                                                                      on page 17.




Children’s hosts a farmers market to make it easier for            Vanpools and vanshares — 68 last year — come to
staff and visitors to shop for healthy produce.                    Children’s from around the region.




7   Seattle Children’s Community Benefit Report 2008
                                                                                                                     Patient	Care




                                                                                                                  Dr. H.O. Olasoji, an
                                                                                                                  oral surgeon from
                                                                                                                  Nigeria, watches
                                                                                                                  Gabriel Valle’s post-
                                                                                                                  surgical appointment
                                                                                                                  with Children’s
                                                                                                                  Dr. Richard Hopper.
                                                                                                                  Olasoji spent a week
                                                                                                                  in Seattle to observe
                                                                                                                  our team approach
                                                                                                                  to care.




Understanding Children’s                                           Improving craniofacial care in Africa
unique patient population                                          Seattle Children’s Craniofacial Center is respected throughout
An analysis of inpatients treated at Seattle Children’s between    the world for its innovative team approach to care. Thanks to
2001 and 2007 revealed that 67.3% of the children discharged       a grant from Smile Train and matching funds from Children’s,
from medical and surgical services had at least one chronic        Drs.	Michael	Cunningham	and	Richard	Hopper	are	helping	
illness — such as asthma, diabetes, cancer and cerebral palsy      doctors	in	Kumasi,	Ghana,	improve	how	cleft-lip	and	palate	
— and these children accounted for 91.7% of inpatient stays.       repair is provided in sub-Saharan Africa. Although doctors in
The study, conducted by the Center for Children with Special       Africa may be able to repair clefts surgically, they are currently
Needs at Children’s, also demonstrated that the average age        unable to coordinate with other specialists to treat related
of the children, the number of hospital admissions, and the        problems such as difficulty with eating and drinking, breathing
total yearly hospital days increased in direct relationship to     and sleeping issues, speech irregularities and hearing loss.
the complexity of the child’s chronic condition. This analysis     “We’re not going to Ghana to provide services for a few and
will assist Children’s in enhancing continuity of care programs    then leave while others are left needing care,” says Cunningham.
for children with chronic conditions and their families. For       “Our	goal	is	to	help	our	Kumasi	partners	develop	a	center	for	
example, new regional nurse care coordinators help serve as        cleft care.” As	part	of	the	project,	doctors	from	Ghana,	Ethiopia	
a bridge between the hospital and services in the patients’        and Nigeria have also visited Children’s.
home communities.
                                                                   Training cardiologists in Ukraine
Advancing pediatric specialty                                      Seattle Children’s cardiology team partnered with the
care around the world                                              international	nonprofit	Children’s	HeartLink	to	improve	
Seattle Children’s first priority is to provide the best medical   cardiac care for newborns in Ukraine. The country has
care for children in the Northwest. But when opportunities         only one medical center that performs heart surgeries on
arise to improve the lives of children everywhere, our doctors     newborns.	Children’s	clinicians	traveled	to	Kiev	to	understand	
and nurses share their skills and expertise outside the region     the situation and train physicians on the most-up-to-date
and around the world.                                              techniques, diagnoses and treatments for congenital heart
                                                                   disease. A Ukrainian cardiac surgeon and a cardiologist also
                                                                   visited	Seattle.	Ongoing,	twice-monthly	videoconferencing	
                                                                   offers the Ukrainian cardiac team opportunities to discuss
                                                                   difficult cases with Children’s physicians.



                                                                                     Seattle Children’s Community Benefit Report 2008   8
Patient	Care




Serving Olympic athletes                                                                                      Kiko VanZandt was
Beyond their work caring for patients at Seattle Children’s,                                                  named the 2008
                                                                                                              Nurse of the Year for
two clinicians took on voluntary leadership roles during the
                                                                                                              Community Service
2008	Summer	Olympics	and	Paralympics:
                                                                                                              by the Washington
                                                                                                              state chapter of
Dr. Monique Burton cares for
                                                                                                              the March of Dimes.
U.S. Olympic track and field team.
Children’s sports medicine physician Dr. Monique Burton
dreamed	of	being	an	Olympic	gymnast	ever	since	she	was	
a little girl. She never made it to the Games as an athlete,
but she was one of two volunteer doctors chosen to care for
the 120 elite athletes on the U.S. track and field team during
the	2008	Summer	Olympics	in	Beijing,	China.	Prior	to	being	
selected	for	the	Olympics,	Burton	served	as	a	team	physician	
with USA Track and Field, where she cared for athletes in
many competitions. Although Burton didn’t know it at the
time,	that	experience	would	make	her	Olympic	journey	more	
meaningful. “I saw some of the track athletes I had seen as      Kiko VanZandt coaches swimmers with disabilities.
juniors	and	now	they’re	in	the	Olympics	and	their	dreams	        For	more	than	25	years,	Kiko	VanZandt	has	worked	as a
have come true,” Burton says. “I felt like it was a privilege    nurse in Children’s Rehabilitation Clinic. She is also an athletic
to share in this really special moment with them.”               coach.	VanZandt,	who	began	swimming	competitively	at	
                                                                 age 8, coaches a local swim team called the Shadow Seals,
                                                                 which comprises swimmers with a variety of disabilities.
                                                                 “We try to provide an opportunity for swimmers with a
                                                                 disability to experience a competitive sport, to be part of
                                                                 a team, and to know the benefits that come from being
                                                                 an athlete — discipline, focus, teamwork and meeting a
                                                                 challenge,”	says	VanZandt.	She	is	also	involved	in	competitive	
                                                                 disability swimming at the national and international levels.
                                                                 Most	recently,	the	head	coach	of	the	U.S.	Paralympic	swim	
                                                                 team	selected	VanZandt	as	an	assistant	coach	at	the	2008	
                                                                 Paralympic	Games	in	Beijing,	China.	In	recognition	of	her	work	
                                                                 with people with disabilities, the Washington state chapter of
                                                                 the	March	of	Dimes	named	VanZandt	the	2008	Nurse	of	the	
                                                                 Year for Community Service.




Dr. Monique Burton volunteered her time to care
for the U.S. track and field team during the 2008
Summer Olympics.




9   Seattle Children’s Community Benefit Report 2008
People	Making	a	Difference




 Kristi Klee and Jo Montgomery embody
 nursing excellence.
 Kristi Klee (left), and Jo Montgomery (right), exemplify how Children’s nurses make a difference
 at the hospital and in the community. Both were honored in 2008 by national and regional
 publications for their outstanding contributions.

 Kristi Klee: an outstanding mentor                               Jo Montgomery: a community hero
 In	recognition	of	Klee’s	mentoring	of	new	nurses,                Obesity	and	inactivity	are	ongoing	challenges	for	the	
 NurseWeek magazine	named	Klee	a	finalist	for	its	2008	           children	that	Montgomery	cares	for	at	Odessa	Brown	
 National	Nurse	of	the	Year	Award.	“Kristi	is	outstanding	        Children’s Clinic, which primarily serves low-income
 as a mentor,” says Linda Latta, director of nursing              families. Realizing that many families cannot afford to enroll
 professional development. “She uses humor to help new            their kids in popular sports, Montgomery began looking
 nurses relax so that they can learn. She teaches by example.     for creative and practical ways to address the problem
 Instead of telling them what to do, she models the type          and then founded the School of Acrobatics and New Circus
 of interactions and care they should strive to deliver.”         Arts	(SANCA).	The	circus	arts	—	which	include	activities	
     Klee,	a	clinical	nurse	specialist,	says	she	never	set	out	   such as acrobatics, juggling	and	trampoline	work	—	get	
 to	be	a	mentor;	she	just	tries	to	help	other	nurses.	She	        kids moving and boost self-esteem. Scholarships ensure
 has provided ongoing guidance to a new nurse support             that no child is turned away. “In circus, there are so many
 group	that	meets	monthly.	Klee	remembers	that,	as	a	new	         different skills that everyone finds something they are
 graduate in 1984, she was better able to cope during times       good at,” says Montgomery. “There is nothing like it when
 of uncertainty with the help of her mentors. So to be given      someone does something they didn’t think they could do.”
 the award in the category of mentoring is “an incredible             ParentMap,	a	parenting	magazine	in	the	Puget	Sound	
 honor,” she says.                                                area, was so impressed with her solution that the magazine
                                                                  named Montgomery one of 14 “Superheroes for
                                                                  Washington Families.”




                                                                                   Seattle Children’s Community Benefit Report 2008   10
Nurses demonstrate
extraordinary commitment
In 2008, Seattle Children’s became part of the 4% of
hospitals in the United States with Magnet designation.

Seattle Children’s nurses are renowned for working “above and
beyond” their duties. But that level of dedication was formally
recognized in 2008 when the American Nurses Credentialing
Center	(ANCC)	awarded Magnet nursing status to Children’s.
     According to the ANCC, research indicates that Magnet
hospitals produce better patient outcomes than other
hospitals.	Children’s	joins	the	University	of	Washington	
Medical Center as the only Magnet-recognized hospitals
in the state of Washington.
     Children’s patients and their families have experienced the
exceptional quality of our nurses for decades. Examples of the
nursing staff’s deep commitment to the well-being of patients
                                                                      Thanks to this partnership, many patients need to return to
and their families can be observed throughout the hospital
                                                                   Children’s only for intensive therapy or specialized procedures
on any given day, and sometimes even outside its walls.
                                                                   following diagnosis, with the option of returning to Alaska for
     The following stories exemplify the level of nursing care
                                                                   less-aggressive treatment.
available at Children’s:
                                                                      For patients living in eastern Washington, Montana and

Cancer care closer to home                                         southwest Alaska, some pediatricians are willing to administer

Traveling to Children’s for chemotherapy from states like          doses	of	maintenance	IV	chemotherapy.	These	local	providers	

Alaska and Montana can be hard on patients and their               discuss their patients with Brundige or one of her nurse

families. To ease the burden, nurse practitioner Karyn	            practitioner colleagues and then confirm the dose of

Brundige helps coordinate chemotherapy treatments                  chemotherapy to be administered.

in a child’s home community.                                          Clear communication with families and local providers

     Every Tuesday morning she meets by phone with a team          ensures continuity of care. “It’s all about doing what’s best

of	oncology	nurses	and	doctors	at	Providence	Alaska	Medical	       for the family,” Brundige says. “The goal is to keep kids closer

Center in Anchorage to review the list of patients who are         to their home communities whenever possible, when it’s safe

receiving chemotherapy at their center. She answers questions      to do so.”

about each patient’s plan of care, including any required
medication	adjustments,	and	can	help	coordinate	care	
with other Children’s specialists if needed.




