CentralIllinoisHealthcare.com - Jan/Feb 2017 by Herald & Review

JAN/FEB

FOCUS THIS ISSUE: Cardiology and Heart Health Healthcare Education and Staffing

2017

INSIDE:

A Physician’s Voice ‘final frontier’ The ‘Final Frontier’ of interventional cardiology. >PG. 6

Millikin Nursing The perfect mix of science and the art of caring. >PG. PG. 21 19

Ranking the patient experience A happier patient is also a healthier patient. >PG. 4

MEMORIAL MEDICAL CENTER

HEART & STROKE BALL

SPECIAL 4-PAGE PULLOUT

A goal achieved

Chris Smith to chair event

Take action for women’s health

Cardiac rehabilitation helped veteran keep his Honor Flight.

Heart disease hits close to home for Smith.

It’s time to put our hearts into it and Go Red for Women.

>PG. 5

>PG. 23

>PG. 11

2017 offers a chance to start over ... and an opportunity to get it right

‌ hh, a new year. Actually, just a flip of the A calendar page, but for many, it seems like a chance to start over and try to get it right or at least better over the coming 12 months. 2017 promises to be a year of enormous (or should we say “Yuge”) change. Significant changes are likely on the horizon for the Affordable Care Act and many of the other major components in healthcare delivery. And yet, healthcare providers and the organizations they drive are still pointed in the right direction – helping people live longer, healthier lives as free of pain and debilitating conditions as possible.

present as much current news and information as possible in this area of vital human concern. You may have noticed that all content is freshly written and published first on CentralIllinoisHealthcare.com on our legacy print channel, as well as our digital channels of our website, e-newsletters and social media. Additionally, all of the content of each issue is uploaded to the website. However, we also provide a steady stream of updated health news between each two-month printed publication. Check back often, there is always something new.

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JAN/FEB 2017

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See how far Sonya’s journey can take you. Health and Wellness Advocate Sonya Jones, together with HSHS Medical Group A national celebrity with a universal story, Sonya Jones has already inspired countless others to lead a healthier, more active lifestyle. Now, HSHS Medical Group is proud to bring Sonya — and her message of hope and healing through personal health and wellness — to audiences throughout the region.

Book Sonya for your next speaking engagement and join the journey at HSHSMedicalGroup.org/Sonya

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JAN/FEB

Practice Management

The Patient Experience: A happier patient is a healthier patient

‌The Clinician and Group Consumer Assessment of Healthcare Providers and Systems (CG CAHPS) survey is a uniform reporting tool designed to measure patients’ perception of care provided by physicians in the medical practice setting. The survey is similar to the HCAHPS survey tool utilized for hospital and inpatient services. Utilizing a third party vendor, physicians in the medical office setting are evaluated on a 0-10 scaling system. The survey is administered either via conventional mail, email, or phone survey. As we progress away from volume to value-based reimbursements for healthcare services, the CAHPS reporting system will play an increasingly important role for practice sustainability. This increased focus on quality will be largely influenced by patient experience perceptions. This information, will in turn be utilized by insurers in identifying the perceived ‘value’ associated with patient perceptions and outcomes. The hypothesis behind this movement is fairly straightforward: Patients who like their doctors are more likely to be compliant patients; Compliant patients are healthier patients; Healthier patients are less expensive; so Physicians with satisfied patients should be paid more than physicians with dissatisfied patients. Reimbursement programs from the government are actually not new. Over ten years ago, PQRS Physician Quality Reporting System (formerly known as the Physician Quality Reporting Initiative, or THINKSTOCK‌ “PQRI”) began as a voluntary quality program. However, with passage of the Af- Patients who like their doctors are more likely to be compliant patients. A compliant patient is a healthier patient. fordable Care Act gave in 2010, fiscal penalties began to be introduced if physician practices did not participate in reporting. Medical practices that did not report quality measures received a downward adjustLES JEBSON currently serves as an administrator ment to their Medicare reimbursements. with the SIU School of Medicine. Access to Care (includes 5 questions) Last year, physician practices were manHe is a fellow with the American College of Provider Communications (includes 6 dated to report nine quality measures to Healthcare Executives and the Medical Group questions) avoid a downward adjustment to their 2017 Management Association and is also a licensed Test Results (includes 1 question) payments. healthcare risk manager. He has over 100 authored Office Staff (includes 2 questions) In April 2015 passage of the Medicare articles and presentations on healthcare strategy Overall Provider Rating (includes 1 Access and CHIP Reauthorization Act and process improvement. question) (“MACRA”) announced the repeal of the Sustainable Growth Rate formula for Medi-

Patient experience survey categories

Please see EXPERIENCE, Page 15

JAN/FEB 2017

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Memorial Medical Center’s Cardiac Rehab Program helps veteran keep his Honor Flight List of goals kept Pete Rafferty focused Pete Rafferty, 72, knew from childhood that he wanted to serve his country. The Springfield native enlisted in the U.S. Marines in 1963 and was assigned to the 1st Marine Regiment of the 1st Marine Division. By July 1965, his unit had deployed to patrol South Vietnam, where he served as a communications and radio operator. Later that year, Pete contracted a severe case of malaria. He came home soon after to recover and was honorably discharged. His was a less-than-glamourous homecoming so he was excited about the opportunity to travel on an Honor Flight to Washington, D.C. But first, Pete had to ensure his health would allow the trip Heart & Vascular to happen at Services all. Recognized as a Just six leader and innovator in months before heart and vascular techhis scheduled nology, the Memorial trip, in DecemHeart & Vascular Serber 2015, Pete vices team performs underwent a more than 300 bypass sextuple surgeries each year. bypass surgery Patients and families at Memorial are served by interdisciMedical Cenplinary teams of physiter in Springcians, nurses, physical field. Followtherapists, occupational ing a short therapists, speech therastay at a rehapists, psychologists, therbilitation facilapeutic recreational speity, he entered cialists, dietitians, social Memorial’s workers and chaplains, Cardiac Rehab who develop evidenceprogram in based plans of care early spring unique to each patient. which included Memorial Medical three grueling Center received a rare sessions a fivefold accreditation for week for three its rehabilitation services months at from the Commission on Koke Mill Accreditation of RehabiliMedical Centation Facilities (CARF). ter. “The team there was always very positive,” Pete said. “Sometimes it seemed like they were pushing harder than I could do, but I did everything they wanted me to do – got to the levels they had set up to achieve. There was a lot of encouragement.” He credits Sandy Borowiecki, RN, BSN, CCRP, for encouraging him along the way. “There’s no getting away from her,” Pete joked. “So I had to behave myself and do what she asked me to do.” Pete had many goals following his recovery: to camp with his Boy Scout troop, spend time with his grandchilwww.thebusiness-journal.com

Submitted photos

Sandy Borowiecki, RN, BSN, CCRP, for Koke Mill Medical Center helped Pete Rafferty with his rehabilitation. ‘There’s no getting away from her,’ Rafferty joked. ‘So I had to behave myself and do what she asked me to do.’

