Page 1

Inspiring Health WINTER 2016

New Beginnings Birth Center The choice for safe, expert, local OB care

The New Brookings Hospital Learn about our expanded campus

Urology Care Comprehensive services now available in Brookings


To protect yourself from CO: • Install a CO detector in a place where it will wake you if it activates. Remember to regularly check and change the batteries and replace the CO detector every five years. • Have your heating system and other gas, oil or coal burning appliances serviced annually. • Have your chimney checked or cleaned annually.

Carbon monoxide (CO) is a deadly gas with no odor or color. It’s found in fumes produced by vehicles, fire places, gas ranges or furnaces. It can build up indoors and poison people and animals who breathe it. According to the CDC, annually 20,000+ Americans visit the ER from unintentional CO poisoning.

Distinguished Service Award


• Never run a vehicle inside an attached garage even with the garage door open. Always open the door to detached garages to let in fresh air when you run a vehicle. • Never use portable heaters or generators indoors. For more tips, see the CDC’s website,

Obstetrics Director Mary Schwaegerl, RN, and Clinical Informatics Specialist Erica Knippling received the South Dakota Association of Healthcare Organization (SDAHO) Distinguished Service Awards at SDAHO’s 90th annual convention in September. Schwaegerl was recognized in the health care professional category for her work in leading patient-centered changes in maternity care practices at Brookings Health System and advocating for positive breastfeeding policies within the Brookings community and South Dakota. Knippling was recognized in the young professional category, which honors individuals under 40 who demonstrate leadership. She was nominated for her distinguished service as the program director of the South Dakota Chapter of Healthcare Information and Management Systems Society (SDHIMSS), a membership of healthcare technology professionals who advocate for, and educate on, health IT systems.

WANT TO RECEIVE INSPIRING HEALTH ELECTRONICALLY? Opt out of paper and get our Inspiring Health newsletter delivered straight to your e-mail. It’s the same great content and information once a quarter in an electronic format.

Ready to make the switch? Sign-up at


Comprehensive Urology Care

Urologist Dr. Dileep Bhat started seeing patients in Brookings this fall. With his fulltime practice up and going at the Avera Medical Group Specialty Care clinic located inside the Medical Plaza, he’s serving the general urology needs of area patients.

According to the Urology Care Foundation, 1 in 10

Common conditions Dr. Bhat sees patients for include:

Americans will deal with a kidney stone in their lifetime, 26 million American adults have kidney disease and more than 25 million people in the U.S. suffer from loss of bladder control. Needless to say, urology services are in high demand. Brookings is fortunate to now have a local urologist, Dr. Dileep Bhat, available full-time to treat what may be painful or embarrassing conditions.

• Kidney, bladder and ureteral stones • Urinary tract infections • Urinary incontinence • Prostate issues


• Cancers of the kidneys, bladder, prostate and testicles

Dr. Bhat relocated to Brookings from Mitchell where he practiced urology for 34 years. Born in India, he attended B.J. Medical College and performed a general surgery residency at King Edward Memorial Hospital. He then moved to the United States and performed a fellowship and residency in general surgery at the Hospital for Joint Diseases in New York, NY. Upon completion, he decided to specialize in urology and performed a urology residency at Beth Israel Medical Center in New York, NY. As a urologist, Dr. Bhat specializes in the health of the male and female urinary tract and the male reproductive organs. This includes disorders affecting the bladder, kidneys, penis, prostate and testicles. “It’s a field where there are a lot of variations,” says Dr. Bhat. “You may treat a newborn or a person who is 100 years old. You see men, women and children. And it has medicine involved where you diagnose and treat people, not just perform surgery.”

• Male infertility • Erectile dysfunction

Patients won’t have to wait for an outreach physician. We can treat patients faster and locally so they don’t have to go to Sioux Falls or somewhere else for care. All procedures and tests can be done in Brookings.

“I’ll be there every day of the week, Monday through Friday,” said Dr. Bhat. “Patients won’t have to wait for an outreach physician. We can treat patients faster and locally so they don’t have to go to Sioux Falls or somewhere else for care. All procedures and tests can be done in Brookings.”

