Fostering Resilience in Healthcare
Midwest Medical Edition
ON THE ROAD WITH SURGICAL INSTITUTE
New Doc Joins Father in Black Hills Practice
DAVID STRAND, MD GENERAL SURGEON
SI Surgeons Meet Critical Rural Needs THE SOUTH DAKOTA REGION’S PREMIER PUBLICATION FOR HEALTHCARE PROFESSIONALS
JULY AUGUST
Tips to Manage Difficult Patient Interactions
VOL. 13 NO. 5
2022
One number is all you need to connect with the very best pediatric surgical specialists. 1.855.850.KIDS (5437) is your 24-hour link to pediatric specialists for physician-to-physician consults, referrals, admissions and transport.
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VO LU M E 13 , N O. 5 ■ J U LY/AU G U S T 2022
Midwest Medical Edition Inside THIS ISSUE
CONTENTS PAGE 6 | Managing Difficult Interactions with Patients ■ By Dennis Boyle, MD How to handle challenging interactions sensitively and safely PAGE 8 | [Sponsored] New Slingsby & Huot Eye Associates Physician Bolsters Legacy of Expert Care Patients of Slingsby & Huot Eye Associates Prof, LLC, in Rapid City will soon see a familiar name added to their roster of eye care experts PAGE 10 | This Month Online Upcoming summer and fall events, website exclusives, and Physician Thrive's newest compensation report
On the Cover
On the Road with Surgical Institute
PAGE 14 | [Sponsored] ECMO Helps Critically ill Young Patients How Sanford Children’s Hospital in Sioux Falls helps critically ill and injured patients with South Dakota's only Extracorporeal Membrane Oxygenation treatment.
SI Surgeons Meet Critical Rural Need ■
By Kim Lee
The doctors of Surgical Institute of South Dakota have spent decades helping outlying hospitals meet the surgical needs of their rural patients. Here's what keeps them coming back. PAGE
12
PAGE 16 | NEWS & NOTES New certifications, DAISY winners, fundraisers, expansions, and more PAGE 22 | [Interview] Luis Garcia, President of Sanford Clinics What can be done about stress and burnout in healthcare? Dr. Garcia says resilience starts with recognition.
FROM US TO YOU
WELCOME TO SUMMER! his month, we are excited to feature the outreach efforts of the physicians of Surgical Institute. In South Dakota and surrounding states, outreach is a critical part of keeping rural medicine —and, by extension, rural communities— vibrant and strong. Our thanks to guest writer Kim Lee for her work on this piece. Also in this issue, we bring you expert advice for managing some of your most challenging patient interactions. You'll meet the newest physician to join Rapid City's Slingsby & Huot Eye Associates. And a conversation with the president of Sanford Clinics on the timely topic of resilience and well-being in healthcare. Of course, we also bring you a comprehensive roundup of all the latest news. Don't forget to join the MED VIP list (midwestmedicaledition.com/med-vip) to stay up to date between issues!
T
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Managing Difficult Interactions with Patients BY DENNIS BOYLE, MD
S ●
TUDIES SUGGEST THAT BETWEEN 10–20% OF PATIENT
may be inevitable, deescalating
visits are described as “difficult” by physicians, and with the
it early is vital. Often the patient
pandemic, the incidence seems to have increased. Examin-
starts a difficult encounter with
ing how to navigate these types of situations is important
a high emotion, such as anger or
for a variety of reasons:
sadness. Physicians need to rec-
Patient satisfaction is now a frequently measured parameter
and poor interactions may lead to negative feedback that does not accurately reflect the medical care provided.
●
●
●
emotional response escalate the situation. Care should be taken to not take conflict as personal.
Personal satisfaction on the part of the provider is also an issue,
The challenge is to remain calm,
and difficult situations can leave a provider confused, angry,
objective, and focused on how best
and frustrated, and contribute to burnout.
to respond to these situations.
If the patient interaction is sidetracked into a contentious dis-
Identifying and acknowledg-
cussion, important parts of the clinical history might be missed.
ing a patient’s concerns and
Increased legal issues are seen in physicians who have frequent difficult interactions as medical board complaints or threats of lawsuits may result.
letting them discuss what their beliefs are may help calm him or her down. We need to understand the behavior of the patient in the
Focus on Determining the Cause of Conflict
context of their conditions. If one
Clear communication is essential
patient’s understanding of the
is coming from (e.g., fears, past
when there is conflict or misun-
issue. If the interview becomes
experiences, misinformation),
derstanding. It can be useful to
argumentative, one needs to have
one may find the path to de esca-
differentiate between complaints
a clear understanding of why
lating the situation.
(e.g., difficult breathing) and
the patient is angry, upset, or
concerns (e.g., wanting a certain
concerned.
medication) and then explore the
6
ognize this and not let their own
can understand where the anger
Although a difficult interaction
MidwestMedicalEdition.com
Tips for Constructive Interactions ACTIVE LISTENING Physicians should listen in an open and attentive manner. Be careful of your own body language when tensions are high. Any probing should be done in a mild or respectful way. Patients should be able to express themselves and the physician should listen and seek to understand their perspective.
