MED Magazine | December 2019

DECEMBER

A Physician Family’s Make-A-Wish Take-a-Ways When Patients Demand Unnecessary Tests Journey Construction Reaches New Heights with Avera on Louise

VOL. 10 NO. 8

2019

TheWHO, WHAT and

WHYS of

2019 The Year in Review THE SOUTH DAKOTA REGION’S PREMIER PUBLICATION FOR HEALTHCARE PROFESSIONALS

When one number connects you to the region’s best neonatal and pediatric transport team, Anything can be.

1.855.850.KIDS (5437) is your 24-hour link to pediatric specialists for physician-to-physician consults, referrals, admissions and transport.

Education

•

Research

•

Advocacy

•

Care

WELCOME ALEXIS CHESROW, M.D. TO THE REGIONAL HEALTH UROLOGY TEAM

Alexis Chesrow, M.D. Urogynecology Service Line Chief Alexis Chesrow, M.D., is fellowship-trained and board-certified in both Urology and Urogynecology (Female Pelvic Medicine and Reconstructive Surgery). She will bring her expertise in the personalized management of Pelvic Organ Prolapse and Urinary Incontinence to Regional Health.

In addition, Dr Chesrow also is happy to provide care for those patients with neurological disorders impacting their urinary function (Neurourology).

Dr. Chesrow will be joining the Urology team Jan. 1, 2020.

NOW SCHEDULING APPOINTMENTS. 605-755-5700

BRADLEY ANDERSON, M.D., FACS MEDICAL DIRECTOR

ROBERT SANTA-CRUZ, M.D.

CAITI KEAN, DNP

DELORIS HAIBECK, CNP

REGIONAL HEALTH MEDICAL CLINIC

2805 5th Street | Rapid City, SD 57701 regionalhealth.org/urology | 605-755-5700

160881 _1119

VO LU M E 1 0, N O. 8 ■ D E C E M B E R 2019

Midwest Medical Edition

Inside This Issue

FROM US TO YOU

The

WHO,WHAT and WHYS of

2019

A BRIEF RECAP AND NOTABLE QUOTES FROM OUR 2019 COVER FEATURES

PAGE

CONTENTS PAGE 6 | “I Want a Whole

Body MRI!”: When Patients Demand Unnecessary Tests ■ By Eric Zacharaias, MD

PAGE 13 | New Residency

Program Aims to Attract and Retain Nurses at Sanford

sit down to write the brief note that will

set the tone for the December issue, we struggle to find words to express our gratitude to you, our readers. MED’s growing audience of print and digital readers have made it possible for us to do what we love–bring you the information you value–for more than a decade now. Once again this year, we come back to a simple “Thank You”. (And keep it up!)

10

As you read this year’s “Year in Review”, we hope it will prompt you to catch up on any articles you might have missed and think

PAGE 14 | [SPONSORED FEATURE]

about what kinds of articles you

Journey Construction Reaches New Heights with Eye-Catching Avera Project What you may not know

would like to see in MED in the future. Our virtual “door” is always open, and we welcome your suggestions any time at

PAGE 16 | Make-A-Wish Brings

Many Surprises to Physician Family PAGE 18 | NEWS & NOTES A comprehensive roundup of medical community news from around the region

Info@MidwestMedicalEdition. com.

Holiday blessings to you and yours!

—Alex & Steff

PAGE 22 | UPCOMING EVENTS Conferences, Holiday Events, and dates to save for Spring

CONTACT INFORMATION

2020 ADVERTISING DEADLINES

STEFFANIE LISTON-HOLTROP

ISSUE

Publisher / MED MAGAZINE, LLC Sioux Falls, South Dakota

VP Sales & Marketing

JAN/FEB

605-366-1479

MARCH

Vice president Sales & Marketing STEFFANIE LISTON-HOLTROP

Steff@MidwestMedicalEdition.com

APRIL/MAY

ALEX STRAUSS

JUNE

Editor in Chief / ALEX STRAUSS

Editor in Chief

JULY/AUG

Graphic Design / CORBO DESIGN

605-759-3295

SEP/OCT

Web Design / LOCABLE

Alex@MidwestMedicalEdition.com

NOVEMBER

Oct 10

WEBSITE

DECEMBER

Nov 10

MidwestMedicalEdition.com

NEXT ISSUE

MAILING ADDRESS

Editorial contributions due December 1

PO Box 90646, Sioux Falls, SD 57109

Ads due December 10

Midwest Medical Edition

Digital Media Director / ALYSSA MCGINNIS

4

VERY YEAR as we

medical community news and

about the building of Avera on Louise PAGE 8 | THIS MONTH ONLINE Seeing Red at AHAs “Breakfast in Red”, How to recognize a phishing email, What is a MED Digital Partner?, Exclusive online articles

E

DUE Dec 10 Feb 10 March 10 May 10 June 10 August 10

A critical illness can be life-changing.

A wish can be life-changing.

World Walt Disney I wish to go to

ÂŽ

Katie 1994 wish granted, cancer

Katie, 2019

Learn how to refer a child at southdakota.wish.org/refer-a-child

December 2019

5

“I WANT A WHOLE-BODY MRI” WHEN PATIENTS DEMAND UNNECESSARY TESTS

BY ERIC ZACHARIAS, MD

C

ASE STUDY: A 63-year-old patient was at his primary

This case illustrates several of

care physician’s office for an annual physical exam. The

the issues that may arise when

patient told the physician that he wanted “a whole-

patients demand unnecessary tests.

body MRI to make sure I don’t have any treatable cancer

Here are some of the common ques-

before it’s too late.” The patient noted he had recently

tions physicians may have:

seen cancers in several of his friends and colleagues.

