MED Magazine July/August 2019

A Roundup of Local News & Upcoming Events Exclusive Online Content

JULY AUGUST

Dealing with Negative Comments Online

VOL. 10 NO. 5

2019

A VIEW FROM

THE TOP

LIFE AT A TOP 20 INDEPENDENT RURAL HOSPITAL

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

THE SOUTH DAKOTA REGION’S PREMIER PUBLICATION FOR HEALTHCARE PROFESSIONALS

REGIONAL HEALTH

21ST ANNUAL CARDIOVASCULAR DISEASE AND WELLNESS SYMPOSIUM A day-long symposium offering a practical approach to the newest technology, latest wellness trends and advanced preventive strategies.

Rushmore Plaza Civic Center Rapid City, SD

Oct. 17, 2019 7:30 a.m. – 5 p.m.

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*Snacks and Lunch Provided

For additional information or to register, contact Regional Health Talent Development at education@regionalhealth.org CME/CE Credits Available

Heart and Vascular Institute

VO LU M E 1 0, N O. 5 ■ J U LY / AU G U S T 2019

Inside This Issue

CONTENTS FROM US TO YOU

S

PAGE 6 | DEALING WITH NEGATIVE ONLINE COMMENTS

ON THE COVER

A VIEW FROM

THE TOP Two SD independent hospitals made this year’s list of Top 20 Rural Community Hospitals.

We asked two of their doctors for insight into how they’ve done it and what it’s like to work there.

PAGE

10

hitting the road. Here at

■ By COPIC’s Patient Safety & Risk Management Department

exactly that to bring you this special

Online review sites can be a minefield

summer issue. This month, we travel

for physicians who don’t know how to

to Brookings and Watertown to speak

navigate them. Here are must-have tips

with providers at South Dakota’s two

to protect your reputation and your

independent Top 20 Rural Community

practice.

Hospitals.

MED, we decided to do

This issue also features must-read

PAGE 8 | THIS MONTH ONLINE How to get any back issue of MED,

expert advice for dealing with negative

Photo galleries from past stories,

comments in online review sites. Hint:

Exclusive online articles

Ignoring them is not the answer.

PAGE 8 | [Article Preview] Helping Your Practice Live Up to its Potential With so many things to focus on in your practice, here’s how to know what’s most important now.

Be sure to look over our comprehensive wrap-up of medical community news, and check out the exclusive online content we’ve compiled for you.

We’re making it easier than ever to take MED on the road, wherever the summer

PAGE 12 | NEWS & NOTES

takes you!

A roundup of recent medical community news from around the region

Finally, don’t forget to join the VIP list at MidwestMedicalEdition.com (top of the page) so you won’t miss a

Cover photo: Family medicine specialist Andrew Ellsworth, MD, of Brookings Health System and nephrologist Tina Melanson, MD, of Prairie Lakes Healthcare System met at the Watts Farm between Watertown and Brookings in Deuel County for a June photo shoot. The bovine fan club (above) followed the proceeding carefully. Photos by Allison Stadheim with ML Portraits.

4

UMMER is the season for

thing over the summer. See you in September!

—Alex & Steff

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July / August 2019

5

Dealing with Negative Comments Online

EXERCISE CAUTION AND RESTRAINT AROUND PHYSICIAN REVIEW SITES

BY COPIC’S PATIENT SAFETY AND RISK MANAGEMENT DEPARTMENT

W

when looking for a primary care physician. Of those who used the

general, and only respond

that offer customer

web to search for physicians, 35%

once; be sure any response

reviews, there are endless opportu-

say they picked a doctor based on

is HIPAA-compliant—some

nities for sharing one’s opinions.

good ratings, while 27% reported

providers who have responded

avoiding those with bad ratings.

to negative reviews have

However, the legitimacy of these opinions — and making decisions

While you can’t control what is

inadvertently made the mistake

based on them — can be lead to a

posted, you can control how you

of revealing protected health

charged discussion, especially

react and take steps to deal with

information.

when it comes to medical care. For

this issue.

physicians, negative reviews can be frustrating because of concerns about how these may impact patient satisfaction scores or may not reflect the actual care provided.

