Arkansas Children's Hospital Centennial Celebration

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Arkansas Children's Hospital celebrates 100 years.


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    A NEWArkansas Childrens Hospital


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    June 13, 2012

    Dear Friend,

    Since 1912, Arkansas Childrens Hospital has been changing childrens lives. For every day of those 100 years, it has been our privilege to offer Care, Love and Hope. Every Arkansan, no matter how young or old, has in some way been touched by Arkansas Childrens Hospital. That special person who needed care at ACH could be your child, your niece or nephew, your neighbor, or someone from your school or church. Our focus is their care, getting these children back to doing what they should be doing: being kids, not patients. This year in leading up to our official Centennial birthday celebration in March to present, weve shared with you much history about Arkansas Childrens Hospital, some of which youll discover in the pages in your hands. Now Id like to invite you to take a step into our childrens future, beginning with the opening of our new South Wing, the largest construction project in the history of ACH.

    The South Wing will create an additional 54 inpatient beds to serve you and your family. In July, well welcome you to an expanded Heart Center and Neonatal Intensive Care Unit (NICU), new Hematology-Oncology and Infant Toddler units and a new Emergency Department and Trauma Center. New clinics in the building include hematology-oncology, dental, neurology, audiology/speech pathology and ear, nose and throat. All the spaces in the South Wing, including the rooftop garden, atrium and healing garden, are designed to improve the overall health and well-being of our patients and their families.

    We hope youll find this special Arkansas Times publication informative, inspirational and motivational. While youre reading, please help Childrens help children for the next 100 years and consider a gift to ACH.


    Jonathan R. Bates, MDPresident & Chief Executive Officer

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

    Refreshing water is essential to sustaining the healthy

    lives of our families, and especially our precious

    children. It is necessary for the everyday activities of

    bathing and drinking, cooling and heating, and even

    playing. In addition, water is indispensable to the

    quality of the economic vibrancy of our metropolitan


    Central Arkansas Water has delivered high quality

    drinking water for more than a century to the cities

    and communities in our metropolitan area at an

    affordable price. Our goal has always been the

    continual enhancement of water quality, protection

    of public health, and regulatory compliance. Learn

    more about what you can do to help protect our

    water quality, visit us online at under

    Watershed Management.

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

    CAW Childrens Hospital Ad.indd 2 6/1/12 11:58:59 AM

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    8 Arkansas Childrens Hospital: Where Miracles Happen Every Day10 Chase Hill12 South Wing: Putting Children and Families First23 ACH South Wing: Floor by Floor26 The Bale Family: Generations of Generosity 28 A Familys Journey29 Angel One Flies Lifesaving Missions30 100 Years: ACHs History of Care, Love and Hope32 Ruth Olive Beall34 ACH Timeline35 Dr. Betty Lowe36 ACH Teaches Medical Staff, Families and Children37 Stella Boyle Smith38 Telemedicine Closes Gap for Distant Patients, Students39 PULSE Center Educates Through Simulation40 ACHRI Provides Research to Save, Improve Childrens Lives41 Samantha Johnson42 ACH Works To Prevent Injuries and Illness in Children43 Fighting Childhood Obesity44 Philanthropy: Until No Child Needs Us, We Need You45 How You Can Help46 The Beckoning Future of Arkansas Childrens Hospital

    published by

    Edited by Michael Haddigan, Downstream CommunicationsPhotos: Kelley Cooper, Arkansas Childrens Hospital; and ACH archives

    On the cover: Sarah Smith, 11, is one of thousands of patients who will benefit from the new South Wing at Arkansas Childrens Hospital.



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    Arkansas Childrens HospitalWHERE MIRACLES HAPPEN EVERY DAY

    Emma Cornwell came into this world in 2008 with a rare heart defect. Open heart surgery and other treatment at Arkansas Childrens Hospital (ACH) gave her a new life. Emmas certainly a miracle, said her mother, Stacy.

    Today, Emma dances with abandon and takes gymnastics.

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

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

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

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

    No childs case is typical at Arkansas Childrens Hospital. But the expert, com-passionate, family-centered care each child receives is a constant.

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

    dent and chief executive officer.Its just about more healthy children,

    he said. Always has been, and always will be.


    Since the hospital began as a childrens home 100 years ago, ACH has grown in both size and sophistication. Children with conditions barely understood at the start of the hospitals first century are now rou-tinely and successfully treated.

    The hospitals new South Wing is the latest in a long series of continuous

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

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

    Arkansas Childrens Hospital is now an internationally recognized medical leader dedicated to improving, sustaining and restoring childrens health and develop-ment.

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

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

    It takes dollars to drive dreams, ambi-tions and important programs, says John Bel, president of the Arkansas Childrens Hospital Foundation. We want to make Arkansas one of the healthiest places to be a child in the entire country.


    A history of the hospitals last 100 years is written across the existing ACH campus, which spans 29 city blocks and houses 316 beds, all built around the site of the first hospital building.

    Weve built on the installment plan, joked David Berry, ACH senior vice presi-dent and chief operating officer. Weve continued to add and grow and continue to add on to the original buildings in all directions.

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

    We see more than 300,000 patient vis-its a year at our campus. And there are quite a few more that wed like to see, he said.

    ACH concentrates not just on the vol-ume of care but also on its quality. Guided by the principles of family-centered care, the staff works to appreciate the needs and concerns of the entire family and encour-ages families to play a role in their childs healing and recovery.

    Were trying to get families to engage with us as part of the team and to help us understand what their childs needs are, what the familys expectations are, and

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

    Arkansas Childrens Hospital provides excellent pediatric care, clinical services, teaching and research and prevention pro-grams. ACH also operates many specialty clinics and outpatient centers. Specialties include cardiac care, childhood cancer, pediatric orthopedics and neonatology, among many others.


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

    The Centers for Children in Lowell is part of a statewide collaborative between Arkansas Childrens Hospital and the Uni-versity of Arkansas for Medical Sciences Department of Pediatrics. A Jonesboro office opened recently and will be expand-ing its clinic space in a new facility later this summer.

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

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

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

    Its not as a big of a hassle to go to Lowell, he said.

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

    SUPPORTING PEDIATRIC CAREACH is the comprehensive clinical,

    research and pediatric teaching affiliate of UAMS and is home to the Department of Pediatrics. The Arkansas Childrens Hospital education program trains doc-tors, nurses and other medical profession-als using the latest in innovative teaching methods. And it provides education for

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

    The Arkansas Childrens Hospital Research Institute carries out ground-breaking studies of a wide variety of sci-entific and social issues affecting childrens health, such as autism, allergies, genomics, nutrition, injury prevention and childhood obesity.

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


    The hospitals pediatric breakthroughs, intensive treatments, unique surgical pro-cedures and forward-thinking medical research have placed ACH among the largest and best childrens hospitals in the United States.

