MED Magazine September/October 2020

A Conversation with Omaha Children’s New CEO Rebrand Reflects Scope of Service at Local Medical Supply Company

SEPTEMBER OCTOBER

New Tech Leads to Remarkable Brain Surgery Outcome at Monument

VOL. 11 NO. 6

2020

Better Breast Cancer Odds Through Better Detection FREDERICK “JOE” SEVERS, MD BREAST RADIOLOGIST

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VO LU M E 1 1 , N O. 6 ■ S E P T E M B E R /O C TO B E R 2020

Inside This Issue

CONTENTS PAGE 6 | Interview Chanda Chacon, CEO, Omaha Children’s Hospital The new CEO opens up about her very personal experience with pediatric healthcare.

PAGE 8 | This Month Online

ON THE COVER

BETTER BREAST CANCER ODDS THROUGH BETTER DETECTION Fellowship-trained breast radiologist Frederick "Joe" Severs, MD, of the Edith Sanford Breast Center is raising the odds that more area women will survive breast cancer.

■ By Alex Strauss

PAGE

10

Resources for Resuming Elective Procedures, Minnesota Gets Top Grade for Healthcare, Web-only articles & events

PAGE 12 | News & Notes A comprehensive collection of recent medical community news and announcements

PAGE 19 | Complex Surgery Highlights Value of New Navigation System at Monument Health Neurosurgeon says better real-time visualization will enable Monument to offer advanced new services.

PAGE 20 | Introducing Rise Custom Solutions . . .

LifeScape says new name showcases the scope of their orthotics/prosthetics company

PAGE 22 | Sponsored Content Cornea Donations During the Coronavirus Crisis How Dakota Lions Sight & Health is weathering the storm to provide what patients and surgeons need.

FROM US TO YOU

E

veryone in medicine knows that early detection leads to better outcomes. But how do you improve upon top-of-theline diagnostic technology? Sanford’s answer has been to upgrade their diagnostic expertise.

Breast cancer detection rates at Sanford are rising and fellowship-trained breast radiologist Joe Severs, MD, is a big part of the reason. Meet him in this month’s cover feature.

Also in this issue, a full roundup of the summer’s news headlines, the region’s leading provider of custom orthotics and prosthetics gets a rebrand, advanced brain surgery at Monument Health, and how the region’s eye and tissue bank is managing during COVID-19.

And remember . . . social distancing shouldn’t have to mean disconnection!

Send your news and announcements to Info@MidwestMedicalEdition.com and we’ll help you share them with the entire SD area medical community!

Be sure to join the VIP list at MidwestMedicalEdition.com to stay in the loop between issues.

Best wishes for a beautiful fall, —Alex and Steff

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ORTHOPEDIC SURGERY

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Monument Health Heart and Vascular Institute is western South Dakota’s largest group of cardiovascular specialists who offer the full spectrum of care including diagnostic services, cardiovascular research and nationally accredited labs.

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[ INTERVIEW ]

Chanda Chacón, CEO, Omaha Children’s Hospital Chacón takes the reins September 8th. We spoke with her in August

MED: You have called the Hubbard Center “a leading edge jewel of a facility.” What are you most excited about?

about this pivotal time in the organization’s history and her hopes for

CC: The way the Hubbard Center is

the future.

organized, it will allow us to operate

OMAHA CHILDREN’S HOSPITAL & Medical Center recently announced that Chanda Chacón, MPH, FACHE, will be its next President and CEO.

MED: What is unique about the children’s hospital model?

Having co-located high-end services allows us to be more efficient and

CC: I think every sick child deserves

effective. It is about bringing

to be treated in a children’s hospital.

together the highest acuity care that

The people are trained differently.

Children’s provides and offering a

And we know that a family-centered

depth and breadth of expertise that

model is how children get better. We

should help families and kids really

want to help normalize a really

feel safe here.

abnormal experience for families.

MED: You have held leadership roles at both Arkansas Children’s Hospital and Texas Children’s Hospital, one of the country’s foremost pediatric hospitals. What attracted you to Omaha Children’s?

MED: You have devoted your career to pediatric healthcare, but your interest in this area started in your childhood. Tell us about that.

at the highest level of our game.

MED: What will you focus on first?

CC: Our mission is to improve the life of every child. When you look at a mission that broad, you need partnerships and collaboration to do that. My first 100 days are going to be focused on listening and

CC: When I met the team and the

learning and building those rela-

people and saw how committed they

tionships. Healthcare organizations

and the community were to making

only determine about 20 percent of

a real difference for children, it was

the overall health of a child, so for

an opportunity I could not pass up.

us to improve children’s lives, we

With a new strategic plan in devel-

need partners and collaborators.

opment and the Hubbard Center

That is the part that I love most

opening next year, for me to be a part

about the job that I’m in. ❖

of that next chapter is really just incredible.

CC: I was in a car accident as a child and ended up having to have spinal fusion when I was 13. I never touched a children’s hospital. My parents tried hard to navigate the healthcare system on my behalf, but it was very challenging, complex, and stressful.

When I finally found a physician who spoke to me as the patient, and not just my parents, it was transformational. I knew that I wanted to be involved in pediatric healthcare somehow.

6

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7

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

Elective Procedures and Surgery During COVID-19

BY COPIC’S PATIENT SAFETY AND RISK MANAGEMENT DEPARTMENT There are three areas of preparation that a healthcare system, hospital, facility, or provider group should consider as they schedule elective surgeries or procedures, as COVID-19 is still a concern:

1) R eview considerations that are outlined from key organizations to establish

“Are they still holding that event?”

the background data and information needed to ensure that it is safe to proceed with elective surgeries or procedures.

