GREENVILLE, N.C. – The Children’s Miracle Network (CMN) Celebration Broadcast honors past telethon traditions by celebrating selected miracle stories of children who represent the thousands of children in eastern North Carolina who have received treatment at James and Connie Maynard Children’s Hospital at ECU Health Medical Center this past year. This year, the CMN Celebration Broadcast will be held on Saturday, June 1, from 7-8 p.m. and Sunday, June 2, from 6-9 a.m. and 7-11 p.m. airing on longtime partner, WITN. Examples of how CMN donations are used will be featured throughout the event as well to show the impact philanthropic gifts truly make.
“We are so grateful to all those who support our Children’s Miracle Network Hospitals program all throughout the year,” said Elise Ironmonger, director of programs, ECU Health Foundation. “The generosity of our donors enables Maynard Children’s Hospital, located in Greenville and serving 29 counties, to provide life-saving care to the thousands of children who are treated each year. We look forward to being able to showcase the amazing care provided every day at Maynard Children’s Hospital during this weekend’s telethon and to have an opportunity to thank our amazing donors.”
This year’s Miracle Children and Teen include:
- Jadon Green, 1 year old, Greene County
- Leonardo Velasquez-Bartolon, 2 years old, Wayne County
- Layah Collins, 6 years old, Jones County
- Wiley Sloan, 14 years old, Wake County
The 2024 broadcast will highlight examples of the amazing care offered every day at Maynard Children’s Hospital while celebrating the miracles made possible by the life-saving care generous donations help provide. Thanks to the generosity of eastern North Carolina, thousands of children receive the specialized medical care they need, bringing them and their families the gift of hope and healing. Because of this support, the team at Maynard Children’s Hospital can ensure patients receive the best care possible.
The local Children’s Miracle Network Hospitals fundraising program is staffed and supported by the ECU Health Foundation, the non-profit charitable corporation that serves as the custodian for all financial gifts and bequests to ECU Health. The ECU Health Foundation oversees allocation of all donated funds. To donate, please call 1-800-673-5437 or visit givetocmn.com.
ECU Health welcomed more than 50 exhibitors and 100 guests to the 12th annual Mental Health Expo designed to connect community members with important resources on mental health and substance use.
The expo, held at Eastern AHEC in Greenville, was a free event for individuals, family members, caregivers and providers. Three featured presentations from experts covered various mental health and addiction topics.
Duania Roberts with the behavioral health team at ECU Health Medical Center gave a presentation titled “Balanced Being” which tackled stress reduction techniques. James Lally, a certified holistic Registered Nurse at ECU Health Medical Center, spoke on understanding the nervous system to better understand yourself.
Dr. David Ryan, an obstetrician-gynecologist with ECU Health as well as a clinical assistant professor of Addiction Medicine at Brody School of Medicine at East Carolina University, presented on “Turning the Tides of Addiction.” There, he spoke on reducing stigma around addiction and understanding it as a disease. He said it’s also crucial to be familiar with and break down stigmas associated with life-saving medications for addiction treatment.
He said events like the Mental Health Expo help communities understand what is happening around them when it comes to mental health and substance use.
“There has been a lot of shame and a lot of discomfort talking about mental health,” Dr. Ryan said. “I think the fact that we’re able to have these conversations at an event like this helps us reduce the stigma and bring these issues to the surface.”
Glenn Simpson, service line administrator for behavioral health at ECU Health said getting exhibitors to come together in one place for the event is vital for the community to take in all the resources available to them in eastern North Carolina.
“This is really what we need – what this community needs,” Simpson said. “We have providers here. We have Trillium Health Resources, which manages Medicaid and does so much to provide resources to this region. We have the 988 Helpline team here. If someone needs some help with behavioral health and they don’t know who to call, just pick up the phone or text 9-8-8.”
He also said it was an exciting opportunity to share information about the upcoming state-of-the-art, 144-bed behavioral health hospital in Greenville, slated to open in 2025.
Lillie Malpass, executive director of the Pitt County Coalition on Substance Use, participated with her organization in the event and said it was a great opportunity to connect with more community members and other organizations.