There is reason to be concerned.

A recent Mayo Clinic Proceedings study1 showed that non-physician variables—such as interactions with desk staff, appointment access, waiting time, and billing— can appear to reflect unfairly on negative physician reviews.

According to a 2014 JAMA article1, nearly 20% of surveyed patients said that physicians’

6

• If you respond, keep it polite,

ITH the prominence of

social media and websites

• Many reviews focus on a provider’s indifference, bedside

A JANUARY 2016 MEDSCAPE ARTICLE2 TITLED, “TRASHED ON THE INTERNET: WHAT TO DO NOW” OFFERED THIS ADVICE REGARDING PHYSICIAN REVIEW SITES: • Recognize that negative reviews can happen to any physician.

• Most review sites allow you to submit a complaint if you believe a comment is fraudulent; they may be able to track down the IP

manner, or customer service rather than his or her medical skills. Consider these types of comments as opportunities to improve your practice.

OTHER ACTIONS TO CONSIDER WHEN MONITORING YOUR ONLINE REPUTATION: • Search your name or practice on a regular basis to see what comes up.

• Set up Google Alerts (www.google.

address of the reviewer and, if

com/alerts) for your practice

the post is illegitimate, remove it.

name and the names of your

ratings on websites are very

• Reviews that sound irrational to

important, and 40% said the

you are likely to sound irrational

websites are somewhat important,

to others.

physicians.

• If you are listed on a physician review site, review your profile

MidwestMedicalEdition.com

to make sure the information is up-to-date and accurate.

• Some review sites provide resources to help encourage your patients to post reviews. For example, Healthgrades offers postcards to give to patients that include a personalized link they can use to complete a survey about you. ❖

SOME POPULAR ONLINE PHYSICIAN REVIEW SITES: www.healthgrades.com www.vitals.com www.ratemd.com www.yelp.com www.angieslist.com 1 JAMA. 2014;311(7):734-735. doi:10.1001/ jama.2013.283194 2 http://www.medscape.com/ viewarticle/851005

July / August 2019

7

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

Planning a Fall or Winter Event?

Here’s How to Let Your Colleagues Know

– for FREE!

MED’s interactive online calendar is the ideal place to announce events - from open houses and social events to job fairs, symposiums, conferences, and more.

Best of all, it is completely free and takes just two minutes. Curious?

Here’s exactly how to do it: • From the home page, locate the title

[ A R T IC L E P R E V I E W ]

Helping Your Practice Live Up to Its Potential While the focus of your practice will always be providing exceptional care for your patients, there is no way to get around the demands of running the business of the practice.

In fact, it may often feel like a push-pull scenario between the day-to-day care of patients and the day-to-day reality of record keeping and business duties.

How do you stay on track and help your practice live up to its potential? In this exclusive online article, the experts

“Upcoming Events Near You” at the top

at Digital Partner Eide Bailly dive into some of the critical

of the right hand side

areas you need to be focusing on to reach your business

• Just below the visible events, click on “+ Add Your Event” • Input the event title, subtitle, and description. An image is optional.

• Enter the start date of your event

goals.

You’ll find advice on managing your accounting, cash flow, human resources and payroll, physical assets, and more. To read the article click here in your digital issue or click on the Eide Bailly logo on any page of MED’s website.

• Use the dropdown menus to select the hour and minute for the beginning and end • Search for your business by entering the first few letters or click the blue “Add a

Exclusive online articles

New Venue” button to add your business

Regional + Verily

to the business directory

Regional Health’s director of research talks about what the new connection could mean for Black Hills area patients.

• Add a website, phone number, price, category and related tags and click

Protecting Vaccination Rates to Protect Patients

“Create Event”

As “anti vaxxer” rhetoric heats up online, Sanford Health has managed to not only protect but increase its system-wide

That’s it! Your event will appear on MED’s homepage within 15 minutes, and will be accessible to thousands of digital readers.

Once you have created a free listing in the MED Business Directory, it will be even faster to submit your next event.

vaccination rates. Here’s how they’re doing it.