In the clinic, Dr. Bhat may perform diagnostic procedures such as bladder scopes or prostate ultrasounds as well as minor surgery with local anesthetic, such as vasectomies and biopsies. In the hospital, Dr. Bhat may perform minimally invasive surgery, including kidney stone removal, surgery for urinary incontinence and surgery on the bladder, prostate or testicles. The comprehensive urology services Dr. Bhat offers helps local patients manage their urological conditions right here in Brookings. To schedule an appointment with Dr. Bhat, contact Avera Medical Group Specialty Care clinic at (605) 696-2700.

winter 2016




New Beginnings Birth Center’s team focuses on delivering

High Breastfeeding Initiation

the best health outcomes for moms and babies. The quality

The HHS also focuses on breastfeeding rates. Breastfed babies have stronger immune systems resulting in fewer illnesses. They are also better protected from allergies, asthma, SIDS, childhood cancer and diabetes. Mothers who breastfeed are more likely to lose pregnancy weight faster and have decreased risks of breast and ovarian cancer and osteoporosis.

indicators show it, placing Brookings Health System ahead of the Department of Health and Human Service’s (HHS) Healthy People 2020 goals.

Low C-Section Rate The HHS focuses on the number of Cesarean sections performed per 100 births, known as the C-section rate. While C-sections save the lives of both mothers and babies when necessary, they also can result in health risks for babies and serious complications for mothers, including problems during subsequent pregnancies. HHS’s Healthy People 2020 goal aims to reduce unnecessary C-sections to 23.9% by 2020. While that rate is above the World Health Organization’s (WHO) recommended 10-15% range, it is well below the 2015 national C-section rate of 32%. Brookings Health System’s C-section rate in 2015 was 12%, well below the national average and within WHO’s guidelines. To prempt C-sections as much as possible, OB/ GYNs at Brookings Health System wait for labor to occur naturally rather than to induce. Nursing staff and volunteer doulas encourage mothers to remain active during labor to help the birth process naturally progress.

Target goals set by Healthy People 2020 include increasing the proportion of infants who are ever breastfed to 81.9%. The national average initiation rate is 81.1% and the South Dakota average is 83.6%. As a Baby-Friendly Designated hospital, 95% of mothers who delivered at Brookings Health System in 2015 initiated breastfeeding for their baby. In addition, Brookings Health System has implemented New Beginning Baby Café, a weekly drop-in breastfeeding support group staffed by certified lactation consultants, to help increase the number of babies who are breastfed at three months, six months and one year. The HHS also wants to reduce the number of breastfed newborns who receive formula supplement within the first two days of life to 14.2%. At Brookings Health, only 8% of newborns received or were supplemented with formula while in the hospital. 95% of mothers who chose to breastfeed were still nursing exclusively without formula supplement two days after leaving the hospital. To learn more about delivering at Brookings Health System, please visit




When Ricki Boyle’s baby girl, Aspen, was breech, she trusted OB-GYN Dr. Larissa Bennis and the New Beginnings Birth Center team at Brookings Health System to help her safely deliver

downward toward the birth canal. However, three to four percent of babies will be positioned to deliver buttocks or feet first in a breech position like Aspen was. “[Dr. Bennis] had a fantastic plan already set forth when she found that out,” said Ricki.

her infant.

“I knew nothing about pregnancy,” said Ricki who works at SDSU’s aviation department. “I was very scared, very intimidated by all the new symptoms, all the things that were going on, and all the changes.” As first-time parents, she and her husband relied on Dr. Larissa Bennis from Avera Medical Group Specialty Care clinic. “From day one, [Dr. Bennis] was confident,” said Ricki. “I went in with the speech, ‘I’m here to trust you. This is what I pay you for. You’re the expert in this care.’” One choice Ricki did stress to Dr. Bennis was her delivery preference. “I explained to her I wanted a vaginal delivery. That was really important to me,” said Ricki. “It’s the best way for the baby, naturally. Also, recovery time is always a first thing on a mom’s mind. Nobody wants to go through a C-section if they don’t have to and recover from that.” Ricki’s pregnancy was healthy and normal until her 39th week. That’s when Dr. Bennis discovered and confirmed by ultrasound that Aspen was in the breech position. Most babies move into delivery position with their head

