Healthy Connections Fall 2010

8/8/2019 Healthy Connections Fall 2010

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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.

DWiH,

IiknerecItyupiln

34yg. Inhsume1975,enIwafuyo,

Iwabduincmccet.Iwakenh

WipileIwasizfeve

ung,ben,.

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eduhiulbgcghwfmi.

IftIhslyglKen,Isileeme

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th

scdieecibwacegivencc.

Siceyu,TAnRasmuenTroy is aDeputy Sheriffin

Hennepin Coun

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.



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


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.


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.

Wia Hah Fuai

a Auxiiar e

cmmui Hah tak

Documents

Healthy Connections Fall 2010