Tennessee Emergency Medical Services for Children Foundation
2007 Terrace Place
Nashville TN 37203
Mission Statement
To ensure that every child in Tennessee receives the best pediatric emergency care in order to eliminate the effects of severe illness and injury.
Leadership
CEO/Executive Director Ms. Rhonda G. Phillippi RN, BA
Board Chair Marisa Moyers RN
Board Chair Company Affiliation Children's Hospital at Erlanger
History & Background
Year of Incorporation 2005
Organization's type of tax exempt status 501-C3
Financial Summary
 
 
Projected Expenses $215,445.00
Projected Annual Revenue $191,980.00 (2017)
Statements
Mission
To ensure that every child in Tennessee receives the best pediatric emergency care in order to eliminate the effects of severe illness and injury.
Background The national Emergency Medical Services for Children Project, which began in 1989 when funding was initially granted to the states, considers the emotional, family, and cultural needs of children equal to their medical needs when faced with a life-threatening illness or injury. The Tennessee Emergency Medical Services for Children Foundation (TN EMSC) is the charitable organization in Tennessee which seeks to advocate for these children’s needs, to advise the state government concerning current state of the art pediatric emergency/critical care services, and to facilitate the provision of these services across the breath of the state and across the continuum of pediatric care.
Impact

When traumatic events strike, children are at greater risk than adults. Why? Because children vary in size and development, providers can be ill-equipped to serve them. For example, until our efforts, many ERs didn’t have oxygen masks that would fit children! CPR protocols are different for children, as is medicine dosing. Many health workers simply don’t see enough children to retain their skills.

In an effort to provide “real life” teaching moments to healthcare providers that do not care for critically ill and children on a routine basis; grant funding was obtained to purchase high fidelity pediatric manikins. Experienced pediatric nurses provide education utilizing the simulators at hospitals and EMS services throughout their region. Currently children do not receive appropriate pain medication for long bone fractures. These simulators will be used to teach evidence based pediatric pain management.

The 15th Annual Update in Acute and Emergency Pediatric Care conference was held in Franklin, TN. The conference was attended by nearly 200 healthcare providers. The conference focused on quality and service and the opening speaker, Paige Klingborg, MD, delivered a spectacular message, "Pediatric Shock-From First Contact to PICU:  How Do We Manage Our Kids?" setting the tone for two days of engaging and interactive presentations from a range of experts. Resuscitation of a child is done by teams of providers. Leadership topics were added to agenda to enhance the team including “High Conflict Leadership: Managing Self and Others” by Steve Joiner, PhD.

Tennessee has had a disaster plan for a myriad of topics including pets but did not have one for children. A great success this year was the inclusion of pediatrics into Tennessee’s Emergency Support Function (ESF #8). This document provides the mechanism for coordinated assistance in response to a public health and medical disaster.

The Eighth annual EMS Star of Life was held in May 2016. It is designed to honor the accomplishments of EMS personnel from all regions of Tennessee who provide exemplary life-saving care to adult and pediatric patients. The ceremony included a presentation of the actual adult or pediatric patient scenarios and reunited the EMS providers with the individuals they treated. It is a very moving event and it is often the first time the EMS providers have been reunited with the patient whose life they saved.

 Goals:

1. To identify and obtain funding for pediatric dosing systems for EMS providers. Currently, an EMS provider must do multiple math calculations at the scene of a critically ill and injured child. Studies have indicated that pediatric patients experience adverse events related to medication errors at a rate of 3:1 compared to adults. It is our goal to purchase a system that is easy to use and will take the math out of giving a child life saving medication. 

2. To diversify the board of directors. Currently, the board comprises health care providers and a parent. Gaining expertise in marketing, finance, legal, etc will assist us to create better solutions to our challenges.