“Even among other organizations, we’re getting connected with other great organizations and learning what they do and they’re learning about what we do – that’s so important,” Malpass said. “It’s about exchanging information and getting out of our silos – we’re prevention and meeting with recovery organizations, treatment organizations – it’s great to come together and see how we can all work together.”
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When Dr. Shannon Longshore, the medical director of the pediatric trauma program at ECU Health Medical Center, first joined the hospital, the James and Connie Maynard Children’s Hospital at ECU Health Medical Center wasn’t a verified pediatric trauma center. Now, Maynard Children’s Hospital is one of only four Level I Pediatric Trauma Centers in North Carolina and the only one serving the East.
“It is incredibly fulfilling to reflect on the growth we have experienced over the years, to now achieving verification as Level I Pediatric Trauma Center,” Dr. Longshore said. “Our teams across ECU Health have dedicated their work to constantly improving our care over the course of many years. From prevention, to treatment, and being entrusted to provide critical care at the highest level, this verification is a testament to the mission-driven work that defines our hospital and health system.”
The American College of Surgeons’ (ACS) Verification, Review and Consultation (VRC) Program is designed to assist hospitals in the evaluation and improvement of trauma care and provide objective, external review of institutional capability and performance, accomplished by an on-site review of the hospital by a peer review team experienced in the field of trauma care. There are three levels of ACS trauma center verification, with Level I being the highest verification a trauma center can achieve.
Level I Trauma Centers must be capable of providing system leadership and comprehensive trauma care for all injuries and have adequate depth of resources and personnel. These centers play an important role in local trauma system development, regional disaster planning, increasing capacity and advancing trauma care through research.
Recognizing excellence in pediatric trauma care and community outreach
Dr. Longshore herself has been instrumental in Maynard Children’s Hospital’s continued growth as a trauma center through her research and presentations at national conferences and her work with the Eastern Carolina Injury Prevention Program (ECIPP).
The ACS surveyors noted the value of ECIPP, which aims to create a safer environment, change behavior and change policy to improve the quality of life in eastern North Carolina. Sue Anne Pilgreen currently serves as the executive director of the Safe Communities Coalition and the manager of ECIPP, which has been around since 1995. Between 2020 and 2023, ECIPP was awarded more than $1 million in grant funding, which has supported work in areas such as teen driver safety, suicide prevention, firearm safety, and child passenger and bike safety.
“The surveyors were especially impressed with our work around firearm safety and suicide prevention,” said Pilgreen. “We utilize the pediatric trauma registry data, and that is what drives our work.”
Pilgreen was quick to commend ECIPP team’s work in all areas to prevent injuries, and she highlighted that while most trauma programs have one injury prevention person, ECU Health has an entire team. That enables the program to reach out to rural communities and establish new injury prevention processes.
“Even with our incredible injury prevention team, we recognize that injuries will happen,” said Pilgreen. “To have this Level I Trauma Center with the best of the best gives the opportunities for the best outcomes.”
Other specific strengths noted during the pediatric program’s survey included the addition of two pediatric orthopedic surgeons and a pediatric neurosurgeon; outreach clinical simulations in the region; the collaboration among the pediatric orthopedic surgeon, the neurosurgeon and the Pediatric ICU (PICU); and the recent renovation of the PICU to establish a family-friendly place to care for patients. Of note, a large strength also lauded was the academic research and a collaboration with the Brody School of Medicine at East Carolina University’s Department of Pediatrics.
This expansion of the pediatric trauma research footprint was accomplished through more than 10 publications in nationally recognized journals. Both Erika Greene, manager of the pediatric trauma program, and Elizabeth Seawell, manager of the adult trauma program, credited the collaboration with Brody to produce research and get articles accepted to journals.
“That was a big win for us,” Greene said. “We have an academic medical center with the resources and processes in place to care for injured patients, and we’ve done an amazing job to achieve Level I for pediatrics. We have the capabilities to take the best care of those patients to the highest level of the accrediting body.”
Sustained excellence in adult trauma care
The pediatric trauma center’s new Level I verification accompanies the ECU Health Medical Center’s adult trauma center re-verification of Level I, a title they have proudly held for 40 years.
“We were one of the first Level I Trauma Centers in North Carolina, and we were verified by the American College of Surgeons in 2005,” said Seawell. “We are recognized nationally for how we care for patients in a rural area.”
