Inside Healthcare - Summer Edition by Oswego Health

INSIDE Healthcare a guide to your healthcare services

Oswego Health Salutes Oswego County EMS Oswego Health Summer 2017

SPRING 2017

3 In A Row! Leapfrog Hospital Safety Grade

INSIDE HEALTHCARE

In this issue of Inside Healthcare, I am very happy to share with our readers that Oswego Hospital has earned the top letter grade presented by The Leapfrog Group, for the safe, high-quality care the staff provides our patients. This is the third consecutive time that the hospital has earned an ‘A’ which is quite an achievement. More on our ‘A,’ and other quality accomplishments can be found on page 3.

A Publication of Oswego Health 110 W. Sixth St., NY 13126 315-349-5511 Senior Leadership Team Chuck Gijanto President and CEO of Oswego Health Allison A.N. Duggan, MD Executive Vice President and COO for Oswego Hospital Renato Mandanas, MD Chief Medical Officer Jason Santiago COO, The Manor at Seneca Hill & Springside at Seneca Hill Jeff Coakley Chief Strategy Officer Margaret Glass Assistant Vice President for Clinical Support Services and Privacy Officer Eric Campbell Chief Financial Officer Barry Ryle Chief Information Officer Valerie Favata Chief Nursing Officer James Marco Interim Vice President of Human Resources

COMMUNICATIONS/MARKETING

As Spring usually brings new things, Oswego Health is preparing for the opening of its latest service, the Center for Wound Healing at Oswego Health. The Center is in the final construction phases and is expected to open early this summer. We are excited to be collaborating with Healogics, the nation’s largest wound care company and expect that some 300 patients will seek care at the Center in its first year of operation. To learn more about this specialized care, please turn to page 8. In closing, I would like to announce that Michael Harlovic will join Oswego Health as President and CEO, on July 3rd. He comes with a wealth of experience that will benefit Oswego Health. He most recently worked for a large healthcare network based in Pittsburgh. As this is my last column, I want to thank community members for their support during my tenure here. I have enjoyed getting to know the community and meeting so many of you. I assure you that Michael will continue to build on what we have accomplished in the past two years. Sincerely,

Jennifer Martin Director of Marketing Marion Ciciarelli Director of Public Relations Anne Raham Communications Coordinator Maureen Miceli Administrative Assistant

Correspondence Oswego Health Development & Community Relations 110 W. Sixth St., Oswego, NY 13126 dearoh@oswegohealth.org — ©2017 facebook.com/oswegohealthcare for Oswego Health community news, events and medical information twitter.com/oswegohealth oswegohealth.org for newsletters, medical information, provider listings and more Information in this issue comes from a range of medical experts. If you have any questions or concerns about specific content that may affect your health please contact your health care provider.

Chuck Gijanto, President and CEO for Oswego Health

The mission of Oswego Health is to provide accessible, quality care and improve the health of residents in our community.

INSIDE THIS EDITION

3 — Leapfrog ‘A’ Distinction For A Third Time 4 — New Orthopedics PA 5 — New Outpatient Center Leadership 8 — Center for Wound Healing 7 — Tips For A Healthy Breakfast 10 — Screenings Men Should Undergo 11 — Beyonce’ Visits The Manor Oswego Health is Going Green! - If you would prefer to receive Inside Healthcare in an easy-to-read email format, please call us at 315-349-5500 or email: dearoh@oswegohealth.org.

SPRING 2017

3 In A Row! The Safest in Quality Care in the Region

SPRING 2017

Oswego Hospital is providing its patients with the safest and highest quality care in the region, according to two prestigious agencies that track hospital data. Oswego Hospital has once again been awarded the top letter grade of ‘A’ by the Leapfrog Group. It’s the third consecutive time the hospital has earned this honor for its safe, quality care. Oswego Hospital is the only hospital in a 50-mile radius that earned the top grade of ‘A’ this spring from the Leapfrog Group. Only 19 percent of New York State hospitals earned an ‘A,” while 17 percent nationwide were presented the top grade three times in a row. With this distinction, Oswego Hospital joins hospitals across the country that are providing the highest quality patient

