Housing and health 2 Elevating the common good 3 Executive changes 7 PERIODICAL RATE PUBLICATION
MAY 1, 2022
Health system, church representatives cultivate deep bonds Strengthening the Catholic identity of the health ministry is their mutual aim
VOLUME 38, NUMBER 7
Sleep centers evolve in quest to diagnose, address disorders
By JULIE MINDA By LISA EISENHAUER
Want to know what is happening in the 10 dioceses and archdioceses that correspond to the Mercy health system’s service area in Arkansas, Kansas, Missouri and Oklahoma? Talk to Jared Bryson, the system’s vice president of mission and church relations. He reads those dioceses’ newsletters, mailBryson ings, social media feeds and website content. He’s in continual contact with the dioceses’ bishops and staff. Prior to the pandemic, he was regularly on Continued on 5
Given all the interference — sleepinhibiting blue light streaming from phones, computers and TVs, stress and schedule changes from the COVID-19 pandemic, and the yearly shift into and then out of daylight saving time, to name a few sources — it shouldn’t be a surprise that most Americans aren’t getting enough ZZZs. To help, places like the Sleep Disorders Center at HSHS Sacred Heart Hospital in Bishop Michael Duca of the Diocese of Baton Rouge, Louisiana, attends the 2019 blessing of Our Lady of the Lake Children’s Hospital, part of the Franciscan Missionaries of Our Lady Health System. Next to the bishop is Sr. Uyen P. Vu, FMOL, who works in mission services at Our Lady of Lourdes Regional Medical Center, the campus that houses the children’s hospital.
SSM Health studios to open skill-building, creative space for neurodivergent people Treffert Studios therapists will use multimedia technology in treatment By JULIE MINDA
Grant Maniér trims package labels he will use to create art. The SSM Health Treffert Center has helped him to handle some of the challenges he has faced as a young man with autism. He’s pursuing an art career, going to college and undergoing cancer treatment.
A variety of masks used with continuous positive air pressure machines to treat sleep apnea on display at the sleep center at Mercy Hospital Ardmore in Oklahoma.
When it opens in the fall, the SSM Health Treffert Studios will provide clients with autism and other neurodivergent conditions the opportunity to cultivate their talents, hone their employment skills and express themselves through blogs, v-logs and other multimedia platforms. At the multimedia studios on the campus of a technical school in Fond du Lac, Wisconsin, clients of the SSM Health Treffert Center will be able to receive job and professional development training, undergo treatment and therapy, build friendships and nurture their creativity. Treffert Center staff are working with the technical college to create a path for Treffert Center clients interested in taking courses and/or pursuing a degree.
Eau Claire, Wisconsin, are constantly evolving and expanding their care. In its 21 years in operation the center has moved out of the hospital into its own clinic with hotellike rooms for overnight sleep testing. More recently, its care providers have begun using a small device to test for sleep apnea that patients use from the comfort of their own beds. “I say sleep is just as important as the exercise that you get, the food that you eat, the water Schmidt you drink and the air you breathe,” says Kelly Schmidt, who has been
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Bon Secours Richmond advocates for survivors of violent abuse System supports justice and safe harbor for people injured by sexual and physical abuse, human bondage By JULIE MINDA
During a recent workday at Bon Secours St. Mary’s Hospital in Richmond, Virginia, Bonnie Price was again reminded of the vital impact the hospital’s patient advocates and forensic nurse examiners can have on the lives of patients who have been violently assaulted. A former patient brought a bouquet of flowers for those teams and told Price, who
heads the forensic nurse examiner program, that they had saved her life. The woman said they had given her the strength to speak up for herself and to leave her boyfriend who was abusing her, and she was forever grateful to them. Price, who is administrative director for community health advocacy for Bon Secours Richmond, said that about a year ago, the patient was treated at the St. Mary’s emergency department after her boyfriend had strangled her and punched her repeatedly. She had a black eye and swollen face, bruises and skin breaks at over 45 different places on her body as well as a neck injury. Although attempted strangulation may leave no visible marks, Price
A forensic nurse with Bon Secours St. Mary’s Hospital in Richmond, Virginia, demonstrates with a mock patient a protocol for checking throat injury during an evaluation of a victim of violence. The Bon Secours Richmond system employs patient advocates who team with its forensic nurses to aid assault victims.
said victims who are strangled are 750 times more likely to be killed by their abuser. The triage nurse summoned a victim advocate and a forensic nurse, both of whom were on-site. The advocate and forensic nurse took the woman to a private area designated for forensic exams. When a victim of sexual assault or domestic violence arrives at a Bon Secours Richmond facility for emergency care, an advocate experienced in trauma-informed care offers to stay with her during a forensic exam and to connect her to social and legal services afterwards. As the forensic nurse conducts her exam and the patient recounts details of the assault, the Continued on 4
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CATHOLIC HEALTH WORLD May 1, 2022
Housing has a direct connection to health, activist professor says Having a home is inextricably linked with health in the view of Tim Huffman, an associate professor in communications at Saint Louis University whose research and writing topics include social justice, nonprofit organizing and homelessness. He points out that Huffman people living on the streets have special vulnerabilities like higher risks of becoming crime victims or being exposed to infection-causing germs and viruses. “Living without a home is just, frankly, hard on one’s body,” said Huffman, who talked about his work and experiences as an activist and advocate for the homeless during a CHA webinar March 9. His online discussion titled “Health Needs of Vulnerable Populations” was part of CHA’s Emerging Topics in Catholic Health Care Ethics series. It was cosponsored by the Albert Gnaegi Center for Health Care Ethics at Saint Louis University. In addition to teaching, Huffman works with several social service programs. He provides faculty support to student volunteers at Saint Louis University’s winter emergency shelter and is the university’s representative to a coalition working to end homelessness called the St. Louis City Continuum of Care. He also is the community facilitator for the St. Louis Housing is Healthcare project that connects people to housing, health care and other services. He said he got interested in serving those on the margins of society early in life
Associated Press /Ted S. Warren
By LISA EISENHAUER
Tents shelter the unhoused across from City Hall in Seattle in March. In Seattle and other cities elected leaders are increasingly removing encampments and pushing other strict measures to keep people from sleeping on city streets.
when he began reading “dangerous books” including The Irresistible Revolution: Living as an Ordinary Radical by Shane Claiborne. Just before beginning his work on his doctorate in human communication, he by choice lived on the streets for six months to better understand the challenges faced by those with nowhere else to go. “It so shaped the trajectory of my intellectual life that I wanted my Ph.D. to be in service to people and poverty,” he said. Huffman added that his dissertation was on “compassionate care within nonprofits serving homeless young adults.” National surveys count about 600,000 Americans as homeless on any given night. However, Huffman considers housing inse-
curity to be a spectrum on which everyone falls because the risk of becoming unsheltered is universal, whether it be through sickness, economic insecurity, natural disaster or man-made crisis. The further someone moves from secure housing, the more their likelihood of having related health needs grows, he said. Because of that correlation, Huffman said health care providers and systems have a responsibility to find out about patients’ housing situations and, if needed, link them to organizations that provide shelter and long-term housing assistance. He said he sees this as particularly important in Catholic health care because part of its mission “is to connect with broader communities.”