3. To diversify funding streams to accelerate meeting the emergency medical needs of children.

Needs
  1. To expand board of directors with diverse background including legal, marketing, creative services, and accounting.
  2. To provide a pediatric medication dosing manual for each ambulance in the state for a total of $725,000.
  3. To include "pediatric patients" in a full scale weather-related disaster. 
  4. Financial partners to underwrite the infrastructure costs associated with 2 person office at a cost of $75,000.
  5. Ambulance services in Tennessee respond every year to over 1 million 911 calls. The EMS Star of Life Awards Dinner & Ceremony Program to provide day-to-day lifesaving services on the medical "front line" in Tennessee. The program presents actual patient scenarios and reunites the EMS caregivers with the individuals they saved from the eight EMS regions across the state.  Sponsors are needed to underwrite this $ 35,000+ event. 

 

Other ways to donate, support, or volunteer
You can easily donate online here http://www.tnemsc.org/Donate
 
Or you can send your gift to 2007 Terrace Place, Nashville, TN 37203.
 
Service Categories
Primary Organization Category Health Care / Emergency Medical Services & Transport
Secondary Organization Category Public Safety, Disaster Preparedness and Relief / Disaster Preparedness and Relief Service
Tertiary Organization Category Education / Adult Education
Areas of Service
Areas Served
TN
Statewide
Board Chair Statement

As the president of the TN Emergency Medical Services for Children (TN EMSC) Foundation, I am passionate about continuing to move forward TN EMSC’s mission of ensuring every child in Tennessee receives the best pediatric emergency care in order to eliminate the effects of severe illness and injury. We believe exceptional care should be offered to every child, every time no matter where they are in the state.

The TN EMSC Foundation is a nonprofit dedicated to bettering the system of emergency care for our children. Our members include parents, teachers, hospital representatives, paramedics, nurses, doctors and more who want the best emergency care possible for children in Tennessee. Through this network of partners and advocates, we are fortunate to have access to a range of expertise that allows us to implement evidence-based care across the state.

I have spent 38 years in pediatric patient care, including 12 ½ years as a nurse in the PICU at Children’s Hospital at Erlanger. Children’s at Erlanger is one of the four Comprehensive Regional Pediatric Centers in Tennessee. CRPCs have the highest designation in the state to take care of children and serve as the foundation for an exceptional system of pediatric care. Now as a CRPC Coordinator, I help to train and support the emergency professionals and paramedics who are on the frontlines of pediatric emergency care. Along with the other CRPC Coordinators across the state, we ensure these providers have the resources and skills necessary to take care of our kids.

The Foundation is also focused on safety and accident prevention. Over the years this has included educating lawmakers about policies to keep children safe including a comprehensive seat belt law and a ban on texting while driving. We collaborate with the Tennessee Department of Health to make sure that our emergency departments are prepared to take care of the special needs that our children have when they are sick or injured. This includes assisting emergency departments with education, securing resources to get the pediatric equipment they need to care for children and reviewing what is needed per our state rules to maintain outstanding pediatric care.

I am honored to serve as the president of this wonderful organization. I invite you to take a look around the site and join us as we lead the way to a healthier and safer tomorrow for our children!

Marisa Moyers, RN, ADN

TN EMSC Foundation President

2015-2017

CEO Statement

My goal as the Executive Director is to lead a diverse group of volunteer stakeholders to make a difference in the lives of critically ill and injured children and the clinicians who care for them. Our desire is to have a positive impact on the lives of children and their families throughout Tennessee by ensuring clinicians have the training and tools to deliver effective and efficient treatment.

 

At TN EMSC our mission is to significantly improve the survival rate of children with acute, life-threatening illness or injury every single day through:

  • Our innovative collaborations and relationships directly influence a child’s outcome and provide hope to their family

  • Our dedication to the healthcare professionals who provide care when it is most critical and

  • Our significant capabilities to address the needs of children through public policy 

     

The goal of the Tennessee Emergency Medical Services for Children Foundation is to advocate for the highest quality of care for the ill and injured children who come into our hands, whether you are a physician, nurse, nurse’s aid, paramedic, EMT, social worker, hospital administrator, educator, or parent.

The Foundation works behind the scenes to coordinate communication among facilities, to seek opportunities to promote injury prevention, to formulate and implement a state plan for disaster management that addresses the specific needs of children, and to encourage an exchange of knowledge and experience between healthcare professionals, families, school systems, and government.