‘... had it not been for all the people in therapy at Koke Mill, I would have been in a world of trouble.’ - Pete Rafferty dren—and that important Honor Flight in June. “I had all these plans, but had it not been for all the people in therapy at Koke Mill, I would have been in a world of trouble,” he said. “They helped just tremendously. I don’t know how to say that any stronger.” Not only did Pete get to camp out with his Boy Scouts as planned, he also served as the health officer at a weeklong training camp, and soon after, took his grandkids on a vacation to Virginia Beach. But the highlight was his Honor Flight. On June 21, 2016, Pete and his nephew spent the long day traveling to and from Washington, D.C., with several other war veterans. He visited Arlington National Cemetery, the Washington Monument and other historical markers, and paid his respects at memorials honoring servicemen who died defending our country. “The entire experience was fantastic, and I really don’t think it would have been possible if I hadn’t come to Memorial Medical Center last December.”

Rafferty, a veteran of the Vietnam War, had one goal during his rehabilitation, to be able to travel on an Honor Flight to Washington, D.C. Mission accomplished. Rafferty is pictured holding a photo of his Honor Flight group at the National World War II Memorial. JAN/FEB

Physician’s Voice

Stenting of completely blocked coronary arteries may represent ‘final frontier’ ‌Complete blockages of coronary arteries, known as chronic total occlusions (CTO), are quite common; they occur in up to 20 percent of all patients undergoing cardiac catheterization. Despite the relatively common occurrence, procedures to open these blockages are attempted in less than 10 percent of patients, or those patients are referred for bypass surgery. Most CTOs are left alone because they are among the most difficult arteries to treat successfully. Placing a stent in a completely blocked vessel has for years been successful less than 70 percent of the time with twice the complication rate. When an artery is 99 percent blocked, placing a stent is successful in more than 95 percent of patients. In most cases, the body will create its own bypasses or collateral blood vessels that help supply blood to those areas of the heart. That can keep the muscle alive, but these collaterals rarely prevent symptoms of fatigue, shortness of breath, and chest pain. Patients end up altering their activities and daily habits to avoid things that provoke symptoms. Sometimes bypass surgery is not a good option or their bypass grafts have failed. This is where new techniques can benefit our patients. Chronic total occlusion percutaneous coronary intervention (CTO PCI) involves dual-access coronary injection, which allows us to visualize the beginning and the end of the vessel and the length of the blockage. We then use a hybrid approach to treat the artery. We send various types of coronary wires down the artery beyond the blockage. Sometimes the wire goes into the wall of the artery. While this can be a concern in an open artery, an artery that is 100 percent blocked generally tolerates it easily; and it can help reduce the time of the procedure. We then use newer equipment to pop back into the true artery further downstream. Alternatively, we can use newly developed microcatheters to fix the artery backwards by going through the tiny collateral blood vessels. No matter which method is attempted initially, it is important not to get bogged down with one method – it truly is a hybrid approach which requires switching when methods are not successful after a short duration. CTO PCI should not be attempted by all interventional cardiologists. Specialized training in these newer techniques is essential, with a steep learning curve. Despite the improved success rate, there is still higher risk of complication along with the possibility that two or more procedures may be needed to be successful. The reward for these new techniques is the ability to improve the lives of patients who currently go untreated.

JAN/FEB 2017

No matter which method is attempted initially, it is important not to get bogged down with one method – it truly is a hybrid approach which requires switching when methods are not successful after a short duration.

Gus Theodos, M.D., FACC, is a cardiologist with St. Anthony’s Heart Specialty Associates at St. Anthony’s Medical Center in St. Louis County, Mo. He is board certified in interventional cardiology and cardiovascular disease with expertise that includes CTO PCI. Learn more about him at stanthonysmedcenter. com.

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Kathy Buggar: Cardiac rehab nurse extraordinaire ‌For nearly 44 years, Kathy Buggar has been a nurse. She has been a cardiac rehab nurse for Warner Hospital and Health Services in Clinton for the last 12 years and is dearly loved by her patients. Kathy’s role is to monitor patients through phase 2 of rehabilitation once they have been identified as having cardiac disease. This patient population has experienced either a heart attack, valve replacement, cardiac bypass or some other cardiac related intervention. Phase 1 of cardiac rehab starts when the cardiologist determines the patient’s need while they’re still in the hospital. Kathy begins her care of the patients after the cardiologist refers them to rehab; this begins phase 2. First she evaluates patients and identifies any risk factors they have including family history, cholesterol levels, diet and exercise habits, etc. She then cre-

ates an individualized plan that includes 2-3 weekly appointments over a 3-4-month span. During these appointments patients’ hearts are monitored while they exercise on a stationary bike or treadmill. Once patients complete phase 2, Kathy helps them determine a plan to continue strengthening their heart. She advises them to continue healthy lifestyle choices including regular exercise, a heart-healthy diet, smoking cessation and stress management; this is phase 3. This continuation of rehab is a time for patients to maintain the healthy habits created in phase 2. Kathy provides a great deal of education to her patients and hosts community Healthy Heart seminars. When Kathy is not caring for her patients, she enjoys helping care for her parents. She loves gardening, and attending her grandchildren’s sporting events.

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Kathy Buggar, a cardiac rehab nurse for Warner Hospital and Health Services in Clinton, creates an individualized plan for each patient.

Once patients complete phase 2, Kathy helps them determine a plan to continue strengthening their heart. She advises them to continue healthy lifestyle choices including regular exercise, a heart-healthy diet, smoking cessation and stress management. www.thebusiness-journal.com

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Go Red For Women celebrates the energy, passion and power we have as women to band together to wipe out heart disease and stroke. ®

For more information contact: Carol Floyd • 217.246.5089 • Carol.Floyd@heart.org www.heart.org/champaigngored proud sponsor of the Go Red for Women Luncheon

JAN/FEB

Professional Insights

New Year, new supplements to consider

‌Most of us will kick off 2017 with a list of New Year’s Resolutions that include trying to get on track with a healthier lifestyle. Many will start adding exercise, a balanced meal plan, or a supplement to their daily schedule. According to AARP, Americans buy over $35 billion worth of nutritional supplements a year, ranging from simple vitamin and mineral pills to sleep aids, muscle powders, memory enhancers and self-proclaimed disease cures. Sales are rising, thanks to the millions of boomers now facing age-related health conditions, including memory loss. Those using multiple supplements jumped nearly Dale Colee 50 percent. Many common prescription medications that supplements are regularly recommended for include Metformin (a common diabetic medication), Statin drugs (cholesterol medication), and Antibiotics. These medications can deplete vitamins in the body over time, and it is important to replace them. Dale Colee,

Dale

Pharmacist-in-Charge at Dale’s Southlake Pharmacy and Colee’s Community Pharmacy tells customers to be very vigilant about researching any supplement they take. “Most supplements are not regulated by the FDA, so the ingredients are not as regulated as prescription medication,” says Colee. “Some supplements can cause harmful, even fatal, interactions with prescription medications due to the lack of regulation of these supplements. Always ask your pharmacist and doctor for counseling on supplements before taking any.” Colee recommends not to trust everything you see in tv or online advertising about supplements. “I can not personally vouch for any supplements we don’t carry in our pharmacies, because you cannot be certain what the manufacturer adds to them. It is very important to me that our staff is educated on the products we provide our customers,” adds Colee. Contact our staff at Dale’s Southlake at THINKSTOCK‌ 217-429-5165 or Colee’s Corner Drugs at 217-330-9552 before taking any supplements Supplement sales are rising, thanks to the millions of boomers now facing age-related health conditions. with any medication.

