January/February 2021 MED Magazine

Addiction Help for Healthcare Professionals Diagnostic Errors: Understanding the “Big Three”

A NEW HOME FOR the

‘HEART DOCTORS’ Monument Health Heart & Vascular Institute

THE SOUTH DAKOTA REGION’S PREMIER PUBLICATION FOR HEALTHCARE PROFESSIONALS

JANUARY FEBRUARY

Make-A-Wish Expands its Reach

VOL. 12 NO. 1

2021

When one number connects you to the region’s best pediatric specialists, 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

Anyone can struggle with addiction.

As providers, we know that substance misuse and addiction are often just symptoms of more complex problems.

For treatment to be effective, the whole person—their basic needs, mental health, physical conditions, and overall safety must be addressed.

Talking with your patients is a great place to start— helping them find a support team is even better. The Resource Hotline can provide your patients with the services and support they need to fully recover including:

• Connecting to housing, transportation, employment, and food assistance • Help accessing treatment and recovery services • Identifying financial assistance opportunities • Parenting education • Follow up services with a personal guide for addiction recovery through the Care Coordination program Your guidance is powerful. Patients are more likely to follow through when you recommend a course of action.

Refer your patients and their families to the

Resource Hotline 1-800-920-4343 It’s FREE, confidential, and available 24/7.

Together, we can treat the whole person and set them on the path to recovery.

We’ll be with you every step of the way.

Your personal guide to addiction recovery.

AvoidOpioidSD.com/Care-Coordination

VO LU M E 12 , N O. 1 ■ JA N UA RY 2021

Inside This Issue

CONTENTS PAGE 6 | Surviving Addition: Reclaiming Lives and Relationships Through Peer Support Face It TOGETHER of Sioux Falls is changing how communities tackle addiction—one person at a time.

PAGE 8 | This Month Online The SD Cardiovascular Collaborative, What is a "Smart" Building, and a FREE way to increase brand awareness for your practice.

[ on the cover ]

MONUMENT HEALTH HEART & VASCULAR INSTITUTE: A NEW HOME FOR THE "HEART DOCTORS" ■ By Alex Strauss

The founders of the region's first fledgling heart program talk about the 20+ year evolution

PAGE 13 | [Interview] Sue E. Salter, CFRE, President and CEO, Make-A-Wish South Dakota & Montana How the newly formed Make-AWish South Dakota & Montana plans to keep the wishes flowing for sick children in our region.

PAGE 14 | Diagnostic Errors: The "Big Three" That Account for 75% of Errors

■ By Copic's Patient Safety and Risk Management Department

that has brought them back to the campus of

PAGE 16 | News & Notes

the Rapid City Hospital.

Your comprehensive roundup of medical community news including new hires, moves, certifications, awards, and more.

PAGE

10

On the Cover: Samuel Durr, MD, FACC, and Drew Purdy, MD, FACC, of the Monument Health Heart and Vascular Institute

FROM US TO YOU

Happy New Year, Friends!

CONTACT INFORMATION

All the Best!

—Alex and Steff

2021 ADVERTISING DEADLINES

STEFFANIE LISTON-HOLTROP

ISSUE

VP Sales & Marketing

JAN/FEB

Publisher / MED MAGAZINE, LLC Sioux Falls, South Dakota

605-366-1479

MARCH

Steff@MidwestMedicalEdition.com

APRIL/MAY

Vice President Sales & Marketing STEFFANIE LISTON-HOLTROP

ALEX STRAUSS

JUNE

Editor in Chief

JULY/AUG

Editor in Chief / ALEX STRAUSS

605-759-3295

SEP/OCT

Alex@MidwestMedicalEdition.com

NOVEMBER

Oct 10

WEBSITE

DECEMBER

Nov 10

Graphic Design / CORBO DESIGN Web Design / LOCABLE Digital Media Director / ALYSSA MCGINNIS

4

T

his month, we are bringing you a full issue of forward-looking news and information to get your year off to a great start. In our cover feature, we focus on the physicians of Monument Health Heart and Vascular Institute for whom 2020 was a year of transition to a beautiful new home on the campus of Rapid City Hospital.

Also in this issue, no one is immune from the disease of addiction and stress compounds the risk. We’ll show you how Sioux Falls-based Face It TOGETHER is working to combat this national health challenge—one person at a time. Plus, the risk management professionals at Copic have an illuminating look at the three areas that account for most diagnostic errors, and more on the recent expansion atf Make-A-Wish.

Remember to join the VIP list at MidwestMedicalEdition.com to stay up to date between issues of MED Magazine.

MidwestMedicalEdition.com

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

NEXT ISSUE

MAILING ADDRESS

Editorial contributions due February 5

PO Box 90646, Sioux Falls, SD 57109

Ads due February 10

Austin Grunstad

Occupational Therapist

Darshan Patel, M.D.

Orthopedic Hand Surgeon

HAND AND UPPER EXTREMITY SPECIALISTS A TEAM APPROACH

To schedule an appointment, call: 605-755-6700

1635 Caregiver Circle | Rapid City, SD 57702 605-755-6700 | www.monument.health

Steven Maser, M.D.