This recent re-verification was made possible in part due to the resources available to the program including neurosurgical, interventional radiology, orthopedic trauma neurology, and vascular resources, operating room capabilities and blood access, as well as a trauma team of 11 surgeons.
“We are the only Level I Trauma Center for 29 counties, and to reach that far and care for that many patients – we served more than 4,000 patients last year – we have to rely on local community hospitals and emergency response teams to ensure timely transfers and communication,” said Seawell.
Seawell noted that ECU Health Medical Center and Maynard Children’s Hospital have a 60 percent transfer in rate, when the national average is 30 percent, which means they work closely with local EMS agencies, regional transfer facilities, other ECU Health organizations and non-affiliated organizations to serve patients from all over the region.
“The role of our trauma program is to not transfer patients but to have all the resources we need. It provides excellence in patient care and helps keep our patients local,” said Seawell.
Dr. Eric Toschlog, medical director of the adult trauma program, emphasized the tremendous preparation required to achieve Level I. He noted that there are more than 100 standards to prepare for, including paperwork, infrastructure, teamwork and more.
“The visit from ACS is a two-day adventure in stress and anxiety,” Dr. Toschlog said. But at the conclusion, he felt immense pride. “This visit was my seventh in 24 years at ECU Health, and it was clearly our best; we were found to have no deficiencies, and the reviewers used words such as ‘exemplary’ and ‘blown away’ regarding multiple aspects of the trauma center.”
Having two Level I Trauma Centers at ECU Health is no small thing, and both centers achieving the highest level of care is due to the dedication of the trauma center teams.
“I am surrounded by brilliant, compassionate, hardworking, mission-driven individuals who share a singular vision of saving the lives of the patients we have the honor to care for each year. Our success is owed to those truly extraordinary people,” Dr. Toschlog said.
Greenville, N.C. – James and Connie Maynard Children’s Hospital at ECU Health Medical Center received verification from the American College of Surgeons (ACS) Committee on Trauma as a Level I Pediatric Trauma Center, becoming one of only four in the state. Maynard Children’s Hospital now joins ECU Health Medical Center as the only Level I Trauma Centers in eastern North Carolina.
“We are proud of the dedication that all of our team members at Maynard Children’s Hospital have made to prioritizing the delivery of high-quality care close to home, and achieving Level I Trauma Center verification is a demonstration of that commitment,” said Tara Stroud, vice president, Women’s and Children’s Services, Maynard Children’s Hospital. “This verification aligns with our mission to improve the health and well-being of eastern North Carolina by ensuring patients receive prompt and specialized critical care, right here in our region.”
According to the ACS, Level I Trauma Centers must be capable of providing system leadership and comprehensive trauma care for all injuries. In its central role, a Level I Trauma Center must have adequate depth of resources and personnel. Most Level I Trauma Centers are university-based teaching hospitals due to the resources required for patient care, education and research. In addition to providing acute trauma care, these centers have an important role in local trauma system development, regional disaster planning, increasing capacity and advancing trauma care through research.
“Being a Level I Pediatric Trauma Center reaffirms our ability to provide timely, life-saving care for pediatric trauma patients,” said Dr. Shannon Longshore, pediatric trauma surgeon and medical director of the pediatric trauma unit, ECU Health Medical Center. “We see pediatric patients with injuries as the result of falls, motor vehicle collisions, ATV and dirt bike accidents and firearm injuries. The change from Level II to Level I demonstrates Maynard Children’s Hospital’s ability to maintain the highest level of care for patients and advance research publications, national presence as a trauma center and community outreach.”
In Fiscal Year 2023, ECU Health Medical Center cared for a total of 4,057 patients – 3,721 adult and 336 pediatric cases. Nearly 60 percent of patients at ECU Health Medical Center and Maynard Children’s Hospital are transferred in from other hospitals for a higher level of care; the national average is 30 percent.
ACS listed the following as major strengths of the Pediatric Trauma Program: The Eastern Carolina Injury Prevention Program, the outstanding commitment and quality of care provided by the adult trauma/acute care surgeons, availability of whole blood for pediatric trauma patients, three trauma bays, having at least two radiologist in-house 24/7 performing reads and available for consultation, neurosurgical and orthopedic support, disaster management planning and pediatric rehabilitation center.