Upcoming Events from The Catholic Health Association Diversity & Disparities Networking Zoom Call
Catholic Ethics for Health Care Leaders: A Deeper Dive into the Key Concepts of Catholic Health Care Ethics
June 23 | 1 – 2 p.m. ET
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Online: Tuesdays, March 29 – May 3 1 – 3 p.m. ET In-Person Meetings: May 10, May 16 and May 18 St. Louis
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In-Person Meeting: Ecclesiology and Spiritual Renewal Program for Health Care Leaders Invitation Only May 1 – 6
United Against Human Trafficking Networking Zoom Call July 14 | Noon ET
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May 4 | Noon ET
Deans of Catholic Colleges of Nursing Networking Zoom Call
In-Person Meeting: 2022 Catholic Health Assembly
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June 5 – 7
July 26 | Noon–1 p.m. ET
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Webinar: Community Benefit 101 Oct. 25 – 27 | 2 – 5 p.m. ET
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MORE AMERICANS ON THE STREETS On a single night in January 2020, 580,466 people — about 18 of every 10,000 people in the United States — experienced homelessness across the United States. This represents a 2.2% increase from 2019. After steady reductions from 2010 to 2016, homelessness increased in the next four years. Veteran homelessness did not decline in 2020. And 2020 was the first year in a decade that homelessness among family households did not decline. Youth homelessness was slightly down (a 2.2% decrease from 2019).
Oct. 25 | 1 – 2 p.m. ET
People of color are significantly overrepresented among people experiencing homelessness.
Global Health Networking Zoom Call
Source: U.S. Department of Housing and Urban Development
Nov. 2 | Noon ET
Faith Community Nurse Networking Zoom Call Nov. 15 | 1 – 2 p.m. ET
United Against Human Trafficking Networking Zoom Call Nov. 16 | Noon ET
Aug. 3 | Noon ET
A Passionate Voice for Compassionate Care®
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He cited careful discharge planning as one of the important ways for health care providers to ensure that patients continue their recovery in a safe place. He shared a story about a disoriented patient who was released by a hospital, dropped off by taxi at the office of a social service agency before business hours and, within an hour, fatally injured after wandering into traffic. “That’s about as suboptimal of a discharge as I can possibly imagine,” he said. To ascertain what patients’ housing and other social needs are requires compassionate, patient-centered and culturally sensitive care that builds trusting relationships, Huffman said. To ensure those needs are addressed requires that health care providers establish networks with social service agencies to create a continuum of care, he said. “We will not build a just society through random acts of kindness, that’s not how you build the Kingdom of God,” he added. Among the places where he suggested that care providers can get information on housing options and links to programs is the website of the National Alliance to End Homelessness. Ideally, Huffman said he would like to live in a society where clinicians could write an unhoused patient a prescription for permanent supportive shelter “and by this, I mean a prescription for a house.”
Editor’s note of appreciation: With this issue we say goodbye and express our deep gratitude to Les Stock, the longest-tenured staffer in the 38-year history of Catholic Health World. He’s been a graphic designer on the paper for 33 years and its sole designer for more than two decades. Norma Klingsick succeeds him as CHA’s lead graphic designer. A creative and detail-oriented craftsman, he’s won multiple national graphic design awards. Les once drove to a printing plant in the middle of the night in the throes of a big snowstorm to ensure the Christmas issue of the paper — with its colorful holiday art and warm sentiments — was in perfect register. By my rough calculation, he’ll have designed over 800 issues of the paper when he puts the -30- on a successful career and begins his well-earned retirement. — JUDITH VANDEWATER
May 1, 2022 CATHOLIC HEALTH WORLD
Elevate the common good to build a better world for everyone Pope Francis has offered what Kim Daniels calls “powerful words” to lead the world out of the crisis created by the COVID-19 pandemic and on to a better future. The pontiff’s central message for the moment, she said, is: “The crisis we Daniels are living due to the pandemic is affecting everyone. We will emerge from it for the better if we all seek the common good together, otherwise we will emerge for the worse.” To advance the common good, Daniels said, society must prioritize solidarity and preferential treatment for the poor and vulnerable over individual liberty. “As many have said, freedom is the responsibility to do what is right, not the right to do as you please,” she pointed out. Daniels is a lawyer who co-directs the Initiative on Catholic Social Thought and Public Life at Georgetown University. She is an adjunct professor in the university’s department of theology and religious studies. Daniels is also a member of the Vatican Dicastery for Communication and a consultor to the United States Conference of Catholic Bishops. She discussed the relationship between personal freedom and the common good during CHA’s Theology and Ethics Colloquium in St. Louis in mid-March. It was the first in-person gathering CHA has hosted for the Catholic health care ministry since the start of the pandemic. It drew 85 people. The theme of the meeting was “Reflecting the Common Good.” Each of the speakers touched on different aspects of how Catholic social teaching can guide the ministry’s work as the world enters the third year of a pandemic that has claimed more than 6 million lives worldwide and as related challenges including political divisions over COVID response continue to impact pandemic response in the U.S.