REFLECTIVE LISTENING Repeating statements back to the patient in a summarizing fashion is a wonderful way of really hearing what the patient has said. This also builds empathy as the patient realizes you have heard him or her with phrases such as “I hear that you believe strongly that this medicine will help you…”
ACKNOWLEDGE THE EMOTIONS Using succinct statements like “I can see you’re upset” helps reflect the emotion you are seeing to the patient. This builds empathy and rapport even in a difficult situation. The patient can tell you are listening and may realize how their own emotions are impacting the interaction.
BUILD A WIN-WIN PARTNERSHIP Let the patient know that you want to work with them with a focus on a treatment plan that is appropriate with statements such as “Let’s act as a team and monitor your symptoms closely” or “I will help you through this situation and we will work through this together.”
RECOGNIZE THAT IT MAY TAKE TIME Behavior modification is not instant, and it may take time to convince patients to change their behavior or follow your advice. Understand that in these situations you may never convince the patient to do the right thing. And change is internal in the psyche of the patient. ❖
2022
ORTHOPAEDIC SYMPOSIUM
Investing in Learning. IMPROVING HEALTH.
Join us for a one-day symposium and discover the latest orthopaedic practices to best serve the health and recovery of our patients. CNOS Orthopaedic Symposium September 23, 2022 • 8am – 4pm Holiday Inn Express & Suites Dakota Dunes Event Center
GENERAL ADMISSION *plus taxes and fees
110
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Dennis Boyle, MD is with the COPIC Department of Patient Safety and Risk Management
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JULY / AUGUST
7
[ S P O NS O R E D ]
New Slingsby & Huot Eye Associates Physician Bolsters Legacy of Expert Care residency training in ophthalmology at the University of Colorado School of Medicine and a two-year vitreoretinal surgery fellowship at the Cincinnati Eye Institute and University of Cincinnati. Dr. Geoff Slingsby started the practice as a solo physician in 1982 and in 40 years, it has grown into Slingsby & Huot, a flourishing business that delivers meaningful outcomes. “We built a practice on personal-based eye care,” he says. “We always put the patient first and I’m happy we’ve been able to continue that tradition.” “My dad has been very dedicated to his patients for a long time,” agrees Taylor. “They are loyal to him and put a lot of trust in his practice. My father still inspires me with his dedication and sense of responsibility to the patient population he has served for over 40 years. “I’m honored to be joining that and continue caring for patients in my hometown,” he continues. “Dad will retire soon and the practice will be in my hands. I look
P
forward to caring for him and his generation, and I’m
ATIENTS OF SLINGSBY & HUOT EYE
excited to bring what I’ve learned in training to offer the
Associates Prof, LLC in Rapid City will soon
highest standard of eye care.”
see a familiar name added to its roster of
Dr. Slingsby says he finds fulfillment in helping people
experts in eye care when Dr. Taylor Slingsby
with their eye problems, noting that their appreciation is
joins the practice in August.
we are able to give patients restored function, allowing
father, Dr. Geoff Slingsby, and Dr. Christopher Huot and
them to take care of their lives again. Helping people in
Dr. Renae Welke. The group brings decades of experience
this way is a great
and a wide range of services to the practice, from basic
place in medicine
eye care to advanced surgery, all in one state-of-the-art
to be.”
Rapid City facility. The practice serves Western South
It’s perhaps
Dakota and patients 400 miles in all directions of Rapid
his gratitude and
City, including North Dakota, South Dakota, Montana,
altruism that will
Eastern Wyoming and Nebraska.
help Dr. Slingsby
The junior Dr. Slingsby will begin seeing patients
carry on the legacy
August 1, managing surgical and medical retinal diseases
his father began,
such as macular degeneration, diabetic retinopathy, ret-
providing patients
inal vascular disease, epiretinal membranes/macular
with the highest
pucker, macular holes, retinal tears and detachments,
level of retina care
uveitis and complications of cataract surgery or ocular
that they’ve come to expect from his father.
trauma.
8
worth a great deal to him. “I’m personally rewarded when
Dr. Slingsby will join a trio of physicians including his
Dr. Slingsby will join a trio of physicians including his father, Dr. Geoff Slingsby, and Dr. Christopher Huot and Dr. Renae Welke.
“I’m going home to these patients—many are friends
A board-certified ophthalmologist specializing in
and family members I’ve known my whole life, so it means
vitreoretinal disease and surgery, Dr. Taylor Slingsby
a lot to take care of them,” he says. “It’s important for
attended medical school at the University of South
residents of Western South Dakota to access this care
Dakota Sanford School of Medicine, followed by
locally and I’m happy to do it.” ❖
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I wish to have a playset
Uriah, 3 leukemia
ld
hi C A r efe
R
ive a to rece ing wish. ang life-ch
Scan to refer a child.
REFER TODAY AT WISH.ORG/MEDICAL-REFERRAL
EARN 2 FREE CMEs Complete the South Dakota CHW Planning and Assessment Toolkit www.chwsd.org/chw-toolkits/
WORK I N G H AN D I N HAND: T H E VA LU E O F CO M M U N I TY H E A LT H WO R K E R S ( C HWs )
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THIS MONTH ONLINE Highlighting content and opportunities available exclusively at MidwestMedicalEdition.com
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CURIOUS ABOUT COMPENSATION?