Programs
Description Ambulance services in Tennessee respond every year to over 1 million 911 calls. The  EMS Star of Life Awards Program honors the dedication of those who provide day-to-day lifesaving services on the medical "front line" in Tennessee. The program presents actual patient scenarios and reunites the EMS caregivers with the individuals they treated from the eight EMS regions across the state. This event promotes best practice delivery of emergency medicine. The criteria for the nominations are that the EMS provider must follow best practice protocol and the patient must be neurologically intact.
Budget 40,000
Category
Population Served , ,
Short Term Success The quality of the Star of Life event is determined by number of award applicants, number of awardees and their family in attendance, ticket sales, press coverage,  and feedback via phone or email.
Long term Success Delivery of best practice medicine and improved documentation as demonstrated on EMS patient run reports.
Program Success Monitored By Interviews were completed with the planning committee two days after the event to solicit their opinion of the event and areas for enhancement and retooling.
Examples of Program Success

The purpose of the Star of Life is to reinforce best practice for emergency medical services providers (EMT, EMT-P). The patient scenario is read to the audience with specific best practices highlighted. The Star of Life program provides the opportunity to highlight best practice scenarios to the EMS professionals in attendance.

One of the eight examples was a two year old toddler that had fallen into a septic tank. The child required CPR and the use of a special measuring tape to determine the size of equipment needed for this child and the dosage for the medications. The best practice of care was delivered to this child including a special IV that had to be placed so that getting the right medicines and dosage, could be possible. The utilization of this tape measure and the subsequent care provided was highlighted at the event.

Description
The Annual Update in Acute & Emergency Care Pediatrics Conference is sponsored by Tennessee Emergency Medical Services for Children Foundation and the four Comprehensive Regional Pediatric Centers (CRPCs) across Tennessee. The mission of the conference is to promote pediatric emergency care to physicians, nurses, emergency medical services, and the community through outreach. This conference, routinely attended by more than 200 healthcare providers, is the only conference of its kind in the state of Tennessee. It brings together physicians, nurses, pre-hospital providers, and administrative decision makers from across the state to focus on acute and emergency care needs of children. Evaluation of our conference is measured through a number of tracking methods including: demographic information, attendee program evaluations, and speaker evaluations. 90% of participants will report increased learning from each workshop.
Category
Population Served , ,
Long term Success More highly educated, supported, and committed healthcare providers meeting the acute and emergency needs of children with best practice medicine.
Program Success Monitored By Hospital discharge data is reviewed to determine if transfer of acutely ill and injured children is being completed.
Examples of Program Success
2008 Attendees stated:  “the simulation lab increased my confidence to handle true emergencies."
"I was always taught to push fluids for sickle cell anemia – discovered that this could have adverse outcomes.”
“ Great visuals and excellent presentation! Lots of new info. Gave me new tools for both assessment & treatment.”
Description

The majority of care delivered by emergency departments and ambulances are to adults. Medical care for children requires special training and equipment. Emergency care providers need to be aware of and trained on these differences. 

Budget 1500
Category Health Care Ambulatory & Primary Health Care
Population Served Infants/Babies (under age 5), Children Only (5 - 14 years),
Long term Success The long term success of completing mock codes is that the care given to a child will fit each individual child’s size, medical needs, and level of developmental growth.
Program Success Monitored By Program success will be monitored by evaluation forms and the score card of each mock code visit.
Examples of Program Success Initially at one hospital, the emergency department team took greater than 30 minutes to find the equipment to administer oxygen to a child manikin. Currently, when the mock code team arrives unannounced, the emergency department delivers timely best practice care.

At a rural hospital facility the emergency department staff did not know what to do with the child manikin. Once a room was found, the emergency equipment cart was brought to the room but did not have a heart monitor. The only heart monitor in the emergency department was being used on another patient. Following this mock code visit, the emergency department developed a contingency plan and purchased another heart monitor.