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

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

    The hospital ranked for four consecu-tive years among FORTUNE magazines top 100 Best Companies to Work For, most recently at No. 75.

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

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

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    Chase HillSix-year-old Chase Hill enjoys hip-hop dance classes, watching movies and collecting toy cars. But only a few years ago, his family faced the prospect of losing him.

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

    But Vontifany feared something else might be causing her sons swelling. So she took Chase to the Arkansas Chil-drens Hospital Emergency Department.That day changed the lives of my fam-

    ily in ways that words cannot express, says Vontifany.

    Once at ACH, Chase was diagnosed with acute lymphoblastic leukemia, a cancer of the white blood cells. Doctors admitted him to the Donald W. Reynolds Pediatric Intensive Care Unit and imme-diately began his treatment. A mass grow-ing in Chases chest was causing swelling of his liver and spleen. I was very scared, angry, worried and

    doubtful, but the medical staff at ACH gave me and my son a sense of assurance that we brought him the right place at the right time, said Vontifany.

    After two weeks of treatment, the mass began to shrink and Chases doc-tors transferred him to the Hematology- Oncology unit, where he stayed for several more weeks.During that initial phase of Chases

    treatment, we received excellent treat-ment from the oncology staff, Vontifany says. Everyone was wonderful, and the social worker for the unit was instru-mental in keeping my family encour-aged, uplifted and informed with all the resources needed to make this event bearable.

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

    spirited child, Vontifany said. And we owe this to God and Arkansas Chil-drens Hospital for all they have done for Chase.

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


    , early 80s

    Topping Out, 1981

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    As Arkansas Childrens Hos-pital moves into its next cen-tury of service, the hospital also passes another milestone with the completion of its most ambi-tious construction project to date, the South Wing.

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

    The 258,000-square-foot, four-story South Wing adds 54 net beds, bringing the hospitals total to 370. Some 90 new diagnostic and treatment rooms have been built, and the new wing has doubled or tripled the size of key medical units and clinics.The South Wing is a project like none

    weve ever done before. It really meets the needs expressed by our patients and staff, said David Berry, ACH senior vice president and chief operating officer.



    The Charles Boe and Myrna V. Adams Rooftop

    Garden offers children and families a place for play and

    relaxation in the open air.

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    Sky cranes seem a constant fixture at ACH as the hospital continually grows to meet the

    needs of Arkansas children.

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

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

    FAMILY CENTERED FEATURESSome of the most notable features

    of the South Wing are the bright, new single-patient rooms with accommo-dations for family members.

    Parents of sick and injured chil-dren are enthusiastic about the South Wings new facilities.

    When Stacy Cornwells daugh-ter Emma was being treated for a heart defect before completion of the South Wing, cramped quarters allowed space for only one parent at a time to stay with her. The new South Wings patient rooms have space that more comfortably accom-modates parents who want to stay with their children.

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

    Each room has abundant natu-ral lighting, shower facilities and separate zones for patients, fam-ily and caregivers. The new patient rooms include computers with Inter-net access, educational content, on-demand movies, game stations and music.

    Rooms are designed so that rou-tine staff duties dont disturb patients unnecessarily. For example, without ever entering the patient rooms, staff members can deposit fresh linens in specially designed cabinets acces-sible from inside the rooms.

    The family house in each inpa-tient unit offers a small kitchen, din-ing area, work space and laundry facilities. There are also spaces where patients and siblings can play.

    The airy atrium named for ACH pioneer Stella Boyle Smith provides patients, family and staff room to

    move rain or shine.

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    The Charles Boe and Myrna V. Adams Rooftop Garden with a walking labyrinth and the climate-controlled, two-story indoor gar-den, the Stella Boyle Smith Atrium gives patients, families and staff quiet away spaces to relax and reflect.

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

    ACH President and Chief Executive Officer Jonathan Bates, MD, said the South Wing reinforces the hospitals focus on family-centered care.Kids do better when their folks

    are around, he said. Familiar faces and familiar voices make a huge dif-ference.

    In the past, doctors thought of pedi-atric medical care as something sepa-rate from family concerns, Dr. Bates said. Now, medical professionals embrace families as important mem-bers of the healing team.

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

    KENT TAYLORCromwell

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

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    Cancer Survivor

    Cancer Survivor

    Born 1 lb. 2oz

    Keagan Justin

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

    A HEALING ENVIRONMENTWere learning things about the

    room, the temperature, the humidity, the color, the sounds and the smells. All have something to do with how a patient heals, Dr. Bates said.

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

    Reinforcing the hospitals over-all Healing Is in Our Nature theme, inspired by the Natural State, each floor uses individual supporting elements: where the river meets

    The interiors of the South Wing were crafted with

    the understanding that all aspects of the interiors play

    a role in healing.

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

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

    PLANNING TO GROWArkansas Childrens Hospital

    broke ground for the South Wing in September 2008, but the new wing has long been on the minds of hos-pital leaders.Those of us who work in facilities

    have seen this building in our heads for years, Berry said. And now its a reality.

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

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

    Evidence-based design features include day lighting, family spaces, decentralized work spaces with tech-nology integrated into the spaces to avoid an institutional feel. Most importantly, it provides spaces with-out the look and feel of a hospital.People are stressed when they

    come here, so we wanted to make it homey, said architect Kent Taylor of the Cromwell architecture and engi-neering firm.

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

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

    The South Wing is a project like none weve ever done before. It really meets the needs expressed by our patients and staff.


    Arkansas Childrens Hospital

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

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

    FROM THE GROUND UPAfter the groundbreaking, con-

    struction workers and technicians began installing updated and high-capacity underground electrical cir-cuitry, sewer lines, pipes and other infrastructure. ACH spent $36 million on such infrastructure before above-ground construction began, Dr. Bates explained. I hated to put that kind of money

    in the ground and bury it, he joked. But a lot of it was preparing the hos-pital for the long run so we wouldnt fall behind as patient needs grow in the future.

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

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

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

    The South Wings seven main air handlers supply enough air to fill Little Rocks War Memorial Stadium once an hour with purified air.

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

    GROWING FOR KIDSThe needs of children and families,

    a great idea, planning, design, funding and construction of the South Wing came together much in the way dif-ferent instruments combine to form a symphony.All of that has to come together

    in just the right time with the right ingredients in the right quantities to make a project really work, Berry said. And this project, we think, has really done that.