Recommended resources:

• Joint Statement: Roadmap for Resuming Elective Surgery After COVID-19 Pandemic from the American College of Surgeons, American Society of Anesthesiologists, Association of periOperative Registered Nurses, and the American Hospital Association.

Check out MED’s

ONLINE CALENDAR

for a complete listing of area healthcare events, including cancellations and postponements.

• C MS Recommendations on Re-Opening Facilities to Provide Non-Emergent Non-COVID-19 Health Care: Phase 2 issued in June by the Centers for Medicare and Medicaid.

2) C reate a “What You Should Know About an Elective Surgery or Procedure During the COVID-19 Pandemic” patient education document.This will be provided to the patient and can be readily amended as circumstances necessitate.

Recommended resource:

• “Local Resumption of Elective Surgery Guidance” published by the American College of Surgeons.

3) U tilize a “Special Consent Form for an Elective Surgery or Procedure During the COVID-19 Pandemic,” which would be in addition to the usual permit for the surgery or procedure, and would cross-reference the “What You Should Know…” document. Using a special consent form emphasizes the important shared decision of agreeing to, and performing, an elective surgery or procedure.

Recommended resource:

• C OPIC’s suggested sample template (although each provider should develop their own Special Consent Form in consultation with their attorney.)

FOR A DETAILED EXPLANATION OF EACH OF THESE RESOURCES AND CLICKABLE LINKS, SEE THE EXPANDED VERSION OF THIS ARTICLE ON OUR WEBSITE.

8

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WE WANT YOUR NEWS! region and

Send announcements

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WANT TO RECEIVE NORTH DAKOTA NEWS? Add yourself to the ND VIP List on our website.

Minnesota is 2020’s 2nd Best State for Healthcare

Digital Partners

But three other nearby states aren’t far behind In order to determine where Americans receive the highest-quality services at the best prices, the personal-finance website WalletHub recently released its report on 2020’s Best & Worst States for Health Care.

WalletHub compared the 50 states and the District of Columbia across 44 key measures of healthcare cost, accessibility, and outcome. The data set ranges from average monthly insurance premium to physicians per capita to share of insured population.

Minnesota ranked second only to Massachusetts.

North Dakota came in 5th, Iowa 8th, and South Dakota 10th.

Healthcare in South Dakota (1=Best; 25=Avg.): 8th — Hospital Beds per Capita 5th — Physician Medicare-Acceptance Rate 28th — % of At-Risk Adults with No Routine Doctor Visit in Past Two Years 20th — % of Adults with No Dental Visit in Past Year 2 1 s t — % of Medical Residents Retained

VISIT OUR WEBSITE FOR A LINK TO THE FULL REPORT.

Exclusive online articles Strong Relationships Keep Yankton Rheumatologist Close to Home

What Business Leaders Can Do to Prepare for the Next Normal

Yankton Medical Center Rheumatologist Leann Bassing MD, has returned to the town where she grew up —along with four of her med school classmates— to establish her career.

Meet her and find out why she believes her hometown is one of the best places to practice cutting edge rheumatology.

How do you prepare your organization when you’re operating in a time of profound uncertainty and an accelerating speed of change? This article from the experts at Eide Bailly covers five critical considerations as healthcare leaders look toward the next normal.

September / October 2020

Needlepoint Bipolar Ionization System from HVAC Elements Provides Protection from SARS-CoV-2 and More No ozone, easy installation on existing systems, and reasonably priced. Find out how needlepoint bipolar ionization is changing the way area healthcare facilities protect staff and patients from nearly every kind of airborne pathogen.

9

Better Breast Cancer Odds Through Better Detection FREDERICK “JOE” SEVERS, MD BREAST RADIOLOGIST

BY ALEX STRAUSS

B

REAST CANCER is the

radiology training, resulting in 15

cancer detection is as much an art as

most common

cancer

to 17 months of total breast cancer

it is a science. When you have seen

women

radiology training. A graduate of

enough of them, you begin to see

and the second leading

Texas Tech University School of

things that others don’t.

cause of cancer death

Medicine, Dr. Severs did his training,

“Some things in medicine can

after lung cancer. For

including his internship, residency,

be strictly science, but with breast

every eight women who live a full

and fellowship, at the University of

imaging, we are skilled on the side of

life expectancy, one will deal with

Texas Southwestern in Dallas.

it being an art,” says Severs. “What I

in

American

breast cancer. Last year, the special-

When he joined the Sanford team

said to young physicians trying to

ists at Edith Sanford Breast Center

in July 2018, Severs was Sanford’s

find cancer on mammograms is that

in Sioux Falls diagnosed 507 cases.

second fellowship-trained breast

it is like trying to find shapes in the

“The unique thing about breast

radiologist, joining Melinda Talley,

clouds. Every breast is different and

cancer is, when you look at the

MD, who had been there since 2010.

every cancer is different. Every cancer

population of women affected, these

Sanford has since added three more

can easily hide within a breast.”

are usually mothers and wives,”

breast radiologists including Chris

Severs says even the most advanced

says Frederick Severs, MD, a fellow-

Johansen, MD, in 2018, and Lilian

computer algorithm cannot make

ship-trained breast radiologist and

Ebuoma, MD, and Jamie Williams, MD,

reliable sense of the tiny shadows that

Medical Director of Breast Radiology

in 2019.

could mean life-or-death for a patient.

