2014 Winter HealthQuest by Skagit Regional Health

HealthQuest winter 2014

A publication of

A FALL 2013

Skagit Regional Health

Hospital Safety Score

Skagit Valley Hospital earns an A 20

New online patient portal for you 14

New

Specialists expand GI services, expertise for patients 4

Silver Anniversary Festival of Trees!

11th Annual

Excellence

Save the Date

www.granaio.com

Skagit Valley Hospital earns an “A” for excellence in safe health care

A benefit dinner for the Children’s Therapy Program at Skagit Valley Hospital Monday, February 24, 2014, 6 p.m. Il Granaio Restaurant 100 E. Montgomery Street Mount Vernon $100 per person. Six-course Italian dinner and wine

For reservations contact Wendy Ragusa at the Skagit Valley Hospital Foundation: 360-814-5747

Sponsorsed by:

Il2Granaio & health Skagit regional

We are very proud of our most recent report card. Skagit Valley Hospital earned an “A” in the national Hospital Safety Score, which is compiled under the guidance of the nation’s leading experts on patient safety and is administered by The Leapfrog Group (Leapfrog), an independent industry watchdog group. Skagit Valley Hospital is among just 15 hospitals in Washington to receive an “A” grade during the fall quarter of 2013 and is the only facility north of Everett to earn an “A.” Our outstanding team of providers, nurses, technicians and staff are to be credited for their commitment to consistently keeping patient safety at the forefront of everything they do. These rankings, and Skagit Valley Hospital’s consistently high performance in quality scores among the state’s largest hospitals, are illustrations of our focus on the patient and our drive to be a healthcare leader in the region. Retaining and enhancing services for the people of the communities we serve is a primary goal for Skagit Regional Health. In recent months, we have been successful in recruiting several new physicians to fill key needs including three

new gastroenterology providers; a new urologist; a new podiatrist and primary care providers. Plus, we have a new clinic opening in May – Skagit Regional Clinics – Riverbend – conveniently located just off Interstate 5 in Mount Vernon. Our teaching program also received great news with approval to expand the number of resident physicians we add each year from six to 10. These internal medicine and family medicine physicians are key to our ability to offer access to primary care, which is vital as more local people join the ranks of the insured as a result of the Affordable Care Act. As we move into healthcare reform, we are adjusting our mission and vision to fully embrace the concept of population health. Our new mission statement reads: “To improve the health of our community, serving with compassion and respect, one person at a time.” This represents the breadth of our commitment to working with partners across the community to benefit the health and well-being of all and contribute to a healthier community.

Gregg Agustín Davidson, FACHE Chief Executive Officer

winter 2014 / Volume 11 / Issue 1

Winter

HealthQuest HealthQuest is published three times a year by Skagit Regional Health and the Skagit Valley Hospital Foundation.

WHERE TO FIND US

In Person: Main entrance located on Hospital Parkway in Mount Vernon. By Mail: P.O. Box 1376 Mount Vernon, WA 98273 Phone: 360-424-4111 Fax: 360-814-2416 On the Web: www.skagitregionalhealth.org Physician Referral Line: 360-848-5555 or 360-629-5850 SKAGIT REGIONAL CLINICS Anacortes: 360-293-0308 Anacortes Urology: 360-293-2173 Camano Island: 360-387-5398 Cardiology: 360-336-9757 Mount Vernon: 360-428-2500 Mount Vernon Urology: 360-424-7991 Oak Harbor: 360-814-6200 Sedro-Woolley: 360-856-4222 Stanwood: 360-629-1600 Cascade Skagit Health Alliance Arlington: 360-618-5000

Program expands with addition of three new specialists

The Breast Institute 360-814-8148 SKAGIT VALLEY KIDNEY CENTER AND WOUND HEALING CENTER 208 Hospital Parkway Mount Vernon, WA Kidney: 360-814-8260 Wound: 360-814-2600 For additional copies or more information, contact Outreach and Media Coordinator Linda Wright at 360-814-2325 or go to our Web site at www.skagitvalleyhospital.org.

Report card:

Skagit Valley Hospital earns an ‘A’ on the Hospital Safety Score

SKAGIT VALLEY HOSPITAL REGIONAL CANCER CARE CENTER In Person: 307 South 13th St., Ste. 100 Mount Vernon, WA By Mail: P.O. Box 1376 Mount Vernon, WA 98273 Phone: 360-814-2146 Fax: 360-814-2445

Gastroenterology

Celebrating the silver anniversary with events, artwork and the Festival of Trees HealthQuest Classes

HealthQuest Classes

HealthQuest Class

Stanwood and Camano Island COVER PHOTO The gastroenterology team at Skagit Regional Clinics. Back row (left to right): Kalyan Wadwa, MD; Donald Wakelin, MD; Laurie Baumgartner, ARNP; front row (left to right): Loan Vu, DO; Suresh Alagugurusamy, MD Photo by Linda Wright

Mount Vernon Registration

HealthQuest winter 2014

Skagit Regional Clinics adds

GI and hepatology Skagit Regional Clinics’ gastroenterology practice has grown to include four physicians and an Advanced Registered Nurse Practitioner, making it easier for local patients suffering from disorders of the digestive system and liver to receive advanced care. Joining Kalyan Wadwa, MD and Donald Wakelin, MD, who have both been on the medical staff since 2007, are Suresh Alagugurusamy, MD, Loan Vu, DO and Laurie Baumgartner, ARNP. GI specialists perform screening exams and treat a wide range of digestive diseases and conditions, including rectal bleeding, diarrhea, constipation, abdominal pain, gallstones, jaundice, hepatitis, pancreatitis, esophageal reflux and swallowing disorders. “Our new gastroenterologists are also proficient in advanced therapeutic endoscopy, thus providing expanded services for ERCP (endoscopic retrograde cholangiopancreatography). We have plans to further expand the scope of our services in the near future,” said gastroenterologist Kalyan Wadwa, MD. Patients seeking an appointment with a GI specialist may call 360-814-6113

Skagit regional health

Suresh Alagugurusamy, MD is a graduate of Katsurba Medical College where he completed his internal medicine residency at the University of Texas Health Science Center. Following his residency training, he completed a hepatology fellowship at the Center for Liver Disease at St. Luke’s Episcopal Hospital in Houston followed by gastroenterology research and clinical fellowships at Allegheny General Hospital in Pittsburgh. Dr. Alagugurusamy served as an assistant professor teaching GI Fellows, residents and medical students at the University of Texas Health Sciences Center for three years before joining a gastroenterology practice in Texas where he was a member of the liver transplant team and served as the co-medical director of the Texas Liver Coalition. Most recently, Dr. Alagugurusamy completed training in advanced endoscopic procedures at New York Methodist Hospital in Brooklyn. He is board certified in internal medicine and gastroenterology. Dr. Alagugurusamy treats patients with a range of GI conditions, but has special interest in treating patients with hepatitis C, liver, pancreatic and biliary disease. He joined Skagit Regional Clinics in 2013.

Loan Vu, DO joined the gastroenterology team at Skagit Regional Clinics in 2013. She is a graduate of Kansas City University of Medicine and Biosciences in Kansas City, Kansas. Dr. Vu went on to complete an internal medicine residency and a gastroenterology fellowship at Plaza Medical Center in Fort Worth, Texas. Dr. Vu has special interest colon cancer prevention, women’s GI health, and obesity as it relates to gastrointestinal disorders. She said she is most passionate about teaching others, whether instructing patients about their health care choices or encouraging a medical student during challenging situations. She enjoys the clinical challenges in gastroenterology and also likes the fact that it blends cognitive with technical skills. She looks forward to being able to help and provide health education to her patients as well as to the community.

new

specialists Kalyan Wadwa, MD received his medical degree from the University of Würzburg in Germany. He completed his internal medicine residency at State University of New York in Buffalo, followed by a gastroenterology fellowship at Johns Hopkins University School of Medicine in Baltimore, Maryland. Dr. Wadwa provides patients with individualized, highquality care, using state-of-the-art diagnostic and therapeutic modalities. In addition to the Pill Cam Endoscopy, Dr. Wadwa has special interest in treating patients with Barrett’s esophagus (a precancerous condition) using an advanced technology, the HALO radiofrequency ablation system. He has cared for patients at Skagit Regional Clinics (SRC) since 2007.

Donald Wakelin, MD, who joined SRC in 2007, received his medical degree from the University College of Cork in Ireland. He went on to complete an internal medicine internship and residency at the University of Arizona in Tucson. Following his residency training, he completed a gastroenterology fellowship, also at the University of Arizona. Dr. Wakelin specializes in the evaluation and treatment of esophageal, gastric, intestinal, hepatic and pancreatobiliary disorders. He is board certified in internal medicine and gastroenterology.

Laurie Baumgartner, ARNP received her Master of Science in Nursing at UCLA. She is board certified as an Acute Care Adult Nurse Practitioner. She has a special interest in patient education and believes that a patient who understands their disease process and treatment can make more informed choices regarding their health care. She joined Skagit Regional Clinics in 2013. She previously practiced at University of California, Irvine as a Nurse Practitioner in Colon and Rectal Surgery and Hepatobiliary Surgery (Liver and Gall Bladder).

Direct Access: Easy way to sign up for a screening Skagit Valley Hospital’s Endoscopy Department offers a Direct Access program allowing patients to register, schedule and receive a screening colonoscopy without a doctor’s referral. Healthy adults over the age of 50 who have not had any colon-related symptoms (rectal bleeding, diarrhea, abdominal pain, etc.) or any other major health problems are eligible.

The Direct Access program began in 2010 and has become increasingly popular. Clinical Manager of Endoscopy, Stacy Gonzales, RN, noted that her team sees an average of 130 patients each month who have utilized the self-referral program. This accounts for approximately half of the colonoscopies performed at Skagit Valley Hospital.

Patients who have used Direct Access describe the process as “easy” and “simple to use,” and means just one trip for an appointment. Patients begin the process with a simple phone call or e-mail to the Endoscopy Department’s Direct Access team. CONTINUED ON PAGE 6

HealthQuest winter 2014

Direct Access

CONTINUED FROM PAGE 5

A nurse will contact the patient to review their health history, assist in the registration process and will coordinate an appointment time for the exam. This part of the process can take up to 30 minutes to complete on the phone. The colonoscopy appointment is typically scheduled to occur within two weeks. Patients who do not qualify for Direct Access due to their health history or current symptoms will be connected with Skagit Regional Clinics – Gastroenterology for a consult with a GI specialist. The Centers for Disease Control and Prevention recommends that all men and women aged 50 and older talk with their doctor about getting screened for colorectal cancer. After age 50,

colonoscopies are recommended every ten years to detect precancerous polyps and early-stage colorectal cancer. “Colorectal cancer is the second leading cause of death in the U.S. Regular screening colonoscopy is one of the most powerful means of prevention and early detection of colorectal cancer. When colorectal cancer is caught early on, it is much easier to treat,” said gastroenterologist Kalyan Wadwa, MD, “It is, therefore, important for men and women over 50 to have regular screenings colonoscopy.” To schedule a colonoscopy through SVH’s Direct Access program, call 360-8145739 or e-mail screeningcolonoscopy@ skagitvalleyhospital.org.

Urogynecologist brings specialty care for women William Andre Silva, MD brings a new specialty to Skagit County as a three-year Fellowship-trained Urogynecologist with Pacific Northwest Urogynecology. Dr. Silva combines his board-certified training in Obstetrics and Gynecology with his added training in Urogynecology, which focuses on female pelvic medicine and reconstructive surgery, to help women regain their quality of life. A variety of treatments are available today for women dealing with: • Urinary or fecal incontinence (leakage of urine or stool), • Pelvic organ prolapse (bulging in vagina indicating a descent of pelvic organs), • Bladder pain/interstitial cystitis, • Recurrent urinary tract infections, and • Urogenital fistulas (abnormal opening or connection between wall of vagina and wall of bladder or rectum).

Skagit regional health

“With treatments and surgery that I offer, women can see results that improve their quality of life and enables them to return to an active lifestyle, which is rewarding for both of us,” Dr. Silva said. “With my training, I can treat the pelvis and pelvic floor holistically and deal with the different organ systems all at once, negating the need to see multiple specialists. In addition, there is a wide range of treatment plans including both non-surgical and conservative options, and minimally-invasive surgical options that allow for quick recovery time.” Dr. Silva received his undergraduate training and attended medical school at the University of British Columbia in Vancouver, B.C. He completed his five-year OB/GYN residency at the Dalhousie University School of Medicine in Halifax, Nova Scotia and in 2005 finished a three-year fellowship in Urogynecology and Pelvic Reconstructive Surgery at Good Samaritan Hospital in Cincinnati, Ohio.

Dr. Silva sees patients on Thursdays in Mount Vernon, at his office located within North Cascade Family Physicians, and he performs surgery at Skagit Valley Hospital. For information, call 360-329-7897 or go to www.pnwurogyn.com. “Pregnancy and childbirth have a profound impact on a woman’s body, which can lead to health issues later in life as a result of weakened muscles and connective tissue. One in two adult women suffers from pelvic floor disorders, such as bladder control issues or pelvic organ prolapsed,” Dr. Silva said. “These are very common conditions and many patients don’t realize they are treatable and not a normal part of aging,” Dr. Silva said. “I like to treat a patient as part of the team to empower her in her healthcare decisions. This enables the patient to make decisions on what treatment is best suited for her.” Away from work, Dr. Silva enjoys spending time with his family, playing music/guitar, gourmet cooking, playing tennis and watching football.

Breast reduction surgery provides

relief Suffering from back and neck pain,

grooves in their shoulders caused by bra

straps, rashes and skin irritations, and other symptoms drive women to seek relief. Breast reduction is one of the most common procedures patients seek when they come to see Plastic and Reconstructive Surgeon Dr. Edwin Chang.

patient satisfaction,” said Dr. Chang, who joined Skagit Regional Clinics in September. “When they get rid of the weight, it is a relief and they are happy.”

And they get relief as the weight – sometime as much as six pounds – is literally removed. According to the American Society of Plastic Surgeons, breast reduction – or reduction mammaplasty – removes excess breast fat, glandular tissue and skin to achieve a breast size in proportion with the body and to alleviate discomfort associated with overly large breasts.

