PROGRESS 2011
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Aspirus Grand View
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Aspirus system continues to grow in U.P. When Grand View Health System joined the Aspirus family in October 2010 and became Aspirus Grand View, it marked the latest in three years of expansion into the Upper Peninsula for Aspirus. With Grand View in the fold, the Aspirus health system now employs 1,200 people and supports more than $100 million in annual salaries and operations in the U.P. alone. While Aspirus’ presence in the U.P. has had a big economic impact on the communities it serves, providers like Aspirus Grand View also enjoy the benefits of being able to access new resources, share best practices and realize business efficiencies that make its future very bright. “Our No. 1 goal is providing excellent care to people throughout our service area, and we believe this affiliation will help us continue doing that for many years,” said Carol Goffnett, Chief Executive Officer at Aspirus Grand View. “We have some wonderful opportunities, and I’m confident the community will like what they see happening at Aspirus Grand View.” When Grand View completed its affiliation with Aspirus, it became the third hospital in the U.P. to do so in the last three years. Ontonagon Memorial Hospital became Aspirus Ontonagon Hospital in November 2007, and Keweenaw Memorial Medical Center in Laurium became Aspirus Keweenaw Hospital in June 2008. Collaborating together, the hospitals have secured much-
Aspirus Grand View photo
Aspirus Grand View board members include, from left: first row — Carol Goffnett, CEO, Dr. Jeff Nehring and Wayne Nasi; and second row — James Lorenson, Maria Gulan, Dr. Christopher Pogliano, Richard Armstrong, John Garske, Joel Rueber, Sidney Sczygelski, Dr. Charles Iknayan and Kathy Drengler. needed local heart care through their affiliation with the nationally-recognized Aspirus Heart & Vascular Institute. Additionally, Aspirus also supports a full continuum of other important health services, including: •Physician clinics •Skilled nursing homes •Home health and hospice care •Outpatient therapies
•Walk-in clinics •An eye clinic •A surgery center “By working with other Aspirus health providers in the U.P., we’ve been able to expand the care our patients need,” said Chuck Nelson, Chief Executive Officer with Aspirus Keweenaw. “We have developed a strong system of care in this region that provides excellent hospital and
physician services, as well as vital home health and hospice services that are in such high demand.” Now a vital source of health services for the peninsula’s western seven counties and a cornerstone of economic vitality during tough economic times, Aspirus continues to develop its U.P. system, expanding and improving local health services in a time when
small, independent providers face big challenges. In 2011 and beyond, Aspirus will continue to explore new ways to make excellent, compassionate care available to communities throughout the western Upper Peninsula and bring additional specialty services to the area so people can access them closer to home, eliminating the need to travel for higher end services.
You’re never alone with Lifeline Jo Glass from Ironwood recently became a Lifeline customer, and she is glad she did. Glass has several medical conditions, including recent open heart surgery. She lives alone and was afraid no one would know if she fell or needed medical attention. When her nurse mentioned to her that she should look into getting Lifeline, Glass called and in a few short days, she had a comforting connection to help, should she need it. “It has made a big difference in the way I feel,” she said. “I feel more confident and secure, knowing someone is there to help me twenty-four hours a day.” Lifeline is an easy-to-use medical
alert service designed to reduce the risk of living alone. In the event of a fall or emergency, help is available at the push of a button. The Lifeline Personal Help Button connects you to a trained Personal Response Associate who can send help quickly – 24 hours a day, seven days a week. If a Lifeline button is pushed, an associate quickly makes voice contact, reviews the caller’s personal and medical profile, assesses the situation and then notifies the appropriate support and medical response team. “I would highly recommend that anyone living at home alone, healthy or not, get Lifeline,” Glass said. “Why wait until something happens?”
Lifeline is available through Aspirus Grand View. Launched by the Auxiliary in 1984 with just eight subscribers, the program has grown to include more than 300 subscribers in Gogebic, Ontonagon and Iron counties. Dee Dee Lorenson, Lifeline Program Manager at Aspirus Grand View, truly enjoys her involvement with the program. “The most rewarding part of my job is helping people stay independent and in their own home,” Lorenson said. For more information about the Aspirus Grand View Lifeline program, contact DeeDee Lorenson at (906) 932-6209.
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Aspirus Grand View’s DeeDee Lorenson instructs Jo Glass about Lifeline.
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THE DAILY GLOBE Aspirus Grand View news
AGV employs about 400 people Jobs are the lifeblood of a community. Each paycheck pulses through the economy, supporting business as dollars are spent on housing, groceries and other goods and services. Jobs fuel more jobs. They are essential for economic growth. Aspirus Grand View is committed to the community’s health, providing access to vital health care services 24 hours a day, 365 days a year. What might easily go unnoticed, though, is the system’s contribution to the health of the local economy as an employer and a purchaser of goods and services. Aspirus Grand View employs about 400 people and has an annual payroll of $13.5 million. There is a ripple effect when hospitals purchase supplies and services and when employees spend their paychecks. These purchases support other business and create jobs within the community. And according to the Michigan Health Association, for every two employees hired in health care, another job in indirect health care is created. So along with providing excellent health care, Aspirus Grand View provides much needed jobs in our community.
Consider outpatient procedure Carolyn Rigoni from Bessemer recently underwent surgery at Aspirus Grand View Hospital. The result was sharper, clearer vision and a better life. For years Rigoni suffered from a gelatin floater that would cause her vision to be blurred and foggy. “I lived with this for over 10 years, never thinking I would have the courage to have it taken care of,” she said. But after seeing her optometrist, Dr. Crystal Carrington-Hellier, she was referred to Dr. Nitin Nigam, who explained the procedure which is called a vitrectomy. “His confidence and kindness reassured me that now was the time to take care of this problem,” Rigoni said. She had the outpatient procedure done at Aspirus Grand View Hospital, and went home the same day. There was very little discomfort, and the Rigoni said it is wonderful to be able to see so clearly. For more information about the specialized treatments available at the Aspirus Grand View Eye Center, please call (906) 9321436.