The patient noted that he was in excellent physical

health, felt great, and didn’t want to die of a curable cancer that could be

What am I obligated to do for a patient who demands a test that I think is unnecessary?

caught early by an MRI. When the PCP attempted to explain that he would

A simple answer to this question

not order the requested imaging because there was no scientific evidence

is that, in any given scenario, physi-

that a routine screening MRI is of any benefit to asymptomatic individuals

cians are held to the medical standard

and may actually be harmful due to false positive findings, the patient became

of care. This is defined as “what a

visibly frustrated and said, “Tell that to all my friends with cancer!”

reasonable and prudent physician

The patient also told the doctor that if he did not order the MRI, then

with the same or similar training in

he would report the physician to the state medical board for incompetence

similar circumstances would be

and find another physician, “more interested in preventing disease than

expected to do.”

treating it.”

As experienced physicians may

This was very upsetting to the PCP because he thought he had an excel-

know, each situation can have myriad

lent relationship with the patient, believed he had been sensitive to the

complicating factors so that when

patient’s concerns, and done a good job of explaining pre-test probability

there is a judgment call regarding a

and the risks of false positives in screening imaging. The PCP had never been

cognitive medical decision, there

reported to the medical board and didn’t know what the risks of that were.

actually is a “range of acceptable practices.” However, in a situation where a patient demands an unnecessary test, the physician is held to the standard of care.

What if the patient is persistently demanding and will not accept my refusal to order a requested test?

Although it is next to impossible to reduce the complexities of how to handle such an encounter to a single piece of advice or a simple algorithm, a physician should understand that, foremost, he or she is an advocate for the best care for their patients. Sometimes, the best care is not necessarily what the patient is demanding. It is important to understand the patient’s underlying reasoning for wanting the

WEB EXTRA

Read More

❱ What happens if a provider does give in and order an unnecessary test? Find that answer and more in the extended version of this article online.

6

MidwestMedicalEdition.com

study in the first place since addressing this may put the patient at ease.

For instance, a discussion in the above case where you acknowledge that seeing three closely occurring cases of cancer in friends would be unsettling and prompt most people to ask if they should be doing more to screen themselves.

If the patient persists despite reasonable efforts to educate a patient as to why you decline to order a requested test, then it may be reasonable to refer the patient to another physician for a second opinion. â?–

Eric Zacharias, MD is with COPIC’s Department of Patient Safety and Risk Management.

December 2019

7

THIS MONTH ONLINE Highlighting content and opportunities available exclusively at MidwestMedicalEdition.com

Seeing Red

Dozens of Sioux Falls-area businesses leaders donned their red and gathered to celebrate the fundraising kick-off for the 2020 Go Red for Women event on Friday, October 25 at Sanford USD Medical Center.

The “Breakfast in Red” is an opportunity for women (and men!) to learn more about the Go Red for Women movement and the work being done in South Dakota by the American Heart Association to fight for a world of longer, healthier lives. Speakers at the event included Dr. Mike Wilde, Chief Medical Officer for Sanford Health, Dr. Keung Ung, a cardiothoracic surgeon with Sanford Health, and other local business leaders.

Steffanie Liston Holtrop, a member of the Circle of Red and Executive Leadership Team, represented MED at the event. MED is a media sponsor for Go Red.

Above: Steff and the Executive Leadership Team Left: Steff and 2019 ELT chair Stefanie Engebretson (center) and another attendee.

Far left: Cardiothoracic Surgeon Keung Ung, MD, addressed the “Breakfast in Red” gathering.

Below: Dr. Keung Ung, Cardiothoracic Surgeon Sanford Health.

BECAUSE YOU ASKED

What is a MED Digital Partner anyway?”

You see their logos in every print and digital issue of MED Magazine. You see them in your semi-weekly News Roundup (you ARE on the VIP mailing list, right?). You see them at the bottom of every page of MidwestMedicalEdition.com. And you have likely read their articles on the website. But exactly what are these MED Digital Partners who seem to be everywhere?

LOOKING FOR A JOB IN LOCAL HEALTHCARE?

8

MED Digital Partners are advertisers who pay a small monthly fee to be in front of MED’s audience, wherever they are. Digital Partnership includes content marketing opportunities and even custom content generation at the Pro level. Intrigued?

Only a few spots are left.Contact Steff@ MidwestMedicalEdition.com to learn more.

MED is now accepting postings for the online job board. For a small fee, businesses can take advantage of MEDs growing online audience to get the word out. Job listings are available in groups of up to eight.

Contact Steff at Steff@MidwestMedicalEdition.com to learn more.

MidwestMedicalEdition.com

Would You

REALLY

Recognize a “Phishing” Email?

Exclusive online articles

Digital Partners

Understanding the New Lease Standard

By Eide Bailly

Email has become the de facto method for office communication, and the bad guys know it too. This has led to a common threat called phishing emails.

A phishing email is an email that appears to come from someone you recognize, but really isn’t. The email might prompt you to reset your password by clicking on a link, contain an attachment that you’re supposed to open or may be just asking for a quick favor.

In either case, it’s usually a scam and the bad guys may be trying to get you to download malware, give up your password or provide sensitive information.

In this exclusive online article, MED Digital Partner High Point Networks uses actual examples of customer emails to illustrate how sneaky and dangerous these kinds of messages can be.

You’ll also find four must-have tips to help you identify phishing emails before it’s too late.

To read the article, click here in your digital issue or on the High Point Networks logo on any page of MED’s website.

The new lease standard from the Financial Accounting Standards Board (FASB) was released in February 2016. With it came sweeping changes with direct impact for several types of organizations and industries, including healthcare entities.The standard includes components on operating leases, implementation options and more.