A Winning Strategy for Cancer Care: A Talk with Sanford’s Director of Outpatient Cancer Services “The best way to improve care is not to reinvent the wheel but to find a wheel that is turning fast and efficiently and learn from them.”

Never miss an event! Check out MED’s online calendar for a complete listing of Summer/Fall conferences and symposiums. MidwestMedicalEdition.com

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MidwestMedicalEdition.com

A Roundup of Spring Events

2019

VOL. 10 NO. 2

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

VOL. 10 NO. 1

How to Protect Your Online Reputation Exclusive Online Content

APRIL MAY

USD Healthcare Students Expand Their World View

Is It Time to Ditch Your Passwords?

MARCH

Eye Bank Leads the Way in QA

Public Health 3.0 in Rural SD

JANUARY FEBRUARY

A Conversation with LifeScape’s New CEO

VOL. 10 NO. 4

2019

A NEW APPROACH TO OPIOID ADDICTION

Digital Partners

Regional Health’s Stephen Tamang, MD

SANFORD’S FIRST LORRAINE CROSS AWARD

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

DR. KATHERINE HIGH AND DR. JEAN BENNETT THE SOUTH DAKOTA REGION’S PREMIER PUBLICATION FOR HEALTHCARE PROFESSIONALS

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

Don’t Cry Over Your Lost MED!

GET THE DIGITAL COPY Here at MED, we often get calls and emails from healthcare professionals who want to access something they saw in a past issue but can no longer find their copy. We get it. We like to declutter, too! That’s why we created the MED Digital Archive. As a MED VIP, you can instantly access any past issue of MED from your desktop, phone, or tablet. No rifling through piles of stuff. No bugging your office staff. No added clutter.

From the home page, just click on “Read a Past Issue” and follow the prompts.

There’s More Online

We hope you enjoyed last issue’s feature on Journey Construction’s beautiful new Merrill Pioneer Hospital in Rock Rapids, Iowa. (If you missed it, click here in your digital issue or on the “In Print” category on the website). Did you know we have a whole gallery of exclusive photos inside that facility that didn’t run in print? If you’re curious, hop online and take a tour!

(You can also find extra photos from our June Cover Feature on Urologist Lauren Thum, MD)

January / February 2019

9

A VIEW Life at a Top 20 Rural Community Hospital

T

H I S S P R I N G , W H E N the National Rural Health Association released its annual list of Top 20 Rural Community Hospitals, three South Dakota hospitals were on it. In fact, South

Dakota

was

second

only to Indiana — which had five — in the number of institutions on the list.

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.

It was the third Top 20 designation

in four years for PLHS and the second time in three for Brookings. What allows these small, independent rural hospitals to continue to thrive while so many others are forced to sell out or fold?

For insights, we turned to two people who have made these hospitals their professional homes.

INVESTING WISELY Brookings Health System includes a

“

We have been able to recruit fairly easily whereas in some places it’s awfully hard.

10

49-bed hospital, a nursing home, senior living apartments, an eye clinic, and medical clinics in Arlington, White, and Volga. Family medicine physician and Madison native Andrew Ellsworth, MD,

”

has been with the system for the last seven years. As a member of the board of trustees, Dr. Ellsworth believes

MidwestMedicalEdition.com

FROM THE TOP the hospital’s success has a lot to do

across a 10-county area. Like Brook-

with strategic investment — and good

ings Health System, PLHS has invested

timing.

heavily in infrastructure (like the new

“The whole culture of the hospital

68,000 square foot specialty clinic)

is ‘we can do this and we are going

and technology with the goal of entic-

to make it happen,’” says Ellsworth.

ing specialists and the patients who

“We invested in a major renovation

need them.

at just the right time. We invested

But nephrologist Tina Melanson,

in the da Vinci and then the Mako

MD, says upgrades like new cath lab

robotic system, which helped bring

equipment and a therapy pool are

in 3 more full time general surgeons

only part of the attraction for provid-

and 2 full time orthopedic surgeons.

ers. Melanson says she moved from

We invested in hospitalists to take

a larger health system in Sioux Falls

some of the burden off of primary

back to her hometown with her young

care. We invested in becoming a ‘Baby

family in 2011 for a more relaxed

Friendly Hospital’, the only one in

lifestyle.

the state outside of the IHS. Now we have four full time OBs.”

