Healthy Times Summer 2014

Stormont-Vail HealthCare

Dedicated to your health ... for a lifetime.

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FAMILY HEALTH Enjoy the Fruits – and Vegetables – of the Season. . . . . . . . . . . . . . . . . . . . . . . . . . 4 Taking Care of Dad . . . . . . . . . . . . . . . . . . . . 6 Access to Care . . . . . . . . . . . . . . . . . . . . . . . . 10 MEDICAL NEWS Doctor's Orders . . . . . . . . . . . . . . . . . . . . . . . . 3 The Magnitude of Malnutrition . . . . . . . . . . . 8 CALENDAR Calendar . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 Support Groups . . . . . . . . . . . . . . . . . . . . . . . 12 Family Education . . . . . . . . . . . . . . . . . . . . . . 12 Parenting

Programs . . . . . . . . . . . . . . . . . . . . 13 HealthWise 55 . . . . . . . . . . . . . . . . . . . . . . . . 14

David Hayes, M.D., medical director, Mayo Clinic Care Network, congratulates Randy Peterson, president and chief executive officer of Stormont-Vail HealthCare.

Healthy Summer 2014

TIMES

Stormont-Vail HealthCare Collaborates with

Mayo Clinic Stormont-Vail HealthCare announced this spring that it has been selected to join the Mayo Clinic Care Network, a growing network of like-minded organizations that share a commitment to better serving patients and their families. Stormont-Vail HealthCare is one of the network’s 27 health systems and the first in Kansas.

Using digital technology to promote physician collaboration and share the latest medical information, experts from Stormont-Vail HealthCare and Mayo Clinic are now working together to enhance the delivery of health care. Participation in the Mayo Clinic Care Network enriches the level of care Stormont-Vail provides through collaboration and innovation. The two organizations share a common philosophy, commitment, and mission to improve the delivery of health care to patients and can ensure patients have access to the latest medical knowledge here in their community.

(Continued on page 2)

MEDICAL NEWS “Stormont-Vail HealthCare is committed to being a national leader in health care through collaboration and innovation,” said Randy Peterson, president and chief executive officer, Stormont-Vail HealthCare.

“Working with Mayo Clinic through the Mayo Clinic Care Network offers our physicians yet another resource to help them provide the kind of innovative care that patients have come to expect from Stormont-Vail and Cotton-O’Neil.”

Stormont-Vail HealthCare is now able to access Mayo Clinic knowledge and expertise using a variety of electronic tools and services and connect directly with Mayo Clinic experts when they want to collaborate on complex diagnosis and treatment plans.

The primary tools and services include: • AskMayoExpert: All Stormont-Vail HealthCare medical staff and patient care staff will have 24/7 access to Mayo-vetted medical and patient education information and guidelines through AskMayoExpert.

This web-based resource, designed for ease of use at the point of care, contains disease management, care guidelines, treatment recommendations, and reference materials. It is a great reference tool for primary care physicians, and can assist them in determining whether patients need to be referred to a Stormont-Vail HealthCare specialist. Continuing medical education credits also are available for providers using this tool.

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eConsults: This tool is available to Stormont-Vail HealthCare physicians to connect directly with Mayo Clinic specialists on complex patient cases. Brad Marples, M.D., Information Technology, will serve as the Stormont-Vail HealthCare eConsult coordinator. He will assist specialists in submitting the appropriate information to Mayo, and the eConsult will then be scheduled with the appropriate expert. The Mayo specialist’s response will be returned in about two business days.

Health Care Consulting: Stormont-Vail is able to access Mayo Clinic operational expertise when considering process improvement strategies or new program development. This consultation service may include on-site visits from Mayo experts.

“Stormont-Vail and Cotton-O’Neil are home to some of the most accomplished health care professionals in the region and the nation,” said Kent Palmberg, M.D., chief medical officer, Stormont-Vail HealthCare. “The union of forces between Stormont-Vail and Mayo Clinic means our physicians now have 4,100 new colleagues to collaborate with. This collaboration means patients will have access to Stormont-Vail, Cotton-O’Neil and Mayo Clinic expertise right here at home.”

Information and communication tools about Stormont-Vail’s collaboration with Mayo Clinic Care Network are available on StormontVail’s website at www.stormontvail.org.

– Nancy Burkhardt

Lambert Wu, M.D., at left, cardiologist at Stormont-Vail HealthCare’s Cotton-O’Neil Heart Center, trained at Mayo Clinic, and is serving as the physician champion for the Mayo Clinic Care Network implementation. He has used the AskMayoExpert tool and completed Stormont-Vail’s first eConsult.

“As a member of the Mayo Clinic Care Network, Stormont-Vail will be collaborating not only with the world-renowned Mayo Clinic, but also with 26 other innovative, like-minded Network organizations that are committed to high-quality, high-value patient care. We will have access to the expertise of Mayo Clinic physicians and care processes, as well as access to world class medical education opportunities,” said Dr. Wu. “In my first eConsult, my patient had a diagnosis that is somewhat uncommon. After getting a Mayo eConsult, we are looking at the possibility of the patient having surgery right here in Topeka with one of our Cotton-O’Neil cardiothoracic and vascular surgeons. This is a good example of using Mayo expertise and keeping the care close to home.”

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MEDICAL NEWS

Doctor's Orders Alap Shah, M.D. is a cardiologist specializing in cardiac electrophysiology at the CottonO’Neil Heart Center, 929 S.W. Mulvane Street, in Topeka. He is board certified in internal medicine, cardiology, and cardiac electrophysiology. He is available for patient consultations in Topeka and Manhattan. To schedule an appointment with Dr. Shah, please call (785) 270-4000.

Q: What is cardiac Alap Shah, M.D., Cotton-O'Neil Heart Center 929 S.W. Mulvane Street, Topeka

electrophysiology?

Dr. Shah: Cardiac electrophysiology is a branch of cardiology that specializes in heart rhythm disorders. Most of my work involves treating patients with either a very fast heart rate or a very slow heart rate. A common cause of a fast heart rate is atrial fibrillation.

As an electrophysiologist, I have specialized training to offer a variety of individualized, treatment options for atrial fibrillation, including an invasive procedure called ablation to cure the abnormal heart rhythm.

Q: Can you tell us more about atrial fibrillation and how it is treated?

Dr. Shah: Atrial fibrillation, or afib, is the most common heart rhythm problem worldwide. With afib, the top chambers of the heart beat extremely fast and cause the bottom chambers of the heart to beat fast as well.

A lot of people think the brain tells the heart when to beat. However, the heart has it’s own little brain called the sinus node. It is located in the top chamber of the heart and tells it when to beat. When someone gets afib, instead of that sinus node telling the heart when to beat, hundreds of spots in the top chambers start competing with one another and ignore the sinus node. That disorganized, very fast beating of the top chamber is called atrial fibrillation.

There are two strategies a doctor can use to treat afib. The first is called rate control and the second is called rhythm control.