When mock codes first began in non children’s hospital emergency departments across the state, the child manikin was taken from the parent into an examination room and the parent was left in the waiting room. Parents are now viewed as a partner in the health care team and kept informed about the condition of the child.

Description Our policy team works on legislation in areas such as injury prevention, children’s healthcare, and securing funding to meet the trauma and emergency system needs of acutely ill and children.
Budget 5000
Category Human Services Human Services, General/Other
Population Served Children and Youth (infants - 19 years.), Adults,
Short Term Success Short term success is measured by the number of TN EMSC members that contact their legislator regarding issues pertaining to emergency medical services for children.
Long term Success  Maintaining or enhancing public policy issues to keep children safe and healthy.
Program Success Monitored By Many national organizations post state by state report cards on many public policy issues that directly affect children. These report cards are reviewed annually to determine the course of action for the upcoming legislative session.
Examples of Program Success TN EMSC was influential in the successful passage of the comprehensive revision to the child passenger safety law in Tennessee which raised the report card grade published by SafeKids Worldwide from a D to an A.

Initial state legislation did not include trauma funding for the comprehensive regional pediatric centers in Tennessee. TN EMSC worked to include language in the legislation that secured trauma funding for the children’s hospitals.

TN EMSC was a key partner with AAA of Tennessee is working to ban text messaging while driving. This legislation successfully passed on its first attempt in the TN legislature in 2009.

Description
The TN EMSC website (www.tnemsc.org) has free on-line courses for the public as well as health care providers regarding pediatric disaster preparedness and care.
Budget 20000
Category
Population Served , ,
CEO Comments
Even with diminishing financial resources, front line providers continue to be provide healthcare to one of our most vulnerable population, children.  TN EMSC desires to enhance the care given to children by providing up to date education and equipment.  At the same time highlight their efforts at providing exemplary care at the annual Star of Life program.
Board Chair
Board Chair Marisa Moyers RN
Company Affiliation Children's Hospital at Erlanger
Term July 2015 to June 2017
Email Marisa.Moyers@erlanger.org
Board Members
NameAffiliationStatus
Kara Adams TN Disability Coalition/Family VoicesVoting
Kevin Brinkmann MDExofficio
Sue Cadwell RN, MSNHCAExofficio
Michael G. Carr MDT.C. Thompson Children's Hospital at ErlangerExofficio
Chris Clarke RNTennessee Hospital AssociationVoting
Kate Copeland RN, MSNMonroe Carell Jr. Children's Hospital at VanderbiltVoting
Beckye Dalton MSN, APN, CCNS-BC, CENVoting
Rudy Kink MD
Shannon Lankford, BS, CCPMVoting
Marisa Moyers RNT. C. Thompson Children's Hospital at ErlangerVoting
Maureen O'Connor MBA, BBALe Bonheur Children's HospitalVoting
Leslie Phelps RN, BSN, MSHCAEast Tennessee Children's HospitalVoting
Rita Westbrook MDEast Tennessee Children's HospitalVoting
Tyler White Voting
Board Demographics - Ethnicity
African American/Black 0
Asian American/Pacific Islander 0
Caucasian 14
Hispanic/Latino 0
Native American/American Indian 0
Other 0 0
Board Demographics - Gender
Male 4
Female 10
Unspecified 0
Governance
Board Term Lengths 2
Board Term Limits 2
Board Meeting Attendance % 100%
Does the organization have written Board Selection Criteria? No
Does the organization have a written Conflict of Interest Policy? Yes
Percentage of Board Members making Monetary Contributions 100%
Percentage of Board Members making In-Kind Contributions 100%
Does the Board include Client Representation? Yes
Number of Full Board Meetings Annually 4
Standing Committees
Development / Fund Development / Fund Raising / Grant Writing / Major Gifts
Education
Board Development / Board Orientation
Communications / Promotion / Publicity / Public Relations
Executive
CEO Comments

2016 was an exciting year for TN EMSC. TN EMSC is respected as a national leader in developing a program that meets the needs of critically ill and injured children. We continue to build upon this exciting momentum and recognition. Our executive director is a coach for the National EMSC Innovation & Improvement Center to assist other states to replicate facility recognition program. A facility recognition program ensures every hospital is equipped to meet the emergency needs of children.