As noted by the American Society of Plastic Surgeons, in addition to physical symptoms, there can be emotional discomfort and selfconsciousness associated with having large breasts.

“This is a very good procedure and a procedure that has very high

About Dr. Chang:

Dr. Chang received his undergraduate degree from Johns Hopkins University in Baltimore, Maryland, and went on to receive his medical degree from the University of Michigan Medical School in Ann Arbor. He completed an integrated plastic and reconstructive surgery residency program at the University of Michigan Health System in Ann Arbor.

Many patients try pain or antiinflammatory medication, physical therapy, massage or other treatments to gain relief from the symptoms that some may link to musculoskeletal problems. As these issues persist, working with their primary care

Dr. Chang is certified by the American Board of Plastic Surgery. He provides a full range of plastic and reconstructive services, including breast surgery, body contouring, head and neck surgery (facelifts, brow lifts, eye lid

provider, an appointment with a plastic and reconstructive surgeon may be in order, Dr. Chang said. “This is a reconstructive, not a cosmetic procedure,” Dr. Chang said. And while the patient will have significant scars related to the procedure, they have symptom relief, regain quality of life and “get a lift at the same time,” he said. Dr. Chang creates a unique plan for each patient, deciding how much tissue to remove, how much to leave and how he will make the two breasts symmetrical and proportional to the woman’s body size. “We want to make the breasts smaller, but we also want to keep the skin in good condition, keep the nipple alive and make sure the breasts are in proportion,” Dr. Chang said. Dr. Chang has performed the procedure on women from age 18 on up. For younger women, there is always a chance that pregnancy and hormonal changes may cause breast tissue to grow back. “We are not removing all of the breast tissue, we are leaving some breast tissue in place, which can grow back,” Dr. Chang said, noting some patients may repeat the procedure later in life. Breast reconstruction is performed on an outpatient basis at Skagit Valley Hospital. The surgery takes about 2.5 to 3 hours and patients go home the same day. Follow up office visits with Dr. Chang take place after one week, four weeks and six months. “After that weight is gone, they feel so much better,” Dr. Chang said.

surgery and ear reshaping), reconstruction procedures and hand surgery to treat hand trauma, carpal tunnel, trigger finger and Ganglion Cysts.

HealthQuest winter 2014

Nurse practitioner treats patients ‘like family’ Erin Collins, ARNP says her position with the Benson Medical Group in Mount Vernon feels like “coming home.” Collins joined the practice in September, 2013, after working for more than three years with Sea Mar Community Health Center in Mount Vernon. A nurse practitioner, Collins joins Drs. Jennifer and David Benson in the family medicine practice. “This clinic’s philosophy is to treat patients like family. To do this, we all go above and beyond whenever we can,” Collins said. “More than that, we have fun doing it. Our staff meshes well and there’s no doubt that the patients feel that.” Collins earned a bachelor’s degree in biological sciences at University of California, Davis. In 2009, Collins graduated from Samuel Merritt University in Oakland, California in a program that includes education as a Registered Nurse followed by advancement into a master’s degree. She worked as an RN in the intensive care unit at San Francisco General Hospital while finishing her degree. In her practice at Benson Medical Group, Collins cares for patients of all ages and puts a strong focus on working collaboratively with her patients, educating them on their various treatment options and allowing them to choose the route they feel would be most beneficial and afford them the most success. “I encourage and educate, to teach people what to do and what to avoid. The more times you hear something, the more likely you are to believe it. It’s about consistency,” she said. Her philosophy of “you can take two steps or take two pills, your choice,” is about empowering the patient to be proactive in their own care plan, she said. Away from work, Collins and her golden retriever sidekick, Nala, enjoy running, hiking and “anything outdoors.” Collins has completed several marathons and the Benson Medical Group team participated together in the Seattle Marathon in November.

Skagit regional health

Neurologist takes special interest in working with

Diagnosis and treatment of Multiple Sclerosis (MS) has come a long way in the past 30 years. However, there is still much to learn about this highly complex, chronic disease that attacks the central nervous system. The opportunity to learn more about the disease is one of the reasons Neurologist Patti Brettell, MD has a special interest in MS and caring for patients living with the sometimes disabling disease. “I have a special interest in MS partly because it is such an intriguing disease,” said Dr. Brettell, who routinely reads the latest journals and reports on the illness. “It is complex neurologically and we realize how much more there is to learn.” Dr. Brettell joined Skagit Regional Clinics – Neurology in Mount Vernon in 2009 after receiving her medical degree from The Chicago Medical School and completing residency in neurology at the University of California - Davis School of Medicine. Dr. Brettell treats many patients with MS in her practice. She, along with Skagit Regional Clinics, became a Care Partner with the National Multiple Sclerosis Society this year. This honor reflects her commitment and efforts to share and advance care for MS patients. Typically MS affects young people in the prime of life and females more than males but can occur at all ages. Common symptoms of MS include a “pins and needles” feeling in the extremities, blurry vision, balance problems and weakness – symptoms

that can occur for many reasons should be discussed with a primary care physician and not ignored. According to the MS Society, approximately 400,000 individuals have MS in the United States. Geographically, people who live farther from the equator have a higher risk of MS and a Vitamin D deficiency appears to increase the risk of MS. The prevalence of MS in the Northwest is triple that of the southern portions of the United States. A great deal of research is going on around MS, including more than 600 studies by the National Institutes of Health, Dr. Brettell said. Ten medication options are currently available to MS patients, including several that are taken orally and others by injection, and they have been shown to slow the progression of the disease and reduce the number of relapses. Future research is focusing on neuroprotection and prevention of progressive disability. “The medications are effective. When patients are treated early, we can limit the disability caused by this disease. Many people are doing really well with MS today, a big improvement,” Dr. Brettell said. “This is no longer the disease where you will end up in a wheelchair. There are more options today than ever. We can offer patients treatment and hope.”

Exercise

plays a role in cancer prevention Hope. Oncologists Theodore Kim, DO and Michal Whiton, MD brought a message of hope as they presented “Discovering Hope on a Path for the Cure” to a Women’s Health Luncheon program audience in October.

Exercise can play a key role in preventing cancer and avoiding a cancer recurrence, Dr. Whiton, a radiation oncologist, said, citing several research studies. The 2003 Women’s Health Initiative cohort study found that physical activity – 30 minutes of walking per, five days per week – among postmenopausal women was associated with with a nearly 20

percent reduction in breast cancer risk, as reported in The Journal of the American Medical Association. The Nurses’ Health study followed more than 120,000 nurses, 2,987 of whom were diagnosed with breast cancer. At eight years median follow up, patients who walked three to five hours per week at an average pace noted 50 percent reduction in risk of breast cancer recurrence.

lung and colorectal cancers. Still, one in eight women will be diagnosed with breast cancer in her lifetime and the disease is the most common female cancer in the United States.

Exercise plays a role in the body’s “energy balance” which helps keep weight down, lowers exposure to estrogens, lowers triglycerides, reduces insulin resistance and improves overall health, Dr. Whiton said. Dr. Kim, a medical oncologist, focused on breast cancer and the advancements in detection, treatment and prevention of the disease. The Skagit Valley Hospital Regional Cancer Care Center is home to The Breast Institute which brings a multidisciplinary team of providers and professionals to the diagnosis and treatment of breast cancer in our region. The majority of patients with early stage cancers will be cured and have a 98 percent survival chance if the cancer is localized. These numbers are improving with the use of self exams and mammography, Dr. Kim said. The good news, Dr. Whiton noted, is that with advancing cancer control knowledge the cancer death rate has declined 20 percent since the peak in 1991, with declines related to breast, prostate,

Theodore Kim, DO A variety of steps can be taken to help prevent cancer, including: • Regular mammograms • Breast self exams • Limit hormone replacement • Watch alcohol consumption • Keep your weight in check • Eat healthy choices: Low fat, high fiber • Exercise! Top four risk factors for breast cancer: • Being a woman • Advancing age (85 percent of breast cancers occur in women who are 50 and older) • Family history of breast cancer (5 to 10 percent of breast cancers are hereditary) • History of malignant/ benign breast disease

Michal Whiton, MD HealthQuest winter 2014

Th e E i gh t E l e m e n t s o f

Balancing Work and Life Many people seek to find balance in life between the stresses of work and busy schedules and the need for improved health and nutrition. Karen Wolfe, MBBS, MA, international speaker, author of seven books and health coach brings a life balance message to Mount Vernon as the featured speaker at Skagit Regional Health’s Women’s Health Evening Event on Thursday, February 20. Dr. Wolfe arrived in the United States in 1991, after a career as a family physician in Australia; then as Medical Director of the Australian Government Health Service focusing on national health care, health and wellness. Dr. Wolfe now devotes her time to her greatest professional passions which are stress reduction, preventative nutrition and life balance. In her latest book, “Is Your Lifestyle Killing You? The 8 Simple Steps for Lasting Weight Loss and Optimal Health,” Dr. Wolfe provides tips to improve eight integrated elements of our lives for greater balance in life and improved health. She believes that people can take baby steps towards a goal of more vibrant health by starting in one of the eight elements outlined in her book. For example, in the area of diet Dr. Wolfe explains “Food can be manipulated to improve mood, increase energy and achieve better sleep.” Digestive health is a lifestyle element that can be enhanced for improved health and vitality. Wolfe

notes that “80 percent of serotonin, the feel-good neurotransmitter, is made in the gut, and 60 percent of our immune system is in our gut” so managing our digestive health can improve both our physical and mental health. Dr. Wolfe notes that physical activity, another one of the eight elements, is one of the best antidepressants around, and an important element in managing stress and mood. The other lifestyle elements Dr. Wolfe addresses in her book include cultivating our support systems, managing stress, high quality supplementation, detoxification and sleep. The takeaway message by Dr. Wolfe is that “lifestyle medicine helps us with all the aspects of our lives, helping to create balance at work, in our personal life (which includes our relationships with our children, family and friends), and in our service work.”

Women’s Health Evening Event with Dr. Karen Wolfe February 20 (Thur) 5:30 – 7:30 p.m. McIntyre Hall, Mount Vernon $19 includes hor d’oeuvres Wine available for purchase Pre-registration required by February 22. To register call 360-814-2424.

Skagit regional health

Dr. Wolfe’s presentation “Balance Work and Life for Optimal Living” on Thursday, February 20 at McIntyre Hall at 5:30 p.m. is designed to help participants make conscious choices to improve all dimensions of their health and well-being: physical, mental, emotional, social, vocational, and spiritual. Participants will see their lives in a different light, open their minds to new ways of thinking, and adapt behaviors that will not only improve their health, but will help them to achieve their personal and professional goals. For more information about this event see page 29.

Guild donates hearing screening equipment to

Hospice of the Northwest celebrates expansion Hospice of the Northwest opened the doors to the public in November to display the agency’s newly expanded offices in downtown Mount Vernon. The former bank building located at 227 Freeway Drive, Suite A was remodeled and expanded to a total of 5,000 square feet for Hospice staff and the Hospice of the Northwest Foundation. Carletti Architects provided the design and Chad Fisher Construction served as the contractor. All of the improvements remodeling, and expansion costs were paid for by the landlord, Mount Vernon Ventures LLC. The new building provides a light, airy, uplifting space with calming, serene color palate and contemporary design. The central location works well for Hospice staff, who serve patients in Skagit, Island, San Juan and north Snohomish counties, to come together for meetings and education. In October, Hospice staff set a record with 1,700 patient visits, and more than 130 patients receiving service.

(Above, left to right) Executive Director Jean Leib, Hospital Board Commissioner Clark Todd and Skagit Regional Clinics Chief Administrative Office Jane Root. Hospice of the Northwest provides a life-affirming climate for individuals and their families, helping with the medical, social, emotional and spiritual concerns that arise during a life-limiting illness. Hospice employs 54 staff including physicians, Registered Nurses, aides, Master of Social Work, spiritual counselors, bereavement counselors, support staff, liaisons, managers and Executive Director Jean Leib. The facility includes a large conference room for meetings, education and support group sessions; private spaces for staff to make phone calls and update records and ample parking for staff and visitors.

Family Birth Center

The Skagit Valley Hospital Guild presented Family Birth Center Director Pat Proctor with a $20,000 check that was used to purchase the “Algo 5” hearing screener. This machine is considered the Gold Standard in newborn hearing screening due to its superior accuracy and reliability. Skagit Regional Health screens all newborns before they are discharged to go home. It has been shown that the critical years for learning how to talk and interact begin at birth. If a hearing loss is found early, it allows the baby to receive the special care needed to develop speech and language skills. Studies have shown that with intervention before six months of age, the child will have much better success learning these essential skills.

The Hospice of the Northwest Resource Center is located in the lobby of the building, providing books and other materials for all ages. The Resource Center is open 8 a.m. to 5 p.m. weekdays and after hours by appointment. For more information about Hospice of the Northwest, call 360-814-5550.

Compassion and Dignity Every Moment of Life

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Skagit Regional Clinics – Riverbend set to open in May Skagit Regional Clinics – Riverbend, located at 2320 Freeway Drive in Mount Vernon, has come a long way since contractors broke ground last spring. Exterior work and landscaping were recently completed and the building’s interior is scheduled to be complete in the coming weeks. The clinic will open its doors to patients on May 5, 2014. The 39,100-square foot medical facility will house primary and specialty care services, including pediatrics, dermatology, urgent care, lab, pharmacy, X-ray, and space to expand services in the future. Pediatrics and dermatology will relocate from SRC’s main campus, across from Skagit Valley Hospital, to

SRC – Riverbend, which offers patients easy access from Interstate-5 and ample parking. Urgent care services at SRC – Riverbend will complement Skagit Regional Health’s existing urgent care locations on SRC’s main campus and at Cascade Skagit Health Alliance in Arlington. Urgent care will be open evening hours, weekends and holidays to treat non-life threatening illnesses and injuries. The public is invited to visit SRC – Riverbend during an open house celebration on Saturday, April 26, 2014. Tours of the clinic and free children’s activities will be offered, including bike helmet checks, car seat safety inspections, fire safety tips and more.