With rate control, we use medications to make sure the bottom chambers of the heart do not beat fast and allow the patient to stay in afib. In half of our patients, this is all that is needed to control their symptoms.

In the other half of patients, either the drugs are not effective in controlling the heart rate or the drugs produce too many side effects. For these patients, we think about rhythm control. Rhythm control means keeping a patient’s heart in a normal rhythm and out of afib. There is no difference in how long patients will live or how they do long term whether they do rate control or rhythm control. It is a matter of which will work best for a given patient.

Once it is decided to use rhythm control, there are two options. The first option is to use drugs called anti-arrhythmic drugs. The second option is a procedure called an ablation. An ablation is an invasive procedure. The procedure is done from the veins in the groin. This allows us to place wires or catheters into the heart, find the abnormal areas that cause afib, and burn them. Burning has a fancier name when used to describe treatment of abnormal heart rhythms, called ablation.

It is important for a patient and physician to have a conversation about the advantages and disadvantages of having an ablation procedure.

Ablation does not work in everyone. It works in about 70 percent of people. These patients are free of the symptoms that affected their quality of life, which is the ultimate goal.

In the other 30 percent, there are probably too many areas that are abnormal causing the afib. For this 30 percent, an approach that includes a pacemaker can be effective in controlling their symptoms.

A new electrophysiology lab has recently opened in the Stormont-Vail Surgical Suites with the most up-todate technology, including a feature designed to minimize radiation exposure to the patient. The labs consist of two procedural suites designed to perform diagnostic, therapeutic, and interventional electrophysiology and pacing procedures and a procedural treatment room for performing transesophageal echocardiography, Cardioversion, and tilt table procedures. Steven Seals, M.D., is the medical director for the electrophysiology and pacing program. Other cardiac electrophysiologists and pacing specialists include: Alap Shah, M.D.; Thomas Doyle, M.D., FACC; and James Hurtig, M.D. – Tami Motley

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FAMILY HEALTH

Cut Fat. Cut Cancer.

Enjoy the Fruits – and Vegetables – of the Season Summer in Kansas is the time to take advantage of the fresh produce from the local Farmer’s Market or your own backyard garden. Eating fresh fruits and vegetables is a great way to maintain a healthy body weight. Maintaining a healthy weight may be the single most important way to protect against cancer. Research shows a strong link between excess body fat and increased cancer risk.

The Cancer Committee at the Stormont-Vail Cancer Center initiated a program last year – Cut Fat. Cut Cancer. – that informs and educates the community about obesity and how it is associated with an increased risk of cancer. While there is no single food that protects a person from cancer, research does show that a diet filled with a variety of plant foods such as vegetables, fruits, whole grains and beans helps lower the risk for many cancers, according to the American Institute for Cancer Research (AICR).

Here are some seasonal recipes to get you started. If you would like a free Cut Fat. Cut Cancer. cookbook, email your name and address to marketing@stormontvail.org or call the Stormont-Vail Marketing Department at (785) 354-6120.

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Broccoli Salad Ingredients: 4 cups fresh broccoli florets 1/4 cup red onion, finely diced 3 tablespoons dried cherries 2 tablespoons dry roasted sunflower seeds 1/4 cup plain yogurt 2 tablespoons orange juice 1 tablespoon fat-free mayonnaise Directions: Combine the broccoli, onions, cherries, and sunflower seeds in a large bowl. In a small bowl, whisk the yogurt, orange juice, and mayonnaise until blended. Pour over the broccoli mixture and toss to coat. Makes 6 servings.

Nutrition Information: Per serving: 63 calories, 2 g fat (0 g saturated fat), 10 g carbohydrate, 3 g protein, 2 g dietary fiber, 58 mg sodium Recipe provided by Robin Holthaus, RN, BSN, OCN.

FAMILY HEALTH Mediterranean Way to Cook Vegetables and Beans Lite Hummus Dip CHARD (excellent source of vitamin A and vitamin K; good source of vitamin C, fiber and potassium) • Place washed and cut chard in salted boiling water. Remove it as soon as it wilts.

• Add 1 Tbsp. olive oil. Optional: add 1 clove of garlic.

ZUCCHINI (good source of fiber and vitamin A) • Place washed zucchini (cut lengthwise) in salted boiling water.

Remove it as soon as you can pierce a piece with a fork.

• Add 1 Tbsp. olive oil. Optional: add 1 clove of garlic.

POTATOES (good source of fiber, vitamin C, potassium, B6 and folate) Place washed, sliced potatoes in salted boiling water. Remove when the potato is done or when a fork can split a slice easily.

Add 1 Tbsp. olive oil. Optional: add 1 clove of garlic.

LENTILS/BEANS (good source of fiber, iron, protein and folate) • Soak lentils/beans for 2 hours in plain water; wash and discard the water. If the lentils and beans are not the current year’s harvest, soak them overnight.

• Place lentils/beans in cold salted water and bring to a boil, continue to simmer until lentils/beans are done. (They should be very soft, but not mushy.)

• Cool the lentils/beans. Add 1 Tbsp. olive oil and 1-2 Tbsp. wine vinegar or apple vinegar. Add salt and pepper to taste. Optional: add 1 clove of garlic.

These are very simple recipes, but they are actually the true “Mediterranean diet” - no sauces, nothing added.

Recipes provided by Jakica Tancabelic, M.D.

Zucchini Bites Ingredients: Cooking spray 2 medium zucchini, cut into ¾-inch rounds 1/2 cup reduced-fat baking mix 1/2 tsp. garlic salt 1/2 tsp. paprika 2 Tbsp. grated Parmesan cheese Directions: Preheat oven to 350 degrees. Heat a cast-iron skillet or cookie sheet in oven for 2 minutes. Remove from oven. Spray both sides of zucchini slices with cooking spray. Coat with baking mix. Place zucchini slices in skillet or on cookie sheet and sprinkle with garlic salt, paprika, and Parmesan cheese. Bake for 15 minutes until lightly browned. Serve immediately. Makes 8 servings.

Ingredients: 1 can (15 oz.) chickpeas, rinsed and drained 1-2 cloves finely minced garlic (or to taste) 1 Tbsp. sesame tahini 6-8 Tbsp. reduced sodium vegetable broth or water 1-2 Tbsp. fresh lemon juice 1/2 tsp. extra virgin olive oil Salt and freshly ground black pepper, to taste Hot pepper sauce (optional) Paprika Directions: In blender or food processor, place peas, garlic, tahini, broth or water, lemon juice and oil. Blend on high speed until mixture is smooth.

Add salt, pepper and hot pepper sauce to taste, if desired. Pour mixture into serving bowl. Dust lightly with paprika. Serve with cut-up raw vegetables and pita bread. Makes 1 1/4 cups.