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

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    Arkansas Childrens Hospital South Wing: Floor by Floor

    1st FLOORIn Honor of

    Walmart/Sams Club Associates

    Patient Care Floor

    Theme: Where the River

    Meets the Delta

    2nd FLOORJ.B. Hunt Transport Services

    Patient Care Floor

    Theme: Where the Forest

    Meets the River

    3rd FLOORWill Golf 4 Kids and

    Color of Hope Gala

    Patient Care Floor

    Theme: Where the Mountain

    Meets the Forest

    4th FLOOR

    Theme: Where the Air Meets the


    Circle of Friends Hematology-Oncology Clinic 100 new pediatric cancer patients diagnosed annually 11 clinic exam rooms 4 procedure rooms 6 private infusion rooms

    Alton L. Miles Healing Garden Private outdoor healing garden allows cancer patients to go outside or to look outside during treatment

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

    Roy and Christine Sturgis Concourse

    Neurosciences Center 19,000 patient visits annually 32 exam rooms 9 EEG rooms Separate soft waiting area with less noise and fewer distractions for patients who have autism spectrum disorders

    Delta Dental of Arkansas Foundation Dental Clinic 8,800 patient visits annually 4 X-ray rooms, including 2 panoramic X-ray units 13 treatment rooms 2 quiet treatment rooms for extra privacy 4 hygienist rooms with ceiling TVs for patients Lab for making dental appliances

    Willard and Pat Walker Charitable Foundation Ear, Nose and Throat Clinic 14,000 patient visits annually 19 exam rooms 4 treatment rooms Camera room with 3-D X-ray camera for surgery prep

    Audiology and Speech Pathology Clinic 20,000 patient visits annually 7 sound booths 7 amplification labs for testing hearing aids etc. 7 private consultation rooms Sound suite with research equipment Technology wall so patients and parents can see/touch/try new devices

    Neonatal Intensive Care Unit (NICU) 900 babies receive care annually Can serve 100 babies, combined with existing NICU beds 22 private rooms so families can stay with their children while learning about home care Sibling playroom

    Arkansas Childrens Hospital Auxiliary Infant Toddler Unit 30 private rooms Family lounge and support center with playroom Special family suite for very ill or newly diagnosed children

    Stella Boyle Smith Atrium Natural light Plants, benches

    Charles Boe and Myrna V. Adams Rooftop Garden Play area Richard W. Averill Foundation Walking Labyrinth Staff courtyard Plants, benches

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

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

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  • a c h 1 0 0. o r g A R K A N S A S C H I L D R E N S H O S P I TA L 1 9 1 2-2 0 1 2 25

  • 26 A R K A N S A S C H I L D R E N S H O S P I TA L 1 9 1 2-2 0 1 2 a c h 1 0 0. o r g

    The Bale family: Generations of generosity

    In March, ACH Foundation board member Sharon Bale and her hus-band John Johnny Hardin Bale, Jr. donated $1 million to support the Arkansas Childrens Hospital fetal heart program.

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

    The gift was further evidence of the Bale familys deep commitment to the health of children through Arkansas Chil-drens Hospital. Through four generations, the Bale family has served ACH, carry-ing on a legacy of civic responsibility and philanthropy.

    The birth of the Bales grandson, the first of the familys fifth generation, moved the family from the road of duty to the highway of passion, Johnny Bale said. John Hardin Bale IV received treatment at ACH for a congenital heart defect and other health issues.Even though we worked for and sup-

    ported ACH all those years, it was when we began our walk in the shoes of so many families before us that we really under-stood what we were working for, said Sharon Bale.

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

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

    Sharon Bale has been active in the ACH Auxiliary for years and in 2009 was elected to serve on the ACH Foundation board. The Bales sons, Hardin and Hunter, are ACH volunteers and members of Chil-drens Circle of Care. Hunter also serves on

    the ACH building and grounds committee.Like ACH, the Bale Automotive Group

    is celebrating its centennial in 2012. Johnny Bale said the new fetal heart

    center will enable diagnoses before chil-dren are born, bringing together the doc-tors and clinical teams to treat these con-ditions upon birth.This program also moves our knowl-

    edge and science forward and gives the possibility to intervene in-utero to avoid life-threatening heart defects, he said. The fetal heart program can prevent another parent or grandparent from walk-ing in our shoes, and that will be glori-ous!

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

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

  • a c h 1 0 0. o r g A R K A N S A S C H I L D R E N S H O S P I TA L 1 9 1 2-2 0 1 2 27


    3700 Old Cantrell rOad little rOCk, ar 501.747.1234

    its time tO start

    nO Yard Care nO WindOW CleaninG nO maintenanCe seCured entrY aCCess VideO surVeillanCe life safetY sYstem seCured ParkinG deCk the COmfOrt Of knOWinG

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    arkansas Children's hOsPital an arkansas Gem.

    Congratulations on 100 years!

  • 28 A R K A N S A S C H I L D R E N S H O S P I TA L 1 9 1 2-2 0 1 2 a c h 1 0 0. o r g

    A familys journey: Emma Cornwell and her father, Brian

    Arkansas Childrens Hospi-tal patients and families in many ways have made the hospitals history over the course of its first century.

    And in one case, a single family embodies two generations of ACHs his-tory of compassion and lifesaving care.

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

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

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

    Only nine days after she was born, ACH doctors performed open-heart surgery to repair Emmas heart defect. The surgery went very well, and her doctors discharged her from the hos-pital 18 days later.We were so excited to take our little

    girl home, although we knew she might need to return to ACH eventually, said her mother Stacy.

    Eight months later, her parents noticed she wasnt eating well and wasnt gaining weight.

    ACH doctors diagnosed Emma with failure-to-thrive, severe reflux and a paralyzed vocal cord, which can some-times result from open-heart surgery. Doctors performed a procedure to relieve Emmas acid reflux, and placed a gastrostomy-button, also known as a G-button, so her family could supply nutrition and medicine.

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

    Emmas father Brian Cornwell was born with a rare heart defect, different from his daughters. He was so small that his mother fed him with a medi-cine dropper.

    Stacy Cornwell said there wasnt a lot doctors could do at the time. Back in the 70s, they didnt know

    what to do, she said.As the years went by, ACH doctors

    kept pace with medical advances, and

    treated Brian step-by-step. Since age 14, Brian has had four surgeries. He con-tinues to be treated at ACH, where the doctors specialize in treating congenital heart defects such as Brians.Because of my experiences with

    ACH, when we heard Emma might have a heart defect, we knew exactly where we wanted her to go, Brian said. We are so thankful and blessed by every-thing ACH has done for Emma.

    Brian Cornwell and his daughter, Emma.

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

    The Angel One program is dedi-cated to providing care, love and hope.And thats what Angel One does at 180 miles an hour.

    Arkansas Childrens Hospital Angel One helicopters can reach critically ill patients anywhere in the state within an hour for treatment and transport back to Little Rock. Getting our critical care practitio-

    ners to the patient is often as impor-tant as getting them to Little Rock, said Michele Moss, MD, Angel One co-med-ical director. They are so ill that they need to be transported fast by a highly trained pediatric team that can provide a high level of critical care.

    Care begins as soon as the team reaches the patient and continues on the flight to ACH.

    The lifesaving transport program operates two state-of-the-art Sikorsky S-76 C+ helicopters, and an on-call air-plane for long distance transports, and four ambulances. The program carries out about 2,100 patient transports a year with an average of almost six transports a day. More than half of the transports are by helicopter.