Auxiliary members make a difference Since its founding in 1969, Aspirus Grand View Auxiliary has been committed to supporting Aspirus Grand View and its mission of providing exceptional health care services that are customer-focused and fiscally responsible. Today, the auxiliary is doing just that. Members promote Aspirus Grand View through increased community awareness and fundraising initiatives. As a result, the auxiliary gave about $12,300 to Aspirus Grand View in 2010. The donation was used for new flooring in the entry; ongoing building projects; landscaping; minor equipment purchases, and two $1,000 scholarships. Fundraising activities include: Tree of Love, the Gift Shop (open Monday through Friday from 10 a.m. to 3 p.m.), book fairs, craft and holiday bazaars, annual nut sale, bake sales, raffles, and other special events throughout the year. All money raised by the auxiliary is used to support Aspirus Grand View. Beyond fundraising, auxiliary members are proud to serve as ambassadors for the health system in the community. They are an important
liaison between Aspirus Grand View and the community by informing and increasing awareness of health services through local events, newsletters and personal communications with friends, neighbors and colleagues. Members welcome feedback and input about the hospital, clinics, its services and the health interests of community members. With a strong membership, the Aspirus Grand View Auxiliary has many voices in the community. Auxiliary board members include Carol D’Alberto, president; Camille Peacock, treasurer; Chris Ainslie, secretary; and members at large include: Dorothy Carpenter, Virginia Heczko, Judy Ziemann, Sandy Armstrong, Patti Corullo, Camille Peacock and Bonnie Maki. The Aspirus Grand View Auxiliary is open to anyone interested in joining a great organization and receiving personal satisfaction from helping your community by supporting a wonderful asset: our health system. Membership dues are $5 per year. For additional information, please contact Sandy Armstrong, membership chairperson, at 906-842-3344.
Billing specialists key at AGV No one likes getting bills, especially when they are coming from past medical expenses, because they can be confusing and overwhelming. The staff at Aspirus Grand View is here to help. Aspirus Grand View has a staff of 12 billing specialists that are available Monday through Friday from 8 a.m. to 4 p.m. They are here to help patients with their insurance concerns for the entire Aspirus Grand View Health System. With the new Medicare and Medicare HMO regulations, there is a lot of confusion on what is and isn’t a covered service. Recently, the billing department received a call from a patient who was very frustrated with his past Medicare bill. He and his wife had issues dating back to 2005 that, despite his best efforts, were still not being paid. Our Medicare billing specialist was instrumental in helping him get this corrected so his claims would process correctly. The billing department at Aspirus Grand View not only helps by filing patients’ claims, the staff also is very helpful when patients have overall concerns or questions about their medical coverage. One patient received a letter from the Department of Human Services stating she would have to pay $566 before Medicaid would help. Previously, she had cataract surgery done on one eye and was scheduled to have the other eye operated on. With the recent passing of her husband, her income was cut in half and she was afraid that she’d have to cancel the second surgery. The billing staff verified her coverage with Medicaid and was able to confirm that she would be able to have not only the first surgery paid for, but also her second surgery would be covered as well. For Aspirus Grand View Hospital billing questions or concerns, please call 906-932-6210. For Aspirus Grand View Clinic billing questions or concerns, please call 906-932-6385.
Aspirus Grand View
The members of the Aspirus Grand View Auxiliary make a difference in many ways. Pictured are, from left: first row — Virginia Heczko, Bonnie Maki and Dorothy Carpenter, and, second row — Chris Ainslie, Patty Corullo, Sandy Armstrong and Carol D’Alberto.
Aspirus Grand View receives quality and excellence awards The Michigan Center for Rural Health honored Aspirus Grand View with two awards on Oct. 28 at the 11th Annual Michigan Critical Access Hospital Conference in Boyne Falls. The Michigan Center for Rural Health is a non-profit organization formed in 1991 as part of a nationwide, federal and state initiative to recognize the importance of rural health care and to create a mechanism for resources to flow to rural areas. Aspirus Grand View received the 2010 Michigan Rural Health Quality Improvement Award for Quality Improvement Achievement and
Award of Excellence. The Quality Improvement Achievement award recognizes outpatient clinical performance in the care and treatment of chest pain and acute myocardial infarction, or heart attack. The Award of Excellence acknowledges quality improvement efforts in inpatient clinical performance in the care and treatment of heart failure and pneumonia. “Award recipients are committed to providing their patients with high quality health care,” said John Barnas, Executive Director of the Michigan Center for Rural Health. “The Michigan Center
for Rural Health is pleased to sponsor this award which recognizes the dedication of hospital staff to provide the right care to the right patient each and every time.” The awards validate the hard work going on at Aspirus Grand View. “Together our staff is demonstrating we are providing the very best in medical care,” said Carol Goffnett, Aspirus Grand View Chief Executive Officer. “Aspirus Grand View is committed to the tenets of quality improvement that embrace evidence-based medicine to improve health outcomes.”
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Despite long rehab, Schuch back doing what he loves
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Aspirus Grand View Foundation board members are, from left: Lee-Ann Garske, Bernie Hibbeln, secretary; Pam Kauppila, president; Dick Armstrong and Carol Goffnett. Not pictured are Chris Ainslie, vicepresident; Mike Gregor, DDS, treasurer; Ginger Nasi and Andy Tait, PA-C.
Foundation supports Aspirus Grand View, community Have you ever made a donation and wonder what the money is used for? When gifts are made to Aspirus Grand View Foundation, the funds help purchase medical equipment, provide health screenings to the community, upgrade and enhance facilities or to fund new programs and services. The Aspirus Grand View Foundation uses gifts where they are needed the most, but donors can also specify if they want their donation to go toward a specific program, service or other cause. Each gift represents a step forward and is appreciated and acknowledged, regardless of the size of the gift. The foundation accepts gifts at any time, but it also raises money in a number ways, including: —Annual giving campaigns – Yearly requests for donations from past and new supporters.
