VOL: 7 ISSUE: 1
Boone Hospital Center nurse Phyliss Golden inspires others to improve their health
Fitness & Fellowship PAG E 26 W H E N S U R G E R Y B R I N G S N E W L I F E
Boone Hospital Center’s mission is to improve the health of the people and communities we serve.
Table Of Contents
Jim Sinek President
Ben Cornelius Communications and Marketing Manager
Jessica Park Marketing Coordinator
Madison Burke Multimedia Marketing Specialist
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Page 16
Page 22
Page 26
Photos By
Madison Burke L.G. Patterson Contributing Writer
Jacob Luecke
Follow us on Facebook, Twitter Instagram, Pinterest and YouTube. Please submit comments or feedback to bcc1170@bjc.org or call 573.815.3392
1600 East Broadway Columbia, MO 65201 573.815.8000 For a free subscription, call 573.815.3392 or visit myBooneHealth.com and click on the subscription link on the right side of the page. BJC HealthCare complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability or sex. ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 573-815-8000 (TTY: 1-800-735-2966). OBAVJEŠTENJE: Ako govorite srpsko-hrvatski, usluge jezičke pomoći dostupne su vam besplatno. Nazovite 573-815-8000 (TTY- 1-800-735-2966).
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A Note From Boone Hospital President Jim Sinek
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Hospital Headlines
8............................................................................................................ Letter to the President 10..........................................................................................................
An Economic Checkup
12.......................................................... Bad News: How To Help Your Kids And Yourself 14.................................................................................................
It’s Not All About The Scale
16.......................................................................................................... Fitness And Fellowship 20................................................................................................................ Leading By Example 22........................................................................................ Teaching Students To Save Lives 24............................................................................................... Warm Up With Healthy Food 26.............................................................................................When Surgery Brings New Life 28...........................................................................................
Getting To Know A BHC Nurse
29...........................................................................................Getting To Know A BHC Doctor 30................................................................... News from the Boone Hospital Foundation BOONE HOSPITAL CENTER Winter 2017
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A Note From Jim
Boone Remains The Top Hospital In Mid-Missouri For Many Reasons
A Jim Sinek President Boone Hospital Center
People, quality, growth and innovation are four foundational reasons Boone Hospital Center continues to be the most preferred and the No. 1 hospital in mid-Missouri!
s you recall, U.S. News and World Report recognized Boone Hospital Center as the top-rated hospital in midMissouri. This is our second year in a row for this distinguished title. How does Boone Hospital sustain such success? Here are a few of the many reasons: People: It all starts with Boone Hospital’s staff, who are among the most talented, skilled and compassionate in the health care industry. Our designation as a three-time Magnet hospital by the American Nurses Credentialing Center (ANCC) — placing us in the top 1 percent of hospitals world-wide to have achieved this distinction — is evidence of our prestigious culture of skill, leadership and compassion. Quality: The quality of outcomes for our patients evidences the safe and excellent medicine being practiced at Boone Hospital Center. The American Heart Association recently recognized Boone as a Gold Plus achievement hospital for complying with the highest level of evidence-based clinical protocols for stroke care. This is the highest rating a hospital can receive, and no other hospital in mid-Missouri achieved this level of performance. Boone is designated as a Level 1 stroke center, which is the highest level possible. The Center for Medicare and Medicaid Services (CMS) recently graded Boone Hospital as a 4-star hospital relative to quality outcomes. No other hospital in Columbia received a grade higher than 2 stars. This level of quality is achieved through the relentless pursuit of excellence by Boone Hospital’s staff and physicians. Growth: Boone continues to grow. In 2016, Boone opened its second campus in southwest Columbia to provide primary care, convenient (after-hours) care, pharmacy, radiology, laboratory and rehabilitation services to the growing population in this part of our community. In the last 12 months, Boone has recruited more than 18 physicians and midlevel practitioners (NP/PA) in just the last twelve months and has opened five new clinics around mid-Missouri — Nifong Convenient Care, Boone Medical Group Glasgow, Boone Medical Group
Hallsville, Moberly Convenient Care, and Boone Medical Group Mexico — in the last 18 months. Boone’s financial position stays strong as a result of our growth, evidenced by patient days, which are 1 percent higher than expected, and net revenue, which is 2 percent above budget. Innovation: In keeping with our history, Boone continues to be innovative in patient care strategies and technology. We began recruiting general surgeons approximately five months ago to expand our capacity to serve patients choosing to come to Boone Hospital for inpatient and outpatient surgical care. We have been incredibly successful thus far securing four experienced general surgeons who already have begun practicing and providing 24-hoursa-day, seven-days-a-week call coverage as well as inpatient and outpatient surgical services. Additionally, two experienced surgeons have committed to full-time, permanent general surgery practices at Boone to begin March 1, 2017. These two surgeons also specialize in breast and colorectal surgical services. A number of other general surgery candidates are being interviewed as we anticipate hiring two additional surgeons in the next few months. By spring, we anticipate this innovative strategy to have created a group of at least four permanent full-time surgeons exclusively committed to Boone Hospital Center, our patients, and our medical staff. Additionally, Boone, as part of BJC HealthCare, will be implementing Epic, the toprated electronic medical record system in the world in August 2017. The implementation of the Epic system will position Boone and BJC at the leading edge of patient health information integration, patient safety and excellent medical care. Innovation in strategy and innovation in technology has always been a core strength and commitment for Boone Hospital Center. People, quality, growth and innovation are four foundational reasons Boone Hospital Center continues to be the most preferred and the No. 1 hospital in mid-Missouri!
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Hospital Headlines News From Boone Hospital Center
Boone Hospital Healing Garden Dedicated To Former Trustee Barbara Weaver
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oone Hospital Center dedicated its healing garden to former trustee Barbara Weaver on Monday, Sept. 19. The Barbara Weaver Healing Garden includes a new entrance and a commissioned sculpture, “Synergy,” designed by Larry Young. “Many generations of Boone Countians will be able to find solace and comfort in this garden,” says Boone Hospital Board of Trustees Chairman Fred Parry. I hope that every person who enjoys this peaceful space is also reminded that our great hospital was built on the backs of outstanding medical professionals, our employees and compassionate volunteers like Barbara Weaver.” Weaver was elected to the board of trustees in 1981, the first woman to serve on the board. She served as a trustee for more than 30 years before retiring in 2015.