at Edith Sanford Breast Center

As the size of the breast radiol-

“I would be happy not to have a job if

who goes by “Joe”. “These women

ogy team has grown, so have breast

we could just do that and eliminate

are the glue of their families, the glue

cancer detection rates. Sanford’s spe-

cancer in the world,” says Severs.

of American society. This cancer

cialists are finding 30 to 35 percent

As breast cancer detection rates

strikes a really critical segment of

more breast cancers than the general

rise at Sanford, mortality rates

our population and represents a

radiologists do and 25 percent more

are declining. Advanced technology

heavy burden on society.”

of the hardest-to-detect tumors under

and training have led to a 30 percent

1 cm.

reduction in breast cancer deaths

EARLY & ACCURATE DIAGNOSIS IS KEY

“Most of the cancers that we are

nationwide since the 1990s. At the

finding are in that really small subset,”

same time, the number of screenings

says Severs. “These are very unlikely

is rising. Thanks to two mobile mam-

As with other types of cancer, early

to have spread to the rest of the body

mography units, 31,000 women were

and accurate detection is the key

and they approach about 100 percent

screened through Edith Sanford

to breast cancer survival and the

cure rate. So these are really the can-

Breast Center in 2019. Including mam-

screening mammogram remains

cers that you want to be finding for

mograms, ultrasounds, MRIs, and

the diagnostic gold standard. Nation-

better outcomes.”

procedures, there were more than

wide, the breast cancer detection rate stands at about 4.7 per 1,000 mammograms. Among mammograms read

THE ART AND THE SCIENCE OF CANCER DETECTION

43,000 total studies.

“We are a full service breast center with all the services that any large breast center would have,” says Dr.

by breast cancer specialists at Sanford, that figure is 45 percent higher,

In large university medical centers,

Severs, who came to Sanford from

and climbing. Dr. Severs says the

most if not all screening mammograms

Baylor University Medical Center

difference is fellowship training.

may be read by fellowship-trained

in Houston. “I trained more than 100

“As breast radiologists, all we do

breast radiologists. But Severs says

radiologists and about 10 breast

is breast cancer, so our skills are very

it is unusual for a city the size of Sioux

radiologists and I can tell you that the

honed,” he says. Breast radiologists

Falls to have this many specialists.

program we have at Edith Sanford is

do an additional year of immersion

And that expertise is about more than

the match of anything we had in

in breast cancer after their general

technical skill. Dr. Severs says breast

Houston.” ❖

“This cancer strikes a really critical segment of our population and represents a heavy burden on society.

Most of the cancers that we are finding are in that really small subset.”

11

Happenings around the region

News & Notes

South Dakota | Southwest Minnesota | Northwest Iowa | Northeast Nebraska

AVERA Avera Cancer Institute is expanding its cancer research into more of its cancer centers. ACI has centers in Sioux Falls, Aberdeen, Pierre, Mitchell and Yankton, South Dakota, and Marshall, Minnesota. “We are working toward a larger goal of offering the majority of our clinical trials at all Avera Cancer Institute locations,” said John Lee, MD, FACS, Clinical Medical Officer for Cancer Research at the Avera Cancer Institute. The Pierre cancer center recently enrolled its first patient in a cancer clinical trial.

The following Avera McKennan nurses recently received DAISY Awards for outstanding nursing:

DOUG EKEREN Dough Ekeren has been selected as the Interim Regional President and CEO of Avera Queen of Peace Hospital in Mitchell. He will succeed Tom Clark, who was recently named the Chief Strategy and Growth Officer for Avera Health. Ekeren is also the Regional President and CEO of Avera Sacred Heart Hospital in Yankton and will continue to serve in that role.

DZENAN BERBEROVIC

Avera Cancer Institute at Pierre first clinical trial patient (center) with oncologist Sreekanth Donepudi, MD, (far left), John Lee, MD, (far right) and team.

Avera has aligned its central and all hospital foundations into a single Avera Foundation. This team employs 22 people working in varied philanthropy roles. Now, instead of working for a certain facility, they unite their efforts as part of the Avera Foundation. This team will be led by Dzenan Berberovic, who was named Avera Chief Philanthropy Officer in March.

Stephanie Bunkers, BSN, RN, CLC, Women’s Center Postpartum

Heidi Meyer, RN, Cardiopulmonary Unit

Teresa Herman, RN, Short Stay Unit

Kersten Nielsen, BSN, RN, Oncology Infusion Center

Amanda Hettich, RN, Med/Surgical Unit

Angela Rayburn, BSN, RNC-OB, Labor & Delivery

Avera awards three DAISY awards each quarter.

Avera Health and Freeman Regional Health Services (FRHS) began a new Partner In Health agreement on June 1.

With the expanded agreement, Avera will provide leadership and assistance while FRHS retains its ownership and employees. FRHS has had numerous other ventures with Avera, including a joint operating agreement for clinic services.

All services at the Avera Behavioral Health Center in Sioux Falls resumed this summer after repairs of the damage from a tornado last September. The building took a direct hit from the EF-2 tornado and sustained serious damage. In some areas, even the steel structure had to be replaced. Only 10 people in the building suffered minor injuries at the time.

12

Avera eCARE has received $803,588 in federal funding to enhance telehealth support for up to 60 hospitals, many in rural locations, as they deal with challenges of the COVID-19 pandemic. The funds are part of over $157 million authorized by the CARES Act. Participating hospitals that already have a connection to eCARE Emergency will be able to add equipment to offer telemedicine consults in another room or at another bed. This includes both Avera and non-Avera sites that use the eCARE Emergency service.