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Wealth Management

CUSTOM SUITS & SHIRTS!

THINKSTOCK‌

A trust department in a bank will be able to provide a high level of experience and objectivity in adhering to your trust instructions. This relieves a family member of what can become a burdensome task.

Benefits of a corporate trustee ‌So you have decided that a simple will and revocable living trust is the right strategy for you and you are prepared to meet with an experienced attorney to draft the documents. However, an important decision remains – who should be your trustee? With a living trust, you may serve as trustee during your lifetime. In fact, this is a popular option. But what if you become very ill, seriously injured or incapacitated? And who will manage your affairs afDave Brandon ter you have passed? An arrived in Central important decision when Illinois in 1985 after considering a living trust graduating from is selecting a successor SIU Carbondale. trustee. Family memDave launched bers or friends may ably the Decatur serve, but corporate or News Bureau institutional trustees, for WCIA-3 (CBS) such as the trust departChampaign. In ment in a bank, provide a August 1997, Dave high level of professional joined the Alumniexperience and objectivDevelopment ity in adhering to your staff at Millikin trust instructions AND University they can relieve a fameventually ily member or friend becoming of what can become a VP, Alumni & burdensome task while Development charging reasonable fees and he served in for the service. this capacity until Following are some July 2016 when advantages that may be he joined Hickory enjoyed when selecting a Point Bank & Trust. corporate trustee: www.thebusiness-journal.com

Accountability – detailed and accurate records with timely accounting of principal and income as well as delivery of regular statements to beneficiaries. Long-Term Management—while a friend or a relative may become ill or incapable of managing the trust, a corporate trustee will always be able to serve. Objectivity—family members or friends may have emotional conflicts that can influence decision-making while a corporate trustee operates objectively. Expertise/Experience – experienced professionals who are prepared if tax law, accounting, and trust management issues come up. Regulatory Compliance—strict adherence to State and Federal regulations and regular reviews by an independent auditor. Liability Protection – a good corporate trustee carries insurance coverage and capital surplus in the event, however unlikely, that investment fraud or other situation adversely impacts trust assets. Corporate trustees are in the peace of mind business and can be the “backstop” you need in your trustee hierarchy. A corporate trustee can objectively respond to emotional family members with conflicting interests on how the trust should be managed and/or assets be treated. With a corporate trustee, emotion is removed from the situation and decisions are made objectively and with unwavering focus on following your wishes – to the letter. Your estate plan should be personalized to fit your particular situation so please consult your advisors. For more information about how naming a corporate trustee may benefit you – please contact me at dave.brandon@ hickorypointbank.com.

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Great heart care shouldn’t take you far from home. Together, providing innovative care and advanced treatments. Prairie Heart Institute at St. Anthony’s provides convenient access to exceptional heart care. St. Anthony’s continued partnership with Prairie Cardiovascular, a national leader in heart care, means you and your family do not have to travel far to have access to outstanding heart care services and today’s most advanced treatments. Our team of experienced cardiologists provide a variety of vascular and cardiac evaluations, testing, and procedures in one convenient location. Look to Prairie Heart Institute and St. Anthony’s Memorial Hospital for exceptional heart care close to home.

HSHS St. Anthony’s Cardiologists from left to right, Amir Cheema, MD, Jessica Prange, MD, and Subhashish Agarwal, MD

For more information, visit stanthonyshospital.org/heart. 10

JAN/FEB 2017

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Go Red for Women

TIME TO TAKE ACTION Let’s unite to prevent heart disease and stroke. It’s time to put our hearts into it and Go Red for Women. Our mothers, daughters, sisters and friends are at risk. Heart disease and stroke cause 1 in 3 deaths among women each year – more than all cancers combined. Fortunately, we can change that because 80 percent of cardiac and stroke events may be prevented with education and action. Support Go Red for Women by participating in National Wear Red Day® on Friday, February 3, 2017! You can also support Go Red for Women at the Champaign Go Red for Women Luncheon on February 10, 2017 at Hilton Garden Inn, and at the Springfield Heart and Stroke Ball on February 18, 2017 at Wyndham Springfield City Centre. By doing so you help support educational programs to increase women’s awareness and critical research to discover scientific knowledge about cardiovascular health. And don’t forget to make your heart health a priority. Schedule your Well-Woman Visit, a prevention check-up to review a woman’s overall health so her doctor can measure blood pressure, check cholesterol and look for signs of heart disease, stroke and other illnesses. Invest an hour in your life to save the rest. It is a separate visit from other appointments for specific sicknesses or injures. The visit can be scheduled with a primary care physician, nurse-practitioner or an Obstetrician Gynecologist (OB-GYN). Know your family health history before your Well-Woman Visit. Family history can be a significant – and often unknown – risk factor for heart disease and stroke. For most women, a Well-Woman Visit has no additional costs because

Now Go Red! Get Your Numbers: Ask your doctor to check your blood pressure, cholesterol and glucose. Own Your Lifestyle: Stop smoking, lose weight, be physically active and eat healthy. Raise Your Voice: Advocate for more women-related research and education. Educate Your Family: Make healthy food choices for you & your family. Teach your kids the importance of staying active. Donate: Show your support with a donation of time or money. For more information and resources, please visit GoRedForWomen.org. For tickets and event information, please call: (217) 6983838. of the Affordable Care Act, but not for all, so check your insurance plan for preventive services coverage before scheduling your visit. Go Red For Women inspires women to make lifestyle changes, mobilize communities and shape policies to save lives. United, we are working to improve the health of all women.

S P E C I A L 4 - PA G E P U L L O U T S E C T I O N www.thebusiness-journal.com

JAN/FEB

What is the Prairie Heart I

The Prairie Heart Institute of Illinois is a ground breaking partnership co Hospital Sisters Health System.

The focus of PHII is to build on our already-high quality service in the del hospitals remain viable in a market where competition is ever increasing cooperation in teamwork is the only way to survive and improve for the f

The Doctors of Prairie are the underpinning of this unique network whic times around the earth to serve communities across Illinois and provide

How do patients benefit?