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While on the board of trustees, Weaver helped negotiate Boone Hospital’s 1988 lease agreement with Christian Hospital, which is now part of BJC HealthCare. Weaver was elected chairman of the board in 1991, and led a development project that doubled the size of the hospital, including the Broadway Medical Plaza buildings and a new patient tower. Her board also purchased land in south Columbia and built Boone Hospital Center Nifong Medical Plaza. Weaver served on the Missouri Hospital Association board of directors in the early 2000s and was honored with the Missouri Hospital Association Distinguished Service Award in 2004. She encouraged the MHA to develop a Governance Excellence Certificate program for hospital board members, which was implemented in 2011. She also was on the regional policy board of the American Hospital Association. By Madison Burke
The latest news boone.org
Boone Hospital Center Dedicates Chapel To Morrow Family
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oone Hospital Center dedicated its chapel to the Morrow family on Tuesday, Oct. 18. The chapel is now known as the Morrow Family Chapel, in honor of former vice-president and chief operating officer Randy M. Morrow, and in memory of his daughter, Michelle E. Morrow. In 1975, Randy Morrow joined Boone County Hospital as an accounting manager. In 1993, he became vice-president and chief financial officer of hospital Services, then vice president and chief operating officer. Morrow also served as the hospital’s interim president on several occasions. In 2014, he was honored with Boone Hospital Center’s first-ever Lifetime Leadership Achievement Award. Morrow retired after 38 years of service in late 2014. “During Randy’s 38 years at Boone Hospital, his name became almost synonymous with the hospital because of his passion for the community and his dedication to making sure that Boone was always operating at its best,” says Boone Hospital Board of Trustees Chairman Fred Parry. “He was a beacon of hope for the Boone family through good times and bad. It’s fitting that Randy’s service be memorialized in this way.” Morrow has served on the boards of many community organizations, including Fitzgibbon Hospital, Salvation Army, REDI and Missouri Credit Union, and is active in his church.
Rev. Richard Sullivan (standing left), lead chaplain of BHC Spiritual Care Services, and Barbara Danuser, executive director of Boone Hospital Foundation, observe student chaplain Rev. Jonathan Green as he participates in his live online Clinical Pastor Education class.
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t Boone Hospital, we acknowledge the importance of addressing our patients’ spiritual care needs in addition to attending to their overall health care needs. Our staff chaplains serve as part of the care team and are uniquely trained to provide spiritual care and pastoral presence to the diverse community we serve here in Columbia and the surrounding areas. Clergy from different denominational and religious backgrounds receive training through Clinical Pastoral Education (CPE). This training prepares ministers to serve in the diverse interfaith health care setting. Boone Hospital Center is proud to be a clinical site for students who have enrolled in online based CPE. Spiritual care services, with the help of the Boone Hospital Foundation, is investing in the training of future chaplains to serve Columbia and the mid-Missouri area. For more information contact Rev. Richard Sullivan, lead chaplain, at 573-815-3888 or email chaplainsullivan@bjc.org.
Boone Hospital’s 17th annual Heart Fair takes place from 6 a.m. until noon on Feb. 23. Our Heart Fair provides the community with heart health and stroke education, including free health screenings for blood pressure, cholesterol levels, blood glucose and body mass index (BMI). Your blood test results are available immediately and reviewed one-on-one with a clinician. Come discover what you can do for your heart! Appointments are recommended; walk-ins are welcome. To register, call 573-815-6400 or 800-872-9008 (M-F, 8 a.m.-5 p.m.). For best results, fast at least 8 hours prior to screening. BOONE HOSPITAL CENTER Winter 2017
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Septemb er 3, 201 6 Dear Pre sident, Bo one Hosp it
al Center, My husba nd and I left Atlan in the US ta, Georg A Triathlo ia, on Au n N ational C g. 10, dri while on hampion ving to O the road s h maha, Ne ip in ra Columbia ces. We h after arriv braska, to , a M d is planned ing in Co s compete o u ri . D u to lu ri m n s p g b e th ia nd our firs , we foun e drive th we found t d it nece a n the ER at t ight d ay, I start ssary to ta Boone H ed feelin ke me to From the ospital Ce g il l and short an Emerg moment nter. ly we entere ency Roo and com m. Fortun d the ER passion. a w te e T o ly w , tr ere imme y to mak next two e a long diately ta weeks th s k to e n ry ere, ultim in and tre short, I w which wa ately nee ated with as admitte s on the ding surg care d to s th u e hospita e rg ry. During ical specia well as a l and spe our entire lties floor, lways be nt the stay at th ing treate we receiv e hospita d like a p ed wond I cannot l, most o erson, rath erful profe say enou f gh about ssional m er than a spite of th the wond edical ca medical c e unfortu re e o rf n a u d s l experien ition. nate reas from the ce we ha on for ou housekee d at Boon r being th p in e Hospita e g staff to re. Everyo both my l Center, the nutrit ne who h husband in io n a is a d nd myse ts, to the any part my care lf te in w c it my care, h h s leave my , re th s e p e n c urses and t and con room wit of us. Alt cern. Nev the docto hout askin hough th er once d rs, treated g if th e e re was an id anyone actual me sometim y d th in ic v in a o l g else the es it’s the lved in care is ce y could d rtainly on little thing taking the o for eith e’s prima s that he extra time er one ry concern lp you ge to find a t through while in th that my s g re e a e e c n tea bag pirits were h day, lik hospital, e a nutrit for me o down an ionist r the nurs Although d asked, we had n e who sa “Do you w need a h o knowle should go ug?” dge of w to when hich hosp w e w ital in Co ere faced we feel s lumbia w o very fo with the e rtunate th emergen We abso cy health a t we end lutely kno s e it d u a u ti p on, w that we at Boone than we Hospital could no received Center. t have go th e re tten bette . It was o don’t just r total care bvious th “work” th at those e re , th that work shows in ey truly lo at Boone the care ve what th that they ey do an gave us. d it certa inly Kindest re gards,
Linda and Larry May se Alpharett a, Georgia
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Linda followed up with her doctors in Alpharetta and is now doing well. She says she is not at 100 percent yet, but hopes to keep improving and do another triathlon with Larry soon. Linda and Larry say they will always be grateful for the care they received at Boone Hospital Center.