Orthopedic Hand Surgeon

Maria Sexe

Physical Therapist

Meet our NEWEST Team Member: Darshan Patel, M.D., is an Orthopedic Hand Surgeon at Monument Health’s Orthopedic & Specialty Hospital in Rapid City. His clinical expertise includes treatment of fractures, sports injuries, arthritis, nerve compression syndromes (i.e., carpal and cubital tunnel syndromes), and tendinopathies of the forearm, wrist, and hand. He is a member of the American Society for Surgery of the Hand, and the American Academy of Orthopedic Surgeons. Following his orthopedic training at Baylor College of Medicine in the world-renowned Texas Medical Center, he completed a fellowship in hand/upper extremity surgery at the University of California-San Diego.

[ SPONSORED CONTENT ]

SURVIVING ADDICTION: RECLAIMING LIVES AND RELATIONSHIPS THROUGH PEER SUPPORT

T

HE NEGATIVE, PAINFUL IMPACTS OF ADDICTION are far-reaching and affect nearly every facet of family life. That was the case with Sonja Lindsay, a longtime nurse whose husband struggled with alcohol addiction. In 2017, Lindsay’s husband’s drinking had become unmanageable.

She was distracted and fatigued at work, but didn’t tell anyone why.

“As much as Todd was ashamed, I had that shame also,” she said. “You feel like people are going to look at you differently, treat you differently.”

Looking back, Lindsay wishes they had known where to go for help sooner.

“In general I think people don’t know where to go,” she said. “And we were those people. We didn’t know where to go.”

‘THAT’S ALL YOU KNOW’ When Lindsay’s husband became “desperate” for help, a friend recommended Face It TOGETHER, an addiction wellness nonprofit. Face It TOGETHER offers professional peer coaching to those impacted by addiction, including loved ones.

After learning there was a coaching option for loved ones, Lindsay enrolled as well. Before coaching, Lindsay knew very little about the disease of addiction.

“I completely understood that Todd had a drinking problem and that we needed to seek help, but I didn’t think he had an addiction,” she said. “I didn’t know anything about the true reality of what his problem was.”

6

MidwestMedicalEdition.com

Lindsay also didn’t realize how stressful and exhausting their lives had become.

“I look back and I think, ‘I guess it wasn’t right that I cried every day on the way home and didn’t want to come home,’” she said.

Loved ones often have similar realizations once they start getting help; they recognize how much stress and conflict have become a part of their lives.

“You just go with it because that’s all you know,” she said.

‘(MY COACH) TRULY KNEW WHAT I WAS GOING THROUGH’ Lindsay appreciated the lived experience of her coach.

“He understood where I was, being a family member himself,” she said.

“It’s just really comforting that he truly knew what I was going through.”

Though Lindsay has received other types of support since peer coaching, including a marriage counselor and loved one support group, Face It TOGETHER is where her education started.

“I can say they probably saved my husband’s life. That whole company did. The sad thing is I just don’t think enough people know about it,” she said. “I so wish everyone with an addiction or a loved one would reach out to Face It TOGETHER for help.”

Lindsay’s experiences as a loved one, as well as the education she received at Face It TOGETHER, still inform her work as a nurse today.

“Whether (their charts) say addiction, depression, anxiety, I feel like I have a different compassion for those people,” she said. “Not that I would say I looked down on them, but in my heart and mind I feel more compassion for those people than I did before.”

Learn about free peer coaching for healthcare providers at wefaceittogether.org or call (855) 539-9375. ❖

January/February 2021

7

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

The South Dakota Cardiovascular Collaborative: Protecting Heart Health, during COVID and Beyond

The South Dakota Cardiovascular Collaborative is a CMS grant program in conjunction with the American Heart Association and State Health Department that focuses on preventing and managing heart disease. Heart disease is not only the number one cause of mortality in America, but 20% to 30% of patients hospitalized with COVID-19 experience injury to the heart and/or inflammation of the vascular system, which contributes to 40% of deaths.

Read more about the link between COVID-19 and heart disease and find links to more tips from the Cardiovascular Collaborative on our website.

DON’T MISS IT! SDAHO’s Nurse Leadership Program starts this month!

The nurse leadership program is available to South Dakota nurse leaders within hospitals and nursing home settings. If you are a Director of Nursing, Nurse Executive, Associate DON, Nurse Manager or an emerging nurse leader, this program is for you.

Checkout SDAHO’s page on our website to learn more.

OTHER UPCOMING SDAHO EVENTS: January 14: O ptimizing Therapy Services Considering COVID Challenges February 4: T ools to Optimize Quality Dementia Care

Ar

TO Bra DO: In nd A cre war ase ene ss

ey p ou se osu loo r k re v ice re fo ing lat fo r s , y M ed or ou r m E a c D ca bus hea r pr ore i l a in omp n he ness thca ctic e, di MED lete lp! S in 2 rer ly ad ecto ’s on FR tar t 021?

E v wi r of ant y an line E li th s a m b on ge o d ta usi ting n k th es ly f tho e s we u b s sa n ite ds vi sit or s. ex

ONLINE ONLY MidwestMedicalEdition

NOW PROVIDES North Dakota Healthcare news, too.

Look for the

‘NORTH DAKOTA’ TAB at the top of the home page to stay up to date with news from the North!