care. Developed under the guidance of an expert panel, the Leapfrog Hospital Safety Grade uses 30 measures of publicly available hospital safety data to assign A, B, C, D and F grades to more than 2,600 U.S. hospitals twice a year. It is calculated by top patient safety experts, peer-reviewed, fully transparent and free to the public. Founded in 2000 by large employers and others purchasers, The Leapfrog Group is a national nonprofit organization driving the movement for giant leaps forward in the quality and safety of American Healthcare. “Our physicians, nurses and other clinical staff members are to be commended for consistently providing the high quality care that our patients deserve,” said Oswego Health President and CEO Chuck Gijanto. “To earn the top letter grade three times in a row, shows they are working each and every day to provide safe, quality care.” Chief Medical Officer Renato Mandanas, who oversees quality at the hospital added, “This award validates that community members can receive excellent healthcare services close to their homes and I encourage those who haven’t used our services, to consider making Oswego Health their number one choice for healthcare.

Oswego Hospital has the Lowest Infection Rate in the Area hospital was significantly below the state average for C. difficile infections. Neighboring hospitals in Onondaga County had higher rates in all infection rate categories. Hospitals that have high HAI rates receive a lower reimbursement rate from federal payors.

Manor Undergoes Successful State Survey Complimenting Oswego Hospital’s ‘A’ is that the facility also has the lowest infection rate in the region, according to a New York State Department of Health report. Oswego Hospital had the lowest rates of: u Surgical site infections u Central line-associated bloodstream infections u Colon surgical site infections u Hospital facility-rate of C. difficile The report further indicated that Oswego Hospital didn’t have any central line-associated bloodstream infections in 2015 (the latest year available) and it was noted that the

While Oswego Hospital is being recognized for its safe, high quality care, The Manor at Seneca Hill has had its own success. The 120-bed skilled nursing facility completed a very successful annual health and safety inspection conducted by the NYS Department of Health (DOH).State surveyors, who were onsite for four days, found no environmental or safety concerns, making the audit one of the best in recent memory. “The Manor’s staff continues to develop initiatives for our residents that ensure they are not only getting the best high-quality care and attention, but are safe and comfortable.”

Inside Healthcare SPRING 2017 — 3

Welcome New PA to Oswego’s Orthopedic Team Oswego Health Welcomes Physician Assistant Rahul Shinde to its advanced orthopedics team. Shinde earned his physician assistant degree from Upstate Medical Center last year, graduating with high honors. He previously earned his Bachelor of Medicine Bachelor of Surgery degree from NDMVPS Medical College in Nasik, India. Shinde said he was looking forward to delivering care as a part of Oswego Health’s collaboration with Syracuse Orthopedic Specialists (SOS). He will be providing office visit

Oswego Health Salutes Local EMS Workers Oswego Health saluted its Emergency Medical Services (EMS) during the month of May as it celebrated EMS Week and took part in several related activities. National EMS Week is celebrated this year from May 21st to 27th. Members of the local EMS community held their yearly banquet the week before on May 19th. During the dinner, numerous awards were presented to area EMS personnel for their outstanding service to our community. Serving as the guest speaker at the dinner was Oswego Health President and CEO Chuck Gijanto. Prior to the dinner, Gijanto commended local EMS. “Our EMS partners are ready for whatever a call may bring them: a serious accident, heart attack or any medical emergency,”

care and will assist members of the orthopedic team, which includes both Oswego Health and SOS orthopedic surgeons. Last year, Oswego Health announced its collaboration with SOS, Central New York’s most respected orthopedic group. Since the announcement, SOS orthopedic surgeons have been performing total joint surgeries, as well as surgical procedures for foot and ankle and hand/upper extremity issues in Oswego Hospital’s surgery center. In addition, the team provides a wide range of sports medicine therapies for both the serious athlete and weekend warrior. Shinde is providing care alongside fellow Orthopedic Surgeon John Ayres and Physician Assistants Sarah Ames and Brandon Weaver, in suite 280 of the Oswego Health Services Center. To contact the Oswego Health orthopedics department, please call 315-349-5873.

Gijanto said. “They maintain their training, work long hours and serve with the utmost compassion. We are fortunate to have such a strong EMS community.” As part of its EMS activities, Oswego Health and Menter Ambulance Services teamed up to present an Education Day for EMS workers, allowing them to earn eight hours of Continuing Medical Education (CME) in a single day. “The education day is an opportunity for area EMS personnel to undergo high-level training that several of our physicians and others provide,” said Frank Lackey, RN, and Clinical Manager of the Oswego Hospital Emergency Department. President Gerald Ford authorized EMS Week in 1974. Back then, EMS was a new profession, and had only just started to be recognized as a critical component of emergency medicine and the public health safety net. EMS is now firmly established as an essential public function and a vital component of the medical care continuum.