Maynard Children’s Hospital was previously verified as a Level II Pediatric Trauma Center first in 2017. The verification lasts for three years, until February 2027. ECU Health Medical Center has been a Level I Trauma Center since 2005 and recently received re-verification in 2024.
“Maynard Children’s Hospital and ECU Health Medical Center serving as the sole Level I Trauma Centers in eastern North Carolina underscores the value of having a robust system of care with different levels of specialization, ensuring patients receive timely and appropriate treatment for all injuries, from pediatric to adult cases,” said Brian Floyd, chief operating officer, ECU Health. “Maynard Children’s Hospital’s recent verification as a Level I Pediatric Trauma Center reflects ECU Health’s commitment to clinical excellence and academic research, leading to tangible, life-saving benefits for the communities and patients we serve.”
In July 2023, the Eastern North Carolina Nurses Honor Guard had the opportunity to participate in a living tribute for a fellow nurse, Janet Broady Farmer. The group of active and retired LPNs, RNs, FNPs and DNPs typically honors nurses throughout eastern North Carolina by attending their funerals or memorial services, but living tributes are a relatively new service that honors a nurse with a terminal illness or dementia. It allows the nurse to be present at his or her service, and it gives family members the opportunity to share and hear stories about their loved one.
“It is heart-touching for the family,” said Deborah Herring, a retired ECU Health nurse and honor guard member.
The national Nurses Honor Guard was initiated by the Kansas State Nurses Association in 2003. The Eastern North Carolina Nurse’s Honor Guard was established in 2017 by Tabatha Hall, assistant manager of nursing in labor resource management and its current president.
It was the first honor guard established in North Carolina, but many chapters followed. There are now nine regional chapters and one state chapter, and the Eastern North Carolina chapter serves 24 counties in the state.
During the honor guard funeral services, four or five nurses stand guard wearing their traditional white uniforms with caps and navy blue capes. They perform a ceremony customized for the honoree, but which follows a typical format. First, the Nightingale Tribute is performed. At this time, the Nightingale lamp is lit. Then, the Florence Nightingale pledge is recited; this is the same pledge every nurse recites at his or her graduation.
“It means a lot to nurses because they remember when they recited that pledge,” said Herring.
A poem is then read in which the nurse’s name is used, followed by the nurse’s prayer. The ceremony ends with the nurse’s final call to duty, and the Nightingale lamp is extinguished. This service is offered to the family at no cost.
While she’s participated in several funeral services, Herring said last summer’s living tribute was a first.
“The family wanted a little party with refreshments for the service and a table decorated with awards Ms. Janet had won,” she said. “We did our service, and then the family shared their memories of her and invited her former nurse manager to speak about how dedicated of a nurse she had been.”
Herring said the value of this type of service is that the guard can connect more with the family, and the event is a celebration of that person’s life.
It was all the more meaningful, Herring said, because she knew the nurse being honored.
“It just happened that I used to work with Ms. Janet,” she explained. “And this was back a long time ago. I was an African American woman working as a nurse at the Medical Center and I felt like I had to prove myself.” Herring said Janet pulled her aside one day and said something she never forgot: “She said I was smart and didn’t have to prove that to anyone,” Herring recalled. “She inspired me so much, and during the tribute ceremony I told the family that she was the one who inspired me to become a leader. I later became an assistant head nurse at the Medical Center, I worked as the director of nursing at the Pitt County Health Department and I was on the North Carolina Board of Nursing.”
After the ceremony, the honor guard received a thank you letter from Janet’s daughter. In it, she said, “All of our family and friends were so touched by the heartfelt words and sentiment. Having my mother’s previous coworkers there to speak of her passion and worth ethic was so special. Forty years ago, her memory and personality were so vibrant and full of laughter . . . thank you for brining those memories of her back to the forefront.”
Herring said many people don’t realize the honor guard exists or what services they offer.
“We’re trying to make sure people are aware,” she said. “That’s a big challenge.”
The guard members attend nursing conferences and funeral home conventions, they make visits to regional skilled nursing and assisted living facilities and they are working to get their information published in the North Carolina Board of Nursing newsletters. On May 6, the guard will host a booth at the Nurse and Well-Being Fair from 7 a.m. to 3:30 p.m. in the Medical Center’s cafeteria, where more people can learn about the guard and its services. It’s important to honor nurses in this way, Herring said, the same as one in the military, police or fire department might be honored.