11   Seattle Children’s Community Benefit Report 2008
Outreach to improve newborn care                                  Prom night for cancer patients
The	birth	of	a	baby	is	usually	a	joyous	event.	But	of	the	more	   In addition to providing the best medical care available,
than 80,000 babies born in Washington state each year,            Children’s nurses demonstrate an extraordinary commitment
about 10% need assistance to begin breathing at birth, and        to the overall well-being of their patients. For example, when
1% require intensive care to survive.                             nurses in the Seattle Cancer Care Alliance (SCCA)	Unit	learned	
   In an effort to improve birth outcomes, nurse Jeanette         that	patient	Mairissa	Peoples	would	miss	her	high	school	prom,	
Zaichkin	coordinates	Children’s	Neonatal	Outreach	Program,	       they	decided	to	bring	the	event	to	Peoples	and	fellow	patients	
which offers education, information and consultation to           undergoing cancer treatment.
community-based healthcare providers.                                The first-ever SCCA Unit prom — complete with music and
   Zaichkin collaborates with Children’s neonatal experts and     decorations — was a smashing success. More than 65 patients,
partners,	such	as	the	Neonatal	Nurse	Practitioner	Program,	the	 parents, siblings and grandparents attended the event, which
Regional Neonatal Ambulance Service and Airlift Northwest         featured an ice cream sundae bar and photo station. Before
to teach nurses and physicians in community hospitals how         the	night	was	over,	Peoples	was	crowned	prom	queen.	“The	
to resuscitate and stabilize sick newborns for transport —        energy	in	the	room	was	incredible,”	recalls	Peoples’	mom,	
and to care for families in crisis.                               Barb.	“The	nurses	here	go	so	far	above	and	beyond	their	jobs.	
   She also visits community hospital nurseries and offers        When it’s your child, and you see how much they care,
assessment of resuscitation readiness as well as education and    it means so much.”
consultation. “Building strong relationships with community
providers is key to ensuring quality care for sick newborns,”
says Zaichkin.


Support for children with
Inflammatory Bowel Disease
Nurse Teresa Wachs understands how difficult life can be for
children	with	Inflammatory	Bowel	Disease	(IBD)	—	and	how	
isolated they can feel because of the nature of their disease.
   Because education and socialization with others who have
IBD make an important difference, Wachs facilitates many
educational and social programs for IBD patients and their
families. Among those programs are conferences and panel
discussions that offer access to IBD experts and networking
opportunities for families.
   She also works in partnership with the Crohn’s and Colitis
Foundation to organize quarterly social events for families
and a summer camp for children with IBD. “These events are
so important,” says Wachs. “They provide opportunities for        Prom queen Mairissa Peoples poses with nurse Suzanne Gwynn,
                                                                  who rallied SCCA Unit staff to organize the event.
spending time with other kids who understand what they
are going through.”




“      The nurses here go so far above and beyond their jobs.”



                                                                                   Seattle Children’s Community Benefit Report 2008   12
Making a Difference: Research
Research conducted at Seattle Children’s aims to improve the health and
well-being of children and families everywhere.


Because research is the foundation of our mission to prevent,
treat and eliminate pediatric disease, Children’s invested
$18.7 million in research during fiscal year 2008. Children’s
investigators are advancing scientific understanding of
important biological processes and influencing the practice
of pediatrics around the world.

Baby personal care products associated
with higher levels of phthalates
Babies treated with products such as lotion, shampoo and
powder are more likely to have man-made chemicals called
phthalates in their urine than other babies, according to
research published in the February 2008 issue of the
journal	Pediatrics.
    Phthalates	are	commonly	found	in	many	plastic	products,	
like children’s toys, lubricants, infant care products, cosmetics
and personal care products.
    “We found that infant exposure to phthalates is widespread,
and that exposure to personal care products applied onto the
skin may be an important source,” says the study’s lead author,
Dr. Sheela Sathyanarayana, a researcher with Seattle Children’s
Research Institute. “This is troubling, because phthalate
exposure in early childhood has been associated with altered
hormone concentrations as well as increased allergies, runny
nose and eczema. Babies may be more at risk than children
or adults because their reproductive, endocrine and immune           Dr. Danielle Zerr
systems are still developing.”
                                                                     Improving hospital standards
                                                                     for pediatric flu vaccines
                                                                     Evaluating and establishing industry standards for flu vaccines
                                                                     for hospitalized children could help prevent additional
                                                                     hospitalizations and complications from influenza, according
                                                                     to research conducted by Dr. Danielle Zerr, associate medical
                                                                     director	for	Patient	Safety	at	Children’s.	
                                                                         The study, which was published in the February 2008 issue
                                                                     of Pediatrics, found that 23% of high-risk children hospitalized
                                                                     with influenza had a recent, previous hospitalization that
                                                                     would have provided a convenient opportunity to receive an
                                                                     influenza vaccination — possibly preventing the subsequent
                                                                     hospital stay.
                                                                         Zerr hopes the results will lead to the development
                                                                     of national flu vaccination standards for hospitalized
                                                                     children. “This information will help pediatricians recognize
                                                                     hospitalization as an important opportunity to vaccinate
                                                                     the highest-risk children, and may hopefully prompt the
                                                                     development of hospital-based flu vaccine programs,” says
                                                                     Zerr. “With findings from this study, we can see that an
                                                                     industry-wide review of hospital-based flu vaccines for
                                                                     all children could take flu-prevention to the next level.”




Dr. Sheela Sathyanarayana (right) pictured with Dr. Catherine Karr




13   Seattle Children’s Community Benefit Report 2008
                                                                                                                          Research




                             Mechanism of                           More healthcare required for children whose
                             methamphetamine                        mothers are victims of domestic violence
                             addiction defined                      Children whose mothers have a history of abuse by intimate
                              A novel discovery made                partners have more healthcare needs than children whose
                              by Dr. Nigel Bamford and              mothers have no history of abuse, according to research
                              colleagues could lead to more-        conducted by scientists from Seattle Children’s Research
                              effective treatments for addiction    Institute,	Group	Health	Center	for	Health	Studies	and	
                              to methamphetamine and related        Harborview	Injury	Prevention	and	Research	Center.	
                              drugs. Bamford, an investigator       Dr. Frederick Rivara of Children’s was the lead author
                              with Seattle Children’s Research      of the study, which appeared in the December 2007
                              Institute, led the team, which        issue	of	the	journal	Pediatrics. The researchers found:
                              identified long-term changes in
                                                                    •	 Annual	healthcare	costs	were	11%	higher	for	children	of	
                              the part of the brain that releases
                                                                       mothers	who	experienced	intimate	partner	violence	(IPV).
                              dopamine, a neurotransmitter.
                                 The research team studied          •	 Children	of	mothers	with	a	history	of	IPV	that	ended	before	
                              mice given methamphetamine               the child was born had significantly greater utilization
and observed how exposure to the drug affected dopamine                of mental health care, primary care, specialty care and
levels in the brain. They focused their observations on the            pharmacy services. Those costs were 24% higher for
region of the brain believed to be the center for addiction-           children in this group, compared to children whose
associated behaviors.                                                  mothers	had	experienced	no	IPV	in	their	lifetime.
    Careful observation revealed that long-term exposure to         •	 Children	exposed	directly	to	IPV	after	birth	had	greater	
methamphetamine, followed by withdrawal, caused changes                emergency department and primary care use during the
in this region that were subsequently reversed when more               IPV	and	were	three	times	more	likely	to	use	mental	health	
methamphetamine was administered. Investigators also                   services	after	the	IPV	ended.	They	had	16%	higher	primary	
determined that the drug produced its long-term effect                 care	costs	than	did	children	of	mothers	without	IPV.
by altering specific types of receptors for dopamine and
another neurotransmitter called acetylcholine.                      As a result of this study, the authors recommend that
    The discovery of this mechanism may help scientists             healthcare	providers	routinely	screen	women	for	IPV	and	
understand the underlying basis of addiction and develop            provide appropriate referrals to community agencies and
targeted therapies for people struggling with substance             mental healthcare for both mothers and their children.
abuse and other addictive behaviors.
    Bamford’s research was published in the April 10, 2008,
issue	of	the	journal	Neuron.


                                                                                                                  Dr. Frederick
                                                                                                                  Rivara led a study
                                                                                                                  that shows that
                                                                                                                  children whose
                                                                                                                  mothers experience
                                                                                                                  intimate partner
                                                                                                                  violence have more
                                                                                                                  healthcare needs
                                                                                                                  than children whose
                                                                                                                  mothers have no
                                                                                                                  history of abuse.




                                                                                    Seattle Children’s Community Benefit Report 2008    14
People	Making	a	Difference




     Dave Crotwell helps children breath easier.
     Dave Crotwell, registered respiratory therapist (RRT) and clinical quality coordinator in Seattle
     Children’s Respiratory Care Department, was selected by the American Association of Respiratory
     Care as the 2008 National Neonatal Pediatric Specialty Practitioner of the Year.