New Leadership at Oswego Health’s Medical Centers Oswego Health has announced new leadership at its two outpatient locations that provide urgent care, lab, medical imaging and physical therapy services.

former A. L. Lee Memorial Hospital, where she worked for ten years and advanced up the career ladder to the position of nurse manager.

Fulton Medical Center

Along with working at the urgent care center, Kelly is earning her Bachelor of Nursing Degree.

510 S. Fourth St., 315-592-3500 Daniel Spangenberg, MD, has been named Medical Director of the Fulton Medical Center. (FMC) Dr. Spangenberg has worked at both the Fulton and Central Square Medical Centers. He began his new position at the FMC on May 1st. He attended medical school at the University of Wisconsin and completed his family medicine residency at St. Joseph’s Hospital Health Center in Syracuse. Kelly Montagna, RN has been named Director of the Fulton Medical Center. She has more than 18 years of experience as a registered nurse, many in a supervising capacity. Her interest in nursing was sparked while volunteering as a candy striper at the

Surgeons offer hours in Fulton and Central Square For the convenience of their patients, two Oswego Health general surgeons are offering office hours in Fulton and Central Square. Each week Jai Singh offers office hours in suite 1700 of the Fulton Medical Office Building, while Theresa Ruddy, MD, sees patients at the Primecare Medical Practice office in Central Square. These visits range from pre-surgery appointments to minor procedures and follow-up care.

Jai Singh, MD Dr. Singh completed a master of surgery at Vardhman Mahavir Medical College, University of

Central Square Medical Center 3045 East Ave (Route 49) , 315-668-5212 Rebecca Kimberly, RN, BSN, has been named Director of the Central Square Medical Center. She earned her Bachelor of Nursing Science degree last spring at Keuka College. She most recently worked as a senior registered nurse providing care to surgery patients recovering at Oswego Hospital’s Surgery Center. Kimberly has also worked as a registered nurse on Oswego Hospital’s fourth floor, where she served as both a charge nurse and senior registered nurse. An urgent care is where community members can receive care for upper respiratory infections, coughs, sprains, strains, cuts, wounds, insect bites, or rashes. A board-certified physician is always on staff.

Delhi, India. He earned his Bachelor of Medicine - Bachelor of Surgery degree (MBBS) from Maulana Azad Medical College, University of Delhi, India.

Theresa Ruddy, MD Dr. Ruddy graduated from the State University of New York at Buffalo School of Medicine and Biomedical Sciences. She completed her surgical residency at Rush University Medical Center/ Stroger Cook County Hospital in Chicago. Dr. Ruddy did her colorectal surgery Fellowship at Brown University/Rhode Island Hospital. Dr. Ruddy is board-certified by the American Board of Surgery and the American Board of Colon and Rectal Surgeons.

To make an appointment, please call General Surgery Associates at 315-342-6771 Inside Healthcare SPRING 2017 — 5

Alberts Honored For His Dedication To Local Care Area business owner Ed Alberts believes strongly in supporting local healthcare services and has been recognized for his efforts. To help ensure exceptional services are available locally, Alberts has donated many hours to Oswego Health as an Oswego Health Foundation Board member and supporter of the annual golf tournament.

Ed Alberts

His role on the board includes chairing the major gifts committee. “Ed has been instrumental in recruiting other volunteers to share their time and expertise with the Oswego Health Foundation,” said Foundation Director Karen Ferguson. “He not only possesses great organizational skills, but is also not afraid to set lofty goals both for himself and his team.” His service on the board has not gone unnoticed by others, as he was presented the Board Development Award during the 9th annual nonprofit awards luncheon presented by M&T Bank and held in Liverpool earlier this year.

Along with volunteering his time as a board member, Alberts is a longtime supporter of Oswego Health’s major fundraiser, the Oswego Health golf tournament held this year on June 5th at the Oswego Country Club. His company, Rehab Resources/Little Lukes, has been part of the tournament for more than 20 years and today serves as title sponsor. Alberts says supporting local healthcare is critical.

