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2019 Annual Report

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2019 Annual Report At the Forefront of Change EVOLVING TO MEET OUR CHILDREN’S HEALTHCARE NEEDS FY19 ANNUAL REPORT So every kid can. Dear Friends, John D. Nash, FACHE President and CEO, Franciscan Children’s For over 70 years, Franciscan Children’s has evolved to meet the greatest needs facing children and their families in the region. From our humble beginnings treating kids with polio who could not safely live at home, to our over two decade partnership with McLean Hospital that helps us serve an unprecedented number of children in need of inpatient mental health care, we continue to grow and proactively address the most pressing trends affecting children today. As one of only four organizations in the country that provides pediatric medical rehabilitation, mental health, and special educational services in-house, we are uniquely positioned to respond to the: • youth mental health crisis and the underlying causes of mental illness, • growing number of children born with medical complexity, who require long-term and specialized care in and out of the hospital, and • need to increase access to pediatric care that treats both the body and mind. Thankfully, Franciscan Children’s is at the forefront of change and making a difference. Over the past year, our organization made proactive and crucial decisions about how to best serve the children and families who can only rely on us for their care. Franciscan Children’s made the difficult decision to close our outpatient pediatrics unit, given the changing primary care reimbursement landscape, and to strengthen the service lines that no other institution in the Northeast can provide. Now more than ever, we are poised to continue growing and help fill the gap in services our kids desperately need. As you will read in the following report, we have taken steps over the past year to expand our campus, programs, and reach, including the following initiatives. • The New Balance Foundation Park at Franciscan Children’s, one of the only fully-inclusive recreation areas in Massachusetts, opened in July 2019, and has already helped our patients and students grow stronger through the power of play. • The Medical Bed Expansion Project, which opened in April 2020, allows us to immediately treat more patients with medical complexity who are currently on waitlists and in need of our medical and pulmonary rehabilitation. • We are also laying the foundation to expand our inpatient, outpatient, school, and community-based mental health programs to serve more kids in settings that are convenient and conducive to healing. Thanks to the generosity of many individual, corporate, and foundation donors, Franciscan Children’s is able to remain flexible, respond to opportunities, invest in capital enhancements, and grow our most in- demand services. Providing our patients, students, and their families with the best care possible is at the heart of Franciscan Children’s. Our progress would not be possible without the inspiring individuals who place their trust in us each and every day. Thank you for believing in the possibilities, so every kid can. Sincerely, John D. Nash, FACHE President and Chief Executive Officer 02 Board of Directors Board of Overseers James Mandell, MD, Chair David Andrews Stephen Hassell Harry G. Moulis Boston Children’s Hospital New England Patriots Spagnolo Gisness & Partners Healthcare (former) Associates, Inc. Robert W. Boudreau Jill Papagni Douglas C. Chamberlain Mark Herman BOND Brothers Nina Capeles Appleton Partners, Inc. Electric Insurance Representative Jonathan T. Parkhurst Timothy Fallon Company Kevin G. Honan Franciscan Children’s Fallon Ambulance (former) Massachusetts (former) Jeffrey Chisholm State House Aline Giroux, FMM RBC Capital Markets Heidi Qua Franciscan Missionaries of Mary Brendan T. Hughes* Fay School Lisa Clark BTIG, LLC Paul M. Kane, Esq. Uma Ramanathan Kerry Collins* McGrath & Kane Attorneys Jeffrey Johnson Shepley Bulfinch Boston Bruins at Law Appleton Partners, Inc. Ron Rodericks Jason Costello* Wendoly Ortiz Langlois, Esq. Erik Johnson ITG, Inc. Margulies Peruzzi Boston Medical Center US Trust Architects Kenneth Ryvicker John E. Larsen Amanda Lortie Rockland Trust Rob Cunjak New Balance Athletics, Inc. PTC, Inc. Company Wren Capital, LLC Jane L. Lundquist Kyle Lortie Kate Sheridan Alex DeNucci Rockland Trust Company Appleton Partners, Inc. Lee Kennedy Co., Inc. Evergreen Center (former) Adam Kaufman Patrick W. Smith James C. Donnelly Joseph A. Mitchell, MD WBZ NewsRadio Standard Life Rockland Trust McKinsey & Company Investments Company Trenni L. Kusnierek Dominique Morgan-Solomon NBC Sports & WEEI Katherine C. Sylvestre* Edward Doyle Morgan-Solomon Consulting Pioneer Investment Emiley Lockhart Steven A. Tolman John