Visit midwestmedicaledition.com/businesses to get started.

8

MidwestMedicalEdition.com

Digital Partners System Specialist Mike Uken making adjustments to airflow using Desigo CC.

What is a “Smart” Healthcare Facility?

At its core, a “smart” healthcare facility is a building with integrated technology that lets the environment adapt to the needs of both patients and staff. This can be anything from allowing patients to regulate temperature themselves, to more complex humidity, CO2 level, or air pressure monitors and controls for areas such as operating rooms, sanitation rooms, or laundry areas.

“When I think of a ‘smart’ building, I think of bringing more of those control aspects down to the occupant level,” says Mike Uken, systems specialist with G & R Controls, a division of HVAC Elements. Uken and his team set up building automation technology to regulate virtually any aspect of a building’s environment.

Smart technology allows environmental parameters to be displayed right on the wall of the room in question and/or on a remote monitor at the nurses’ station.

Sensors can be tied to a monitoring system that sets off an alarm–or even sends an email or text message if pre-determined parameters go out of range. This can be especially critical in environmentally sensitive areas such as pharmacies, ICUs, and laboratories.

Not only can a smart system allow for simple, real-time tracking and regulation of environmental parameters, but it can automate them, too. The ability to do things such as “power on” a patient room shortly before it will be occupied or adjust the temperature set-points in an unoccupied hospital wing improves efficiency and lowers costs, keeping both building owners and occupants happier.

READ MORE

Learn more about “smart” building technology in the extended version of this article on our website.

What the Heck is the ‘MED VIP List’ Anyway?

Every MED reader is a VIP in our eyes, of course. But only some MED readers get early access to every digital issue of MED Magazine along with a bi-monthly compilation of the latest medical community news headlines in their Inbox.

To be THAT kind of VIP, you have to sign up at Midwest MedicalEdition.com. You’ll find a signup form at the bottom of the page.

Or simply scan the QR code on this page.

January/February September / October 2021 2020

9

Monument Health Heart & Vascular Institute

A New Home for the ‘Heart Doctors’

Members of the Monument Health Heart and Vascular Institute physician team are, from left, John Hatanelas, DO; Joseph Tuma, MD, FACC, FSCAI; Rajesh Pradhan, MD, FACC; Michael D'Urso, MD, FACC; Drew Purdy, MD, FACC; Stephen Wasemiller, MD; Alexander Schabauer, MD, FSVMB, FACC; Saverio Barbera, MD, FACC, FHRS; Charan Mungara, MD; and Bhaskar Purushottam, MD, FACC, FSCAI, FSVMB.

BY ALEX STRAUSS

10

MidwestMedicalEdition.com

F

ROM HIS CORNER office in

Cardiology Associates, PC, The Heart

surgery and one of whom is based in

the new Monument Health

Doctors, the region’s first compre-

Spearfish.

Heart and Vascular Institute

hensive cardiology practice.

In September, they moved from

at Rapid City Hospital, Inter-

“It was challenging, to say the

their previous building a few blocks

ventional cardiologist Drew Purdy,

least,” says Dr. Durr. “We were on call

away from the hospital campus into

MD, can see a small building con-

every other night for five years. We

the new addition to Rapid City

nected to the main hospital. It now

were the only interventional guys in

Hospital — an addition that clearly

serves as the Monument Health

town. It was a lot of work, exhaustion,

reflects the value that Monument

Infusion Center. But when it was

family strife, etc. But it grew well

places on the program.

constructed in the early 1990s, it

because we did quality work.”

“When you walk in, it looks like

was the first home for Purdy’s

By 2006, the practice had built its

a first class heart program,” says Dr.

original practice in the region, then

own facility and implemented an

Purdy. “It was built from the ground

referred to as the Heart Doctors.

electronic medical records system.

up to be a showcase. I think that is

“I could hit it with a pebble from

Three years later, the Heart Doctors

going to help us in the long run.”

my [new] office,” Dr. Purdy says with

joined forces with Rapid City Regional

Before the physicians and staff

a chuckle.

Hospital to form a “heart hospital

could even move into the new space,

Purdy, a native of Mitchell, South

within the hospital” and in 2017, the

they had already outgrown it. The

Dakota, did his cardiovascular

Regional Heart Doctors officially

third and fourth floors of the new

disease fellowship at Creighton.

became the Regional Health Heart

addition were designed to be home

When he was invited by a fellow

and Vascular Institute.

to HVI. Above it, on the fifth floor, architects had set aside vacant shell

Creighton graduate to move to Rapid

COMING HOME TO THE HOSPITAL CAMPUS

space for future needs. But the future

a pair of heart surgeons from Des

Today, the Monument Health Heart

additional HVI clinics and offices. It’s

Moines handled some of the local

and Vascular Institute has 16 heart

expected to open in the spring.

surgical cases. Others were shipped

doctors, including two cardiothoracic

Another part of the new hospi-

to Denver or Sioux Falls.

surgeons. Two more cardiologists are

tal addition is an inpatient wing

City in 1987, Purdy was surprised to be the first interventionalist in the fledgling heart program. At the time,

arrived ahead of schedule and crews are currently converting the floor for

“It was people on the staff at

contracted to join the group in 2021.

designed for heart patients. Cardiol-

Regional Hospital that said ‘Why are

The group also includes more than

ogists and staff are now just a short

we sending these people out of town?