Nutrition Information: Per 2 tablespoons: 50 calories, 2 g fat (<1 g saturated fat), 7 g carbohydrate, 2 g protein, 2 g dietary fiber, 195 mg sodium Source: American Institute for Cancer Research

Crunchy Green Beans with Caramelized Onions Ingredients: 1 large red onion, cut into ½-inch strips 1/2 tsp. olive oil 2 pounds fresh green beans, washed and trimmed 1/2 tsp. garlic salt 4 tsp. balsamic vinegar 2 tsp. imitation (soy) bacon bits Directions: Heat olive oil in medium skillet. Add onion and sauté until golden brown (caramelized), stirring frequently, about 25 minutes. Set aside. Steam green beans in steamer until crisp-tender, approximately 10 minutes. Add green beans and garlic salt to skillet and mix with onions. Drizzle with vinegar and sprinkle with bacon bits. Serve warm or cold. Makes 8 servings.

Nutrition Information: Per serving: 48 calories, 0.5 g total fat (0 g saturated fat), 10 g carbohydrate, 2.5 g protein, 4 g dietary fiber, 25 mg sodium Source: American Cancer Society

Nutrition Information: Per serving: 23 calories, 1 g total fat (0 g saturated fat), 4 g carbohydrate, 1.5 g protein, 1 g fiber, 111 mg sodium Source: American Cancer Society

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FAMILY HEALTH

Taking Care of

As Father’s Day approaches, take a moment to celebrate the fathers in your life who you cherish and want to see living a healthy and happy life.

Most men could benefit from paying more attention to their health.

According to MedlinePlus (from the National Institute of Health), men are more likely than women to: • Smoke and drink • Make unhealthy or risky choices • Put off regular checkups and medical care Health conditions that affect men, such as prostate cancer, colon cancer and heart disease, can be prevented and treated with early diagnosis.

Routine screening tests can help detect diseases early when they are easier to treat. It is important to get screening tests and here is a checklist of what screenings are available and when men should get them.

Screenings Blood pressure • Starting at age 18, have your blood pressure checked every two years.

• Schedule a routine physical with your physician every two years to check your blood pressure. Stormont-Vail HealthCare has an automated blood pressure machine in the lobby of the North Tower for employees and visitors to use free of charge. Grocery stores and pharmacies sometimes also offer free blood pressure screening kiosks. HealthWise 55 offers a free blood pressure clinic on Tuesdays from 10 a.m. to noon. Call Health Connections at (785) 354-5225 for information and other blood pressure clinic opportunities.

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•

Know your numbers. High blood pressure is usually defined in adults as: Systolic (or “top” number) blood pressure of 140 mm Hg or higher, or Diastolic (or “bottom” number) of 90 mm Hg or higher.

Bone Density • All men ages 50 to 70 with risk factors of osteoporosis, including taking corticosteroids or having a history of fractures, discuss a bone density screening with your physician.

Cholesterol • All adults aged 20 or older should have a fasting lipoprotein profile every five years.

• If you have diabetes, heart disease, kidney problems or certain other conditions, you may need to be monitored more closely.

• Consult your physician for an explanation of your levels:

LDL Cholesterol:

<100 – Optimal

100-129 – Near Optimal/above optimal

130-159 – Borderline high

160-189 – High

>190 – Very high

Total Cholesterol:

<200 – Desirable

200-239 – Borderline high

>240 – High

HDL Cholesterol:

<40 – Low

>60 - High

FAMILY HEALTH Colon cancer screening • Men between the ages of 50 and 75 should be screened for colorectal cancer which includes: 1. A stool test done every year.

2. F lexible sigmoidoscopy every five years along with a stool occult blood test.

3. Colonoscopy every 10 years.

• If you have risk factors for colon cancer, such as ulcerative colitis, a personal or family history of colorectal cancer, or a history of large colorectal adenomas, you may need a colonoscopy more often.

• You may schedule a screening colonscopy at the Cotton-O'Neil Digestive Health Center by calling (785) 270-4820.

Skin Cancer • Screening can start at any age.

Experts recommend conducting a personal “mole check” once a month to look for unusual growths or changes to existing moles and don’t forget to check your back. Have a loved one help you check or ask your health provider at your regularly scheduled physical.

– Linda Ruiz

Diabetes • Adults with a treated or untreated blood pressure greater than 135/80 or who are significantly overweight or have other risk factors such as family history should be screened for Type 2 diabetes.

• Three tests are used to screen for diabetes: 1. Fasting plasma glucose (FPG) 2. Two-hour postload plasma 3. Hemoglobin A1c • Recheck every three years.

Immunizations • Get a flu shot annually.

• You may get a shingles or herpes zoster vaccination once after age 60.

HealthWise 55 offers a Zostavax Clinic for seniors on Tuesdays and Thursdays from 8 a.m. to noon. A prescription from your physician is needed. Call (785) 354-6787 for more information.

• Get a pneumonia shot at age 65 or consult with your doctor if you are at high risk for pneumonia, including if you are a cigarette smoker aged 19 or older or have cardiovascular disease, chronic lung disease, diabetes, chronic liver disease, or other immune system problems.

Prostate Cancer • Most men age 50 or older should discuss screening with their physician.

• African-American men and those with a family history of prostate cancer should discuss screening at age 45.

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MEDICAL NEWS

The

Magnitude of

Malnutrition Malnutrition delays recovery from illness and increases complications, frequency of hospital admissions and length of stay.

What is malnutrition? Malnutrition begins with inadequate intake of protein and/or energy over prolonged periods of time, which results in the loss of fat stores and/or muscle stores.

Malnutrition occurs in the presence or absence of inflammation that can be related to: acute injury or illness such as major infections, sepsis, Acute Respiratory Distress Syndrome, trauma or severe burns.

It may also result from social or environmental factors such as starvation, alcoholism or eating disorders or in chronic illness such as chronic organ failure, cancer, Chronic Obstructive Pulmonary Disease or inflammatory bowel disease.

Malnutrition can negatively impact overall clinical outcomes, regardless of body mass index (BMI).

Research has shown measurable and positive effects when malnourished patients receive nutritional treatment. Nutrition interventions in gastrointestinal patients have led to reductions in overall complications. Studies have also shown that nutritional interventions can significantly reduce the risk of pressure ulcers.

Also, for patients with at least one known subsequent readmission to the hospital, oral nutrition supplementation provided during hospitalization has been associated with a significant reduction in the probability of a 30-day readmission.

Malnutrition delays recovery from illness and increases complications, frequency of hospital admissions and length of stay.

Some consequences of unidentified malnutrition include: Malnourished patients have two days longer average length of hospital stay, are three times higher risk for developing surgical site infection, two times more likely to develop a pressure ulcer in the hospital, and account for 45 percent of patients who fall in the hospital.

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MEDICAL NEWS

Ways to identify malnutrition include: BMI-accurately documented heights and weights needed, nutrition screen, weight loss and prolonged decreased oral intake, report of frequent falls, lack of desire to eat, skipping meals, requiring significant assistance with activities of daily living, weakness, lack of food accessibility, and financial instability. Physical examination that indicates fat loss, bilateral muscle wasting, hand-grip strength and fluid status may indicate malnutrition.