Meet Sioux Falls Endocrine Surgeon Emily Murphy “I wanted to have a niche that no one else did so that I would be able to do surgery in the place where I really wanted to do it.” says South Dakota native and board certified endocrine surgeon, Emily Murphy. Learn more about this Surgical Institute of South Dakota provider in this exclusive online article.

South Dakota Takes Vaccination Seriously New research suggests that South Dakota residents take vaccination seriously– especially for adults. South Dakota ranks second in the nation in the share of adults 60 and over with Zoster vaccination and 9th in the nation of adults vaccinated against tetanus. The numbers aren’t bad for children either. Go online to see the full results of the new WalletHub study.

Make your business or practice easy to find by thousands of monthly website visitors. Claim your FREE BUSINESS

DIRECTORY LISTING at

MidwestMedicalEdition.com/businesses

9

USD Healthcare Students Expand Their World View

C

OVERING THE AREA’s medical community news is all about asking the right questions. What happened? Who was involved? Where and when did it happen? And, most importantly, why did it happen and what does it mean for healthcare professionals in the northern Great Plains?

At MED, these are the questions we ask every day. We bring you the answers, packaged beautifully with images and graphics to illuminate them, in the form of this magazine, eight times a year.

In our Review of 2019, we summarize some of the year’s most important questions and their answers. Our aim is to give you a broader look at the year in healthcare in our region, to fill you in on top stories you might have missed, and to inspire you to think about questions that need to be asked in 2020.

TheWHO, WHATand

WHYS of

JANUARY FEBRUARY

A Conversation with LifeScape’s New CEO Eye Bank Leads the Way in QA

VOL. 10 NO. 1

2019

SANFORD’S FIRST LORRAINE CROSS AWARD DR. KATHERINE HIGH AND DR. JEAN BENNETT THE SOUTH DAKOTA REGION’S PREMIER PUBLICATION FOR HEALTHCARE PROFESSIONALS

January/February WHAT

Sanford announces the winners of its first $1 million Lorraine Cross research award

WHO Dr. Katherine High and Dr. Jean Bennett, developers of the first FDA-approved gene therapy drug for Leber’s congenital amaurosis, an inherited retinal disease.

WHY

The first semi-annual Lorraine Cross award process provided support for innovative translational research in gene therapy. It was also a boon for Sanford’s global brand, bringing a number of significant researchers into Sanford’s sphere of influence and putting Sanford on the radar of other major players in the international research community.

2019 10

NOTABLE QUOTE

“

We wanted to find someone who had taken an idea beyond the bench, beyond the bedside, and actually used it to treat disease. And we wanted to use an entirely agnostic process to identify that person.”

—David Pearce, PhD, executive VP of Innovation and Research at Sanford.

MidwestMedicalEdition.com

State’s First Clinic-Based Food Bank

2019

Managing the Risks of “Curbside Consults” ‘Virtual Infusions’ for Rural Cancer Patients

VOL. 10 NO. 3

Inside Rock Rapids’ New Hospital

2019

JUNE

Exclusive Online Content

VOL. 10 NO. 2

APRIL MAY

A Roundup of Spring Events

How to Protect Your Online Reputation

MARCH

Public Health 3.0 in Rural SD Is It Time to Ditch Your Passwords?

VOL. 10 NO. 4

2019

A NEW APPROACH TO OPIOID ADDICTION Regional Health’s Stephen Tamang, MD

JULIE REILAND, MD, AND AVERA’S BREAST CARE INNOVATORS

ON A MISSION TO RESTORE

HEALTH, HOPE, AND DIGNITY UROLOGIST LAUREN WOOD THUM, MD

THE EVOLUTION OF IORT

THE SOUTH DAKOTA REGION’S PREMIER PUBLICATION FOR HEALTHCARE PROFESSIONALS

THE SOUTH DAKOTA REGION’S PREMIER PUBLICATION FOR HEALTHCARE PROFESSIONALS

THE SOUTH DAKOTA REGION’S PREMIER PUBLICATION FOR HEALTHCARE PROFESSIONALS

March

April/May

June

WHAT A young Black Hills doctor offers medication-assisted treatment (MAT) with Suboxone for people with opioid addiction

WHAT

WHAT

WHO Stephen Tamang, MD, Regional Health family medicine physician WHY

There are more Americans addicted to opioids than ever before. MAT is emerging as the gold standard for lasting freedom from opioid addiction but its use is heavily regulated and takes significant time and resources on the part of providers. Tamang’s willingness to rise to the challenge helped make it available in the Rapid City area for the first time.

9

NOTABLE QUOTE

“

This is the most fulfilling, rewarding work I’ve ever done. This takes people who are lying, stealing, or buying drugs and makes them functional again. I can’t tell you how many people have told me they got their kids back, got their job back, or saved their marriages.”

—Stephen Tamang, MD

Since 2011, nearly 200 breast cancer patients have been treated with electron-based intraoperative radiation therapy (IORT) through Avera Medical Group Comprehensive Breast Care, making them one of the highest-volume centers for this technique in the country.

WHO Breast surgeon Julie Reiland, MD, and radiation oncologist Kyle Arneson, MD WHY In appropriate patients with small, non-aggressive tumors, IORT may allow for a single “one-and-done” dose of radiation. In other cases, a “boost” of IORT may reduce post-surgery radiation from six weeks to three weeks. By combining it with oncoplastic surgery, Reiland and her team help preserve both lives and quality of life.

NOTABLE QUOTE

“

With the linear accelerator, we can dial in exactly when the electrons drop off their energy into the tissue.

The electrons come from above and go 2 or 3 centimeters deep in a six-inch radius.

It’s like dropping a bomb. ”

—Julie Reiland, MD

A Sioux Falls urologist volunteers her time to help with horrific health problems in Uganda.