The primary impact is in the area of quality enhancement. For our patien of commitment to heart and vascular medicine in downstate Illinois.

Prairie provides same-day, next-day access to care through the Prairie Acc appointment, reﬁll medication, and answer questions about cardiovascu

Prairie’s innovative See You in 7 program ensures provider-patient contac prevention measures and has helped to decrease avoidable readmissions

How do physicians and hos

For physicians, PHII provides a unique framework to help physicians crea

physicians and hospitals are able to respond quickly to the ever–changin

The PHII coordinated Prairie Chest Pain Network represents the region’s agencies, The Prairie Chest Pain Network ensures that when patients arri

How do patients find a PHI

Patients should always speak with their primary care physician regardin and the Prairie cardiologists who see patients there. If they have question

How do I refer a patient to The Doctors of Prairie?

To refer a patient or order a consultation with Prairie Cardiovascular anywhere in central or southern Illinois, call Prairie

JAN/FEB 2017

Access at 888-477-2474. www.thebusiness-journal.com

The Doctors of Prairie are available to see patients in 45 locations across central and southern Illinois. Prairie has grown to 72 cardiovascular specialists, all collaborating across a broad network-Prairie Heart Institute of Illinois- to provide patients with nationally-recognized heart and vascular care right where they live.

Institute of Illinois?

ommitted to the delivery of services between the nationally-known physicians of Prairie Cardiovascular and the established healthcare mission of the

livery of heart and vascular medicine in central and southern Illinois communities. The PHII model is part of a strategic plan to ensure that community g, where specialty differentiation becomes more difﬁcult, where legislation and reimbursement rates challenge the ability to deliver care, and where future.

ch enables the delivery of cardiovascular care to nearly 180,000 patients annually. Each year, these cardiovascular pioneers drive the equivalent of 8 world-class heart and vascular care close to home.

nts, this unique service model will provide quality, full-service cardiovascular care as close as possible to a patient’s home. That’s an unprecedented level

cess program. Referral physicians and patients have the opportunity to speak directly with a registered nurse who can quickly facilitate a request for an ular disease.

ct after treatment to help ensure a return to a normal lifestyle. This unique program has demonstrated improved compliance with many secondary for many patients with complex cardiovascular disease.

spitals benefit?

ate excellent heart and vascular practices through a streamlined and clearly-deﬁned organization. Backed by the Institute’s support structure, ng needs of patients.

most comprehensive and coordinated approach to diagnosing and treating chest pain in Illinois. Seamlessly connecting hospital and local EMS ive in the emergency room, a well-orchestrated series of events and protocols are initiated for the swift diagnosis and treatment of chest pain.

II physician in their community?

ng the selection of a specialty care provider. Another option is to visit the PHII Web site, PrairieFirst.com, to ﬁnd a list of partner hospitals/communities ns or would like to arrange to see a Prairie cardiologist, they can call Prairie Cardiovascular at 217-788-0706.

To learn more visit us at www.prairiefirst.com www.thebusiness-journal.com

JAN/FEB

Gretchen Peters-Hantle of Decatur, Ill., knew she had a big decision on her hands when she learned about her heart condition. Allthough h h Pet e ers-Hant H tle l hadn’t h d ’ been b n expeeriencing typic i al sympttomss — shortn t ess of breath, chest paiin, nausea, e c. — doccto et ors discovered her condition d ring du ng a routine echocardiogram. Peters-Ha H ntle was referred to the h doctors at Prairie i Heart Institu t tee (PHI) I att HSH SHS St. John’s Hospital. Prairie’s structtur u all heart diseasee (SHD) team determined ed he her ca c se was unique. Both h r mi he mitral a and aor o tic valves e were so s narrow wed d with h caalcium buildup they n ed ne ded to be b rep eplaace c d; however she wass critic wa ical a ly l illl and d con nsi s de d reed high g risk ri k for o thee traadi d ti t on nal open hearrt surg su rgery. y Unt n il rec e en ec ntly, y, physicians were only ablee to re r pllac acee heearrt va valv lv ves throu o gh open op en n heaart surrge gery ry. Paatiien ntss who weree n t caand no ndid i ates e bec e ause off ag ge, illness or other e fac a to ac ors had few optio ons. That’s whyy PH wh HI de deve velo opeed th t e SH HD prog gram. This tea eam m gi give ves pa p tien nts hop ope thro r ug u h g ou gr o nd ndbr b eaaki king n alterna natives to ope p nheart surg he gery. 14

JAN/FEB 2017

IIn January, J the h doctors d at PH PHI HI becamee the ﬁrst in the United d States to successfully complete a dou o ble TAVR on Peters-H Hantle using the Edwards Sapien 3™ valvee in a patient w o needed both her mitral and aortic wh valv vess rep placed. The Sapien 3™ valve, developed by Edwarrds Lifesciences, is a transcatheter aortic valve that is insert rted d into a patient’s existing g aortic valve using a mi m nimally in nvasiive proced durre, whi h ch h carries far less risk for patients with advaanced-stage heart cond nditio ons. “Peeop ple hav ve saaid th hiss wa w s a miraclle. e The biggestt paart of th t e miracle wa w s bein ng privileged to be b a patient of St. Jo ohn’s Prair i iee Heart Institute and D s. Misshk Dr kel e , Goswami an and Stev e en e s’ entire team. I’m very grattef en e ul,” Peteers-H Hantlee said. Thee tea e m off experts at Prairiie’ e s SHD D p og pr ogra r m ha has be b en n perrfo f rm rming TA TAVR VR a the at he PHI H since c 2012. Af After much c c llaborration co n and evaluation, lead

card diologi gist s and d PHI Execu utiive Med dical D recttor Di o Greg Mi M shke k l,l MD, D and his collea eagues deci c deed to t leverage th hei eir experi r ence with th his technology. y They b lieved be d a double valve repl p acementt with the TAV AVR R pr p oced dure off offered th he bestt cha hance of saving her liife fe. Thee case allsso wa ca w s ev valuated l d by b a surg geon from Germaany fr n who ho has experienc n e with h this type of pr p oced duree in i Eurrop o e. The SHD team was abl b e to per e form the tran nscatheterr pro r ce c dure, wh w ic i h successsfully rep pla l ced d tw two he h ar a t va valves and gave the patient wha h t will ha ll hop opefullly be many more years of life. “Having the oppo ortunityy to maake a difference in the life of th his patieent n is wh hy I went into medicine n ,”” Dr. Mishk h el e said. “All patients deserve access to top quallity medical care. The do d cttor os of Prairie are proud u to o be a ressou urce cllose to home for pa p tiients t in Il Illino n is and d a referrall opt p ion fo or thos ose who live v throughout the country.”” The SHD D team at PHI H hass com mpleted d

