healthy connections fall 2010
TRANSCRIPT
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Fa 2010
Caring for superheroes...and the rest of us
Healthy starts here.
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Dear Family, friends & neighbors,
hy Connections is a ree
erly publication rom
na Health to provide
mation on health, wellness
ealthcare services.
ments or questions about
ublication or Winona
h may be submitted to
nahealth.organd click
ontact Usor call the
na Health Marketing
munications Department
7.457.4157.
m the coverl-r) Aiden, 5; Libby, 7; (back, l-r)
5; Scott Birdsall, MD, OB/GYN;
ne Cooley, CNM, Midwie; Ava,
nths; Troy Shelton, MD, OB/GYN;
er, 18 months.
Healthy Connections Fall 2010
Why an MRI?Wia Hahstate-of-the-artMRI Ui
This issue ofHealthy Connections is about caring for youand your superheroes. Who are the superheroes in yourlife? Here at Winona Health, superheroes are all around us.
They are the team in our Emergency Department caring
for a heart attack patient, the staff at Lake Winona Manor
caring for your family member and all of our clinical and
support staff who make sure your visit is a good one.
It takes more than a superhero effort these days to predict the future of healthcare.
With all the expected changes in the healthcare reform act, it is a challenge to forecast
what will happen over the next six months let alone the next ve to ten years.
One thing we know for sure: dwindling reimbursements, advancing technology and
more complex patient needs are forcing the transformation of healthcare providers.
Winona Health has been preparing for this impending transformation for many years.
Our focus on high-quality, evidence-based practices, patient satisfaction and scalstewardship has given us a strong foundation.
Winona Health has been actively applying Lean management principles to improve our
healthcare delivery model. Used effectively in manufacturing companies for decades,
Lean thinking begins with identifying and driving out waste so that all work adds value
and better serves each customers needs.
Lean involves staff from all departments focusing on identied areas for improvement.
Teams are empowered to redesign processes to improve ow, reduce waste and
ultimately provide increased value to our patients and families. As we rigorously apply
Lean throughout our organization, it is having a positive impact on safety, quality,
productivity, cost and our patients satisfaction. Here are just a few examples of
improvements made through Lean initiatives:
Urgent Care Clinic: Reduced the wait time for patients to be seen by a healthcare
provider by 70% and the overall time spent at the clinic by 50%.
Hospital admission and discharge process: Reduced the duplication of forms and
information gathering by 70% and provided more direct nursing time with patients.
CT Scans: Reduced the wait time for scheduled CT scans by 100%.
As we implement healthcare reform, we each must take responsibility for stimulating
conversation and action. We must take superhero actions to improve our healthcare
delivery model while continuing to care for every member of our community.Winona Health is here to assist you in your efforts to improve and/or
maintain your health and well-being. Thank you for letting us be a part
of your life.
Warm regards,
Rachelle H. Schultz
President/CEO
Winona Health physicians have avariety of high-tech options fordiagnosing problems. When is an MRI the
right option? An MRI (Magnetic Resonance
Imaging) exam is a painless, non-invasive
procedure that, unlike CT scans and x-rays,
uses no radiation. Instead, it uses a powerful
magnet, radio waves and a computer to
provide visual images of specic areas
inside the body.
The MRI provides exceptional detail to
help us diagnosis many types of injuries
and conditions, said radiologist Matthew
Hayes, MD. Once we pinpoint the cause,the patients physician can determine the
best course of treatment.
Radiologist Laurel Littrell, MD, said
Winona Healths Radiology Department
is unique. Dr. Hayes and I have a close
relationship with local physicians and our
patients. This is a big advantage as we can
quickly communicate with the referring
providers to ensure the MRI exam is
tailored to each patients situation. This
is a real benet and not always found in
larger facilities.
A patient-centered design.Winona Healths MRI unit has a shorter
barrel than others, and its open at both
ends, making it much more comfortable
for those who are claustrophobic. Its also
one of the quietest units available. Our
goal is to ease anxiety and keep patients
comfortable while providing the highest
quality of care, said Paul Honer, lead MRI
Technologist.
Winona He
radiologis
Laurel Littr
and Matt H
are board-
and Mayo-
MRI result
on-site and
are availab
days or les
Digital ima
become pa
patients E
Medical Re
(EMR).