    The current Angel One helicopters, in use since 2002, can carry multiple patients at a time and even fly on instru-ments in bad weather with poor visibil-ity. The helicopters are big enough to carry the patient and six adults. This usually allows room for a parent to fly along, and thats important to parents.The kids are pretty cool either way,

    but it is real important to families, Dr. Moss said.

    ACH has two Angel One flight teams. The neonatal team transports newborns and includes a specially trained regis-tered nurse and respiratory therapist.

    For transporting older patients, the team includes a registered nurse, respi-ratory therapist and a pediatric or emer-gency medical resident.If we think there are going to be addi-

    tional complications, we can add more crew another pilot or another nurse, therapist or doctor, Dr. Moss said.

    Each helicopter is equipped to carry an extracorporeal life support system device or ECMO.

    ECMO is life-saving support for the most severe forms of acute heart and/or lung failure. It uses a pump to pull blood out of the body, cycle it through an artificial lung to remove carbon diox-ide and receive oxygen. The pump pro-vides enough blood flow to support the workload of a failing heart.

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

    The transport services ground ambu-lances are equipped for transport of crit-ical-care pediatric and neonatal patients as well. They serve as mobile intensive care units, and can simultaneously carry two incubators, called isolettes, with

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

    Another piece of technology has proven highly popular with fearful or anxious child patients a DVD player for movies or cartoons. If we need to do some entertaining,

    the patient can wear their little headsets and listen to music or watch a DVD, said Dr. Moss. Weve got the standard movies: Nemo, Toy Story, that kind of thing.

    The helicopter crews adhere to strict maintenance schedules to keep them flying. But at some point youre spending

    more time and money replacing things than you are flying the helicopter, Dr. Moss said. Then its time to get new helicopters. That time is coming soon for Angel One.

    ACHs two helicopters and four ambulances extend the hospitals healing reach to all corners of the state.

  • 30 A R K A N S A S C H I L D R E N S H O S P I TA L 1 9 1 2-2 0 1 2 a c h 1 0 0. o r g

    Arkansas Childrens Hospitals first century began with a dream of caring for lost and forgotten children.Over the decades, the dream grew from

    a small childrens home to a world-class childrens hospital improving the health and well-being of all Arkansas children and their families.

    The new South Wing is the latest chap-ter in the hospitals history. But the ACH roots go back to the start of the 20th Century.

    A SAFE HAVEN FOR CHILDRENIn the centurys first decade, Arkansas

    real estate dealer Horace G. Pugh made a decision with consequences he could have never imagined.

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

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

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

    So Pugh organized a group of public offi-cials, clergy and business people to create a childrens home in Little Rock.


    In March 1912, the group founded the Arkansas Childrens Home Society. The Society acquired its first facility in 1913 when Emma Hannaford donated a Victo-rian house and 30 acres in Morrilton.

    Arkansas Childrens Hospitals History of Care, Love and Hope

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

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

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

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

    Before long, ambitious plans were under way for a new hospital. In Nov. 1924, the new hospital building was completed, mak-ing it the first new construction at the pres-ent site of Arkansas Childrens Hospital.


    In the aftermath of the Great Depression, ACH struggled financially but managed to remain open.

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

    Beall took over as superintendent, becom-ing in her 27 years of service a giant in the hospitals history. Bealls hard-nosed man-agement and compassionate commitment to children brought Arkansas Childrens Hospital through its toughest times and spurred changes that brought the hospital into modernity.

    Arkansas Childrens Hospital in 1940 stood on the brink of two great challenges the outbreak of World War II and the polio epidemic that would strain the hospitals resources for the next decade.

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

    A TURNING POINTWhile doctors, staff and administra-

    tors worked to save and nurture children, another equally important force was tak-ing shape.

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

    Another giant came on the scene in 1975 when Dr. Betty Lowe joined the staff, becoming ACH medical director two years later. Dr. Lowe played a key role in mak-ing ACH one of the nations best childrens hospitals.

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

    EXPANDING SPECIALTY CAREThe next few years saw more progress

    for ACH in expanding pediatric care, fund-ing and services. The hospital turned its focus to training and recruiting pediatric specialists, ensuring that children did not need to leave the state for care.

    By the early 1980s, the hospitals inpa-tient admissions and budgets had risen dra-matically. The hospitals board approved a major expansion program and, by a healthy majority, Pulaski County voters approved a one-mill tax to help pay for hospital opera-tions.

    In addition, with partial funding from

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

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

    BEYOND THE BEDSIDEAs ACH was becoming a leader in caring

    for sick kids, it began to turn its attention to efforts aimed at helping kids stay out of the hospital. Investing in research and preven-tion efforts with the aim of understanding and reducing illnesses and injuries became an important priority.

    The Arkansas Childrens Hospital Research Institute opened in 1992 and in 1997 the Arkansas Childrens Nutrition Center, the nations second pediatric nutri-tion center and one of only six nutritional research facilities funded by the United States Department of Agriculture, was established.

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

    In the first decade of the new millen-nium, ACH continued to grow and mature and began to expand its focus to caring for children beyond the walls of the hospital. In order to provide specialty care closer to home, ACH and UAMS collaborated to open the Centers for Children in Lowell, the first pediatric subspecialty facility in north-west Arkansas. A similar location recently opened in Jonesboro, and specialty clinics are offered throughout the state.


    LOVE AND HOPE In March 2012, ACH celebrated

    100 years of Care, Love and Hope and announced the Century of Possibility Cen-tennial Campaign to prepare for the next 100 years.

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

  • 32 A R K A N S A S C H I L D R E N S H O S P I TA L 1 9 1 2-2 0 1 2 a c h 1 0 0. o r g

    Ruth Olive Beall The Saturday Evening Post once admiringly referred to Arkansas Childrens Home and Hospital superintendent Ruth Olive Beall as the the Terrible-Tempered Angel of Arkansas because of her insistence on hard work and efficiency and her great success in convincing potential donors of her resolve. She is like a

    pounding surf; just keeps moving in until something crumbles. When she calls, you save time by complying imme-diately, Dr. Joseph F. Shuffield of Little Rock said of her in the same article.

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

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

    Former residents at the Childrens Home remembered Beall fondly.

    Kenneth Dodson lived at the home from 1926 to 1934, his daughter Sandra Fulmer said.I heard many stories over the years of his

    time at the Childrens Home, she recalled. And they were all good memories to him. He particularly mentioned the lady who was director at the time, Ruth Beall. She was very kind to him.

    Wayne Harris, then an 8-year-old, came to the Arkansas Childrens Home and Hos-pital in 1933 and stayed for 10 years until he was drafted for service in World War II.

    Beall worked to give children lives that were close to those of children living with their families, he said. We went to school like everyone else.

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

    Ruth Olive Beall died in 1974 at age 78. She is buried in Little Rocks Roselawn Memorial Park.