mo ore than 325 TAVR proc o ed edures sin i ce c Januarry 2012.. In addition to TAVR procedur pr u es, various other ap pproaches arre utilized ed to treat structurall and v lvvular heart dis va i ease. Other advanced SH HD proced dures availab ble at PH HI in nclud u e mi m niimaall l y in nva v sive valve repl plac l cem e en e t su urgery, transcatheter h mitrall valve rep pai a r via th he MitraC Cliip, percutan neo e us u aor ortic and mitral vallvuloplasty and d cat a he heter-based closur u e of o atrial a and nd ven e tr t icular ar wal a l deefects. s The h SHD HD tea e m allso s spe p cializess in n mini mi nima m ll lly in inva vasive v vallve surgery which in involv l ess the usee of an n incision smallerr than two o inchees. Paati tien nts mayy haave less paain n and a sho h rt rter recov o ery peeriiod d aft fter er min i im i al a lyy inv nvas a ive vaalv l e su urgery. Teaamw mwor o k is ess s ential in heealth car a e and the SH S D team m at th he PH HI is madee up of cardiologists, su urgeo eons n , raadi d ol ologissts ts,, nurses and nd d tech te ch hnolo logistts, all off whom om colla labo bora r te on n the best possible care off eac a h off ou ur pa p ti t en nts.

For more information about heart care services provided by Prairie Heart Institute at HSHS St. John’s Hospital, please visit prairieheart.com www.thebusiness-journal.com

Educate your patients. Make sure they know about your hours of operation, how to reach you, how to get medication refills etc.

JUPITERIMAGES‌

Medical practices that did not report quality measures received a downward adjustment to their Medicare reimbursements.

EXPERIENCE From page 4

care Reimbursement and obvious to all. The second, the introduction of Merit-based Incentive Payment System (“MIPS”), aims to further integrate the patient experience and quality reporting program for both CMS and commercial insurers. MIPS will assign medical practices a Composite Performance Score based on: quality, resource use, clinical practice improvement activities, and meaningful use of certified Electronic Health Records. Reimbursement adjustments will begin in 2019, and will be based on these composite scores. Positive, neutral, or negative readjustments will be made to the tune of plus or minus 4% in 2019, scaling up to plus or minus 9% in 2022 and onward. Physicians who participate in eligible Alternative Pay-

www.thebusiness-journal.com

ment Models (“APMs”) that take on financial risk will receive bonus payments. Apart from mastering the intent and acronyms behind these new reimbursement models, here are some ideas for maximizing positive patient experiences: 1. Hire positive and upbeat employees. Take a look at your quarterly employee turnover scores and employee engagement. 2. Other industries have long ago mastered starting on time and keeping on time. The CGAHPS survey specifically asks patients if they were seen within 15 minutes of their scheduled appointment time. 3. Educate your patients. Make sure they know about your hours of operation, how to reach you, how to get medication refills etc. 4. Look at your patients during the visit, not a computer screen. 5. Post patient experience scores for staff and patients to see.

JAN/FEB

Central Illinois Community Blood Center ‌Did you know that the Central Illinois Community Blood Center is the sole supplier of blood to your hospitals? Support Decatur Memorial Hospital and HSHS St. Mary’s patients by donating blood at a drive listed below or call to set up your own blood drive by calling Mindy Melton at 217-241-7541. The Central Illinois Community Blood Center supplies nearly 7,000 pints of blood to the Decatur Hospitals as well as many other hospitals in the surrounding area. Find a complete list on our website at www.cicbc.org Wednesday January 11: 10 a.m. to 4 p.m., HSHS St. Mary’s Hospital, Assisi Room Friday January 13: 8:30 a.m. to 2 p.m., WarrensburgLatham High School Saturday January 14: 8 a.m. to 1 p.m., Macon County Farm Bureau To schedule for an appointment to donate please call 217-241-7550 or sign up online at www.bloodcenterimpact. org Make sure to bring a photo ID and eat and drink before giving blood.

Interested in being a part of the next issue? Email Phil Zeni at: Phil.Zeni@Herald-Review.com.

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SPECIAL FEATURE:

DR. LARRY W. OSBORNE, DMD, FAGD

Bridging the gap between dentistry and medicine ‌After two decades of research, it has been established that an association exists between periodontal disease (infection of the gums) and cardiovascular disease (stroke, heart attack, atherosclerosis). According to Dr. Moise Devarieux, MD, the pertinent question however is about the nature and relevance of this association. Specifically, does the infectious and inflammatory periodontal disease process contribute casually to heart attacks and strokes, or are these two conditions coincidentally Dr. Larry W. Osborne, associated? DMD, FAGD, LTD maintains Periodontal disease is a chronic ina private dental practice flammatory disease that affects the gum focused on comprehensive tissue and bone supporting the teeth restorative dentistry and if left untreated can lead to tooth for all ages. He is a past loss. According to recent findings, the president of the Illinois CDC (Center for Disease Control and State Dental Society and Prevention) stated “One out of every has been honored as its two American adults aged 30 and over Distinguished Member has some form of periodontal disease”, in 2013. For more either a mild, moderate, or severe form information, please visit of periodontitis. www.drlarryosborne.com Oral infection models have emerged or call 217-875-7600. as useful tools to study the hypothesis that infection is a cardiovascular

disease CVD risk factor. Periodontal infections are a leading culprit, with studies reporting associations between periodontal disease and (CVD). Of the numerous studies reviewed to date, an association does exist between periodontal disease and CVD. It is unknown however, whether this relationship is causal or coincidental. While most studies demonstrated positive associations between these two disease processes, not all studies were positive and substantial variations in results were evident. More recent studies have enhanced the specificity of the infectious exposure by measuring systemic antibiotics to selected periodontal pathogens. Results from these studies have shown positive associations between periodontal disease and CVD. Whether gum infections play a direct pathway or indirect pathway to CVD is the question to be answered in ongoing and future research. At a minimum, periodontal infections are epidemiologically associated with CVD, meaning gum infections seem to be found more frequently in individuals with

Oral infection models have emerged as useful tools to study the hypothesis that infection is a cardiovascular disease CVD risk factor. THINKSTOCK‌

some form of cardiovascular disease. Ongoing observational and focused pilot intervention studies may inform the design of large scale clinical intervention studies. In our office a periodontal assessment is a very important part of a comprehensive oral examination. Establishing a preventive oral care program to meet the individual needs of every patient is the cornerstone of our practice philosophy. Periodontal treatment is recom-

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JAN/FEB

Legal Matters

The shrinking pool of physicians and APPs

Paige Toth serves as Vice President, Associate General Counsel for HSHS Medical Group. She is a 2005 graduate of St. Louis University School of Law and is a member of Illinois Association of Healthcare Attorneys and ASHRM.