Pharm play key role Pharmacists play a vital role in the health care system. They are often the most accessible member of a patient’s health care team, readily available to answer questions and offer medication advice, all without the need for an appointment. Pharmacists dispense prescription medications to patients and offer advice on their safe use. At Skagit Regional Clinics, the pharmacists and staff strive to provide fast, friendly, and knowledgeable service and to maximize the efficacy of each patient’s medication regimen.

Skagit Regional Clinics Pharmacies: Mount Vernon:

New location for Skagit Regional Clinics – Oak Harbor Skagit Regional Clinics – Oak Harbor recently moved to a new location at 1300 NE Goldie Road, Suite A. Dermatology services are currently provided at the Oak Harbor clinic. For information and appointments, call 360-639-3093.

Skagit regional health

Open 8:30 a.m. to 6 p.m. Monday through Friday. 1400 E. Kincaid Street. 360-428-6465

Sedro-Woolley:

Open 9 a.m. to 5:30 p.m. Monday through Friday. 1990 Hospital Drive. 360-854-2760

Riverbend:

2320 Freeway Drive, Mount Vernon Opening in May!

Kevin Bingham, RPh

rmacists in patient care “We look forward to getting to know you and your family, while helping you achieve your best health,” said Chris Schaffner, PharmD, Pharmacist at Skagit Regional Clinics – Sedro-Woolley.

“We are a resource to help you navigate the complex world of medications and insurance companies,” said Kevin Bingham, RPh, Pharmacist at Skagit Regional Clinics – Mount Vernon.

Skagit Regional Clinics pharmacists work closely with primary and specialty care providers and insurance companies to ensure that patients are receiving the proper medication at an affordable cost. If a prescribed medication is not covered by an insurance plan they will work to find a suitable alternative that is covered.

Skagit Regional Clinics’ pharmacists invite you to fill all of your medication prescriptions at one of SRC’s conveniently located pharmacies in Mount Vernon and Sedro-Woolley. Having all of your prescriptions in one place helps your pharmacist to identify any potential drug interactions and offer more accurate medical advice.

Medication Indication Dose (reason I take this medication)

Frequency Form

(mg, mcg, (when and how units, mls, etc.) often I take this)

(capsule, tablet, liquid)

Brown Bay Medication Review: Learn more about the medications you are taking by bringing what you are taking – prescriptions, over the counter medications, vitamins and supplements – to a visit with one of our Skagit Regional Clinics pharmacists. Kevin Bingham, RPh and Chris Schaffner, PharmD will review and discuss current medications with individuals on March 12. See page 29 for more information.

Ask the Pharmacist: Skagit Regional Clinic pharmacists invite you to send general pharmacy/ medication questions. Watch for a response in upcoming issues of HealthQuest magazine or on our Facebook page. E-mail your questions to healthquest@skagitvalleyhospital.org

Know your medications By Jammie Novak, RN, BSN

Your health care team needs to know about all of the medications you are taking including prescriptions, over-the-counter medications, herbal medications, vitamins and supplements. An up-to-date and accurate medication list helps protect your health as well as helping us provide safe patient care, improve communication and reduce confusion and errors. This list (helpful form adjacent) should include all prescriptions, over-thecounter medications, herbal products, vitamins, supplements, how you take the medication, the dose, the reason you take the medication and any allergies including a description of the reaction. Be an active participant in your health care. Use this medication record to keep your health care team up-todate. Keep this form with you and give a family member a copy of it, ensuring it is handy for doctor visits and any hospitalizations. You may also pick up a handy walletsized card to record your medications and blood pressure from the Information Desks at Skagit Valley Hospital and Skagit Regional Clinics and at either of our pharmacies. HealthQuest winter 2014

Check out the new

www.srclinics.org Skagit Regional Clinics has a new Web site designed to provide patients with easy, quick access to information about services, providers and gain will soon offer secure access to patient records through the new patient portal called MyEChart. The new Web site for Skagit Regional Clinics puts all of the most popular features right on the home page for quick access to “Find a Doctor” and “Become an SRC Patient.” In addition,

a calendar of upcoming events, classes and screenings is on the home page along with links to locations and maps, services, careers and to sign up for our e-Newsletter. The new patient portal – MyEChart – will also be available from www.srclinics.org – providing patients with access to many services and information. A new, fresh mobile version of www.srclinics.org provides an easy to read site for those using smart phones and other devices on the go.

Skagit Regional Clinics patients: MyEChart links you to information and assistance about your health Skagit Regional Clinics’ patients will soon have secure access to our patient portal, called MyEChart. Patients who enroll in MyEChart and receive a log in will be able to securely connect to: • Request medication refills • Receive appointment reminders • Request non-urgent appointments

• Review their Health Record, including Immunizations and Medications • Use the portal’s Research Center to find helpful medical information

COMING SOON Nona Hanson, MD

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Watch for the official portal launch coming in a couple of weeks.

Cascade Skagit Health Alliance welcomes occupational medicine physician Kelly Supple, MD says she has always had a fascination with how products are made. Couple that interest with a motivation to help people and you have a recipe for a passionate occupational medicine doctor. Dr. Supple received her medical degree from the University of Oklahoma School of Medicine in Oklahoma City and completed a surgical internship at Madigan Army Medical Center in Tacoma where she fell in love with Washington State. Following her internship, she attended the University of Utah and received her Master of Public Health certificate. Soon after, she completed residency training at the University of Utah’s Rocky Mountain Center for Occupational and Environmental Health. Dr. Supple became the Medical Director for Mitsubishi Motor

Corporation of America after completing her occupational health residency training. She was fascinated with watching rolls of sheet metal transform into vehicles through the careful work of men, women and machines. This opportunity allowed her to “work with the workers” as she learned how they do their jobs and was able to help keep them well. “Occupational medicine is about taking care of workers, their injuries and their illnesses,” she said, “I try to keep workers at work and maximize their productivity.” Dr. Supple enjoys seeing patients in the office as well as providing work site visits. She has found that visiting an injured patient’s work site can help her assess the true cause of injury. On occasion, she has even stepped in and participated in the patient’s work to get a better feeling of the complaint firsthand. This

gives a better understanding of what the job entails and can help us to develop a plan to do the work without causing future injuries, she said. Dr. Supple was happy to return to Washington in October when she joined Cascade Skagit Health Alliance (CSHA), a clinic in Smokey Point run in partnership by Skagit Regional Health and Cascade Valley Hospital. CSHA’s occupational medicine program provides pre-employment physicals, Department of Transportation physicals, drug testing, flight/Federal Aviation Administration physicals and post-accident screening. In her free time, Dr. Supple is an avid outdoor enthusiast who enjoys hiking, skiing, camping, kayaking and canoeing. She also enjoys traveling. She has lived in Germany, Korea and Turkey and visited 55 countries and all 50 states.

Internist joins Cascade Skagit Health Alliance Internist Natalia Usoltseva, MD knew that she wanted to become a physician from a young age. “I have always dreamed of pursuing a career as a physician from my earliest memories. I have held a fascination for the inner workings of the human body and its incomprehensible processes,” she said. Dr. Usoltseva completed her medical degree at Siberian State Medical University in Tomsk, Russia. She completed internal medicine residency training at the Cleveland Clinic’s Fairview Hospital

in Cleveland, Ohio followed by a second residency at the University of Wisconsin’s Ministry Saint Joseph Hospital and Marshfield Clinic in Wisconsin. Upon completion of her residency program, Dr. Usoltseva moved to Washington state in October 2013 to join Cascade Skagit Health Alliance in Arlington. Dr. Usoltseva said she strives to develop partnerships with her patients.

communication,” she said. “I am dedicated to providing the best care, tailored to each patient, with an evidence-based approach and scientific knowledge.” Dr. Usoltseva focuses much of her practice on preventative medicine. In addition, she has interest in women’s health, management of hypertension, diabetes, thyroid diseases, congestive heart failure and COPD. Outside of the office, she enjoys hiking, swimming, skiing with her husband and children, and reading modern literature.

“I truly believe in the benefits of working with a patient as a team based on listening and open

HealthQuest winter 2014

SRC welcomes podiatrist

Tips

for Active Adult Athletes Don’t neglect the basics! A healthy stretching and flexibility routine can significantly help to reduce the chance of injury to your foot and ankle. For those struggling with chronic ankle sprains or instability, a simple lace-up ankle brace may provide all the support needed to help exercise and remain active with confidence. Nathan Ullom, DPM Skagit Regional Clinics – Podiatry

Washington native Nathan Ullom, DPM recently joined Skagit Regional Clinics’ podiatry department, bringing with him the latest techniques for advanced foot care. Dr. Ullom attended Temple University School of Podiatric Medicine and completed residency training at Hahnemann University Hospital, both in Philadelphia. The three-year podiatric residency program emphasized rear-foot reconstruction and ankle surgery and was completed at a Level 1 Trauma Center. Level 1 facilities are best equipped to deal with major traumas and offer care for patients with the most significant risk for loss of life or limb, providing Dr. Ullom with in-depth experience caring for complex injuries.

In addition to treating all aspects of foot and ankle injuries, Dr. Ullom also provides routine care to patients in his practice. “I enjoy all aspects of foot and ankle care, from the simplest hammertoe to complex trauma. I consider it a pleasure to aid all patients in achieving a functional and pain free lower extremity,” he said. Dr. Ullom has special interests caring for in ankle sprains and fractures, as well as sports medicine and the management of arthritis. He also provides specialized care to diabetic patients, including diabetic limb salvage. Outside of the office Dr. Ullom enjoys hiking, fishing, camping and athletics.

New provider has special interest in helping patients with diabetes Naomi VonHollen, NP-C began working as a hospital nurse in Wichita, Kansas in 1987 and after several years decided to return to school to become a nurse practitioner. VonHollen said she felt that by becoming a nurse practitioner, she would have a greater ability to help keep patients out of the hospital and could make a positive contribution towards improving access to health services in rural areas. Upon receiving her Master of Science in Nursing from Wichita State University, VonHollen worked

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in a Pulmonology practice before finding her passion – caring for patients with diabetes. VonHollen has spent the majority of her career caring for adults who suffer from Type I, Type II and gestational diabetes. “They live with diabetes every day and it affects everything they do. I am their coach on the sidelines,” VonHollen said. VonHollen decided that she could provide more holistic care as a primary care provider. Three years ago she returned to school at Clarke University in Dubuque, IA and

earned a Masters Degree as a Family Nurse Practitioner. This additional training allows her to care for a full range of adult health issues, including care for pulmonology patients. VonHollen joined Skagit Regional Clinics Internal Medicine in September and said she looks forward to growing her practice. She partners with her patients and encourages them to be active participants in their health. In her free time, VonHollen spends time with her family, playing board games and fishing. She looks forward to learning how to fly fish in the future.

‘With woman:’ Midwife joins Skagit Regional Clinics Certified Nurse Midwife Tiana Larson, CNM, ARNP describes birth as a “powerful, life-changing, intimate experience.” She has a passion for working with women, particularly during labor and birth and joined Skagit Regional Clinics Women’s Health in October. “The word midwife means ‘with woman,’” Larson said. “That is what midwives do – they are with women during pregnancy, labor, delivery and through a lifespan, providing ongoing women’s care.” Larson said she enjoys being able to help women find their way through the birth process. You really get to see a woman’s power and strength during labor and birth, she said.

Larson grew up in Wisconsin, but moved to Washington State to obtain her undergraduate degree at Western Washington University. She went on to complete a Bachelor of Science in Nursing from the University of Southern Maine. She worked as an Emergency Department nurse while completing her Masters in Midwifery at Frontier Nursing University in Hyden, Kentucky.

E. Weatherby, CNM, ARNP at Skagit Regional Clinics in Mount Vernon.

Excited to return to the Pacific Northwest after living in the Northeast for several years, Larson, her husband and two-year-old daughter moved across the country and settled in the Skagit Valley. She joins fellow midwives Mary C. Wathen, CNM, ARNP and Natalie

In her free time, Larson spends time hiking, reading, knitting and enjoying the outdoors with her husband and daughter.

Certified Nurse Midwives (CNM) offer well-woman care for women of childbearing age, including annual exams, pap smears and family planning; they care for women during pregnancy and attend births at Skagit Valley Hospital. As a CNM, Larson prescribes medication, including epidural anesthesia, admits patients to the hospital, orders tests and assists with a cesarean section, if necessary.

Skagit Regional Clinics adds Urologist Amy Arisco, MD wanted to pursue a career that allowed her to interact with people. She also wanted to find a profession in which she could make a positive difference in individuals’ lives. These desires led her to the University of Texas Health Science Center in Houston where she earned her medical degree. Dr. Arisco went on to complete two years of general surgery and then a four-year urology residency at the University of Alabama in Birmingham before returning to Texas for a Neuro-urology and Voiding Dysfunction fellowship. She joined Skagit Regional Clinics – Urology in October. The practice has clinic locations in Mount Vernon and Anacortes.

As a urologist, Dr. Arisco most commonly treats women and men with all manner of bladder control issues including urinary urgency, frequency, urinary incontinence, difficulties emptying the bladder and retention. A variety of treatment options are available, including medications and surgical remedies that can often vastly improve the symptoms that patients are experiencing. She noted that with careful evaluation, improvement of bladder control is possible. “I can make a positive contribution to patients in an area in which people are often uncomfortable talking about,” Dr. Arisco said. Some of the treatments she provides can also offer

help to those with fecal urgency and certain types of fecal incontinence. In addition to bladder control issues, Dr. Arisco also cares for adults with a variety of urologic issues including: elevated PSA, blood in the urine, erectile dysfunction, kidney stones, and pelvic prolapse in addition to numerous other common urologic complaints. Dr. Arisco enjoys getting to know her patients and looks forward to building her practice in Mount Vernon and Anacortes. “I like the long-term relationships with my patients and seeing them improve over time,” she said. Outside of the office, Dr. Arisco enjoys camping, canoeing, kayaking and bird watching.