“It upholds the profession to know that the service rendered by a nurse is valuable,” she said. “It’s your health being protected by the nurse, and you want to honor them for that.”
With construction underway on the future site of a state-of-the-art, 144-bed behavioral health hospital in Greenville, ECU Health’s Behavioral Health team visited the site for a mental health safety discussion with Thomas Construction.
ECU Health’s service line administrator for Behavioral Health Glenn Simpson visited the construction site during National Safety Week in the construction industry. This year, the focus is on mental health.
Simpson said one in five adults will experience a mental illness, and the construction industry has one of the highest rates of suicide in the nation, where 53 of every 100,000 workers in the United States die by suicide. That rate is four times greater than the national rate.
He said it’s as important to checking in on your own mental health as it is to check in on those around you.
“The construction industry especially has an extremely high rate of suicide. We know that it’s tough work that they’re doing,” Simpson said. “We’re so grateful for Thomas Construction, not only for the work they’re doing here at the site but for inviting us out for this discussion today. The message is important for everyone, but especially for this group here. It’s OK to reach out and ask for help.”
During the event, breakfast, t-shirts and mental health resources were distributed to the Thomas Construction team.
Chris Thorn, a health care team leader for Thomas Construction, helped set up the event. He said between National Safety Week, Mental Health Month and the team building a behavioral health hospital, the opportunity to hear from a professional and share resources worked perfectly.
“It can be a sensitive topic, especially in the construction industry, but ignoring mental health is not an option,” Thorn said. “These conversations are important for us to keep things moving in a more positive direction for our industry and letting our people know they have resources available to them.”
Simpson agreed and said it’s important to normalize conversations around mental health to reduce stigma.
“There’s still so much stigma attached to mental illness and substance use disorders,” Simpson said. “The more we can educate and make people feel OK about talking about those things, the greater impact we’ll have on turning some things around.”
During the event, Simpson promoted the 988 Suicide & Crisis Lifeline as well, which offers 24/7 access to trained crisis counselors who can help people experiencing mental health-related distress.
The lifeline is available nationwide and connects callers with a trained professional in the state from which they are calling. North Carolina residents contacting the 988 services are connected to a team in Greenville. The lifeline offers free and confidential support and can also help callers connect with nearby services.
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ECU Health Behavioral Health Services
ECU Health, Acadia Healthcare host groundbreaking ceremony for new behavioral health hospital
To be a health care provider is to answer a calling. For some, the journey to health care is a straight line; for others, the road is winding. This series features stories from ECU Health team members who took the winding road, but found the destination to be worth the effort.
“Nursing was not my first plan.”
That may be a surprising admission from Trish Baise, Chief Nursing Executive at ECU Health, but she’s very clear that she did not initially intend to pursue a career in health care.
“From first grade on, I was going to go to law school and join the FBI,” Baise said, but those plans fell flat during her freshman year of college. “I got to college and felt overwhelmed my freshman year. I wasn’t excited about the classes I was taking.”
Like many students, Baise worked full time to put herself through college; during that time, she took a student job dispatching for the police department. She continued taking classes, despite not being sure how to proceed with her career.
“I still thought I might go to law school, but I wasn’t entirely sure,” Baise said. “I was just trying to get my undergraduate work completed.”
At that point, Baise said she ended up getting married and had her first child, still with no degree. “I was taking classes part time and working full time, this time dispatching for the fire department,” Baise said. To do that, she was required to get her Emergency Medical Technician (EMT) license, and that’s when the lightbulb went off.
“I realized I preferred being on the ambulance as opposed to dispatching,” Baise said. “I wanted to be in the action.”
Baise said what drew her to health care was the focus on team and purpose; it was clear to her the impact these providers had every day. “That’s when I found my calling, and it started me off in a completely different direction than I thought I was going to go,” she said. Baise then enrolled in nursing school to get her associate’s degree.
Despite the hard turn from law, Baise said her previous jobs and education have absolutely influenced her current work.