20 advanced practices providers, four

walk away from their hospitalized

We should be doing our own heart

of whom are dedicated to cardiac

patients.

surgeries here’,” recalls Purdy.

The program did get its own surgeon, followed by additional cardiologists. Samuel Durr, MD, a Chicago native, joined the program in 1988.

“When we got here, there was nothing,” says Dr. Durr, also an interventional cardiologist and graduate of the cardiovascular disease fellowship at Creighton. “They had a treadmill and a little cath lab in a radiology suite as big as a closet.”

But both Purdy and Durr saw great potential for heart care in the Black Hills. In 1993, the two left their multi-specialty practice and were among five cardiologists to establish

January/February 2021

11

“The good thing is it is just easier and more efficient,” says Dr. Durr. “You are able to see patients in the clinic and then easily go over to the hospital. It allows us to do much more with our day when we need to.”

“Cardiologists and the hospital go hand-in-hand,” says Dr. Purdy. “We can’t do our work without a hospital. It makes sense to be here.”

BUILDING FOR THE FUTURE The new facility also makes sense from a recruitment standpoint. As some members of the team approach retirement age, the ability to attract skilled young doctors is critical. Durr and Purdy say the new building is part of that. But only part. Another important component is the quality of the physicians and staff and the scope of innovative services and technology available here.

“The growth of the anatomical structural heart disease program has been especially incredible,” says Dr. Durr.

He points to advances like the implantable Watchman device, an alternative to blood thinners for non-valvular AFib, and the mitral valve clip — two of the newest advanced procedures now available at HVI. “When I started, we dabbled in everything because there were so few of us,” says Dr. Purdy. “As things have expanded, we now look for people who can bring in some new technique or technology. We allow the people who are here to grow and do new things and we support their education so that we can know what the newest, latest things are.”

The Institute now encompasses four components: Heart and Vascular Clinic; Heart, Lung, and Vascular Surgery; Black Hills Cardiovascular Research; and Spearfish Cardiac Services Clinic.

HVI cardiologists are board-certified in their specialties of cardiology, vascular medicine, cardiac and thoracic surgery, interventional cardiology, electrophysiology and more. The cardiovascular and vascular surgeons are experienced in both open and endovascular management of all conditions involving arteries and veins.

To support their work, the new facility includes two cardiac and vascular surgical suites, two catheterization labs, an electrophysiology device lab and a hybrid suite with state-of-the-art imaging equipment, and a nationally accredited cardiovascular diagnostic laboratory.

“We have been able to get many platinum awards from the American College of Cardiology and the American Heart Association,” says Dr. Purdy. “It tells us that even though we are out here by ourselves, we practice good quality medicine that is the equal of any of these other big places.” ❖

12

MidwestMedicalEdition.com

[ INTERVIEW ]

Sue E. Salter, CFRE PRESIDENT AND CEO, MAKE-A-WISH SOUTH DAKOTA & MONTANA THIS PAST FALL, MAKE-A-WISH SOUTH DAKOTA ANNOUNCED an organizational realignment with Make-A-Wish Montana to become a single chapter known as Make-A-Wish South Dakota & Montana. The South Dakota chapter has granted more than 1,500 wishes in its 36 year history and president and CEO Sue Salter says the move positions both organizations to grant even more. We asked Salter for some additional insights on the implications of the realignment.

MED: What are the advantages of this reorganization for Make-A-Wish?

lead to a better and more timely wish

SS: By coming together as one chapter,

states. Our strategic vision for this

we will expand our capabilities and

realignment is to be granting 200

become even more effective and effi-

timely, high-quality wishes annually

cient at fulfilling our vision of reaching

within 10 years.

experience for more children in both

every eligible child with the transfor-

MED: How have wishes and donations been effected?

this realignment will ultimately help

MED: How has the pandemic impacted Make-A-Wish?

us grant more timely wishes in South

SS: In response to COVID-19, Make-

down this year but, while the number

Dakota and Montana by increasing our

A-Wish America has made the difficult

of wishes granted is less than we

medical outreach capabilities, expand-

decision to postpone wish travel, as

hoped, we celebrate each wish we were

ing and enhancing our volunteer

well as wish kid participation in

able to grant. Financial support is also

program, increasing development

all activities and events related to

down this year due to COVID-19. We

opportunities, creating administrative

Make-A-Wish that involve large

have seen many community fund-

efficiencies, and increasing opportu-

gatherings until further notice. In

raisers have to cancel or postpone

nities for specialized staff.

addition, Make-A-Wish has imple-

their events. Support in the form of

mented new wish granting policies

donations means more now than ever

designed to continue granting wishes

before. We’re thankful for the contin-

mative power of a wish. We believe

MED: What are the advantages for potential wish kids and their families?

SS: The number of wishes granted is

during these challenging times

ued support of donors who support our

SS: Our increased staffing and

because the hope that comes with a

mission during this difficult time.

expanded capabilities will ultimately

wish is more important now than ever.

Make-A-Wish® South Dakota & Montana

MED: What are you looking forward to as an organization in 2021?