A teAM AppR
Radiologists M
MD, and Laure
MD, work close
local physician
patients.
Below: Paul Ho
lead MRI Techn
demonstrates
Healthy Connections Fall
I you need an MRI, there is
no reason to go anywhere else.
W ha h h
rih hr.
- Laurel Littrell, MD
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Healthy Connections Fall 2010 Healthy Connections Fall
Kelly Hein, age 44, learned shehad low bone density when shearticipated in a research study conducted
n the Winona area by Ann C. F. Olson,
hD, a Winona Health certied nurse
ractitioner and Winona State University
ssociate professor.
r. Olsons goal in conducting the
esearch was to learn whether women
would take a more proactive approach
o maintaining bone health if they found
ut earlier that they were at risk for
steoporosis.
I was fortunate to be part of the study,
ays Hein. I learned at the age of 42 that
had osteoporosis, rather than waiting
nother 23 years when current standards
llow for testing.
r. Olson explains, In our study of
50 Winona area women aged 35-55,
2% were found to have low bone
ensity, which is a signicant risk
or postmenopausal osteoporosis and
ubsequent fracture.
Dr. Olson encourages women tobe proactive about talking to their
healthcare provider about risk factors for
osteoporosis. If women are aware of
their risks sooner, they will begin taking
steps to maintain their bone health, which,
ultimately, will decrease much of the pain
and cost associated with osteoporotic
fractures, Dr. Olson said.
As a result of the study, Hein said, I
will take steps now to improve my bone
strength. I want to continue to lead an
active life, and now I have the information
I need to help make that happen.
What youshould know:Osteoporosis is a disease in
which an individuals bones
become weak and are
more likely to break. One
in two women age 50 and
older, and nearly one in
our men will break a bone
because o osteoporosis in
their lietimes.
The National Osteoporosis
Foundation recommends
the ollowing steps or
better bone health:
Get your daily
recommended amounts
o calcium and vitamin D.
Engage in regular
weight-bearing and
muscle strengthening
exercise.
Avoid smoking and
excessive alcohol
consumption.
Talk to your healthcare
provider about bone
health and nd out
i you are at risk or
osteoporosis.
Whether youre pregnant or thinking about startinga family, prenatal appointments are an importantpart of a healthy family. The prenatal care providers in
Winona Healths Center for Womens Health agree t hat
outstanding care includes providing emotional support
to mothers-to-be throughout their pregnancy.
Scott Birdsall, MD, an obstetrician/gynecologist has
thirty years of experience in womens health and
developed the Center for Womens Health at Winona
Health. Dr. Birdsall believes prenatal care is important
because it helps create good communication between
a healthcare provider and a patient. Listening to my
patients and addressing their questions and concerns
creates mutual respect which goes hand-in-hand with
good prenatal care, he said.
Obstetrician/gynecologist Troy Shelton, MD, agrees.
My prenatal patients go through several changes no t
just physically, but emotionally. As a husband, father
and healthcare provider at Winona Health for six years,
I see rsthand that prenatal care is vital to the health of
a family and I truly want the best care for them.
Its proven that women who receive regular prenatal
care have healthier babies, adds Suzanne Cooley,
a Certied Nurse Midwife (CNM). For twenty-two
years, Cooley has provided education about alternative
birthing options, nutrition and psychological changes to
OB patients and says it is important to provide support
for prenatal patients and their family as a whole.
Dr. Birdsall emphasized that a unique feature of OB care
at Winona Health is that ninety percent of the time, the
prenatal care provider you see at Winona Health will bethe same one to deliver your baby. This isnt usually
the case in larger healthcare facilities, said Birdsall.
Resources to help you transition into parentho
Winona Health offers classes to help parents-to-
be prepare for labor and delivery and parenthood.
Childbirth Education Classes help expectant par
learn how to positively cope with the emotional an
physical changes that occur during pregnancy and
A one-evening Breastfeeding Class provides
information and answers to questions about
breastfeeding. All About Baby is a free,
weekly drop-in group for parents to weigh
their baby, get answers to questions and
meet other parents. For a schedule of
upcoming classes or to register, visit
winonahealth.orgor call 507.457.4491.
WInonA HeAltHs centeR FoR WoMens HeAlt
pRovIdeRsTroy Shelton, MD, OB/GYN, Suzanne Co
CNM, Midwie, and Scott Birdsall, MD, OB/GYN provide
than care, they provide support or their patients.