Recently, five high fidelity pediatric simulators at a cost of $37,000 each were obtained. These will be used to teach evidence based pediatric emergency care to healthcare providers. When TN EMSC began, hospitals and ambulances were not required to have the most basic equipment for children. When a child was injured, the hospital or ambulance may not have an oxygen mask that fit a child’s face and the IV needles were too big. Through legislation this was remedied. However, the percentage of 911 calls for children is about 10% with only a few percent being critically ill or injured. EMS and emergency room health care providers have even less opportunity to be proficient in difficult skills that are not used often. Therefore, the purchase of better equipment and the delivery of education to EMS crews, nurses, and physicians in the care of children is an ongoing need due to the lower incidence of critically ill and injured children than adults and the amount of staff turnover that occur.

Executive Director/CEO
Executive Director Ms. Rhonda G. Phillippi RN, BA
Term Start July 2005
Email rhonda@tnemsc.org
Experience
Rhonda began working for TN EMSC as the original project coordinator for Vanderbilt Children’s Hospital in 1995. As the role of TN EMSC expanded to include the entire state instead of only 10 counties, she assumed the role of State Coordinator for TN EMSC in 1999. In 2005, TN Emergency Medical Services for Children Foundation, a tax exempt non-profit was established to meet funding and advocacy needs.

Rhonda served on the American Heart Association (National), Subcommittee on Pediatric Resuscitation and co-authored Student Textbook Pediatric Advanced Life Support: Coping with Death, Dallas, 2001.

Ms. Phillippi has a strong interest in preventing injuries to children and was the primary supplicant for the comprehensive revision to the child passenger laws in Tennessee which passed in the spring of 2003. She worked with Veronica Gunn, MD two published studies: Improvement in booster seat use in Tennessee and the Differences in Appropriate Child Safety Restraint Use Among Black and White Children in Tennessee.
 
During the 2009 Tennessee General Assembly session she advocated for the ban on cell phone texting while driving.

Ms. Phillippi has received numerous awards for her leadership, most recently the "Al Grant" award from the TN Rural Health Assocation for her ability to bring together multi-faceted individuals to the common good of the health of all rural citizens of Tennessee. 
 
Ms. Phillippi was also recognized for outstanding service in the best interests and in the highest traditions of the State of Tennessee by Governor Phil Bredesen.

Rhonda received her Diploma in Nursing from Mansfield General Hospital School of Nursing, Mansfield, Ohio and a BA in Management and Human Relations from Trevecca University, Nashville, TN. She is pursuing her Masters of Arts from Lipscomb University Institution for Conflict Management.  In addition, Ms. Phillippi has her Certificate in Non-Profit Management from the Center for Nonprofit Management, Nashville, TN.
 
Co-CEO
Experience


Staff
Full Time Staff 2
Part Time Staff 0
Volunteers 60
Contractors 0
Retention Rate 100%
Plans & Policies
Does the organization have a documented Fundraising Plan? Under Development
Does the organization have an approved Strategic Plan? Yes
Number of years Strategic Plan Considers 3
When was Strategic Plan adopted? Nov 2015
In case of a change in leadership, is a Management Succession plan in place? Yes
Does the organization have a Policies and Procedures Plan? Yes
Does the organization have a Nondiscrimination Policy? Yes
Awards
Award/RecognitionOrganizationYear
National EMSC Hero Award for EMSC Advisory Board Member Award/Michael G. Carr, M.D.EMSC National Resource Center (NRC)2009
Al Grant Award for forwarding the cause of rural health in Tennessee over the person's career / Rhonda Phillippi, RN, BARural Health Association of Tennessee (RHAT)2009
Gold Pen Awards / Silver Award for TN EMSC brochureInternational Association of Business Communicators (IABC)2009
Award of Excellence / Best Website for an Association with an Annual Budget under $500,000Tennessee Society for Association Executives (TSAE)2009
Scholarship to the Institute of Conflict Management to Rhonda G. Phillippi, RN, BALipscomb University2013
Institute for Conflict ManagementCenter for Nonprofit Management and Lipscomb University2012
Rural Health Association of Tennessee (RHAT)'s 2014 Special Exemplary Project AwardRural Health Association of Tennessee2014
Baptist Healing Trust Access to Care Award - Salute to Excellence FinalistBaptist Healing Trust2014
CEO Comments