MidwestMedicalEdition.com

SANFORD PAT BURCHILL Faulk County Deputy Plooster with his new VCC iPad after a day of testing.

South Dakota law enforcement and court services officers will soon have access to mental health expertise in the midst of a crisis thanks to $1 million in funding from Helmsley Charitable Trust. Under the Virtual Crisis Care pilot program, mental health professionals will assist officers in 23 counties to de-escalate, assess, and stabilize people in a crisis and arrange for their follow-up care with local community mental health centers. The program partners the SD Unified Judicial System, Avera eCARE, and the Helmsley Charitable Trust in collaboration with the SD Sheriffs’ Association and community mental health centers.

MONUMENT HEALTH

CHARAN MUNGARA

KALYAN VUNNAMADALA

Cardiothoracic Surgeons Charan Mungara, MD, and Kalyan Vunnamadala, MD, have joined the Monument Health Heart and Vascular Institute in Rapid City.

Dr. Mungara received his medical degree from the University of Mysore in Karnataka, India. He completed his residency in General Surgery and his fellowship in Cardiothoracic Surgery at the University of Wisconsin Hospital & Clinics in Madison.

Dr. Vunnamadala received his medical degree at St. George’s University School of Medicine in Grenada, West Indies. He completed his surgical residency at Easton Hospital in Pennsylvania, where he was also Chief Surgical Resident. He completed his cardiothoracic surgery residency at Texas Heart Institute/Baylor College of Medicine in Houston.

September / October 2020

Pat Burchill is the new Acting President of the Monument Health Foundation. Burchill recently retired after nearly 43 years in banking. Burchill has been a member of the Foundation Board of Directors for more than a decade and currently serves its chair. He is also on the board of the Monument Health System and serves as Chairman of the Rapid City Advisory Council.

Monument Health has launched the COVID Care Companion for those who test positive for COVID-19 and can recover at home. COVID Care Companion is an interactive, secure tool that enables personalized care through the MyChart website, MyChart mobile app, or by phone.

Patients who test positive for COVID-19 or who have recently been discharged from the hospital with a positive test will be offered tools needed for the home monitoring program, including a pulse oximeter and thermometer.

Monument Health earned the Cum Laude distinction from Epic for using best practices in electronic medical records.

Organizations honored through Epic’s Honor Roll Good Maintenance Grant Program meet specific requirements related to efficiency, fast system response times, preparedness for downtimes, implementing key Epic components, and reaching benchmarks in population health. Monument will invest the grant money in its Epic services.

RN Kelsey Doblar of Sanford Health’s Mountain Lake Clinic has been honored with a Daisy Award for nursing excellence.

PAUL BERGER Sanford Health has a new option for the most critically ill patients battling complications from COVID-19.

The I-SPY trial administers a medication, or combination of medications, for patients requiring a high flow of oxygen.

The goal is to rapidly identify therapies to treat critically ill COVID-19 patients. All enrolled patients will receive Remdesivir.

Some patients will receive additional medication. Paul Berger, DO, FCCP, a specialist in respiratory and critical care medicine, will lead the trial.

SHANTA MESSERLI Shanta Messerli, PhD, a scientist in the Cancer Biology and Immunotherapy group at Sanford Research, is launching a two-part program against breast cancer. Dr. Messeril will collaborate with the Flandreau Santee and Yankton Sioux Tribes in an effort to raise awareness about breast cancer with American Indian women, a population with the lowest screening rate for breast cancer in the United States and a much higher mortality rate. Messerli will also investigate a potential new treatment for metastatic breast cancer.

13

• Happenings around the region

News & Notes

Happenings around the region

SIOUXLAND BERGEMAN

BLUE

KUNKEL

PATRICK

Four longtime Sanford Health executives are retiring from the healthcare system, after serving it, and its communities, for a combined century. Mike Begeman, VP of community relations; family medicine specialist Dan Blue, MD; CFO JoAnn Kunkel; and Kim Patrick, chief business development officer, will step down in the coming months. Succession details will be unveiled at an upcoming date.

Sanford USD Medical Center took top honors for South Dakota in the newly released 2020 best hospitals for orthopedics list from U.S. News & World Report. U.S. News evaluated more than 1,200 hospitals across the country to release the top hospital rankings for orthopedics. The standings were determined by several factors including 30-day survival rates, patient experience, and nurse staffing. Sanford Fargo took top honors for North Dakota.

Kent Lehr is the new chief of business development and strategic partnerships at Sanford Health. Lehr comes to Sanford from UnityPoint Health where he most recently led organizational strategy and business development efforts. A native of Des Moines, Lehr holds a masters of health administration and masters of business administration from the University of Iowa. He will take over for Kim Patrick, who is retiring.

A blood test for the presence of antibodies to SARS-CoV-2, the virus that causes COVID-19, is now available at Sanford Health. The direct access test for antibodies is available for $65 and does not require a doctor’s approval. It is available at nearly 50 Sanford Health locations in the Dakotas and Minnesota.

A new $2.2 million fundraising campaign will help expand and enhance care for all babies born at Sanford Health, including critically ill and premature infants. The Sanford Health Foundation’s Sweet Dreams campaign will provide 45 new Giraffe OmniBeds and 33 new Panda Warmers for the Sanford Children’s Boekelheide NICU and The Birth Place at Sanford USD Medical Center. Funds will also purchase a new NICVIEW camera system.