—Fountain club membership: Pledges of $100 a year for 10 years. —Special events: Signature events that raise both money and awareness. —Planned giving: Donations that are arranged in advance, as part of a will or trust. —Endowments: Donations invested or set aside to earn interest. The endowment remains intact, and only the income is spent. —Memorial gifts: Donations made to remember or honor someone. —Major gifts: Large, onetime gifts from donors. “Because the work that hospitals do touches so many lives, it’s not surprising that over 85 percent of donations to hospital foundations come from individuals,” said Pam Kauppila, president of the Aspirus Grand View Foundation. “It’s very emotional when people are involved in health care,
whether it’s a joyous occasion with the birth of a child or a tragic one with the loss of a loved one. The gamut of emotions inspires people to want to give back to the organizations that helped them.” The Aspirus Grand View Foundation, established in 1999, is a non-profit corporation dedicated to improving the quality of care in the community. It is comprised of dedicated community members and its mission is to raise funds and administer them to improve quality, accessibility, and community awareness of health care in the western Upper Peninsula of Michigan and northern Wisconsin. If you would like more information on the foundation, contact a member of Aspirus Grand View Foundation Board by calling 906-932-2525 or visit our Web site at AspirusGrandView.org.
aspirusgrandview.org
John Schuch lives in New Baltimore, but spends a lot of time in Michigan’s Upper Peninsula to relax, hunt and, one day, hopefully retire. In 2010, Schuch shot a four-point buck in Ontonagon that was far from the biggest he’d ever shot, but it was certainly the most meaningful. Three years earlier, the 65year-old suffered a massive stroke that nearly took his life and made the prospect of walking – let alone hunting again – look bleak. While splitting time between his properties in Ironwood and Ontonagon, Schuch was at a meeting for his job as a boat salesman when he first began to feel a bit off. A diabetic, Schuch figured he was just low on sugar or just needed to eat, so he got his friend to drive him home. “I figured it was just a sugary accident because I’m diabetic. I never thought it could be a stroke,” Schuch said. Schuch tried to get his blood sugar up with some food, but when that didn’t help him feel any better, he decided to go to bed to rest. He never made it to bed, however, and he spent the night on the floor, incapable of moving. “That night, I was awake the whole time. When I had the stroke I couldn’t walk, talk or do anything,” he said. “My mind was a real mess, and by the time I realized there was something really wrong, there wasn’t anything I could do about it.” When morning finally arrived, Schuch’s friend decided to call to make sure he was OK. Luckily, Schuch somehow managed to reach a nearby phone. Though he was unable to talk, he was able to mumble enough sounds to prompt his friend to call an ambulance. When the ambulance arrived, Schuch was taken to Aspirus Grand View Hospital where they quickly determined he had suffered a stroke. “The people at Grand View were just excellent,” Schuch said. “They did some scans and diagnosed the problem right away – the doctors were really good.” Since his primary residence
was in lower Michigan, Schuch was sent to Detroit so he could be closer to home while recuperating from the significant neural damage he sufJohn fered from the Schuch stroke. He spent about a month-and-a-half in the hospital and it took the better part of a year before he learned to walk and talk again, but he still had a long way to go. About a year-and-a-half after his stroke, he started going back up to the Upper Peninsula again. Determined to hunt again, Schuch continued his physical therapy at Aspirus Ontonagon Hospital while he spent time at his farm in Ontonagon that sits on 80 acres of land. “I worked on my speech on my own because I used to talk a lot as a sales rep, so I didn’t take very well to someone trying to teach me how to speak again, but the physical therapist in Ontonagon was really, really good,” Schuch said. “He’s the one that got me walking again.” As Schuch progressed through his therapy, he continued to grow stronger despite his right side being paralyzed. He can’t use his right arm and his right leg supports little weight, but he can get around using a cane. By hunting season of 2010, he even became strong enough to climb the ladder that leads to the loft in his barn. It was from the loft that he bagged his four-point buck during the handicapped season in October. “It wasn’t my biggest, but I certainly did a good job,” he said. “It took quite a while to get to this point. “It was purely my fault that I didn’t get to a hospital sooner. If I would have, I possibly could have avoided the results that I’ve got, but that’s the breaks. I’m very pleased with how everything has turned out. I have gotten a lot of help from good people.”
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Quality counts at Aspirus Grand View; patient feedback important Quality health care is priority No. 1 at Aspirus Grand View because people’s lives and good health depend on it. There are many factors that shape a patient’s experience at a hospital, and the quality of care is a big one. Everyone at Aspirus Grand View shares a commitment to quality and wants all patients, and their families, to be satisfied with their experience at Aspirus Grand View. Grand View works with Press Ganey, one of the health care industry’s leading independent vendor of satisfaction measurement and improvement services, to ensure that its patients receive the best care possible. Press Ganey currently partners with more than 7,000 health care facilities and assists them in collecting and using patient evaluations in their quality improvement initiatives. Among U.S. inpatient hospitals, more than one-third currently contract with Press Ganey to measure patient satisfaction. “The detailed surveys and reports from Press Ganey provide our staff with an excellent tool to measure patient experiences, and their online reports provide us with immediate access to
responses, so we can make improvements right away,” said Carol Goffnett, Grand View CEO. “Studies show satisfied patients are more likely to adhere to medical advice and that emotional distress during a health care experience can actually hinder a patient’s ability to heal. “We will also benchmark for best practices with hospitals in Michigan and Wisconsin and use the data to make adjustments in areas such as efficiency of the admissions process, managing admission of patients to a clinical unit or bed, and maintaining sensitivity to the needs of patients.” Chances are, if you receive services from Aspirus Grand View – as an inpatient or outpatient, through ambulatory surgery, the emergency department, or even with a visit to one of its medical clinics – you may be asked to share your opinions about your care here. You are encouraged to be honest about your experience. “In return, we promise to use that feedback to continually bring you high quality health care, delivered with excellent customer service,” Goffnet said.