WHO Lauren Wood Thum, MD, Urology Specialists of Sioux Falls WHY

Long before she became a doctor, urologist Lauren Wood Thum, MD, of Urology Specialists of Sioux Falls, was drawn to medicine’s ability to impact more than health. Now she is applying her specialized training in female pelvic medicine and reconstructive surgery to some of the world’s most complex urological cases on medical mission trips to Uganda with California-based MedLend. This article detailed some of the most noteworthy and complex cases.

NOTABLE QUOTE

“

In one week in Africa, you do more complex cases than you might see in a year back home. You learn a lot of tricks on how to manage because you are basically MacGyver for a week. You have to problem solve and you learn to be a little less demanding. ”

—Lauren Wood Thum, MD

The Year in Review December 2019

11

The Link Between Brachytherapy and Cancer Disparities

2019

A VIEW FROM

THE TOP

LIFE AT A TOP 20 INDEPENDENT RURAL HOSPITAL

Handling Attorney Requests for Medical Records New Bunion Procedure Gets Patients on Their Feet Faster

VOL. 10 NO. 6

Upcoming Winter Events

2019

NOVEMBER

DLSH and LifeSource on New Partnership

VOL. 10 NO. 5

SEPTEMBER OCTOBER

Exclusive Online Content

Caring for Migrant Farm Workers

JULY AUGUST

Dealing with Negative Comments Online A Roundup of Local News & Upcoming Events

VOL. 10 NO. 7

2019

BREAKING DOWN BARRIERS TO INTIMACY

OB-GYN LAURIE LANDEEN, MD

Dr. Andrew Ellsworth Brookings Health System Dr. Tina Melanson Prairie Lakes Healthcare System

BRIDGING THE

CARE GAP

New Residency Program Aims to Train More Rural Doctors

Dr. Andrew Ellsworth BROOKINGS HEALTH SYSTEM Dr. Tina Melanson PRAIRIE LAKES HEALTHCARE SYSTEM

THE SOUTH DAKOTA REGION’S PREMIER PUBLICATION FOR HEALTHCARE PROFESSIONALS

MED July August 2019_Final.indd 1

THE SOUTH DAKOTA REGION’S PREMIER PUBLICATION FOR HEALTHCARE PROFESSIONALS

THE SOUTH DAKOTA REGION’S PREMIER PUBLICATION FOR HEALTHCARE PROFESSIONALS

6/12/19 6:49 AM

July/August

September/October

November

WHAT

Two independent South Dakota rural community hospitals are designated “Top 20” by the National Rural Health Association.

WHAT Sanford opens a multidisciplinary “intimacy clinic” to address health issues that can lead to sexual problems in women.

WHAT

WHO Family medicine physician Andrew Ellsworth, MD, of Brookings Health and nephrologist Tina Melanson, MD, of Prairie Lakes Healthcare System

WHO

WHO Tom Huber, MD, Site Director of the program and Mark Huntington, MD, PhD, Director of the Center for Family Medicine

WHY

South Dakota was second only to Indiana–which had five–in the number of institutions on the National Rural Health Association list of Top 20 Rural Community Hospitals. In addition to Avera St. Mary’s in Pierre, the list included two independent hospitals–Brookings Health System in Brookings and Prairie Lakes Healthcare System in Watertown. Strategic investment in infrastructure and specialty services seems to be key.

Laurie Landeen, MD, Sanford Women’s Health Plaza

WHY

Menopause, pregnancy, past trauma, depression, cancer, relationship problems and anatomical issues can stand in the way of physical intimacy for women. Although 42 percent of women report having sexual dysfunction at some point in their lives, ObGyn Laurie Landeen, MD, says many providers simply do not want to open this “Pandora’s box” and so do not ask the relevant questions. After the initial assessment, patients will be directed to the appropriate therapy or intimacy clinic team member for their unique situation.

The new Pierre Rural Family Medicine Residency Program welcomes its first two residents

WHY

South Dakota continues to suffer from a shortage of rural providers. As more older rural doctors near retirement, and fewer younger ones stand ready to take their place, a growing number of communities could be left with no access to primary care. GIven that most new family physicians settle within a hundred miles of their residency program, Pierre was seen as a perfect training ground for a new batch of rural-ready doctors.

2019 NOTABLE QUOTE

“

I love that I am in charge of my own ship. That autonomy definitely impacts my practice. I can literally walk down the hall and speak to administration any time.”

—Tina Melanson, MD

NOTABLE QUOTE

“

There are studies that show that patients who have a healthy intimate life actually live longer. This is about providing a woman with the best way to become her full self.” —Laurie Landeen, MD

NOTABLE QUOTE

“

It is so important they learn how to balance professional and personal relationships before they are on their own. By training people in that environment, we hope they will be less intimidated to practice in a rural environment.”

— Mark Huntington, MD, PhD

The Year in Review

12

MidwestMedicalEdition.com

NEW RESIDENCY PROGRAM AIMS TO ATTRACT AND RETAIN NURSES

O

NE OF THE BIGGEST

challenges

Sanford noticed new nurses often hit

for modern healthcare organiza-

a “lull” at about six months–right when

tions is attracting and retaining

their standard four to six month onboard-

the professional staff they need

ing process comes to an end. The price tag

to provide the highest quality care. A

for even one nurse who decides to rethink

national shortage of nurses has made

her job choice and leave can be 50 to 70

these critical caregivers especially chal-

thousand dollars. Goldammer says having

lenging to recruit and retain.

an additional six months of residency can

“We definitely have a tougher time finding nurses,” says Meghan Goldammer,

help “get them over that hump” and stay engaged.

