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
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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
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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
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[ 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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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
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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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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
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