Prenatal Care or You andYour Future Superher
Local bone healthtudy leads to aifestyle change
a Hah cr r Wm Hah r h fr a ur-iri wm hah a w:
ow dense are we? Smart steps to stronger bones.hursday, October 28, 2010, 5:30-7 p.m.
n Olson, PhD, RN, CPN, FAANP, certied Womens Health/Family Nurse Practitioner
d associate proessor, and Heidi Ferris,dietitian will provide inormation and answer
ur questions about improving or maintaining bone health.
To make an appointment or prenatal care, routine physicals or womens health issues, contact:
Winona Healths Center or Womens Health, 507.457.7701
o the time, the prenatal care provider you see at Winona Health will be thesame one to deliver your baby. This isnt usually the case in larger healthcare acilities.
Didyouknow?
Ann Olson, PhD, RN, CPN, FAANP,certied Womens Health/Family
Nurse Practitioner at WinonaHealth and associate proessorat WSU Rochester campus.
e research study was sponsored by the Winona State University Foundation, the University of Arizona
ollege of Nursing, the national Osteoporosis Foundation and Winona Health. Bone density test ing was done
ing state-of-the-art technology in Winona Healths Diagnostic Imaging Center.
FIgHtIng osteopoRosIs.Kelly Hein,
works out at the YMCA in Winona. Hein wasdiagnosed with osteoporosis when she was 42.
90%
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Healthy Connections Fall 2010 Healthy Connections Fall
Pediatric physician assistant, Kristi Schulte, PA-C,said, Just as well-baby checkups are important inmonitoring the growth and development of newborns,
regular checkups, although less frequent, are also important
to your childs overall health.
In addition to treating illnesses and injuries and providing
referrals to specialists if their expertise is needed, your
pediatrician or family healthcare provider is a valuable
EvenSuperheroes need checkups.Heres why!
go-to resource for a variety of
health-related issues. His or her
main goal is to help your child stay
t and healthy.
Here are a ew important reasonsto schedule regular checkups:
Stay current on immunizations
Assess and monitor overall
health
Track growth and development
Get answers to your questions
and concerns
Your childs healthcare provider,
whether a pediatrician or a family
practice expert, also is here to
support you as a parent.
He or she can offer insight into
any areas of concern during your
childs development.
Development concerns include:
Nutrition, exercise/activity,
tness or weight issues
Behavioral issues
Emotional issues
Challenges or changes within
the family such as a new baby
or separation or divorce
Learning disabilities and
available resources
Make the most of well-child visits
by writing down your questions
and bringing them to your
appointment, encourages
Schulte. Parents have an
important job. We truly are
committed to helping you raisestrong and healthy kids so
theyll grow up to be strong
and healthy adults.
Kristi Schulte, PA-C, received
bachelors degree at Winona
University, then attendedMidwestern University in Ariz
with an emphasis in Physician
Assistant Studies. She receive
her national certication in
September 2008 and has bee
seeing patients at Winona He
Family Medicine since Octob
2008. Schulte is very excited
about joining the PediatricsDepartment and ocusing on
providing care or children.
Your children seem, andmost likely are, as healthyas a superhero.
So why take themto the doctor?
Kristi Schulte, PA-
Meet
ca mak a aim. 507.454.3680 Lewiston: 507.523.2127 Rushford: 507.8
Family PracticeWinona
E. Allen Beguin, MD
William Davis, MD
Jonathan Knight, DO
Wayne Kelly, MD
Lynette Lamp, MD
Rebecca Lossen, MD
Mary Michener, MD
Nicholas Modjeski, MD
Thomas Retzinger, MDRobert Wilahrt, MD
Donna Kamann, CNP
Christina Nitti Velasquez, CNP
Lewiston
Mary Kramer, CNP
Rushord
David Logren, MD
Joy Stevens, PA-C
PediatricsSaune Carlisle, MD
Michael Severson, MDKristi Schulte, PA-C
caring for superheroes...and the rest of us.When your child needs medical attention, Winona Health Family Practice, Pediatric
and Urgent Care proessionals provide the care you need at locations listed below.
For more inormation about healthcare providers at Winona Health, visit winonahealth.organd click on Find a Provider.