Moral architecture Daniels’ work with the Initiative on Catholic Social Thought and Public Life
Catholic Health World (ISSN 87564068) is published semimonthly, except monthly in January, April, July and October and copyrighted © by the Catholic Health Association of the United States. POSTMASTER: Address all subscription orders, inquiries, address changes, etc., to CHA Service Center, 4455 Woodson Road, St. Louis, MO 63134-3797; phone: 800-230-7823; email: servicecenter@chausa.org. Periodicals postage rate is paid at St. Louis and additional mailing offices. Annual subscription rates: CHA members free, others $29 and foreign $29. Opinions, quotes and views appearing in Catholic Health World do not necessarily reflect those of CHA and do not represent an endorsement by CHA. Acceptance of advertising for publication does not constitute approval or endorse ment by the publication or CHA. All advertising is subject to review before acceptance. Vice President Communications and Marketing Brian P. Reardon
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By LISA EISENHAUER
Pope Francis addresses the misery being caused by COVID-19 during a speech delivered in St. Peter’s Square in March 2020 during a pandemic lockdown. He said: “We have realized that we are on the same boat, all of us fragile and disoriented, but at the same time important and needed, all of us called to row together, each of us in need of comforting the other.”
has led to many insights about how best to bridge polarization and move forward. She said that it’s crucial to stay true to the Gospel mission and focused on the voiceless and vulnerable; that friendship and community is built through face-to-face interaction; and that authentic dialogue respectful of the beliefs of others is vital. “Catholic social thought offers a moral and intellectual architecture for resisting the erroneous autonomy that we are seeing too often in our world today and for resisting what Pope Francis has called the throwaway culture,” Daniels said. “It instead provides tools for renewing community and solidarity in the face of isolation and division.” Brian Corbin, executive vice president of member services for Catholic Charities USA, talked about that organization’s focus on integral human development, that is, seeing that every person’s Corbin basic needs are met and their talents nurtured. “The one thing that we are committed to is to alleviate, reduce and prevent poverty,” Corbin said. Catholic Charities partners with Catholic hospitals and health systems in aspects of this work. He mentioned five affordable housing projects with on-site social services to address chronic homelessness that is a collaborative effort involving health systems, including Providence St. Joseph Health in Spokane, Washington. He also discussed efforts by his orga-
nization and other social service providers to have a voice in the shaping of public policies that, if developed without the common good in mind, could have lasting detrimental effects on some communities. He pointed out that studies show housing policies that denied mortgages to people in largely minority communities, called redlining, continue to cause income and health disparities for residents of those neighborhoods even 60 years after federal law ordered the practice halted. Corbin challenged his listeners to use their institutional, economic and social power to change public policies that might have a negative impact on the health of disadvantaged communities.
Fairness for foreign workers Mukul Bakhshi directs government affairs for CGFNS International, a nonprofit that validates the academic and professional credentials of clinicians seeking jobs in other countries. (The organization was formerly the Commission on Graduates of Foreign Nursing Schools.) During his presentation at the colloquium he noted that a global nursing shortage estimated at 6 million pre-pandemic is projected by the International Council of Nurses to reach 13 million by 2030. Bakhshi said his and other organizations that assist in the placement of foreign workers grapple with how to ensure that those workers are not exploited by the individuals and companies that recruit them to work overseas. Another concern is whether the migration of clinicians from countries with developing economies exacerbates short-
ages of health care professionals there. He said the complexities surrounding the recruitment and retention of foreign workers can make it challenging to decide what is in the common good. CGFNS International is a member of the Alliance for Ethical International Recruitment Practices and adheres to that group’s health care code, Bakhshi said. The code covers accountability, responsibilities and rights for workers and employers. It acknowledges that “the legitimate interests and responsibilities of health professionals, source countries, and employers in the destination country may conflict” but urges a “careful balancing” of those interests.
Health equity In remarks that closed out the second day of the three-day colloquium, Sr. Mary Haddad, RSM, CHA president and chief executive officer, said the pandemic has “opened our eyes to the importance of the health of all people in the world and how interdependent we are.” Sr. Mary She referenced the work of CHA and its member organizations to address health care inequities, including through its Confronting Racism by Achieving Health Equity initiative. “We’ve recognized, we’ve uncovered and we’ve taken off the Band-Aid around health equity and know how important this is going to be for our future work,” Sr. Mary said. She pointed out that health equity and many other priorities of the Catholic health ministry are in alignment with the health care priorities of the Biden administration and with the work of the USCCB. A new buoyancy When St. Louis Archbishop Mitchell T. Rozanski, USCCB’s liaison to CHA, was installed as head of the archdiocese in August 2020, the pandemic was widening and vaccines were still in development. He said the health care crisis has shown that healing and a focus on the common good are much needed. He applauded those who have “done so admirably over these past two years in bringing the best health care under the worst possible conditions.” “I hope that this is a meeting that brings a new buoyancy to you and all of your roles, in being able to reach out to each other and to support one another and to know the critical mission of our Catholic hospitals here in the United States,” he said. leisenhauer@chausa.org
Jump
Head of international nurse support organization expects ‘migration tsunami’
T
he president and chief executive of an organization that supports registered nurses and other clinicians seeking to migrate to the United States says that he expects that there soon will be a “migration tsunami” of such clinicians. Franklin A. Shaffer, who heads Philadelphia-based CGFNS International, says that various barriers brought about by the pandemic greatly disrupted the migratory patterns of registered nurses and other health Shaffer care professionals traveling for career opportunities. But with pandemic-related restrictions easing in some countries, and with some level of normalcy returning, individuals who have been in the process of trying to migrate for health care jobs will be able to move from country to country more easily. Further, a recent Associated Press article, “Strained US hospitals seek foreign nurses amid visa windfall,” says that there is “an unusually high number of
green cards available this year for foreign professionals, including nurses, who want to move to the United States — twice as many as just a few years ago. That’s because U.S. consulates shut down during the coronavirus pandemic weren’t issuing visas to relatives of American citizens, and by law these unused slots now get transferred to eligible workers.” Shaffer says U.S. hospitals’ constrained ability to recruit nurses from overseas during the pandemic has exacerbated the nurse shortage crisis. CGFNS, formerly known as the Commission on Graduates of Foreign Nursing Schools, is a nonprofit founded in 1977 to help clinicians educated in other countries to live and work in the U.S., Canada or New Zealand. CGFNS does not recruit nurses and other health care professionals, but it helps ensure that they are academically prepared for exams and licensures, according to Shaffer. It verifies their credentials for hiring organizations and regulatory authorities. It also provides support with clinicians’ moves. Nurses make up the majority of its clients.