HealthQuest winter 2014

Residency program expands

Skagit Regional Clinics celebrates opening of Residency Clinic Skagit Regional Clinics – Residency Clinic celebrated the facility’s July opening with an open house in August, offering tours, an opportunity to meet the resident physicians and demonstrations of Osteopathic Manipulative Treatment. The Residency Clinic, where the current 13 Internal Medicine and Family Medicine residents see patients, is located at 819 S. 13th Street, Mount Vernon. “Dozens of people have been involved in our reaching this day,” said Jeanne Rupert, DO, Director of Graduate Medical Education at Skagit Regional Health. “The root of the word doctor, in Latin, means to teach. It is truly an important role of a doctor to teach: to teach their patients, to teach the community, to teach each other. This is a place to teach.” Skagit Regional Health resident physicians, or “residents,” have received their doctor of osteopathic medicine degree (DO) and are continuing training in a medical specialty. The residency program offers expanded access to primary care for patients of all ages. During the program’s first year, physician residents provided 1,836 patient visits in the clinic setting and estimates for the second year show an increase to 8,000-10,000 patient visits.

Skagit Regional Health has received approval to expand the number of residents in training in Family Medicine and Internal Medicine in the organization’s Graduate Medical Education program.

The increase was approved by the American Osteopathic Association, after certification by the American College of Osteopathic Family Physicians and the American College of Osteopathic Internists.

An increase of four will bring the total to 10 new residents – six in Family Medicine and four in Internal Medicine – joining the program in July 2014. The approval boosts the overall number of residents training and seeing patients in the Residency Clinic to 22 physicians.

“This will help us to train the physicians the community needs and allow us to continue to build a strong academic program,” said Director of Graduate Medical Education Jeanne Rupert, DO.

Resident serves on board First-year Family Medicine resident David Escobar, DO, was recently appointed to the Washington Osteopathic Medical Association Board of Governors as the Postgraduate Representative. The Washington Osteopathic Medical Association is a non-profit, professional membership organization for osteopathic physicians and their patients. Dr. Escobar’s selection adds to the number of students, residents and leaders in Skagit Regional Health’s Graduate Medical Education Program to take on leadership roles. Third-year medical student Amber Sinicrope serves as the Student Trustee to the Board of Directors of

“Access to primary care is a critical component to our health care system and we now have this beautiful clinic for our residents to treat our patients” said Chief Executive Officer Gregg Davidson. “This is a great day for medicine in our region. We couldn’t be more proud.” For information about SRC – Residency Clinic, please call 360-814-6230.

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the Washington Academy of Family Physicians. She follows Jordan Collier, now a fourth-year student at Skagit, who served in that position for the previous year. Thomas Carmine Van Deven, DO, a Family Medicine resident at Skagit Regional Health, is serving as the Resident Trustee on the WAFP Board. Jeanne Rupert, DO, Director of Graduate Medical Education at Skagit Regional Health was selected for a 2013-14 Health Policy Fellowship by the American Osteopathic Association. Dr. Rupert, who is GME director and oversees the Family Medicine residency program at Skagit Regional Health, will attend monthly seminars to prepare for leadership in developing health policy.

Need a doctor? Residency Clinic

A department of Skagit Valley Hospital

Resident physicians see patients as part of their ongoing training and are welcoming new patients.

Open 8 a.m. – 6 p.m. • Mon. – Fri. • 819 S. 13th St., Mount Vernon • 360-814-6230

Diabetes

and Your Feet

By David Bruce, DPM • Skagit Regional Clinics – Podiatry

Diabetes is the primary cause of up to 80 percent of lower extremity amputations performed in this country every year. But the good news is that many of these amputations are avoidable. This requires close cooperation between the patient and their primary care provider to control blood sugars. Taking medications as prescribed, losing weight, quitting smoking, and getting regular exercise are all key components to reducing this risk. In addition, there are specific foot care recommendations to help prevent the development of the open sores or ulcers that often lead to infection. Why is it that diabetics get so many infections? Two conditions, peripheral neuropathy and peripheral arterial disease, are primarily to blame. Neuropathy causes a loss of sensation in the feet (paradoxically it also causes many unpleasant sensations early in its

development). Peripheral arterial disease causes accelerated blockage of the arteries of the legs (particularly severe in smokers) although small vessel or microvascular disease is also a significant contributor to the development of ulcers and infections. Other contributing factors are autonomic neuropathy which cause the skin to be excessively dry, and motor neuropathy, which can cause changes in the structure of the feet creating prominences that become irritated. Additionally, reduced ability of cells to identify and respond to early infections in the setting of high blood sugars often allows an infection to progress to a more serious level before being recognized.

but a callous is our skin’s protective response to pressure and friction and serves as an early warning for ulcer development. Gentle reduction of the callous with a pumice stone is generally OK, but never use acid plasters or sharp blades. Ensuring that shoes are well fitting, using diabetic socks, moisturizing your feet after bathing every day (and inspecting them) as well seeing your podiatrist or primary care provider promptly if you have any concerns are simple measures you can take to help prevent becoming a statistic. David Bruce, DPM joined Skagit Regional Clinics in 2005 and provides comprehensive foot and ankle care including surgery, sports medicine/ orthotic therapy, diabetic foot care and treatment for children’s foot disorders.

Daily inspection of the feet and taking early action if any abnormalities appear is critical. Most ulcers and infections start with a callous. Most of us think a callous as a minor skin lesion,

Coverage is here! Skagit Regional Health offers enrollment assistance Health insurance is now available for thousands of local people and Skagit Regional Health staff are available to assist people in enrolling for these new plans and get connected to a primary care provider. HealthPlanFinder is a program of the Washington Health Benefit Exchange, and provides a single point of contact for any business, individual or family who is looking for health coverage. Based on your income, you may be enrolled in Medicaid-funded health care or receive discounts to purchase your choice of commercial insurance. If you are a Washington State resident, you are able to call and have a customer service representative walk you through the online process of getting health insurance for you and your family.

You can also apply over the phone at 1-855-923-4633, via the web at www.wahealthplanfinder.org, through the mail or in person at a variety of Skagit County locations including: Skagit Regional Health, Mount Vernon, call 360-424-2613 or e-mail exchangeinfo@skagitregionalhealth. org. Service center located at Skagit Valley Hospital. Community Action of Skagit County, Mount Vernon, 360-588-5313. Mount Baker Planned Parenthood, Mount Vernon, 360-848-1744, Ext. 3822. Sea Mar Community Health Centers, Mount Vernon, 360-289-4503.

All the plans offered by the Washington HealthPlanFinder are required to have good levels of coverage, including doctor visits, hospital stays, prescription drugs, preventive care, maternity, pediatric and newborn care, and mental health care. You can learn more about the levels at http://wahbexchange.org/ about-the-exchange/policy-discussion/. The expansion of Medicaidfunded programs and subsidized health insurance will help hundreds of thousands of our neighbors improve their health, get connected to primary care services, and improve their economic well-being.

Island Hospital, Anacortes, 360-299-4924. United General Hospital, Sedro-Woolley, 360-856-7384. HealthQuest winter 2014

Skagit Valley Hospital

EARNS Skagit Valley Hospital in Mount Vernon was honored with an “A” grade in the Fall 2013 update to the Hospital Safety Score, which rates how well hospitals protect patients from accidents, errors, injuries and infections. Skagit Valley Hospital is among 15 hospitals in Washington to receive an “A” grade during this period and is the only facility north of Everett to earn an “A.” Skagit Valley Hospital moved up after receiving a “B” grade it the previous reporting period. The Hospital Safety Score is compiled under the guidance of the nation’s leading experts on patient safety and is administered by The Leapfrog Group (Leapfrog), an independent industry watchdog. The first and only hospital safety rating to be analyzed in the peer-reviewed Journal of Patient Safety, the Score is designed to give the public information they can use to protect themselves and their families.

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A GRADE FALL 2013

by Hospital Safety Score

“Our “A” grade is a testament to the outstanding care team we have here at Skagit Regional Health including our providers, nurses, and the entire staff who make safety their number one consideration in all they do,” said Chief Medical Officer Connie Davis, MD. “For patients and their families, this represents an objective review by experts of our safety standards which show we are among the best in the state and country.” To see Skagit Valley Hospital’s scores as they compare nationally and locally, and to find safety tips for patients and their loved ones, visit the Hospital Safety Score website at www.hospitalsafetyscore.org. Local hospitals’ scores are also available on the free mobile app, available at www. hospitalsafetyscore.org.

“As patients begin to take a more active role in selecting where to receive health care, it has never been more important to focus on hospital safety and transparency. The ‘A’ hospitals, including Skagit Valley Hospital, are helping us to raise the standards of health care nationwide,” said Leah Binder, president and CEO of Leapfrog. “We offer our congratulations and hope the hospital will continue to strive for an ever-increasing level of excellence in patient safety.”

A FALL 2013

HOSPITAL SAFETY SCORE SM

Skagit Regional Health representatives serve in Washington State Hospital Association leadership roles Three people representing Skagit Regional Health, which includes Skagit Valley Hospital and Skagit Regional Clinics, are serving in leadership positions with the Washington State Hospital Association (WSHA), representing the state’s 97 hospitals. “I am proud that Skagit Regional Health is engaged and involved at the regional and national level, working with fellow health care organizations toward our mutual goal of providing quality, safe health care services to our communities,” said Chief Executive Officer Gregg Davidson, FACHE. “We are all seeking ways to best meet the needs of our patients, while facing the rigors and changes of health care reform.” Bruce Lisser, an elected member of Skagit Regional Health’s Board of Commissioners, chairs the Governance Committee for WSHA and is an ex-officio member of the WSHA board. He has served on the committee for three years and chaired the education subcommittee, which was tasked to enhancing trustee education. “What impresses me the most about the WSHA organization is the focus on the health of the entire state and seeing firsthand how the individual member hospitals put aside any competitive differences they may have and focus on what is best for the patient,” Lisser said. “Several quality initiatives have been moved forward from the organization that has proven to have a very positive impact, including hand washing initiatives to

reduce infections, reduction in early elective deliveries, publishing infection rates and safe tables for health care executives that result in best practice conversations.” Davidson was elected on Oct. 16 to serve as Secretary-Treasurer of the WSHA Board. Davidson also serves as Delegate to the American Hospital Association and serves on the Regional Policy Board. “We are very pleased to have Gregg Davidson on the WSHA Board of Trustees,” said Scott Bond, president and CEO of the Washington State Hospital Association. “He is a thoughtful, creative person who will help our board and our other members take on the many challenges that hospitals and health systems are facing right now. We all will be better off for his involvement.” Chief Operating Officer Mike Liepman serves on the Board as president of the Northwest Washington Hospital Council, a division of WSHA. The Northwest Washington Hospital Council is one of several regional councils in the state that bring hospital leaders together to discuss issues of importance to the communities the organizations serve. The Northwest Hospital Council is among the most active in the state, meeting on a monthly basis for educational opportunities and to discuss shared issues impacting health care quality, access, and cost.

Provider offers pain management Skagit Regional Clinics has added Pain Management to the growing number of specialties provided at the main Mount Vernon campus. Pain management specialist Carlton “Kit” McQueen, MD recently expanded his Bellingham practice to include seeing patients at SRC – Mount Vernon several days each month. Dr. McQueen received his medical degree from the University of Mississippi School of Medicine followed by an internal medicine residency. He practiced as a primary care physician for several years before completing an anesthesiology residency at the University of Washington Medical Center. In 2010, he returned to the University of Washington for a Pain Management Fellowship. Pain can affect all aspects of a person’s life, including their physical, psychological and spiritual health, says Dr. McQueen, who finds his specialty both personally rewarding and intellectually challenging. Much of Dr. McQueen’s practice involves patients with back or neck pain, sciatica or radiculopathy. He works closely with the team of neurosurgeons who practice at Skagit Regional Clinics and Fourth Corner Neurosurgery in Bellingham to improve pain and prevent the need for surgery when possible. Injections can help the surgeons identify the pain generator to help minimize the extent of surgery when it is necessary. Dr. McQueen uses advanced, minimally invasive techniques to determine which nerves or structures are causing a patient’s pain. He is then able to identify treatment options that may include dietary changes, physical therapy, medication or surgical intervention that will help relieve pain and improve function. Dr. McQueen also uses ultrasound guided injections to treat hip, knee, shoulder and carpal tunnel pain. HealthQuest winter 2014

Assuring the availability of quality health care Our Mission The mission of the Skagit Valley Hospital Foundation is to raise, manage and distribute funds to assure the continued availability of quality health care services and programs at Skagit Valley Hospital. The Foundation will foster awareness of and community support for Skagit Valley Hospital through the involvement of the people it serves.

Board of Trustees Volunteers are the key to the Skagit Valley Hospital Foundation’s efforts in securing philanthropy. We are pleased to acknowledge the efforts of our trustees, who unselfishly give their time and resources as an example to all, and who provide leadership in the Foundation’s prudent stewardship of gifts.

A New Look for the Skagit Valley Kidney Center – Thanks to Your Donations Last September, the public gathered to celebrate the remodel of the Skagit Valley Kidney Center lobby and newly built atrium. Thanks to the generous estate gifts of Jean E. Ziegler and Anna Clemans, as well as support from the Gail Edward Iverson Circle of Friends, the project was paid in full by the Skagit Valley Hospital Foundation. “We are grateful to these forward-thinking individuals, who, by planning gifts through their estates have helped us to continue striving for our vision to make Skagit Regional Health the best

regional integrated health system in the Northwest,” said Foundation Executive Director Linda Frizzell.

Carmen Anderson-Bruner Dee Berglin Susan Brown Staff Chris Cammock Linda Frizzell Jill Christensen Executive Director Debbie Connolly Gregg Davidson Wendy Ragusa Gary Fiedler Development Kelli Hutchens Coordinator June Jordan Balisa Koetje Virginia Learned Corey Mendoza Jean Miller Debbie Nootenboom Christie Peterson Jill Pickering Jaynie Roozen Richard Roozen Deanna Scott Brett Simbe Jim Spane Shirley Watkinson Dr. Rob Zwick

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Becky Wells Development Associate

To learn more about the Skagit Valley Hospital Foundation To learn more about how you can support the Skagit Valley Hospital Foundation, visit www. skagitvalleyhospitalfoundation.org - you can give on-line by selecting the Network for Good button.