“I moved here to be a ‘country nephrologist’,” says Dr. Melanson.

BY ALEX ALEX STRAUSS STRAUSS BY

Brookings Health System’s 49-bed hospital was named a Top 20 Rural Community Hospital in 2017 and 2019 and has made the Top 100 list since 2016.

Photo courtesy Brookings Health.

literally walk down the hall and speak to administration any time.”

Ellsworth says investments like

“Because it is a much smaller facility,

the 62,000 square foot expansion/

I thought it would be an opportunity

THE ‘SECRET’ TO TOP 20 SUCCESS

renovation project in 2017 and the

to slow down for a little while and

Wondering what the CEOs of these

30,000 square foot medical office

spend more time with family.”

Top 20 hospitals credit with their Top

building completed in 2016, boost

But the demand for nephrology

20 designations? We have exclusive

both provider pride and patient

services — like the demand for so

and extensive interviews with Prairie

confidence — both of which make it

many other specialty services in

Lakes CEO K.C. DeBoer and Brookings

easier to attract new providers like

Watertown — has grown steadily. The

Health CEO Jason Merkley online.

himself and new patients. And the

dialysis unit went from being open

You can find their thoughts and more

cycle of success continues.

just three days a week to six and

about the NRHA’s Top 20 Rural

“We have been able to recruit

added an NP and a PA. Dr. Melanson

Community Hospital award on our

fairly easily whereas in some places

now oversees additional PLHS

website. ❖

it’s awfully hard,” says Ellsworth. He

dialysis units in Sisseton and Orton-

adds that a good school system and

ville, Minnesota, and at Huron

the city’s willingness to invest in

Regional Hospital.

projects like the Children’s Museum

While she is busier than she

and the Hillcrest Aquatic Center are

expected to be, Melanson repeats

other draws for families like his.

SPECIALIZING IN SPECIALISTS

what so many providers say they value most about working at independent hospitals like PLHS. “I love that I am in charge of my

Situated about 100 miles from Sioux

own ship,” she says. “They respect my

Falls, Prairie Lakes Healthcare System

opinion and that autonomy definitely

includes an 81-bed hospital, a cancer

impacts my practice. I used to have

center, a surgical center, and dialysis

to schedule a meeting that would

units. It serves a patient base of 90,000

take a month to arrange. Now, I can

July / August 2019

Prairie Lakes Healthcare System in Watertown includes an 81-bed acute care hospital. They have made the Top 20 List for three out of the last four years.

Photo courtesy PLHS.

11

Happenings around the region

News & Notes

South Dakota | Southwest Minnesota | Northwest Iowa | Northeast Nebraska

AVERA

REGIONAL INDEPENDENTS & THE VA

As a resource for people in many Midwestern communities struck by flooding, wet conditions, and a volatile ag environment, Avera Health has created the Farm and Rural Stress Hotline. Farmers, ranchers and people who live in rural communities can call 1-800-691-4336 24 hours a day. The hotline is staffed by trained assessment counselors who put callers in touch with local mental health resources. Avera is one of only a few health systems nationwide with a hotline similar to this.

Regional Health has joined a new research initiative to help connect patients and patient data with ongoing research projects. The goal of the consortium is to utilize health information gathered by patients with tools like Fitbit and by doctors in the EMR system to improve the clinical trials process. In addition to Regional, the Baseline Consortium includes Vanguard Health Systems, Duke, Vanderbilt, the University of Mississippi, Mayo Clinic and the University of Pittsburgh.

Verily, a subsidiary of Alphabet, Google’s parent company, is the sponsor of the consortium.

A recent study by the Iowa Hospital Association indicates that Spencer Hospital generated nearly $46 million in economic impact for the local economy last year. The hospital association’s study compiles information on how Iowa hospitals impact the state’s economy, using data from the American Hospital Association.

Brookings Health System has won a Gold Award in the website category in the national 2019 Aster Awards competition. To receive a Gold Award, an entry must be in the top 5% of 3,000 entries submitted from the US, Canada, and South America. The new brookingshealth.org was designed in partnership with Blend Interactive, a Sioux Falls-based web development company. The award was one of only 13 gold stars awarded nationally.