D. Nash, FACHE Management, Inc. Massachusetts Massachusetts AFL-CIO Franciscan Children’s State House Joseph D. Faucher Kristen Walsh Robert B. Needham Jefferies & Company, Inc. Maria Marzilli Ed Walsh Foundation Needham Advisory Corporation Admirx, Inc. Seth Finkelstein Ryan Wittig Lazaros Papadopoulos Finkelstein Consulting Polly Merck RICOH Business Ziegler McLean Hospital and Solutions Brian C. Frambes Franciscan Children’s Lois Ann Perriera, FMM Fidelity Investments Janet Wu Franciscan Missionaries of Mary Meghan Montgomery Bloomberg Joseph R. Fratus DraftKings, Inc. Jay Pieper Loomis Sayles & Atria Global Health Advisory Company Steve Montibello Services, LLC Consentini Associates David H. Friedberg Joan E. Siff, Esq. Coldwell Banker Representative World Against Toys Causing Michael J. Moran Jerry Garvey Harm (W.A.T.C.H.) Massachusetts Liquidnet State House Anne Turbini, FMM Todd Harris Franciscan Missionaries of Mary Matthew Morrissey Bridgewater State Boston Police Fatima A. Watt, PsyD University Department Franciscan Children’s Michael W. Yogman, MD Harvard Medical School, Yogman Pediatric Associates * Board of Overseers Executive Committee 03 GROWING TO ADDRESS THE Youth Mental Health Crisis Youth are experiencing serious mental health issues at them to more quickly receive unprecedented rates and there is a critical lack of access high quality, specialized mental to mental health care both nationally and within our health services at Franciscan state. Children in Massachusetts who are brought to an Children’s — the kind of care these emergency department (ED) for a mental health crisis kids desperately need. often have to wait an average of five days to find a Research for Future Care placement at any psychiatric inpatient unit. Franciscan Children’s is heavily invested in research designed to help us better understand mental health conditions, develop We currently have the largest Increasing Access interventions to reduce the adolescent psychiatric inpatient To address the immense demand burden of mental health issues, unit in Massachusetts and, for pediatric mental health and improve our patients’ lives. through a partnership with services, Franciscan Children’s To achieve these goals, Franciscan McLean Hospital, provide the is undertaking a feasibility study Children’s has partnered with highest quality of care. Yet, given to expand our inpatient mental Matthew Nock, PhD, at Harvard the mental health crisis facing health unit to accommodate University, a world-renowned our youth, we must do more. more patients. If feasible, the scholar on the topic of self-injury Franciscan Children’s is expanding additional beds will provide and suicide. This collaborative services to increase access, increased access to those caught relationship was strengthened conducting research to advance in an overwhelmed system. This this past year when we welcomed our understanding of mental will decrease the amount of time Alex Millner, PhD, a researcher health issues, and providing families wait in the ED and allow education to the community. 04 The rate of major depressive episodes in youth aged 12–17 increased 52 percent from 2005–2017,1 and suicide is now the second leading cause of death among adolescents and young adults.2 Alex Millner, PhD, Scientific Director of the Franciscan Children’s Mental Health Research Program from Dr. Nock’s laboratory, as Community Education 1 Twenge, J. M., Cooper, A. B., Joiner, T. Scientific Director of Franciscan E., Duffy, M. E., & Binau, S. G. (2019). Over the past two years, Franciscan Age, period, and cohort trends in mood Children’s Mental Health Children’s Kids Healthy Minds disorder indicators and suicide-related Research Program. Initiative (KHMI) has set out to outcomes in a nationally representative educate the community about dataset, 2005–2017. Journal of This collaboration with Harvard Abnormal Psychology, 128(3), 185–199. University has resulted in multiple mental health, early detection of mental health issues, and 2 Curtin S.C., Heron M. Death rates due to projects funded by the National suicide and homicide among persons Institute of Mental Health (NIMH). psychiatric treatment. KHMI has aged 10–24: United States, 2000–2017. Together, we are leveraging presented to over 60 local schools NCHS Data Brief, no 352. Hyattsville, digital technologies, such as and parishes, hosting up to 300 MD: National Center for Health Statistics. 2019. smartphone apps and wearable attendees who represent a range physiological monitors (like of community members, including FitBits), to better understand and teachers, school leaders, parents, predict suicidal thoughts and and teens. The program has been behaviors. Our hope is that with extremely well-received and we increased understanding we can consistently respond to calls to develop
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