Colonoscopy: It can be a life-saver Colorectal cancer is the third most common cancer in the United States and the second leading cause of cancer deaths. It most often strikes people who are older than 50 who have no risk factors in the background other than their age. Aspirus Grand View surgeons Enrico Braucher, M.D., FACS, and Marc Santini, M.D., FACS, have conducted more than 3,000 colonoscopies in the past three years. Undergoing regular colonoscopies at Aspirus Grand View can potentially save your life, because regular screenings can greatly decrease your risk of colorectal cancer. Regular colonoscopy screenings are recommended for everyone who is older than 50. Most cases of colorectal cancer begin as polyps, which can be found during a colonoscopy and removed before they become cancerous or while the cancer is in its early stages. Survival rates are higher with early detection, before cancer spreads to lymph nodes or other organs. Colorectal cancer rarely causes symptoms in the beginning. Symptoms such as bleeding from the rectum, a change in bowel habits and weight loss usually occur later, when the cancer is
harder to treat. You may need to begin undergoing colonoscopies at age 40 or earlier and be tested more often if you or members of your family have a history of colon polyps or colorectal cancer, or if you have Crohn’s Dr. Enrico disease or ulcerative Braucher colitis. You are twice as likely to get colorectal cancer if one of your parents, brothers, sisters, or children has had it. You’re also at much higher risk if you have familial adenomatous polyposis or hereditary nonpolyposis colon cancer. Most people with these conDr. Marc ditions will develop Santini colorectal cancer if they are not treated. If any of these conditions is in your background, you’ll need to start screening younger and be checked more often than most people.
Ironwood student Samantha Pertile is a youth volunteer at Aspirus Grand View.
Aspirus Grand View photo
Volunteerism a valuable experience for teens The Aspirus Grand View Junior Program introduces the area’s young people to a variety of health care careers while they get the personal satisfaction that comes from supplying that extra pair of helping hands. In addition to feeling good about their efforts, teen volunteers develop key skills and responsibilities as they meet and work with other volunteers, patients and professional staff. Each year, the program includes about 15 young people age 14 through 18 who are recruited through faculty advisors or counselors at area schools. They are ultimately chosen for their demonstrated maturity and interest in the program. The Junior Volunteer, accompanied by a parent, attends an interview with the Director of Volunteer Services prior to being accepted in the program. Samantha Pertile, a senior at Luther L. Wright High School in Ironwood, joined the volunteer program in June 2010. During the summer months, she worked with the Aspirus Grand View Physical Therapy Department, an experience she found both interesting and intense. During the school year, you can find Pertile volunteering with the Aspirus Grand View Radiology Department. She spends two hours a day, Monday through Friday, working with radiology technicians. Even though this takes away time from her classes at the high school, it is a hands-on education that provides credits for time spent at the hospital. “I am very appreciative of this opportunity and I am surprised that more high school students don’t take
advantage of this great program,” she said. “There are so many different fields of medicine you can go into, and Aspirus Grand View allows us to actually experience what different jobs are available.” Pertile has always been drawn to the sciences, and enjoys anatomy. She plans to pursue a career in radiology, preferably as an ultrasound technician. “This is a great learning experience for students who have an interest in a health-related field as a profession,” said Dee Dee Lorenson, Director of Volunteer Services. “It gives them an opportunity to experience first-hand the duties and responsibilities involved.” Some of the duties of a Junior Volunteer include basic housekeeping and clerical duties, reading or visiting with patients, refilling water pitchers, assisting patients with menus, and helping out in radiology, purchasing, dietary, the information desk and many other areas. The Junior Volunteer Program for 2011 will begin with orientation in June. Junior Volunteers help out seven days a week with shifts from 9 a.m. to 12:30 p.m. and 12:30 p.m. to 4 p.m. Each Junior Volunteer works a minimum of one shift per week and is required to make a three-month commitment to the program. For more information on the Junior Volunteer Program, or volunteering at Grand View, contact Dee Dee Lorenson, director of volunteer services, at (906) 932-6209. Applications can also be picked up from high school guidance counselors.
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Aspirus offers heart care without the hassle
Aspirus Grand View photo
Carol Goffnett and Duane Erwin sign papers as Grand View Hospital joins the Aspirus family.
A grand partnership: Ironwood system joins Aspirus Grand View Health System officially joined the Aspirus system Oct. 1, 2010, after leaders from the two organizations finalized all the steps of an affiliation agreement. Now called Aspirus Grand View, the Ironwood, Mich.based system includes a 25-bed critical access hospital with two medical clinics, a surgical clinic, an eye center, walk-in clinic, physical therapy and a home health and home care division. With about 400 employees and an active, courtesy and consulting medical staff of about 70, Aspirus Grand View serves Michigan’s Gogebic County and Wisconsin’s Iron County, as well as surrounding areas.
“We are excited to officially welcome Grand View into the Aspirus family and look forward to working together to strengthen and expand services throughout the region,” said Duane Erwin, President and Chief Executive Officer of Aspirus. Aspirus Grand View is Aspirus’ third hospital partner in Upper Michigan. Aspirus Ontonagon Hospital, Ontonagon, Mich., joined Aspirus in June 2007, and Aspirus Keweenaw Hospital, Laurium, Mich., joined Aspirus in June 2008. Joining an affiliated group of high-quality providers will allow Aspirus Grand View to
access new resources, share best practices and realize business efficiencies. It will be necessary to constantly improve quality and efficiency, to thrive in an industry that presents challenging workforce and reimbursement issues. “This whole affiliation process has been a positive experience and now that it’s complete, we are eager to work with our Aspirus colleagues to improve and expand services to our communities,” said Carol Goffnett, Chief Executive Officer of Aspirus Grand View. For more information about Aspirus, visit aspirus.org.