     The award recognizes Crotwell’s distinct career                in 2000 and Romania in 2001 as part of an International
     contributions, including clinical work, published papers       Relief Teams group to improve respiratory care for
     and	textbook	chapters,	abstracts	and	presentations.	He	is	     hospitalized babies. “We went to those countries because
     part of a team of Children’s researchers and practitioners     they have high infant-mortality rates,” says Crotwell.
     that is measuring respiratory equipment performance and        “Our	team	worked	in	the	host	hospitals’	neonatal	intensive	
     communicating results to the companies that make the           care units and helped train staff. The facilities we saw
     equipment. Crotwell’s research has led to significant design   had limited resources, so some children wouldn’t make it
     improvements in one of the most widely sold ventilators in     because there were not enough ventilators. In some cases,
     the world.                                                     we were able to teach providers techniques to use instead
         Crotwell has worked at Children’s for 10 years and as      of using ventilators so they could free up a ventilator for
     a	respiratory	therapist	for	14.	He	also	traveled	to	Latvia	    another baby.”




15    Seattle Children’s Community Benefit Report 2008
                                                                                         Dr. Rita Mangione-Smith’s study highlights
                                                                                         the need for more consistent use of quality
                                                                                         standards in caring for children.




                                                                                         “  Children in the
                                                                                         U.S. fail to get the
                                                                                         recommended
                                                                                         health care more
                                                                                         than half the time.”




Closing a critical gap
“We started with this question: Was the quality of healthcare     recommended preventive care — including such basics as
for children in this country really as high as we assumed it      being weighed and measured during regular checkups.
was?” recalls Dr. Rita Mangione-Smith, a pediatrician and
researcher at Seattle Children’s.                                 The figure for chronic care — 53% — wasn’t much better.
                                                                  Those results suggest a need to change the way doctors
So she led a comprehensive study — the largest examination        are educated, says Mangione-Smith.
of the quality of children’s health care in the United States —      “Residents spend most of their time in hospital settings
that provided a definitive answer: Children in the United         and become very good at managing kids with acute illnesses,
States fail to get the recommended health care more than          but they’re not as well trained in providing preventive care or
half the time.                                                    caring for kids with chronic illnesses,” she says. The study also
   Besides illuminating the problem, the study also               suggests a need to change the way doctors are reimbursed,
contributes to the solution. The study’s collaborators —          because the current system rewards quantity, not quality.
Children’s, the University of Washington School of Medicine       Under pressure to see as many patients as possible, they don’t
and the RAND Corporation — combed the literature to               always have time to deliver every element of recommended
compile 175 recommended standards of care for 12 common           care. And yet the study likely reflects only the tip of the
conditions including asthma, diarrhea and urinary tract           iceberg. Nearly all of the 1,500 children involved had some
infections.	Originally	used	as	benchmarks	for	the	study,	         form of health insurance. “I shudder to think of the overall
those standards are now a resource for physicians seeking         population because the kids in the study are supposedly
the latest recommendations for those conditions studied.          getting the best care out there,” Mangione-Smith says.
   Preventive	care	is	more	critical	than	ever	to	keeping	            Given the scope and the stakes, the study is a “wake-up
children healthy and controlling healthcare costs — especially    call” that can’t be ignored, Mangione-Smith says. “We know
in light of the obesity epidemic and the related rise in          from experience that when we follow recommended standards
conditions such as diabetes and hypertension. Yet Mangione-       of care, we improve outcomes for children,” she says.
Smith’s study showed that only 41% of the children received


                                                                                   Seattle Children’s Community Benefit Report 2008    16
Making a Difference: Partnerships
Seattle Children’s works with employees, patient families, government agencies, companies and
nonprofit organizations to improve the health of children and the livability of the community.


Medical-legal partnership serves                                        Employees take steps to improve the
low-income families.                                                    hospital neighborhood.
Thanks to a grant from the Robert Wood Johnson Foundation,              Seattle Children’s employees are helping to create a more
Seattle Children’s launched the Medical-Legal	Partnership	              livable community by embracing alternative transportation
for Children (MLPC),	a	three-year	pilot	project	to	assist               and participating in Seattle’s Adopt-a-Street program.
low-income families in resolving legal issues that affect their
                                                                        •	 On	any	given	day,	66%	of	employees	commute	to	work	
children’s health and medical care.
                                                                           by foot, bicycle, bus, carpool or vanpool. “Children’s is
    The program, led by Children’s along with the Northwest
                                                                           committed to reducing the number of vehicle trips to
Justice	Project	and	the	law	firm	of	Davis	Wright	Tremaine,	
                                                                           campus,”	says	Paulo	Nunes-Ueno,	transportation	manager.	
is the first of its kind in the Northwest. Initially, it will benefit
                                                                           “We provide numerous alternatives that encourage
low-income	patient	families	at	Odessa	Brown	Children’s	Clinic	
                                                                           employees to commute in something other than a single-
(OBCC)	and	Harborview	Children	and	Teens	Clinic	(HCTC).	
                                                                           occupancy vehicle.” Incentives include free bus passes,
    The	MLPC	is	modeled	after	a	successful	legal	clinic	at	
                                                                           ride-matching services, shuttle service between Children’s
Boston Medical Center. “Thanks to this grant, we’ll be better
                                                                           facilities and a Flexbike program. The hospital is also testing
able to serve our young low-income patients facing various
                                                                           a bicycle giveaway program for employees who bike to work
social, housing, immigration, economic and legal problems
                                                                           at least two days a week. These efforts helped Children’s
that	can	negatively	affect	their	health,”	says	Dr.	Benjamin	
                                                                           earn its fourth Diamond Award from Commuter Challenge,
Danielson,	medical	director	of	OBCC.	
                                                                           a nonprofit organization dedicated to solving transportation
    “For example, a child with asthma living in moldy,
                                                                           issues	in	the	Puget	Sound	region.
substandard housing may make repeated trips to the hospital
with severe breathing problems. Intervention by a social
worker and a lawyer that results in improving the family’s                                                           Paulo Nunes-Ueno,
living conditions may have a significant, positive impact                                                            director of
                                                                                                                     Transportation,
on the health of that child.”
                                                                                                                     rides his bike to
                                                                                                                     work with his
                                                                                                                     19-month-old
                                                                                                                     daughter, Twyla Jo,
                                                                                                                     who he drops off
                                                                                                                     at day care three
                                                                                                                     days a week.




                                                                        •	 First	impressions	mean	a	lot.	That’s	why	Children’s	adopted	
                                                                           a	stretch	of	Sand	Point	Way	—	the	thoroughfare	that	
                                                                           connects Children’s main campus to the University District —
                                                                           to help beautify the neighborhood we call home. Employees
                                                                           demonstrate their pride and commitment to the community
Dr. Ben Danielson and his team at OBCC review cases to make                by removing trash from the area between the hospital and
sure patients and their families receive not only medical care, but        its	administrative	offices	(approximately	two	miles	away)	
also social services and dental, mental health and legal care as
                                                                           on a quarterly basis.
they need it. Photo by Clare McLean.




17   Seattle Children’s Community Benefit Report 2008
                                                                                                                  Partnerships




Children’s supports our partners in the community
Children’s supports community organizations through sponsorships. In 2008, we
donated over $262,000 and sponsored more than 70 organizations and events.
Some of the community partners that benefited from our support include:

Access 2008: Building a Tobacco-Free     Jamal Crawford Foundation
Future Conference
                                         Kindering Center
American Heart Association
                                         King County Sexual Assault Center
American Lung Association
                                         Leadership Eastside
of Washington
                                         Lenny Wilkens Foundation
ASTAR
                                         Leukemia and Lymphoma Society
Atlantic Street Center
                                         of Washington
Austin Foundation
                                         Liam Foundation
Bastyr University
                                         Living Legacy Foundation
Bellevue Botanical Garden
                                         March of Dimes
Bellevue Rotary
                                         Mercer Island Community Festival
Brain Injury Association of Washington
                                         Minority Executive Directors Coalition
                                                                                       Starfire Sports provides opportunities for
Cancer for College
                                         Moyer Foundation                              low-income, at-risk children to learn and
Cancer Lifeline                                                                        play soccer. As part of our sponsorship to
                                         National Alliance for the
                                                                                       this community partner, our athletic trainers
Child Care Resources                     Mentally Ill (NAMI)
                                                                                       attend the games and offer medical support
Childhaven                               Northwest Hospital Foundation                 to the players.