Skagit Valley Hospital Foundation P.O. Box 1376 Mount Vernon, WA 98273 360-428-2140

Like us on Facebook

Check out our facebook page at www.facebook.com// SkagitValleyHospitalFoundation

Rx for Skagit Regional Health’s Walls A stroll down the hallways of Skagit Valley Hospital can feel like a walk down memory lane for many hospital patients and their families. Thanks to a new partnership with the Skagit County Historical Museum, more than 100 black and white photographs currently grace the walls. The photos, depicting various cities in Skagit County, were taken between 1900 and 1950. Historical Museum Director Mark Iverson says, “sharing the history of Skagit County is part of our mission,

and the hospital has a large number of people visiting every day. This display is a great way to have the photos seen and to raise an appreciation of our heritage. We are looking forward to providing additional displays in the future.” When Skagit Valley Hospital leaders set out to open a new addition in 2007, there was an intentional effort to include local artwork in the design. A growing body of research shows that artwork in a healthcare facility is more than just decoration – the right kind of

artwork can speed a patient’s recovery and serve as a needed distraction for patient family members. Since that time, the hospital’s Fine Art program, managed by the Skagit Valley Hospital Foundation, has purchased and procured more than 300 pieces. The historical exhibits add an exciting new element to the effort. For more information on Fine Art program, contact the Foundation office at 814-5747.

Furthering Our Mission Community Events Benefit Foundation Programs Helmer Music, Lautenbach Recycling, North Cascade Street Rod Association, North Cascade Quick Lube, Olmstead Trucking, Sons of the American Legion, American Legion Riders Post 7 and Yorkston Oil.

An Evening at the Airfield

Skagit Woodstock 2013 Tom Judge, lead singer for the band Daddy’s Gotta A Girlfriend, performs at the 2013 Woodstock event that took place on August 10, 2013 in Conway. For the fourth year in a row, Judge, along with co-chair Reed Harlow, led members of the Wes Anderson Memorial Bowling League and other community volunteers in raising more than $18,000 to benefit Skagit Valley Hospital’s Regional Cancer Care Center. The day-long festival featured the music of five bands -Birdsview Bluegrass, Troy Fair Band, Scratch Daddy, Daddys Gotta Girlfriend and Miles Harris & Blue Youth. Attendees could also participate in a raffle and purchase items from various vendors. The Skagit Valley Hospital Foundation would like to thank the following sponsors: Cascade Natural Gas, Conway Feed, Emerald Land Surveying, Alfie Hill-Banta, Hugo

Skagit Sun Farms Don Kruse, of the family-owned Skagit Sun Farm in La Conner, presents a check for $2,854 to Skagit Valley Hospital Foundation Board President Chris Cammock, and staff members Becky Wells and Wendy Ragusa. This past summer, Skagit Sun Farms operated a berry stand in the parking lot of Skagit Radiology. For every flat of berries sold, Skagit Sun donated $1 to the Skagit Valley Hospital Foundation. “This is a great way to give back to the community and the hospital,” said Kruse. The Foundation thanks Skagit Sun Farms for their generosity!

The Gail Edward Iverson Circle of Friends hosted more than 100 guests at “An Evening at the Airfield” event held in south Mount Vernon on August 13, 2013. More than $20,000 was raised to benefit Skagit Valley Hospital’s Wound Healing Center and Kidney Dialysis Center. The event featured live music by d’Rail, salmon dinner, raffles and a live auction. Event Coordinator Mark Iverson and the Foundation Board thank the following sponsors: Skagit State Bank, Cornelia Devlin, Gregg and Lea Davidson, Foothills Toyota, Jeff Brown – Barker Airfield, Dickerson Distributors and Iverson Insurance Agency.

HealthQuest winter 2014

High-bid items included the “Getting Reddy for Christmas” tree designed by Kelley Kirpatrick and Katherine Olson and sponsored by Moss Adams which sold for $2,700 and a Fishing Trip to Sitka, Alaska sponsored by Reel Class Charters, which sold for $5,750.

Celebrating 25 Years of Trees

The Festival of Trees Silver Anniversary, presented by the Skagit Valley Hospital Foundation and title sponsor Associated Petroleum Products, raised more than $235,000 in gross proceeds to complete the Foundation’s current project – the Cardiac Care Services Special Observation Unit at Skagit Valley Hospital. Celebrating its 25th year as a beloved local holiday tradition, the Thanksgiving weekend event, featuring the display of 29 elaborately designed Christmas trees, drew a capacity crowd for the November 30 Gala Evening & Auction at St. Joseph Center in Mount Vernon sponsored by Mountain Glen Retirement Community.

Tree Raffle Sharon Whiden of Clear Lake was the winner of the “Shreddin/ Ridin Snow Bunnies” raffle tree sponsored by Alfie Hill-Banta and designed by the Virginia Learned tree team. Virginia has served as the Festival’s design chair for the past two years and her team of volunteers includes: Demi Daman, Donna Pulver, Valerie Tibbets and Christina Learned. Special thanks to Hidden Wave Boardshop of Burlington.

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The Skagit Valley Hospital Foundation’s signature fund-raising event is supported by exceptional sponsorship from the community. Festival event sponsors included Whidbey Island Bank – Live Auction Sponsor, PeaceHealth St. Joseph Medical Center – Fund-A-Dream Sponsor, Group Health Cooperative – Jewelry Lockbox Event Sponsor, Key Bank – Silent Auction Sponsor, NAC Architecture – Holiday Bar Sponsor, Skagit State Bank and Thomas Cuisine Management – Family Festival Days Sponsors, Alfie Hill-Banta – Tree Raffle Sponsor, Spane Buildings – Playhouse Raffle Sponsor, Williams & Nulle – Designer Wreath Sponsor, Peoples Bank – Designer Appreciation Event sponsor and more than 100 additional tree, tablescape and auction item sponsors.

The Snow Bunny Breakfast, sponsored by InSight Design Studio, was created especially for this silver anniversary year. Held Friday morning of Festival weekend, guests enjoyed breakfast, activities, a visit from Santa, entertainment and a photo booth. All guests, age 10 and under, received a plush snow bunny. Thousands of people viewed the beautiful and cleverly decorated Christmas trees during Family Festival Days, which also featured live local entertainment and children’s activities sponsored by Skagit State Bank and Thomas Cuisine Management. Richard and Jaynie Roozen served as honorary festival chairs for the silver anniversary, with the support of 20 committee chairs and hundreds of volunteers. From Cancer Care to Cardiac Care, from the Kidney Center to the Sunrise Inn, the Festival has raised funds for and awareness of key projects and programs at Skagit Valley Hospital.

During the Festival’s 25-year history, more than $4 million has been raised! This event involves an army of volunteers and more than 3,000 guests to the Thanksgiving weekend fundraiser.

In 1989, the first Festival of Trees raised $27,000 to benefit the Family Birth Center. The largest grossing year was the 2007 Festival when $325,000 was raised to benefit the Cancer Care Center Capital Campaign. The Foundation is thankful for the thousands of community members who have helped to color and shape what the Festival of Trees is today.

President’s Choice Award

Designers’ Choice Award

“A Rustic ‘Pinterest Inspired’ Christmas” earned the President’s Choice Award from Skagit Valley Hospital Foundation President Chris Cammock at Designer Appreciation Night. The tree was designed by Kathy Hill, Anna Todd, Annette Arp, Jodie Gutierrez, Terri Robertson and Reg Robertson and sponsored by LabCorp of America.

“The Great Gatsby” was selected as Designer’s Choice in voting by all volunteer designers in attendance at the Designer Appreciation Night. The tree was designed by Jan Olson, Mari Juntunen, Debbie Hagman, Shelby Hagman and Holly Tobiason. Tree and decorations were sponsored by SB & C, Ltd..

Most Original theme

Best Tree Topper

Best Children’s theme

Most Team Spirit

“Frosty in the Freezer” tree

“Thomas the Tank Engine” tablescape

People’s Choice and Designer Night Sponsor Awards People’s Choice tree is voted on by thousands who attended Family Festival Days on Friday and Sunday. The winning tree of this award, as well as the Designer Night Sponsor award was “Alpine Elegance” designed by Cheryl Bonson, Andrew Pickens, Eddie Gordon and LeeAnn Wing. The tree and its décor were sponsored by Bellingham Anesthesia Associates.

“Simply Elegant” tree

“Champagne Dreams” tree

Most Traditional theme “The Nativity” tree

Festival Volunteer of the Year This year’s Festival of Trees Volunteer of the Year award was presented to Mary Hudson of Mount Vernon. Mary, a dedicated and passionate member of the Foundation family, has served as a foundation board member from 2000 – 2010, which included her role as board president from 2005-2007 and service as Festival of Trees chair three times!

Mary continues her work with the Foundation as a member of the Gail Edward Iverson Circle of Friends, Public Relations, Fine Art, Par Tee Golf Classic, and Festival of Trees committees. Her history with the board and her resourcefulness makes her an outstanding volunteer and we applaud her for her on-going contributions to the Foundation.

Playhouse Raffle Ken Dahlstedt of Mount Vernon was the winner of the Spane Buildings- sponsored playhouse raffle. The fishing shack inspired design was constructed by Spane Building Inc. in partnership with Cascade Lumber, Champion Metal and Karl’s Paints. The Deasy Group designed the playhouse.

HealthQuest winter 2014

Partnerships

A Special Kind of By his relaxed demeanor, you would never know that Jim Spane is currently juggling nine building projects from his desk at Spane Buildings, Inc. For the next hour, his attention turns to playhouses – in specific, the eight custom playhouses that he has donated to benefit the Skagit Valley Hospital Foundation. It all started in 2010, when as a member of the Skagit-Island County Builders Association (SICBA), Spane decided to participate in a “playhouse challenge.” The idea was to build a playhouse, conduct a raffle for the playhouse and donate the proceeds to a charity of his choice. In this case, Jim selected the Skagit Valley Hospital Foundation as his charity. “It just made sense to select the hospital foundation,” said Spane. “At some point, everyone in our community – and their loved ones - will need the hospital and the services it provides.”

Skagit regional health

This was the beginning of a wonderful partnership between Jim Spane, his family and the Skagit Valley Hospital Foundation. Since that time, Spane has built six playhouses and two custom-crafted greenhouses that have raised $43,714 for programs and services at Skagit Valley Hospital. The design ideas come with input from his children, staff and crew. Over the years, playhouse themes have included a “snack shack,” an Asian themed house, a solar paneled house, a two-story home and a little girl’s dream. Tickets for a “plunkin shack” themed building were sold last summer and fall, with the winner being chosen at the Festival of Trees - Silver Anniversary in November. Spane became the CEO of Spane Buildings Inc. in 1995 after his father passed away from cancer. “I learned the job from ‘a master’ as I was able to spend summers working with my dad while I was growing up, and

then worked along side him when he became ill,” Spane said. Spane Buildings, Inc. specializes in post frame buildings, homes, barns, garages, and a specialized roofing division. Spane’s staff has volunteered their time to help build these playhouses, and Jim has been appreciative of his building partners – such as Cascade Lumber of Camano Island – another local business that donates materials to build the playhouses each year. In 2012, Jim joined the Board of Trustees of the Skagit Valley Hospital Foundation. The fact that his entire family is supportive and involved is a bonus. His wife Lacey, daughter Kailey, sons Paydon and Trevor, and little ones Marygrace and Owen all have pitched in to sell raffle tickets at various events. The Skagit Valley Hospital Foundation is grateful for the partnership of donors like Jim Spane and his family, who support the mission of the Foundation and the work that is being done at Skagit Valley Hospital every day.

HealthQuest

Skagit Regional Health offers the following health screenings and education programs at Skagit Regional Clinics - Stanwood, 9631 269th St. NW, Stanwood or Skagit Regional Clinics – Camano Island, 127 N. East Camano Drive. To register, complete the registration form on the inside of the back page or call 360-629-6481 or 360-814-2424. Pre-registration is required for all classes unless otherwise noted.

Stanwood/Camano neighborhood Screening to Detect Peripheral Arterial Disease (PAD), Elevated Cholesterol and More! The Skagit Regional Heart & Vascular Institute offers this popular community screening on Monday mornings for all adults over age 18. Attend this screening to find out your risk factors for developing PAD, cardiovascular disease and stroke and learn how to reduce it. The screening includes the following tests and results are immediate: • Ankle brachial pressure index to help detect peripheral artery disease (no caffeine or nicotine for one hour prior). • Blood pressure. • Full lipid profile for cholesterol plus glucose requires 12 – 14 hour fast, water and medications only (no alcohol 24 hours prior.) This is a fingerstick test with immediate results.

AARP Driver Safety Program

Cholesterol/Diabetes and Vitamin D Screenings

This two-session program for people older than 50 is designed to enhance the driving skills of the mature adult. Insurance companies are required to give a discount on auto insurance for those over age 55 who complete the course. Course fee is $12 for AARP members; $14 for non-members. Please bring check payable to AARP, your AARP card or number (if you are a member), and your driver’s license number to the first class – do not mail check. Pre-registration is required. To register call 360-814-2424.

The following screenings are by Skagit Regional Health in cooperation with Dynacare Skagit Laboratories: Full Lipid Profile: 12-14 hour fast required, water and prescribed medications only, no coffee or tea. No alcohol 24 hours prior. Results include total cholesterol, HDL, LDL, triglycerides, and glucose (blood sugar) levels. Fee: $15 (cash or check payable to SRH only). Vitamin D: This screening can help you identify the level of Vitamin D in your blood. This screening is not recommended for patients on anticonvulsant medication. Fasting is not required. The cost is $39 (cash or check payable to SRH). All results are mailed to your home. For information call 360-814-2424 or 360-629-6481. No appointment or preregistration is required.

Feb. 12 and 13 (Wed/Thur) 1 - 5 p.m. Skagit Regional Clinics - Stanwood 9631 269th Street NW Conference Room A/B Pay at the class

Feb. 27 (Thur) 8 – 9:30 a.m. Skagit Regional Clinics - Stanwood 9631 269th Street NW Conference Room A/B

• Body composition testing to detect elevated body fat. • Review results with a health care provider.