RN, Senior VP of Nursing and Clinical

Three cohorts a year of nurse residents

Services at Sanford. “Nursing class sizes

participants attend monthly seminars

have stayed the same or

on topics such as clinical rea-

shrunk because it is diffi-

soning and critical thinking,

cult to find professors. So

patient safety, interprofessional

graduation numbers are

communication, evidence-based

not really meeting the

practices,

need as the Baby Boomers

patient- and family-centered

age.”

care. The program also includes

and

deliver ing

Sanford is taking a

mentorship and small-group

proactive approach to the

work. The first cohorts of nurses

problem with a new Nurse

Meghan Goldammer

Residency Program for all

started this Fall in Sioux Falls, Fargo, Bemidji, and BIsmarck.

new nurses. The year-long program is for

“We know that we need to invest in the

new RN graduates who have less than a

success of our new nurses and this is a

year of experience and international RNs

cutting edge way to do it,” says Goldammer.

who are newly licensed in the US. At San-

“The residency program really sets them

ford, about 300 new nurses qualify for the

up to not only be a good technical nurse,

program.

but to be professional and to be a leader in

“The goal is to go above and beyond the

the organization.”

normal on-boarding process to really help

Sanford employs about 8,200 nurses.

that new nurse transition from student

Nurses with less than a year of experience

nurse to professional nurse,” says

are automatically enrolled in the residency

Goldammer.

program. ❖

WEB EXTRA

“

THE GOAL IS TO GO ABOVE AND BEYOND THE NORMAL ON-BOARDING PROCESS TO REALLY HELP THAT NEW NURSE TRANSITION FROM STUDENT NURSE TO PROFESSIONAL NURSE

”

Read More

❱ Find a link to FAQs on the new Nurse Residency Program on our website.

December 2019

13

[ SPONSORED FE ATURE ]

Journey Construction Reaches New Heights with Eye-Catching Avera Project

T

O THE UNTRAINED EYE, the first buildings on the new Avera on Louise Health Campus in Sioux Falls, which opened in October, appear to have been built only once.

But the experts at Journey Construction, whose job it was to

transform an empty lot into the eye-catching hospital and clinic that stands there now, know otherwise.

THE POWER OF VIRTUAL MODELLING Long before the first piece of heavy equipment rolled onto the site, the entire project, including every electrical outlet, light switch, air duct or sheet of glass, was “built” digitally by Journey’s virtual design team. With augmented reality, builders can often find and correct potential problems before they slow down construction or throw off the complex schedule.

“Preplanning is 80 percent of getting the work done on time,” says Senior Project Manager Aaron Eich. “When you have the experience and a really well thought out plan, your time can be spent on addressing unknowns and creating the best possible solutions.”

In this case, virtual modeling pointed up a potentially expensive issue with the Avera Specialty Hospital early on.

The planned height of the five-story building would have put it in the “high rise” category, necessitating at least a half-million dollar’s worth of additional code requirements. Thanks to detailed virtual modeling, the team was able to figure out how to condense the space between floors to take the needed three feet out of the height, without compromising interior space.

“PREPLANNING IS 80 PERCENT OF GETTING THE WORK DONE ON TIME.”

THE CHALLENGE OF SCHEDULING One of the biggest challenges in constructing healthcare facilities like those on the Avera on Louise campus is the need to accommodate medical equipment that is not yet on site. Senior Superintendent Eric Bender says this is where it is critical to strike a balance between the need to hold out for the latest technology, and the need to nail down exact construction specs.

“In medicine, they always want to wait for the very newest model, so they wait as long as possible to make decisions on equipment,” says Bender. “But in construction, you need to get that information in a timely manner to keep the project moving along. The key is to find that sweet spot that works for everyone.”

The first Avera on Louise buildings are the five-story Avera Specialty Hospital and the three-story Avera Medical Group building, comprising a total of 260,000 square feet. The buildings are designed in Avera’s signature Prairie Wind theme and include 1.5 aces of glass along the exterior. The sheer size, scope, and complexity of the project meant there were likely to be scheduling challenges with local contractors.

“Because of the size, we had to give some of these local companies a heads up early on so they would be prepared to handle the workload,” says Bender. “For some companies, this project would consume their entire year.”

THE TECHNOLOGY AND THE TEAM One of the most important components in the success of the first two Avera on Louise buildings was the long-standing working relationship between Journey Construction and Avera Health. Darin Hage, Vice President of Journey Construction, Building Division, says that relationship was key to completing a project he calls a “billboard” for Journey smoothly, within the budget, and on schedule.

“That set the stage from the beginning,” says Hage. “We know that we have the ability to make decisions with them because of our past experiences. They allowed us to make recommendations, such as procuring the structural steel even before the design was done, so that we could make the schedule happen.”

Hage says the projected marked several “firsts” for Journey. In addition to delving deeper into virtual design, they expanded their use of Lean construction principles with novel forms of batching and phasing for better workflow. The project also marked the first time Journey used drones to map the site and keep an eye on progress.

But even with all the new technology and techniques in place, Hage says the real success of the project came from the people involved and their can-do attitude.

“On this particular project, we were able to accomplish so many things with that team,” says Hage. “It is amazing to see how everyone worked together on what was really a very complex large scale building without any major bumps or hiccups. If there were challenges or issues, the whole team was ready to come to the table to work through those. It was a culture built on that site.” ❖

Eric Bender

“ IT WAS

Darin Hage

Aaron Eich

A CULTURE BUILT ON THAT SITE.

”

Make-A-Wish Brings Many Surprises to Physician Family

S

ANFORD SPORTS MEDICINE PHYSICIAN VERLE VALENTINE, MD,

That was part of the reason the Valentines had always

and his wife Carrie thought they understood

said “No” to the idea of Make-A-Wish granting a wish for

what the Make-A-Wish organization was all about.

their daughter. Like many people, they had the miscon-

After all, they had been hearing about Make-A-

ception that wishes were reserved for the terminally ill

Wish since their daughter Alexa (Lexi)–now 17–was a preschooler.

and for those with limited means.