The landscape of healthcare continues to ‌ evolve in an effort to overcome the challenges in access to affordable care. There is a fight for the shrinking pool of physicians to care for a rapidly growing and aging population, and the smaller remote communities must adjust their healthcare offerings. While technology is starting to bridge that gap with virtual care, many people still need and want a provider to see them in person. Increasingly, Advanced Practice Providers (APPs) are the practitioners meeting this demand. These providers extend the reach of physicians and provide affordable access to care. The limit, or “scope,” of APPs practice and potential liability are just a few of the concerns that exist with this model of care. APPs are non-physician members of the care team with advanced training and education. They include Nurse Practitioners (NPs), Physician Assistants (PAs) and Certified Nurse Midwives, among others. APPs provide a wide range of care depending on their specialty. The level of care ranges from routine physicals, prenatal care, and basic acute diagnoses to administering anesthesia, minor surgical procedures, and low-risk

deliveries. While these APPs practice medicine and in many cases carry a patient panel, the state requires a physician to serve as a supervisor or collaborator. Their practice is governed by state regulations such as the Nurse Practice Act and the Physician Assistant Practice Act. There are numerous benefits of utilizing midlevel providers. According to the American Academy of Nurse Practitioners, there were more than 220,000 licensed nurse practitioners in the United States in 2015, which is double the number of NPs practicing in 2003. The number of APPs is exploding, while the number of physicians is shrinking. The availability of APPs is bringing respite to communities struggling to recruit physicians. In addition to the basic availability, APPs allow physicians to expand their patient base without compromising the attention and care given to each patient. This can also translate to the practice, or healthcare entity as a whole, providing higher quality care by having multiple levels of providers who dedicate more time to patients. Supplementing more expensive traditional physician care with care provided by APPs is also an effective way to mitigate the rising costs

of healthcare for employers, payors, and patients. Despite the various benefits of mid-level providers, there is definitely an increase in legal risks for the supervising, or collaborating, physician. The APP has the traditional malpractice risks that physicians face, as well as the compliance issues such as HIPPA, fraud and abuse. The employer bears the same risks because they assume the liability of the APP as their agent. However, the supervising physician assumes another level of risk. While a physician can utilize an APP to extend their reach to patients, they cannot use an APP to eliminate their liability. The physician can be held liable for negligent supervision if safeguards are not in place. It is also imperative that the APP not only knows and practices within the scope of authority granted to them by the state, but that the physician respects that scope as well. While there are legal concerns, APPs can benefit patients, physicians and a healthcare system. The best programs integrate APPs with physicians through policies and procedures that are based in open communication and quality patient care.

Health and Human Services must comply with the final rule Zach Dinardo represents a wide variety of interests in the health care industry, including hospitals, physicians, long term care facilities, billing services, provider associations, and ancillary service providers. He can be contacted at Sorling Northrup, 1 Old State Capitol Plaza, Suite 200, Springfield IL 62705, Phone (217) 544-1144, ezdinardo@sorlinglaw.com

JAN/FEB 2017

‌The recent election results notwithstanding, the Affordable Care Act, i.e., Obamacare (the “ACA”) is still the law of the land. Health care providers which receive federal financial assistance from the U.S. Department of Health and Human Services (“HHS”) must now comply with the Final Rule on Nondiscrimination in Health Programs and Activities (the “Final Rule”), which HHS published earlier this year to implement Section 1557 of the ACA. Although a few of the requirements contained in the Final Rule only apply to providers that have 15 or more employees, the remaining provisions apply to any provider that receives federal financial assistance, which most notably includes, among other things, reimbursement under Medicare (excluding Part B) and Medicaid, Medicare meaningful use payments, and HHS grants. In reality, the broad scope of what is deemed to be federal financial assistance ensures there are relatively few providers that are not affected by the requirements contained in the Final Rule. Three of the concerns addressed by HHS in the new regulations are discrimination in health care; meaningful access to individuals with limited English proficiency, i.e., individu-

HHS specifies that sex discrimination includes discrimination based on pregnancy, childbirth or related medical conditions, sex stereotyping, and gender identity, extending protection to transgender patients.

als whose primary language for communication is not English and who have a limited ability to read, write, speak, or understand English (“LEP individuals”); and effective communication with individuals with disabilities. Although most forms of discrimination in health care have been prohibited by other civil rights laws,

the ACA is the first federal civil rights law to prohibit sex discrimination in health care. Most notably, HHS specifies that sex discrimination includes discrimination based on pregnancy, childbirth or related medical conditions, sex stereotyping, and gender identity, extending protection to transgender patients. HHS also mandates in the Final Rule that covered providers take reasonable steps to provide meaningful access to LEP individuals and to ensure effective communication with individuals with disabilities. The language assistance services and auxiliary aids and services which providers utilize to meet these requirements must be timely provided and free of charge. Providers are required to post notices to inform patients of these rights. HHS details specific requirements for providers designed to address all three of these concerns, resulting in yet more landmines for providers to navigate. Failure to comply could prove costly. HHS has the authority to terminate federal funding, and individuals may bring discrimination claims in federal court. All providers need to review their policies, procedures, and practices in light of these new requirements. www.thebusiness-journal.com

Shortage of nursing educators hits close to home Millikin University School of Nursing is facing challenge head on

‌Nursing is a profession recognized for its intentional blend of the rigorous application of scientific knowledge with the art of caring. The Millikin University School of Nursing provides programs that foster the development of women and men in a community of life-long learners who are able to envision and shape the future of health care. Today, the nursing role is rapidly evolving and nursing educators are facing unique challenges as well as health care providers who are recruiting qualified nurses. “Our biggest challenge is aging faculty, and this is true statewide and nationally,” said Dr. Pam Lindsey, director of the School of Nursing at Millikin. “Even at Millikin we’ve had three retirements last year and one this year. We are seeing fewer nurses that are going on to get their doctorate, and getting doctorate prepared faculty is a real challenge for our program as well as other nursing programs.” Dr. Lindsey says the Millikin School of Nursing is trying some unique strategies in trying to deal with that challenge. One of those strategies is utilizing a grant the School of Nursing received from the Hardy Foundation to help support master’s prepared faculty who are going back to school to earn their doctorate. “Currently, we have seven of our master’s prepared faculty in doctoral programs,” said Dr. Lindsey. “There are so many universities and nursing programs looking for faculty, and being competitive salary-wise can attract more faculty as well.” In terms of nursing recruitment, Dr. Lindsey says there are many programs throughout Illinois that offer an RN to BSN completion program with the majority of those being online. Millikin launched its Online RN to BSN degree program in August 2016. The program was re-designed to fit the schedules of busy registered nurses who want to advance their educational and career options by earning a Bachelor of Science in Nursing. Graduates are prepared to move into nursing leadership positions, continue their education to become advanced practice nurses or move into other fields such as medicine or business. The program can be completed in one year of full-time study or a part-time option is also available. “Hospitals really want baccalaureate prepared nurses because research shows that there are better patient outcomes with the more baccalaureate prepared nurses you have on your staff,” said Dr. Lindsey. Dr. Lindsey says retention is another challenge for hospitals because of the acuity of patients and the patient load that nurses carry. “A lot of new nurses burn out in the first couple of years because of the patient load they are carrying,” said Dr. Lindsey. “A lot of times it’s more attractive for those nurses to www.thebusiness-journal.com

SUBMITTED PHOTOS‌

Millikin University School of Nursing is always updating its curriculum and is incorporating more simulation.