“My mind works in an investigative way, seeking the truth,” Baise explained. “A large part of my work, especially in leadership, but also as a clinician, is gathering data, finding facts, getting to the truth and identifying what information you need to make an informed decision and plan. The law and regulatory classes I took as a student — you have to have a broad understanding of these things in health care. They impact the decisions we make.”
Having that baseline knowledge helped Baise be successful as she transitioned from the bedside to leadership roles, even if being a nurse leader wasn’t her intention.
“I had a mentor who joked that some people walk forward through a door, but I’ve been backing in the door my whole career,” Baise laughed. “I always ended up migrating toward positions with leadership responsibility, even if I wasn’t actively seeking out those things. I just saw a gap and I had a skill set that would be helpful. I’ve always wanted to know where I can make the biggest impact, to lead and inspire teams and to transform.”
That keys in to Baise’s calling to “report to someone I’m ethically aligned with, build a great team and do great things together.” Leadership, she said, allows her to fulfill that personal mission in big ways.
Achieving her own goals has been made possible by working with ECU Health.
“I just celebrated my year anniversary,” Baise said. “ECU Health’s mission brought me here. I’m aligned ethically with the mission, and we have a huge runway in front of us to do great things together. There is no better space to do great things than here, where we can be creative and we have an academic medical center that can provide any procedure.” The availability of resources to support nurses and rural health care is another big draw for Baise: “We can put things in place to achieve our goal of being a national model for nursing excellence and rural medicine. As my career and my desire to impact nursing has grown, ECU Health has given me a chance to achieve those goals.”
To anyone considering a career in health care, Baise has some simple advice. “I’d say talk to people they know who work in health care. Shadow, volunteer and see what the day-to-day is for those roles.” Baise also noted that there are many options when it comes to working in health care. “It’s so broad that there are clinical options and operational. There’s something for everyone. The key is to find your passion and where your skills can be used best.”
As for Baise’s journey, she said it’s been pretty amazing. “From an EMT to a paramedic, to a nurse ranging from an associate’s degree to a doctorate, and now in a leadership role, I’ve loved every minute of it. It was not my original plan, but the non-plan plan has worked out pretty well.”
Asthma is a chronic lung disease that causes inflammation and swelling of the airways, and it affects an estimated five million children in the United States. The annual economic cost of asthma is more than $81.9 billion, and in children ages 5-17, asthma is the number one cause of school absenteeism and is among the top reasons for pediatric emergency department (ED) visits and hospital admissions.
World Asthma Day, which is May 7, seeks to raise awareness about asthma and improve the lives of all people with asthma. The ECU Health Regional Pediatric Asthma Program has similar goals, including to reduce ED and inpatient admissions for children with asthma, decrease school absenteeism and to increase the quality of life for asthmatic children in eastern North Carolina. It does this by offering asthma testing, asthma education, tools to manage asthma, access to community resources and medication assistance. Their work with eastern North Carolina public schools has been a particularly effective way to reach children in rural North Carolina communities.
The ECU Health Regional Pediatric Asthma Program, first begun in 1995, initially served Pitt and Greene counties. The pilot program was a partnership between the ECU Health Maynard Children’s Hospital, Community Health programs and a local elementary school. In 1996, the hospital was awarded a three-year grant from the Duke Endowment to further support the development of a comprehensive pediatric asthma program model that focused on children in grades K–5. As a result, they saw a 40% decrease in ED visits by school-aged children, a 50% decrease in student absences and a 50% decrease in inpatient cost of care for school-aged asthmatic children.
The program has since expanded to serve 29 counties in eastern North Carolina, and the number of public schools served has increased to 16.
“Our legal team and the school boards establish contracts with the elementary schools that renew on a rolling basis, and these allow us to do asthma testing, communicate with parents, liaise with the children’s PCPs, help the kids access medication and ensure they are compliant,” said Bailey Edwards, respiratory care manager of the Pediatric Asthma Program. A respiratory therapist who has worked at ECU Health for nine years, Edwards joined the team after working bedside in the NICU and PICU. “I saw so many kids with asthma come through our hospital with severe symptoms.”
In addition to Edwards, the team is comprised of a medical director, a social worker, nurses and three additional RTs. Edwards and the team have worked hard to grow and improve the Pediatric Asthma Program’s scope. Once a child is referred by the school nurse, an asthma care manager contacts the parents for the consent to treat.