SS: Bringing hope to as many wish kids and families as possible through granting wishes. Make-A-Wish has established a Reemergence Task Force to drive organizational strategy and planning to ensure we are prepared to resume wish fulfillment at an expedited rate once postponements end. ❖

❱S ee our website for more information on referring a child with a critical illness.

13

DIAGNOSTIC ERRORS

The “Big Three” That Account for 75% of Errors

BY COPIC’S PATIENT SAFETY AND RISK MANAGEMENT DEPARTMENT

I

N THE WORLD OF MEDICAL LIABILITY, we

half of these errors resulted in serious injury, and the

know that diagnostic errors are an issue. However,

other half caused death. It was noted that 71% of these

the scope of the problem is uncertain, as national

occurred in either the ED setting or outpatient clinics.

estimates about diagnostic errors that cause sub-

The Big Three are not evenly distributed across

stantial harm can range from 40,000 to four million

specialties or patients—missed vascular events are most

each year. When examining this topic, a good starting

common in emergency care, missed infections are most

point is to define what constitutes this type of error.

important among children, and missed cancer diagnoses

A Johns Hopkins research team contributed important

lead the way in primary care.

information on this topic that appeared in Diagnosis .

These results are consistent with COPIC’s historical

Utilizing a database from CRICO (the professional liability

claims data. For the last two decades, we have spoken

insurance company for Harvard medical institutions),

and written on the “big risks” for primary care—heads,

they analyzed more than a quarter of all medical liability

hearts, bellies, bugs, and cancer. We found that over two-

claims made in the US over a decade.

thirds of claims against primary care fall into these

1

Surprisingly, in a world where there is the theoretical

categories.

diagnostic possibility of over 10,000 human illnesses, the

In addition, our data shows that misdiagnoses

research team found that a majority of cases where serious

were the most common, catastrophic, and costly medical

harm occurred (75% of diagnostic errors) were connected

mistakes.

to only 15 diseases in these three categories:

The National Academy of Medicine outlined a broad range of research topics to help make progress on improv-

1. V ascular events (e.g., stroke, heart attack, pulmonary embolus, etc.)

ing diagnostic accuracy, and it clearly emphasized that early wins may be achieved through an initial focus on

2. Infections (e.g., sepsis, meningitis, appendicitis, etc.)

“identifying the most common diagnostic errors, ‘don’t

3. Cancers (e.g., lung, colon, breast, etc.)

miss’ health conditions that may result in patient harm,

They called these areas the “Big Three.” Approximately

[and] diagnostic errors that are relatively easy to address.”

Diagnostic errors are common and a frequent cause

❱ See graphic representations of “Big Three” diagnostic errors and possible solutions in the online version of this article.

14

MidwestMedicalEdition.com

of litigation. The human toll on both patients and physicians is substantial and underappreciated. The Big Three

Honey Balsamic-Glazed Ham

article is an important contribution to the diagnostic error literature, and at COPIC we have found that our experience is very similar. We continue to look at resources and tools that will help improve outcomes in this area and educate our insureds on ways to further improve patient safety. ❖

Introducing “WITHIN NORMAL LIMITS” —A NEW PODCAST BY COPIC Each 20-minute episode offers practical guidance for medical providers through detailed analysis and case study reviews. Available wherever you get your podcasts.

Let’s make this.

Let’s make it happen – simply and deliciously.

Get the recipe at pork.org/cooking

Visit callcopic.com/wnlpodcast for more information.

©2018 National Pork Board, Des Moines, IA USA. This message funded by America’s Pork Producers and the Pork Checkoff.

https://doi.org/10.1515/dx-2019-0019 ww.improvediagnosis.org/tackling-the-big-three/ w

1 2

January/February 2021

15

Happenings around the region

News & Notes

South Dakota | Southwest Minnesota | Northwest Iowa | Northeast Nebraska

Avera eCARE launched the Nursing Home Project ECHO in November. Project ECHO is a telementoring program which supports caregivers and practitioners via telemedicine technology. The 16-week interactive virtual learning community provides support from experts to improve COVID-19 preparedness, safety, and infection control in nursing homes. It is designed to help protect nursing home residents and staff from the virus. The project is supported by the Agency for Healthcare Research and Quality, Project ECHO, and the Institute for Healthcare Improvement.

The program is being updated weekly.

AVERA Avera plans to build a new four-story wing at the Avera Behavioral Health Center in Sioux Falls to add services for children and adolescents, open more spaces for adults and seniors, add 14-beds of residential addiction care for youth, 24/7 psychiatric urgent care, and space for partial hospitalization so students can spend part of their day in school.

Avera’s most recent Community Health Needs Assessment identified gaps in services for behavioral health and chemical dependency. Because of the pandemic, the need for behavioral health services for conditions such as anxiety and depression are expected to increase in children and youth, due to effects of social isolation, disconnectedness, uncertainty, change, fear and other factors. The Helmsley Charitable Trust provides $13 million in grant funding toward the $28 million program.

Avera began offering bamlanivimab for COVID-19 under the FDA’s emergency use authorization in November. Bamlanivimab is an investigational monoclonal antibody from Eli Lilly for the treatment of mild-to-moderate COVID-19 in adults and children. The therapy, offered only through intravenous (IV) infusion, is primarily being directed to the elderly and those at high risk for future hospitalization for COVID-19. It’s approved for anyone over 12.