“Everyone who wants great healthcare close to home needs to support the Oswego Health system,” Alberts said. “To me, it’s a no-brainer. There can only be a handful of people in the community that haven’t used one of their services, such as visiting a physician to using the Oswego Hospital’s Emergency Department.” Alberts knows firsthand the importance of excellent healthcare services. Rehab Resources has been providing healthcare services such as physical, occupational and speech therapies locally for 20 years. Little Lukes also provides speech therapy, occupational therapy, special education teacher services and physical therapy to children in seven counties in Upstate New York.

Our Patients are “SOUPER” Oswego Health is taking the old adage, “just what the doctor ordered,” literally.

According to Nalle and Dr. Duggan, Oswego Hospital patients are enjoying this pampering.

Patients undergoing surgery at Oswego Hospital’s surgery center are being sent home with chicken noodle soup, a longtime comfort food staple to enjoy as they initially recover.

Pictured from left are Jane Nalle, RN, Clinical Director of Surgical Services; Jennifer Dowdle, Senior RN, and Surgeon Allison A.N. Duggan, MD, who is also Oswego Hospital’s Executive Vice President and Chief Operating Officer.

“One thing that happens is that we instruct our patients to eat a light meal after surgery and they haven’t planned in advance,” said Surgeon Allison Duggan, MD, who is also Oswego Hospital’s Executive Vice President and Chief Operating Officer. “This is a great way to have that light meal ready.” Jane Nalle, RN, Clinical Director of Surgical Services helped implement the Our Patients Are Souper program. She agreed that when patients go home they may not feel like cooking, or that they overestimate how they feel and eat a large or spicy meal too soon after surgery. “Some people tend to eat the wrong foods after surgery,” Nalle said. “So we decided to send them home with that first meal.”

Oswego Health Leading by Example Named one of the healthiest companies in America While Oswego Health takes its role as a community healthcare leader seriously, the health system is leading by example. Oswego Health was recently named as one of the healthiest companies in America by Interactive Health, a national leader for employer health management and personalized wellness solutions. Oswego Health is one of 156 companies across the country recognized for helping its employees make significant and sometimes life-saving changes to improve their health. This is the second year in a row that Oswego Health has won the award. “As Oswego Health advocates the community to embrace a healthy lifestyle, several years ago, our administrative team began adding new fitness initiatives for employees,” said Mary Jo Stevens, Director of Benefits. “We offer various fitness and nutrition-oriented programs for employees throughout the year. In addition, most of our employees also take advantage of the many resources and screenings offered by

Interactive Health, which has been successful.” Participants in Interactive Health’s wellness program receive a thorough health evaluation to identify risk and learn about their health status. Through a combination of rapid outreach, connection to personal physicians and tailored resources, a personalized course of action is delivered to the participant resulting in improved or maintained health, leading Oswego Health to this achievement. Community members can adopt similar healthy initiatives, such as having a yearly physical exam, undergoing health screenings (see the multi blood analysis events on the back cover) and receiving any required follow-up care.

“It’s important to routinely monitor your health and a yearly physician examination is one of the best ways to achieve this,” said Mary Jo Stevens, Director of Benefits.

The Benefits of Breakfast Starting your day with a balanced meal can make a major difference in your overall health and well-being, according to the Academy of Nutrition and Dietetics.

Why breakfast? Breakfast is literally a break in fasting. The fast is the 8 to 12 hours since you last ate before bedtime. Each morning you need food to reload your body’s supply of glucose—or blood sugar—that provides energy. Some of the benefits of eating breakfast include: u More strength u Better endurance u Improved concentration u Increased problem-solving ability The morning meal is especially important for kids and teens. Kids who eat breakfast have better school attendance, are late for school less often, have improved muscle coordination and are less likely to be overweight, according to the academy.

Making the right choices There’s no set menu for a good breakfast. Here are some ideas for a healthy breakfast:

u A bowl of whole grain cereal with low-fat milk and an orange u Egg whites with whole-grain toast and fruit u Scrambled eggs, low-fat milk and pancakes topped with fruit u Toasted waffles topped with peanut butter and banana slices u A whole-wheat pita stuffed with sliced, hard-cooked eggs with a glass of vegetable juice u A chopped-vegetable omelet with whole-grain toast And there’s no rule that you have to eat typical breakfast foods for your first meal of the day. Pizza, pasta, rice, sandwiches and other healthy leftovers can be fine breakfast substitutes.