“We just kept telling them thanks but save this for

Lexi suffers from a chronic and complex autoimmune and autoinflammatory syndrome that affects her

families for whom it would be better suited,” says Carrie Valentine.

nerves and her ability to fight infection.

“We thought, ‘She doesn’t have cancer, she isn’t

Although it is not imminently life-threat-

going to die’,” adds Dr. Valentine. “And we are

ening,

it

has

sometimes

been

life-limiting, landing her in the hospital with infections on numerous occasions.

“But if you look at her, you would

fortunate enough to be able to take her to Florida or anywhere else she wants to go.

So this isn’t something she needs.”

But when Lexi was 14, a persistent social worker helped organize a wish for

not necessarily think this kid has

her anyway. Not only were the Valentines

some kind of chronic illness,” says

surprised to get the call and surprised

Dr. Valentine. “She just looks like a normal kid.”

that Lexi qualified for a wish, but they were also surprised by the wish itself.

“IF YOU LOOK AT HER, YOU WOULD NOT NECESSARILY THINK THIS KID HAS SOME KIND OF CHRONIC ILLNESS.” 16

MidwestMedicalEdition.com

Lexi wanted to travel to Alaska to see wildlife.

“We knew that she loved the outdoors and loved animals, but we did not realize this was something she really wanted to do,” says Dr. Valentine.

Make-A-Wish organized land and sea tours for Lexi and her family, taking care to build in rest days and make concessions for Lexi’s physical needs.

The Valentines say they saw their daughter blossom on the first family trip that was truly all about her. But the biggest surprise of all had little to do with the trip itself.

“One of our biggest takeaways from the whole experience was that, even though Lexi had been afforded a lot of opportunities, she wasn’t really dreaming. She wasn’t looking into the future,” says Carrie. “Make-A-Wish really drew out what she wanted and helped her and us begin to have more forward thinking. That was really special.” ❖

December 2019

17

Happenings around the region

News & Notes

South Dakota | Southwest Minnesota | Northwest Iowa | Northeast Nebraska

Members of the Avera Health Information Technology team who were on hand to receive the Most Wired award: (l to r) Mike Von Bergen, Nancy Hartung, Rebecca Hauge, Jim Veline, Helen Watters (MEDITECH), Andrew Burchett, DO.

AVERA

Rural Health Care, Inc., in collaboration with Avera Medical Group Mitchell, has begun operating Access Health – Mitchell at the AMG Family Health Center located on the Avera Grassland Health Campus. Access Health – Mitchell is a Federally Qualified Health Center, which means that more than 32,000 southeastern South Dakota residents will gain access to the benefits that designation provides, including a sliding-fee schedule based on ability to pay as defined by federal income guidelines.

Avera eCARE has received a $4.3 million grant from The Helmsley Charitable Trust to develop and launch a national telehealth certificate program.

Physicians, advanced practice providers, medical residents and administrators will be able to earn a certificate in telehealth as well as a specialty certificate for telebehavioral health.

Next steps include establishing a governing board for the program, convening a national panel to validate the curriculum, and setting up a telehealth education center.

Avera earned the highest level of recognition as a Level 10 “Most Wired” health care organization from the College of Healthcare Information Management Executives in its 2019 program. Avera was one of three health systems in the nation eligible for Level 10 status and the only health system east of the Rockies to earn this honor. The recognition marks the 20th time Avera was included in the survey as a top performer.

Avera Behavioral Health counselors are partnering with Avera eCARE to provide improved access to Nebraska patients. This triage program includes six sites in Nebraska and will help reduce the wait-time for patients who could benefit from mental health services. The goal is that patients would have the opportunity to meet with clinicians, via telemedicine, the same day or within three business days.

Avera counselors already provide these services to 18 sites in South Dakota, Iowa and Minnesota.

Avera’s Rural Health Department has received two grants totaling $4.5 million that will fund and support sexual assault forensic examination processes in rural communities. The Department of Justice’s Office for Victims of Crime (OVC) and Office of Violence Against Women presented the grants. The award will allow telemedicine to bring the care and expertise of Sexual Assault Nurse Examiners (SANEs) to rural areas in a program called “eSANE for Rural.”

18

Avera will soon open the Avera Addiction Care Center on the Avera on Louise Health Campus in southwest Sioux Falls. The first residents will be admitted to the center in mid-December.The Center is a voluntary 28-day residential treatment center using evidence-based, individualized approaches to treat alcohol and drug addiction, such as cognitive behavioral therapy and motivational interviewing.

The center also offers medical stabilization and medication assisted treatment (MAT).

MidwestMedicalEdition.com

BLACK HILLS The VA Black Hills Health Care System hosted a Veterans Stand Down and Resource Fair on November 5th. The event was open to all Veterans and their families and the goal was to reach out to Veterans who are homeless or at-risk for homelessness.

The event took place at the Rushmore Plaza Civic Center and Goodwill of the Great Plains provided the meal.

PEG CHILVERS

MONICA MORMAN Orthopedic surgeons Dr. Peg Chilvers and Dr. Monica Morman are now providing full-time foot, ankle, hand and upper extremity care at at Black Hills Orthopedic & Spine Center of Wyoming in the Gillette office. Dr. Chilvers is a fellowship-trained foot and ankle surgeon who trained at the Michigan International Foot and Ankle Center in Pontiac, Michigan.

Dr. Morman, a dual fellowship-trained shoulder and hand surgeon, trained at the Hand Center of San Antonio and completed a Harvard University fellowship in shoulder at elbow surgery at Massachusetts General Hospital.