The positive outcomes associated with timely nutrition intervention include a two-day reduction in average length of hospital

stay, 25 percent reduction in pressure ulcer incidence, 28 percent reduction in avoidable readmissions and 14 percent reduction in overall complications.

Good nutrition can help you support your immune system, maintain lean muscle and strength and reduce the chance of readmission to the hospital.

– Melissa Moore, RD, LD

Here are some tip s for ma home fo intainin llowing g good n a hospit utrition al stay: at • Eat fi ve to

six smal l meals d uring th • Have e day. conveni ent mea ls and sn acks on • Prepa hand. re and fr eeze extr a portion • If nee s to rehe at easily. ded, hav e oral su pplemen ts availa • Choo ble. se low fa t yogurt , milk or servings cheese /day. three • Try t o eat at least five ounces o f lean m or poult eat, fish ry each day. Incl u d e two cu vegetabl ps es and 1 ½ cups f ruits dai ly.

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MEDICAL NEWS

Access t

What Is a Patient-Centered Medical Home?

A patient-centered medical home (PCMH) is a team approach to health care that focuses on the relationship between you and your health care professionals. A PCMH gives patients support throughout their entire continuum of care.

With a PCMH, you are cared for by a complete team of health care professionals led by your primary care physician. Your medical home team will coordinate your care and work with any specialists you may need. Your team could include: • Your Physician • Physician’s nursing staff • Advanced Practice Registered Nurse (APRN) or Physician Assistant (PA) • Nurse Navigator • Social Worker • Wellness Nurses • Any other medical professionals providing your care

You and your team will work together to create a personalized health care plan. The plan will focus on prevention and wellness care and will include other specialists and medical care providers you see. Your team will equip you with all the tools and resources you’ll need to make your care plan a reality. Once goals have been met, your team will work with you on new ones.

Your medical home team will facilitate upcoming and ongoing care, as needed, during and between your appointments. You will still call your primary care physician’s office for medical advice and to schedule an appointment, but to allow you a same-day or next-day appointment, you may not always see your doctor. You could see the Advanced Practice Registered Nurse (APRN) or Physician Assistant (PA) for some visits.

Patient-centered means exactly that - YOU are the focus of the team.

Your active participation in your medical home is vital to its success. The following are ways you can be involved: • Talk with your team about your health questions.

• Share your past health care successes and challenges.

• Tell your team about other health care professionals who care for you.

• Tell your team how you feel about the care you are getting from them.

• Take care of your health.

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The Benefits of a Patient-Centered Medical Home Patient-Centered – A partnership between you, your family, and your medical home team ensures that decisions respect your wants, needs and preferences, and that you have the education and support you need to make decisions and participate in your own care.

Comprehensive Care – A team of care providers is accountable for your physical and mental health care needs, including prevention, wellness, acute care and chronic care.

Coordinated Care – Care is organized across all elements of the broader health care system, including specialty and hospital care. At risk patients will have increased community service support.

Accessible Services – With a team approach, you will have better access to care.

• Health Connections: For “after hours” care, call (785) 354-5225. They can give you health care advice and direct you to the most appropriate health care location (directions to after-hours facilities, page your physician or doctor on-call, etc.)

• MyChart: Log on at stormontvail.org/mychart 24 hours a day to access your medical records, email your physician and request an appointment for a non-emergent need.

Committed to Safety and Quality – Clinicians and staff enhance quality improvement through the use of health information technology and other tools to ensure that you make informed decisions about your health.

– Yvonne Etzel *Information in this article was obtained from the Patient-Centered Primary Care Collaborative.

to Care

MEDICAL NEWS

Improving Access to Primary Care:

Improving the Health of the Community In the quest to create a healthier community, an important aspect is improving access to primary health care providers.

“Primary care is the driver of preventative health and to early diagnosis and intervention Eric Voth, M.D. to health problems,” said Eric Voth, M.D., vice president of Primary Care Services for Stormont-Vail HealthCare. “That primary care contact is an important conduit to healthy behaviors and healthy lifestyles.”

Nationally, there has been a shortage of primary care physicians, usually trained as family practice or internal medicine providers.

That stressed system has been felt locally in the past when community members may have had trouble finding a primary care provider.

In addition, Dr. Voth said the impact of the Affordable Care Act, which will increase the number of insured people, hasn’t hit yet. He said that would further increase the number of patients seeking a primary care provider.

Stormont-Vail is taking action on several fronts to address the need for better access to primary care providers. The integrated health care system that provides primary care access in 13 northeast Kansas counties has been recruiting more primary care physicians as well as advanced practice professionals.

Advanced practice professionals are Advanced Practice Registered Nurses (APRNs) or Physician Assistants (PAs). Advanced practice professionals work under the supervision of a physician and must meet certain advanced educational and clinical practice requirements.

In addition to increased primary care staffing, Dr. Voth said there are initiatives underway to “improve and enhance capacity internally with better efficiency.” The organization has launched a Lean process improvement to examine the current system and develop improvements.

“The Lean project is identifying a problem area, such as patient access, dissecting it into all the elements that go into it, and identifying what things can be changed, eliminated, improved or streamlined,” Dr. Voth said.

Improvements in patient access and scheduling will begin to be noticed by patients later this summer, with continued rollout over the next year. Dr. Voth said some of the initiatives being researched are single telephone call transfers and easier access to provider schedules. Patients will also be able to continue to communicate issues and problems to their providers through MyChart, the electronic medical record that Stormont-Vail and CottonO’Neil Clinic provides so patients have all of their medical records in one place, as well as other tools.

Dr. Voth said another area under development is an improvement in “triage” functions, which is the process of gaining information from the patient about medical issues or symptoms, then directing him or her to an appropriate level of care in a timely way.

Parallel to the development of the StormontVail project to gain improved primary care access, is the roll out of the patient-centered medical home. (See adjacent story.) Patientcentered medical home will be introduced to all Stormont-Vail clinic locations by the end of the year, primarily in the internal medicine and family medicine offices. Eventually, the patientcentered medical home will be system wide in all primary care areas, spilling over to specialty care areas.

The patient-centered medical home model is a team approach to providing health care to the patient, resulting in greater access to the patient via a team member. Not all access will be with the physician – some contact may be with an advanced practice provider – but a physician supervises all access. Dr. Voth said that advanced practice providers work “shoulder-to-shoulder with physicians.”

As vice president of Primary Care Services, Dr. Voth is responsible for the patient-centered medical home project, primary care access, recruiting, and oversight of the function of all the primary care providers.

As he looks to the future, Dr. Voth says the community served by Stormont-Vail will see better access, broader use of electronic medical records for tracking and creating a better approach for care, a higher focus on quality and patient satisfaction, and an improved system for patients and providers to monitor a patient’s medical status – what is needed for prevention or for management of medical conditions. Those improvements should result in greater access to primary health care for individuals, and the community as a whole.