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Shaffer says the U.S. is the most attractive country to overseas health care professionals. Originally most of the health care professionals CGFNS worked with were from the Philippines but now India and Nigeria also are high up on the list. Shaffer says while U.S. recruiters have been aggressively seeking to employ overseas nurses and other health care workers amid the growing clinician shortages, their efforts have been slowed by COVID travel restrictions and slow paperwork processing. But those challenges are easing, paving the way for more overseas clinicians to gain entry into the U.S. Shaffer notes that CGFNS provides safeguards to protect the overseas workers from predatory recruiting and unethical business practices, such as the changing of contract terms upon the migrants’ arrival. He says CGFNS also is part of an advocacy effort to ensure ethical use of labor, so that wealthy countries do not lure too many health care professionals away from poorer countries that can ill afford to lose these skilled clinicians. — JULIE MINDA
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CATHOLIC HEALTH WORLD May 1, 2022
Safe harbor from violence From page 1
advocate provides emotional support and begins assessing what resources the patient may need when he or she is released from the hospital. In this case, the advocate stayed with the patient in the forensic exam area as the patient talked with a police officer, who obtained a protective order for her. The advocate told the woman how to contact a rape crisis–domestic violence resource center that could provide her with a safe place to stay that day. Whether patients are admitted or discharged, the advocates remain in ongoing contact with them, linking them to organizations providing domestic violence counseling and services. The advocates also can connect them with organizations providing food, shelter, transportation and child care. They can help patients or the guardians of minors who are victims of abuse navigate child protective services. The patient stayed with a friend until her assailant was arrested and she has remained safe since. She got counseling. Her assault case is currently in the court system. The woman, who wishes to remain anonymous, is one of about 1,200 victims of violence who have received traumainformed support and/or service referrals through the Bon Secours Hospital Violence Intervention Program. All patients of Bon Secours Richmond — which includes seven hospitals and three free-standing emergency departments — are asked about their personal safety. The forensic nurse and patient advocate teams are alerted when someone says they’ve been the victim of violence. These nurses and advocates are based at St. Mary’s and at Bon Secours Richmond’s Southside Medical Center but can provide services at any Bon Secours Richmond site.
Violence reduction For about 30 years, Bon Secours Richmond has been building up its programming to support sexual assault victims. The victims of violence advocacy program is the most recent addition to its comprehensive services for victims. Bon Secours Richmond hired five patient advocates for victims of violence in 2020 and is preparing to hire a sixth. All have experience in supporting domestic violence victims; most are social workers. The goal of the patient advocacy program is to reduce interpersonal and community violence and related rehospitalizations, said Gilmore program manager Beth Gilmore. To achieve this, Bon Secours Richmond provides comprehensive aid to individual survivors of sexual and domestic violence and human trafficking. The advocates coach victims in obtaining protective orders and they advise, assist and often accompany those individuals who press criminal complaints through the legal system. About 63% of all of the patients seen by the advocates and forensic nurses report physical assault, and of those, 27% report being strangled. Most of the violence intervention team’s patients are sexual abuse victims. Recently the advocacy program expanded the service to include victims of elder and child abuse. In shock Amy Callahan interned with St. Mary’s forensic nurse program and completed a master’s degree in social work and has since focused on working with victims of
domestic violence and sexual assault. She is one of Bon Secours Richmond’s advocates. She says because of the way trauma impacts the brain, victims may be in shock, numb, and Callahan feel overwhelmed and anxious. The path to safety and recovery from domestic or intimate partner abuse is not linear, says Callahan. “They may not be in a place where they are ready to leave their abuser, or that they recognize the level of danger they are in, or that they are ready to take the next steps to safety,” says Callahan. “My role is to guide them through their response and help educate them but to be realistic and respect their choices.” Gilmore says sexual and domestic violence have increased during the pandemic. People were isolated with their abusers, stress levels were way up and violence victims could not always access resources because of shut-down services. “There was more fear, and they absolutely felt they had no way to get out.”
The public interest Gilmore says the total budget for the
Bon Secours Hospital Violence Intervention Program that houses the advocates is between $650,000 and $700,000 annually. Initial funding in December 2019 came from the Virginia Hospital and Healthcare Association and the Virginia Department of Criminal Justice Services, which targeted grant money to hospitals like St. Mary’s that treat high numbers of violence victims. The state said in a press release on the grants that across the nation, the violence intervention model that it was promoting through the grants “has proven to be a successful strategy in reducing community violence and related rehospitalizations.” While that first grant has ended, Bon Secours Richmond has successfully secured new grants. This includes fresh funding that began in July from Virginia’s Department of Criminal Justice Victims Services grant program, with dollars secured through the Federal Victims of Crime Act. The violence intervention program also receives funding from philanthropy. The Bon Secours Mercy Health Foundation Mission Outreach Program is funding the salary of one of the patient advocates for a year.
Solid foundation Bon Secours has had a forensic nurse program in place for nearly 30 years and Price is considered a foremost expert in
the field of forensic nursing. Prior to establishing the grantfunded programming, St. Mary’s had volunteers in place to support sexual assault victims. Although Price they were trained in victim assistance, their ability to assess, address and follow up on socioeconomic needs was very limited compared to that of a social worker. And the hospital couldn’t ensure a volunteer would be in the hospital when a victim required immediate aid. The staff advocates provide a much higher level of service and expertise to the victims of violence. Callahan says the patient advocates and the forensic nurses “are a united force – we’re doing the best we can to stop the cycle of violence.” She adds that when domestic violence and sexual violence victims are ready to accept advocates’ backing, and the assistance from partner organizations, “that is so important for their long-term healing and for them trying to move on to their new life as a survivor of violence.” jminda@chausa.org
2 22 AWARDS
Recognizing Extraordinary Contributions to the Catholic Health Ministry LIFETIME ACHIEVEMENT AWARD For a lifetime of contributions
SISTER CAROL KEEHAN AWARD For boldly championing society’s most vulnerable
SISTER CONCILIA MORAN AWARD
Sr. Maureen McGuire, Former Executive Vice President and Chief Mission Integration Officer, Ascension, St. Louis, Missouri Alexander Garza, Chief Community Health Officer, SSM Health, St. Louis, Missouri
For demonstrated creativity and breakthrough thinking
Mary Anne Sladich-Lantz, Senior Vice President, Mission and Formation, Providence St. Joseph Health, Renton, Washington
TOMORROW’S LEADERS HONOREES
Andrew G. Ochs, Regional Director, Mission Integration, SSM Health, Oklahoma City, Oklahoma
Honoring young people who will guide our ministry in the future
Dave Benner, Chief Ancillary Officer, CHRISTUS Health, Irving, Texas Jacquelyn Bombard, Executive Director, Federal Relations, Providence St. Joseph Health, Renton, Washington Amanda Bottolfson, Director, Medical/Surgical, Swingbed, ICU, and PCS Staffing, Avera Sacred Heart Hospital, Yankton, South Dakota Ashley Brand, System Director, Community Health, Integration & Housing, CommonSpirit Health, San Francisco, California
Sarah Reddin, Vice President, Ministry Formation Mission Integration, Ascension, St. Louis, Missouri Andrew Ritz, Vice President, Operations, Mercy Hospital, Durango, Colorado Heather Runnels, Vice President, Patient Care Services, Our Lady of the Lake Ascension, Gonzales, Louisiana Ryan E. Stuhlreyer, Vice President, Service Line Strategy, Bon Secours Mercy Health, Richmond, Virginia Adrienne Webb, Director, National Communication, Issues and Reputation Management, Providence St. Joseph Health, Renton, Washington
ASSEMBLY 2022 | JUNE 5 – 7 | CHAUSA.ORG/ASSEMBLY Join us to renew our commitment to Jesus’ healing mission, to reimagine how we care for our communities and colleagues, and to rejoice in the amazing work of our Catholic health ministry.