Exclusive Online Articles New OR Technology Saves Critical Space Operating suites make use of an array of laminar flow diffusers that can take up a lot of space—not to mention ceiling-level lighting, the ductwork in the ceiling plenum and ceiling-mounted medical equipment like lighting booms that create potential for crowding and interference. O’Connor Company offers options for more compact equipment . . .
What Business Leaders Can Do to Prepare for the Next ‘Normal’ How do you prepare your organization when you’re operating in a time of profound uncertainty and an accelerating speed of change? In this article, the experts at Eide Bailly offer five critical considerations as healthcare leaders look toward the next normal.
Managing Patient Concerns About Wearable Device Data There has been a significant increase in the use of consumer-marketed, wearable technologies that measure and report physiological data. As a consequence, physicians have noticed patients are starting to bring this information to appointments expecting something to be done with it. In the full version of this article, COPIC has a few basic principles to help physicians navigate appointments with such patients. Read the full articles on the website.
Upcoming EVENTS July 9 - 10
7:30 am – 5:00 pm, 7:30 am – 1:00 pm Heart Failure Up North: Practical Approaches to the Management of Congestive Heart Failure
Location: Grand View Lodge Spa & Golf Resort, Nisswa, MN
10
July 26
9:00 am – 4:00 pm Avera Infection Prevention Day of Sharing Location: Avera Education Center, Sioux Falls
September 21 – 23 SDAHO Annual Convention Location: Sioux Falls Convention Center
Physicians Thrive recently released its annual physician compensation report. The report highlights how physicians in different medical specialties and regions across the United States are being compensated for their work, the gender wage gap, the impact of COVID-19 on physician compensation, how much physicians are earning in bonuses and incentives, and which specialties are in the greatest demand.
Here are some highlights from the 2022 report: • On average, female physicians earn 25% less than male physicians in the same specialty • Orthopedic Surgeons and Plastic Surgeons are the only specialties with an average compensation over $500k • 55% of specialists earned an incentive bonus Physicians Thrive says the information may help medical students interested in knowing how their future careers may be impacted by multiple variables as well as residents, fellows, and physicians looking for a broad picture of compensation and hiring trends to help analyze the national healthcare landscape.
You'll find a link to the full report on our website.
September 23
8:00 am – 4:00 pm CNOS Orthopaedic Symposium Location: Holiday Inn Express, Dakota Dunes
October 20
8:00 am – 5:00 pm (MDT) Monument Health 24th Annual Cardiovascular Disease and Wellness Symposium Location: Rapid City
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11
On the Road with
SI Surgeons Meet Critical Rural Needs
I
N TODAY'S HEALTHCARE ENVIRONMENT — with demand rising and the workforce shrinking — it's harder than ever to find timely access to quality care. But the challenge is often even greater for residents of our many rural communities, officially defined as towns of fewer than 2,500 people. But access for these residents is critical, not only for preserving their health, but for the ongoing health and economic stability of their communities. Unfortunately, the logistics of
trying to ensure adequate access for these residents can be formidable. Enter Surgical Institute of South Dakota, PC, an independent Sioux Falls-based team of board-certified
general surgeons. In addition to being on staff at Avera McKennan Hospital & University Medical Center, Sioux Falls Specialty Hospital, Avera Heart Hospital of South Dakota, and Sanford USD Medical Center, SI surgeons have also spent decades serving small, outlying hospitals and clinics. Today, those include Flandreau, Dell Rapids, and Freeman, South Dakota, and Hendricks and Tyler, Minnesota. But SI doctors are doing more than just providing easier access to needed procedures in these towns; their broad knowledge base allows them to play a crucial role in rural health. Their presence decreases the need for patients to travel for routine surgery, but it also provides backup for rural primary care providers and contributes to the overall financial health of rural hospitals.
DR. STRAND IN DELL RAPIDS
to those communities and
David Strand, MD, a 27-year veteran of SI, provides
keep those patients there,
surgery and procedures on an outpatient basis at
which supports their staff
the Avera Medical Group Dell Rapids clinic and Avera
and their hospital.”
Dells Area Hospital, a 23-bed critical access hospital
“I can’t begin to say how
22 miles north of Sioux Falls. Dr. Strand offers
convenient these services
general surgical procedures like hernias,
are for our facility,” says
cyst removal, laparoscopic colectomies, catheter placement and removal, hemor-
efit to our patients to stay
rhoid banding, lipomas, colonoscopies
local. Our patients think it’s great. Dell Rapids is a
and diagnostic procedures. He’ll also do
growing community with a lot of young families as
follow-up appointments for procedures
well as an older population that is well-established.
done in Sioux Falls by his partners.
They absolutely love that they don’t have to drive
“On any given day, Dr. Strand does 5-8 procedures and sees 8-10 clinic patients,”
12
Carstensen. “It’s a huge benDavid Strand
anywhere for these services.”
says patient care services director Karla
DR. WINGERT IN FLANDREAU
Carstensen. Carstensen has worked with
Flandreau, South Dakota is another community
Dr. Strand for 20 of the 25 years he has
that benefits from SI’s outreach efforts. For two
served this small community. "He is
decades now, SI surgeon Donald Wingert, MD, has
extremely busy," she says.
been offering services and procedures in Flandreau
“One of the problems we’re seeing is
that would otherwise require patients to travel to
that specialists don’t always like to go to
Sioux Falls or further. “Procedures done at those
smaller communities, which leaves those
hospitals are primarily endoscopies and colonos-
areas with a lack of medical care,” says
copies and treating hernias, gall bladders and small
Dr. Strand. “We’re able to provide access
skin lesions,” says Dr. Wingert. “I also see new
MidwestMedicalEdition.com
Surgical Institute BY KIM LEE
patients who will need to be referred to Sioux Falls for other procedures.” Dr. Wingert has been with Surgical Institute since the start of his medical career in 1988. In 1994, he began outDonald Wingert
reach
ser v ices
in
Dr. Wingert has been serving Avera Flandreau Hospital for 20+ years.