March 19 (Wed) 7:30 – 8:30 a.m. Skagit Regional Clinics Camano Island 127 N. East Camano Drive

Call 360-629-6481 to schedule an appointment for this screening program that takes just 40 minutes! The cost is only $39 and it is held on Monday mornings at Skagit Regional Clinics-Cardiology. A physician referral is not necessary, although we ask that you provide the name of a primary care provider, if you have one, so results can be forwarded for further evaluation if suggested.

Skagit Regional Clinics A department of Skagit Valley Hospital

Camano Island

127 N. East Camano Drive Suite A Camano Island 360-387-5398

Stanwood

9631 269th St. NW Stanwood 360-629-1600 HealthQuest winter 2014

Bone Density Screening Find out if you are at risk for osteoporosis by having a bone density scan. This is a non-invasive, painless scan of one hand. Results are available immediately. Fee $10 (cash or check payable to SRH). No appointment is required. Feb. 27 (Thur) 8 – 9:30 a.m. Skagit Regional Clinics - Stanwood 9631 269th Street NW Conference Room A/B March 19 (Wed) 7:30 – 8:30 a.m. Skagit Regional Clinics Camano Island 127 N. East Camano Drive

CPR and First Aid Classes are held at various locations in Stanwood on the second Saturday of the month. Call the North County Regional Fire Authority at 360652-1246 for more information. The Island County Health Department is located at 127 N. East Camano Drive, down the hall from the Skagit Regional Clinics - Camano Island. They offer services ranging from TB testing, counseling and surveillance, WIC, adult and child immunizations, Healthy Baby Visits, Maternal Child Health and home visiting, travel vaccines and communicable disease. For more information call 360-387-0184.

Skin Cancer Screening Corinne Sayler, PA-C, with Skagit Regional Clinics – Dermatology will conduct visual inspections of skin abnormalities you are concerned about. No charge. Call 360-814-2424 or 360629-6481 to schedule an appointment. March 26 (Wed) 1 - 4 p.m. Skagit Regional Clinics - Stanwood 9631 269th Street NW Conference Room A/B

Skagit regional health

Newly renovated Skagit Regional Clinics - Stanwood offers Family Medicine, Internal Medicine, Podiatry, Lab and Radiology. For more information, call 360-629-1600 or visit www.srclinics.org.

All classes require pre-registration unless specified. Call 360-814-2424 or see inside of back cover.

The Every Body Walk! campaign The Every Body Walk! campaign released a 30-minute documentary highlighting the importance of integrating walking back into our daily lives. The Walking Revolution explores the significant health and environmental benefits that can result from simply walking. The film’s primary message is to encourage Americans to walk on a regular basis for their own health and wellbeing. “For too many people, much of the day is spent sitting in the car, at the desk or on the couch, which has serious health implications,” said Raymond J. Baxter, PhD, Kaiser Permanente senior vice president, Community Benefit, Research and Health Policy. “The film is sure to encourage people to get back on their feet, walking whenever and wherever they can - at work, at school, and in the community, all while getting involved in making their communities more walkable overall.” Visit www.everybodywalk. org/documentary to watch this inspirational video.

HealthQuest Women’s Health Evening Event Balancing Work and Life for Optimal Living

A recent study of more than 50,000 employees from a variety of organizations found that two out of every five employees are dissatisfied with the balance between their work and their personal lives. Dr. Karen Wolfe’s presentation on work/life balance is designed to help participants make conscious choices to improve all dimensions of their health and well-being: physical, mental, emotional, social, vocational, and spiritual. Participants will see their lives in a different light, open their minds to new ways of thinking, and adapt behaviors that will not only improve their health, but will help them to achieve their personal and professional goals. Dr. Wolfe is an Australian physician who moved to the U.S. in 1991 and began her wellness career in corporate wellness. She is the author of seven health and wellness books and has been a speaker for many high profile groups internationally. Bring a friend and enjoy this fun evening out! This event is sponsored by Skagit Regional Heart & Vascular Institute. February 20 (Thur) 5:30 – 7:30 p.m. McIntyre Hall, Mount Vernon $19 includes hor d’oeuvres Wine available for purchase Pre-registration required by February 22

Doc Talks

Bladder Matters Bladder control problems, including urinary urgency, frequency and urine leakage- or incontinence, is a common health problem that affects millions of adult women of all ages. It can dramatically impair quality of life. The good news is that careful evaluation and treatment can usually result in vast improvement in patient symptoms. Urologist Dr. Amy Arisco with Skagit Regional Clinics-Urology will provide up-to-date information about bladder control issues and treatment options for these problems so women can consider the potential benefits of seeking help. February 12 (Wed) 6 – 7:30 p.m. Cascade Room No charge but preregistration required

Brown Bag Medication Review Skagit Regional Clinics’ pharmacists, Kevin Bingham, RPh and Chris Schaffner, PharmD invite you to bring all of your medications, prescription and over-the-counter items, as well as any supplements, vitamins, and herbal products for Mr. Bingham and

DON’T WAIT TOO LONG! Many of our classes fill quickly so early registration is recommended. You are not confirmed in the class until we receive your payment (for classes requiring payment). Don’t lose your space in class – pay early! See the inside of the back cover of this magazine for registration information. Pre-registration is required for all classes unless otherwise noted.

Dr. Schaffner to review. They will be looking to identify any potential drug interactions, duplicate therapy, and will help to optimize your medication regimen. They will also be available to answer any medication questions you may have. All participants will receive a free Medication Record/ Blood Pressure card you can complete to keep in your wallet. For more information about medication disposals sites in Skagit County see page 37. March 12 (Wed) 9 a.m. – 1 p.m. San Juan AB No charge and no preregistration required

Diabetes Prevention Workshop An estimated 79 million American adults are at risk for diabetes and most don’t know it. Put another way, 1 in 3 American adults has prediabetes. Prediabetes is when you have higher blood sugar levels than normal. Fortunately, reversing prediabetes is possible through weight loss, a healthier diet and an increase in activity. This effective 16-week program developed by the Centers for Disease Control provides education and skills to help you reduce the risk of developing diabetes. Small group support will provide inspiration and motivation as you make new lifestyle changes. Eight monthly maintenance sessions will provide small group support. The class fee is $380 for all 24 sessions. There is no cost to PEBB members (State and Higher Education HealthQuest winter 2014

Public Employees) who are: ages 18 or over, are enrolled in Group Health or Uniform Medical Plan (UMP) and do not have Medicare as their primary insurance. Also, individuals with Flexible Spending Accounts or Health Savings Accounts may be able to use pretax dollars to cover the cost of the Diabetes Prevention Program. Be sure to check with the FSA or HSA provider to confirm the reimbursement policy. This class is provided by the Washington State University Skagit County Extension. Jan. 27 – May 19 (Mon) Noon – 1 p.m. Skagit Valley Hospital Shuksan Room Enter through Kincaid Street To register call Laura DeFreese at 360-428-4270, ext. 224

New! Cooking Classes Come enjoy delicious meals while learning how to cook healthier! These fun, popular cooking classes are taught by Kara Siedman or Megan Gill, both registered dietitians with Skagit Regional Health. Jan. 9, Feb . 13, Mar. 13: (Thur) Visit www.skagitvalleyhospital.org/ events for specific menu information. 6 – 8 p.m. Gretchen’s Kitchen 509 S. 1st, Mount Vernon $25 each Call Gretchen’s at 360-336-8747 to register.

Spanish for Health Care Providers Workshop Learn essential Spanish vocabulary and phrases common in your health care workplace, in order to communicate with Spanishspeaking patients on a basic level, while addressing several cultural differences. Topics include greeting patients and family, discussing pain/part of the body, medical conditions, simple commands/ instructions, dates and times. The instructor is Sarah Rowan, owner of Salud! Spanish Programs. This program is approved for six contact hours of continuing nursing education. Feb. 18 and 19 (Tue/Wed) 5:30 – 8:30 p.m. Skagit Valley Hospital Sauk Room Enter through Kincaid Street $125 includes course materials Pre-registration required

Elder Care Options Many of us will one day find ourselves needing care for ourselves or a loved one. This one-evening program brings clarity to the maze of support options available. Learn about alternative living situations, transportation, nutritional and medical services, in-home care (including home-health and hospice), as well as how to access these options. Discover the costs of each and the role of Medicare, Medicaid, LTC insurance, and other funding options.

Instructor Debbie Gann, Director, Home Attendant Care (Whatcom/Skagit/San Juan/ Island Counties) has more than 25 years of healthcare experience. February 19 (Wed) 5:30 – 8 p.m. Skagit Valley Hospital Cascade Room Enter through Kincaid Street entrance No cost but pre-registration required

Meditation for Calming and Focusing Your Mind Have you thought about trying meditation but find it too difficult to do on your own? Let an experienced meditator guide you in simple techniques to become comfortable with this valuable skill. Comments from previous class participants include: “Jan Hodgman is a gift… An excellent class.” “Jan is heaven sent. She has taught me a unique way to let go of resistance.” Meditation is now scientifically recognized to help alleviate stress, mild depression, and anxiety. Jan Hodgman, MA, has been meditating for more than 30 years and has more than eight years of monastic practice as an ordained Zen priest. Feb. 26, March 5 and 12 (Wed) 6 – 8 p.m. Skagit Valley Hospital Cascade Room Enter through Kincaid Street entrance $39

Photo by Jerry Eisner, MD

Skagit regional health

All classes require pre-registration unless specified. Call 360-814-2424 or see inside of back cover.

Estate Planning/ Living Wills

Certified Diabetes Education Program

Total Joint Replacement Class

Join local attorney Colonel Betz for this popular presentation on estate planning, trusts, powers of attorney, wills, inheritance taxes and probate. He will also speak on the importance of advanced directives/ living wills and how to prepare them. This event is sponsored by the Skagit Valley Hospital Foundation.

Skagit Regional Health offers a multi-disciplinary, comprehensive education program for adults with diabetes, either newly diagnosed or for those patients needing extra guidance with diabetes control. The program includes:

This two-hour class helps to prepare patients for their upcoming joint replacement surgery. We have incorporated classroom instruction with procedure-specific therapy. You will learn what to expect before, during, and after joint replacement surgery. Our experienced nurses and therapists will address your concerns and will be available to answer your questions. The class meets the first and third Wednesday of the month from 1 – 3 p.m. at Skagit Valley Hospital in San Juan B. For more information, directions and to register for this class, please call 360-814-2424. You are encouraged to bring a friend or family member to the class who may be assisting you in your recovery. There is no charge for this program.

March 27 (Thur) 6 - 8 p.m. Cascade Room Enter through Kincaid Street No charge but pre-registration required

Continuing Health Education

AARP Driver Safety Program This two-session program for people older than 50 is designed to enhance the driving skills of the mature adult. Insurance companies are required to give a discount on auto insurance for those over age 55 who complete the course. Course fee is $12 for AARP members; $14 for non-members. Please bring check payable to AARP, your AARP card or number (if you are a member), and your driver’s license number to the first class – do not mail check. Pre-registration is required. To register call 360-814-2424. March 13 and 14 (Thur/Fri) 1 - 5 p.m. Skagit Valley Hospital San Juan A/B Pay at class Please see page 27 for information about classes in Stanwood/Camano Island.

First Aid and CPR Skagit County Medic One offers CPR and First Aid classes for $20 per person, payable in advance. This fee covers the cost of certification cards and materials. For more information call 360-428-3236 or email billc@skagitems.com.

• Group education classes which cover the following topics: Diabetes knowledge, meal planning, physical activity, monitoring blood glucose, medication and insulin management, risk reduction, coping and problem solving; • A one-on-one appointment with a dietitian; • A three-month follow-up group class; • Individual appointments to review medication issues related to diabetes selfmanagement, including maximizing the use of insulin, are also available. The program requires a physician referral so talk to your health care provider. The program is covered by most insurance companies. Please check with your insurance provider to confirm. For other questions, or more information about the program, contact our Diabetic Education Program Scheduler at 360-814-2184.

Pulmonary Rehabilitation Program Do you suffer from chronic obstructive pulmonary disease (COPD) and want to improve the quality of your life? This intensive program can help patients with chronic lung disorders including emphysema, chronic bronchitis or asthma, reduce respiratory symptoms, improve functional independence and complications and reduce hospitalizations. The program is provided by a multi-disciplinary team. Participants learn self-management and relaxation techniques to improve emotional well-being, skills to help regain control of their breathing, and pursue activities to the fullest extent of their abilities. The class meets on Tuesdays and Thursdays from 1:30 – 3:30 p.m. for approximately 10 weeks. For more information call 360-814-2236.

Heart Healthy Fitness Program Are you having trouble starting an exercise program or staying motivated? Do you need direction and professional guidance? Come join us for exercise in a safe and stress-free environment at Skagit Valley Hospital. The Heart Healthy Fitness Program focuses on individual goals and plenty of one-to-one attention. We work on strength training, balance, and cardiovascular fitness. For questions, cost and class times, call 360-814-8368.

Cardiac Rehabilitation Program Have you had a recent heart attack, bypass surgery, angioplasty, heart valve surgery, or stent placement? We have a program to help you return to your active lifestyle and learn how to reduce your risk factors. A Registered Nurse and Exercise Specialist supervise the classes and provide a safe, friendly atmosphere to ask questions and learn how to pace yourself as you recover. This is a physician-referred program and Medicare and most insurances cover cardiac rehab. For more information call 360-814-8368.

HealthQuest winter 2014

Health & Wellness Screenings

Call 360-814-2424 or 360-6296481 from Stanwood/Camano Island to schedule an appointment for this screening program. It takes just 40 minutes! The cost is only $39 and screenings are held on Monday mornings at Skagit Regional ClinicsCardiology. A physician referral is not necessary, although we ask that you provide the name of a primary care provider, if you have one, so results can be forwarded if further evaluation is suggested.