One strategy the school of nursing is utilizing is a grant from the Hardy Foundation to help support master’sprepared faculty who are going back to school to earn their doctorate.

“Even at Millikin we’ve had three retirements last year and one this year. We are seeing fewer nurses that are going on to get their doctorate, and getting doctorate prepared faculty is a real challenge for our program as well as other nursing programs.”

go work in a community setting, such as a doctor’s office.” In terms of preparing nursing students for professional success, Dr. Lindsey says the School of Nursing is always updating its curriculum and is incorporating more simulation. “When students don’t get an experience in a clinical setting we can have simulations in our lab to help better prepare them,” said Dr. Lindsey. “We also added a residency experience for the students at the end of the cur- Pam Lindsey, director of the School of Nursing at Millikin riculum where they go work in the hospitals side-by-side with a nurse preceptor. We encourage students to do summer internships because it helps prepare them for the real life of what a nurse is going to be.”

JAN/FEB

Collegial Group News

On Your Own Time

Mark your calendars in 2017!

Central Illinois Healthcare Calendar JAN-FEB 2017‌

change that results in breastfeeding as the cultural norm. Our goal is that all families will How to Apply Sessions for BSN, live, work and receive health care in a breastfeeding friendly culture. MS, and DNP Programs‌ Tuesday, January 24: Springfield Contact info@illinoisbreastfeeding.org Learn more about the application process for UIC College of Nursing Springfield Regional Campus at one of our upcoming in*** formation sessions. RSVP to mwill8@uic. edu Grant Opportunities – Jan/Feb University of Illinois at Springfield Deadlines for application‌ One University Plaza Public Affairs Center, Conference Room F Pregnancy in Women with Disabilities Session Dates and Times: The application deadline is January 7 CDC Minority HIV/AIDS Research Monday, January 9: Noon to 1:30 p.m. The application deadline is January 12 *** Ryan White HIV/AIDS Program ImEmergency Medical Services — plementation Center for HIV Clinical Quality Improvement SAMIC Continuing Education‌ The application deadline is January 17 Tuesday, January 10: 7:00 p.m., Fire Limited Competition: Cancer ImmuGround Rehab Operations notherapy Trials Network The application deadline is January 24 Sat./Sun., January 14-15: 8:00 a.m., Medical Monitoring Project (MMP) PALS Course The application deadline is January 24 Tuesday, January 24: 7:00 p.m., CPR Refresher Class Disability and Rehabilitation ReAll classes are FREE and held in the HSHS search Projects (DRRP) Program: ComSt. John’s EMS/ED classroom. munity Living and Participation (DeThere is a card and book fee for ACLS velopment) The application deadline is February 13 and PALS, unless you have a current text. Everyone is welcome to attend. For quesMore information at iphca.org/Services/ tions and to RSVP (if possible) call EMS Ed- Grants *** ucator Al Lewin at (217) 757-6815 or email him. ***

Illinois State Breastfeeding Task Force‌

Go Red for Women Luncheon‌ Friday, Feb 10: Champaign ***

The Springfield

Through advocacy, awareness campaigns, Heart & Stroke Ball‌ media projects, professional education and material development, the Illinois State Saturday, Feb 18: Wyndham Springfield Breastfeeding Task Force strives to create City Centre, 700 E. Adams St., Springfield. 20

JAN/FEB 2017

In 2017 the Illinois Grape Growers & Vintners Association will be hosting an array of festivals and events and are in hopes that you will join us. The list below is a summary of dates, times and locations of the events for 2017: We hope that you might be able to join us at one or more of the events and as you travel throughout the state in search of things to do and to see please be sure to stop by one of the 106 wineries. For more information about the grape and wine industry of Illinois please go to www.illinoiswine.com or go to our Facebook page Illinois Grape Growers and Vintners Association or Twitter at #IGGVA or #IllinoISwine.

Cheers!!

Festival

Date

Time

Location

City

Winter Wine Festival and conference

February 24-25

7p-10p

Crowne Plaza, 3000 S. Dirksen Parkway

Springfield

Illinois Products Expo

March 4 & 5

10a-5p/ 10a-3p

Orr Building-Illinois State Fairgrounds

Springfield

Every Thurs May 11-October 13

4-7p

Illinois State Fairgrounds 801 Sangamon Ave.

Springfield

Ottawa 2 Rivers Wine & Jazz Festival

June 9, 10, 11

12p-10p

Corporate Limits of Ottawa

Ottawa

Uncorked Urbana

June 17th may change)

1-9p

201 W. Main St (Busey Bank parking lot)

Urbana

Decatur Celebration

August 4, 5, 6

12p-10p

190 E. Merchant St.

Decatur

Illinois State Fair-Illinois Wine Experience

August 11-20

12p-9p/ Artisan Building12p-10p State Fairgrounds weekends

DuQuoin State Fair

September 2 & 3

12p-7p/ 12p-4p

DuQuoin State Fairgrounds Expo Hall

DuQuoin

National Guard

September 9th

10a-5p

Conservation WorldState Fairgrounds

Springfield

Vintage Illinois

September 16 & 17

11a-6p/ 12p-5p

Matthiessen State Park

Utica

Great River Grape Escape

September 23 & 24

12p-7p/ 12p-5p

Clat Adams Park at Front & Hampshire St.

Quincy

Holiday Farmer's Market

November 18th

9a-5p

Illinois State Fairgrounds Springfield 801 Sangamon Ave.

Holiday Farmer's Market

December 16th

9a-5p

Illinois State Fairgrounds Springfield 801 Sangamon Ave.

Farmer's Market

Springfield

Cynthia Fleischli is the Executive Director for the Illinois Grape Growers and Vinters Association in Springfield, IL and can be reached at director@illinoiswine.com or (217) 726-8518.

www.thebusiness-journal.com

Social Rounds

Memorial Health System 2016 Festival of Trees Gala

From left, Melissa Knoles, Becky Wangard and Jill Manley.

â&#x20AC;&#x152; his yearâ&#x20AC;&#x2122;s festival ran from November T 19-27 at the Orr Building on the Illinois State Fair Grounds. Since 1989, the Festival has raised more than $4.2 million dollars and with annual attendance of more than 33,000 people, it has become one of the most popular family-oriented holiday traditions in Central Illinois. From left, Heidi Thomas, Kevilee Burge, Kari Saling, Amanda Johnson, event manager for Memorial Medical Center Foundation, Melissa Knoles and Becky Wangard.

Liz and Kim Smith, bronze level sponsors.

www.thebusiness-journal.com

Elena Kezelis, executive director of Memorial Medical Center Foundation, and Ed Gower, partner at Hinshaw & Culbertson LLP.