Facing a heart condition is stressful enough, without having to worry about traveling out of town to see your doctor. Now, however, experts from the Aspirus Heart & Vascular Institute offer state-of-the-art cardiac care close to home at Aspirus Grand View Hospital in Ironwood. Gogebic area residents can conveniently access a broad range of services from one of the nation’s top cardiac programs without having to leave the community for care. Patients have local access to three rotating cardiologists that see patients two days a week at Aspirus Grand View Hospital. They are: German Larrain, M.D., FACC, FSCAI; Joshua L. Luce, M.D., FACC; and Paul A. Luetmer, M.D., Dr. German Larraiin FACC. “Our practice has always believed cardiology services should be provided locally whenever possible,” said Dr. Luetmer, AHVI Medical Director. “Not only is this more convenient, saving patients time and money, but it helps us to understand people seeing them in their own communities and allows us to interact directly with their primary care-givers.” Cardiac services available locally, include new patient evaluation, inpatient consults, cardioversion, stress testing, echocardiography, nuclear cardiology, transesophageal echocardiography, Dr. Joshua L. and post-surgical follow up visits. Luce “It is important to identify heart disease early so treatment can be more effective,” Dr. Luetmer said. “Even more important is to prevent heart disease by addressing smoking, inactivity, obesity, high blood pressure, and cholesterol before these problems lead to heart disease.” The visiting cardiologists work closely with the patients’ own Aspirus Grand View physician to develop a treatment plan that meets the individual needs of each patient. The collaboration also has improved diagnostic, inpatient, outpatient and rehabilitation services. But should you Dr. Paul A. need surgical or other advanced procedures, you Luetmer have access to the coordinated care of cardiac services at the Aspirus Heart & Vascular Institute in Wausau, Wis. The Aspirus Heart & Vascular Institute provides cardiology outreach in many communities in the Upper Peninsula and northern Wisconsin including Ironwood, Laurium and Ontonagon in Michigan, and Rhinelander, Eagle River and Woodruff in Wisconsin. Cardiology services from the Aspirus Heart & Vascular Institute are located at the Aspirus Grand View Clinic in Ironwood, located at N10565 Grand View Lane. Appointments can be made by calling the clinic at 906-932-1500.
Grand View emergency department ready when you need it The emergency department at Aspirus Grand View Hospital is open 24 hours a day and staffed with in-house physicians around the clock. These physicians aren’t “on call,” they are staffing the emergency rooms, right there in the emergency room ready to help you and your family. The physicians and nurses in the emergency department have been trained in advanced trauma life support, advanced cardiac life support, pediatric life support, neonatal resuscitation, and have other emergency certifications.
A wide range of specialists are also available on call, by phone, including cardiology, orthopedics, ear/nose/throat, family practice, OB-GYN, general surgery, pediatrics, oncology, podiatry and radiology. With Aspirus Grand View’s wide range of resources, additional specialty areas can be consulted when needed. In an average year, the Aspirus Grand View emergency department helps approximately 10,500 patients. Triaging is done as soon as you get to the emergency room, which means your care starts right away. In addition, our
admitting personnel come to you – directly to the bedside for your important registration information. To save time and ensure accuracy, we use computers to order specific tests. Aspirus Grand View’s emergency Dr. Eric department is also Maki focused on customer service. We work to streamline the process so you get the
fastest care possible and make continuous improvements with the help of patient surveys. The emergency department staff members also care about how patients are doing after they leave the ER, so they call patients the next day to make sure they are improving and to answer any questions. The emergency department at Aspirus Grand View is open 24 hours to care for you and your family, so even if it’s in the middle of the night, you will be well cared for.
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Home care keeps loving family together Florence and David McDonald from Ironwood were married for 58 years. Their love for each other and their years together were with many blessings, including their eight children. When Florence was diagnosed with Alzheimer’s, David’s wish was to keep her home and comfortable in her own surroundings. With the help of his children and compassionate and professional home health providers, David’s wish came true. The decision to seek help outside the family was a difficult one, recalls the family. “Dad was not comfortable with several new people coming into the house and was most concerned how new faces would affect Mom’s health.” The McDonald family decided to call Nancy Thurow, manager of Aspirus Grand View Caring Caregivers. Thurow listened to their concerns and needs, and promised she and her staff would be able to provide help and relief. “In our eyes, the staff at Caring Caregivers are angels,” the family said. “They treated our mom and our dad with such love and respect, we felt reassured and confident our parents were getting the best of care when we couldn’t be there with them.” There were times that the McDonalds required medical care, so they called upon the Aspirus Home Health agency. After David’s surgery in May, he too needed someone to come into their home and help him during his rehabilitation. “The nursing staff was exceptional and treated our parents with dignity and compassion. We really trusted them as we put our parents’ welfare in their capable hands.”
For about two years Aspirus provided care to the McDonalds’ home. David’s initial hesitancy was no longer an issue as he witnessed daily how their loving care brought much comfort to his dearest Florence and family. “They became part of our family, and for that we are go grateful.” Florence ultimately lost her battle with Alzheimer’s and passed away peacefully in her home surrounded by her loving family and everything she cherished. David passed away 13 days later of a massive heart attack, though some would argue that he passed away due to a broken heart. David’s heart was literally broken and his mission was complete. While their family misses them deeply, they are comforted knowing that they did everything they could to provide the best care for their parents and feel very fortunate that they were able to fulfill their parents wish to stay in their home. The McDonald family is most thankful for the compassionate and competent care provided by Aspirus Grand View Caring Caregivers and Home Health. “Keeping our parents home would not have been possible without them,” the family said. For more information on how Aspirus Grand View Caring Caregivers and Aspirus Grand View Home Health can assist you, please call Nancy Thurow at 906-932-005. Marcia Nelson, Aspirus Home Health, can be reached at 906-932-2440.