Up to 3,000 employees of Sanford Health and Good Samaritan Society will have the chance to enroll in a new study called Seroprevalence under Repeated Viral Immunity Examination (SURVIVE). The voluntary enrollees will have their blood drawn seven times over the next year to detect antibodies to SARS-CoV-2 in an effort to learn more about their exposure and immunity. The study will start with employees who worked directly with COVID-19 patients.

14

JEREMY GRANGER Jeremy Granger, MD, has been appointed Associate Medical Director for the UnityPoint Health – Sioux City region. Dr. Granger joined UnityPoint Health – St. Luke’s in 2018 where he helped develop the Pediatric Hospitalist program. In February 2020, he transitioned to UnityPoint Clinic Pediatrics – Sunnybrook where he is currently a pediatrician. Dr. Granger will continue to care for patients at the Sunnybrook location, alongside his associates Sandra Granger, MD, and Ashley Knapp, PA-C.

SUNU PHILIP Sunu Philip, MD, has joined UnityPoint Clinic General & Colorectal Surgery.

Dr. Philip completed his general surgery training in South Africa and completed a general surgery residency at Ascension Providence Hospitals in Southfield, Michigan. He did a fellowship in cardiothoracic surgery with a focus in general thoracic surgery at Brigham and Women’s Hospital in Boston. His sub-specialty training is in general thoracic surgery in which his interests are in lung and esophageal disease. He is certified with the American Board of Surgery.

INDEPENDENTS KATELYNN BAILEY Katelynn Bailey, DO, has joined the emergency medicine department of Prairie Lakes Healthcare System in Watertown. Dr. Bailey graduated from the University of Pikeville Kentucky College of Osteopathic Medicine and completed her residency in emergency medicine through Ohio Valley Medical Center in Wheeling, West Virginia and Charleston Area Medical Center in Charleston, West Virginia.

KATHIE MANZEY Prairie Lakes Healthcare System and Sodexo, the provider of nutritional and environmental services at PLHS, have hired Kathie Manzey as the new Nutritional Services Manager. Manzey has 16 years experience as the owner of a catering business. She will manage the food service department, including the kitchen, retail services, and patient services like room service.

MidwestMedicalEdition.com

Lornell E. Hansen II, MD, RPhS, DABVLM, has been inducted into the American Society for Laser Medicine & Surgery, Inc. (ASLMS). The American Society for Laser Medicine & Surgery is the world’s preeminent resource for biomedical laser and other energy-based technologies, research, education, and clinical knowledge. Fellow status is the highest level to which a member can aspire.

MARTHA HOLSTEIN Martha Holstein, MD, has joined Yankton Medical Clinic. Specializing in internal medicine and pediatrics, Dr. Holstein earned her MD from the University of South Dakota Sanford School of Medicine and is completing her residency in internal medicine and pediatrics at the University of Nebraska Medical Center in Omaha.

JORDAN SCHILD Family medicine specialist Jordan Schild has also joined Yankton Medical Clinic.

Dr. Schild earned his medical degree at the University of South Dakota Sanford School of Medicine in Vermillion, South Dakota and completed the Mankato Family Medicine Residency Program through the University of Minnesota.

KENNETH MAINA, MD Hospital medicine specialist Kenneth Maina, MD, has joined Storm Clinic in Sioux Falls.

Dr. Maina earned his MD from the Moi University School of Medicine and completed a year-long internship with emphasis on infectious disease management and in-patient medicine. He did his residency at the University of North Dakota, Center for Family Medicine where he had a keen interest in Hospital Medicine and served as the Administrative Chief in his last year.

TREATING PATIENTS SAFELY

from Home.

Your patients’ care should go on, even when they can’t go out. CNOS offers virtual visits to help attain – and maintain – healthy lifestyles.

Spencer Hospital’s Clinical Instructor, Jeff Messerole, was a recipient of the Experienced Provider award presented by Wings Air Rescue, a private air medical helicopter service. The award is presented each quarter to an experienced provider in their respective service areas and acknowledges their contribution in advancing the education of EMS providers. Messerole was chosen in March, but due to COVID concerns, was not awarded until July.

September / October 2020

REFER TO 605-217-2667, OPTION 7.

CNOS.NET

15

• Happenings around the region

News & Notes

Happenings around the region

Pat Reno, president of the Spencer Regional Healthcare Foundation Board, meets with Mindy Sylvester (right), director of Abben Cancer Center.

Spencer Hospital MRI technologists celebrate the hospital’s enhanced GE Signa Artist MRI technology.

The Spencer Regional Healthcare Foundation has provided a $1 million gift toward a technology enhancement for radiation oncology services at the Abben Cancer Center of Spencer Hospital.

The $4 million upgrade project includes a new linear accelerator with the capability of providing stereotactic radiosurgery and stereotactic body radiation therapy; a software conversion, which will provide a new electronic health record; and facility remodeling to accommodate the new accelerator.

Spencer Hospital installed new MRI technology in July. The new system produces higher resolution images in less time. The machine is also quieter, more comfortable, and more open than the previous scanner, thanks to a larger and shorter bore. Lightweight accessory coils can be contoured around a body part —such as a shoulder or knee— or draped across a patient’s abdomen, to help enhance the MRI image. Spencer hospital performs approximately 1,200 MRI scans annually and anticipates volume will grow.

CHRISTOPHER G. BRONSON Internal medicine physician Christopher G. Bronson, MD, has joined Huron Regional Medical Center. An Illinois native, Dr. Bronson earned his Doctor of Medicine at the University of Illinois at Chicago College of Medicine in Rockford, Illinois. Dr. Bronson is especially interested in preventive medicine and hopes to also bring treatment for opioid addiction to HRMC.