Flandreau, north of Sioux Falls, at its clinic and 18-bed critical access hospital, Avera Flandreau Hospital. Now semi-retired, Dr. Wingert sees patients twice a month and performs procedures in its operating room. He does the same at Hendricks Community Hospital in Minnesota. “Working in rural medicine, it’s not always easy to provide all the services our community needs," says Heather Hubbell, director of patient care at Avera Flandreau Hospital. "We have a lot of elderly patients, and Dr. Wingert’s visits prevent them from having to travel. It also gives our providers a chance to collaborate on patient care plans with him. They work closely with Dr. Wingert and he will refer to other specialists if he can’t provide the service they need." Beyond meeting medical needs, Hubbell says Dr. Wingert’s bimonthly visits are also a comfort for Flandreau area patients. “It’s a significant benefit for us,” she says. “He’s a very well trusted and known surgeon in our community, as he’s been coming here for more than 20 years.”
A WIN-WIN RELATIONSHIP
before deciding he’d prefer a less hectic pace. “About five years ago, I retired from a more active role in Sioux Falls because I was ready to slow down,” says Wingert. “I chose to continue to go to both Hendricks and Flandreau because I enjoy it so much. The people I work with and treat there appreciate the care.” “The service he provides is so very important to our community and he is someone whom so many know and trust, people feel comfortable Surgical Institute’s outreach physicians not only help keep rural residents from having to delay needed care but, when necessary, they also provide trauma care and coordination with EMS teams and other health staff —all integral parts of a successful community health system. “Dr. Strand works well with our staff, and he’ll also bring medical students with him on educator, he loves to teach as he goes, every minute of it. He is passionate about what he does
the only ones who benefit from these regular
and that’s evident. He’s overall a great partner
road trips. The relationships established by
for our facility, with a good relationship with
spending time in a rural healthcare setting
our own health professionals. It’s a very collab-
are fulfilling to the physicians, as well. “It’s nice
orative and collegial atmosphere.”
to get away, to go to a smaller operation," says
Other SI surgeons providing outreach
Dr. Strand. "I’ve done this long enough that I
services include Michael Bauer, MD, who ser-
have relationships with a lot of patients in Dell
vices Freeman Regional Health Services, and
Rapids.”
Michael Person, MD, who works at Avera
worked with SI in Sioux Falls for 28 years
Midwest Medical Edition
JULY / AUGUST
Micheal Person
occasion," says Carstensen. "He’s a wonderful
The communities and their residents are not
It’s a similar situation for Dr. Wingert. He
Michael Bauer
getting the care they need,” Hubbell agrees.
Medical Group Family Health Center in Sioux
“ One of the problems we’re seeing is that specialists don’t always like to go to smaller communities, which leaves those areas with a lack of medical care.”
Falls each Thursday. ❖
13
[ S P O NS O R E D ]
ECMO Helps Critically Ill Young Patients
T
HE SANFORD CHILDREN’S HOSPITAL in Sioux Falls is
the only hospital in South Dakota that offers Extracorporeal Membrane Oxygenation (ECMO) treatment to critically ill and injured young patients. When DJ Veldkamp became severely injured in a motorcycle accident in Sioux Falls, his family was thankful
ECMO was available close to home. Because of his injuries, flying to a larger city for treatment would have been dangerous. Veldkamp’s care team decided to put the 21-year-old on ECMO when his health declined in the intensive care unit (ICU). They quickly moved him to Sanford Children’s. “Because of his age and size, we took him to the pediatric ICU to do the ECMO,” says Lesta Whalen, MD, medical director of Sanford Health’s Extracorporeal Life Support Program.
MidwestMedicalEdition.com
“Without ECMO, he had a 50% chance of survival,” remembers Veldkamp’s mom, Nona. ECMO can be used to treat severe pneumonia, heart failure, trauma, respiratory failure, sepsis and other overwhelming infections. The heart-lung bypass machine pumps and oxygenates a patient’s blood outside of their body. Veldkamp was hooked up to the ECMO machine for five days. He responded well to the treatment and recovered. “If we didn’t have ECMO, DJ may have survived, but his lungs would have been irreparably damaged from trying to use a ventilator to support him,” says Dr. Whalen. The ECMO team at Sanford Children’s includes nurses, specialty doctors and respiratory therapists who provide aroundthe-clock access to pediatric critical care. Dr. Whalen works with the team to
Who needs ECMO? ◆ Children or young adults who have heart or lung problems that have not improved with other treatments. ◆ Children or young adults who have one or more of these problems: ●
Congenital Diaphragmatic Hernia
ensure the ECMO circuit is working while
●
Life-threatening heart condition
it’s running. She approves candidates for
●
Meconium Aspiration Syndrome
ECMO and helps coordinate their care.