An Economic Checkup Health Care Is A Big, And Growing, Business In Missouri
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hile we won’t see the official numbers for a couple more months, health care employment in Missouri may have just reached a major milestone — 400,000 workers. As of September, the state’s seasonally adjusted health care employment tally was at 398,300, according to the Missouri Economic Research and Information Center, which counts social service and health care professions together because it’s “difficult to distinguish between the boundaries of these two activities.” With the industry adding, on average, 410 jobs per month over the last year, the 400,000 number likely either has been surpassed or is within close reach. That’s a big share of the workforce for a state that currently has 2.8 million nonfarm workers. In comparison, just under 260,000 Missourians work in manufacturing. More people work in professional and business settings — roughly 385,000 — but that’s still fewer than health care. The impact of health care on Missouri’s economy is even more profound when
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Missouri is 23rd in the nation in health care spending, just above the national average of $6,815 per person annually. wages are taken into consideration. While the 2016 wage total has yet to be tallied, it will certainly surpass the nearly $16.7 billion Missouri health care workers took home in 2015. That’s more than the current state government budget in Kansas. The trend isn’t likely to slow. In fact, the national Bureau of Labor Statistics expects health care jobs to be the fastest growing occupations through 2024. The bureau estimates that one out of every four new jobs created will be in health care.
Considering our state’s growing health care workforce, it’s no surprise that Missourians are also spending more and more money on health care services. As of 2009, Missourians were spending $6,967 per person each year on health care, according to the latest estimates by the Henry J. Kaiser Family Foundation. That put Missouri at 23rd in the nation in health care spending, just above the national average of $6,815 per person annually.
Ten years earlier, in 1999, Missourians spent only $3,901 annually per person, illustrating the fast pace of health care spending growth. More recent spending trends are not yet available at a statewide level. However, Missouri’s health care spending is typically near the national average, which totaled $9,523 per person in 2014, according to the Centers for Medicare & Medicaid Services. One factor that has influenced health care spending trends is the federal Affordable Care Act. In 2016, more than 290,000 Missourians enrolled for health care coverage through the private insurance exchanges created by the Affordable Care Act, a more than 14 percent increase from the previous year. The fact that so many Missourians are gaining health insurance benefits has helped drive growth in the industry alongside the need to serve the aging baby boom population. While this growth has led to rising revenues and employment totals, it’s also causing a worker shortage. In Missouri, a 2016 Missouri Hospital Association report found that the health care worker shortage in our state is “progressively getting worse.” The study found that annual hospital turnover now tops 18 percent, up from 12.9 percent in 2013. The hospital association estimated that this turnover trend was costing the average Missouri hospital between $4.9 and $7.6 million annually. To make sure Missouri is able to keep up with the increasing demand for health care workers, the Missouri Department of Social Services has invested nearly $15 million to train low-income Missourians to work in health care. A Missouri Hospital Association grant program has also spent $2 million to help 39 hospitals develop and expand their workforces. In addition, a new Missouri law will help the state study and analyze health care workforce needs to plan for the future — an important endeavor as Missouri and other states seek to keep pace with this fast growing industry. By Jacob Luecke
2015 STATI STI C S
1,699 Employees
317 Physicians
$292 million Net Revenue
311
Staffed Beds
7,023 Outpatient Surgery Visits
15,251 Inpatient Admissions
30,292
Emergency Dept. Visits
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BAD NEWS: HOW TO HELP YOUR KIDS AND YOURSELF
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hirty years ago, if you wanted to catch up on the news, you read a daily paper or watched a nightly newscast. Today, the news catches up with us through 24-hour news channels and social media feeds. And most of it seems to be bad news. Rob McGavock, a licensed professional counselor and manager of Boone Hospital Center’s Employee Assistance Program, says that our bad news fixation isn’t a new trend; it’s human nature. Because we once lived in a constant survival mode, our minds have adapted to spot and avoid danger. This tendency can make us focus on negative situations, even when we’re not really in danger. While it’s good to stay informed of current events, a steady stream of bad news and graphic images can make you feel anxious, helpless or pessimistic. This is especially true of children, who pick up or overhear stories from TV, family or friends. Children usually think about news stories in relation to themselves. They may lack context to understand why a tragic event occurred or to know if what they’ve heard is true. Young children often worry that similar harm might come to them or their families. Too much bad news may cause some children to develop a negative view of the world as a scary place. 12
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How Do You Talk To Your Children About Bad News? While the details depend based on the story and your child’s age and comprehension, many mental health professionals recommend the following:
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If you can, talk to your child first, especially if you they are likely to hear about it from others.
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Find out what your child knows if they seem upset. Ask them what they’ve heard or seen and what they’re feeling. Let them know that it’s good to talk about their upset feelings.
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Explain the news story simply and in an age-appropriate way. Know your child and what they can handle. Unless your child asks questions, it’s not necessary to go into detail. “It is fine to keep up on various trends in the news without taking huge gulps of it every day,” McGavock says. He adds that “while our human minds can get hooked into the drama of following bad news, too much drama inevitably makes us feel worse.”
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Reassure your child that he or she is safe. Children can feel relieved to know an event happened very far away or to be told what you and others do to keep them safe. Do something as a family. “Regular, involved and fun time together as a family is one of the very best ways to help a child feel secure,” McGavock says.
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Disconnect from your constant news feed. Limiting your own exposure can help you and your child. Graphic footage on the news has been shown to make adults feel anxious. Visit your favorite news sites once a day instead of subscribing to ongoing feeds.
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Watch for signs of stress in your child, like changes in mood or appetite, trouble sleeping, or difficulty concentrating on schoolwork. If these changes last for more than a week or two, talk to your pediatrician.