Children’s Alliance                      Northwest Kidney Centers
CityClub                                 Our Military Kids of Pierce County
                                                                                       Sound Mental Health
Colors NW                                Pike Place Market Foundation
                                                                                       South Lake Union Park
Crohn’s and Colitis Foundation           Program for Early Parenting
                                                                                       Starfire Sports
                                         Support (PEPS)
Cure Autism Now
                                                                                       Starlight/Starbright Foundation
                                         Providence Hospice of Seattle
Cystic Fibrosis Foundation
                                                                                       Tacoma Tide
                                         Providence Hospice of
Denise Louie Head Start
                                         Snohomish County                              Tears Foundation
Eastside Domestic Violence
                                         Puget Sound Neighborhood                      Treeswing
Epilepsy Foundation NW                   Health Centers                                United Way of King County
Federal Way Steel Lake Days Festival     Safe Kids Washington                          Washington Health Foundation
First Place School                       Seattle Chamber of Commerce                   Washington Physicians for
Food Allergy and Anaphylaxis Network     Seattle Mariners                              Social Responsibility
Foundation for Early Learning            Seattle Parks and Recreation                  Washington Poison Center
Group Health Community Foundation        Seattle Storm                                 Within Reach
Harborview Medical Center                Seattle University                            Youth Eastside Services
International Pediatric                  Seeds of Compassion                           Youthcare Services
Transplant Association
                                         Skyline High School                           YWCA of Seattle-King County-
Issaquah Salmon Days                                                                   Snohomish County




                                                                                  Seattle Children’s Community Benefit Report 2008     18
Partnerships




                                                                 Advocating for safe swimming with Seattle Parks
                                                                 A	partnership	between	Children’s	and	Seattle	Parks	and	
                                                                 Recreation aims to improve water safety for children. Through
                                                                 this	effort,	every	lifeguarded	beach	in	Seattle	has	a	life	jacket	
                                                                 loan program with information in multiple languages, and
                                                                 community members have the opportunity to purchase
                                                                 low-cost	life	jackets	at	special	sales	held	in	spring	and	summer.	
                                                                     In	addition,	Children’s	and	Seattle	Parks	and	Recreation	
                                                                 offered culturally diverse communities family swimming events
                                                                 focused	on	water	safety.	One	of	these	events,	the	Women	
                                                                 of the World Swims, is a program for women and girls who
                                                                 can’t swim with men for cultural or religious reasons. These
                                                                 swim sessions teach women valuable water safety skills in a
                                                                 safe and respectful environment.

                                                                 Safe Kids
                                                                 As a member of the Washington	State	Safe	Kids	Coalition,
Children celebrate the new playground at Dearborn Park           Children’s	collaborates	with	the	Department	of	Health	and	
Elementary School, a partnership of the Injury Free-Seattle      more than 15 county coalitions across Washington state to
Coalition, Seattle Public Schools and the Allstate Foundation.   reduce	unintentional	injury	among	children	under	the	age	
                                                                 of 15. In 2008, the coalition developed bilingual water safety
Children’s and our partners improve                              information boards that demonstrate how to correctly
community safety and health.                                     choose	and	use	a	life	jacket.

Promoting safe communities with Injury Free-Seattle              Alliance raises awareness of
As a member of the Injury	Free-Seattle coalition (which          prematurity and stillbirth.
also	includes	Harborview	Medical	Center	and	Public	Health	       Beyond local and regional partnerships, Children’s works with
–	Seattle	&	King	County),	Children’s	works	with	Seattle-	        national and international organizations to tackle the most
area organizations to address the safety needs of at-risk        pressing issues in pediatrics. Children’s recently launched the
communities	and	populations.	Programs	target	four	activities:	   Global	Alliance	for	the	Prevention	of	Prematurity	and	Stillbirth
safe walking, safe riding, safe swimming and safe play.          (GAPPS)	to	better	understand	this	widespread	public	health	
   Recent	projects	include	implementation	of	a	walking	          problem and ultimately prevent it.
school bus at Bailey Gatzert Elementary, which significantly         Premature	birth	is	the	leading	cause	of	infant	mortality	
increased the number of children walking to school, and a new    throughout the world. In addition, about 24 of every 1,000
playground	at	Dearborn	Park	Elementary	in	partnership	with	      babies are stillborn. Even in the United States, the incidence of
Seattle	Public	Schools	and	the	Allstate	Foundation.	             premature birth continues to increase despite improvements
   While	the	programs	are	focused	on	injury	prevention,	they	    in prenatal care and technological advances. In the state of
also aim to promote physical fitness. “We want kids to be both   Washington, the rate of premature birth has increased 23%
physically active and safe,” says Tizzy Bennett, director of     since 1994.
Guest	Services,	Partnerships	and	Advocacy.	                          GAPPS	partners	with	organizations	such	as	UNICEF,	
   Toward that end, Children’s also collaborates with            First Candle, Save the Children, Centers for Disease Control
community members to improve safety for children in Seattle.     and	Prevention	and	the	World	Health	Organization	to	raise	
“Working with parents, young people and other organizations      awareness of premature births worldwide.
to develop and implement safety programs is key to being
successful,” says Bennett. “If you are a parent who doesn’t
feel comfortable letting your child play at the community
playground or walk to school because you are concerned
about their safety, your child will not have as many
opportunities to be active.”




19   Seattle Children’s Community Benefit Report 2008
People	Making	a	Difference

                                                                                                                Children’s Lyn Kratz,
                                                                                                                Lawrie Williams,
                                                                                                                Carol Parry and
                                                                                                                Devora Chavez
                                                                                                                (not pictured)
                                                                                                                advocate for parent
                                                                                                                involvement at
                                                                                                                all levels of the
                                                                                                                organization.




 Partnering with families
 Patients and their families are essential members of the healthcare team at Children’s.

 Parents	also	serve	as	advisors, teachers and consultants        Improvement	(CPI)	projects.	In	addition,	Parry	works	with	
 throughout the hospital, helping us integrate the family        Kratz	to	facilitate	the	Family	Advisory	Council,	a	group	of	
 perspective into everything we do — from building design        parents providing feedback on proposed changes that affect
 and bedside manner to resident education and family             families at Children’s. “It is critical for us to collaborate
 support services.                                               with families when we look at ways to improve our services
     “Actively involving families has moved us forward in        and	processes,”	says	Parry.	“I’m	always	impressed	by	the	
 countless	ways,”	explains	Lyn	Kratz,	a	20-year	Children’s	      commitment of families to help us and by the receptiveness
 veteran	in	social	work.	“Parents	have	a	unique	perspective	     of staff to learn from families. This important partnership
 and lots to teach and share. They offer fresh, practical        leads to the best outcomes.”
 ideas that reflect what matters most to families. Ultimately,       Providing	peer	support	is	another	way	that	Children’s	
 their involvement makes a positive difference in a child’s      works with families to provide the best possible care for
 care and the family experience.”                                their children. Lawrie Williams, who coordinates Children’s
     Kratz	is	among	a	team	of	people	who	incorporate	            Parent	Support	program, matches experienced parent
 families into Children’s work. She leads numerous activities    volunteers with families who are in the beginning stages of
 that support family-centered care and involvement,              learning about their child’s diagnosis or special healthcare
 including the Families as Teachers program, in which            needs. “Talking with families who have gone through similar
 pediatricians who are training at Children’s spend time at      experiences can be both supportive and empowering,” says
 the home of a family who has a child with special needs.        Williams. In the words of a mother who received her first
 The conversations that arise during these personal              peer support phone call, “It was such a relief to talk with
 encounters provide career-shaping insights for trainees.        someone who has walked in my shoes and understands
     As Children’s family-centered care coordinators, Carol      our daily struggle.” Williams also serves as liaison for the
 Parry	and	Devora	Chavez	arrange	for	parents	to	participate	     growing number of family support groups taking place at
 in	many	hospital	projects,	including	focus	groups,	reviews	     Children’s. Nearly half of those groups are organized,
 of	educational	materials	and	Continuous	Performance	            coordinated or led by parents.




                                                                                 Seattle Children’s Community Benefit Report 2008   20
                                                                                                                Children’s is
                                                                                                                involved with
                                                                                                                many community
                                                                                                                partnerships and
                                                                                                                initiatives that
                                                                                                                inspire exercise
                                                                                                                and healthy eating
                                                                                                                among children
                                                                                                                and their families.




Addressing childhood obesity
Today’s children are the first generation with a shorter life       King County Steps to Health
expectancy than their parents, due in large part to the rise
                                                                    In	2004,	Children’s	joined	Public	Health	–	Seattle	&	King	
in childhood obesity.
                                                                    County and 73 community partners in the King	County	Steps	
Childhood obesity affects 15% of children and teens in              to	Health program	(Steps).	Steps,	funded	by	the	Centers	for	
the United States — a rate that has tripled since 1980.             Disease	Control	and	Prevention,	is	working	to	build	healthier	
Approximately one in 10 young people in the state of                communities and prevent the chronic diseases of diabetes,
Washington are obese.                                               obesity, asthma and their related risk factors in South Seattle
     In addition to suffering from low self-esteem, overweight      and	the	Southwest	King	County	area.	Efforts	focus	on	people	
kids face potentially serious health risks. “We are seeing what     most impacted by chronic diseases, including people living
used to be adult diseases in children who are developing            below	the	federal	poverty	line	and	the	Vietnamese	and	
obesity early in life,” says Dr. Lenna Liu, a pediatrician at       Spanish-speaking communities.
Odessa	Brown	Children’s	Clinic	(OBCC).	“Those	conditions	              Children’s has been involved at the Steps organizational
include type 2 diabetes, high blood pressure, sleep apnea           level,	taking	part	in	the	Leadership	Team	and	the	Policy	Group.
and high cholesterol.”                                                 Under the initiative Children’s has also implemented the
     The gravity of the situation prompted clinicians at Seattle    “Quality	Improvement	in	Chronic	Care	Management”	project,	
Children’s to create Children’s	Obesity	Action	Team (COAT),	a	      which engages primary care providers in enhancing quality of
multidisciplinary team that since 2001 has offered education        care through quality improvement work on obesity prevention
and culturally responsive, age-appropriate resources for families   and	management,	and	has	offered	additional	Strong	Kids	
and community providers to decrease childhood obesity.              Strong Teens programs in partnership with the YMCA.
     Children’s	and	COAT	are	making	a	difference	in	the	lives	of	
children and their families through community partnerships
that inspire exercise and healthy eating.