May 1, 2022 CATHOLIC HEALTH WORLD
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Deep bonds From page 1
the road, visiting the dioceses and interacting with their representatives at church and hospital functions. He follows the bishops’ Facebook and Twitter posts. He prays with and for the bishops. One of the bishops baptized Bryson’s third child. Peter Guarisco Jr., senior vice president for mission integration at Franciscan Missionaries of Our Lady Health System in Louisiana and Mississippi, has achieved a similar level of communion with the leaders of four dioceses and one archdiocese that align with the health system’s ministries in the states where it operates. To sweeten the connection, Guarisco has been known to come to diocesan offices bearing Italian cookies made from recipes passed down through generations of his family. As top mission executives in their respective systems, Bryson and Guarisco know that it is essential that leaders in Catholic health care form deep and lasting bonds with representatives of Catholic dioceses where their systems operate. The effort to cultivate strong relationships is reciprocal. Bishop Michael F. Olson of Fort Worth, Texas, Bishop Olson is the newly named chair of the United States Conference of Catholic Bishops’ Subcommittee on Health Care Issues. Bishop Olson says it’s a priority for him and the subcommittee to promote close collaboration between the church and its health ministries so that they will forge a unified and coordinated response to challenges. Bishop Olson says the overarching goal is to foster communion among the ministries of the church so that those ministries can better carry out the healing mission of Jesus.
Church’s public face For all Catholic health care facilities and systems, it is the responsibility of sponsor boards to ensure ministry sites are properly maintaining their Catholic identity and furthering Jesus’ healing work. The bishops have a particular interest in system and hospital adherence to the Ethical and Religious Directives for Catholic Health Care Services as a way to maintain Catholic identity. Ultimately it is a bishop or a cardinal, in his purview as a church ordinary, who says whether a hospital or health system in his diocese or archdiocese is officially Catholic. “The Pastoral Role of the Diocesan Bishop in Catholic Health Care Ministry,”
Peter Guarisco Jr., right, gathers with mission colleagues from Franciscan Missionaries of Our Lady Health System and staff from the Diocese of Baton Rouge, Louisiana, for a group photo. The group came together in February 2020 to attend a chapel blessing at Our Lady of the Lake Children’s Hospital. Guarisco is senior vice president for mission integration at the health system.
a document published by the USCCB with input from CHA, explains bishops’ authority over church ministries. It also offers instruction on how bishops and ministry leaders can best work together. Bishop Olson says it is crucial for Catholic health ministry representatives and their diocesan counterparts to maintain ongoing, open, transparent relations so that the facilities can thrive as ministries of the church. His subcommittee stays abreast of what is going on in the health care field and works to unite the church and its ministries to pursue their shared mission. Bryson notes that Catholic health care is oftentimes the public face of the church in the wider community — and that is particularly true in places where Catholics make up a small percentage of a local population. With its special concern for those who are poor and vulnerable, Catholic health care is an integral ministry of the church — not a separate entity from the church. Bryson says it is necessary for ministry facilities and the dioceses to be in sync with one another in their work. Guarisco says being aligned with the local dioceses helps make sure “we are faithful to who we say we are.”