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When a news story has your child’s attention, follow the news with them. If needed, limit their exposure to news stories with graphic images. “Explain that, unfortunately, many people give more attention to bad news than good news,” McGavock advises. “They haven’t learned this yet. Tell your children that there is actually a lot more good news than bad news in the world. Share examples of good news and how people support one another through hard times.”
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If your child wants to help, look for or suggest things your child can do, such as donating items, raising money, praying, volunteering, or sending a card or letter.
“We can help our children be aware of the good in others and focus on brightening their own light. Good is so much more powerful than not good, or we would have perished long ago.” — Rob McGavock
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It’s Not All About The Scale The number on your scale is only one measure of your weight. What makes up your weight is more important than what the scale tells you. There are many tools health practitioners might use to measure weight, but not all are created equal. Find out what your body mass index, ideal body weight and percent body fat tell you about your health.
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Body Mass Index (BMI):
Ideal Body Weight (IBW):
Percent Body Fat (%BF):
OVERALL HEALTH RISK
A GENERAL RANGE
THE GOLD STANDARD
Body mass index is a statistical number that compares your height and your weight and tells us your risk of developing weight-related diseases such as diabetes, heart disease or high blood pressure. A BMI between 19 and 25 indicates that your weight is likely not contributing to your health in a negative way. However, this number does NOT take into account where your weight comes from; a lean body builder and an overweight individual of the same height could have the same BMI, even though their health risks are very different.
Ideal body weight is the estimated average amount that a person should weigh, based on their height and gender. A person is considered healthy if they are within 10 percent of this number. For example, a 5’6” woman’s healthy weight range would be between 117 and 143 lbs.
Percent body fat determines the percentage of your weight coming from your fat stores. Since our fat stores affect our health, this is the best indicator of a healthy weight. Unlike BMI and IBW, your percent body fat number is individualized. Fat stores negatively contribute to our health and muscle mass positively contributes to our health. The goal in weight maintenance is to keep fat stores within a healthy range, depending on your gender, and to maintain or build muscle mass to improve health, increase metabolism and decrease your risk for osteoporosis.
Identify your BMI according to your height and weight.
Ideal Body Weight Ranges
Percent Body Fat Ranges
Women Height Weight (lbs)
Men Height Weight (lbs)
5'1" 96-116
5'5" 122-150
5'2" 99-121
5'6" 128-156
5'3" 104-127
5'7" 133-163
5'4" 108-132
5'8" 139-169
5'5" 113-138
5'9" 144-176
5'6" 117-143
5'10" 149-183
5'7" 122-149
5'11" 155-189
5'8" 126-154
6'0" 160-196
5'9" 131-160
6'1" 166-202
5'10" 135-165
6'2" 171-209
5'11" 140-171
6'3" 176-216
6'0" 144-176
6'4" 182-222
Essential Fat Women: 10-12% Men: 2-4%
Athletic Women: 14-17% Men: 5-10%
Lean Women: 17-22% Men: 11-15%
Healthy Women: 23-31% Men: 16-20%
Overweight Women: 32-35% Men: 20-25%
Obese Women: > 35% Men: > 25%
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FITNESS and FELLOWSHIP BY JESSICA PARK
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hyliss has been a Boone Hospital nurse for 36 years, 14 of which she spent caring for patients in the emergency department. Fourteen years ago, she moved to the admissions department and also works in the GI lab and infusion and treatment center. While she enjoyed her new position, it was a change of pace. Phyliss says, “After I stopped working in the emergency department and went to admissions, I did a lot more sitting. That’s when I gained most of my weight.” In 2000, Phyliss was hospitalized and diagnosed with a health condition that could be managed by maintaining a healthy weight. “I knew I needed to do something,” she says. “I had that motivation to lose weight, but I still had to realize that I wanted to do it.” That moment came in August 2015, when Phyliss and some coworkers participated in BJC’s Healthy Wage weight loss competition. As team captain, Phyliss was determined not to let her team down. “We all held each other accountable,” she says. “We had our weekly weigh-
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ins. When I saw the scale begin to drop and that I was 3 or 4 pounds ahead of everyone else — I’m quite the competitor — I thought ‘OK, I’ve got this!’” Phyliss’s weight loss plan was simple; she doesn’t count calories but watches her fat intake, usually staying between 9 and 12 grams a day, and walks 5 to 10 miles every day. To help her stay on track with her exercise, she bought a Fitbit. “It was the best investment ever,” she says. “I don’t know why everyone doesn’t have one. I’d rather leave a lung at home than leave my Fitbit!” The final rule in her plan: No rules on Sundays. “Sunday is my cheat day,” Phyliss says. “I don’t exercise, and I eat whatever I want.” Phyliss doesn’t eliminate all of the things she enjoys, like her daily caramel macchiato, made with skim milk and sugar-free syrup, from Boone Appétit Café. “I love that I can have my favorite drink and not feel guilty about it,” she says. “It’s my daily pleasure.” Since August, Phyliss has gone from wearing a size 18 dress to a size 6. She enjoys getting new clothes and giving
older items to friends as her size changes. She says, “Keeping large clothes in my closet is an excuse for me to not be diligent about keeping up my journey.” Phyliss credits her success to the support she receives from coworkers and friends. Her workweek step challenges have inspired others to buy Fitbits (“It became the hot new accessory in admissions,” Phyliss says.) She also organizes health and wellness and fitness activities at her church. ***** “In my opinion, to be able to do what God wants you to do and to give your
best, you need to have your body in the best shape as possible,” Phyliss says. For about the last five years, Phyliss has led Soul Walks on Monday and Tuesday evenings with members of her church, Second Missionary Baptist Church in downtown Columbia. The walks are held in Stephens Lake Park during the warmer months and indoors at Parkade Plaza if the weather’s not as nice. Before they walk, the group says a prayer. Participants walk as many laps as they are able, at their own pace. Everyone is encouraged to join, at every level of fitness. “Some of them leave me in the dust,” she says. “I can’t keep up with
some of them! But we’ve also had a senior lady on a walker who did two laps with us. The point is that these people recognize ‘No matter where I am, I can do something.’” About 20 years ago, Phyliss helped found and presently co-chairs the Health and Wellness Ministry at Second Missionary Baptist Church. Founded 150 years ago by AfricanAmericans in Columbia, the church celebrated its milestone anniversary this year by performing 150 acts of kindness. These acts included partnering with other churches to provide health screenings to their congregations and offering to
Every year, Boone Hospital Center and BJC HealthCare recognize and reward an employee for exemplifying and encouraging healthy habits among staff by inducting them into their Health Hall of Fame. Employees are usually nominated by one their teammates. Admissions nurse Phyliss Golden was nominated by 53 of them, who were inspired by her achievement of personal health goals and her community health involvement. One nominator, Shelly Rackers, wrote, “So many Boone employees instantly thought of Phyliss. She engaged so many in her journey. Her success is contagious and inspiring!”