16

In November, Avera joined nearly 100 of the nation’s top healthcare systems, representing thousands of hospitals in communities across the US, with an urgent plea for all Americans to mask up in an effort to slow the surging COVID-19 pandemic. The public service message ran in The New York Times, USA Today, The Wall Street Journal, The Washington Post and The Los Angeles Times. Avera was instrumental in the Mask Up South Dakota campaign and ran its own Wear Because You Care campaign.

BLACK HILLS Rapid City Medical Center welcomes four new physicians in 2020:

KAY KELTS

ANDREW KELTS

Dr. Kay Kelts is double board certified in Family Medicine with the American Board of Family Medicine and the American Osteopathic Board of Family Physicians. She practices Full-scope Family Medicine including in-office procedures, women’s health, and osteopathic manipulative medicine. Dr. Kelts completed her medical school training at Rocky Vista University where she was part of their inaugural class and a pre-doctoral osteopathic principles and practices fellow.

Dr. Andrew Kelts was born and raised in Rapid City and graduated from Rocky Vista University College of Osteopathic Medicine.

He completed his residency in Internal Medicine at Advocate Lutheran General Hospital in Chicago. Dr. Kelts was awarded a Gastroenterology fellowship at Arnot Ogden Medical Center in Elmira, New York and joins the Gastroenterology department at our Mt. Rushmore Road Clinic.

MidwestMedicalEdition.com

LUKE HUSHAGEN Dr. Luke Hushagen is originally from Bismarck, North Dakota. He attended medical school at the University of North Dakota and completed an internal medicine residency at Penn State University practicing at the renowned Hershey Medical Center. As an internist, Dr. Hushagen cares for patients in all stages of their adult lives.

His primary focus is on patient education with an emphasis on complex medical care.

TYLER A. PTACEK Dr. Tyler A. Ptacek is a double Board Certified pain specialist from O’Neill, Nebraska who completed his residency in Anesthesiology at the University of Nebraska Medical Center in Omaha and his Interventional Pain Fellowship at Wake Forest in Winston-Salem, North Carolina. Dr. Ptacek currently serves in the US Air Force Air National Guard as Flight Surgeon and introduces an Interventional Pain department to our practice.

Black Hills Surgical Hospital has received national recognition for excellence in total joint replacement. Wellmark Blue Cross and Blue Shield recognized BHSH with the Blue Distinction Center+ designation for Knee and Hip Replacement, as part of the Blue Distinction Specialty Care program. Cigna recognized BHSH as one of its Centers of Excellence for total joint replacement (hip and knee). BHSH was also recognized as one of America’s 100 Best Hospitals for Joint Replacement for the third consecutive year according to new research released

by Healthgrades. The physician-owned BHSH is one of Rapid City’s top ten biggest employers.

SANFORD Bill Gassen has been appointed Sanford’s new president and CEO. Gassen began his career at Sanford Health in 2012 as corporate counsel and transitioned to human resources two years later as vice president of human resource integration.

He later served as chief human resources officer before his promotion to chief administrative officer.

Sanford Health also began offering bamlanivimab in November. The monoclonal antibody has been shown to prevent certain high-risk populations from developing severe illness from COVID-19 and keep patients out of the hospital if administered as soon as possible after a positive coronavirus test and within 10 days of developing symptoms. Eligible Sanford patients will be contacted within 24 hours of a positive test result to schedule an appointment at the outpatient center to receive the treatment.

Sanford Health suspended its merger discussion with Salt Lake City-based Intermountain Health in early December. The move followed the departure of long-time CEO Kelby Krabbenhoft. Krabbenhoft has been CEO for 25 years.

Sanford said it was pausing merger and acquisition activity while they address other organizational needs.

Chief Medical Officer Allison Suttle also left the organization in December.

Educational Resource Library For Healthcare Professionals Check out a variety of educational resources focused on a broad range of beef-related topics. Some of these complimentary educational opportunities are eligible for continuing professional education units (CPEUs) by the Commission on Dietetic Registration (CDR) and the American College of Sports Medicine (ACSM).

Scan for more information

January/February 2021

17 16-1231-SD-HealthcareProfessionals-Ad.indd 1

12/7/2020 4:35:37 PM

• Happenings around the region

News & Notes

Happenings around the region

JOE VILLA Joe Villa, MD, a primary care physician, is joining the Sanford Health team in Pierre.

Dr. Villa’s services will include family medicine and emergency medicine. He is a graduate of the University of South Dakota is now accepting patients. “Being in a position to help patients is a great responsibility but also a great source of pride and joy for me. I want my patients to be able to feel free to communicate with me anytime they need my help. I want them to realize that they have a doctor and a friend they can talk to, and that I will either find them the answers they need or refer them to someone who can,” said Villa.

Pioneer Memorial Hospital in Viborg, which is aligned with Sanford Health, took the opportunity to help promote flu shots in the Viborg area during National Influenza Week in December. In a press release, they pointed out that healthcare workers are “busy meeting pandemic-related demands” that are likely to get worse and pointed to flu vaccination as a way to preserve healthcare resources.

Pioneer Memorial reports that flu vaccinations are up this year over previous years.