“I call the parents and introduce myself, tell them about the program and learn more about their child,” Edwards said. Then, Edwards goes to that child’s school and performs a fractional exhaled nitric oxide (FeNO) test with the child, which determines how much lung inflammation is present and how well inhaled steroids suppress that inflammation.
“Some of these kids have outrageously high FeNOs but didn’t know it – they didn’t realize they couldn’t breathe,” Edwards said. “I call their doctor after my assessment and let them know my findings and recommendations. Then we figure out how to get the child what they need.”
Medications are a key part of the child’s treatment, but often their families cannot afford them.
“We provide medications for free or at low cost through a Children’s Miracle Network Hospitals grant. These medications can keep kids out of the hospital,” Edwards said.
The asthma team also provides education to the children and their parents about how to use the medications properly and potential causes of asthma exacerbations, such as tobacco smoke, dust, weather change or exercise. Once a treatment plan has been established, the asthma team follows up regularly for several months to ensure the child is compliant and the plan is effective.
“A month after initial treatment, I often hear parents say, ‘My kid is my kid again,’ and the child is laughing and playing because they can breathe,” Edwards said.
The program’s reach into public schools continues to grow; nine more schools have pending contracts.
“Our outreach to schools is based on what we see in the emergency departments and hospitals,” Edwards said. “Once we identify these problem areas, we connect with primary care physicians and school nurses to establish relationships.”
Many of those connections are made through lunch and learns the team hosts at regional schools.
“We bring treats and give an hour presentation about our services, update the school nurses on asthma guidelines and tell them how they can refer to us,” she said. Doing this has allowed the program to get many more referrals. “What started as a trickle has now turned into a waterfall.”
Going through the schools, said Sue Anne Pilgreen, manager for the Pediatric Asthma and Eastern Carolina Injury Prevention Programs (ECIPP), is the best way to connect with children in rural areas.
“It is impossible for us to physically be in every county, but our regional partnerships with school nurses and primary care providers gives us a direct pipeline to these children, and they know we are only a phone call or school visit away,” Pilgreen said. “We take a holistic approach in caring for our patients and their families, and sometimes that means helping them find better housing, reliable transportation or mental health resources. Looking at a family’s social determinants of health and helping to fill some of those gaps is a critical piece of caring for children in eastern North Carolina.”
This program aims to overcome the disparity in health care options for many of the children they treat.
“You see families with no food, no electricity and no ability to afford medicine,” Edwards said. “The parents don’t want to take their kids out of school to see the doctor because that child has already missed so much school because of their asthma, and they can’t afford to take the time off work themselves. This program strives to eliminate those barriers.”
While the public school outreach is a major part of the program, it’s not the only way they are treating asthmatic children in rural North Carolina.
“We work with Dr. William Wooten, our medical director, in having monthly pulmonary clinics that provide specialty level care in places that don’t have those resources,” Edwards said. “It started in Jacksonville and moved to Richlands. Now we have three clinics — Richlands Pulmonary Clinic, ECU Tarboro and ECU Edenton — and more locations requesting clinics of their own.”
Like the school outreach, these clinics reduce the burden for families who cannot travel farther away.
“We’re cutting into that lack of transportation or gas money,” Edwards said. “And in places that don’t have clinics, we are gaining more school contracts.”
Looking forward, Edwards said the next goal is to increase their scope of research and apply for more grant money.
“We applied for a Vision Grant, which we should hear about this summer, and we are exploring research options, especially ones that demonstrate the program’s efficacy,” Edwards said.
These efforts will support the program’s continued growth and help them meet new opportunities to better serve eastern North Carolina.
That’s important, Edwards said, because since 2021, they’ve seen a 378% increase in the number of referrals and a 312% increase in the number of cases managed. This program, she emphasized, is unique in that it helps children and their families understand asthma so they can control it and have a high quality of life.
“There’s no program in North Carolina like us, and a lot of people reach out to us about what we’re doing,” Edwards said.
The program is always looking for more effective and efficient ways to reach families, because children with asthma are often invisible to those not looking for specific symptoms.