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Right: Phyliss is inducted into BJC’s Health Hall of Fame, at Busch Stadium in Saint Louis, by June Fowler, Senior Vice President, Communications, Marketing & Public Affairs and Fredbird.
Left: Phyliss founded and cochairs the Health and Wellness ministry at Second Missionary Baptist Church, which provides health screenings to congregation members.
help them set up their own wellness programs. Two nurse practitioners and five nurses, including Phyliss, serve on the Health and Wellness Ministry’s board. The program has been recognized by many for its pioneering work in Boone County to address health disparities among African-Americans. Phyliss says that church is an ideal place to do health outreach: “Church is where we all come together as a group and it’s where we see the greatest disparities. So we take a moment during the service to educate our folks, because there are going to be people at higher risk for hypertension, heart disease or diabetes. Most of it is preventable. We’ve received testimonials where people say,
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‘I didn’t know I had high blood pressure. I came to your screening, you told me about it, and I went right to my doctor.’ I love that we touch so many lives.” In addition to monthly health screens, which provide blood pressure, blood sugar checks and health counseling, the ministry also hosts special educational sessions, including a Pink Sunday in October for breast cancer awareness and Blue Sunday in November for prostate cancer awareness. The sessions encourage church members to recognize risk factors symptoms and to get recommended screenings. ***** Friendship and fellowship play a big role in Phyliss’s fitness journey. Her
coworkers celebrated her announcement as Boone Hospital Center’s 2016 Health Hall of Fame winner by presenting her with a balloon bouquet and apples. She appreciates the support from her Boone family for her nutrition and fitness goals. Phyliss and winners from other BJC hospitals received the royal treatment at Busch Stadium, where she saw a Cardinals game from a box at the stadium and, she says, got a great new salad recipe. She later attended a celebratory luncheon in St. Louis. Phyliss’s current fitness goals are to lose a few last pounds and to work toward participating in a marathon. “I have no reason why I can’t!” she says. When asked what she would tell someone starting their own fitness journey, Phyliss says her basic advice is to start slow. “First, figure out why you need to get fit. If you do it just because somebody told you to, you won’t be committed to it.” It’s also important not to get discouraged: “If you did great yesterday but not so good today, tomorrow you get to start all over again. None of us got overweight in a day, so none of us are going to get fit in a day!”
Emily with her husband, Miki, and daughters, Marley and Mikayla
Leading By Example Columbia Mom Chooses To Be An Example To Her Mother And Daughters
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mily Merritt has never felt better. She recently lost 16 pounds, got her cholesterol in check, and now has more energy to spend time with her mother, husband, and two beautiful daughters. But she says she never would have gotten to this place without making the decision to get serious about her health a few months ago. Emily was at her mom’s cardiologist appointment at Missouri Heart Center this spring, when she saw a pamphlet advertising the American Heart Association Go Red For Women’s Go Red Challenge. The challenge is sponsored by Boone Hospital and helps a group of women improve their health through nutrition and fitness education.
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“My mom has had two heart attacks, and I recently had found out I had high cholesterol,” Emily says. “As a mother of two young girls, I was very concerned. I had been preaching to my mom so long that she should get healthy, I decided I should take my own advice and apply for this program.” Emily applied and was accepted. Right away, Emily developed a deep bond with the other women in the group. “We all were committed to improving our heath and wanted to encourage each other in any way we can. We have a Facebook group where we would help motivate everyone.” For the Go Red Challenge, the group of women met through several months with different health experts. They received heath advice from Holly Boyer, MD of Boone
Medical Group, exercise support from Boone Hospital WELLAWARE fitness trainers, and nutrition information from WELLAWARE dietitians and nurses. “By the end of the program, I had lost 16 pounds, and my cholesterol was back in the normal range,” Emily says. “I had also developed deep friendships with the other members of the challenge. We still talk today.” Emily says she could not have done it without the support of her family. Her husband, Miki, changed his diet with her and the two now shop for healthy food at the grocery store together and enjoy cooking healthy meals. Emily’s mom, Sarah, says she is so proud of her daughter’s accomplishments.
Learn more, boone.org/red
“I decided to do the program to be an example to my mom and daughters. I wanted to show them that it is important to take care of yourself. Now I have more energy to be a better daughter and mother than I did before. I think often women don’t realize that they need to take care of themselves, so that they can take care of others.” – Emily Merritt “I loved watching Emily make changes to improve her health,” Sarah says. “She is such an inspiration.” Emily says she is proud of her success, but she ultimately did it for her family. “I decided to do the program to be an example to my mom and daughters,” Emily says. “I wanted to show them that it is important to take care of yourself. Now I have more energy to be a better daughter and mother than I did before. I think often women don’t realize that they need to take care of themselves, so that they can take care of others.” The AHA is now accepting applicants for next year’s Go Red Challenge. You can get information about the program and learn how to apply by visiting boone.org/red. “Emily is a perfect example of how powerful this program can be,” says Jeff Zimmermann, WELLAWARE health promotions manager. “The Go Red Challenge provides the tools women need to live longer, healthier lives. They also develop a wonderful support system with the other women involved. We encourage women that are interested in improving their health to apply for an opportunity to partake in this fun and healthy challenge.” By Madison Burke
Emily with her mother, Sarah Morrow BOONE HOSPITAL CENTER Winter 2017
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“It is never too early to learn and understand the importance of life saving CPR skills.”