She scheduled Ricki for an external cephalic version (ECV) at Brookings Health System the next morning. An ECV is a non-surgical technique to move the baby in the uterus. Ricki was given an epidural and laid flat while Dr. Bennis gently pushed on her lower abdomen. Guided by ultrasound, Dr. Bennis turned Aspen into the head-down position. Dr. Bennis checked Ricki the following day. The ECV was successful. But at Ricki’s 40th week appointment, they discovered Aspen had flipped back into the breech position. As such, Dr. Bennis performed a second ECV. Ricki was then induced to deliver Aspen vaginally as she had planned. Trusting her pregnancy to Dr. Bennis and Brookings Health System gave Ricki and her husband a healthy, vibrant little girl. “It’s confident care, which I think is a great thing,” said Ricki regarding her experience. “More importantly, you build that relationship with your OB and she’s there for you at the end. She’s there for you at 40 weeks to help make those decisions, and she’s there with you in labor and delivery. Watch more of Ricki’s story at

winter 2016


BROOKINGS HEALTH SYSTEM CAMPUS This winter the new hospital expansion will open to care for patient’s surgical, radiology, inpatient and obstetrics needs. The image below shows new service areas, entrances and temporary access points as we start the remodeling phase of construction in February.

A 6

MEDICAL PLAZA Directly connected to the hospital, it houses Avera Medical Group Specialty Care clinic and allows for future service growth. During remodeling, patients may enter the southwest building entrance (A1) or through the cafeteria entrance (A2). After remodeling, patients will enter through the new front entrance.






Now open along 22nd Avenue to allow patients convenient, safe access to the Medical Plaza and Brookings Hospital.

Targeted for renovation to open up the space and create a grand entry to welcome visitors to Brookings Health System. The front entrance is estimated to close to the public in February. During the renovation please use the southeast building entrance (E1).

OLD HOSPITAL SPACE Remodeling will start on the first floor to create spaces for displaced services and ancillary departments located away from the main building. Second floor will temporarily house displaced services, including cardiac rehabilitation and the Brookings Health System Outreach Specialty Clinic.

NEW BROOKINGS HOSPITAL First floor services include surgery and radiology. Inpatient care and obstetrics are housed on the second floor. Patients and visitors may enter through the southeast building entrance (E1).

YORKSHIRE DRIVE ACCESS Now available as an alternate entry and exit point to campus with easy access to patient and visitor parking.






B A1



winter 2016



300 Twenty-Second Avenue Brookings, SD 57006

This is a recyclable product.

Inspiring Health is published by Brookings Health System. This publication in no way seeks to serve as substitute for professional medical care. Consult your physician before undertaking any form of medical treatment or adopting any exercise program or dietary guidelines.

THANK YOU for your SUPPORT in 2016! In February, together we

exceeded the $4.6 million PROGRESS LIVES HERE capital campaign goal for the hospital expansion and renovation!

In June, we celebrated more than 400 donors who gave to the capital campaign!

In November, the Foundation

board gave Brookings Health System $2 million for the hospital expansion and renovation project. Donations are still being accepted. Those giving $1,000 or more will be recognized on a donor wall.

In August, over 30 sponsors and nearly 150 participants and volunteers raised over $26,000 to help purchase neonatal resuscitation equipment.

In October, the Brookings

Bobcat Volleyball Team and Swiftel Center Tough Enough to Wear Pink sold t-shirts to support local breast cancer patients.

Every day we give thanks for your generosity and support of our mission, “Inspiring people to support Brookings Health System through philanthropy, recognizing the vital role of local health care in sustaining quality of life in our community.� (605) 696-8855

Inspiring Health Winter 2016  
Inspiring Health Winter 2016