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

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    ACE Glass is proud of its participation in the South Wing expansion at Arkansas Childrens Hospital.

  • a c h 1 0 0. o r g A R K A N S A S C H I L D R E N S H O S P I TA L 1 9 1 2-2 0 1 2 33

    Grandfather Bale Knew BestHe saw cars as a way to improve living

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

    The Bale family continues the legacy of selling automobiles and supporting Arkansas Childrens Hospital!

    Join us in congratulating

    Arkansas Childrens Hospital on 100 years and the opening of the South Wing.

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

  • 34 A R K A N S A S C H I L D R E N S H O S P I TA L 1 9 1 2-2 0 1 2 a c h 1 0 0. o r g

    Arkansas Childrens Hospital TimelineMarch 5, 1912 The Arkansas Childrens

    Home Society, an orphanage for the under-

    privileged children of Arkansas is officially


    May 1913 Emma Hannaford of Morrilton

    deeds a house to the Arkansas Childrens

    Home Society for a childrens home.

    1916 Dr. Orlando P. Christian joins the Soci-

    ety as superintendent to begin 17 years of


    January 1918 The Arkansas Childrens

    Home Society moves into a house in Little

    Rock after a $5,000 donation by Capt. E.S.

    Hilliard, a Chicot County cotton planter.

    1920s Stella Boyle Smith becomes a vol-

    unteer, beginning a long association with

    Arkansas Childrens Hospital that would

    also see her serve as a fundraiser and a

    philanthropist until her death in 1994.

    September 1922 The Arkansas Childrens

    Home Society moves into a new home

    in Little Rock donated by Mrs. Catherine


    March 9, 1926 The new hospital building,

    the first construction at the present site of

    Arkansas Childrens Hospital, opens with

    a fully equipped operating room, two beds

    and an all-volunteer medical staff.

    February 1934 Ruth Olive Beall becomes

    superintendent of Arkansas Childrens

    Hospital. She will serve for 27 years.

    June 1936 Franklin Delano Roosevelt and

    Eleanor Roosevelt visit Arkansas. Mrs.

    Roosevelt stops at Arkansas Childrens

    Hospital to see patients and returns for

    another visit the next year.

    January 1942 The Board of Arkansas

    Childrens Home and Hospital votes to

    establish a convalescence ward for polio


    May 1943 First group of medical students

    from the University of Arkansas School of

    Medicine are assigned to Arkansas Chil-

    drens Home and Hospital to fill gaps left

    by staff away in World War II.

    1953 Burn Center opens to become the first

    facility of its kind, and still Arkansass only

    burn center.

    July 1954 Board of Trustees votes to close

    the Childrens Home and change the

    institutions name to Arkansas Childrens


    1967 The current Auxiliary forms and its

    members over time give thousands of volun-

    teer hours and donate more than $7.5 million.

    October 1969 After decades of informal

    collaboration, ACH and UAMS begin a for-

    mal affiliation, working together to provide

    treatment for patients and education to

    medical students, interns and residents.

    1975 Dr. Robert H. Fiser, Jr. becomes chair-

    man of the UAMS Department of Pediat-

    rics. In June, Dr. Betty Lowe of Texarkana

    takes up the position of ACH Director of

    Pediatric Education. She becomes medical

    director two years later.

    August 1978 Neonatal transport service

    begins with a van that logs 9,000 miles in

    its first six months.

    March 1980 With partial funding from a bill

    sponsored by Governor Bill Clinton, ACH

    establishes its first Neonatal Intensive Care

    Unit (NICU) with six bassinets.

    October 1981 The first cardiac surgery per-

    formed at the hospital on a baby just 25

    days old.

    1982 Arkansas Childrens Hospital Founda-

    tion established.

    1983 Circle of Friends formed, collecting

    over time more than $10 million and estab-

    lishing 12 chapters statewide.

    1983 Cardiovascular Intensive Care Unit

    (CVICU) opens; ACH air transport pro-

    gram begins with a leased plane.

    May 1983 Arkansas Childrens Hospital

    begins affiliation with Childrens Miracle

    Network Hospitals, a relationship that

    results in donations of more than $67 mil-

    lion through 2011.

    November 1985 The NICU Transport Sys-

    tem expands with a helicopter named

    Angel One allowing critically ill and injured

    children to reach high-level care sooner.

    1986 Committee for the Future, a young

    professionals group, forms to raise funds

    and awareness for the hospital. Through

    2011, the group raises more than $5 mil-


    March 1990 Arkansas Childrens Hospital

    performs its first heart transplant on an

    infant only 17 hours old. Since then, more

    than 270 transplants have been performed

    at the hospital, including a record-setting

    31 in 2011.

    October 1991 ACH and UAMS sign coop-

    erative agreement to create a pediatric

    research institute. Hospital board member

    Anne Hickman chairs the fundraising cam-

    paign, and the Arkansas Childrens Hospital

    Research Institute opens in 1992 at ACH.

    May 1993 Jonathan Bates, MD, joins ACH

    as president and chief executive officer.

    1995 The Horace C. Cabe Foundation

    funded the first endowed chair at ACH. To

    date, there are 28 fully endowed chairs,

    each representing a gift of more than $1


    November 1997 The hospital establishes

    the Arkansas Childrens Nutrition Center,

    the nations second pediatric nutrition cen-

    ter and one of only six nutritional research

    facilities funded by the United States

    Department of Agriculture.

    March 2003 New Pediatric Intensive Care

    Unit (PICU) opens, made possible by an

    $8.4 million grant from the Donald W.

    Reynolds Foundation, part of the Best

    Care for the Sickest Children campaign

    chaired by Witt Stephens, Jr. and Ray


    May 2007 Arkansas Childrens Hospital

    and UAMS Department of Pediatrics col-

    laborate to open Centers for Children, the

    first pediatric subspecialty facility in north-

    west Arkansas.

    July 2007 The Injury Prevention Center at

    ACH opens and begins working to reduce

    the number of children and teenagers hurt

    and killed each year in Arkansas by unin-

    tentional and preventable injuries.

    September 2008 Arkansas Childrens Hos-

    pital breaks ground for the South Wing, a

    258,000 square-foot expansion to open in

    July 2012.

    April 2009 Donor-supported mobile dental

    program initiated to provide dental care

    to children across the state, currently with

    three mobile dental vans.

    August 2010 ACH places the final beam

    atop the South Wing expansion. During the

    topping out ceremony, Kirk Thompson,

    CEO of J.B. Hunt Transport Services,

    announces a corporate commitment of $5

    million toward the buildings construction.

    November 2010 ACH becomes the only

    pediatric Level 1 trauma center in Arkan-


    March 2012 ACH celebrates 100 years of

    Care, Love and Hope and announces the

    Centennial Campaign to prepare for the

    next 100 years.