— WELLAWARE Health Promotions Manager Jeff Zimmermann
Teaching Students To Save Lives
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hen new legislation passed requiring all high school students in the state to have CPR training, Boone Hospital, the American Heart Association, and CPS partnered up to make it happen. Boone Hospital WELLAWARE and American Heart Association staff now visit each CPS high school at the beginning of every semester to teach freshman life-saving CPR. Boone staff also provided CPR training to teachers and other CPS staff before school began. “The relationship the district has with Boone Hospital makes it possible to implement training on a large scale for our students and staff. It’s a valuable resource to the school district and reinforces the importance of knowing this lifesaving skill,” says CPS community relations director Michelle Baumstark. Hundreds of high schoolers have already been taught CPR and are now equipped with the knowledge they need to save lives. They are taught the difference between how CPR should be performed on adults, children and infants. In addition, students are taught how to safely use an automated external defibrillator, or AED. AEDs automatically diagnose cardiac arrhythmias and
Boone Hospital Staff Provides Life-Saving CPR Training To Columbia Public School Students
Students Are Taught 5 Points
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Is the scene safe?
Winter 2017 BOONE HOSPITAL CENTER
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Check for response.
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Point to someone and instruct them to call 911 and get an AED.
are able to deliver an electric shock to stop the arrhythmia in order to bring the heart back into a healthy rhythm. Effective CPR provided immediately after sudden cardiac arrest can double or triple a victim’s chance of survival. Currently only 46 percent of cardiac arrest victims get CPR from a bystander and less than eight percent of people who suffer cardiac arrest outside the hospital survive. “It is never too early to learn and understand the importance of life saving CPR skills,” says WELLAWARE health promotions manager Jeff Zimmermann. “That is why we are excited to partner with Columbia Public Schools and the AHA to not only meet the requirements of the new bill, but to go beyond those requirements to teach and share this valuable information to the youth of our great community.” Jeff also says the students have been very receptive to the program; “We were overall very pleased with the students’ engagement and the number of questions they asked us. They start out a bit nervous, but by the end of instruction and practice the nervousness is gone, and they are eager to understand the basic concepts so they are ready in the case of an emergency.” By Madison Burke
4
Look for signs of life: breathing/chest rise, movement.
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Start compressions.
Jeff Zimmermann, WELLAWARE health promotions manager, (above) and Brenda Wilson, WELLAWARE staff nurse, (below) help teach students CPR at David H. Hickman High School.
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Find more healthy recipes at boone.org/food
Warm Up With Healthy Food A Few Smart Switches Can Make Your Favorite Comfort Foods Healthier As the weather cools down, our kitchens heat up — warm, filling comfort foods fill our stoves and ovens. Many of our favorite coolweather comfort foods, unfortunately, carry a significant amount of extra carbohydrates and saturated fats. Diets high in saturated fat and carbohydrates can raise your risk of heart disease and diabetes. But with some easy changes, you can enjoy your favorite comfort foods as part of a healthy, balanced diet. This winter, focus on making your cool weather comfort foods comforting for both your mind and your body!
l Use lean cuts of meat. Look for the words “round” or “loin” when purchasing beef and pork, as these cuts are naturally lesser in fat. Slice off the fat on the outside of your meat when possible. Consider switching to a naturally leaner meat, such as chicken without skin, ground turkey or venison. l Try a completely meat-free dish. Add a variety of beans to provide needed protein and add a good amount of fiber to your meal. l Have you ever heard you should make half of your plate vegetables? Apply the same rule to your soups, chili, casseroles, or macaroni and cheese. There’s no limit to the amount and variety of vegetables you can add. Use fresh or frozen. The more, the merrier! l Shift toward broth-based soups and stews, and limit cream-based recipes. If you want your soup to have a thicker consistency, puree cooked white beans and mix into your broth. This will give you the creamy consistency you’re looking for, while decreasing saturated fat and increasing hearthealthy fiber. l Add flavor with herbs and spices. If you use canned items in your recipe (such as broth, tomato sauce, etc.), look for reducedsodium or no-salt-added varieties. Instead of adding salt to your dishes, use plenty of herbs and spices to add flavor. Not only can sodium raise blood pressure, a meal high in sodium can leave you feeling bloated and uncomfortable. l Dessert is okay! When it comes to desserts, a few small changes can go a long way. Swap some of the white flour in a recipe with whole wheat flour to add fiber. The amount of sugar can easily be reduced by onethird in many recipes. The amount of fat can often also be reduced slightly in a recipe, or you can substitute canola oil for butter, lard or margarine. By Jennifer Tveitnes, RD LD, Registered Dietitian, Boone Hospital Center
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Winter 2017 BOONE HOSPITAL CENTER
SPICY ENCHILADA SPAGHETTI SQUASH BOATS Recipe & Photos By Kelsie Knerr, RD, LD Ingredients 1 spaghetti squash (mine made about 4 cups of “noodles”) 2 teaspoons olive oil 1 medium onion, diced 1 cup mushrooms, chopped 1 cup spinach, chopped 1 jalapeno, minced 2 6-ounce skinless chicken breasts, boiled and shredded 1 can hot enchilada sauce (1¼ cup) 1 cup Monterey Jack cheese, shredded Salt and pepper to taste Directions Preheat oven to 450 degrees. In a medium saucepan, cover raw chicken breasts with water and bring to a boil, then simmer for 10 for 15 minutes until the inside is no longer pink (165 degrees). While the chicken is cooking, cut spaghetti squash in half along the long side and scoop out the seeds. In a glass dish, place each half of the squash face down. Add 4 tablespoons of water to the dish, then microwave for 10 to 15 minutes. While the chicken and squash are cooking, you can begin to sauté the onions in a pan with olive oil. When onions start to become translucent, add mushrooms and jalapenos. Add spinach last and cook until wilted. Using two forks, shred the cooked chicken breasts on a cutting board. Using a spoon, scoop the spaghetti squash “noodles” and place into a bowl. (Be careful not to break through or cut the squash peel because you need that to hold everything together!) In bowl, add entire can of enchilada sauce to squash noodles, then add chicken and vegetables. Mix and add salt and pepper to taste. Fill empty squash peels with mixture and top with cheese. Place dish in oven for 10 minutes to melt the cheese, then enjoy!