●
Persistent Pulmonary Hypertension
●
Pneumonia
●
Respiratory Distress Syndrome
●
Sepsis
“Whether we’re treating a baby, a 3-year-old or a 30-year-old young adult, the ECMO circuit runs the same,” Dr. Whalen says. “The machine is versatile.” ECMO is an important treatment that saves lives. “I think the fact that this is the region’s
A patient needs to be on ECMO until: ◆ The heart and lungs get better
only ECMO program is a big deal,” says
◆ The treatment fails to work
Dr. Whalen. “You can stay closer to family
This could take a few days or many weeks.
and still get top care. It’s an amazing resource to have at Sanford.” The Extracorporeal Life Support Program is just another way the team at Sanford Children’s hospital focuses on providing the best care for critically ill pediatric patients. You can refer a patient to Sanford Children’s for ECMO and other life-saving treatments. ❖
Things that affect how long a patient is on ECMO: ◆ Type of heart or lung disease ◆ How much damage there is before starting ◆ Illnesses or complications while on ECMO
When a patient shows signs of getting better: ◆ The amount of ECMO support is lowered slowly. This is called weaning. ◆ There will be times when the team tries to take the patient off
You can refer a patient to Sanford Children’s for ECMO and other life-saving treatments by calling (605) 333-4455
ECMO. This is called trial off. Ventilator support is increased to help with breathing. ◆ ECMO support is stopped when the lungs and heart have healed enough. ◆ When ECMO support is stopped, a surgeon takes out the tube(s).
Midwest Medical Edition
JULY / AUGUST
15
Happenings around the region
News & Notes
South Dakota | Southwest Minnesota | Northwest Iowa | Northeast Nebraska
AVERA CASEY WILLIAMS Avera Health and Sema4, an AI-driven genomic and clinical data intelligence platform company, recently announced the Avera/Sema4 Oncology and Analytics Protocol (ASAP) study. The study will enroll up to 3,000 cancer patients, and those at risk for cancer, a year. Participants will receive tumor genomic sequencing and hereditary cancer and pharmacogenomics testing to identify targeted treatment options. Casey Williams, PharmD, MBA, Avera’s Chief Scientific Officer and Executive Director of Cancer Research, says the data will be utilized to improve understanding of the molecular characteristics in all stages of cancer and advance precision oncology treatment. Avera Health, JDRF, and The Leona M. and Harry B. Helmsley Charitable Trust recently announced the creation of the eCare School Health T1D Demonstration Project to address disparities in access to school healthcare, starting with students living with diabetes. Avera Health will partner with telehealth provider Avel eCare to study the impact of delivering virtual school nursing services in medically underserved communities. The National Association of School Nurses recommends students have daily access to a full-time RN, yet, only 39% of schools in the US have a full-time school nurse, and just 35% employ a part-time school nurse. The coverage rate is even lower in some rural areas.
BLACK HILLS Monument Health will contribute $1 million over four years to support the new Pennington County Crisis Stabilization Unit in Rapid City. The 14,000-square-foot Crisis Stabilization Unit, which is expected to open by the end of the year, will incorporate the Crisis Care Center using 8 recliner-type chairs for stays of up to 24 hours and 16 beds for stays up to 5 days. The state legislature allocated $4.2 million for the Rapid City center in 2021. Monument Health and other partners are raising the remaining funds for the $6.2 million public-private partnership. Behavior Management Systems will handle the unit's day-to-day operations.
16
Monument Health announced two major construction projects in the Spearfish area. In one of the projects, the Spearfish Hospital campus on Main Street will nearly double in size. In the other, Monument Health will build a new multispecialty clinic off Interstate 90 Exit 17 near the Elkhorn Ridge neighborhood at the eastern edge of Spearfish. Together, the projects represent an $80 million investment in Spearfish area healthcare. In a separate announcement in Rapid City, Monument Health unveiled plans for a Children’s expansion project at Rapid City Hospital.
Monument Health recently announced plans for the next phase of the multi-year Rapid City Hospital expansion project. This phase will expand its services for mothers, babies and children at Monument Health Rapid City Hospital. Plans call for a three-story building at the northwest corner of Rapid City Hospital, which will include a new NICU with more space and privacy for families. When the expansion phase of the project is complete, crews will remodel the existing Children’s area of the hospital to upgrade the Pediatrics and Labor-and-Delivery areas. The cost of the project is estimated to be $40 million.
MidwestMedicalEdition.com
(l to r) Interventional Neurologist Jae H. Kim, M.D., Neurologist Lien Diep, M.D., and Interventional Cardiologist Joseph Tuma, M.D., stand in the new hybrid operating room at Monument Health Rapid City Hospital.
A team of specialists at Monument Health Rapid City Hospital has created a comprehensive stroke program to coordinate care from the earliest stages of diagnosis to rehabilitation and recovery. Augmenting the new team, Monument Health recently completed construction of a new hybrid operating room at Rapid City Hospital. It’s an advanced procedural space that combines a traditional operating room with an image-guided interventional suite. A state-of-the art biplane cineangiography system is located right inside the hybrid OR. It produces sophisticated real-time, three-dimensional imaging of the head and neck vessels. Monument Health has announced a $2 million contribution to the new West River Area Health Education Center that will be built at Black Hills State University’s Rapid City campus. The $15 million center is a coordinated effort between Black Hills State University, South Dakota State University College of Nursing, and the West River Area Health Education Center. It will allow the SDSU College of Nursing to fully move to this site by creating room for nursing skills labs, a simulation center, and nursing faculty offices. When open, the center anticipates the number of graduates will increase each semester from 72 to 120.