    For additional timeline entries and historical

    photos, please visit

  • a c h 1 0 0. o r g A R K A N S A S C H I L D R E N S H O S P I TA L 1 9 1 2-2 0 1 2 35

    Dr. Betty Lowe

    When Betty Lowe, MD, of Texarkana joined Arkan-sas Childrens Hospital in 1975 as director of pediat-ric education, ACH had only 45 beds and a handful of doctors and medical residents to care for patients.

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

    She trained a generation of young doc-tors and recruited the best specialists she could find.

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

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

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

    President Bill Clinton said Dr. Lowe went into medicine so more children could live their dreams.To me, she just took care of kids better

    than anybody, he said. And she inspired a whole new generation of doctors to do the same.

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  • 36 A R K A N S A S C H I L D R E N S H O S P I TA L 1 9 1 2-2 0 1 2 a c h 1 0 0. o r g

    ACH teaches medical staff, families and children

    The major pillars of health care at Arkansas Childrens Hospi-tal are pediatric care, research, education and prevention. Education paves the way for the future by enhancing and growing the hospitals ser-vices for patients, families and healthcare professionals across the state and beyond.

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

    EDUCATING CAREGIVERSIn a busy childrens hospital like ACH,

    education could easily be displaced by the daunting demands of critical care. But ACH President and CEO Jonathan Bates, MD, said the focus on and investment in educa-tion is also critical because it helps assure that future staff members are ready to serve.We need to train people so that we have

    a new crop coming along year after year, he said.

    Two-thirds of the pediatricians in Arkansas train at Arkansas Childrens Hos-pital, and most of them stay in Arkansas after their training is complete.

    Continuing in-service training keeps skills up to date and introduces new tech-niques important to maintaining ACHs place as one of the worlds best childrens hospitals.

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

    ACH uses distance learning and tele-medicine to eliminate geographic barriers to education.

    And much of the on-site training comes through Arkansas Childrens Hospitals PULSE Center (Pediatric Understanding and Learning through Simulation Educa-tion), which works to improve safety and quality of care, improve teamwork and hone clinical skills.

    Dr. Bates said simulation is a highly effective means of teaching real life skills in a realistic environment.We also do a lot of teaching and edu-

    cation that is not for professionals, but for families and kids, he said. Theyve got to learn about obesity and diabetes, all kinds of different things that are relevant to their health.


    Education goes hand in hand with pediatric care, research and prevention priorities. Each priority overlaps with and supports the others.

    For example, ACH physicians treat children for obesity and diabetes; the Arkansas Childrens Hospital Research Institute studies underlying causes of both; and the hospitals prevention pro-gram works with communities, schools and children to raise awareness and head off obesity and diabetes before they set in.

    Driving safety is also part of the mix. And ACH community outreach educa-tors counsel parents about the necessity of using car seats, young people about seat belts and all drivers about the dangers of texting while driving.Theres a sharp decline going on in

    deaths of teenagers on the road, Dr. Bates explained. All the effort that has gone into safer circumstances for kids to

    drive has made that difference. Its very exciting.

    ACH still has much to learn about edu-cation and its connection to the other pri-orities, according to Dr. Bates.Were partly learning and partly exper-

    imenting in a sense about what techniques help us educate people, he said. Were just getting into the early stages of that.

    Parents say the ACH medical staff effectively communicates information about their childrens conditions and pro-vide complete answers to their questions.

    However, many parents who bring their children to ACH for treatment are young and often frightened. They dont often hear the explanation

    that is offered, Dr. Bates said. So if you have a video clip and keep it short, the par-ents can go back and play it anytime until they understand what it means.

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

    But parents and children must learn about the devices to use them effectively.Id like to have a video clip at the bed-

    side so whenever parents get a minute, whenever they want to, they can flip this thing on and find out what this technology is, and how it works, and what to watch for, Dr. Bates said.

    Grand rounds is an important part of medical education.

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    Stella Boyle Smith

    Volunteer. Fundraiser. Philan-thropist. Few figures in ACH history offer a more complete example of heroic commitment than Stella Boyle Smith.

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

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

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

    She was also a member of the hospi-tals Auxiliary.

    After her death, Smiths legacy has continued through her trust. Most recently, the trust made a gift of $1 mil-lion designated for the atrium in the new South Wing, which will be named the Stella Boyle Smith Atrium in her honor. She remains a shining example of the power of a committed volunteer.


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  • 38 A R K A N S A S C H I L D R E N S H O S P I TA L 1 9 1 2-2 0 1 2 a c h 1 0 0. o r g

    Telemedicine closes the gap for distant patients, students

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

    This particular group of patients isnt at the hospital or even in Arkansas. Theyre in Wichita, KS.

    The geneticist closes the distance through telemedicine, the delivery of medical care and services using inter-active video and audio teleconferencing technology. The technology allows ACH physicians to see patients at distant loca-tions in real time.Its just like having a face-to-face

    visit, Dr. Schaefer said. Its like watch-ing the Super Bowl on your best TV.

    The ability to bridge great distances is a boon to parents of sick and injured children who dont have the time or the resources to drive to Arkansas Childrens

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

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

    families is invariably positive, he said.And Dr. Schaefer has encountered

    some unexpected benefits. Children with attention deficit

    hyperactivity disorder are mesmerized by the fact that the TV is talking to them, he said.

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

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

    Dr. Schaefer said the potential for telemedicine is vast.We can consult anywhere in the

    United States or other countries that have the technology, he said.

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

  • a c h 1 0 0. o r g A R K A N S A S C H I L D R E N S H O S P I TA L 1 9 1 2-2 0 1 2 39


    Bank Better.Member FDIC

    PULSE Center educates through simulation

    The child had been irritable over the last few days and had lost her appetite, even for her favor-ite foods. Something was wrong.Members of an Arkansas Childrens

    Hospital medical team surrounded the examination table and searched for the cause of the childs distress.

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

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

    The mannequin is basically a computer with skin, said the PULSE Centers Dr. Tonya Thompson, also an associate profes-sor of Pediatrics in the UAMS College of Medicine. We can program it to replicate all kinds of medical scenarios.

    PULSE stands for Pediatric Understand-ing and Learning through Simulation Edu-cation. In 2007, ACH was the nations first

    childrens hospital to open such a medi-cal simulation learning center. The center provides training and education through medical simulation for thousands of hos-pital staffers each year and not just doc-tors and nurses.

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

    Trainees review digital video and

    audio recordings of the scenario. They critique their own performance, and take cues from the PULSE Center staff on how they might improve. This is a very safe space. You can

    make a mistake without harming an actual patient, Dr. Thompson said. If you dont get it right, we can rerun the scenario.

    To learn more about the PULSE Cen-ter at ACH, visit

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

  • 40 A R K A N S A S C H I L D R E N S H O S P I TA L 1 9 1 2-2 0 1 2 a c h 1 0 0. o r g

    ACHRI provides research to save, improve childrens lives

    How much is one-fiftieth of a peanut?Its enough to put a child with a peanut allergy into life-threatening shock with severe swell-ing, painful rashes and itching.