Available and present Bishop Olson says success in these relationships requires the church leaders and health care executives to be available and present to one another. Guarisco says at FMOLHS the relationships with diocesan
USCCB guide explains how clergy, ministry leaders can build bonds A
guide that the United States Conference of Catholic Bishops updated last year sets forth a vision for how bishops should oversee the Catholic health ministries in their dioceses or archdioceses. The second edition of “The Pastoral Role of the Diocesan Bishop in Catholic Health Care Ministry,” which is available on the USCCB website, sets forth the Gospel context for Catholic health care, details some of the current challenges and opportunities for the health ministry, delineates responsibilities of diocesan bishops and recommends steps for fostering collaboration between the bishops and health ministry representatives. It also explains how dioceses can develop guidelines and procedures having to do with Catholic health ministries. The section on fostering collaboration includes these guidelines for the diocesan bishop: He should work together with leaders of ministry health systems and facilities. He should promote collaboration among those involved with the church’s health and social service ministries, including sponsors, hospital administrators, Catholic hospices and Catholic social service agencies. He should partner with the health ministry to provide formation opportunities for health ministry leaders and staff. He should ensure the availability of effective palliative care and hospice programming at ministry facilities. — JULIE MINDA
bishops and staff are a top priority for sys- ity of adhering to the primary principles tem- and local-level executives, especially of the Catholic faith, including respect for mission leaders. Diocesan bishops and human dignity and the sacredness of life staff are among the first people new health from conception to natural death, Bishop care executives meet Olson says. when they are hired. Bryson says Bryson says the same the health minisis true at Mercy. try and diocesan The health sysstaffs work in the tem representatives context of a highly — particularly those polarized and in executive and mispolitically charged sion roles — stay in society. And diviclose contact with sion and fissures the dioceses. They of opinion within do this though calls, the church add a emails and texts and level of complexity in-person meetings. for those seeking They educate one Archbishop Mitchell T. Rozanski of St. Louis and concordance. another, keep each Sr. Mary Haddad, RSM, CHA president and chief Bishop Olson other informed, seek executive officer, visit at CHA’s Theology and says that additioneach other’s guid- Ethics Colloquium in St. Louis in March. ally, the rampant ance. They stay ahead and increasing of issues that could arise with health facil- public distrust of institutions extends to ity activities, collaborations and busi- distrust of the church and of health care ness deals. Bryson says he keeps a list of experts, making it more difficult to build aspects of business deals that are of inter- community and find common cause. est or concern to bishops and that must be Looking ahead, Bishop Olson anticiaddressed in negotiations with potential pates that the health care and diocesan collaborators that are other-than-Catho- partners will increase their focus on trust lic. He brings bishops in the loop on busi- building with the public. ness activity as early as possible, espeBryson adds that he believes health cially business activity that could raise any care and church representatives will ramp concern. up their joint efforts to address the social Both Bryson and Guarisco empha- determinants of health and to find more size it’s been very important for them and effective ways to aid refugee resettlement their ministry colleagues to be visible and in communities. People on the margins involved in the state conferences of Catho- of society struggle to get housing, translic bishops. For instance, FMOLHS’s chief portation and other basics and the church executive and top mission leadership has and its ministries have a long history of led informational sessions at the Louisiana addressing these needs, he says. bishop conference’s annual meeting. Friendships Polarity Bryson notes that by working from a Bryson says all this groundwork proves position of mutual respect and by keepvital in many situations, including when ing communication open, diocesan Catholic facilities are going through authorities and health ministry execurebranding that could impact public per- tives have navigated the occasional ception of their Catholic identity, negotiat- misunderstandings. ing a change in the makeup of the system Guarisco says, “Many people seem to or determining how services are to be think the bishops are or should be superdelivered. human, but I always see the humanity of Bishop Olson adds that given the flash- the bishops. I have great respect for the points that arise around services concern- shepherding that these men are doing — ing life and death and religious liberty, the for what they support and for what they are church and its health ministries some- faithfully preaching. They are doing what times make decisions at odds with what they are called to do.” the dominant culture supports. Bryson agrees, “These are very loving, Some examples he gave include pro- very pastoral men who are just trying to hibitions against providing abortions or figure it all out, just like everyone else is. prescriptions for lethal drugs to be used Yes, we all have our roles, but it is imporin assisted suicides, sterilization and “dis- tant that we acknowledge each other’s cernment about the ethical path regarding humanity. And I want to be a part of their transgenered people and ministry facili- lives” in this way. ties’ involvement in their care.” The health ministry and church repre- jminda@chausa.org sentatives must be clear on the essential-
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CATHOLIC HEALTH WORLD May 1, 2022
Sleep centers From page 1
the sleep center’s facilitator since its opening. “It’s just as important as those things, but we always put it on the back burner.” The HSHS Sacred Heart Hospital Sleep Disorders Center is one of eight within the Hospital Sisters Health System, which has 15 hospitals in Wisconsin and Illinois. The centers are among the more than 2,500 nationwide, including many at Catholic health systems, that are accredited by the American Academy of Sleep Medicine. The academy was founded in 1975 and grew from research started about 10 years earlier linking sleep and health, according to the Journal of Clinical Sleep Medicine.
Chronic sleep issues Even with decades of research showing the importance of a good night’s sleep, the wide expansion of treatment and sleep care coverage from Medicaid and most other insurers, studies show that many Americans don’t get adequate overnight rest. The Centers for Disease Control and Prevention estimates that 70 million Americans suffer from chronic sleep issues. A systemic review of research papers published in Feb. 1, 2021 in the Journal of Clinical Sleep Medicine found sleep problems to be particularly pronounced during the COVID-19 pandemic. The review concluded that about 32% of people worldwide were having sleep problems with higher incidences among patients with COVID, 75%, and health care workers, 36%. Schmidt and other sleep care providers say they are unaware of any specific tracking that’s being done that links the sleep disorders they currently are seeing at their centers to the pandemic. However, they don’t doubt that upended work, school and social schedules as well as stress and depression related to the health care crisis are keeping some people up at night. Many disorders, many treatments Before training as a polysomnographer and helping open the sleep center, Schmidt was a respiratory therapist. In 2015 she returned to school and added sleep health educator to her role. She works with a sleep doctor to provide behavioral therapy to people with insomnia. She points out that there are 84 recognized sleep disorders. Those she sees most frequently at HSHS Sacred Heart Hospital include sleep apnea, insomnia and narcolepsy. Treatments vary along with the disorders. They span an ever-expanding selection of medication, sleep hygiene education, surgery to address nasal blockages and the use of devices, such as continuous positive airway pressure machines (commonly known as CPAPs) that help prevent the sleep disruptions that occur when people with apnea repeatedly stop and start breathing during sleep. Polysomnography, a comprehensive inlab study, is still considered the gold standard for sleep disorder testing. Technicians attach sensors to a patient’s head, chest and legs to track brain waves, eye movements, heart rate and breathing patterns and limb movements, among other things. Testing at home Many patients don’t want to spend a night at a clinic hooked up to machines by electrodes, and they will instead opt for athome testing. Lisa Carlsen of Chippewa Falls, Wisconsin, is among them. Her doctors long suspected she had sleep apnea but Carlsen says she delayed getting tested because of her busy life, which includes caring for a school-age granddaughter, and her propensity to procrastinate. “I wouldn’t be able to fall asleep for the longest time,” she says. “When I would finally fall asleep, I literally woke up every hour to hour and a half.” When she did the at-home test through
Mercy Sleep Center – Quailbrook in Oklahoma City has home-like decor to encourage sleep-deficient patients to be at ease during a night when their sleep is monitored. Mercy’s hospitals in Oklahoma, Missouri, Kansas and Arkansas are affiliated with about 20 sleep centers.
HSHS Sacred Heart Hospital, she was surprised by its simplicity. The device she used has a small monitor that straps around the wrist, a quarter-sized sensor that rests on the chest and a cap-like sensor that fits over the tip of one finger. It records breathing and heart rate, airflow, blood oxygen level and other measures. The recordings are downloaded at the sleep center and scored by a technician. A sleep doctor uses the findings for diagnosis. Carlsen got her sleep apnea diagnosis in November. She started using a CPAP in February. “The very first time I used it I slept 7½ hours straight,” she says. “I definitely needed to do this and should have done it before.”