By your side, and moving

FORWARD. We wake up every day to serve in the towns and places you call home. We’ve expanded our innovative care, expertise and access to always keep your patients moving. Because forward is the only direction we know.

REFER TO 605-217-2667, OPTION 7.

CNOS.NET

18

Dakota State University and Sanford Health have announced a new initiative to create a national CyberHealth innovation hub. The strategic alliance includes various aspects to bring CyberHealth to the forefront of the region, including student enrichment opportunities, cyber executive education, and outreach programs to enhance the pipeline of cyber professionals while also attracting world-class cyber talent to the region. It will also create a state-of-the-art healthcare technology and cyber security operations center to serve as a model for health care nationwide.

SIOUXLAND CLAY HOLDERMAN Clay Holderman has been named the next President and CEO of UnityPoint Health.

Holderman currently serves as Executive Vice President and Chief Operating Officer of Presbyterian Healthcare Services, a private, not-for-profit, integrated healthcare system in New Mexico. He began his career as a physician recruiter and has more than two decades of experience in investor-owned and not-for-profit healthcare leadership.

UnityPoint said Holderman was selected for his servant leadership approach, commitment to patient experience and transformative vision for the future of UnityPoint Health as a high-performing health system. He will join the organization in February.

MidwestMedicalEdition.com

SANJEEB KHATUA Sanjeeb Khatua, MD, has been named the next President and Chief Executive Officer of UnityPoint Clinic, effective January 5, 2021. Dr. Khatua currently holds multiple leadership roles at Edward Elmhurst Health in the western suburbs of Chicago. Dr. Khatua earned his MD from Medical University of Silesia in Poland and completed his family medicine residency in Illinois. He received his Master of Public Health degree from Loma Linda University and his MBA in Health Care Management from Loyola University. He will work with UnityPoint Clinic leadership to guide strategic priorities with a strong focus on advancing physician and provider leadership and development and ongoing clinical transformation.

O u r F a v o r i t e W i n t e r We are through the Holidays and into winter. Are you wondering what to drink next? Heavier robust wines such as: Cabernet

UnityPoint Health is increasing its minimum pay rate to $15.00 per hour in January, recognizing the critical role support and other frontline team members play in the health system’s mission. The increase will impact almost a third of its more than 30,000 team members. Team members who are most likely to see their hourly rate increase are those in housekeeping, food service, nursing assistants and other clinical support, central supply and patient access associates. UnityPoint hopes this will also help with recruitment and retention.

UnityPoint Health–St. Luke’s Children’s Miracle Network 2020 Mediathon in November raised more than $100,000 to enhance healthcare for children in Siouxland. A total of $88,713 was raised in just two days.

Donations continue to pour in even after the event, bringing the current total amount raised to more than $100,000. This event has raised more than $1.3 million in the first 19 years through sponsorships, personal pledges, donated items, and gift basket raffles.

This year’s basket raffle included 29 creative baskets, with most valued around $500.

January/February 2021

Merlot Syrah are all easy to drink and pair well with comfort foods we tend to indulge on in the wintertime.

Don't forget about Valentine’s day.

You can get some

We will once again serve sparkling flights on New Years Eve and Valentines Day! amazing bubbles at Wine Time On Main.

winetimeonmain.com

330

S.

Sioux

Main

Ave

Falls,

SD

19

• Happenings around the region

News & Notes

Happenings around the region

INDEPENDENTS MARTY YOUNG Prairie Lakes Healthcare System and Sodexo, the provider of nutritional and environmental services at PLHS recently announced that Marty Young is the new Environmental Services Manager. The Environmental Services Manager oversees the operations of housekeeping, custodial, and laundry services. Young is a graduate of Watertown High School and Lake Area Technical College. He has over 20 years of customer service experience.

Huron Regional Medical Center has been re-designated as a Community Trauma Hospital by the South Dakota Department of Health. HRMC first received the designation in 2011 and applies for re-designation based on their capabilities and services every three years. Designated Community Trauma Hospitals are required to provide surgical coverage of the ED for all trauma team activations for at least 80 percent of the year, have trauma transfer guidelines in place when surgery is not available, and provide 24/7 physician coverage of the ED. Other hospitals in the area with the CTH designation are Sanford Aberdeen, Avera St. Mary’s in Pierre, and Prairie Lakes Healthcare in Watertown

COREY CAMP LifeScape has hired Corey Camp as Director of RISE Custom Solutions, its subsidiary providing orthotics, prosthetics, and mobility solutions. Camp has operational and strategic oversight of RISE in Sioux Falls and Rapid City, as well as outreach clinics in Sioux City, Orange City, Aberdeen, and Brookings. He has a background in sales, marketing, financial services, and fundraising on a national level. A Minneapolis-area native, he is a graduate of Augustana University.

Spencer Hospital Foundation’s annual end-of-the-year fund drive raised money for the hospital’s expansion of cardiopulmonary rehabilitation services.

The hospital is renovating the rehabilitation gym and educational area and adding new equipment.

The need for services in Spencer’s service area is growing – more than 8,000 cardiopulmonary patient visits occurred in 2019.