Inside Healthcare SPRING 2017 — 7

Center for Wound Healing at Oswego Health IIn the upcoming weeks, Oswego Health will unveil its latest advanced service, the Center for Wound Healing at Oswego Health. The Center will offer a multi-specialty team of a boardcertified physician and nurses who possess extensive knowledge of wound care management. The Center will provide comprehensive wound care treatment and care for patients suffering from chronic or non-healing wounds that have not healed after 30 days. This outpatient service, located on the third floor of Oswego Hospital, includes four private treatment rooms and two hyperbaric chambers. The pressurized chambers allow a patient to breathe 100 percent oxygen, which stimulates many physiological responses in the cells and tissues, promoting wound healing. Oswego Health is collaborating with Healogics, the nation’s largest provider of advanced wound care services to bring this service to the community. Healogics and its affiliated companies manage nearly 800 Wound Care Centers® in the nation. Healogics utilizes an evidence-based systematic approach to chronic wound healing in treating an under served and growing patient population.

“Oswego Health is pleased to bring another progressive healthcare service close to where residents live,” said Oswego Health President and CEO Chuck Gijanto. “Many residents will benefit from this specialized care, as we treat their persistent wounds and improve their overall health status.”

The Center will treat those with chronic non-healing wounds. Conditions treated include, but are not limited to: u Diabetic wounds of the lower extremities u Pressure ulcers u Soft tissue radiation injuries u Necrotizing infections u Compromised skin grafts and flaps u Burns u Osteomyelitis u Lymphedema u Malignant wounds u Venous leg ulcers To make a Center for Wound Healing appointment, please call the Center at 315-326-3780.

From left are Stephanie Taylor, front office coordinator; Olivia VanSanford, program Director; Wendy Dona, RN; and Katie O’Reilly, hyperbartic technician.

“

The staff and I look forward to delivering exceptional high quality wound care services to the community,” said Program Director Olivia VanSanford. “We expect to treat more than 300 patients with hard-to-heal wounds in our first year. 8

”

Exceptional Care by Oswego Health Home Care The staff of Oswego Health Home Care (OHHC) not only provided nursing services to Marjorie and Loren Guernsey, of Fulton, but also brought peace of mind, for their daughter, Teresa.

“I appreciated having someone come in making sure my parents are all right, and who is helping them with their medications and nursing needs,” Teresa said. “It’s been awesome.” Both her parents who are in their 70s, agree. “Everything has been great,” said Loren, while his wife adds, “They are very thorough.” Marjorie explained that her twice-a-week visit from a registered nurse included having her vitals checked, being weighed, and receiving some health education related to her conditions. “We help many families like the Guernseys every day, so that they have the services they need at home,” said Megan Hollister, RN, BSN Executive Director of Patient Services

To learn more about OHHC services that also include skilled nursing, rehabilitation and numerous support services, please call 598-4442.

WOMEN REJOICE! We have a solution. — Female Incontinence Services — Elizabeth Bozeman, MD — Director of Female Incontinence

Oswego Health Care for Your Lifetime

For more information regarding female incontinence services, call 349-5500 or visit oswegohealth.org/solution.

315-349-5500

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SPRING 2017

Inside Healthcare SPRING 2017 — 9

Routine Health Screenings Important for Men Micheal Stephens, MD, an Oswego Family Medicine physician, discusses important screenings men should undergo. Screening tests can catch serious diseases in very early stages, before they do major damage to your health. Men may think of the physician visit as someplace to go when they’re sick. But it’s important to have an occasional visit when they’re well, too. All men should have a few routine screening tests. These tests can help catch health problems early, before they’ve progressed enough to cause symptoms. And treatment in these early stages is most likely to be fully effective. Blood pressure tests. A number of health organizations, such as the American Heart Association, recommend blood pressure checks at least every two years and more often if it is high. Keeping your blood pressure at safe levels will reduce your risk of heart disease, the leading killer of American men. Cholesterol screening. The National Heart, Lung, and Blood Institute recommends cholesterol checks once every five years starting at age 20. High blood cholesterol is a major risk factor for coronary artery disease. Colorectal cancer screening. Regular screening for this cancer should start at age 50, and maybe sooner if you’re at high risk. Your physician can help you decide on the best type of screening test for you. Blood glucose testing. All men age 45 and older should consider diabetes screening, says the National Institutes of Health. A simple blood test can reveal if you have diabetes or its precursor, pre-diabetes. Identifying and treating these conditions in their early stages helps prevent serious damage to organs all over the body. This test is even more important for men with risk factors such as a family history of diabetes, high blood pressure, high blood cholesterol or high body weight. You’re also at higher risk if your family background is African American, American Indian, Asian American, Pacific Islander or Hispanic. Skin exams. The ACS recommends monthly self-exams to look for growths or changes that could be skin cancer.