Technology brings hearts safely in focus Aspirus Grand View’s radiology department performs more than 14,000 radiology procedures a year. And thanks to the cardiac ultrasound equipment, images of the heart are sharper and more useful than ever. The ultrasound equipment provides clear diagnostic images and an advanced communication link that produce results to the ordering physician faster than ever. There are several benefits to this system.
“Ultrasound imaging is hugely beneficial because it is a relatively low-cost and noninvasive way to look inside the body,” said Rae Kaare, Radiology and Lab Manager. “With this cardiac ultrasound system, we acquire an extremely high level of diagnostic information and can provide answers for our doctors more quickly and easily. Plus, results from the ultrasound exam often reduce the need for more invasive proce-
dures.” The system features an adjustable flat screen LCD monitor that can be positioned for viewing from almost any direction. This allows patients to see images during scanning, as well. A highly moveable control panel increases the sonographer’s flexibility to work around the patient, and the system’s profile makes it easy to move wherever it is needed. Because it can be used in the
most delicate conditions without major side effects, ultrasound has become one of the most popular diagnostic methods among patients and physicians. Ultrasound uses highfrequency sound waves to produce moving images of the body’s internal soft tissue structures. It provides a safe, fast and relatively painless means of diagnostic imaging on an outpatient basis.
Technology enhances eye surgery In June 2010, Aspirus Grand View welcomed Dr. Nitin Nigam to its medical staff. Dr. Nigam is a retina specialist which means he specializes in eye diseases of the vitreous and retina. Dr. Nigam is the only retina specialist in the Upper Peninsula of Michigan. He treats agerelated macular degeneration, diabetic Dr. Nitin retinopathy, Nigam r e t i n a l detachments and all surgical conditions of retina, including trauma. In order to perform these delicate surgeries, Aspirus Grand View invested in the newest technology by purchasing a Constellation Vision System by Alcon. The Constellation Vision System helps during eye operations for retinal diseases such as retinal detachment, epi-retinal membrane, vitreous hemorrhage, and retinal tears. The Constellation system improves patient care and surgical efficiency thanks to the advanced illumination system on the machine. “The vision system provides more visual clarity and has an improved angle of light that allows me to see a wider area of the retina when operating,” Dr. Nigam said. “Additionally, the integrated opponents of the constellation vision system improve surgical capabilities and allow me to be more efficient in the care of patients.” “It is vital that the hospital provides the physician with the most up-to-date technology, so he can provide the very best of care to our patients.” said Carol Goffnett, CEO of Aspirus Grand View. “This equipment gives us the opportunity to be the best we can be for those who put their vision in our hands.” For an appointment with Dr. Nigam, call 906-932-1436.
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Hospital-based physicians: A new specialty
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Pictured are Holly and Scott Hewitt and their children, Kylee and Kaylin.
‘The Birth Place’ is the right place for expecting moms The Birth Place at Aspirus Grand View Hospital delivers more than 150 babies annually. The Birth Place features two labor and delivery rooms — one with an over-sized Jacuzzi tub — and three warm, bright post-partum rooms for new mothers. The level of care provided by the physicians and nurses at Aspirus Grand View makes the experience of giving birth a positive and memorable moment. This was particularly true for one mom, who was sold on Aspirus Grand View six years ago. “Moving here from Eau Claire (Wis.), I didn’t know who to go to for my first pregnancy,” said Gile, Wis., resident Holly Hewitt. “I heard a lot
of good things about Dr. Jeff Edwards, and I appreciated the fact that he is a board certified OB/GYN.” Hewitt and her husband, Scott, ultimately decided to go with Dr. Edwards, who delivered the couple’s first child, Kylee. The Hewitts’ experience at Aspirus Grand View was something Holly will never forget. “As a new mom I had a lot of questions and concerns, and the staff always called me back and answered my questions,” she said. “My husband and I were so happy with the overall experience when our first daughter Kylee was born, that six years later we didn’t hesitate to go back to Dr. Edwards and Aspirus Grand View for our second pregnan-
cy.” Holly had a C-section delivery when she gave birth to the Hewitt’s second daughter, Kaylin, but the experience was just as good as when Kylee was born. “Everyone was great, from the prenatal visits in the clinic, to the nurses who provided me comfort during the C-section process,” Holly said. “The hospital is not only conveniently located, it is a top notch medical facility.” Dr. Edwards is part of a childbirth team at Aspirus Grand View that provides prenatal care, delivery, Csections, and postpartum care. For more information, please call 906932-2525.
Changes in the health care industry have given rise to a new physician specialty: The hospitalist. Hospitalists are doctors who devote their medical practice to caring for people in the hospital. They do not see patients outside of the hospital. Hospitalists work with primary care physicians to coordinate admission to the hospital, inpatient care and ongoing health services needed after discharge. Ultimately, this method of care is designed to shorten hospital stays. Aspirus Grand View hospitalists provide care to all Dr. Steven inpatients. Phillipson The hospitalist model of care is growing rapidly for three reasons: Hospitalized patients have increasingly complex problems, which hospitalists are trained to address. Referring patients to the care of a hospitalist allows primary care doctors to spend more time caring for patients in the clinic setting. Hospitalists are on site to Dr. Mark respond quickly to patient Fuller emergencies. “I see myself as an extension of a patient’s primary care physician,” said Dr. Steven Phillipson. “I’m in the hospital to monitor a patient’s progress, consult with necessary specialists and manage the care plan. We really function as a team.” Most of the medical care people receive is in the primary provider’s office. Because the hospitalist is in the hospital all day, other physicians can spend more time in the office, which often reduces the time people must wait for an appointment. There is little wonder that the hospitalist is a fast-growing specialty. The efficient care provided by hospitalists contributes to shorter hospital stays, high patient satisfaction and improved access at physician clinics. Everyone wins. Phillipson is a board-certified family medicine physician who graduated from Michigan State University College of Medicine and completed his residency at Union Hospital Family Practice in Terre Haute, Ind. Dr. Mark Fuller also graduated from Michigan State University College of Medicine and completed a residency in internal medicine and pediatrics at Medical College of Ohio, Toledo. He is board-certified in internal medicine.