Spencer Hospital has introduced hyperbaric oxygen therapy (HBOT) services locally, offering additional treatment options for patients in the region suffering from chronic wounds. Spencer Hospital has two HBOT chambers, The expansion of Spencer Hospital’s wound care program was developed under the medical direction of Northwest Iowa Surgeons. Dr. Jeff Helmink and Dr. Pat Slattery will be offering patient services in the hospital’s wound care center.

.

LARRY YOUNG Certified registered nurse anesthetist Larry Young has joined the HRMC surgical team.

Originally from Missouri, Young earned a Bachelor of Science in nursing from University of Missouri at Columbia. He holds an MS in Nurse Anesthesia from Keiser University in Naples, Florida. Young previously worked as a registered nurse in the intensive care unit at Poplar Bluff Regional Medical Center in Poplar Bluff, MO. For the last nine years, he has worked as a CRNA at Memorial Medical Center in Springfield, Illinois.

20

MidwestMedicalEdition.com

COVID-19 changes everything.

Make-A-Wish® continues to deliver hope to wish kids during this unprecedented time.

I wish to have a playset

If you’re ready to refer a child, don’t wait! Just knowing a wish is coming can be very powerful in bringing hope and strength to a child.

Parker, 3 leukemia Photo credit: Kristen Ann Photography

Refer a child today!

Visit md.wish.org

January/February 2021

21

• Happenings around the region

News & Notes

Happenings around the region

OMAHA TIBOR WARGANICH

When national news shared that the vaccines being developed for COVID-19 would need to be kept at ultra-cold temps (especially the Pfizer vaccine which needs to be stored at minus 70 degrees Celsius) Clay County Public Health Coordinator Colette Rossiter got a helpful phone call. Spencer Ag Center just happens to have a large capacity freezer equipped with the technology to provide the sub-zero storage, and generously offered it on loan to help the community. The settings are adjustable to adapt the freezer to house the Moderna vaccine, as well, which also requires cold storage.

Clay County Public Health Coordinator Colette Rossiter stands in front of the large capacity, ultra-cold freezer on loan from Spencer Ag Center.

Board Certified hand and upper extremity surgeon Tibor Warganich, MD, has joined the orthopaedic department at CNOS in Dakota Dunes.

Dr. Warganich earned his MD from UC San Diego School of Medicine and completed his residency at Harbor-UC Los Angeles Medical Center.

He did fellowship training at the Mayo Clinic. Dr. Warganich joins CNOS from Sanford-Bemidji and is relocating to the area with his wife and three children.

JOSHUA HOCKETT Dr. Joshua Hockett, a trauma surgeon at CNOS, has received the Bob Green, DO, Memorial Award for achieving the highest combined score, written, and oral, certification examinations for 2019.

ABDALLA ZARROUG Abdalla Zarroug, MD, has been named Chief of Pediatric Surgery at Children’s Hospital & Medical Center in Omaha and Professor and Chief, Division of Pediatric Surgery, in the Department of Surgery at the University of Nebraska Medical Center. Dr. Zarroug graduated from Brown University and received his MD from Cornell. He completed his General Surgery Residency and Research Fellowship at Mayo Clinic Rochester, Pediatric Surgery Fellowship at Emory University in Atlanta, and Fetal Surgery Fellowship at University of California San Francisco. His clinical interests include minimally invasive surgery (MIS) and novel techniques; he has special expertise in MIS thoracic surgery, robotic surgery and adolescent bariatric surgery. He starts February 1.

JENNA THOMSEN Jenna Thomsen, Director of Training and Technical Assistance at the Health Center Association of Nebraska (HCAN), received the Henry Fiumelli Patient Advocate Award at its virtual national conference in November.

The Health Center Association of Nebraska’s mission is to support Nebraska community health centers in providing comprehensive healthcare for the underserved.

Thomsen has served as the Director of Training and Technical Assistance at HCAN since 2016.

❱ Intrigued by something you’ve read here? Want to go deeper? Read the full versions of these and other recent news items on our website.

22

MidwestMedicalEdition.com

STANDING APART

WORKING

Dr. Amanda Young, a family practice physician with Avera Medical Group Spencer (closest to camera), and Laura Manwarren, Spencer Hospital Emergency Services director.

TOGETHER. MED salutes the outstanding local healthcare professionals who work

tirelessly to preserve and protect the health of our communities every day.

THANK YOU

Access to 35 specialties and 135 experts

just one call away When your patients need services that go beyond general care, turn to Sanford Health. We are here to provide you with expert pediatric specialty care including: • Allergy • Anesthesiology

• Neonatal intensive care

• Cardiology

• Perinatal medicine

• Child abuse

• Nephrology

and neglect • Child and adolescent psychiatry • Clinical pharmacy • Developmental pediatrics

• Neurology • Neurosurgery • Ophthalmology and optometry • Orthopedic surgery • Palliative medicine

• Ear, nose and throat

• Pulmonology

• Emergency medicine

• Radiology

• Endocrinology

• Rehabilitation

• Gastroenterology

• Rheumatology

• Genetics

• Sleep medicine

• Hematology

• Surgery

and oncology

• Therapy

• Hospital medicine

• Trauma

• Infectious disease

• Urology

• Intensive care

Call (844) 851-1515 to refer a patient today.

012000-00747 6/20