And life can be unpredictab
Open 7 days a week.No appointment neede
420 E. Sarnia St. 507.474.783
MondayThursday8 a.m.8 p
FridaySunday8 a.m.5 p.m
URGENT CAR
The Emergency Department is always opat Winona Health, 855 Mankato Ave.
WHo ARe tHese sUpeRHeRoes? (l-r) Spencer, 18 months; Lydia, 4; Kristi Schulte, PA-C; Jackson, 7; Brooke, 5; and Libby, 7.
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Healthy Connections Fall 2010 Healthy Connections Fall 2010
WInonA HeAltH neWs & notes
Winona Healths Emergency
epartment recently earned a
evel IV trauma designation
om the state of Minnesota.
he Emergency Department
am participated in an intense
signation process to become
rt of Minnesotas state-wide
auma system.
Earning this designation
eans that weve demonstrated
at were able to get traumatients the level of care they
ed quickly, said Brett
Whyte, MD, Winona Healths
edical chief for Emergency
Services and medical director
for Winona Area Ambulance
Service. For example, head
injuries are immediately
transferred to Level I trauma
centers and general surgical
emergencies are handled here.
The designation process
included an outside review of
the hospitals resources and
capabilities to care for trauma
patients. Winona Health metstandards of commitment,
clinical and equipment
resources and staff training.
level Iv tRAUMA desIgnAtIon Winona Healths
Emergency Department recently earned a Level IV trauma
designation rom the state o Minnesota. Among themany staf involved in this efort were (l-r): Brett Whyte,
MD, Beth Poulin, trauma coordinator and manager o
Emergency/Urgent Care Services; and Carlos Morales, MD,
Emergency Department physician.
Lee Trombetta MD, a board
certied general surgeon, joined
the Winona Health medical
team. Previously, Dr. Trombetta
was a general surgeon at
Brooke Army Medical Center
in San Antonio, Texas. Hes also
served as general surgeon at
Womack Army Medical Center
Fort Bragg, North Carolina where he was chief o f the
reast Health Clinic.
r. Trombetta received his Doctor of Medicine degree
Creighton University School of Medicine in Omaha,
ebraska, and completed his general surgery residency
nd internship at Madigan Army Medical Center in
acoma, Washington. He is a fellow of th e American
ollege of Surgeons and a member of The Society of
merican Gastrointestinal Endoscopic Surgeons.
Ronald G. England, DO, FCAP , a board certied
pathologist, has also joined the Winona Health medical
team. Pathologists are doctors who analyze blood and
tissue, looking for abnormalities in order to determine the
cause and development of disease.
Dr. England is board certied in Anatomic and Clinical
Pathology. He earned his Doctor of Osteopathic Medicine
degree at Western University of Health Sciences in
Pomona, California, and completed his pathology
residency at the University of California Irvine Medical
Center. In addition, he completed a pathology internshipat Cedars-Sinai Medical Center in Los Angeles, California
and a Surgical Pathology Fellowship at Harbor UCLA
Medical Center in Los Angeles, California.
Dr. England most recently served as a pathologist at
Northern Diagnostic Pathology in Redding, California.
He is a member of the College of American Pathologists
and the American Osteopathic Association.
Winona Health Emergency Department
arns Level IV trauma designation
Is there someone at Winona Health you wish to honor as your guardian angel?Winona Health Foundations Guardian Angel program honors healthcare providers or staf members who have
lasting impression. Guardian Angels receive a letter about the donation made in their honor and contributions
directed to the area o the donors choice. I you would like to recognize an individual who made a diference
contact the Winona Health Foundation at 507.457.4342.
Ater 34 years:Patient and nurse reuniteIn late 2009, Winona Health received a letter and photo (below,right) from Troy Rasmussen, Rosemount, MN. When he wasonly four years old, Troy was a patient at Community Memorial
Hospital and fondly remembered his caring nurse. Could we
help nd her? We did. Over the Christmas holidays, Troy and
his nurse Karen Shaw reunited after 34 years. Troy wrote:
Karen Shaw, RN, has been a nurse at Winona Health
for 37 years, serving rst in the hospitals Pediatric
and Medical units. In 1995, she transitioned to
Occupational Health.
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Hearing rom Troy was such a surprise.