DAWN ALLEN Dawn Allen, RN, has been named Vice President of Patient Services at HRMC. Originally from Huron, Allen holds a Master of Health Care Administration from the University of Minnesota. She began her nursing career at Prairie View Care Center in Woonsocket, and also worked as director of nursing at Avantara (formerly Huron Nursing Home). Allen worked as a nurse manager at Huron’s hospital from 1991 to 1998.

ERICK LARSON Erick Larson is the new president and CEO of Huron Regional Medical Center. Larson, who began his new role on August 6, replaces David Dick who retired after six years. Prior to joining the HRMC team in January, Larson served as CIO at South East Alaska Regional Health Consortium, a system of three critical access hospitals, 22 clinics, and two long-term care facilities, in Juneau, Alaska. Larson holds an MBA in healthcare administration from Western Governors University in Salt Lake City, Utah.

16

MidwestMedicalEdition.com

TIM RIDGWAY Sioux Falls gastroenterologist Tim Ridgway, MD, is the new vice president of health affairs and Sanford School of Medicine dean. Dr. Ridgway is a graduate of USD Sanford School of Medicine and has practiced in South Dakota since 1991. He previously served as executive dean, dean of faculty affairs, and professor in the department of internal medicine for the med school and is currently a staff physician and director of gastrointestinal endoscopy at the Royal C. Johnson Veterans Affairs (VA) Hospital in Sioux Falls. Dr. Ridgway replaces retiring dean Dr. Mary Nettleman.

MARY NETTLEMAN Mary Nettleman, MD, outgoing dean of the Sanford School of Medicine, was honored this summer for her work to establish the Frontier and Rural Medicine Program (FARM) at USD by the South Dakota Board of Regents.

The program offers medical students nine months of clinical training in rural communities, with a goal to increase the number of primary care physicians who practice in rural areas of South Dakota.

The Sanford School of Medicine is consistently ranked among the top-10 medical schools in the country for rural medicine.

The University of South Dakota announced this summer that it will offer an online Doctor of Nursing Practice (DNP) and online Master of Science in Nursing (MSN), both recently approved by the South Dakota Board of Regents, to meet growing demands for nursing leadership and informatics at an advanced level. The DNP program begins in the spring of 2021 and the MSN program starts in the fall.

September / October 2020

Brookings Health System was recently re-designated a ‘Baby Friendly Hospital’. The Baby-Friendly Hospital Initiative is a World Health Organization and United Nations Children’s Fund program that encourages and recognizes hospitals that promote and support breastfeeding. This includes hospital policies, practices, and staff, physician, and community education.

Dr. Jerome Bentz, a family medicine physician in Platte, South Dakota, and a clinical professor with USD Sanford School of Medicine, received this year’s Edward J. Batt Memorial Award, one of the medical school’s oldest awards. Bentz has been a faculty member since 1987 and has been active not only as a clinical professor but also with the medical school’s rural medical clerkships and as an influential and positive preceptor preparing students for clinical practice.

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17

• Happenings around the region

News & Notes

Happenings around the region

Jeff Gromowsky is a new vice president and physician practice administrator at the Lincoln, Nebraska-based Madonna Rehabilitation Hospitals. Michael Hedderman has been promoted to vice president and chief financial officer and Robert Heydon to chief information officer.

Madonna Rehabilitation Hospitals offers physical and medical rehabilitation and research, specializing in brain and spinal cord trauma, stroke and neurological conditions for adults and children.

JOSHUA HOCKETT CNOS in Dakota Dunes recently expanded its Trauma team with the addition of Joshua Hockett, MD, a board certified trauma surgeon. Dr. Hockett joins Dan Kensinger, MD, an orthopaedic surgeon and trauma specialist.

Both doctors will provide trauma coverage for Mercy One and Unity Point St. Lukes in Sioux City.

Certified Lymphedema Therapist and Doctor of Physical Therapy Amanda Sneed, MDHC, has joined Modern Day Healthcare in Sioux Falls. Modern Day Healthcare is an advanced practice nurse owned and operated clinic that offers acute and primary care services via telemedicine. Dr. Sneed completed her DPT at Andrews University in Michigan.

LifeScape has been awarded $902,000 from the South Dakota Housing Development Authority to build a new residential duplex in Sioux Falls. The LifeScape Continuum Home will address the need for affordable and supportive housing for young adults navigating from institutional care to home and community-based services. LifeScape broke ground in May and anticipates finishing it by year-end. LifeScape is the first in the state to offer this type of home setting.

The VA Black Hills Health Care System conducted over 674 telehealth appointments between March and June.

This represents a more than 200% increase over the previous year. Nationwide, telehealth appointments to Veterans' homes have increased by more than 1000%, according to the US Department of Veterans Affairs.

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18

The Brown Clinic Physician Partners have selected Scott A. Duke as the new Chief Administrative Officer of Brown Clinic. Duke completed his undergraduate and graduate degrees at Minot State University in North Dakota and has a successful history in rural healthcare management. Duke replaces Jim Vachal who retires from the CAO position at the end of August. Vachal joined Brown Clinic in 2000 and was instrumental in the forming of Brown Clinic, PLLP after their separation from Central Plains Clinic.

The PICU at Omaha Children’s Hospital is one of only 13 PICUs nationwide to be honored with the Gold Beacon Award for Excellence from the American Association of Critical Care Nurses. The award is based on the previous three years of performance.