    The peanut allergy is just one of scores of research topics investigated by more than 120 scientists at the Arkansas Childrens Hospital Research Institute (ACHRI) to save and improve the qual-ity of childrens lives.Advances in pediatric medicine begin

    with a vision for a future in which all chil-dren can grow up to be healthy adults, said ACHRI president Richard Jacobs, MD, FAAP. Researchers at ACHRI share this common vision and have devoted their lives to making it a reality.

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

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

    EXPERTISE AND EXPERIENCEACHRI supports an interdisciplinary

    research team with expertise and expe-rience that span the breadth of medical disciplines.

    The ACH Board of Trustees estab-lished ACHRI in 1989. Two years later, an agreement between ACH and UAMS combined the strengths of the two insti-tutions to build ACHRIs capacity.

    The institutes total research grant base in 1997 was $7.5 million. Today, researchers bring in more than $25 mil-lion yearly in grants and contracts from industry, federal and private agencies, philanthropic donations and profes-sional organizations.

    ACHRI has long-standing federally funded research programs such as the Arkansas Childrens Nutrition Center one of only six centers in the USDAs National Human Nutrition Research

    Centers Program and one of two cen-ters to focus only on pediatric nutrition and the Arkansas Center for Birth Defects Research and Prevention Pro-gram funded by the Centers for Disease Control and Prevention.

    A HEALTHIER FUTURE FOR BABIESMany new and innovative research

    projects begin each year at ACHRI, while some ongoing research has already begun saving childrens lives.

    Birth defects affect up to four percent of all live births in the United States. Some 1,300 Arkansas babies are among the 150,000 U.S. children born each year with birth defects.

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

    things weve been involved in is a statewide folic acid campaign with the March of Dimes, said Center Director Charlotte Hobbs, MD. Weve seen a decrease in babies born with neural tube defects, spina bifida and anencephaly,

    because of the folic acid campaign.Even mothers who do all the right

    things avoiding smoking, maintain-ing appropriate diet and weight, taking folic acid and regularly receiving pre-natal care may still have a child with birth defects.Why? We dont know. Our business

    is to try and find out, Dr. Hobbs said.


    role in ACHRIs future. Research grant revenue alone doesnt provide enough to support research into finding new treatments, preventive measures and cures for diseases and injuries that affect children.

    Dee Ann English, an ACHRI donor and an ACHRI board member since 2008, believes research is an important investment for future generations of children.Most people know ACH does amaz-

    ing things for children and their fami-lies daily, English said. ACHRI does this as well, but it is more behind the scenes and not always as immediate. However, it is just as important.

    The Arkansas Childrens Hospital Research Institute pushes the frontiers of medical knowledge and pedi-atric care.

  • a c h 1 0 0. o r g A R K A N S A S C H I L D R E N S H O S P I TA L 1 9 1 2-2 0 1 2 41

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    Samantha Johnson

    When Samantha was born in Fayetteville in 1995, her pediatrician noticed her feet were blue. After run-ning a few tests, he informed Samanthas parents, Jill and Charles, that she had a heart defect and needed to receive treatment at Arkansas Childrens Hospital.

    It was scary to see our daughter who was not even a day old taken from us to be flown down to Childrens on an Angel One helicopter, Jill says. We knew she had a heart problem, but we didnt know to what extent.

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

    When she was 3 days old, doctors per-formed surgery on Samanthas heart to help it pump blood. The surgery, called the Nor-

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

    real, Jill says. The hardest part was rec-onciling the loss that another family was experiencing to the hope our family was receiving. It was a blessing, but it was a difficult time for us.

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

    received a great deal of support from friends and family in the area, but also from the staff members of the hospital, says Jill. Every-one was very professional, and we knew we were in good hands.

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

    Most days I feel like a normal teenager, she says. I can play most sports and my school curriculum is the same as my peers. However, I do get sick more than the aver-age teen, so I miss more school than normal. I take eight medications twice a day so that my body will operate the way it should. I also have quarterly check-ups with my car-diologist and surgery once a year. This is the only way I have ever lived. It is worth it, and I would not change anything.

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

  • 42 A R K A N S A S C H I L D R E N S H O S P I TA L 1 9 1 2-2 0 1 2 a c h 1 0 0. o r g

    ACH works to prevent injuries and illness in children

    As a pediatric resident, Mary Ait-ken, MD, worked in a large hos-pital as part of teams caring for sick and injured neonates and children. Among these was a baby that sur-vived despite extreme prematurity and was discharged home after weeks of intensive care.

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

    Later, she worked to comfort a young girl who was seriously injured while play-ing in an abandoned building. The girl had her leg amputated despite the trauma teams efforts, simply because she didnt have a safe place to play.

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

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

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

    Natural Wonders a partnership led by ACH and a host of Arkansas partners, including state agencies, nonprofits, foun-dations and UAMS has been working for several years to address issues facing Arkansas children.Were trying to address the problems

    we see in the hospital before they hurt chil-dren, said Fidel Samour, ACH project ana-lyst. The projects key targets are injury prevention, access to comprehensive oral health care and health literacy.

    The IPC is part of Arkansas Childrens Hospitals broad strategy of preventing injury and illness in children before they occur.

    Created in 2007, the IPC came as a result of the Natural Wonders project, the first-ever comprehensive health study of Arkan-sas children. The study showed that car and ATV crashes, drowning and other prevent-able tragedies took a significant toll on the lives and health of children.

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

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

    The ACH Dental Outreach team is fight-ing poor oral health with the use of mobile dental clinics, specifically designed for pedi-atric dental care.

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

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

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

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

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

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

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

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

    Teen driving safety programs target-ing both adolescents and their parents are offered at schools and in other community settings.

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

  • a c h 1 0 0. o r g A R K A N S A S C H I L D R E N S H O S P I TA L 1 9 1 2-2 0 1 2 43

    Fighting childhood obesity

    Childhood obesity is nearing epidemic proportions nation-ally, with alarmingly high rates among Arkansas children. But a team of researchers at the Arkansas Chil-drens Hospital Research Institute (ACHRI) are looking at the best ways to counter it in every stage of development from before children are even born to well into their teens.

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

    As the teams at ACHRI and the USDA-funded Arkansas Childrens Nutrition Cen-ter (ACNC) work together, they are ensur-ing a continuum of care and prevention. Pregnant mothers can participate in the obesity prevention efforts through research that has been underway for several years at ACNC. The GLOWING (Growing Life, Optimizing Wellness) study is helping sci-entists learn how pregnant women might alter the metabolism of the fetus in a way that leads to childhood obesity.