This recipe has a nice balance of carbs from starchy squash and nonstarchy vegetables, and protein from chicken and cheese. I like the simplicity; this can be a quick recipe if you are good at multitasking in the kitchen. Feel free to switch up the vegetables, use rotisserie chicken, or use whatever kind of cheese your heart desires.
Time: 30-45 min • Servings: 4 Per Serving Nutrition: 332cal, 15g fat, 828mg sodium, 16g carbohydrates, 3g fiber, 35g protein Recipe adapted from eatingwell.com. BOONE HOSPITAL CENTER Winter 2017
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Winter 2017 BOONE HOSPITAL CENTER
When Surgery Brings New Life
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hen you look at newborn Harper Hopkins, you may notice his adorable round cheeks and big beautiful eyes that follow you around the room. But you probably don’t know the journey his parents, Jake and Sara Hopkins, took to get him here. Jake and Sara struggled with infertility for three years before meeting surgeon Clay Mechlin, MD of Urology Associates of Central Missouri. Their journey began in 2012, when they got married and hoped to conceive right away. As months went by, and their frustrations mounted, they both decided to get checked out by professionals. “Sara checked out fine, but I went to a local doctor here in Jefferson City, and he told me I have a varicocele, which was probably preventing us from getting pregnant,” Jake says. A varicocele is a varicose vein that does not allow blood to flow and function properly, causing infertility for many couples. Around 10 percent of all men have varicoceles, and among infertile couples, 30 percent of men have varicoceles. “My doctor in town recommended I take medication and advised against surgery,” Jake says. “He talked about possible complications, and it kinda scared us off.” The medicine had some uncomfortable side effects and, as more and more time went by without conception, Jake and Sara became frustrated. “It wasn’t working, and we had now been trying to get pregnant for years,” Jake says. After a year of medication, Jake and Sara decided they wanted to find out more about surgery, and they were recommended to see Dr. Mechlin. He answered all of their questions about the surgery and left them feeling good about their options. Dr. Mechlin explained the surgery is usually done under general anesthesia as an outpatient procedure. The surgeon makes a small incision near the affected veins so that blood can flow correctly to the connecting veins. “He really calmed our nerves and made us feel confident the surgery was the right decision,” Sara says. “He went through the whole process and broke it down and explained how everything would work,” Jake says. “We really appreciated that.” One of their biggest fears was that Jake would have chronic pain following the surgery. Dr. Mechlin was able to assure him that chronic pain was unlikely, and shared some of his success stories. “One of the most satisfying things we can do as surgeons is to promptly diagnose correctible conditions and provide permanent solutions that can greatly alter patients’ lives for the better. Jake’s story was a classic tragedy before I saw him. He and his wife had wasted a great deal of time, money, and endured unnecessary stress and disappointment because they were not offered the right treatment for his fertility issue,” says Dr. Mechlin.
Jake and Sara say Dr. Mechlin’s experience and confidence in the surgery was what really made them decide that surgery was right for them. In January 2015, Jake had surgery and then in February of this year, they found out Sara was pregnant. “I was a day late, and I decided to just take a test and see,” Sara says. “I totally freaked out when I saw the positive sign. I had never seen that before, and we had been trying for four years! I went home and surprised Jake with a cake that said he was going to be a daddy. We were both so excited.” Harper was born August 28, 2016, healthy and strong. “I was fortunate to meet Jake and be able to participate in his care. Success stories like these make us appreciate our profession,” says Dr. Mechlin. “It was extremely rewarding to see Jake holding his new baby boy.” Dr. Mechlin is currently accepting patients and performs varicocele surgeries at Boone Hospital Center. You can make an appointment with him by calling Urology Associates at 573.499.4990. By Madison Burke
Male Infertility Specialist Clay Mechlin, MD BOONE HOSPITAL CENTER Winter 2017
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GETTING TO KNOW A BHC DOCTOR
› LEAH SMITH, MD WHY DID YOU GET INTO THE HEALTH CARE FIELD?
From a young age, I planned on becoming a doctor. I always enjoyed learning, being part of a team, interacting with people and helping others. Being a physician incorporates all of those aspects. WHAT INTERESTED YOU IN YOUR PARTICULAR SPECIALTY?
Delivering babies was what initially drew me to OBGYN. I also enjoy the continued care that comes along with this specialty. I can see patients’ throughout their lifetime. As an OBGYN, my days are anything but routine — I may be in the office in the morning, delivery room in the evening, and then spend the next day in the OR. I love the variety. I’m never bored! WHAT IS THE MOST REWARDING ASPECT OF YOUR JOB?
I am originally from a small town — Thayer, Missouri — which is in the south central part of the state. I completed my undergraduate, medical school, and OBGYN residency at the University of Missouri-Columbia. After residency, my husband and I moved to Springfield, Missouri, where I worked for three years. We moved back to Columbia this summer with our 1-year-old daughter Ellis, and could not be more excited. My husband, Ryan, is a school counselor at Rock Bridge Elementary and I am busy seeing new patients at Women’s Health Associates. 28 Winter 2017 BOONE
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A healthy outcome is always rewarding. I very much enjoy my days in the office and in the operating room with my gynecology patient, but nothing tops following a patient throughout her pregnancy and then handing her a brand new bundle of joy. WHAT IS THE MOST CHALLENGING ASPECT OF YOUR JOB?
It’s never easy to give a patient bad news. No matter the situation, I try to be as empathetic as possible and give these patients my undivided attention. It’s important that all questions are answered and that the next steps in our plan of action over this hurdle are addressed.
WHAT DO YOU SEE CHANGING IN HEALTH CARE IN THE NEXT FIVE TO 10 YEARS?
Medicine is always changing, there is always new research, new studies, new guidelines. I just plan to stay current with the changes so I can assure my patients are receiving the most up-to-date care. WHAT ADVICE WOULD YOU GIVE SOMEONE LOOKING TO BECOME A DOCTOR?