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Keeping people well in the workplace Health insurance costs continue to rise, and more employers are making the decision to get staff members engaged in health promotion and wellness programs as a means of slowing medical care costs and improving productivity. The Worksite Wellness programs offered by Aspirus Grand View provide employers with tools to assist their staffs in maintaining a healthy lifestyle, which can help contain health care costs. “Wellness programs have proven to be an effective solution for both employers and the employees,” said Geneva Smiles, Community Health and Wellness Coordinator at Aspirus Grand View. Grand View offers on-site health screenings, including cholesterol testing, diabetes screenings, blood pressure, body fat analysis and other assessments. These are the basic components of an organization’s wellness plan. “It makes financial sense for the
AGV offers classes for community Aspirus Grand View’s health education and wellness service are designed to make the workplace healthier and to provide a single resource for a business’ needs. Community members are invited to participate in a variety of classes and support groups. In addition, a new series called “Living Well” is offered multiple times a year and features a free healthy lunch to participants and a program on a variety of health topics from the health professionals at Aspirus Grand View. Aspirus Grand View’s expertise includes: •Screenings and immunization services •Blood-borne pathogen training •Wellness programs (nutrition, stress, weight management, etc) •Vaccinations: Flu, etc. •CPR, AED (defibrillator) and first aid training •Support groups (family caregivers, diabetes, cancer, bariatrics and grief) •Diabetes education •Worksite pre-employment screenings •Childbirth and healthy parenting classes •Free memory testing with a physician’s referral employers to invest in wellness programs now for the improved health of their staff, so they see their return on investment in the years to come,”
Smiles said. Free Internet-based physical activity and incentive based programs, such as WELCUP’s (Wellness Council of the
Training the next generation of health care workers Aspirus Grand View Hospital and Northern Michigan University have worked together for more than 25 years to educate clinical laboratory professionals. This partnership helps prepare the growing number of welltrained laboratory medicine professionals needed to meet the health care needs of our communities. The clinical laboratory technician plays an important role in health care by collecting and testing blood and other samples from patients that help physicians diagnose and treat patients. The Clinical Science Department at NMU offers an associate degree program in Clinical Laboratory Technology. A critical part of the training is a six-month clinical practicum experience provided at Aspirus Grand View Hospital. During the practicum, students are mentored by hospital laboratory staff as they rotate through hematology, clinical chemistry, blood banking and microbiology departments. Here students apply their education to the real world laboratory. Aspirus Grand View laboratory employees enjoy working with the students, said Andrene Peterson, Clinical Teaching
Aspirus Grand View photo
Andrene Peterson, left, is a Clinical Teaching Supervisor at Aspirus Grand View, where she works with Northern Michigan University student Trisha Selmo from Iron River. Supervisor. “I feel we provide an excellent training program,” Peterson said. “My daughter, Jessie, did her practicum at Grand View, returned to NMU for a four-year degree and now works in the Cell Kinetics Lab at Mayo Clinic in Rochester, Minn.”
It is not unusual for the program to serve as a stepping stone for other students to advance in the field of laboratory medicine. Many times those positions are local. Currently there are seven NMU grads working at Aspirus Grand View Hospital.
Upper Peninsula) annual “Get Moving U.P. Challenge” is another option for the business community and information is available online at fitup.org . Businesses can become a member of WELCUP for minimal yearly dues. Businesses are recognizing the importance of health maintenance. It’s one thing to lose weight or stop smoking, but it’s another to maintain these changes. “We encourage our employees to participate in the programs offered by Aspirus Grand View,” said John Garske, President of Coleman Engineering in Ironwood. “Aspirus Grand View provides the framework for the wellness services that can maintain healthy lifestyle changes over time. The programs have made a difference in the overall wellness of our employees.” For more information on the programs available, contact Geneva Smiles at 906-932-6208.
Mammograms save lives Betty Corullo believes in Aspirus Grand View. That’s because a series of compassionate, excellent providers is collaborating to optimize her health. For years Betty received her care in Duluth, Minn., but her daughter encouraged her to find a local primary care provider because traveling to Duluth, especially in the winter, can be a challenge. Corullo decided to see Nurse Practitioner Michelle Harma, and has been extremely pleased with the care she receives from Harma at the Aspirus Grand View Clinic in Hurley. Part of Harma’s role as primary care provider is managing her patients’ screenings and routine health needs. It was during a regular screening mammogram performed at Aspirus Grand View Hospital that medical professionals informed Corullo that they had discovered a suspicious-looking area. With state-of-the-art GE Essential full- digital mammography, radiologists have extremely clear images, and staff perform more than 2,700 mammograms a year. So when the radiologist, Dr. Harry Skye, recommended an immediate ultrasound, Corullo agreed without hesitation. “He was very informative and reassuring,” Corullo said. “The ultrasound was scheduled right away.” Luckily, the painless ultrasound yielded a normal result, and Corullo was sent home with instructions to follow up with another mammogram in six months. The efficiency and professionalism left a tremendous impression on her. “I recommend Aspirus Grand View to my friends and family,” Corullo said. “Why travel out of town when you have such great services here?” she said.
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RAT PAC attacks core measures The Joint Commission and the Centers for Medicare and Medicaid Services require accredited hospitals to collect and submit performance data so they can review clinical trends that have a significant effect on patient outcomes. Core measures are national standards of care for certain conditions, each of which have several specific procedures or required care measures that are monitored. Aspirus Grand View follows four of the conditions – the care patients receive when they present with acute myocardial infarction (heart attack), congestive heart failure, pneumonia and surgical care. The core measures data can be used as an improvement tool. Aspirus Grand View uses the data to educate its physicians regarding documentation, standardize procedures, improve the discharge process and create new guidelines and protocols for patient care. As a result, Aspirus Grand View uses evidencebased and scientifically researched standards of care to improve patient safety and quality of care. It also helps support performance improvements. Aspirus Grand View Hospital called on its internal resources and formed the Review and Analysis Team, affectionately known as the RAT PAC. This group was formed in early 2008 after reviewing the core measures data from 2007. The members of the team include the physician champion leader and nurse managers and other managers from departments throughout the hospital. The RAT PAC regularly receives reports on progress for the Keystone Projects and works on ways to meet the National Patient Safety Goals, Joint Commission and Center for Medicare and Medicaid services standards. The group has assisted with facilitating interaction between the clinics, walk-in clinic and emergency department, and have also addressed things like patient satisfaction, the discharge process, utilization review and readmissions, among others.