21    Seattle Children’s Community Benefit Report 2008
Strong Kids Strong Teens                                          Be Fit
When 8-year-old Elizabeth plays with her friends, she wears       Through its “Be Fit” program, the Seattle Storm basketball
a	mask	and	calls	herself	“Healthy	Girl.”	This	fearless	heroine	   team educates youth about the value of a healthy lifestyle.
leads her friends in outdoor exercise and making healthy          During the 2008 season, the Storm partnered with Children’s,
“stews” from leaves and branches in the back yard of her          PCC	Natural	Markets,	the	Washington	State	Nurses	Association	
home. Elizabeth acquired the “super powers” necessary to          and	the	Washington	Health	Foundation	to	host	a	series	of	
become	Healthy	Girl	through	a	community-based	lifestyle	          clinics encouraging kids to exercise and eat a well-balanced
program	sponsored	by	COAT,	OBCC	and	YMCAs	in	King	and	            diet. At the clinics, children visited four stations — staffed
Snohomish counties. The program, Strong	Kids	(ages	8	to	11)	      by Storm players — that focused on areas ranging from
and Strong Teens (ages	12	to	14),	helps	overweight	youth	and	     cardiovascular and strength-training exercises to nutrition
adult family members embrace healthy lifestyles. During 18        and healthy snacks.
weeks, children and teens participate in a variety of physical
activities, hands-on nutrition education and motivational         Shop Around
coaching. In 2008, 280 youth benefited from this program.         Shop	Around	—	a	program	available	to	patients	of	the	Odessa	
                                                                  Brown	Children’s	Clinic	(OBCC)	and	their	families	—	is	aptly	
Love them with all your HEART!                                    named for its focus on the whole, natural foods located
Along	with	the	American	Heart	Association	(AHA),	COAT	            along the perimeter of a grocery store, including meats,
created	the	“Love	them	with	all	your	HEART!”	initiative,	which	   dairy	products,	fruits	and	vegetables.	It’s	part	of	the	OBCC	
provides children and teens with age-specific education           “Fit 4 You” obesity prevention program, which identifies
materials that emphasize healthy eating and physical activity.    patients who are overweight and educates the entire family
Children’s	and	AHA	also	distribute	materials	to	healthcare	       about	grocery	shopping,	cooking	and	nutrition.	OBCC	also	
providers to help them discuss and treat obesity concerns         partners	with	Seattle	Parks	and	Recreation	to	provide	
with patients and their families.                                 cooking classes at community centers.


Jump Up!                                                          Children’s Obesity Prevention Coalition
In partnership with Treeswing, a local organization dedicated     As a member of the Childhood	Obesity	Prevention	Coalition,
to developing programs that support healthy children and          Seattle Children’s is collaborating with more than 20
                                             fi
families, Children’s launched the “Jump Up!”ff tness campaign.    organizations to pursue state-level policy changes and
Jump	Up!	is	distributing	a	free	jump-rope	kit	to	each	of	the	     investments that should lead to reducing childhood obesity in
4,000	kindergarten	students	in	the	Seattle	Public	Schools.	       the state. These policies and investments endeavor to make
Each kit includes information for parents about the importance    it easier for children and families to make healthy choices. The
of exercise from an early age and the risks associated with       coalition’s goals are threefold: increase the number of children
childhood	obesity.	Students	participating	in	the	Jump	Up!	        who are physically active on a daily basis, improve access to
program	are	encouraged	to	set	personal	jumping	goals.	            and demand for healthy foods and make it easier for families
   Children’s and Treeswing will distribute an additional         to be part of an active community.
6,000	jump-rope	kits	to	children	in	collaboration	with	
Seattle	Parks	and	Recreation	through	its	“Healthy	Parks,	
Healthy	You”	initiative.




“     We are seeing what used to be adult diseases in children.”




                                                                                   Seattle Children’s Community Benefit Report 2008   22
Making a Difference: Education
Experts at Seattle Children’s offer a broad range of free or low-cost classes and educational
programs to improve the health, safety and well-being of children and families in the greater
Seattle community.
Community education classes served more than 2,000 people
in 2008. In addition, many of our doctors and nurses share
their expertise through online resource available to clinicians
everywhere.

Community classes for parents and caregivers
Babysafe
Co-sponsored by Great Starts Birth & Family Education, this
class is designed for new and expecting parents and others
who care for babies. Topics include infant development, baby
safety,	injury	prevention	and	immediate	care	of	common	
injuries.	Infant	CPR	is	also	demonstrated	and	practiced.

Infant and Child CPR
This	CPR	class	for	parents,	childcare	providers	and	healthcare	
professionals	teaches	infant	and	child	CPR	and	choking-rescue	
techniques as well as risk factors and healthy heart living.

Infant Car Seat Class for Expecting Parents
Taught by a certified child passenger safety expert, this
class teaches expecting parents how to properly install
a child safety seat in the car, how to safely secure baby
in the seat, and empowers parents to use the car seat
correctly every time.
                                                                   Eileen Reichert, nurse practitioner and Sara Swanson, health educator,
Potty Training
                                                                   demonstrate CPR.
This class helps prepare parents and caregivers of toddlers
for potty training. Experts discuss the physical, intellectual,
psychological, emotional and social signs of readiness for a       CPR for Babysitters
child to succeed at using the toilet. The class also offers tips   Co-sponsored by Great Starts Birth & Family Education, this
such as what kind of potty chair is best, how to encourage         class	for	youth	ages	11	to	15	teaches	infant	and	child	CPR	and	
children to use the potty and how to handle setbacks.              covers choking and safety.

Autism Series                                                      For Boys Only: The Challenges of Growing Up
Experts offer classes for parents and caregivers of children       This class for boys ages 10 to 12 and a parent or guardian
recently diagnosed with autism as well as a series of classes      focuses on what children and parents should expect as boys
covering a variety of topics such as communication skills,         begin adolescence. Topics include body changes during
behavioral skills, social skills, medication and legal aspects.    puberty, popular myths about growing up, behavior and
                                                                   attitude changes, what boys need to know about girls and
Community classes for preteens                                     how to communicate about the experience of adolescence.

Better Babysitters                                                 For Girls Only: A Heart-to-Heart Talk on Growing Up
Youth ages 11 to 13 learn responsible babysitting by studying      This class for girls ages 10 to 12 and a parent or guardian
basic child development, infant and child care, safety, how        focuses on the physical changes of puberty and menstruation,
to handle emergencies, age-appropriate toys, business hints        what girls need to know about boys, social issues and
and what parents expect.                                           sexuality.
                                                                       The goal of both classes is to create opportunities for
                                                                   pre-teens and a trusted adult to receive information together
                                                                   in an engaging format and relaxed atmosphere. Instructors
                                                                   emphasize family communication and resources to support
                                                                   young	people	on	their	journey	through	adolescence.




23   Seattle Children’s Community Benefit Report 2008
                                                                                                                        Education




Summer camps for children                                          Summer Program for Deaf and Hard-of-Hearing Youth
with special health needs                                          Seattle	Children’s	Summer	Program	for	Deaf	and	Hard-of-
Every year, Children’s offers unique programs to ensure that       Hearing	Youth	offers	all	the	fun	of	a	day	camp,	including	arts	
children with special health needs have the opportunity to         and	crafts,	swimming	and	hands-on	educational	activities.	Held	
experience the excitement and camaraderie of summer camp.          at Children’s every Tuesday in July and August, the program
                                                                   gives deaf and hard-of-hearing children the opportunity to
Stanley Stamm Summer Camp                                          connect with each other and practice their language skills in
Each August, the Stanley Stamm Summer Camp gives children          a	fun	and	supportive	environment.	Hearing	siblings	can	also	
with serious illnesses the chance to go fishing, ride horses and   participate	by	taking	sign	language	classes	and	joining	their	
take part in other typical summer camp activities at a sleep-      brothers and sisters for crafts and other activities. Thanks to
over camp near Mt. Rainier.                                        scholarships provided by RE/MAX Northwest, participants
    The camp, founded by Seattle Children’s heart specialist       pay only half of the camp fee.
Dr. Stanley Stamm, includes medical support so that children
unable	to	attend	other	camps	can	join	in	the	fun.	                 Providing expertise on demand
    Families	pay	just	$100	for	the	week-long	camp	(the	            When clinicians need the latest health information in a
actual	cost	per	camper	is	$1,000),	thanks	to	generous	donors.	     nutshell, they can now turn to a number of online resources.
Children’s also provides scholarships for families who cannot
pay in full.                                                       thedoctorschannel.com
    The camp hosts children ages 6 to 14 with a range of           This new Web site features one- to two-minute streaming
terminal or chronic medical illnesses, including heart and         video clips with insights and opinions from experts in 35
pulmonary problems, cerebral palsy, muscular dystrophy,            specialties. Several doctors, nurses and other providers from
Down syndrome, cystic fibrosis, endocrine diseases,                Seattle Children’s have been interviewed for the Web site,
neurological problems and cancer. Last year, the camp              contributing timely information on many topics that are
served the largest group of children ever: 98 kids.                available for viewing free of charge at thedoctorschannel.com.
                                                                   Topics covered by Children’s clinicians and staff include
                                                                   childhood flu shots, the increasing incidence of premature
                                                                   birth, the dangers of watching television at a very young
                                                                   age and steps hospitals can take to reduce waste.

                                                                   Continuing education online
                                                                   Children’s offers healthcare professionals in the region
                                                                   easy access to online pediatric continuing education free
                                                                   of charge. The program offers up-to-date, evidence-based
                                                                   pediatric practice education that may not be available in many
                                                                   communities.	Online	courses	benefit	a	variety	of	healthcare	
                                                                   providers, including nurses, physicians, homecare providers,
                                                                   occupational therapists, physical therapists and technicians
                                                                   working in both private practice and hospital settings. In
                                                                   partnership	with	the	Department	of	Health,	Children’s	created	
                                                                   a videotaped archive of conference sessions available through
                                                                   the Online	Video	Library on our Web site. Approximately
                                                                   12,000 healthcare providers accessed the video library
                                                                   during 2008.