Links to other illnesses Sleep apnea isn’t Carlsen’s only health condition. At 58, she’s disabled because of hip and back issues and she has diabetes. Sleep care specialists say many sleep disorders have connections to other health conditions, such as respiratory and cardiac ailments, obesity, and diabetes, which can be the cause or result of sleep issues. Connie Brunson is a physician’s assistant at Our Lady of the Lake Sleep Brunson Center in Baton Rouge, Louisiana. The center is part of Our Lady of the Lake Regional Medical Center, which is within the Franciscan Missionaries of Our Lady Health System. Brunson says when she goes over the potential symptoms of a disorder such as sleep apnea — including slow weight gain, memory/focus issues, mood swings and high blood pressure — with patients the response sometimes is “I have all these things. That’s me.” Many of those patients may reluctantly agree to use a CPAP. The device, she says, takes a bit of getting used to, especially since patients must sleep with a mask strapped over the nose all night. “For people who actually do what they need to do and use it appropriately, once they get over the hard part, which is adjusting to the equipment, they don’t want to sleep without it,” Brunson says.
COVID-19 and sleep
A systematic review of 44 papers, involving a total of 54,231 participants from 13 countries, looked at the prevalence of sleep problems during the pandemic. It found COVID-19 affected the rest of many people. General population
Patients with COVID-19
32% 36% 75% Source: Journal of Clinical Sleep Medicine, Feb. 1, 2021.
Not all sleep disorders are rooted in a physical malady. Stress, depression and poor sleep habits also are common culprits. For hygiene issues, Brunson and the sleep doctor she works with can help patients come up with schedules and suggest practices, such as turning off the electronic distractions well before bedtime, to get sleep patterns on track. A sleep psychologist joined Brunson’s team last year to treat patients with mental health issues that are keeping them awake. That practitioner offers behavioral counseling and coaching on coping skills.
Playing detective Dr. Dianne Gasbarra is a pulmonologist
Time for consistency One change that sleep care practition– ers seem to agree would help all Americans sleep more soundly year round is to stop setting the time forward an hour in the spring and back an hour in the fall. The American Association of Sleep Medicine lauded the Senate for voting in March to get rid of the seasonal clock adjustment. However, the group differed with the Senate on which time to make permanent. The Senate measure gave the nod to daylight saving time; the association prefers standard time. Gasbarra agrees with lawmakers and others who say the time change can be hard on people, at least initially. She notes that research has shown there is an upswing in heart attacks and motor vehicle accidents, especially just after the hour loss from the “leap forward” in the spring. Even so, she doesn’t see the time change as a major sleep disruptor for Americans. A much bigger concern in her view is poor sleep habits. “Go to bed, get your amount of sleep and you’ll function better during the day,” she urges. leisenhauer@chausa.org
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Lisa Carlsen, seen here with her granddaughter Rosie Mansfield, was diagnosed with sleep apnea after electronic in-home sleep monitoring.
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who is medical director for Mercy Sleep Center – Quailbrook in Oklahoma City, one of 20 sleep centers across the system that also has hospitals in Missouri, Kansas and Arkansas. She says practicing sleep medicine sometimes “is like being a detective” because of the many sources and manifestations of sleep disorders. Gasbarra has treated Gasbarra many patients with atypical histories. One was a college student who nodded off at the wheel while heading home on break and crashed his car. The student’s parents feared he was using drugs. Gasbarra found the cause of his sleepiness was narcolepsy, or daytime drowsiness, and his condition was easily addressed with medication. Another young man came to her before seeing a psychiatrist for problems with sleeping and focusing. In that case, she found that he had undiagnosed seizures and needed medication. Gasbarra also works with some patients whose sleep disorders likely would resolve with lifestyle changes, she says, such as the teenagers she has urged to disconnect in the hours before bedtime from the screens they have in constant use for texting, gaming and monitoring social media. “That is not a discussion that a teenager wants to hear,” Gasbarra says. “I see these kids once and then they don’t come back.”
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March May 1, 1,2022 2022 CATHOLIC HEALTH WORLD
SSM Health Treffert Studios
Anxious clients will be able to relax and decompress in areas outfitted with toys, body socks and weighted blankets. The planning team, Treffert Center clients and their loved ones have been providing input to architects and designers on floorplans, colors and furniture selection. Planners say clients will learn from one another as they collaborate on multimedia projects using the center’s audiovisual and editing equipment. They’ll have access to art tools and theater equipment and props and musical instruments and be able to broadcast from the studio. The studios’ therapists will employ multimedia equipment including digital smartboards to provide interactive therapy. For example, a therapist could project a virtual classroom to acclimate a fearful or sensitive child. Studio staff will be able to broadcast training, educational and consultation sessions to people around the world. The facility will host field trips, summer camps, and lectures by experts on developmental conditions. Doll says the planning team expects to open other multimedia studio job training and therapy complexes elsewhere in the U.S. but gave no timeline.
From page 1
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Dr. Jeremy Chapman, a child and adolescent psychiatrist with SSM Health Treffert Studios, tries out some costumes and accessories in the Tons of Fun Costumes shop in Fond du Lac, Wisconsin. Store owner Sharon Bonzelet, right, is closing the store and offered a 90% merchandise discount to Treffert Studios.
Center on the campus of Agnesian HealthCare’s flagship, St. Agnes Hospital. Treffert died in 2020. All the Treffert Center programs and facilities are grounded in the concept that people with developmental and other neurodivergent conditions very often have abilities that should be explored and nurtured. The programs’ staff advocates that society become more inclusive of people who are different. Meg Puddy, manager of autism services for SSM Health Treffert Center and Treffert Studios, says that instead of expecting neurodivergent people to fit in with everyone else, the cenPuddy ter and soon the studios are “flipping that on its head. We’re saying, ‘What is the norm and why are we trying to fit people with exceptional minds who have exceptional talents into the norm?’ “Instead let’s find a safe and comfortable place for you to really expand on your skills, feel connected in an authentic way with other individuals and build your community,” says Puddy. Under this approach, “we can have that systems change — not only in our little studios or online platforms but in our immediate communities where we all work and live every day.”