Get involved with health care early; exposing yourself to the hospital will help you decide if becoming a doctor is right for you. (It also looks good on a medical school application!) The road to becoming a doctor is a long one, filled with ups and downs, but well worth it in the end. WHAT DO YOU ENJOY DOING OUTSIDE OF WORK?
My free time is dedicated to having a 1-year old! We do enjoy exploring all Columbia has to offer: the trails, restaurants, and any Mizzou sporting event, especially if it involves tailgating. WHAT ADVICE WOULD YOU GIVE TO SOMEONE WHO IS GOING TO BE A PATIENT IN A HOSPITAL FOR A PERIOD OF TIME?
Ask questions, be involved with your care, if you don’t understand something — speak up. The culture at Boone Hospital is for patients to be comfortable and feel as if they have an advocate for their care. Also, bringing a good book and access to Netflix is never a bad idea!
GETTING TO KNOW A BHC NURSE
› MICHAEL BREIDENSTEIN, RN I grew up in Columbia, Missouri, and earned a business administration degree from the University of Missouri. I moved to Florida and lived there for seven years post-graduation, working in business. I returned to Columbia, working in an administrative job in health care and made the decision to go into nursing, attending the Columbia College nursing program. After graduation, I moved to San Antonio, where I was employed as an RN in a progressive care unit for a little more than one year. My wife and I made the decision to return to Columbia where I began my career at Boone Hospital Center. WHY DID YOU GET INTO THE HEALTH CARE FIELD?
WHAT IS THE MOST CHALLENGING ASPECT OF YOUR JOB?
I come from a family of medical practitioners and at first, avoided the health care field. However, after working in the business side of a private psychiatric office and seeing patients improve, I made the decision that I wanted to be part of the clinical side of health care.
Critical care, by its nature is challenging emotionally, mentally and physically. As nurses, we develop relationships with our patients and it can be a heartbreaking experience when someone does not survive. Although end-of-life care can be challenging, it is also one of the skills that truly makes a strong critical care nurse.
WHAT INTERESTED YOU IN YOUR PARTICULAR SPECIALTY?
During my clinical rotations in nursing school, I was drawn to emergency medicine and critical care. After my experience in the progressive care unit in Texas, I received the opportunity to work in the step-down unit at Boone Hospital Center where I continue my passion for helping the critically ill. WHAT IS THE MOST REWARDING ASPECT OF YOUR JOB?
At Boone Hospital Center, I have the opportunity to work on a team of highly skilled nurses and physicians. Together we are able to provide excellent patient care to the critically ill. I find it rewarding to help patients who are really ill improve their health and be able to return home to be with their families and resume their lives.
WHAT HAS CHANGED IN YOUR FIELD SINCE YOU STARTED PRACTICING?
Since I have been in the nursing field for only three years, my comparison for change in the field is limited. However, at Boone Hospital Center we are constantly utilizing the latest research to improve patient care. Recently, we have implemented strategies to lower the risk of infection in the ICU and step-down units. As health care continues to evolve, there is a growing trend toward preventative care. Through education and community outreach, nurses will empower people to be in control of their health. Nurses will continue to work with more autonomy and I foresee the increased use of advanced practice nurses.
WHAT DO YOU ENJOY DOING OUTSIDE OF WORK?
I love spending time with my wife and stepdaughter, whether it is having friends over, playing board games or watching movies. We also enjoy exploring Columbia’s park and nature trail system with our two dogs. WHAT ADVICE WOULD YOU GIVE TO SOMEONE LOOKING TO BECOME A NURSE?
My advice would be to find your passion. My first degree in business provided me with a career and good income, but was not my passion. Changing to a career in nursing has provided me the opportunity to utilize both my business and nursing skills in a career I find rewarding. Nursing may seem daunting at first, but there are so many different opportunities available in the nursing field. Find someone you know who is in nursing, spend time with them and get to know both the rewards and the difficulties associated with a nursing career. For me, nursing is the career that I truly love. I look forward to going to work each day. BOONE HOSPITAL CENTER Winter 2017
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Learn more at boone.org/foundation or call 573.815.2800
NEWS FROM THE
Thank You For A Successful 2016! Thank you to all our wonderful donors this past year. Your generosity allows the Foundation to continue to “Share the Gift of Health.� To view a complete list of donors for 2016, Community Campaign, Annual Golf Tournament and Annual Gala, or to learn more about the Foundation and how you can make a difference with your donation, please visit our website at www.boone.org/foundation.
Maternal Child Health Training
Emergency Department Family Recliner donated by Marjo Price, honoring Robbie Price, provides a comfortable place for family members to rest while a loved one receives care in the Emergency Department.
Donor Appreciation Event
Advanced Stroke Life Support Training elevates stroke care to mid-Missourians. Thanks to a generous gift from Guy and Ellen Brown, this program provides advanced training to Emergency Medical Services personnel, advancing their knowledge of stroke recognition, stabilization and transporting a stroke patient.
AED for Benton County Health Department giving heart attack patients a chance at life. The Mary Lu and Lenard Politte, MD, Caregiver Education Endowed Scholarship. The generosity of this scholarship is recognized by the naming of the ICU Family Waiting area. Dr. Lenard Politte founded the Boone Hospital Center Heart Care Program.
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2017 Calendar of Events
Looking Forward As we look forward to an exciting 2017, we hope you will join the Foundation in our mission to “Share the Gift of Health.” Visit our website throughout the year for more information on all of our upcoming 2017 events.
May 1
Golf Tournament
February 15-16
Linen/Art Sale
Spring
Flower Sale
July/August
Community Campaign
October 28
Annual Gala
Spring & Fall
Uniform Sale
Date TBD
Jewelry Sale
Date TBD
Book Sale
The 13th Annual Golf Classic took place May 9, 2016. The tournament raised over $67,000 to benefit our Supportive Care program.
The Annual Gala took place November 5, 2016, and raised over $136,000, including over $17,000 through a “Fund a Need” auction.
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Boone Hospital Center 1600 East Broadway Columbia, Mo 65201 573-815-8000
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