– Anita Fry

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Calendar JUNE, JULY AND AUGUST 2014 SUPPORT & EDUCATION GROUPS The MADD Power of Parents Presentation A presentation by Safe Streets and Stormont-Vail HealthCare will give parents and caregivers simple, effective, practical tools to talk with youth about alcohol (and other drug) use. You may think it's too early to talk to your kids about alcohol, but it's not. In Shawnee County, over 15 percent of sixth graders report having drunk more than a few sips of alcohol. By eighth grade, that number doubles. It's never too early to start an ongoing conversation with your kids and we can help you do it.

MADD Power of Parents presentation will be 6 to 7 p.m., Aug. 26 in the Pozez Education Center.

Depression and Bi-Polar Support Alliance Sponsored in part by Behavioral Health Services at Stormont-Vail West, meets at 6:30 p.m. on the first and third Wednesdays of the month at Valeo, 330 S.W. Oakley and at 1:30 p.m. on the second and fourth Mondays of the month at the Topeka Public Library, 1515 S.W. 10th Ave. Alzheimer’s Support Groups The Alzheimer’s Association has three caregiver support groups available as well as other support services. Call Alzheimer’s Association at (785) 271-1844 for days and times.

Topeka Celiac Support Group The Topeka Celiac Support Group provides information, support and knowledge of how to eat safely to avoid gluten from grain-based proteins in wheat, rye, barley and possibly oats. Picnic at 11 a.m. Saturday, June 7, at Gage Park Steak Grill. Meetings are 10:30 a.m. to 12:30 p.m. Saturday, Sept. 6 and Nov. 1, at Pozez Education Center. For more information, contact Sharon Larson, president, (785) 379-0479.

MOMS: Moms of Multiples Support Support group for parents expecting or parenting multiples. Monthly meetings on the fourth Thursday of each month from 7 to 9 p.m. at Pozez Education Center.

For more information, call (785) 267-2955.

Grief and Loss Support Groups Midland Care offers weekly grief and loss support groups available to the public. For more information, call Tim Keogh at (785) 232-2044.

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Pregnancy and Infant Loss Group First and third Thursdays of the month from 6 to 8 p.m. Pozez Education Center. For information, call (785) 354-5225. The Pregnancy and Infant Loss Group, which has regular meetings to share information and experiences, also has a blog for members, which offers communication, resources and support. If you are interested in learning more about the blog, please e-mail lrosen@stormontvail.org Topeka “HEALS” Support Group A confidential peer support group that is also known as Survivors of Suicide, “HEALS”stands for “Healing After Loss by Suicide.” It is for those who have lost a loved one by suicide. First and third Tuesdays of the month in Pozez Education Center at 7 p.m. For more information, call (785) 220-1368.

“On the Road to Better Managing Your Diabetes” Class This 90-minute refresher class is designed for those who have had diabetes education in the past and would like an update. The next class meets from 9 to 10:30 a.m., Thursday, July 17 in the Diabetes Learning Center classroom, lower level of the Cotton-O’Neil Endocrinology Center, 3520 S.W. Sixth Ave. Call (785) 368-0416 to reserve a seat. Your insurance will be billed for the cost of attendance.

Living with Diabetes Adult Support Group Meets from 10 to 11 a.m. each Tuesday, except holidays, at the Cotton-O’Neil Diabetes and Endocrinology Center, lower level, 3520 S.W. 6th Ave. A Diabetes Learning Center staff educator facilitates each meeting. There is no fee to attend and no need to pre-register. Call (785) 368-0416 with questions.

The Latest in Insulin Pumps and Glucose Sensors A class designed for current pump users and those considering an insulin pump for the first time. It provides an overview of pump therapy and CGM (Continuous Glucose Monitoring) as well as current options available.

Following the 60-minute class, all major insulin pump and CGM device manufacturers are available to offer a ‘hands on’ look at the products. Class presenter is Julie Johnson, BS, RN, CDE, CPT. The next class will be 10 to 11 a.m., Monday, May 5, in the Diabetes Learning Center, located on the lower level of the Cotton-O’Neil Diabetes and Endocrinology Center, 3520 S.W. Sixth Ave. Insurance will be billed for the cost of attending. For reservations, call the Diabetes Learning Center at (785) 368-0416.

Cancer Support Group Meets Mondays at 11 a.m. to noon in the library of the Stormont-Vail Cancer Center, 1414 S.W. 8th Ave. For more information, call 1-800-354-0091.

Loved Ones Partnering for Support (Caregivers Group) Meets Tuesdays at 2 p.m. in the library of the StormontVail Cancer Center, 1414 S.W. 8th Ave. For more information, call 1-800-354-0091.

Cancer Center Pet Meet and Greet Wednesdays at 10 to 11 a.m. in the lobby of the StormontVail Cancer Center, 1414 S.W. 8th Ave. For more information, call 1-800-354-0091.

Head and Neck Cancer Support Group Affiliated with SPOHNC (Support for People with Head and Neck Cancer). Meets the second Wednesday of the month, 3:30 to 4:30 p.m. in the Stormont-Vail Cancer Center library, 1414 S.W. 8th Ave. For more information, call 1-800-354-0091.

Parents Partnering for Support Support group for parents with children with a diagnosis of cancer. Fourth Thursday of the month at 6 p.m. For location and information, call Leigh Ann at (785) 270-4905.

Tai Chi for Patients and Families of the Stormont-Vail Cancer Center Tai Chi Easy offers physical and mental benefits no matter what your age or physical limitations. Tuesdays at the Stormont-Vail Cancer Center (3:30 p.m. hard, and 4:30 p.m. easy). For more information, call 1-800-354-0091.

Look Good Feel Better Educational Program Program is offered at the Cotton-O’Neil Cancer Center on a regular basis. For more information, call 1-800-354-0091 or the American Cancer Society at (785) 273-4462.

Stroke Support Group at KRH A stroke support group is now meeting the first Friday of each month at the Kansas Rehabilitation Hospital.

Meetings are 4 to 5 p.m. in the West Dining Hall, first floor. The support group is for patients and families of those who have suffered a stroke. For more information or to RSVP, call Randy Williams at (785) 235-6600, Ext. 553.

FAMILY EDUCATION PROGRAMS To register for Family Education classes, call Health Connections at (785) 354-5225.

And Baby Makes Four or More (for children 5 and older) 6:30 to 8 p.m. • Wednesdays, June 11, July 2 and Aug. 20 • Pozez Education Center $10 per family • Lori Hamilton, occupational therapist This class for potential siblings and their parents includes a tour of The Birthplace, a video presentation and a discussion of what to expect after the baby comes. The special roles of big brother and big sister are explored. Parents are able to address how they can help their older child adjust to the new baby.

CALENDAR And Baby Makes Four or More (for children ages 2 to 4) 6:30 to 8 p.m. • Tuesdays, June 10 and July 1; and Wednesday, Aug. 13 • Pozez Education Center • $10 per family • Lori Hamilton, occupational therapist This sibling preparation class includes a tour of The Birthplace and provides structured activities to help young children verbalize their concerns and expectations about when “the new baby come.” This class is for young children who will soon be big brothers and big sisters and their parents.