During this timeframe, Children’s added a second PICU unit, reorganized its PICU into a PICU and a Cardiac Intensive Care Unit and experienced a record-high census each year.

MidwestMedicalEdition.com

Complex Surgery Highlights Value of New Navigation System at Monument Health

A

RECENT COMPLEX BRAIN surgery case at Monument Health illustrates the value of

Rapid

City

Hospital’s

highly advanced new surgical

navigation and imaging system.

Monument Health invested hundreds

of thousands of dollars in Brainlab ImageGuided Navigation and Ziehm Fluoroscopy to replace a 20-year-old system. Neurosurgeon Rodney Samuelson, MD, utilized the new technology in May to resect a metastatic melanoma tumor from deep inside the brain of a man in his 60s.

The patient had been treated for ocular melanoma at Mayo clinic 20 years previously. When he came to Monument complaining of headaches and balance problems, MRI confirmed that the cancer had returned.

almost chin to chest. We were able to use

surface of the brain and a medium-sized

this system to show that this angle was

tumor deep at the base of his brain, near

going to be successful, even before we

the brainstem,” says Dr. Samuelson.

made an incision.”

“Because of the size of the lower tumor, it was pushing on the brain stem.”

The position of the tumor made precise navigation both critical and challenging.

In the end, the patient had what Dr. and was discharged shortly after surgery.

Relieved of the pressure in his brain, the patient’s headaches and dizziness

in,” says Samuelson. “The Brainlab system

improved. “This was a particularly hard

allows us to take the patient’s MRI before

case with a really nice outcome,” says Dr.

surgery and register that with their real-life

Samuelson.

anatomy during surgery for navigation

In addition to brain tumors, the Brain-

through the brain. But more than that, it

lab system can help with spinal cord

allows us to acquire images during surgery

injuries, trauma, spinal fractures, and more

to change things as needed.”

common conditions such as degenerative

system can help guide surgical instru-

changes in the lumbar spine requiring surgical hardware.

ments in the brain or spine, allowing for

As the coronavirus pandemic has made

highly precise placement of spinal fusion

travel more challenging than ever for Black

material. The melanoma brain tumor case

Hills patients, Dr. Samuelson says the

was the first complex cranial case at Mon-

new technology means more of them will

ument to benefit from the new guidance

be able to get the high-level treatment they

system.

need, closer to home.

“Image guidance was very important

“We will definitely be able to do things

in this case because the angle had to be

here that we were not able to do before,”

exactly right,” says Dr. Samuelson. “The

says Dr. Samuelson. ❖

September / October 2020

Dr. Samuelson used Brainlab Image-Guided Navigation and Ziehm Fluoroscopy, both pictured here, to remove a tumor deep in a patient's brain.

Samuelson calls “an especially good result”

“That’s where the new technology came

The 3D digital model generated by the Photos courtesy Monument Health.

patient’s head position had to be flexed,

“He had two tumors, one toward the

“

We will definitely be able to do things here that we were not able to do before.

”

19

Introducing Rise Custom Solutions . . .

LifeScape says new name showcases the scope of their orthotics/prosthetics company Photo courtesy LifeScape.

L

IFESCAPE HAS long been in the business of providing highly customized orthotic and prosthetic solutions for patients with special needs through its medical equip-

ment arm, Rehabilitation Medical Supply. But some worried that the name did not fully reflect the scope of their services, which is why RMS is now doing business as Rise Custom Solutions.

“We offer a whole gamut of orthotic services for any part of your body, including a variety of bracing systems like body jackets, neck collars, ankle braces, dynamic knee braces, cranial remoulding helmets, and shoe inserts,” says Kristin Tuttle, LifeScape’s VP of Medical and Therapy Services. “In prosthetics, we do artificial limbs

Certified Orthotist-Prosthetist Rachel Smith fits a patient for a custom-molded body jacket.

for people who have had amputations or congenital

entire goal is to help

just be being able to get up out of a

limb deficiencies. We also

people come away with

chair.”

have the ability to fully

something that is going

Smith says her team’s advanced

customize a wheelchair.”

to allow them to be

training in biomechanics and their

Rise Custom Solutions

comfortable and inde-

ability to apply the principles of

pendent, long term.”

prosthetics to orthotics and vice

uses state-of-the-art technology such as a cranial

“I like to say we

versa gives patients the best possible

scanner and a 3D printer

brace head to toe, birth

shot at a lasting solution. Ultimately,

for braces and an expert

to death,” says Certified

she says the best solutions start with

Prosthetist Orthotist

the best relationships.

team including orthotists,

KRISTIN TUTTLE

prosthetists, seating specialists,

Rachel Smith. Smith is one of the

“The most important thing with

Assistive Technology Professionals,

people who carefully evaluates new

orthotics and prosthetics is that you

and

clients to devise custom solutions.

are working with someone you work

equipment

technicians.