The Skagit Regional Heart & Vascular Institute offers this popular community screening on Monday mornings for all adults over age 18. Peripheral Arterial Disease (PAD) is a common condition that affects approximately 8 million adults in the U.S. The same risk factors associated with heart disease are also linked with PAD. Attend this screening to find out your risk factors for developing PAD cardiovascular disease and stroke and learn how to reduce it. The screening includes the following tests and results are immediate:

Also see Stroke and Aneurysm Screenings on page 33 for a screening of the aorta and carotid arteries.

Heart and Vascular Screening: Detect Peripheral Arterial Disease (PAD), Elevated Cholesterol and More!

• Ankle brachial pressure index to help detect peripheral artery disease (no caffeine or nicotine for one hour prior). • Blood pressure. • Full lipid profile for cholesterol plus glucose requires 12 – 14 hour fast, water and medications only (no alcohol 24 hours prior.) This is a fingerstick test with immediate results.

FREE Vein Screening Mark Johnson, MD, surgeon with Skagit Regional Clinics, will be administering screenings to evaluate visible varicose veins in the legs and help raise awareness of venous disease and the available treatment options. Screenings take less than 10 minutes and are open to men and women. Participants are examined individually in a private environment and should wear loose-fitting clothes (no pantyhose). Shorts or skirts are best.

Cholesterol/Diabetes and Vitamin D Screenings Screenings are provided by Skagit Regional Health in cooperation with Dynacare Skagit Laboratories. Full Lipid Profile: 12-14 hour fast required, water and prescribed medications only, no coffee or tea. No alcohol 24 hours prior. Results include total cholesterol, HDL, LDL, triglycerides and glucose (blood sugar) levels and are mailed to your home. Fee: $15 (cash or check payable to SRH only). Vitamin D: This screening can help you identify the level of Vitamin D in your blood. Results are mailed to your home. This screening not recommended for patients on anticonvulsant medication. Fasting is not required. The cost is $39 (cash or check payable to SRH). For information call 360-814-2424 or 360-629-6481. No appointment or pre-registration is required. Feb. 6 (Thur) 7:30 – 9 a.m. Skagit Valley Hospital San Juan A/B Enter through Kincaid Street entrance

February 3; March 3 (Mon) 1:30 – 4:30 p.m. Cascade Room Enter through Kincaid Street entrance No charge but preregistration required

• Body composition testing to detect elevated body fat. • Review results with a health care provider.

Photo by Jerry Eisner, MD

Skagit regional health

All classes require pre-registration unless specified. Call 360-814-2424 or see inside of back cover.

Bone Density Screening Find out if you are at risk for osteoporosis by having a bone density scan. This is a non-invasive, painless scan of one hand. Results are available immediately. Fee $10 (cash or check payable to SRH). No appointment is required. Feb. 6 (Thur) 7:30 – 9 a.m. Skagit Valley Hospital San Juan A/B Enter through Kincaid Street entrance

Skin Cancer Screening Local dermatology providers will conduct visual inspections of skin abnormalities you are concerned about. No charge. Call 360-814-2424 or 360-629-6481 to schedule an appointment. Feb. 26 (Wed) 1 - 4 p.m. Provided by Corinne Sayler, PA-C, Skagit Regional Clinics-Dermatology Cascade Room March 12 (Wed) 1:30 - 4 p.m. Provided by J. Semmes Mickelwait, MD with Advanced Dermatology San Juan A/B Skagit Valley Hospital Enter through Kincaid Street entrance

Vision Screening

A certified ophthalmic technician with North Cascade Eye Associates will conduct vision and glaucoma screenings. This is not an evaluation of cataracts or macular degeneration. It is an acuity (vision) and eye pressure test only. Bring a contact lens case for storage during the screening. No charge. Call 360-814-2424 or 360-629-6481 to schedule an appointment.

Stroke and Aneurysm Screening

No need to wait for a special promotion when you can schedule your screening exams year around and have the exams performed using state-ofthe-art equipment, conducted by board certified diagnostic technologists and reviewed by a board certified radiologist. This ultrasound screening test provided by Skagit Digital Imaging is non-invasive, quick and painless, and will help you identify whether you are at increased risk for stroke and vascular disease and provide information so your physician may begin preventive treatment if necessary. A physician referral is not necessary, although we ask that you provide the name of a primary care provider, so results can be forwarded. The cost is only $59 for the combined carotid and aorta screening and is payable by cash or check only. This exam is not billable to insurance. Individuals whose screening results suggest the need for further evaluation will be referred to follow-up care with their physician. To register for an appointment, call 360-428-8208, Monday through Friday, between 8 a.m. and 5 p.m. Screenings are held at Skagit Radiology located at 1320 E. Division, Mount Vernon.

Free Blood Pressure Screenings Automated blood pressure machines donated by the Skagit Valley Hospital Foundation are available at the following locations: Skagit Regional Clinics - Mount Vernon Skagit Valley Hospital Kincaid St. Entrance Skagit Regional Clinics - Stanwood

Remember the steps to breast health 1. Do a monthly breast self-exam. 2. If you are 40 or older, have a

mammogram every one or two years.

3. Have a yearly check-up, including

a clinical breast exam. For a screening mammogram appointment, call 360-428-7270.

The Breast Care Center

1320 East Division Street Mount Vernon 360-428-7270 Open Monday – Thursday, 7 a.m. – 5:30 p.m., Fridays, 8 a.m. – 4:30 p.m. A service provided cooperatively by Skagit Valley Hospital and Skagit Radiology.

Childbirth & Infant Care

Pregnancy and Childbirth This six-week course for expectant parents includes information about emotional changes during pregnancy, the labor process, breathing techniques, the role of the support person, breastfeeding, and a local pediatrician to discuss your baby’s first three months. The fee is $110. Medical coupons are accepted. Full payment or a copy of your medical coupon is required two weeks before the class begins. Classes are offered at Skagit Valley Hospital. Pre-registration is required. Call 360814-2424 or 360-629-6481 to register.

Childbirth Preparation: Weekend Course We offer a two-day childbirth preparation class on weekends. Plan to begin the course in your seventh or eighth month of pregnancy. The class includes the same topics as the six-week course. A tour of the Family Birth Center is included. The fee is $95. Medical coupons are accepted. Pre-registration is required. Call 360814-2424 or 360-629-6481 to register.

March 6 (Thur) 1-3 p.m. Skagit Valley Hospital Cascade Room Enter through Kincaid Street entrance

Coming soon:

Is it Time for Your Mammogram?

See page 14. HealthQuest winter 2014

Family Birth Center Tours Free tours of the Skagit Valley Hospital Family Birth Center are offered twice a month. Call 360-814-2424 or 360-6296481 to schedule a tour.

Breastfeeding and Newborn Care Skagit Valley Hospital’s Family Birth Center’s nurse Lactation Consultants will aid parents in gaining the knowledge necessary to make feeding decisions regarding their new baby. In addition, a local pediatrician will be available to provide information on newborn care – time for questions will be allowed. Pre-registration required. The fee is $25 for this two and one-half hour program. The cost is only $20 when registering for the weekend childbirth preparation class at the same time. Call 360-814-2424 or 360-629-6481 for class dates and times.Call 360-814-2424 or 360629-6481 for class dates and times.

Fit4Baby Fit4Baby is an eight-week program designed to strengthen the body for all the changes it will experience during pregnancy. The class includes cardio, strength, flexibility and balance training. Fit4Baby is designed to accommodate all stages of pregnancy and various fitness levels. Regular activity, such as the Fit4Baby exercise classes, can help reduce many maternal aches and pains, increase energy during pregnancy and may speed the labor, delivery and recovery process.

The class is taught by a certified pre- and post-natal fitness instructor. Jan. 29 – March 19 (Wed) 6:30 - 7:30 p.m. Skagit Valley Hospital Family Birth Center Waiting Room $79 Pre-registration required

Lactation Services at Skagit Valley Hospital Here at the Family Birth Center, we are dedicated to you and your baby’s health. That is why we provide one of the most inclusive lactation services programs in the region. There are six Internationally BoardCertified Lactation Consultant Registered Nurses available to visit you during your hospital stay and help you experience a successful start to breastfeeding your baby. If you are pregnant or breastfeeding or know someone who is and would like to know more about Lactation Services at Skagit Valley Hospital, please call 360-814BABY and one of our consultants would be happy to talk with you.

Gestational Diabetes Program Gestational diabetes affects approximately 7-14 percent of all pregnant women. Careful control of blood sugar and weight is important to prevent complications for both mother and baby. Skagit Valley Hospital offers a referral-based education program to improve gestational diabetes selfmanagement skills. Our highly trained and dedicated diabetes education team

provides participants with the skills to manage their blood sugar through healthy eating, stress management, increased activity, and blood glucose monitoring. The program offers individual nutrition therapy appointments. For more information please contact our Diabetes Education Program at 360-814-2184.

Child Safety Seat Checks Certified child safety seat technicians will assess your seat for age- and size-appropriateness, proper installation and use, recalls, and visible damage. This screening is highly recommended for parents-tobe, prior to the birth of your new baby, to learn how to safely install and use your car seat. Jan. 16; Feb. 20; March 20 (Thur) 1 - 3 p.m. Skagit Valley Hospital at main entrance covered area Mount Vernon Co-sponsored by Skagit-Island Safe Kids. Pre-registration is not required. Call Bill Craig at 360-4283236 for more information regarding additional dates and times. If you are interested in learning how to install car seats and help parents install their car seats properly, call Bill Craig, Skagit County Medic One at 360-428-3236 or via e-mail at billc@skagitems.com.

Kidney Dialysis Education Kidney Failure Treatment Options

This Skagit Valley Kidney Center program is for people with reduced kidney function who would like to explore treatment options for renal replacement therapy. Patients, families, and caregivers will receive information about treatment options, diet, health maintenance, financial, and social concerns. This introductory session helps reduce many anxieties a person may have related to the “unknown.” The session provides an opportunity for patients to make more informed choices. For more information and registration, call 360-416-5717. Photo by Jerry Eisner, MD

Skagit regional health

All classes require pre-registration unless specified. Call 360-814-2424 or see inside of back cover.

Cancer Support Services

All programs are provided for cancer patients and survivors and are free of charge. For additional information on any of these services or events please call 360-814-8255.

LIVESTRONG The Skagit Valley Family YMCA is again offering their very popular class to cancer patients. The classes are free and a membership to the YMCA is included! It consists of an individualized exercise program based on the goals of the participant along with presentations from professionals in the community, including Skagit Valley Hospital Regional Cancer Care Center. The LIVESTRONG program meets each Tuesday and Thursday from January 21 – April 10, 1:30 - 3 pm. To register, participants need to complete the LIVESTRONG application at the YMCA and get their physician’s clearance before January 15. There will be an intake meeting with each participant before the class starts to go over their goals and concerns, give a tour of the facilities and to answer any questions. For more information or to register, contact Erin McMillan, YMCA Fitness and Sports Director at 360-336-9622 or e.mcmillan@skagitymca.org.

Mindful Living with Cancer: For Patients, Survivors and Caregivers Mindfulness is an approach to living which can be a powerful tool for dealing with stress, illness and many other medical and psychological conditions. This class, led by Laura Cardinal, MSW, LICSW, meets weekly and includes various types of meditation practice, gentle stretching and activities to increase one’s understanding of the mind and body. The class is free and is offered on a drop-in basis. No registration is required. For more information call 360-814-8255. Held weekly on Thursdays 11 a.m. to Noon (plan to arrive at least five minutes before class begins) Safeway Conference Room at Skagit Valley Hospital Regional Cancer Care Center, third floor

Osteopathic Manipulative Treatment for SVH Cancer Patients Skagit Valley Hospital Regional Cancer Care Center will be offering Osteopathic Manipulative Treatment (OMT) to cancer patients on Thursdays by appointment. The treatments are provided by Jeanne Rupert, DO. For more information or to schedule an appointment, call 360-814-2620 or 360-814-2655.

Look Good, Feel Better Cancer can rob a woman of her energy, appetite and strength. But it doesn’t have to take away her selfconfidence. This program teaches beauty techniques to women in active treatment or those who are about to start treatment. It helps them combat the appearancerelated side effects of treatment. The Look Good, Feel Better sessions are led by trained, volunteer cosmetologists who teach women how to cope with skin changes and hair loss using cosmetics and skin care products donated by the cosmetic industry. Women also learn ways to disguise hair loss with wigs, scarves, and other accessories. Pre-registration is required; register by calling Deanna MacKay at 800-ACS-2345. Fourth Monday of each month 1 - 3 p.m. Skagit Valley Hospital Regional Cancer Care Center Safeway Conference Room (third Floor)

Women’s Cancer Support Group Second Monday of each month from 5 – 6:30 p.m. in the Safeway Conference Room (third floor) at the Regional Cancer Care Center. This group is for women who are undergoing treatment for, or have experienced ANY type of cancer. This group was previously limited to patients/survivors with breast and/or gynecological cancers. We are pleased to provide this supportive environment to a larger group of patients and survivors. This is an open group and no RSVP is required. Facilitated by Cyndy Adams, Oncology Social Worker, with frequent guest speakers arranged. Call 360-8148255 for additional information.

Art and Healing Group First and third Mondays of each month, 2 – 4 p.m. in the Safeway Conference Room (third floor) at the Regional Cancer Care Center. Our knowledgeable instructor Margaret Carpenter Arnett, BSN, ATR, has been doing art therapy with cancer patients for more than 20 years. Creating art can promote healing by reducing anxiety and stress and improving emotional well-being. It is a great opportunity to process and integrate the challenges of serious illness and treatment. Please note that artistic “skills” are not required! Come and join this fun and welcoming group. For more information call 360-814-8255.

Diabetes Support

The Diabetes Support Group meets the third Tuesday of each month from 7 - 8:30 p.m. in the Shuksan room at Skagit Valley Hospital.

Special Event on Wednesday, March 19: “Taking Control” with diabetes patient Mary Martin – This free session will provide information about better blood sugar control and will be held in the Cascade Room at Skagit Valley Hospital at 7 p.m. Call 360-814-8274 for more information.