December 2019

Regional Health announced in November that it will become “Monument Health” in January 2020. This is part of a systemwide organizational renaming and rebranding. In addition to the name change, Monument Health is planning to join the Mayo Clinic Care Network in January. Monument Health will remain independent and local physicians will be granted special access to Mayo’s knowledge, expertise and resources To coincide with the name change, Regional Health also acquired the naming rights to the Rushmore Plaza Civic Center, which will be known as “The Monument” after expansion construction is completed in the fall of 2021. Voters approved construction of a new civic center arena in June 2018.

Laboratories at Regional Health Lead-Deadwood Hospital, Regional Health Medical Clinic on Flormann Street in Rapid City, and Regional Health Orthopedic & Specialty Hospital in Rapid City have met all criteria for accreditation by COLA, a national healthcare accreditation organization.

Accredited laboratories apply rigid standards of quality in day-to-day operations, demonstrate continued accuracy in the performance of proficiency testing, and pass a rigorous on-site laboratory survey.

The Regional Health John T. Vucurevich Cancer Care Institute in Rapid City has received a grant of up to $30,000 from the South Dakota Department of Health to launch a survivorship program for the institute’s breast cancer patients. Under the program, the Cancer Care Institute will expand its patient navigation services to support patients through the after-treatment process. In addition, the institute will put the survivors in touch with community-based support programs.

Regional Health Rapid City Hospital and the Heart and Vascular Institute have received the American College of Cardiology’s NCDR Chest Pain MI Registry Platinum Performance Achievement Award for 2019. Rapid City Hospital, which won the award for the seventh straight year, is one of only 225 hospitals nationwide to receive the honor.

Regional Health has earned the American Heart Association’s Silver Level recognition for taking significant steps to build a culture of workplace health. It’s the second year in a row that Regional Health has been recognized. LiveWell, Regional Health’s voluntary well-being initiative, is a comprehensive well-being approach that offers support, resources and rewards for those who take steps to care for themselves. The American Heart Association Workplace Health Achievement Index is based on a set of best practices for building a culture of health in the workplace.

19

• Happenings around the region

News & Notes

Happenings around the region

SIOUXLAND

JENNIFER WILLIAMSON Jennifer Williamson, MD, recently received the South Dakota Young Physician Award from the state chapter of the American College of Physicians. Dr. Williamson is an Internal Medicine Physician at Regional Health Medical Clinic on Flormann Street in Rapid City. Originally from the Caribbean, Dr. Williamson graduated from the University of the West Indies and completed her residency in Internal Medicine at New York Medical College, Metropolitan Hospital Center. Dr. Williamson joined Regional Health last August.

SANFORD

As Mark Longacre, President of Regional Health Orthopedic & Specialty Hospital, looks on, Tamara Gorman signs the sponsorship agreement with Regional Health Orthopedics and Sports Medicine.

TAMARA GORMAN Regional Health Orthopedics and Sports Medicine has signed its first sponsorship agreement with a professional athlete. Tamara Gorman is a Rapid City native and triathlete on Team USA. Gorman graduated from Stevens High School in 2014, and from the University of Minnesota in 2017. She is a three-time International Triathlon Union Continental Cup medalist, and she won the ITU U23 World Championship in 2017.

20

Three more hospitals have signed on to rapidly integrate genetics and genomics into primary and specialty pediatric care through an innovative consortium with Sanford Health. The mission of the Sanford Children’s Genomic Medicine Consortium is to efficiently manage resources in genetics and genomics, perform cutting-edge research and education and bring genomic medicine into pediatric practice. This will help set the standard for precision medicine in children’s healthcare.

NEAL KHURANA Interventional radiologist Neal Khurana, MD, has been named the Medical Director of Interventional Radiology at MercyOne Siouxland Medical Center. Dr. Khurana received his medical degree from the Chicago Medical School at Rosalind Franklin University and completed his Diagnostic Radiology residency followed by a fellowship in Interventional Radiology at Rush University Medical Center in Chicago. He is board certified by the American Board of Radiology and a member of the Society of Interventional Radiology.

DANIELA FERRELL Daniela Ferrell, NP, has joined the MercyOne Siouxland Heart and Vascular Center. Ferrell received her bachelor’s degree from Western Michigan University and then went on to get her master’s degree from Walden University.

She has extensive experience in cardiac ICU, cardiovascular surgical and acute care, specializing in gerontology.

JUDY VAN WYHE Judy Van Wyhe of MercyOne Siouxland has been named Iowa’s Wound, Ostomy, Continence Nurse of the Year. As a result of Van Wyhe’s professional and personal commitment to the science of wound care, patients experience improved care coordination, reduced length of stay, and better outcomes.

ANDREW MCCANN Cardiology nurse Andrew McCann, RN has won a Daisy Award for Extraordinary Nurses. His nomination described McCann is caring, kind, considerate, professional, respectful and patient.

The Riverview Surgical Center opened in South Sioux City, Nebraska in September. The Ambulatory Surgery Center includes four operating rooms, three procedure rooms, and six extended-recovery rooms overlooking the river. Its modern design compliments the adjacent Marriott Hotel.

MidwestMedicalEdition.com

INDEPENDENTS & THE VA ALISON GILBERTSON Alison Gilbertson is the new Director of Human Resources at Prairie Lakes Healthcare System in Watertown. Gilbertson holds an MS in Health Administrative Studies and has twenty seven years of healthcare experience, including four years as a nursing home administrator. Gilbertson has served the last seven years of her career as Executive Director of the Prairie Lakes Healthcare Foundation

DARREL RICHARDS Darrel Richards, DPM, has joined the team of outreach specialists at Pioneer Memorial Hospital & Health Services.