The VA Black Hills Health Care System hosted a virtual town hall meeting in May to answer questions about the VA MISSION Act. Under the new program, eligible Veterans can receive care from a non-VA healthcare provider in their community. The VA Black Hills HCS spent the month of May preparing their staff. They serve approximately 22,000 veterans throughout a five-state region.

SOUTH DAKOTA MEDICAL GROUP MANAGEMENT ASSOCIATION

FALL CONFERENCE August 28-30, 2019

@ Arrowwood Resort and Conference Center at Cedar Shores in Oacoma, SD

Join us to hear from local and national experts who will discuss issues in health care and new solutions to challenges. Visit www.sdmgma.org for more information.

For the full schedule or to register, visit our website at

sdmgma.org

Like us on Facebook at www.facebook.com/sdmgma Follow us on Twitter @SDMGMA

12

MidwestMedicalEdition.com

The Sioux Falls VA is now smoke free. The VA announced in mid-May that all of its facilities, including the Dakotas VA Regional Office, would be smoke free for all visitors, contractors, volunteers, vendors and patients by the end of May.

ROB HADDAD CAILIN BACH Prairie Lakes Healthcare System (PLHS) and Sodexo, the provider of nutritional and environmental services at PLHS, have announced Rob Haddad is the new General Manager, in charge of Nutritional and Environmental Services.

Cailin Bach will move into Haddad’s former position as Nutritional Services Manager. Haddad has more than 40 years experience in the food service industry and Bach has worked in food service for 11 years.

Black Hills Orthopedic & Spine Center will continue to provide sports medicine coverage as part of the official sports medicine team for the Black Hills Rapids Soccer Club at the growing Dakota Fields Sports Complex.

The sports medicine team is a collaboration between Black Hills Orthopedic & Spine Center, Black Hills Surgical Hospital, ProMotion Physical Therapy, The Rehab Doctors and Physio Performance.

Black Hills Surgical Hospital has received the Healthgrades 2019 Patient Safety Excellence Award and the Healthgrades 2019 Outstanding Patient Experience Award. BHSH is among the top 2% of eligible hospitals in the nation to receive both awards. The facility is also one of only two South Dakota hospitals to receive the patient safety award in 2019 and the only West River hospital to receive the award.

APRIL WILLMAN Dr. April Willman has been selected as the 2019 Anton Hyden Memorial Award recipient by the University of South Dakota Sanford School of Medicine. Willman, a pediatrician, has practiced at Yankton Medical Clinic, PC, since 2015 and serves as a clinical associate professor at USD SSOM. The Hyden award is presented to an inspiring USD SSOM professor selected by students of the junior and senior classes.

Yankton Medical Clinic, PC, has awarded six scholarships to area students. The scholarships are part of a 22-year-old program to promote higher education for students interested in the medical field. Applicants had to have a minimum GPA, engage in extracurricular and volunteer activities, and plan to work within 50 miles of Yankton.

Recipients included four highschoolers, one nursing student, and one medical student.

Sioux Falls native Dr. Alison R. Tendler has announced the opening of ART Vision eye care center and ARTISAN Skin and Laser Center on the second floor of the Galleria at 69th and Western on July 1. Dr. Tendler had been with Vance Thompson Vision for 13 years as a Cataract and Refractive, Cornea, and Oculoplastic Surgeon. In her new venture, she’ll offer laser and skin resurfacing treatments, microneedling, injectables and other skin rejuvenating options.

For the second time in three years, the National Rural Hospital Association has named Brookings Health System as a Top 20 Rural Community Hospital in the nation!

Learn why at brookingshealth.org/Top20

RURAL COMMUNITY

July / August 2019

13

• Happenings around the region

News & Notes

Happenings around the region

SIOUX LAND ALYSSA SACKETT Alyssa Sackett, RN, BSN, is the new Pediatric Emergency Care Coordinator at UnityPoint Health - St. Luke’s. The addition comes in response to an increasing volume of research that illustrates the importance of having a dedicated staff member whose sole focus is on ensuring the Emergency Department (ED) is “pediatric ready.” St. Luke’s is the only hospital in the state, and among only a handful nationwide, with a position like this.