Midwest Medical Edition
JULY / AUGUST
SANFORD
DAVID A. PEARCE David A. Pearce, PhD, president of Sanford Research, recently published a paper in the Orphanet Journal of Rare Diseases. The paper encompasses recommendations from a working group of the International Rare Disease Research Consortium (IRDiRC), of which Dr. Pearce is chair. In the paper, the working group found early access to diagnosis and therapies modifies the progression and management of rare diseases, positively impacting patients, their families and health care systems.
Executives from Sanford Health including Matt Hocks, executive vice president and chief operating officer, Nathan Peterson, executive vice president and chief strategy and development officer, and John Snyder, president of Sanford Health Plan presented the keynote address at Modern Healthcare’s Value-Based Care Virtual Briefing on June 9th. The event convened healthcare executives from leading health systems across the country to explore how leaders can navigate the value-based care landscape and achieve positive results for their bottom line and the communities they serve.
Matt Hocks, Nathan Peterson, and John Snyder
Sanford Health has broken ground on a 205,000 square foot orthopedic hospital. The Sanford Orthopedic Hospital will be built to the west of the surgical tower and to the south of Sanford Children’s Hospital on the main campus in Sioux Falls. The new hospital features 161,000 square feet of new space adjacent to the Sanford Surgical Tower and 44,000 square feet of remodeled space currently utilized by the surgical tower. It will include 19 inpatient rooms, 12 operating rooms, and 56 medical suite rooms that can be utilized by family members as hotel rooms. The project will include an intraoperative MRI, providing near real-time imaging during procedures, and will be the new home of the Orthopedic Residency Program. It is expected to open in Fall, 2025.
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• Happenings around the region
News & Notes
Happenings around the region
MercyOne Western Iowa is launching Military and Veterans Health Care to provide high quality, compassionate and culturally competent care to military service members, veterans and their families. The program's ongoing training includes education about US military service cultures, as well as common diseases, injuries and exposures experienced by active duty and deployed service members and veterans. The hospital's patient admission process has been updated so military members are identified upon arriva.
Six Sanford Health employees, including nurses and researchers, and an associate professor from Augustana University, recently published a study titled, The lived experience of frontline nurses: COVID-19 in rural America, which highlights the experiences of several nurses working in three of Sanford’s tertiary medical centers in the upper Midwest during the height of the COVID-19 pandemic. The study was published in the Wiley Online Library. Sanford LPN Kim McMullen of the Sanford Health Watertown Clinic was recently recognized with a DAISY Award for extraordinary nursing.
SIOUXLAND JAMIE BILLINGS Jamie Billings, Advanced Registered Nurse Practitioner and a resident of Hartley, Iowa, will serve as the primary healthcare provider for the newly established Hartley Family Care of Spencer Hospital, which will open later this summer. Hartley Family Care will be located within the clinic space of Hartley’s Community Memorial Health Center. The family medicine clinic will be managed by Spencer Hospital in collaboration with Avera Medical Group Spencer. Billings worked in coronary ICUs in Sioux Falls and Evanston, Illinois. She is currently the primary family medicine practitioner at Milford Family Care of Spencer Hospital. The physicians of Midlands Clinic will join Dakota Dunesbased CNOS in January 2023. The alignment of the two practices will integrate the operations and services of both organizations and allow for the expansion of specialty care in the region. Through enhanced collaboration, CNOS will now offer Cosmetic Dermatology, Gastroenterology, Breast Care, Weight Loss Surgery, and Wound Care in addition to its core services.
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UnityPoint Health–St. Luke’s has partnered with Wings Air Rescue (Wings One) in Sioux City. The partnership went into effect on June 1st. Wings One provides air transportation for critically ill or injured patients to a local emergency department. They also provide transportation via their Bell 407 GX aircraft for patients who need to be transferred from an outlying health center to another facility for more advanced care. Through this partnership, Wings One staff will provide training and expertise to UnityPoint Health–St. Luke’s team members.
INDEPENDENTS Dr. Lori Hansen, FACP, FCCP; Dr. Tim Ridgway, FACP, FASGE, Dean, USD Sanford School of Medicine; Dr. April Willman, FAAP
Yankton Medical Clinic Physicians Dr. Lori Hansen and Dr. April Willman were recently appointed to new leadership positions with USD’s Sanford School of Medicine. As the Interim Dean of Medical Student Affairs, Dr. Hansen will provide leadership on the medical school’s curriculum, ongoing accreditation, and student educational experiences and outcomes. Dr. Willman is the Interim Yankton campus Dean for USD Sanford School of Medicine as well as a clinical associate professor for the medical school.