You do your best to care or people every day, a
its so rewarding to know that you made a difere
to someone. Troys letter was truly a git
- Karen Shaw, RN
Winona Health welcomes two new healthcare providers,eneral surgeon, Lee Trombetta, MD and pathologist, Ronald England, DO.
r more inormation about healthcare providers at Winona Health, visit winonahealth.org and click on Find a Provider.
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events, clAsses & sUppoRt gRoUps
All About Baby
Tuesdays, 12-1:30 p.m.
Womens Health Library, 3rd oor,
Center for Womens HealthWinona Clinic, 507.494.0812
Alzheimers and Related Dementia
Support and Education
2nd Wednesday of the month, 6-7 p.m.
Parkview Conference Room
For more information, 507.494.7496
Breasteeding Class
Tuesday, November 16, 6:30-8:30 p.m.
$10 per participant/couple
B.A. Miller Auditorium, 3rd oor
Registration required: 507.457.4491
Childbirth Education Series
Six-week program options:
Wednesdays, October 6 November 10
Mondays, November 1 December 6
6:30-8:30 p.m.
Weekend (two day) program option:
Friday, October 22, 6-8 p.m.
Saturday, October 23, 8 a.m.-3 p.m.
B.A. Miller Auditorium, 3rd oor
Registration required: 507.457.4491
Little Ones RememberedOutreach Group
3rd Tuesday of every month, 6:30-8 p.m.
Watkins Great Hall, 175 E. Wabasha St.
Call for more information: 507.474.3042
Free Depression Screening Day
Thursday, October 7, 10 a.m.-4 p.m.
Parkview Ofce Building, 825 Mankato Ave.
No appointment necessary
For more information: 507.454.2606
Healthcare CPR Recertication
or Healthcare Providers
Monday, October 4, 4-7 p.m.
Thursday, October 21, 8-11 a.m.Thursday, November 18, 8-11 a.m.
Tuesday, November 30, 4-7 p.m.
B.A. Miller Auditorium
3-hour course, Cost for class: $40
Registration required: 507.457.4491
Healthcare Directives
Informational sessions:
Monday, September 20, 6:30-7:30 p.m.
Monday, November 15, 9:30-10:30 a.m.
Working sessions:
Monday, September 27, 6:30-7:30 p.m.
Monday, November 22, 9:30-10:30 a.m.
Parkview Conference Room
For more information, call 507.474.3328
Prostate Cancer Screening Day
Thursday, October 28
7:30-9:30 a.m. and 4:30-6:30 p.m.
2nd oor Winona Clinic, $15.
Call for an appointment: 507.457.4481
Walk-ins accepted as time permits.
Diabetes Expo
Saturday, November 13, 8:30 a.m.-12:30 p.m.
2nd oor Winona Clinic
Free! Speakers, exhibits and information
for people living with or working to
prevent diabetes.
Survival Skills Through the Holidays
Tips for managing holiday-related challenges,
from managing stress to eating well.
Tuesdays, November 9 and 16, 6-7 p.m.
Two-session program:
$20 per person/$30 per couple
Winona Clinic Conference Room, 2nd oor
To register: 507.457.7600
How dense are we? Smart steps to
stronger bones.
Thursday, October 28, 5:30-7 p.m.
B.A. Miller Auditorium, 3rd oor
WH Auxiliary Birthday Ball
Saturday, September 25
Visions Event Center
Glady D. Miller Git Shop
Holiday Happiness
Wednesday, November 10 - Saturday,
November 13, B.A. Miller Auditorium
Holiday gifts and decorations, jewelry,
baked goods and more!
Fantasy o Trees
Friday, November 19 - Saturday,
November 20,
Watkins Manor, 175 E Wabasha St.
For more information about Auxiliary
and Foundation events, call 507.474.3328.
Wia Hah h Wb:
winonahealth.org
facebook.com/winonahealth
twitter.com/winonahealth
youtube.com/winonahealthvideo
Nonproit Org
U.S. Postage
PAID
Winona, MN
Permit No. 72
PO Box 5600 | 855 Mankato Ave. | Winona, MN 55987 | winonahealth.org
Events are on the Winona Health Campus located at 855 Mankato Ave., Winona, MN except when noted.
For a complete calendar o events and or more inormation about our services and programs, please visit us online:winonahealth.org.
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