“You see a kid at school who doesn’t speak above a whisper or doesn’t speak in complete sentences. They don’t run around and play. They look fine, but to someone who is trained, you can tell their asthma isn’t well controlled,” Edwards said. “Asthma can go dormant and then come back; it can silence you. But this program can set you up for the rest of your life.”
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ECU Health and the Brody School of Medicine at East Carolina University participated in Eastern AHEC’s Health Careers Expo on Monday, April 29. The event welcomed high school students from Wayne County Public Schools to explore diverse health care professions and educational pathways available in eastern North Carolina.
Eastern AHEC Pathways Program serves the health care community by building a group of future providers that are equipped for their career. As part of their student services, they offer health care education resources to middle and high school students in Greenville and throughout eastern North Carolina to improve the geographic distribution, retention and quality of health care providers throughout the region.
At this expo, participants from ECU Health, Maynard Children’s Hospital at ECU Health Medical Center, East Carolina University, Wake Tech, Methodist University, the University of North Carolina, Pitt Community College, Carolina Therapy Connection and Wayne Community College displayed tables and spoke with students about health care career paths, both clinical and non-clinical, and gave advise on how to achieve their career goals.
In addition to career insights, students received essential training on identifying overdoses and administering Narcan, a life-saving medication. Dave Schiller, technical operations manager of the clinical simulation program at Brody, hosted the training. ECU Health emergency medicine physicians reinforced the importance of Narcan administration training.
During the training, a standardized patient, trained to mimic real-life scenarios for educational purposes, portrayed a patient experiencing an overdose, complete with simulated pale skin to replicate oxygen deprivation. Students were tasked with assessing vital signs and the patient’s belongings to recognize the overdose scenario. Subsequently, the training staff guided them through the process of administering Narcan.
“Events like these are great opportunities to give students hands-on experience in a safe learning environment to expose them to patient interactions and prepare them for their futures,” said Schiller. “Students learned about exciting career opportunities within the health care field and even worked with a simulated patient without causing harm with health care professionals guiding them through a scenario.”
By immersing students in practical training sessions and exposing them to a spectrum of health care careers, events like these expose students to careers they have never thought of and help develop a future workforce in eastern North Carolina.
ECU Health and Conetoe Family Life Center hosted a Food is Medicine event at the Pinetops Community Center on May 1, to bring fresh produce and health screenings to the community. The initiative aims to bridge the gap in health care access and nutritional resources by providing essential services directly to the community.
Every Wednesday from 3 to 5 p.m. the Conetoe Family Life Center brings its bus of fresh produce for community members to receive free fresh produce. Paired with health screenings provided by the ECU Health team, this creates a reliable and accessible avenue for residents to prioritize their health needs.
Nurses from ECU Health provided vital health screenings to attendees. These screenings included measuring blood pressures, blood sugars and A1C levels, crucial metrics for assessing overall health. ECU Health team members engaged in meaningful conversations with community members, offering personalized insights and guidance on maintaining and improving their well-being.
“Our overall goal is to touch the lives of our community members and improve how they feel about their overall health and well-being,” said Madison Stevens, an administrative fellow at ECU Health. “Rural areas like eastern North Carolina often lack health care resources and access to healthy and fresh foods. With Food is Medicine, we want to address the root causes of health disparities and empower individuals to make informed choices about their health.”
The program is funded by a grant from The Blue Cross and Blue Shield of North Carolina Foundation, and ECU Health completes surveys with attendees to collect data from these events to measure how community members feel about their overall health from the start to the end of the program, if they are spending less money at the grocery store, making recipes they receive from the Food is Medicine event and feel in control of their health.
“We also recognize the importance of access to health care services beyond events like these,” said Rob Zerniak, an administrative fellow at ECU Health. “We are actively connecting attendees with resources to become insured and connecting them with primary care providers, ensuring that the benefits of the Food is Medicine initiative extend far beyond the event itself.”
Since November 5, 2023, this partnership has made an impact on the community, particularly through ECU Health’s primary clinic in Pinetops, which plays a crucial role in understanding the needs of the patients we serve during visits by conducting social determinants of health screenings and guiding them to available resources. The event on Wednesday saw over 50 participants bring home fresh produce like bell peppers, lettuce, carrots, strawberries and onions. For more information about future events, please contact [email protected].