Virtually any aspect of any piece of

“The majority of what we do is

well with so that you come out with

equipment—from a shoe insert to a

highly customized, not only for a

something that really enhances your

prosthetic limb to a wheelchair—can

person’s body but also for their life,”

mobility,” says Smith. “That custom

be customized, tweaked, and even

says Smith. “We work closely with

piece can make all the difference.”

taken for a spin.

each patient to understand what is

Rise Custom Solutions has

“We have lots of samples and

most important to them and what

locations in Sioux Falls and Rapid

demo products so people can trial

it is going to take to get them back

City with outreach clinics in Aber-

things and find what is going to work

to functional. That might be getting

deen, Brookings, Orange City and

best for them,” says Tuttle. “Our

on and off of a tractor or it might

Sioux City. ❖

“THE MAJORITY OF WHAT WE DO IS HIGHLY CUSTOMIZED, NOT ONLY FOR A PERSON’S BODY BUT ALSO FOR THEIR LIFE.” 20

MidwestMedicalEdition.com

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21

[ S P O NS O R E D ]

Cornea Donations During the Coronavirus Crisis

W

HILE THE WORLD con-

This digital approach was also uti-

tinues to adjust to the new

lized for driver education classes

normal caused by the onset

throughout our region. By continuing

of

Dakota

these outreach efforts, DLSH helped

Lions Sight & Health has

ensure that cornea donations would be

coronavirus,

also had to adapt.

A big part of Dakota Lions Sight &

CHAD HOHWIELER

“WE ARE COMMITTED TO USING

well into the future.

Health’s mission is to provide donor

Another important audience for

education to various partners. This

Dakota Lions Sight & Health is nurses.

involves outreach to both medical

They are vital in identifying potential

professionals and to the general public

donors and also in understanding the

to inform and encourage eye and tissue

cornea donation process. Due to hospital

donations.

security and privacy protocols, Dakota

Before the COVID-19 crisis hit our

Lions Sight & Health primarily used the

country, Dakota Lions Sight & Health

secure virtual meeting platform called

sent representatives to hospitals,

Webex to host virtual presentations.

schools, driver education classes and to

Participating nurses also qualified for

other venues in South Dakota, North

required continuing education credits

Dakota, Minnesota, and Northern

by attending these virtual trainings.

WHATEVER

Nebraska, to provide education on the

“We are committed to using what-

MEANS

importance and need for organ, eye and

ever means necessary to ensure this

tissue donation. These in-person meet-

important information about cornea

ings have a direct impact on the

donation and an understanding of our

availability of corneas and other tissues

mission reach the right people,” says

NECESSARY TO ENSURE THIS IMPORTANT INFORMATION ABOUT CORNEA DONATION

for transplantation.

When many facilities were shut down or operations were modified to

Chad Hohwieler, Dakota Lions Sight & Health’s Community Outreach Coordinator.

limit building access to essential work-

Today, as pandemic protocols con-

ers, these face-to-face meetings became

tinue to change, Dakota Lions Sight &

AND AN UNDER-

impossible. But the need for corneas for

Health’s community outreach has shifted

STANDING OF

transplantation did not stop. Dakota

to a combination of in-person presenta-

Lions Sight & Health quickly pivoted to

tions and online presentations based on

adjust to the new restrictions in a variety

the organization’s preference.

OUR MISSION REACH THE

of ways.

It’s this commitment to their mission

RIGHT

As most schools shifted to online

that has allowed Dakota Lions Sight &

PEOPLE.”

learning, Dakota Lions Sight & Health

Health to realize a new record of restor-

followed by creating pre-recorded

ing sight to nearly 1100 individuals

presentations and also by offering web-

through cornea transplantation during

based, live presentations on a wide

their fiscal year of July 2019 to June 2020.

variety of digital platforms, such as Zoom, Skype, Go-To-Meeting and others.

22

available now and, just as importantly,

Learn more or request a presentation for your group at dakotasight.org. ❖

MidwestMedicalEdition.com

NUTRITION

RAISING BEEF

WHAT’S NEW

CHOOSING BEEF: NEW DIABETES AND HEART HEALTH RESEARCH New research from Indiana University shows those at risk for diabetes can choose to substitute carbohydrates with lean beef without increasing heart disease and diabetes risk factors.1 This research shows that individuals have flexibility to include up to about 6 ounces of lean, unprocessed beef in daily healthy diets without increasing risk factors for heart disease or diabetes. On average, Americans consume about 1.25 ounces of fresh lean beef a day.2,3 This new research adds to the growing body of scientific evidence demonstrating that lean beef can be part of higher-protein, heart-healthy diet.4,5

Vs.

The current daily intake of red meat 2,3 ~1.25 ounces lean beef per day, about the size of a matchbook cover

How much flexibility an individual has to substitute lean beef for carbs without increasing heart disease or diabetes risk factors1 ~6 ounces, about the size of two decks of cards6

1. Maki et al. Substituting Lean Beef for Carbohydrate in a Healthy Dietary Pattern Does Not Adversely Affect the Cardiometabolic Risk Factor Profile in Men and Women at Risk for Type 2 Diabetes. J Nutr 2020; nxaa116, https://doi.org/10.1093/jn/nxaa116.

2. U.S. Department of Health and Human Services and U.S. Department of Agriculture. 2015–2020 Dietary Guidelines for Americans. Available at https://www.dietaryguidelines.gov/current-dietaryguidelines/2015-2020-dietary-guidelines. 8th ed.

3. What We Eat in America, NHANES 2009-2010 (WWEIA FPED 2009-2010), individuals 2 years and over (excluding breast- fed children), day 1 dietary intake data, weighted. Food Patterns Equivalents Database (FPED) 2009-2010.

4. Sayer RD, et al. Equivalent reductions in body weight during the Beef WISE Study: beef’s role in weight improvement, satisfaction and energy. Obes Sci Pract 2017;3:298-310.

5. Hill AM, et al. Type and amount of dietary protein in the treatment of metabolic syndrome: a randomized controlled trial. AmJ Clin Nutr 2015;102:757-70.

6. https://www.mayoclinic.org/healthy-lifestyle/weight-loss/multimedia/portion-control/sls-20076148?s=5

060120-09

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