From Girl to Woman Saturdays, June 7 and Aug. 9 • 9 a.m. to noon • Pozez Education Center • $25 mother/daughter couple • Course pre-registration required.

The time in a girl’s life between ages 8 and 12 is one of dramatic physical and emotional changes. This program for girls and their mothers, will address menstruation and other physical changes of puberty, the emotional upheaval of adolescence, and communication techniques for mothers and daughters.

From Boy to Man Saturday, June 7 • 9 to 11:30 a.m. • Pozez Education Center • $25/family • Course pre-registration required.

When we think of puberty and its changes, we usually think of girls and the transition they make, but boys experience puberty, too. While usually starting later than girls, the time in a boy’s life between the ages of 10 and 13 is filled with many physical and emotional changes. These changes are exciting, but often puzzling, sometimes embarrassing, and usually challenging to a young adolescent. Join us for a discussion that will focus on the physiological changes of puberty, the developmental tasks of early adolescence and ways to improve communication between boys and their parents. This class features time for boys and parents together but also time for separate facilitated discussion.

PARENTING PROGRAMS To register for Parenting classes, call Health Connections at (785) 354-5225.

Welcome Baby Sunday, July 13 • 2 to 5 p.m. • Pozez Education Center $15 per family This three-hour class will consist of updated information for the whole family. Such topics include; an overview of pregnancy with strategies to deal with common discomforts, intro to labor and birth, what to expect, choices and options during labor and delivery. In addition, baby care, including car seat information, a gift bag and community resources will be provided. Finally, adjustment to parenthood and grandparenthood will also be covered in this class. Mothers are welcome to bring their support person, family or a friend who provides support during their pregnancy and beyond.

Childbirth Preparation I: For New Parents Please visit us online at www.stormontvail.org for class dates and times • Pozez Education Center • Weekday evening and weekend classes available • $60 (payable at the first class) Learn breathing and relaxation skills plus information is provided on other pain control measures. Included is information on late pregnancy, labor and birth, early parenting experience and a tour of The Birthplace. Classes are taught by experienced

instructors and are tailored to the adult learner with plenty of opportunity for individuals and couples to explore their own personal needs. Dress comfortably and bring two pillows. eLearning Online Childbirth Education Program eLearning Online Childbirth Education Program is an alternative for those parents who cannot attend conventional prenatal classes due to bed rest, scheduling conflicts or time constraints. It is an interactive web-based program that includes animated illustrations, videos and voice-overs. It can be viewed on a PC or Mac. High speed Internet is advised, but dial-up will work; it will take longer to download.

Upon registration, we will send you a code to access the class. Once you log in with the code issued, you have six weeks to complete the information at your own pace. The fee also includes a tour of the Birthplace. Visit us at www.stormontvail. org to register.

Childbirth Preparation I:For Parents Having Cesarean Sections Please visit us online at www.stormontvail.org for class dates and times • $30 (payable at the first class) Whether this is your first cesarean section or you are having a repeat cesarean section, your delivery is an event we would like to help you prepare for. You will find out what to expect from admission to dismissal. We will watch films, show slides, have open discussion, practice breathing and relaxation techniques, and tour The Birthplace.

Childbirth Preparation I: For Teens or Young Adults Please visit us online at www.stormontvail.org for class dates and times • Free • (certain restrictions apply) Classes are designed for teens, young adults and their support people. Included are discussions about pregnancy, labor and parenting, as well as explore ways to cope and deal with labor.

Information to assist new parents to care for and enrich their baby’s early years is provided. A tour of The Birthplace is included. The class series lasts five weeks. Dress comfortably.

Birthing with Confidence Please visit us online at www.stormontvail.org for class dates and times • Pozez Education Center • Weekday evening and weekend classes available • $60 (payable at the first class) This class is designed for woman and their support person who would like an in depth exploration of alternative ways to deal with the pain of labor besides epidurals and IV pain medications.

The instructors, who have many years of experience with laboring women will help the participants to be aware of their strengths and abilities to cope with the process of labor and the strategies that are effective for pain control. There will be opportunities to examine potential barriers to reaching individual goals and methods to overcome those barriers in order to achieve their unique goals. This class series is interactive and uses videos, games and more to prepare you and help you understand that birth is a normal, natural, and healthy process.

Breastfeeding Basics First Tuesday of each month (except for holidays) • 6:30 to 8:30 p.m. • June 3, July 1 and Aug. 5 • Pozez Education Center • $10 This informal introduction to breastfeeding provides pregnant women and their families an opportunity to learn all they need to know about breastfeeding before their babies are born. Classes

are designed to help families prepare for their breastfeeding experience by providing information on how breastfeeding works, how to get started, problems that may arise and how to incorporate breastfeeding and working.

Pumping for your Baby First and third Tuesdays • 1 p.m. • Breastfeeding Clinic, Stormont-Vail Regional Health Center • Free Designed for women planning to work outside of the home or for those who are breastfeeding but want the flexibility to be away from their baby. This class is designed for mothers who have delivered. Mothers who are at least 2-3 weeks postpartum would benefit most from this class. We will provide information and options for expressing milk from the breast. We’ll address breast pumps and how to choose one, pumping techniques, milk storage and maintaining adequate milk production. For the mom working outside of the home, we also will explore issues of time management, negotiating with employers and relationships with co-workers. We’ll also discuss the very important role childcare providers play in breastfeeding success and methods of feeding breast milk to infants. Babies welcome, pre-registration not required.

Join Us: Welcome Baby Jubilee Stormont-Vail invites pregnant and soon-to-be pregnant couples to open houses that showcase the services and amenities that the Birthplace and the Neonatal IntensiveCare (NIC) provide women and their families during the labor and delivery process.

Refreshments, tours, door prizes and information on Birthplace services and classes are provided. Physicians and other staff will be on hand to answer your questions about pregnancy and infant care. Vendors and other community resource representatives will be present.

Pregnant and soon-to-be pregnant couples are welcome to drop by anytime during the open house.

Enter for a chance to win $250 gift card to Babies R Us or Medela Breast Pump. Visit stormontvail.org for details.

To attend the Jubilee, please click “I’m Attending” on the Stormont-Vail HealthCare Facebook event page or e-mail us at marketing@stormontvail.org.

Mark Your Calendar for Welcome Baby Jubilee: Please join us from 6 to 8 p.m. Thursday, June 12, at Pozez Education Center – 1505 S.W. 8th Ave. (Stormont-Vail’s main campus). Please park in the parking garage.

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CALENDAR

HealthWise 55 Programs June, July and August 2014

HealthWise 55 is an organization sponsored by StormontVail HealthCare for those 55 years of age and older who want to stay current on health information and health resources. Membership is free. For information about joining HealthWise 55, a packet of exercise information and reservations for Senior Suppers, Lunch Bunch and coffees, call Health Connections at Stormont-Vail at (785) 354-5225. For clinic information and appointments, call (785) 354-6787.