Dr. Richards graduated from Western University of Health Sciences in Pomona, California and completed his residency at Fountain Valley Regional Hospital & Medical Center in Fountain Valley, California. He is certified board qualified by the American College of Foot and Ankle Surgeons.

ANNA HUSMAN Anna Husman, CNP, has joined the medical staff at Pioneer Memorial Hospital & Health Services. Husman grew up in Rapid City and earned her MS in Nursing at the University of Nebraska Medical Center. She has been a Registered Nurse since 2009 at Sanford Children’s Hospital in the Pediatric Intensive Care Unit and was a member of the Pediatric Flight Team. Husman is board certified with the American Academy of Nurse Practitioners and will be seeing patients at the Parker Medical Clinic.

December 2019

21

• Happenings around the region

News & Notes

Happenings around the region

PatientCare EMS, the 911 ambulance transport service for Sioux Falls, has received accreditation from the Commission on Accreditation of Ambulance Services (CAAS) for the second time. The accreditation recognizes that PatientCare EMS meets or exceeds these nationally-accepted high standards for patient care in the ambulance industry. Re-accreditation including a comprehensive self- assessment. Application and on-site evaluation is required every three years.

Physicians Vein Clinics has opened a fifth location in the Midwest in Fargo-Moorhead.

Physicians Vein Clinics offers a broad level of treatment for vein issues ranging from cosmetic to tough-to-treat vein problems with more than 12 years of experience and more than 10,000 vein treatments. In addition to the new North Dakota location, Physicians Vein Clinics also has locations in Sioux Falls, Watertown, Sioux Center, and Sioux City.

22

Abben Cancer Center of Spencer Hospital is preparing for a major technology upgrade for its radiation oncology services. The new digitally-based Elekta Versa HD accelerator allows for improved patient positioning, clearer images, and better targeting of tumors. It will be the most advanced accelerator in northern Iowa and will allow Abben to provide stereotactic radiotherapy.

Estimated cost of the project is $4 million and is anticipated to be completed in early August 2020.

Sam Jolley, PA-C, has joined Surgical Institute of South Dakota. He received his MS in Physician Studies from the University of South Dakota and is board certified by the National Commission on Certification of Physician Assistants. He also holds certifications in ACLS, BLS and PALS. Jolley primarily practices in conjunction with Dr. Jesse Guardado.

UPCOMING EVENTS December 6 • 7:30 am–5:00 pm Avera Fourth Annual Geriatrics Symposium Location: Classroom 148-149, Pasque Place, Sioux Falls Information: averacontinuingeducation@avera.org, 605-322-7879

December 6 • 9:00 am–5:30 pm Sanford Wound & Ostomy Care Conference: Advance Wound Care Location: Hilton Garden Inn, Fargo Information: www.sanfordhealth.org/classes-and-events

December 14 & 15 • 7:30 pm and 2:30 pm Christmas with the Symphony Location: Washington Pavilion, Sioux Falls TIcket information: sdsymphony.org, 605-367-6000.

December 21 • 7:30 pm Holiday Jam with the Hegg Brothers (Dougherty Hospice House Benefit) Location: Washington Pavilion, Sioux Falls Information: www.washingtonpavilion.org/event/ holiday-jam-hegg-brothers

February 29, 2020 • 6:00 pm Regional Health 23rd Annual Hospice Ball Location: Spearfish Holiday Inn & Convention Center Information and Reservations: regionalhealth.org/ foundation or call 605-755-9193

Nicole Goodroad, CNP, has joined Surgical Institute of South Dakota.

Goodroad earned her MS in Nursing from South Dakota State University and is board certified by the American Association of Nurse Practitioners as a Family Nurse Practitioner.

She holds certifications in PALS, BLS, ENPC, and ACLS. She is also a Certified Emergency Nurse, Certified Flight Nurse and a Trauma Nurse Core Course Instructor. Goodroad will primarily practice in the acute surgical service at Avera McKennan Hospital.

March 26, 2020 • 7:30 am–4:30 pm 29th Annual Sanford Perinatal Neonatal Women’s Conference Location: Sanford USD Medical Center, Sioux Falls Information: www.sanfordhealth.org/classes-and-events

Save the dates APRIL 2

Pediatric Trauma Symposium 2020

APRIL 4

Sanford Heart & Vascular Symposium, Fargo

APRIL 30 Sanford Kidney Symposium 2020, Sioux Falls MAY 1 Avera 7th Annual Difficult Airway Course, Sioux Falls

VISIT THE ONLINE CALENDAR at MidwestMedicalEdition.com to find more information on these and other upcoming events between issues. You can also add your own event to the calendar for free.

UNDO

RISK

T h er e A R e S O m e T H I N G S YO U CA N ' T U N D O .

P R ED I A B ET ES YO U CA N.

1 in 3 adults have prediabetes and most don’t know it. Prediabetes is serious and puts you at a higher risk of developing type 2 diabetes, heart disease, and stroke.

Start the conversation with your patients. Encourage them to take the Prediabetes Risk Quiz at undotherisk.com.

Take the

quiz!

No print area

leave this area blank 4.05 x 1.3636 Positioned .28 from top and right edge

CARE THAT FITS THEIR LIVES Here in Sioux Falls As a woman, your patient’s health needs change throughout her life. At Sanford Health in Sioux Falls, we offer specialty care for women of all ages. We have providers that specialize in: • Bone health • Fertility and reproductive medicine • Female pelvic medicine • PCOS • Gynecologic oncology • Hormone therapy • Overactive bladder • Pelvic pain • Sexual health and intimacy

Call (605) 328-7700 to refer a patient today.

015002-00345 11/19