                                                                   Quicklinks
                                                                   Children’s offers Quicklinks, a free e-mail toolkit for healthcare
                                                                   providers	in	the	Pacific	Northwest.	Quicklinks	features	health	
                                                                   education handouts and resources that doctors and nurses
                                                                   can print and share with their patients. Children’s disseminates
                                                                   Quicklinks three times a year.




Stanley Stamm campers take part in a range of
activities every summer.



                                                                                    Seattle Children’s Community Benefit Report 2008   24
People	Making	a	Difference




     Brian Ross: 27 years of dedication to hospital education
     When a child is hospitalized at Children’s and unable to attend school, Brian Ross and his team of
     teachers and instructional assistants provide education services that keep our patients from falling
     behind in school — at no cost to families.

     “Our	program	is	one	of	the	most	important	players	in	               Ross and his staff of seven certified teachers and three
     a child’s recovery,” says Ross, who manages Children’s          instructional aides provide education services to more than
     Education Department.	“Our	teachers	help	kids	keep	a	           750 children annually. As valued members of Children’s
     sense of normalcy and a focus on their future. We remind        multidisciplinary care teams, hospital teachers participate in
     them what all the other kids their age are doing and            treatment planning for patients. They serve students through
     help them keep a routine during a very traumatic time           classes in Children’s school room, small group instruction on
     in their lives.”                                                the medical floors and bedside tutoring as needed.
         Ross has been teaching patients at Children’s since             “All of our services are coordinated with the patients’
     1981, when the hospital began offering a formal education       existing	education	programs,”	Ross	explains.	“Our	teachers	
     program to meet the unique needs of children with serious       use the students’ textbooks and assignments as much as
     medical	or	psychiatric	illnesses,	traumatic	injuries	and	       possible throughout admission to maintain the child’s routine.”
     chronic medical conditions. Since then, he has witnessed            Teachers also work closely with the patient’s community
     amazing progress in the treatment of conditions such as         school upon discharge from the hospital to help ease the
     cancer,	cystic	fibrosis	and	juvenile	rheumatoid	arthritis.	     transition back to school. In any given year, children leaving
     “When I began working at Children’s, these kids fell            the hospital represent more than 120 school districts and
     chronically behind in school because their conditions           developmental centers in Children’s service region, which
     were so debilitating, requiring frequent or prolonged           includes Washington, Alaska, Montana and Idaho.
     hospitalizations,” recalls Ross. “But today, these students         Under Ross’s leadership, Children’s Education Department
     have shorter admissions and better medical treatments           continues to grow and evolve with a focus on the needs of
     that enable them to return to school shortly after discharge,   individual	patients.	“The	best	parts	of	this	job	are	helping	
     and with far more successful outcomes. I have been here         students find ways to make progress despite their medical
     long enough now that I have experienced many advances           conditions, and what these students teach us about dealing
     in medical care for children, and that’s exciting.”             with adversity,” says Ross. “I am always amazed by their
                                                                     courage and resilience.”




25    Seattle Children’s Community Benefit Report 2008
Investing in future healthcare professionals
When it comes to discovering a fulfilling career or finding       Apprentice program matches minority
the right job, mentors and training programs can make an
important difference in our community.
                                                                  students with medical researchers.
                                                                  Minority students in the state of Washington often leave high
Given the national shortage of workers in many areas of           school without an understanding of the educational pathways
healthcare, Seattle Children’s sponsors or participates in many   that can lead to becoming a healthcare professional. In fact, only
programs that provide hands-on learning opportunities and         3% of minority students eventually pursue a career in healthcare.
training for potential employees of the future.                      Nationwide, there is a “critical shortage” of minorities
                                                                  involved in biomedical research, according to the National
U-DOC introduces high school                                      Institutes	of	Health.	To	help	address	this	shortage,	Children’s	
students to healthcare.                                           participates in the Charles Drew University of Medicine and
When you’re 17 years old and dreaming of a career in              Sciences	National	High	School	Student	Summer	Research	
healthcare or research, there’s nothing more powerful than        Apprentice	Program,	which	pairs	high	school	students	with	
hearing from a practicing scientist or healthcare professional    seasoned investigators.
that	you	can	do	it,	too.	And	that’s	just	what	22	high	school	        For eight weeks during the summer of 2008, Jesus Lopez-
students heard from Children’s staff as part of the “U-DOC”       Guisa,	PhD,	a	researcher	in	Children’s	Nephrology	program,	
college preparation program at the University of Washington       mentored college-bound student Donovan Dean-Dewberry
during the summer of 2008.                                        and taught him the basics of biology in preparation for
   The program introduces high school students from rural         conducting laboratory research.
and underserved communities to college life and provides             Their	collaboration	resulted	in	a	national	award.	Of	more	
opportunities	to	learn	about	careers	in	healthcare.	U-DOC	        than 70 students in the Charles Drew program, Dean-Dewberry
students visited many departments at Children’s and               received	a	trophy	for	the	most	excellent	research	project.
participated	in	job	shadows.	
   “We really were part of the Children’s community for a         ePals promote healthcare careers via email.
week,” says student Jessica Sachara from Yakima, Washington.      Students in selected Seattle-area schools are learning about
“Everyone was so willing to answer our questions, and it was      jobs	in	healthcare	through	a	new	Children’s	program	called	
inspirational to see how passionate people were about their       ePals.	This	eight-week	outreach	program	connects	youth	in	
jobs.	At	home,	everyone	tells	you	that	you	can	do	it.	But	it’s	   the fifth and sixth grades with professional role models from
really inspiring to hear that encouragement from professionals    Children’s and introduces them to healthcare careers through
who actually have done it.”                                       email correspondence.
                                                                     The	students	at	ePal	schools	are	culturally	diverse	and	
                                                                  predominantly from lower socioeconomic areas —
                                                                  communities often lacking access to educational resources
                                                                  and professional mentors.
                                                                     At the end of the program, students engage in a guided
                                                                  classroom discussion about the conversations with their
                                                                  ePals,	giving	them	a	“big	picture”	view	of	a	wide	variety	of	
                                                                  responsibilities	in	the	hospital.	Students	also	enjoy	a	capstone	
                                                                  program that includes an interactive tour of Children’s and the
                                                                  chance	to	meet	their	ePals	over	lunch.




Students from rural and underserved areas visited Children’s
as part of the U-DOC college preparation program at the
                                                                  “  It’s really inspiring to get
                                                                  encouragement from professionals
University of Washington.                                         who actually have done it.”
                                                                                   Seattle Children’s Community Benefit Report 2008   26
Project SEARCH offers work experiences
for people with disabilities.
As part of Children’s commitment to developing a diverse
workforce that reflects the patients we serve, Children’s
started	Project	SEARCH,	an	innovative	program	providing	
training and employment opportunities for people with
developmental	disabilities.	Project	SEARCH	is	based	on	
a	nationally	recognized	program	at	Children’s	Hospital	
Medical Center of Cincinnati.
     In partnership with Northshore School District, Children’s
provides educational work experiences for students with
developmental disabilities through the district’s Transition
Program.	Since	the	program	launched	in	2005,	Children’s	has	
provided work experiences for 23 students in departments
such	as	Laundry,	Inpatient	Psychiatry	Unit,	Laboratory	
Medicine, Environmental Services, Landscaping, Dietary,
Child Life, Research and the Gift Shop.
     In addition to offering educational work experiences,
Project	SEARCH	provides	employment	opportunities	at	
Children’s.	King	County	named	Children’s	the	2008	“Employer	
of the Year” for hiring adults with developmental disabilities.




                                                                  Administrative program assistant Kori Rothweiller works in the
                                                                  Department of Psychiatry and Behavioral Medicine as part of
                                                                  Children’s award-winning Project SEARCH program.




27    Seattle Children’s Community Benefit Report 2008
Making a Difference: Advocacy
Seattle Children’s improves the health of children and their families through advocacy.



In collaboration with other organizations, Children’s works
to achieve access to quality health care for all children,
regardless of their families’ ability to pay. We also promote
safety and healthy child development while working to
meet the healthcare needs of children with chronic medical
conditions in their own communities.