Signs to look for include any type of change in a mole or freckle, or a growth with uneven colors, borders or shape, or that is larger around than a pencil eraser. Check your whole body, head to toe, and consult your doctor about anything suspicious. Depression screening. Screening for this serious, treatable disease should be a part of everyone’s regular health care, according to Mental Health America. If you’ve felt down, hopeless or uninterested in the things you usually enjoy for two weeks straight, it’s even more important to ask your physician about screening for depression. Prostate exams. The American Cancer Society (ACS) recommends talking to your physician about prostate cancer screening when you turn 50 years old. The prostate specific antigen (PSA) test and digital rectal examination (DRE) can uncover this cancer at a very early stage. But screening has drawbacks, too, and some groups don’t recommend routine screening for this cancer. Your physician can help you decide if it’s right for you.

Are You At Risk for Prostate Cancer? Felix Oben, MD

Your risk for prostate cancer increases as you get older and rises rapidly after age 50. Men whose fathers or brothers had prostate cancer have an increased risk of getting it themselves. The risk goes up with the number of 1st-degree relatives affected. It’s also higher for men whose relatives developed the disease at a young age. Eating a lot of red meat and high-fat dairy products has been linked to a higher risk of prostate cancer. However, men who eat lots of red meat and high-fat dairy products also tend to eat fewer fruits and vegetables. Experts aren’t sure which of these factors is behind the increased risk. Experts don’t know why, but prostate cancer seems to affect African Americans more than men of other races. African American men are also more than twice as likely to die of prostate cancer as Caucasian men are.

Beyonc´e Spotted at The Manor

“This is just one of the many valuable outside programs we arrange to visit us each year.” The Manor’s Activities staff arranges for weekly entertainment from outside organizations, which includes a range of music and other performances.

Yes, Beyonce’ recently visited The Manor. Actually, it was Beyonce’, the silky chicken, who was there with George the lizard, along with Luca the rabbit and a few other animal favorites from the Rosamond Gifford Zoo. It was all a part of a visit from the Zoo to You program, a traveling, inquiry-based educational program that visits various facilities, including skilled nursing homes, schools and libraries. Rachel Donovan, a Zoo Education Coordinator, gave a presentation for both the Adult Day Health Services Program participants and Manor residents. Rachel, who was a wealth of facts on each animal, shared that George likes to eat lettuce, dandelions and steamed yams. Occasionally, he eats carrots and berries too. As for Beyonce, she’s about a year old and has five toes, one more than most other chickens varieties.

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Jane Hollister sees George the lizard up close.

One and Two-Bedroom Apartments

The Zoo to You program visits The Manor three or four times a year, bringing different animals each time. “They do a Please call 315-343-5658 for a personalized tour of our wonderful job and the residents greatly enjoy having them beautiful Premier Retirement Living Community. come to The Manor, ” said Heather Huggins, Activities Director.

We have everything the active senior wants

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One and Two-Bedroom Apartments Please call 315-343-5658 for a personalized tour of our beautiful Premier Retirement Living Community.

We have everything the active senior wants

Amanda Clawson gets to feel the skin of a 20-foot long African Rock Python. (The Zoo was legally provided the snake skin.)

We offer the lifestyle you are seeking! ApArtments • Duplexes • CottAges

Springside at Seneca Hill An Affiliate of Oswego Health

10 County Route 45A, Oswego, NY 13126 at Routes 481 & 45 at the Seneca Hill Health Campus

We offer the lifestyle you315-343-5658 are seeking! ApArtments • Duplexes • CottAges

Springside at Seneca Hill An Affiliate of Oswego Health

Zoo Educator Rachel Donovan holds Beyonce’, a silky chicken.

Inside Healthcare SPRING 2017 — 11

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