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JULY / AUGUST
19
• Happenings around the region
News & Notes
Happenings around the region
KIM RIEGER
KARISSA PODZIMEK
Kim Rieger has been promoted to vice president of ancillary and support services at HRMC. Rieger has served as VP of marketing and communications for nearly 19 years. In her new role, she is responsible for the operation of HRMC’s pharmacy, laboratory, radiology, environmental services, food services and Pro Rehab. Originally from Huron, Rieger holds a master's degree in Administrative Studies-Leadership from USD. The University of South Dakota School of Health Sciences was one of four locations nationwide to host a summit bringing together health industry and academic partners to discuss changes in health professions. On June 3rd, the Association of Schools Advancing Health Professions partnered with the Interprofessional Health Education Center at USD and the Department of Nursing to co-host the forum at the USD Health Science Center in Sioux Falls. Seton Hall University, Nova Southeastern University, and the University of Cincinnati also hosted simultaneous in-person summits. Parts of the event were held virtually to connect the four regional locations.
P E A C E
O F
Freeman Regional Health Services recently announced the promotion of Karissa Podzimek, RN to Clinic Manager. Podzimek holds a degree from USD and has been with Freeman Regional for more than 11 years. In her new position, Podzimek will oversee clinic operations and provide leadership at four clinic locations in Freeman, Bridgewater, Marion, and Menno.
TABITHA SCHOENWALD Tabitha Schoenwald has joined Freeman Regional Health Services as its new Foundation/Marketing Director. Schoenwald, a Freeman native, is new to the healthcare industry, but has 18 years of experience in Graphic Design/Marketing. She was also previously a manager at a national bank. In her new position, Schoenwald will oversee operations for the foundation and showcase the people, values and services Freeman Regional offers.
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Helen Birkeland, molecular cytotechnologist at Physicians Laboratory, with some of the equipment donated to Seeding Labs.
Sioux Falls-based Physicians Laboratory recently donated several machines and equipment to Seeding Labs. Seeding Labs is a non-profit organization that facilitates the donation of equipment and personnel to colleges and universities and public research institutes in low-and middle-income countries. Physicians Laboratory has previously used the donated equipment for PCR molecular testing.
MidwestMedicalEdition.com
Stacia Iwuc
Kayla Beacom
RISE Custom Solutions in Sioux Falls has a new Certified Prosthetist & Orthotist and a Cranial Specialist. Stacia Iwuc specializes in pediatric orthotics and prosthetics for the lower extremities. Iwuc is a graduate of Baylor College of Medicine's Orthotics and Prosthetics master's program. DPT and Cranial Specialist Kayla Beacom specializes in infant custom cranial remolding helmets. She earned her Doctorate in physical therapy at Briar Cliff University.
Nearly 40 brave and hearty souls turned out to walk, run, and help with the Inaugural Dialysis Dash held April 30 at Memorial Park in Huron. Nearly 60 had registered, but when the morning of the event arrived, pelting rain and strong winds kept some from participating in the 5K and 10K run or walk events. Between entrants and sponsors, $3,925 was raised to support the renovation and expansion of the dialysis unit at Huron Regional Medical Center.
A year after three construction projects kicked off with the Huron Regional Medical Center Physicians Clinic expansion, one is complete and two are on schedule to be finished this summer. HRMC’s Imaging Center now boasts a 3D mammography suite and a first-inthe-region Phillips Ingenia Ambition 1.5T MRI unit. Expansion of HRMC’s emergency department and outpatient treatment area and the second story of the HRMC Physicians Clinic are nearly complete.
Prairie Lakes Healthcare System recently made a $2 million donation toward the construction of a new Appropriate Regional Facility (ARF) for those experiencing a mental health crisis in Watertown. The new $7 million dollar ARF facility, to be located just behind the main HSA building on 19th street in Watertown, will provide the region with four additional mental health beds where individuals can be treated for up to five days. The ARF will also provide four beds for substance abuse detoxification and continue as the current Serenity Hills, a 16 bed halfway house for men with a dual diagnosis of mental health and addiction.
USD School of Health Sciences
Success Spotlight Rebecca Johnson Degree: Doctorate in Occupational Therapy Current Position: Occupational Therapist with Black Hills Pediatric Therapy, Rapid City As a kid growing up in Rapid City, Rebecca Johnson spent plenty of time playing in the great outdoors. Today, as an occupational therapist with Black Hills Pediatric Therapy, she is determined to help more Black Hills children reap the benefits of outdoor play. "Kids are spending a lot more time on screens, which means they are not hearing birds, experiencing different temperatures, or playing in the dirt," says Johnson. "They are not getting exposed to sensory stimulation, so their sensory processing is lower. They are also not as strong as they used to be. Many are having trouble holding pencils because they are not climbing and digging." Johnson was one of the first graduates of the USD School of Health Sciences Doctorate in Occupational Therapy program in 2017. She was originally attracted by the affordable tuition and proximity to home. Once inside the program, she came to appreciate the many other things that set USD's OT program apart. "I feel like we learned more about all the different OT areas, whereas at some schools, it's mostly adultdriven," says Johnson. "We learned about pediatric OT and assistive technologies. But they also taught us grantwriting and other skills you don't get anywhere else. We even got some business education in case we wanted to go that route." Johnson says her USD education not only gave her the confidence to think outside the box with her outdoor OT programming, but to start a business (Timbernook Black Hills) connecting kids and nature. "The small class sizes meant I really got to know my fellow professors and my fellow students which helped me feel comfortable asking questions," says Johnson. "Even though it is a big school, it is a close- knit community."