Increasing access to healthcare
Children’s contributed $100,000 to the Children’s	Health	
Initiative, a	collaborative	project	of	the	King	County	Council,	
the	King	County	Executive,	Public	Health	–	Seattle	&	King	
County,	the	state	of	Washington,	Group	Health	Cooperative,	
the Washington Dental Service and a diverse range of private
funders and community-based organizations.
    The	CHI	works	to	improve	low-income	families’	ability	to	
enroll eligible children in federal and state health insurance
programs and to ensure that children obtain appropriate             Tooth decay is preventable — and yet, it is the most-common chronic
preventive-focused medical, dental, and behavioral health care.     childhood disease.
    Outreach	efforts	focus	on	populations	with	significant	
language, cultural, racial, and socioeconomic barriers to address
                                                                        In addition to providing family-centered dental care,
existing disparities in health care access. Following insurance
                                                                    Children’s promotes children’s oral health as a member of
plan	enrollment,	the	CHI	links	children	with	medical	and	dental	
                                                                    the Watch Your Mouth campaign funded by the Washington
“homes” as well as integrated preventive care and other services.
                                                                    Dental Service. We also work with community organizations
                                                                    to	improve	children’s	oral	health.	For	example,	a	pilot	project	
Promoting oral health                                               launched	by	Odessa	Brown	Children’s	Clinic,	Public	Health	
Tooth decay, a preventable condition, is the most-common
                                                                    –	Seattle	&	King	County	and	Washington	Dental	Service	
chronic childhood disease. In Washington state, 1-year-olds
                                                                    trains	King	County	healthcare	providers	to	screen	infants	and	
are five times as likely — and 2-year-olds are more than
                                                                    children for early signs of poor oral health with the hope of
twice as likely — as children nationwide to have tooth decay.
                                                                    preventing decay.
In addition, the volume of dental emergencies in Children’s
                                                                        As a sponsor of the SmileMobile, Children’s helps provide
emergency department has increased by roughly 10% from
                                                                    dental services to children who otherwise do not have access
year	to	year.	Poor	oral	health	in	children	has	been	linked	to	
                                                                    to dental care.
poor performance in school, poor social relationships and
less success in later life.
                                                                    Preventing child abuse
    To combat the growing crisis of childhood dental disease,
                                                                    Children’s works to prevent child abuse and neglect by
Children’s and the University of Washington School of
                                                                    disseminating educational materials and supporting parents
Dentistry are developing a new pediatric dental facility that
                                                                    with the resources they need to create a healthy environment
will double the capacity of the dental programs at both
                                                                    for their kids. “Small children are particularly vulnerable
institutions. Washington Dental Service and the Washington
                                                                    because they can’t speak up for themselves, and that’s why
Dental Service Foundation provided a gift of $5 million to
                                                                    it’s up to all of us to be a voice for them,” notes Dr. David
build the facility, which will enable clinicians to provide
                                                                    Fisher, Children’s medical director. “Nearly 60% of the children
30,000 pediatric dental visits per year for healthy children
                                                                    seen	by	our	Children’s	Protection	Program	due	to	concerns	
and those with urgent or special needs.
                                                                    about abuse or neglect are under age 4.”
                                                                         During	Child	Abuse	Prevention	Month	in	April,	Children’s	
                                                                    participates	in	the	national	Pinwheels	for	Prevention	campaign	
                                                                    by hosting a special event at the hospital to raise awareness
                                                                    of ways to prevent harm to children in our communities. As
                                                                    part of the event, visitors are given the opportunity to plant
                                                                    pinwheels. “The pinwheels are a powerful expression of hope
                                                                    that by working together we can break the cycle of abuse,”
                                                                    notes Carol Jenkins, Children’s	Protection	Program manager.


                                                                    The Pinwheels for
                                                                    Prevention campaign
                                                                    raises awareness
                                                                    of ways to prevent
                                                                    child abuse.



                                                                                      Seattle Children’s Community Benefit Report 2008    28
Advocacy




Addressing underage drinking                                                                                          At Children’s Car Seat
In northeast Seattle, the underage drinking rate is higher                                                            Check events, experts
                                                                                                                      teach families how to
than in other city neighborhoods and counties in the state
                                                                                                                      secure their children
of Washington. Alcohol use by those under 21 is related to
                                                                                                                      in the car.
numerous	health	problems,	including	injuries	and	death	
from car crashes, suicide, homicide, assaults, drowning
and recreational mishaps.
    Dr.	Ray	Hsiao,	attending	psychiatrist	and	co-director	of	
Seattle Children’s Adolescent	Substance	Abuse	Program
(ASAP),	is	working	to	change	that.	As	a	member	of	Prevention	
Works	in	Seattle,	Hsiao	is	helping	the	coalition	develop	
strategies to address the problem among students at
Eckstein Middle School and elsewhere in northeast Seattle.
    Parent	education	is	among	those	strategies.	Thanks	
to a partnership between the coalition, Children’s and the          Child passenger safety
YMCA, parenting classes are offered at Children’s and at the        Car	crashes	continue	to	be	the	leading	cause	of	injury	death	
University District YMCA to raise awareness of the problem          among children and teens. Children’s offers several car seat
and provide support to parents.                                     check events annually, where child passenger safety experts
                                                                    check children in a car seat, booster seat or seat belt. Experts
Raising awareness of important health issues                        teach families how to safely secure their children in the car
Seattle Children’s participates in and sponsors dozens of           and answer parents’ questions. In 2008, 330 children and
community events that promote health, safety and awareness          their parents benefited from having their car seats checked
of a broad range of issues that impact the well-being of            and secured. Educational programs, including low-cost seat
children, families and communities.                                 sales, are offered to families of diverse language and ethnic
                                                                    backgrounds	through	Head	Start	schools.

                                                                    Safety equipment and fittings
                                                                    Children’s offers life	jacket	fittings and bike helmet fittings
                                                                    throughout the year in partnership with local recreational
                                                                    organizations	and	retailers,	including	Mustang	Survival,	Kohl’s,	
                                                                    Metropolitan Market and Cascade Bicycle Club. We also offer
                                                                    life	jackets	and	helmets	for	free	or	at	reduced	cost	during	
                                                                    community outreach events. In 2008 we distributed 800
                                                                    bike	helmets	and	over	400	life	jackets	to	children	and	their	
                                                                    families	in	the	Puget	Sound	area.

                                                                    Seattle Children’s Community Health Fair
                                                                    Families and children learn about health and safety through
                                                                    hands-on fun activities such as visits to the operating room,
                                                                    finger casting and a Teddy Bear Clinic. Children’s also offers
                                                                    free	bike	helmets	and	low-cost	booster	seats	and	life	jackets	
                                                                    at this annual event. Last year, approximately 1,000 people
                                                                    attended the health fair.


Children’s staff, patient families and volunteers participated
in the Seattle Pride Parade for the sixth consecutive year.


Outreach to underserved communities
During 2008, Children’s provided health and safety information
and resources at more than 80 events, including outreach
efforts in diverse, low-income and underserved communities.
Children’s representatives promoted child passenger safety,
water	safety,	healthy	eating,	fitness,	sports	injury	prevention,	
helmet safety, home safety, behavior and discipline among
other topics.


                                                                    A child gives her teddy bear an x-ray at our annual Health Fair.

29   Seattle Children’s Community Benefit Report 2008
                                                                                                                             Advocacy




Celebrating 100 years of partnerships
Since Children’s was founded in 1907, we have recognized
the value of partnerships to improve the health and safety
of children and their families. To celebrate the milestones
achieved during Children’s first century of service — and to
raise awareness of the key health issues facing children today
—	Children’s	hosted	“Celebrating	a	Century	of	Partnerships	
for	Children’s	Health”	with	a number of organizations.
Participating	partners	included	the	Children’s	Alliance,	
Harborview	Medical	Center,	Public	Health	–	Seattle	&	King	
County,	Safe	Kids	Coalition,	Sound	Health,	the	University	
of Washington and the YMCA of Greater Seattle. The event
was attended by 150 people.

Reaching out with vital health information
When health concerns about diacetyl butter flavoring
began to surface, Children’s executive chef Walter Bronowitz
contributed significantly to national, regional and local            Children’s athletic trainers like Antonio Gudiño provide assessment
outreach efforts. As secretary of the American Culinary              and care on the field, and help young athletes avoid injury and get
Federation	(ACF),	the	nation’s	largest	organization	for	             back in the game — safely.
professional chefs, he helped launch a campaign targeted
at chefs and cooks who may have been unaware of the                  Going to bat for sports safety
potential dangers.                                                   Across	the	nation,	sports-related	injuries	among	teens	are	
    He	also	brought	attention	to	a	serious	challenge:	identifying	   occurring at higher rates than ever before. Longer sports
products that contain diacetyl. Because the Food and Drug            seasons, more intense participation at younger ages and the
Administration	(FDA)	considers	the	chemical	safe,	disclosure	is	     focus	on	playing	just	one	sport	contribute	to	the	increase.
not required on product labels. That means the only indication           Seattle is no exception. In 2007, school-district athletic
that diacetyl may be present in food products is the mention         trainers	evaluated	about	2,600	sports	injuries	sustained	by	
of artificial flavorings. “Most of us chefs are removing butter-     the	city’s	3,500	high	school	athletes.	Overuse	injuries	to	
flavored products from use in our kitchens as a result of what       the	knee	from	running	and	jumping	top	the	list	of	sports	
we now know about diacetyl, but we need action quickly so            traumas that bring teens to the sports medicine program
we can identify other products manufactured with diacetyl,”          at Seattle Children’s.
said Bronowitz.                                                          To drop-kick these escalating rates, Children’s Department
    As a result of Bronowitz’s work, the ACF announced               of Orthopedics	and	Sports	Medicine partnered with the Seattle
support for government action by the FDA and the                     Public	School	District	to	pilot	courses	in	sports	medicine	using	
Occupational	Safety	and	Health	Administration	(OSHA)	                seed money from Children’s. The goal is to give teens at three
to investigate the potential health hazards of diacetyl.             Seattle	high	schools	the	injury-prevention	knowledge	they	
                                                                     need to keep themselves and their peers safe at play while
                                                                     piquing their interest in healthcare careers.
                                                                         The	classes	create	greater	awareness	around	injury	
                                                                     prevention — a natural fit with Children’s mission to prevent
                                                                     childhood	injury.	Nearly	50	students	are	taking	the	sports	
                                                                     medicine courses, which are part of the school district’s
                                                                     career and technical education track.

                                                                     Supporting families of children with special needs
                                                                     Raising a child with special healthcare needs can be a complex
                                                                     and	demanding	job.	Many	parents	say	there	is	little	information	
                                                                     about how to manage their child’s ongoing health care needs
                                                                     in	their	daily	life.	But	a	new	resource	called	“What	Helps	You?”	
                                                                     offers advice from families who have walked this path.
                                                                         Available through the Web site of the Center for Children
                                                                     with Special Needs, a program of Seattle Children’s, “What
                                                                     Helps	You?” features strategies and worksheets to help
                                                                     families deal with a range of challenges, from managing
                                                                     emotions and maintaining healthy relationships with others
                                                                     to parenting children with special needs and working with
Chef Walter Bronowitz
                                                                     schools and healthcare systems.