The organization’s staff of two is often stretched thin with responsibilities in a variety of areas. They utilize social capital within supporters, members, and friends of the EMSC Foundation to assist in delegating tasks and disseminating messaging. Staff regularly participates in events through other local organizations in order to strengthen reach and community engagement. Additionally, staff attends training to fine tune skills in areas of public relations, social media, budgeting, and fundraising.

 
 
Fiscal Year
Fiscal Year Start Jan 01 2017
Fiscal Year End Dec 31 2017
Projected Revenue $191,980.00
Projected Expenses $215,445.00
Endowment Spending Policy N/A
Detailed Financials
Expense Allocation
Fiscal Year201620152014
Program Expense$178,802$71,327$83,528
Administration Expense$18,819$14,559$19,707
Fundraising Expense$0$0$0
Payments to Affiliates$0$0$0
Total Revenue/Total Expenses0.422.191.33
Program Expense/Total Expenses90%83%81%
Fundraising Expense/Contributed Revenue0%0%0%
Assets and Liabilities
Fiscal Year201620152014
Total Assets$208,681$318,251$223,266
Current Assets$208,681$318,251$209,733
Long-Term Liabilities$0$0$0
Current Liabilities$6,694$1,664$8,892
Total Net Assets$201,987$316,587$214,374
Short Term Solvency
Fiscal Year201620152014
Current Ratio: Current Assets/Current Liabilities31.17191.2623.59
Long Term Solvency
Fiscal Year201620152014
Long-Term Liabilities/Total Assets0%0%0%
Top Funding Sources
Fiscal Year201620152014
Top Funding Source & Dollar AmountProgram Revenue $42,000Contributions, Gifts & Grants $90,283Earned Revenue $85,187
Second Highest Funding Source & Dollar AmountFundraising Events $28,730Program Services $72,815Contributions, Gifts, Grants $48,923
Third Highest Funding Source & Dollar AmountContributions, Gifts and Grants $10,476Fundraising Events $20,342Fundraising Events $2,707
Capital Campaign
Is the organization currently conducting a Capital Campaign for an endowment or the purchase of a major asset? Yes
Campaign Purpose Goal: to ensure children receive correct dosage of lifesaving drugs. Why? A study of drug dosing errors by TN paramedics showed only a 52% accuracy rate. In order to increase drug dosing accuracy to > 90%, funds will be used to provide education and purchase a pediatric dosing system customized to align to each EMS department’s protocols.
Capital Campaign Goal $725,000.00
Campaign Start and End Dates May 2017 to Apr 2019
Capital Campaign Anticipated in Next 5 Years? Yes
State Charitable Solicitations Permit
TN Charitable Solicitations Registration Yes - Expires Dec 2017
Organization Comments TN EMSC is challenged with the federal continuing budget resolution which may result in our grant being reduced. Our board has been proactive and has a three year reserve funding in the event our federal grant is reduced or eliminated.
GivingMatters.com Financial Comments
Financials taken from the 990.
990 was prepared by AtnipCPA, PLLC.
Foundations & Corporations may be included in the Individual Contributions sum.
Comments provided by Kathryn Bennett 3/23/17.
Nonprofit Tennessee Emergency Medical Services for Children Foundation
Address 2007 Terrace Place
Nashville, TN 37203
Primary Phone (615) 343-3672
Contact Email tnemsc@tnemsc.org
CEO/Executive Director Ms. Rhonda G. Phillippi RN, BA
Board Chair Marisa Moyers RN
Board Chair Company Affiliation Children's Hospital at Erlanger
Year of Incorporation 2005

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