Senior Supper Information: Reservations – Call (785) 354-5225. Name, number of persons attending and a telephone number will be needed when making your reservation. To help us have a more accurate count for meals, please call for reservations as well as cancellations by the Thursday before each program.

We understand this is not always possible. Thank you for your consideration.

Parking – There is an alternative to parking in the Stormont-Vail parking garage for those attending Senior Suppers. Aldersgate Village and Brewster Place offer transportation from the parking lot of Grace Episcopal Cathedral (west side of parking area) to Pozez Education Center and back again. The bus will be at the parking lot at 4:45 p.m. and leave at 5 p.m. Let Health Connections know you will need a ride when you make a reservation for Senior Suppers.

What is Atrial Fibrillation?

Dessert and Coffee • Thornton Place • Monday, June 2 11:45 a.m. presentation with lunch to follow at 12:30 p.m.

Carol Bragdon, APRN, Ph.D., Cotton-O’Neil Heart Center Free • Reservations: (785) 354-5225.

Alzheimer’s Research at Cotton-O’Neil Clinic Koffee Klatch • Aldersgate Village • Thursday, June 5 9:30 – 10:30 a.m. • Amy Christian, RN, CCRC and Dana Soetaert, MA • Free • Reservations: (785) 354-5225.

Summer 2014 Vol. 11, No.3 Healthy Times is a local, community newsletter providing information on health care concerns, issues and interests for you and those you love. Published quarterly by Stormont-Vail HealthCare, 1500 S.W. 10th Ave., Topeka, KS 66604-1353, www.stormontvail.org

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Alzheimer’s Research at Cotton-O’Neil Clinic Senior Supper • Pozez Education Center • Tuesday, June 10 5:15 – 6:30 p.m. • Scott Teeter, M.D., Cotton-O’Neil Clinic • $5 Reservations: (785) 354-5225.

What is Atrial Fibrillation?

Dessert and Coffee • Drury Place • Wednesday, June 11 2 -3 p.m. • Carol Bragdon, APRN, Ph.D., Cotton-O’Neil Heart Center • Free • Reservations: (785) 354-5225.

Recognizing a Heart Attack and Seeking Treatment Lunch Bunch • Presbyterian Manor • Thursday, June 12 11:30 a.m. – 12:30 p.m. • Barbara Columbus, RN, CottonO’Neil Heart Center • $5 • Reservations: (785) 354-5225.

What is Palliative Care?

Dessert and Coffee • Atria Hearthstone • Wednesday, June 25 • 2 – 3 p.m. • Connie Rundle, APRN, ACHPN, StormontVail HealthCare • Free • Reservations: (785) 354-5225.

Stroke: Review of Symptoms and Treatment Koffee Klatch • Aldersgate Village • Thursday, July 3 9:30 – 10:30 a.m. • Angela Rodecap, RN, BSN, Stormont-Vail HealthCare • Free • Reservations: (785) 354-5225.

Tips and Treatment for Keeping Your Balance Lunch Bunch • Thornton Place • Monday, July 7 • 11:45 a.m. • Pat Pfannenstiel, PT, Stormont-Vail Rehabilitation Services • Free • Reservations: (785) 354-5225.

Recognizing a Heart Attack and Seeking Treatment Senior Supper • Pozez Education Center • Tuesday, July 8 5:15 – 6:30 p.m. • Barbara Columbus, RN, Cotton-O’Neil Heart Center • $5 Reservations: (785) 354-5225.

Recognizing a Heart Attack and Seeking Treatment Dessert and Coffee • Lexington Park Independent Living Monday, June 16 • 2 - 3 p.m. • Barbara Columbus, RN, Cotton-O’Neil Heart Center • Free • Reservations: (785) 354-5225.

Alzheimer’s Research at Cotton-O’Neil Clinic Lunch Bunch • Brewster Place, main building • Tuesday, June 17 • 11:30 a.m. – 12:30 p.m. • Amy Christian, RN, CCRC and Dana Soetaert, MA, Cotton-O’Neil Clinical Research • $5 • Reservations: (785) 354-5225.

Stroke: Review of Symptoms and Treatment Koffee Klatch • First Apartments • Monday, June 23 9:30 – 10:30 a.m. • Angela Rodecap, RN, BSN, Stormont-Vail HealthCare • Free • Reservations: (785) 354-5225.

Stroke: Review of Symptoms and Treatment Dessert and Coffee • McCrites Independent Living Tuesday, June 24 • 2 – 3 p.m. • Angela Rodecap, RN, BSN, Stormont-Vail HealthCare • Free • Reservations: (785) 354-5225.

Alzheimer’s Research at Cotton-O’Neil Clinic Dessert and Coffee • Drury Place • Wednesday, July 9 2 – 3 p.m. • Dana Soetaert, MA, Cotton-O’Neil Clinical Research • Free • Reservations: (785) 354-5225.

Alzheimer’s Research at Cotton-O’Neil Clinic Lunch Bunch • Presbyterian Manor • Thursday, July 10 11:30 a.m. – 12:30 p.m. • Dana Soetaert, MA, Cotton-O’Neil Clinical Research • $5 • Reservations: (785) 354-5225.

Recognizing a Heart Attack and Seeking Treatment Lunch Bunch • Brewster Place, main building • Tuesday, July 15 • 11:30 a.m. – 12:30 p.m. • Barbara Columbus, RN, Cotton-O’Neil Heart Center • $5 • Reservations: (785) 354-5225.

Design: jones huyett Partners

Editor: Anita Miller Fry Advisers/Contributors: Melissa Moore, R.D., L.D. Nancy Burkhardt Tami Motley Carol L. Wheeler, RN, BSN, FACHE Niki Thiessen

Yvonne Etzel Linda Ruiz Connie Wood, RN Lenora Kinzie, MLS

To receive your free subscription to Healthy Times, call (785) 354-5225.

CALENDAR

Recognizing a Heart Attack and Seeking Treatment Dessert and Coffee • Lexington Park Independent Living Monday, July 21 • 2 - 3 p.m. • Barbara Columbus, RN, Cotton-O’Neil Heart Center • Free • Reservations: (785) 354-5225.

Are You Getting Your Zzzzz?

Dessert and Coffee • McCrites Independent Living Tuesday, July 22 • 2 - 3 p.m. • Jenny Kwong, MS, RPT, RPSGI, RST, Stormont-Vail Sleep Center • Free Reservations: (785) 354-5225.

Stroke: Review of Symptoms and Treatment Dessert and Coffee • Atria Hearthstone • Wednesday, July 23 • 2 – 3 p.m. • Angela Rodecap, RN, BSN, StormontVail HealthCare • Free • Reservations: (785) 354-5225.

What is Atrial Fibrillation?