                                                                                       Seattle Children’s Community Benefit Report 2008    30
People	Making	a	Difference




     Antwanette Lyons: Breaking down barriers to health
     For families who struggle to pay the bills and buy food and clothing for their children,
     a visit to the dentist or the doctor for preventive care may be the last thing on their minds.

     But the health and well-being of these children and families        others may not have winter coats or shoes for their kids.
     are the focus of Antwanette Lyons’ work all day, every day,         Lyons works closely with those families — often visiting
     as community care coordinator at Odessa	Brown	Children’s	           them at home — to help them meet their basic needs.
     Clinic	(OBCC).                                                      “So many families in this community face barriers that keep
         “My	job	is	to	ensure	that	those	who	would	not	normally	         them from visiting the clinic,” says Lyons. “I try to eliminate
     have access to the clinic — the homeless, victims of family         those barriers by connecting families with resources to pay
     violence and the uninsured — find their way in,” says Lyons.        their bills, eat nutritious meals and focus on the health of
     “I help families overcome the obstacles that prevent them           their children.”
     from seeking the care their children need.”                             The	best	part	of	her	job,	says	Lyons,	comes	several	
         OBCC	primarily	serves	children	and	adolescents	who	             months or even years later, when she sees families in the
     live in central and south Seattle, providing comprehensive          clinic or in the community, and they have achieved self-
     medical, dental and mental health services with dignity and         sufficiency. “Life issues prevent people from living a healthy,
     respect.	Because	OBCC	patients	and	their	families	represent         well-rounded life,” she points out. “By addressing those
     a diverse population, the clinic’s healthcare providers and         issues now, we are helping families live better lives and
     staff are committed to providing the best care possible in          hopefully preventing problems for kids later in life.”
     a culturally relevant context. It’s that commitment that keeps          Lyons’ only wish is that more organizations would create
     generations of families coming to the clinic. “Earning a            similar positions to serve the needs of the greater Seattle
     family’s trust is the ultimate compliment,” says Lyons. “I love     community. “It would be great to have more outreach
     seeing grandparents who were patients as children bringing          workers focused on families,” she says. “We have experienced
     their grandchildren into the clinic. It’s incredibly satisfying.”   great results through this approach, and it’s making a
         Much of Lyons’ work entails building trust with families        difference in the lives of kids who might otherwise fall
     experiencing difficult situations. Some may be malnourished;        through the cracks in our healthcare system.”




31    Seattle Children’s Community Benefit Report 2008
                                                                                                                 A patient
                                                                                                                 navigator helps
                                                                                                                 a mother and
                                                                                                                 her daughter
                                                                                                                 check in before
                                                                                                                 their clinic visit.




Overcoming	health	disparities
Seattle Children’s is deeply committed to overcoming              disparities, the better we can develop and evaluate culturally
health disparities — differences in health quality and access     appropriate interventions that eliminate many gaps and
associated with factors such as race, ethnicity, income,
education and place of residence.                                 improve outcomes for everyone.”
                                                                     Our	interventions	and	efforts	in	the	area	of	diversity	and	
Seattle Children’s is deeply committed to overcoming              health equity include:
health disparities — differences in health quality and access
                                                                  •	 Partnerships	to	achieve	access	to	quality	healthcare	for	
associated with factors such as race, ethnicity, income,
                                                                    all children. For example, Children’s is a member of the
education and place of residence.
                                                                    Health	Coalition	for	Children	and	Youth, which helped
   Since its inception, Children’s has been committed to
                                                                    legislators develop a bill to ensure affordable medical
providing the highest quality of care for all children and
                                                                    coverage for every child in Washington state. Governor
families, no matter their race, ethnicity or ability to pay.
                                                                    Christine	Gregoire	signed	the	“Cover	All	Kids”	bill	in	2007,	
In	2004,	Children’s	adopted	the	Strategic	Plan	for	Diversity.	
                                                                    creating	the	Apple	Health	for	Kids	program.
Three years later, it opened the Center for Diversity and
Health	Equity,	which	integrates	research,	education,	             •	 Alliances	with	community	organizations	to	improve	
advocacy and service to support Children’s quest to                 medical care for specific populations. As a partner in the
eliminate pediatric health disparities.                             Northwest Sickle Cell Collaborative, Children’s expands
   “We look at the differences in the race, ethnicity and           access to specialty care by supporting existing clinics
language spoken of our patients by collecting information           and opening new clinics in the Northwest.
about these determinants for almost all of the patients we
serve. Being able to compare various outcomes according to
these data is a great first step in understanding that everyone   Seattle Children’s is committed
is not reaping the benefits of health and healthcare the same,”
says Doug Jackson, chief of the Center for Diversity and
                                                                  to overcoming health disparities.
Health	Equity.	“The	better	our	understanding	of	these	



                                                                                   Seattle Children’s Community Benefit Report 2008    32
                                                                   •	 A	“patient	navigator”	pilot	program	funded	by	the	
                                                                     Washington	State	Department	of	Social	and	Health	
                                                                     Services to teach Spanish- and Somali-speaking families
                                                                     how to navigate the healthcare system and help clinicians
                                                                     understand these families’ unique needs.

                                                                   •	 Odessa	Brown	Children’s	Clinic	(OBCC)	provides	culturally	
                                                                     sensitive, community-based care to children and families in
                                                                     central and south Seattle. The clinic offers medical, dental
                                                                     and mental health care services under one roof. It is a
                                                                     participant	in	the	Special	Supplemental	Nutrition	Program	
                                                                     for	Women,	Infants,	and	Children	(WIC).	OBCC	provides	
                                                                     on-site screening, immunizations and nursing care for
                                                                     homeless	children	attending	First	Place	Elementary	School	
                                                                     and	Morning	Song	Day	Care.	OBCC	also	provides	primary	
                                                                     care	services	for	the	Garfield	High	School	Teen	Health	Clinic.

                                                                   •	 Workshops	and	training	for	Children’s	staff	and	clinicians:
                                                                     – Monthly cultural competency training
                                                                     – English as a Second Language classes
•	 Round-the-clock	telephone	interpretation	at	the	hospital	         – Spanish classes and Spanish drop-in lunch sessions
     for non–English-speaking families to ensure effective
                                                                   	 –	 Poverty	simulation	training
     communication any time of day. Dual phones with one-touch
                                                                   	 –	 Panel	discussions	and	displays	focused	on	serving	families		
     dialing to interpreters are at the bedside in every room in
                                                                       of specific ethnicities and cultural backgrounds
     the hospital.
                                                                     – Northwest Diversity Series for managers
•	 The	toll-free	Family	Phone	Interpreting	Line	allows	families	
     with limited English proficiency to initiate calls to the     •	 Dr.	Doug	Jackson,	chief	of	Children’s	Center	for	Diversity	

     hospital in their own language via an interpreter. In 2008,     and	Health	Equity,	and	Sarah	Rafton,	director,	are	among	

     the hospital averaged 980 calls from families per month         33 participants selected for the 2008-2009 Disparities

     through this line.                                              Leadership	Program	created	by	The Disparities Solution
                                                                     Center	at	Massachusetts	General	Hospital.	This	year-long	
•	 Sharing	best	practices	in	language	services:	Seattle	
                                                                     program empowers healthcare leaders with tools and
     Children’s stands apart as a model organization for
                                                                     skills to address inequities in healthcare for racial and
     providing medical interpretation to families with limited
                                                                     ethnic minorities.
     English proficiency. Children’s is one of two hospitals
     awarded an additional 18 months of funding from the Robert
     Wood Johnson Foundation to continue participation in the
     “Speaking Together: National Language Services Network,”
     a program funded by the Foundation to reduce healthcare
     disparities by integrating quality improvement techniques
     with language services for patients who speak limited
     English. The initiative takes best practices learned from
     Children’s and other partners and shares them with health
     professionals across the nation.




33     Seattle Children’s Community Benefit Report 2008
Our Commitment
We envision a future where children in our region live healthy,     Seattle Children’s deeply appreciates our community and
full lives. To that end, Seattle Children’s will continue working   the community partners who help us honor and expand
to fulfill its bold mission: to prevent, treat and eliminate        our commitment to caring for children, year after year.
pediatric disease. As part of this focused effort, we will             For more information or to get a printed copy of this
invest in facilities, technologies, programs, services and          Community Benefit Report, please contact:
people that help us to:
                                                                    Marketing and Communications Department
•	 Provide	the	very	best	medical	care	to	children	in	our	region,	   Seattle	Children’s	Hospital
   regardless of a family’s ability to pay. We have honored this    Phone:	(206)	987-5205
   promise for more than a century.                                 marcommrequests@seattlechildrens.org
•	 Accelerate	our	research	efforts	to	discover	new	treatments	
                                                                    Office address:
   and cures that significantly improve the health of children
                                                                    6901	Sand	Point	Way	NE
   everywhere.
                                                                    Seattle, WA 98115
•	 Educate	clinicians	in	training,	community	health-care	
   providers, families and patients.                                Mailing address:
•	 Partner	with	other	organizations	committed	to	the	               M/S S-217
   health and well-being of children and families in the            P.O.	Box	50020
   Pacific	Northwest.                                               Seattle, WA 98145-5020

•	 Advocate	for	children	and	families	—	especially	                 www.seattlechildrens.org
   underserved populations — so that all children in
   our region have opportunities to experience
   optimal health and quality of life.




                                                                                    Seattle Children’s Community Benefit Report 2008   34
4800	Sand	Point	Way	NE
Seattle, WA 98105
TEL      206 987-2000
TTY      206 987-2280

www.seattlechildrens.org

© 2009 Seattle Children’s, Seattle, Washington. All rights reserved.

				
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