BETH HUGHES Beth Hughes is the next president of Mercy Medical Center — Sioux City. Hughes was the vice president of hospital operations and strategy at The Advis Group in Mokena, Illinois. Prior to her current position, she served as president of St. Elizabeth’s Medical Center in Boston, Massachusetts.

She joined Mercy in May.

JESICA HANSON Jesica Hanson is the new VP of Finance at Mercy Medical Center-Sioux City.

Hanson has extensive experience in business plan development, revenue cycle analytics, operating and capital budgeting processes, and long range financial planning. She has a BS in business and economics from George Fox University and is a CPA.

Surgeons at MercyOne Siouxland performed their 2,000th robotic surgery in mid-May. MercyOne utilizes Intuitive’s da Vinci surgical system. Dr. Lawrence Volz (right) performed the 2000th surgery. Dr. Volz also performed the 100th robotic surgery. MercyOne performed a record 43 robotic cases in April.

STILIANOS EFSTRATIADIS Interventional cardiologist Stilianos Efstratiadis, MD, is the new Medical Director of Cardiology at MercyOne Siouxland Heart and Vascular Center. Having done over 10,000 procedures throughout his career, Dr. Efstratiadis will cover hospital rounds, outpatient clinics in Sioux City, and surrounding communities.

SANFORD

GIOVANNI CIUFFO Giovanni Ciuffo, MD, has been named the Medical Director of Cardiothoracic surgery at MercyOne Siouxland Heart and Vascular Center.

Dr. Ciuffo trained in Italy and has practiced in New York and Ohio. Dr. Ciuffo is also trained in TAVR procedures.

MercyOne Siouxland Medical Center now provides lung cancer screening with a 128-slice CT scanning system. This technology is new to Siouxland hospitals and is the only method recommended for lung cancer screening in high risk patients. The system uses 75 percent less radiation than a regular CT scan and doesn’t require needle sticks. Current smokers or previous heavy smokers who have quit within the last 15 years, are eligible for the scan.

Sanford Health announced its partnership with Tyto Care, the healthcare industry’s first all-in-one modular device and telehealth platform for on-demand, remote medical exams. The partnership enables Sanford patients to remotely perform live, guided physical examinations with a Sanford doctor using the TytoHome exam kit and app and receive a diagnosis and prescription if needed. The home kit includes a camera, basal thermometer, otoscope and stethoscope adapters and a tongue depressor. Sanford is the exclusive TytoHome provider in the region.

UPCOMING EVENTS

CHECK OUT MED’S ONLINE CALENDAR AT MIDWESTMEDICALEDITION.COM/CALENDAR FOR A LIST OF UPCOMING SUMMER AND FALL CME EVENTS AND CONFERENCES.

14

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D E S I G N

M O O D B O A R D

ANNUAL CONVENTION 2019

Sioux Falls Convention Center

September 18-20, 2019 Register online

https://sdahoconvention2019.eventbrite.com

YOUR WORLD IN OUR HANDS

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

SPECIALTY SERVICES When your child needs services that go beyond general care, turn to Sanford Health. We are here to provide you with expert pediatric specialty care close to home.

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• General pediatrics

• Neonatal intensive care

• Allergy

• Perinatal medicine

• Anesthesiology • Cardiology

• Child abuse and neglect

• Nephrology

• Neurology 8.125 x 10.875 includes a .187 bleed • Neurosurgery

Trims •Magazine Ophthalmology and

• Child and adolescent

optometry All type within .25 from trim

psychiatry • Child and adolescent psychology

• Orthopedic surgery

Leave white box for mailing lable • Palliative medicine

• Clinical pharmacy

• Pulmonology

• Developmental pediatrics

• Radiology

• Ear, nose and throat

• Rehabilitation

• Emergency medicine

• Rheumatology

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• Hematology and oncology

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• Infectious disease • Intensive care Learn more about our specialty services at childrens.sanfordhealth.org.

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