Congratulations to this USD School of Health Sciences success story! This SUCCESS SPOTLIGHT brought to you by:
USD.EDU/HEALTH
Midwest Medical Edition
JULY / AUGUST
21
• Happenings around the region
News & Notes
[ INTERVIEW ]
Luis Garcia, MD PRESIDENT OF SANFORD CLINICS
T
HIS SPRING, DR. LUIS GARCIA, Sanford Health's president of clinic, joined executives from the nation's top health systems as a panelist at the Becker's Annual Meeting in Chicago. Garcia spoke on a subject about which he has become passionate, and one which a growing number of healthcare institutions are
beginning to prioritize - the mental health and well-being of healthcare employees. We spoke with Dr. Garcia for insight on the issue.
MED: Let's put aside the obvious strain of the pandemic for a moment. Is there something about people who work in healthcare that makes them especially vulnerable to stress or burnout?
before the pandemic are worse
LG: For many people in healthcare,
among female physicians than
their career really was a calling. People who feel called into this field want to give our best and pursue excellence for our patients. So healthcare is full of overachievers. That alone creates a lot of internal stress. Then, as a baseline, the industry brings an
now. Burnout is estimated at about 50 to 80 percent. Twenty percent of physicians polled say they have considered suicide in the last year. That is about 130 percent higher male. And one in four healthcare workers has considered leaving healthcare. On top of that, a lot of
physician is three times more
people considering going into
likely to make a medical error, so
healthcare are deciding not to, and
their wellbeing needs to be as high
we were already facing a shortage
a priority as their patients'.
of doctors and nurses before the pandemic.
environment of high stress situations. And then there is the uncertainty. Healthcare workers are people who want to provide
MED: What can employers do to help their workers get through this?
MED: What advice do you have for current workers or for those considering a career in healthcare? LG: Identify what brings you happiness and fill your cup inten-
LG: The first thing we have to do
tionally by making time for those
is become more aware. We need
things. We are all so busy that it
to recognize that mental health
is often just an accident when we
issues do exist and create a safe
find ourselves with 20 minutes to
environment where someone can
take care of ourselves. But we
say, I'm human and I don't feel
need to be intentional. For those
good today. And then build the
considering the field, being in
resources to be able to offer solu-
healthcare is a privilege and an
tions. We need to be serving them
honor and I would not discourage
as human beings, not only at work
them. It is so rewarding and sat-
but outside of work, as well. We
isfying and you have a real impact
LG: What we are seeing is that
see this as an investment in our
on people. We are so grateful for
problems that were prevalent
most valuable asset. A burned out
those who have chosen to stay.
some certainty that you are in a safe place and that your problem is going to be resolved. When they are unable to do that, it is especially stressful.
MED: We know the last few years have been especially hard. How bad is the problem of stress and burnout in the healthcare workplace right now?
Go online to read the full transcript of our interview with Dr. Garcia.
22
MidwestMedicalEdition.com
97 97 56 56
OF DRUG OF DRUG OVERDOSES OVERDOSES
% are Accidental. % are Accidental. % are Opioid Related. % are Opioid Related.
Emergency Emergency room room overdose overdose cases cases are increasing at an alarming rate, are increasing at an alarming rate, especially among young people (15-34), according to the especially among young people (15-34), according to the latest latest SUDORS* SUDORS* data. data.
What can we do? What can we do?
If your patients are taking prescription opiates or are at risk Ifforyour patientsencourage are takingthem prescription opiates or on arehand at riskand overdose, to keep naloxone for overdose, encourage themand to keep naloxone onnaloxone hand and to learn how to use it. Family friends who have to use it. many Familyoverdose and friends whosurvive. have naloxone onlearn handhow havetohelped victims on hand have helped many overdose victims survive.
Help your patients understand: Help your patients understand:
• The risks of taking opiates (prescription or illicit) •• The risks of taking opiates (prescription or illicit) The dangers of mixing them with other substances •• The dangers of mixing them with other substances How to recognize the symptoms of an overdose • How to recognize the symptoms of an overdose
And, encourage them to take advantage And, themOrder to takeand advantage of theencourage State Standing get naloxone. of the State Standing Order and get naloxone. It may save a life. It may save a life. For more information on naloxone, the State Standing For more information naloxone, the State Standing Order, or key data, visitonAvoidOpioidSD.com Order, or key data, visit AvoidOpioidSD.com
Refer your patients and Refer your patients and their families to the their families to the
Resource Hotline Resource Hotline 1-800-920-4343 1-800-920-4343
It’s FREE, confidential, It’s FREE, confidential, and available 24/7 and available 24/7
*2020 State Unintentional Drug Overdose Reporting System (SUDORS) *2020 State Unintentional Drug Overdose Reporting System (SUDORS) Brought to you by the South Dakota Department of Social Services. Funding made possible through a Substance Abuse and Mental Health Services Administration (SAMHSA) grant. Nothing to in this constitutes a SAMHSA endorsement content,Funding services,made or policies. Brought you PSA by the South Dakota Department of Socialof Services. possible through a Substance Abuse and Mental Health Services Administration (SAMHSA) grant. Nothing in this PSA constitutes a SAMHSA endorsement of content, services, or policies.
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