Koffee Klatch • First Apartments • Monday, July 28 9:30 – 10:30 a.m. • Carol Bragdon, APRN, Ph.D., CottonO’Neil Heart Center • Free • Reservations: (785) 354-5225.

No Outreach Programs in August

HEALTHWISE 55 CLINICS

HEALTHWISE 55 EXERCISE

The Health Wise 55 Resource Center hours are 8 a.m. 4:30 p.m., Monday through Thursday. The office is located at 2252 S.W. 10th Ave. #B, Topeka, Kan. For appointments and information on clinical services, please call (785) 354-6787.

Exercise Programs Available to HealthWise 55 Members Call Health Connections at (785) 354-5225 to have a packet of information mailed to you regarding these exercise programs.

•H ealthWise 55 exercise group meets in the Pozez Education Center every Tuesday and Thursday, 9:30 to 10:45 a.m. Included in the schedule: chair aerobics, strength training, balance and flexibility.

Cost is $25 for 20 times.

•Y MCA Exercise Programs with special rates for HealthWise 55 members.

•G reat Life Golf and Fitness with special rates for HealthWise 55 members. The YWCA and many other locations are managed by Great Life. A list of locations is included in the packet.

•K ansas Rehabilitation Hospital offers aquatic exercises classes, Wavemakers and Tai Chi •H ealthy Steps: A walking program sponsored by Stormont-Vail HealthCare and West Ridge Mall.

Blood Pressure Clinics • Free • No appointment necessary •C all (785) 354-6787 for more information. Walk-ins are welcome at the following locations: •E very Tuesday • 10 a.m. to noon • HealthWise 55 Resource Center, 2252 S.W. 10th Ave. #B • F irst Tuesday • 9 to 10:30 a.m. • West Ridge Mall (Food Court, Restroom Entrance), 1801 S.W. Wanamaker Rd. • Second Thursday • 9:30 to 11:00 a.m. • Southwest YMCA, 3635 S.W. Chelsea • Third Thursday • 8:30 to 9:30 a.m. • Oakland Community Center, 801 N.E. Poplar • Third Thursday • 9 to 10 a.m. • Rose Hill Place, 37th and Gage • Fourth Thursday • 9 to 10:30 a.m. • Kuehne Branch (North) YMCA, 1936 N. Tyler St. SHICK (Senior Health Insurance Counseling for Kansans) Counseling • For questions and assistance with Medicare, Supplemental, Long Term Care Insurance or the Medicare Prescription Drug Program • HealthWise 55 Resource Center • Free • Call (785) 354-6787 for times and appointment.

Medication Clinics • Every Wednesday • Bring questions to our trained pharmacy staff regarding your medications (prescriptions or over-the-counter) • 12:30 to 4:30 p.m.

HealthWise 55 Resource Center • Free • Call (785) 354-6787 for an appointment.

Annual Indoor Picnic and Health Information Fair Senior Supper • Pozez Education Center • Tuesday, August 12 • First setting, 5 – 5:45 p.m. and Second setting, 5:45 – 6:30 p.m. (Transportation will only be available for the 5 p.m. session) • Various departments from StormontVail HealthCare will be showcasing their services • $5 Reservations: (785) 354-5225.

AARP DRIVING PROGRAMS

Zostavax Clinics • Every Tuesday and Thursday • Ask your primary care doctor if you are a candidate for the shingles vaccine. (Prescription Required) • 8 a.m. to noon HealthWise 55 Resource Center • Call (785) 354-6787 for an appointment.

Information and Referral • Assistance to help connect you with resources in the community • FREE • HeathWise 55 Resource Center • Call (785) 354-5225 for assistance.

HEALTHWISE 55 LINE-UP ON TV The following HealthWise 55 television programs are available on WIBW-TV, Channel 13.

HealthWise After 55 “HealthWise After 55” airs from 9 to 9:30 a.m. the first and third Fridays of each month. It offers interviews on health topics of interest to seniors as well as the 20-minute exercise segment. Sponsors are AAA Travel and Insurance, and Aldersgate Village. for Family Caregivers “for Family Caregivers” airs the second and fourth Fridays of each month from 9 to 9:30 a.m. The show highlights information for people who are providing caregiving services to loved ones and a 20-minute exercise segment for caregivers and their loved one. Sponsors are Brewster Place, Caregivers Home Health Care and Jayhawk Patient Supply.

The Exercise Programs are sponsored by Topeka Ear, Nose and Throat.

AARP Smart Driver Course • Tuesday and Wednesday, July 15 and 16, • 10 a.m. to 3 p.m. • Pozez Education Center • (NEW PRICES) $15 per person for AARP members, $20 per person for non-members of AARP • (Must bring your AARP membership card at time of registration. Bring your HealthWise 55 membership card for a discount in the Food Connection if you plan to eat lunch at Stormont-Vail) Registration: (785) 354-5225.

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NONPROFIT ORG. U.S. POSTAGE PAID TOPEKA, KS PERMIT NO. 85

1500 S.W. 10th Ave. • Topeka, KS 66604 stormontvail.org

Return Service Requested

MEDICAL NEWS

Stormont-Vail HealthCare Receives Awards for Excellence Stormont-Vail HealthCare has been the recipient of several national recognitions for excellence in clinical care in recent months.

These include: • An Excellence Award for Clinical Care from VHA Inc., national health care network. The award recognizes Stormont-Vail’s achievement of exceptionally high levels of performance in clinical care when compared to national benchmarks. The award was presented April 27 during VHA’s national Navigating to Excellence Forum in Las Vegas.

To determine the winners of the Clinical Care Award, VHA used cost, length of stay, readmission and clinical outcome data from the Centers for Medicare and Medicaid Services (CMS) to determine an integrated performance score for each of its member hospitals. In addition to scoring above the 90th percentile, as compared to other VHA members, the hospital must also have participated in a VHA improvement program in 2013. Stormont-Vail was one of seven acute care hospitals in the country (with more than 250 beds) recognized for excellence.

• The Get With the Guidelines-Stroke Gold-Plus Quality Achievement Award for implementing specific quality improvement measures

outlined by the American Heart Association/American Stroke Association for the treatment of stroke patients.

Get With the Guidelines-Stroke helps hospital teams provide the most up-to-date, research-based guidelines with the goal of speeding recovery and reducing death and disability for stroke patients. Stormont-Vail earned the award by meeting specific quality achievement measures for the diagnosis and treatment of stroke patients at a set level for a designated period. These measures include aggressive use of medications and risk-reduction therapies aimed at reducing death and disability and improving the lives of stroke patients.

• The Stormont-Vail Neonatal IntensiveCare Unit has received the 2014 PRC National Excellence in Healthcare 5-Star Award. The 5-Star Award is a designation given annually to health care facilities, providers, outpatient service lines and inpatient units that score in the top 10 percent (or 90th percentile) of the PRC national client database for the prior calendar year. The award is based on the percentage of patients who give a rating of “Excellent” for the Overall Quality of Care.