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

    Another well-known community-based project began in 2009 by taking students back to their roots literally. The ACHRI Delta Garden Study introduces middle schoolers to the process of growing, cooking and eating their own fruits and vegetables. Funded by a $2 million initial grant from the USDA Agricultural Research Service, the study aims to discover whether gar-dening can improve childrens health and prevent obesity.

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

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

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



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

  • 44 A R K A N S A S C H I L D R E N S H O S P I TA L 1 9 1 2-2 0 1 2 a c h 1 0 0. o r g

    Philanthropy: Until no child needs us, we need you

    Generosity like inspiration comes in all shapes and sizes. People throughout the last century have made ACH a global leader in pediatric care through their contributions. One of the great strengths of Arkansas

    Childrens Hospital and its philanthropic footprint is that the people of Arkansas think of themselves as owners. They are engaged, and they are involved, said John Bel, Arkansas Childrens Hospital Foundation president.

    The Foundation continues to witness such extraordinary philanthropy in its Century of Possibility Centennial Cam-paign.

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

    Announced on March 5, 2012, the cam-paign will raise $160 million to fund pro-grams and services in four priority areas: pediatric care, research, education and prevention.

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

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

    in the hands of skilled doctors and nurses so they can make possible the best out-comes for children, Bel said.

    Contributions for the South Wing do more than simply pay for bricks and mortar.Every dollar of philanthropy is a pow-

    erful dollar because its not only going to help us build the building but its also going to free up additional funds for other projects, Bel said.

    One of the foundations best practices involves welcoming donor-driven and

    donor-responsive philanthropy.The Century of Possibility Campaign

    is designed so that if a donor has a pas-sion or a concern, we will work to match that passion to childrens needs, said Bel.

    For instance, a donor who wants to support ACH work in oncology, neurol-ogy, dental care or audiology, or to help cover the hospitals unmet needs in any area, the Foundation will work to make it happen, Bel said.

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

    And if a donor cant think of a project to support, Bel joked, We have no shortage of nurses and physicians who have great ideas on what to do next with the money.

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

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

    Since 1967, ACH Auxiliary members have contributed thousands of volunteer

    hours and donated more than $8.5 million. Committee for the Future, a young

    professionals group, formed in 1986 to raise funds and awareness for the hospital. Through 2011, the group has contributed more than $5 million.

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

    And the affiliation of ACH with Chil-drens Miracle Network Hospitals has resulted in donations of more than $67 million through 2011.

    The list goes on.Extraordinarily generous gifts are

    always welcome, Bel said, but smaller gifts are also needed. And in fact, most gifts to the Foundation are modest gifts. On an annual basis, the Foundation receives gifts from more than 27,000 donors, making 63,000-plus gifts.This is what we call a comprehensive

    campaign. Every gift from every source counts, the Foundation president said. So $20 memorial gifts for the Neonatal Intensive Care Unit are included in the campaign, and a $5 million gift for a floor in the South Wing building is included, and every gift in between.

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

  • a c h 1 0 0. o r g A R K A N S A S C H I L D R E N S H O S P I TA L 1 9 1 2-2 0 1 2 45

    How you can helpArkansas Childrens Hospital is a place where the single purpose of every employee,

    physician and volunteer is to change childrens lives, one child at a time. Your support is crucial to our cause. With your help, we can do more and do better for kids. We simply cannot do it alone. We need your help.

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

    MAKE A GIFT TO ARKANSAS CHILDRENS HOSPITAL Every gift makes a difference.

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

    VOLUNTEER Whether you volunteer in the hospital or through one of the ACH Founda-tions Auxiliary groups, you can make a difference for kids. Hospital: Visit or call 501-364-1825. Auxiliary groups: Visit or call 501-364-1476.

    DONATE Online: Visit or call toll-free: 1-855-ACH-GIVE (1-855-224-4483)

    LEARN MORE Visit and or call 501-364-1476 or 1-800-880-7491.

    2222 Cottondale Lane, Suite 100Little Rock, AR 72202



    509 West Spring Street, Suite 150Fayetteville, AR 72701




  • 46 A R K A N S A S C H I L D R E N S H O S P I TA L 1 9 1 2-2 0 1 2 a c h 1 0 0. o r g

    The beckoning future of Arkansas Childrens Hospital

    Since its very beginning, Arkan-sas Childrens Hospital has kept an eye on the future from childrens home to Chil-drens Hospital, from building to build-ing, and from one advance in pediatric care to the next.

    The hospitals leadership has man-aged to care for the growing needs of Arkansass sick and injured children while anticipating the needs of the next generation and beyond.

    Clearly, ACH leaders are optimis-tic about the prospects in store for the next century. There are probably huge opportuni-

    ties in the world of genomics, said ACH President and CEO Jonathan Bates, MD. Weve just started to scratch the sur-face on that one.

    Technology will also present new opportunities.

    The speed and utility of computers and handheld medical devices likely will see vast improvements, Dr. Bates said, and the quantity of digital infor-mation about a patient is going to sky-rocket.Today, we have bedside monitors.

    We have medical records, he said. But whats likely to happen is that all of this stuff is going to be blended together. The electronic bedside equipment is going to flow into the medical record directly.

    Advances in voice recognition will help doctors create medical records as they treat patients.The ultimate experience would

    be if we got to full-motion audio and

    video recording of every moment of a patients experience, Dr. Bates said.

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

    than a red blood cell fitted with drills, he said. Can you imagine if you could send something like that to the right place in someones body to fix some-thing?

    The gee-whiz factor aside, ACH believes that these technologies will ultimately help them go beyond imag-inable limits to continue the work they have done since 1912: changing chil-drens lives.

    The CiTy of LiTTLe RoCk is pRoud To be The home of ChiLdRens hospiTaL foR 100 yeaRs. The future of ACH and pediatric healthcare will involve many complex scientific and technological

    advances, but the focus will remain the same as it has been since 1912: changing childrens lives.

  • a c h 1 0 0. o r g A R K A N S A S C H I L D R E N S H O S P I TA L 1 9 1 2-2 0 1 2 47


    The new South Wing at Arkansas Childrens Hospital will add 54 inpatient beds, expanding the Neonatal Intensive Care Unit and pediatric Heart Center. Its an investment in healthier, happier futures. At Crews & Associates, we appreciate

    that investment. Our team works hard every day to provide exceptional market execution and investment banking results. From fixed income products to public finance underwriting services, healthy growth is our specialty.

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    Were Moving In!Were Moving In!

    Construction is complete on the new

    South Wing addition at Arkansas

    Childrens Hospital! Look for our brand new


    opening July 5 in the South Wing.

    Be sure to note the new Emergency

    Department entrance on the right.

    Do you have a clinic appointment

    coming up at Arkansas Childrens Hospital?

    Some clinics and units are moving to the

    South Wing, while some are moving to

    new locations inside the main hospital building.

    Please be sure to read your appointment

    reminder letter closely in case your clinic

    has recently relocated.

    Visit for updated information.

    ClinicsACH South


    Department Hem-Onc & ITU