JAN/FEB

Social Rounds

From left, Shirley Theilen, Evelyn Brandt Thomas, honorary chair of the 2016 Festival of Trees and Peggy Dyson, Director of Training & Development of Land of Lincoln Goodwill Industries.

Festival of Trees Gala

Marsha Prater, PhD, RN, Senior Vice President, Patient Care Services & Chief Nursing Officer and Elena Kezelis, executive director of Memorial Medical Center Foundation.

Miss Illinois Jaryn Franklin

Get Ready, Get Set, GLOW!

‌EFFINGHAM, IL – HSHS St. Anthony’s Foundation is excited to invite you to their Glow-Inga event set for Saturday, January 14, 2017 at the Keller Convention Center. This event features glow-in-the-dark hats, card dabbers and lots of fun, music and games to go with it. There will be a 50/50 game, concessions, and raffles that evening as well. Special thanks to Event Sponsor, Dave Roepke Painting, for helping make Glow-Inga 2017 possible! Proceeds from this event will support the 22

JAN/FEB 2017

HSHS St. Anthony’s Mother/Baby program and HSHS Hospice Southern Illinois. The Mother/Baby program offers a free visit to mom and baby in their home after delivery. A Registered Nurse visits as a complimentary extension of your hospital stay and checks your physical condition, talks about breast or bottle feeding, provides any advice on care for your newborn and answers any questions or concerns. The HSHS Hospice Southern Illinois service offers supportive and compassionate care that can bring peace, comfort, and dignity

HSHS St. Anthony’s Foundation holding Glow-Inga Fundraiser

to a patient on those last days of life. Advanced tickets for this event are available for $25 per person. This includes 10 cards, glow dabber, and glow hat. Additional cards are available for purchase at the event. Doors open at 5:30 p.m. and Glow-Inga starts at 7 p.m. Have an awesome time for a great cause. Tickets are limited. Seating sold out last year so get your tickets today! For ticket information, call or text 217-994-3158 (special dedicated number just for Glow-Inga event)

or email Glow-INGA2017@hshs.org. A Ticket Order Form is also available at stanthonyshospital.org – Select Events & Classes, and search for “Glow.” *** HSHS St. Anthony’s Memorial Hospital is part of the Southern Illinois Division of Hospital Sisters Health System, which also includes HSHS St. Elizabeth’s Hospital in Belleville, HSHS St. Joseph’s Hospital in Breese, HSHS Holy Family Hospital in Greenville, and HSHS St. Joseph’s Hospital in Highland. www.thebusiness-journal.com

Social Rounds

Chris Smith of H.D. Smith to chair 2017 Springfield Heart & Stroke Ball ‌Chris Smith, President and CEO of H.D. Smith, will chair the 2017 Springfield Heart & Stroke Ball, a fundraiser for the American Heart Association (AHA). The gala will feature dinner, a live auction and an inspirational survivor program. The Springfield Heart & Stroke Ball raises more than $100,000 for the AHA. Funds go to the organization’s mission of building healthier lives free of cardiovascular diseases and stroke. Health and wellness for the community and its employees has been a longtime focus for H.D. Smith. The organization has been recognized in previous years by the Association as a Fit-Friendly Worksite for providing wellness opportunities to its workforce, and

has been a longtime supporter of the AHA’s local events and programs. Smith made the decision to chair the event because of his close connection with heart disease. “My father was in St. Louis waiting for a plane to Springfield in 2003,” said Smith. “He went into cardiac arrest. Thanks to the quick actions of nearby passengers, and the presence of a portable automated defibrillator at the airport, he was already revived by the time EMTs arrived on the scene. This gave my father, who passed away a year ago, the chance to see his first great grandchild ten years later.” Smith asks the Springfield community to think of their own personal connections when making the decision to sponsor the

event or to purchase tickets to attend. “Think about your friends and family. Very few of us have not been touched by heart disease, directly or indirectly. With the help of charitable giving over the years, we have greatly improved treatments and outcomes – and we can continue to do so, but only with your help.” The Ball is scheduled for Saturday, February 18 at the Wyndham Springfield City Centre, 700 E. Adams St., Springfield. The Association works to achieve its mission by funding research, providing guidelines for healthcare providers based on the latest science, advocating for healthier laws, implementing educational and community outreach programs and much more.

Chris Smith For more information contact Karen Gedrose at 217-899-6985 or Karen.gedrose@ heart.org. Event information www.springfieldilheartball.org.

Memorial Health System names employees of the year

‌Mary Jean Blythe of Lincoln was named the 2016 Employee of the Year at Abraham Lincoln Memorial Hospital in Lincoln. Blythe was selected by her peers from the 2016 employees of the month to receive the honor. Blythe has worked as a registered nurse in the ALMH obstetrics department for over 21 years. ALMH president and CEO Dolan Dalpoas presented the Mary Jean award to Blythe at the ALMH Blythe Holiday and Award Celebration held at the Knights of Columbus in Lincoln. As a nurse in the obstetrics department, Blythe cares for women in labor, monitors

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contractions and baby heart rates, assists with deliveries and takes care of both mom and baby after delivery. She was also named the November 2016 Employee of the Month after being nominated for her caring nature with new mothers who deliver at Abraham Lincoln Memorial Hospital. The other Employees of the Month in 2016 were: Bobbi Meador (Dietary), Rhonda O’Donoghue (Surgery), Mark Craig (Rehabilitation), Taylor Rohrer (Radiology), Crystal Bullinger (Radiology), Candace Barry (Acute Care), Melissa Davis (Cardiopulmonary), Vivian Dahmm de Valdes (Surgery), Kara Richardson (Emergency), Jackie Cade (Laboratory) and Paula Dahm (Patient Access). Registered nurse Marianne Scannura of Springfield was named Memorial Medical

Center’s 2016 Employee of the Year. The employee of the year is selected from 11 individuals who were named employee of the month from January through November of each year. Scannura was named the August Employee of the Month for her willingness to always go the extra mile for her patients and colleagues. She and the other employees of the month were recognized recently at Memorial’s Marianne annual Festival of Trees. Scannura “Marianne exemplifies our Memorial mission. She provides compassionate care and makes a positive impression on our patients and employees,” said Ed Curtis, president and CEO of Me-

morial Health System. Scannura has worked at Memorial since 1986. She currently serves as a clinical nurse in Cardiopulmonary Rehabilitation. She educates patients about prevention and treatment of coronary artery disease, cares for perioperative and cardiopulmonary patients and facilitates early ambulation of medical and surgical patients. She and her husband, Louis, live in Springfield and have four children: Emily Ritzer and Ryan, Daniel and Christopher Scannura. “The most rewarding part of what I do is when a patient or family tells me they understand their disease process, and they are hopeful and encouraged to make positive changes in their life and the lives of their family members,” Scannura said.

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JAN/FEB 2017