Grief Support Services

Hospice of the Northwest provides support to anyone in our communities coping with grief and loss after the death of a loved one. Call our Bereavement Program for information and referrals, attend a free grief support group, or check out materials from our Resource Center Library. For more information and to receive a current grief group schedule, please call 360-814-5570 or 360-814-5550.

Hospice of the Northwest Resource Center: A free lending library open to the community Books and other materials are available for adults, teens, and children. Topics include HealthQuest winter 2014

caregiving, coping with disease, end of life concerns, grief and loss, and inspiration for challenging times. The public is invited to browse materials online or at HNW Resource Center. The Resource Center is open weekdays from 8 a.m. to 5 p.m. in the lobby of the Hospice office at 227 Freeway Drive, Suite A in Mount Vernon and after hours by appointment. A member of the hospice team can answer questions or help you find what you need. For information call Hospice of the Northwest’s Bereavement Program at 360-814-5570.

In-Service Education For grief and loss presentations for your organization or employees, contact the Hospice of the Northwest Bereavement Department at 360-814-5570. For clinical education or presentations for your organization or employees, contact the Hospice of the Northwest Clinical Liaison at 360-814-5550.

Hospice Program Seeks Volunteers A unique and meaningful volunteer opportunity is available through Hospice of the Northwest, serving Skagit, Island, San Juan and Snohomish counties. Volunteers offer support and companionship to individuals with a life expectancy of six months or less. They improve the quality of life and provide respite at a time when it matters most. Volunteer trainings are held in the fall and spring of each year. To learn more, please contact Julie Pryor Barr, Community Liaison at 360-8145588 or jbarr@hospicenw.org.

Community Education Want to learn more about hospice services and what they might mean for you and your family? Hospice of the Northwest staff is available to give educational presentations to community groups. For more information, please call 360-814-5550.

Skagit regional health

Hospice Foundation Gala Raises $150,000 On Saturday, September 14, 2013 the Hospice of the Northwest Foundation held its 13th Annual Auction and Gala. With 280 guests and 40 generous community sponsors, the event raised more than $150,000 to support expert and dignified end of life care in our community. The Hospice of the Northwest Foundation committed to providing more than $240,000 in program grant funds to Hospice of the Northwest in 2013. If you would like more information about the Foundation or Hospice of the Northwest services, please visit www.hospicenw. org, or call 360-814-5702.

Hospice of the Northwest Foundation Board Adds Six New Trustees Six new trustees were elected to the Foundation’s board in Fall 2013. Tyler Claus, Cathie Wyman, Mary Ann Douglas, John Howell, Patricia Slater, and Gary Thramer have begun threeyear terms as Foundation Trustees.

Mental Health Mental Health Support Group

NAMI Skagit Open Group meets on the fourth Tuesday of each month from 7 – 9 p.m. in the Shuksan Room at Skagit Valley Hospital. Family members and those living with mental illness are welcome. For more information contact Marti at 360770-5666 or Al at 360-424-5802.

Skagit Valley REACH Center This peer-run center provides volunteer opportunities, community resources, housing education, employment education, public computer access, computer classes, and self-supporting recovery classes. The Center volunteers work with individuals age 16 and older, developing goals to improve recovery. Skagit Valley REACH Center recognizes each person’s unlimited potential and encourages self-

determination through respect, support, meaningful choices and understanding. People come to Skagit Valley REACH Center to build confidence, self-esteem, and self-worth, being proactive in their mental health recovery and personal wellness. The Center is open Monday through Saturday from 9 a.m. to 6 p.m. and is located at 1413 E. College Way in Mount Vernon. For more information call 360-873-8635 or visit at www.cvabonline.com.

NAMI Basics Education Program A free six-week class for parents or primary caregivers of a child or teen with mental illness or a brain disorder such as ADHD, bi-polar and others. The course helps families with communication, coping, schools and education needs, rehabilitation, recovery, and advocacy. The next class will begin Monday, February 3, 6:30 – 9 p.m. To register, call Marti at 360-770-5666 or Michelle Costanti at 360-766-4280.

Family-to-Family Education Program Free 12-week course for families of adults with mental illness or a brain disorder. The course focuses on helping family members understand the major mental illnesses and maintain their own well-being while providing needed support to their ill family members. This program is provided by NAMI Skagit, an affiliate of the National Alliance on Mental Illness. The next class will begin Monday, March 17 and will continue each Monday and Thursday evening for six weeks. Call Marti at 360-7705666 or Judy at 360-424-5802 for more information or to register. Space is limited so reservations are required.

Peer-to-Peer Education Program Free nine-week class for adults with mental illness or brain disorders to help them better understand their illness and maintain and improve their recovery. NAMI Skagit provides this program which will start in February. Call Natasha at 360-856-0267 for more information and to register. Space is limited.

Support Groups Call 360-814-2424 or 360-6296481 for current Skagit County Support Group information.

Ostomy Support Group Second Tuesday of each month from 6:30 – 8:30 p.m. in the Sauk Room at Skagit Valley Hospital. Call Cathy Schaeffer at 360-814

Community News & Resources Speakers Bureau

Need an interesting presentation for your club or organization? Skagit Regional Health’s Speakers Bureau provides speakers on a number of health care related topics, many at no cost. For more information on speaker topics or to schedule a presentation, call Val at 360-814-2424.

Volunteer Services at Skagit Regional Health Volunteer opportunities at Skagit Regional Health include:

Information Desks

A wide variety of locations are available.

Pianists

If you are an accomplished pianist who would like to share your talent for others to enjoy, call 360-814-2142.

Junior Medical Volunteers

The Junior Medical Volunteer program is for students age 15-18.

For Students and Job Seekers

The number of positions are limited so prospective volunteers should apply at least a year in advance of any school deadlines that may be applicable. High school students seeking course or club credit should apply and begin volunteering before their senior year.

Guilds and Auxiliaries

Many volunteers choose to serve through membership in one

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of our volunteer service and fundraising groups including the Gail Edward Iverson Circle of Friends, Grace Cochrum Guild, J.E.M. Guild, SVH Auxiliary and SVH Guild.

Other Volunteer Department Services: Hospital and Clinic Tours

Tours of our facility for groups and individuals are available. Reservations are required. Call 360-814-2142 to schedule a tour.

Gift Shop

The gift shop is open Monday through Friday from 10 a.m. to 2 p.m. in the main lobby. All proceeds from the Gift Shop are returned back to help Skagit Regional Health in areas of need.

To inquire about volunteering or request services, please contact Steve Schultz at 360-814-2142 or contact our main information desk at 360-814-5059.

Watch HealthQuest on Cable-Access Television Station 10 and on YouTube.com. If you are a Comcast cable subscriber in Skagit County, be sure to tune in to channel 10 to watch HealthQuest TV. The show airs at 11:30 a.m., 4:30 p.m. and 7 p.m. every day. This half-hour show features a new guest each week showcasing our local providers and health care professionals on a variety of topics ranging from latest treatment options for heart disease and cancer care to prevention topics highlighting local walking trails and cooking shows. You can also view our HealthQuest shows online at www. youtube.com/skagitvalleyhospital.

Need a Physician? Call our free Physician Referral Line at 360-848-5555 or 360-629-5850 from Stanwood or Camano Island. The Physician Referral Line is open weekdays between 9 a.m. – 5 p.m.

Check out our facebook page at www.facebook.com/skagit.regional.health

Disposal of Medicines and Biohazardous Waste

Avoid medicine accumulation. Make sure your doctor and pharmacist are only supplying you with medications you will use. Decline free samples unless you know it is a medication you can use and in a quantity you can use. Review your medicines frequently and remove those that will not be used. Dispose of medicines correctly. Deposit all unused medicines in a law enforcement collection box (see list of sites below). Sharps and biohazardous wastes cannot be accepted.

Collection Box Locations in Skagit County: Skagit County Sheriff’s Office 600 South Third Street, Mount Vernon Hours 9 am to 4:30 pm, M - F Swinomish Tribal Police 17353 Reservation Road, La Conner Hours 9 am to 3 pm, M - F City of Anacortes Police Department 1218 24th Street, Anacortes Hours 8 am to 5 pm, M - F City of Burlington Police Department 311 Cedar Street, Suite B, Burlington Hours 8:30 am to 4:30 pm, M - F City of Sedro-Woolley Police Department 325 Metcalf Street, Sedro Woolley Hours 8 am to 5 pm, M - F * Drop locations will be closed on designated holidays and furlough days

All Locations Accept: • Prescription drugs • Over the counter drugs • Vitamins • Inhalers • Unused Epi Pens

Do Not Accept:

• IV bags • Bloody or infectious waste • Needles or syringes • Used Epi pens • Personal care products • Thermometers • Aerosol cans HealthQuest winter 2014

Board of Commissioners Public Hospital District No. 1

James Hobbs, Sr.

Pattie Lewis

Jeff Miller

Clark Todd

Skagit regional health

Balisa Koetje

Bruce Lisser

Stan Olson

Our Hospital Board at a Crossroads It seems as if every national healthcare speaker, every hospital publication and every hospital industry speaker is making the point that Hospital Governance (Boards) must change its orientation. Our mission of ensuring that the community’s health needs are met has not changed, but the way we answer that mission is changing rapidly. Healthcare has always been complex, and has long been a challenge for local elected officials like us to understand how the entire system works. Fortunately, we have had very talented management teams over the past several decades to help bring Skagit Regional Health to a state of prominence in northwest Washington. Our Boards have learned enough to chart a course of building a new hospital, which opened in 2007; monitoring the organization’s solid financial performance; acquiring the former Skagit Valley Medical Center in 2010 – now known as Skagit Regional Clinics – and employing more than 130 providers and 350 clinic staff; and emphasizing improvement in our quality of care. We are learning that, as important as those areas have been, they are not enough for today and tomorrow. Our national healthcare system is undergoing major reform in the way we deliver patient care and the way we pay for that care. Our Board members must devote more time to learning

about these reforms through our personal reading, attendance at hard-working seminars, and discussions among ourselves and the people we serve. We must make time to generate new ideas, challenge our management team and find new ways to integrate with our providers. Our Board is committed to the hard work necessary to understand and participate in the key strategic discussions required by this reform movement. The recent decision by the Board to explore an alliance with PeaceHealth, which includes a strategic alliance with UWMedicine, reflects that new orientation on the part of our members. We believe that decision holds the promise of bringing new competencies to Skagit Regional Health to be successful in a reformed healthcare system and to retain and enhance health care services for the people we serve. We are energized and willing to be a part of healthcare reform because it means higher quality and coordination of patient care at less cost. As we progress on this journey, we will keep our community informed through our monthly public Board meetings and through our reports like this in HealthQuest. Thanks go to the community members who have participated in recent decisions, and we encourage your continued dialogue.

Skagit Valley Hospital Services • Acute Care • Breast Care Center • Cancer Care • Cardiac Rehabilitation • Cardiac Catheterization Lab • Case Management • Chemotherapy • Children’s Therapy Program • Clinical Education • Clinical Services/Infection Control • Computed Tomography Imaging (CT Scan) • Congestive Heart Failure Clinic • Cosmetic and Plastic Surgery • Critical Care • DEXA Scan • Diabetes Education • Diagnostic Imaging • Echocardiography • Electrophysiology • Emergency Trauma Center • Endoscopy

• Family Birth Center • Food Services • Gift Shop • Health Information Management • HealthQuest • Heart & Vascular Institute • Hospice Care • Hospice of the Northwest Foundation • Hospitalists on site 24/7 • Hyperbaric Oxygen Program • Interpreting - Translating • IV Therapy • Kidney Dialysis - outpatient and inpatient • Laboratory • Magnetic Resonance Imaging (MRI) • Materials Management • Medical Staff Services • Mental Health Center • Nuclear Medicine • Nursing Administration • Nutrition Counseling

HealthQuest

• Occupational Therapy • Oncology • Orthopedics • Outreach and Development • Palliative Care • Pastoral Care/Chaplains • Patient Advocate • Pediatric Hospitalists on site 24/7 • PET/CT • Pharmacy • Physical Therapy • Physician Referral Services • Pulmonary Rehabilitation • Quality Management • Radiation Therapy • Rehabilitation Services • Respiratory Therapy • Skagit Regional Clinics: - Anacortes - Arlington - Camano Island

www.skagitvalleyhospital.org

Class Registration

Please fill out this form and include your check or charge card number along with the requested information (use one copy for each participant - feel free to duplicate this form or register on our Web site, www.skagitvalleyhospital.org/events.)

Class or Screening

Date

Fee

Total amount enclosed: Name:________________________________________________________________________ Address:______________________________________________________________________ City, State, Zip Code:____________________________________________________________ Day Phone:___________________________ Home Phone:_______________________________ E-mail address:________________________________________________________________

Type of Payment (Please do not send cash) Check (make checks payable to SVH-HealthQuest) Mastercard

VISA

Credit Card Number: ____________________________________

- Cardiology (Anacortes, Arlington, Mount Vernon and Sedro-Woolley) - Mount Vernon - Oak Harbor - Sedro-Woolley - Stanwood - Urology (Anacortes and Mount Vernon) • Skagit Valley Hospital Foundation • Sleep Center • Speech Therapy • Spine Program • Sunrise Inn • Surgical Services • The Breast Institute • Ultrasound • Volunteer Services • Wound Healing Center • X-ray

Expiration Date:________________________ Signature: ____________________________________

Find our refund policy online at: www.skagitvalleyhospital.org/events

Mail

HealthQuest

Skagit Valley Hospital P.O. Box 1376 Mount Vernon, WA 98273

Phone

360-814-2424 or 360-629-6481

Internet

www.skagitvalleyhospital.org/events

Fax

360-814-8222 Complete this form and fax it to the number above.

Questions? Call Skagit Valley Hospital at 360-814-2424, from Stanwood and Camano Island call 360-629-6481 or for hearing impaired, please call TTY 360-814-2219 HealthQuest winter 2014

PRSRT STD U.S. POSTAGE PAID MOUNT VERNON, WA PERMIT NO. 104

P.O. Box 1376 Mount Vernon, WA 98273-1376 Sponsored by Skagit Valley Hospital Foundation

*****************ECRWSSEDDM**** Postal CUSTOMER