Growing network The Treffert Center includes a library containing books and other resources on autism, savant syndrome and other forms of divergent brain performance; a clinic; an on-site childcare center; an off-site charter school and other educational sites where neurodivergent and neurotypical people can learn together. The center works with clients from about toddler age, on up. Bryan Mischler, a psychotherapist with the Treffert Center and studios, says the idea for the multimedia center originated as staff watched their clients — especially young adults — excel in a skills Mischler development program called the Treffert Center Leaders in Creative Media. Those clients expressed great interest and showed proficiency in technical and creative work including video and audio content production and editing. Treffert Center therapist Tara Geier has a background in acting and hatched the idea of opening a studio where neurodivergent people could build multimedia skills. At the same time, SSM Health child and adolescent psychiatrist Dr. Jeremy Chapman had explored with Treffert Center Cofounder and Director of Outpatient Behavioral Health Matthew Doll the Chapman possibility of using multimedia for therapeutic work with people with developmental conditions.
Chapman, Doll, Geier, Mischler, Puddy and Sara Kaiser are working with Treffert Center and SSM Health colleagues and others to develop the studios. This core group is part of both the center’s Doll and the studios’ staff. Kaiser will supervise the studios’ staff contingent of from 20 to 30 full- and part-time staff.
Grant Maniér, a client of the SSM Health Treffert Center, created this collage, which he calls “DIVOC the Dragon ... Unleashed,” using mixed media. He calls his technique “eco-impression art.” “DIVOC” is COVID spelled backwards.
Creative space To create the studio complex, the SSM Health Greater Fond du Lac Region will use about $2.75 million from its capital budget, $250,000 from the Agnesian HealthCare Foundation and additional philanthropy dollars to renovate a shuttered administrative building on the campus of Fond du Lac’s Moraine Park Technical College. It’s about a mile from the Treffert Center. Several private studios, including ones tailored for therapeutic counseling, audio recording, videorecording and podcast producing, will surround a multipurpose atrium. The atrium will be used as a gathering place, an art gallery, a performance venue for clients and a dining area.
© Grant Maniér. Used with permission.
The studio is the most recent expansion of programs and services developed by the SSM Health Treffert Center, which continues the work of the late Dr. Darold Treffert. A psychiatrist, Treffert gained renown for his research in autism, hyperlexia and savant syndrome, a rare condition where people with developmental conditions that may interfere with neurotypical cognition exhibit brilliance and/or outstanding skill. More recent research by the Treffert Center team is exploring the phenomenon of savants who gain exceptional talents and/or knowledge after incurring some sort of acquired brain injury or illness, and sudden savants who gain such talents seemingly out of nowhere without any clear inciting event. During his clinical career, Treffert worked at facilities within Agnesian HealthCare — now part of the SSM Health Greater Fond du Lac Region. He retired in 1991 but continued his research on savants and interventions that support them in using their talents. In 2016, he worked with Agnesian HealthCare to establish the Treffert
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Ready to launch Grant Maniér and his mother, Julie Coy, recently moved from Houston to Fond du Lac after being impressed by the Treffert Center’s approach, staff and services. In his mid-20s, Maniér is an artist who uses recycled materials, such as paper, puzzle pieces, jewelry, magazines, calendars and even contact lens containers, to create intricate designs. Maniér and Coy also have created a series of children’s books about accepting being different. Maniér has autism. The center’s staff has helped him to embrace and develop his talents and pursue a degree at Moraine Park Technical College. He is employed by the Treffert Center where he does voice-overs and other creative work. The staff now is supporting Maniér and Coy as Maniér seeks treatment for stage 2 Hodgkin lymphoma. Coy says generally in the U.S. there are many resources available to children with developmental conditions and to their families, but that support drops off almost entirely when the children turn 18. Parents worry whether and how their children will be equipped to assume adult responsibilities and independence without ongoing therapeutic support. Chapman says the Treffert approach aims to address this gap, and the studios will greatly build upon Treffert’s existing resources for young adults. Puddy says by taking the time to understand the needs and strengths of neurodivergent job candidates and develop a plan for their success when hired, employers can gain access to a largely untapped pipeline of talent. Chapman says, “The onus is on all of us as organizations to bring neurodiversity into the job market. And people with these conditions have a lot to add, they bring special skills to put to use. And from an equity perspective, this is the right thing to do.” Visit chausa.org/chworld for a video explaining more about what the studios will offer. jminda@chausa.org
KEEPING UP PRESIDENTS AND CEOS Centura Health, which is part of an operating agreement involving CommonSpirit Health, has made these changes: Angie Simonson to chief executive of St. Thomas More Hospital in Canon City, Colorado, effective April 18. She was director of operations for ambulatory services at Centura. Josh Neff to chief executive for Colorado Plains Medical Center in Fort Morgan, Colorado. He is vice president of integration and rural health. The change will be effective
May 1 when Centura completes its acquisition of that hospital from LifePoint Health. Jeff Carrier to chief executive for Western Plains Medical Complex of Dodge City, Kansas. The change will be effective May 1 when Centura acquires the hospital from LifePoint Health. Carrier also will lead Centura’s St. Catherine Hospital in Garden City and Bob Wilson Memorial Hospital in Ulysses. Previously, Carrier was a health care consultant and had worked as chief clinical officer of Freeman Health System in Joplin, Missouri.
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CATHOLIC HEALTH WORLD May 1, 2022
Register Today! CHAUSA.ORG/ASSEMBLY
Join us in Indianapolis to renew our commitment to confronting racism to achieve health equity, to reimagine the delivery of care and well-being of staff and to rejoice in the amazing work of our health ministry. Register by May 13 to get a discounted rate at the Assembly hotel.
SPEAKERS
From the Main Stage
Award-winning author and scholar Dr. Robert Bullard on environmental racism, climate justice and sustainable development
Best-selling author, columnist, CBS correspondent and PBS “NOVA” host David Pogue on new and emerging technology trends
Award-winning medical journalist and public health physician Dr. Seema Yasmin on “misinfodemics” and pandemic futures
Maestro Roger Nierenberg conducts The Music Paradigm, an immersive experience on organizational dynamics and leadership
MORE SPEAKERS TO BE ANNOUNCED!
CHA President and CEO, Sr. Mary Haddad, RSM
CHA Chairperson-elect Laura Kaiser, President and CEO, SSM Health
CHA Chairperson Dr. Rhonda Medows, President, Population Health Management, Providence; CEO, Ayin Health Solutions