Aspirus Grand View photo
RAT PAC team members include, in front: Connie Wallenius, RHIA, Medical Record Manager; Judy Holst, RHIA, CPHRM Quality/Risk Manager. Back row: Amanda Pisco, RN, Peri-op Services Manager; Mary Nemetz, RN, VP of Patient Care; Julie Monville, RN; ICU, ED, OB and Cardiopulmonary nurse manager; Chris Pogliano, MD, Physician Leader; Cathy Nasi, RN, Case Manager; Jean Peterson, RN, Medical-Surgical Nurse Manager, Infection Control and Utilization Review Manager.
Skolasinski makes a difference behind the scenes Don Skolasinski is a histologist at Aspirus Grand View.
Aspirus Grand View photo
Don Skolasinski works behind the scenes, but the work that he does is a critical function at Aspirus Grand View. Skolasinski is a histologist, which means he prepares and utilizes a microscope to exam tissues of the body. Skolasinski prepares body tissue samples and studies them for conditions like cancer. His work produces vital information for physicians to determine proper treatment plans for any number of conditions. A Northern Michigan University graduate, Skolasinski’s current role of histologist has been 20 years in the making. He interned at Grand View as a medical laboratory technician before being hired in the same position. After two decades as a medical laboratory technician, Skolasinski decided to make a career change. During his time as a medical lab tech, Skolasinski worked closely with the hospital’s former histologist, Peg Sutherland. His work with Sutherland convinced him histology was something he wanted to pursue further. “Peg’s expertise in the field of histology and allowing me to observe and work under her guidance prompted me to pursue this,” he said. Thanks to his laboratory training and years of working with Sutherland, Skolasinski prepared to take the histology certification exam, which he passed in August 2010. After earning his histology certificate, Skolasinski assumed his new role, in which he works closely with pathologist Dr. Charlie Iknayan in examining and analyzing the tissues of the body.
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Surgical center offers key screenings Chest pain, heartburn and painful swallowing are just a few of the symptoms people with digestive conditions face after eating a meal. Depending on their symptoms, Grand View Surgical Center offers two screening options for patients– esophageal manometry and reflux screening. Esophageal manometry is a procedure that determines how well the muscle of the esophagus works when diseases of the muscle are suspected. This procedure, which takes about an hour, is done to determine the cause of problems with swallowing food and can be done right in the office at Grand View Surgical Center. Reflux screening is a diagnostic test to determine if you have Gastro-Esophageal Reflux Disease, a condition in which contents from the stomach move upward into the esophagus. Reflux may cause symptoms such as heartburn, regurgitation, difficulty swallowing, hoarseness, cough or asthma. Over time, severe acidic reflux may damage the lining of the esophagus and can lead to esophageal cancer. The screening involves an office visit to set up the patient with a recording device that they then use for 24-hours to monitor the pH levels in their stomach. Additionally a gastroscopy is required before the testing can be done. After the testing period, they return to the office for an evaluation and discuss treatment options. The results of the screenings are evaluated by surgeon Enrico Braucher, MD, to determine if they are normal or abnormal. With this information, they recommend a specific treatment program. For more information about esophageal manometry or reflux testing, talk to your provider or call the Aspirus Grand View Surgical Center at 906-932-2231 to schedule a consult.
Aspirus Grand View photo
Carol Wainio, left, and Laura Waterhouse conduct an esophageal motility study on a patient at the Grand View Surgical Center. This study evaluates the function of the esophagus and is used to evaluate patients having difficulty swallowing.
Aspirus Grand View clinics provide easy access From treating a cold to managing diabetes or keeping vaccinations current, your primary care provider is a trusted health partner. At Aspirus Grand View Clinics, our providers offer the knowledge and solutions to keep your family healthy. And when needed, they are the link to top-notch specialists. The care team at Aspirus clinics in Ironwood and Hurley includes family practitioners, internal medicine physicians, certified physician assistants, nurse practitioners and several specialists. It’s comforting to know that this high-powered team is so close, and so compassionate. By building a close relationship with a primary care provider, patients can feel comfortable knowing they have a true health advocate. Here are the services available at Aspirus Grand View clinics:
ASPIRUS GRAND VIEW CLINIC-IRONWOOD The Ironwood clinic is staffed with family practitioners, internal medicine specialists, oncologist, podiatrist, psychologist, orthopedic surgeon, OB-GYN physician, certified physician assistants and nurse practitioners. Bone density imaging and 3-D ultrasound also are available. Visiting specialists, such as Aspirus Heart & Vascu-
lar Institute cardiologists, will routinely see patients in the Ironwood clinic.
WALK-IN CLINIC The Walk-In Clinic is located in the Aspirus Grand View Clinic Ironwood. Since opening in November 2009, the walk-in clinic has had more than 7,500 visits a year. With no appointment necessary, it is a convenient way to get the right care for minor illnesses and injuries. The walk-in clinic is staffed by nurse practitioners and physician assistants and is open from 10 a.m. to 9 p.m., seven days a week
ASPIRUS GRAND VIEW CLINIC-HURLEY The Hurley clinic offers a wide range of services with Dr. LeaAnn Schroeter, pediatrician; Michele Harma, FNP, family medicine; and Dr. Michael Brostoski, family practitioner. For added convenience, this clinic offers early morning appointments and basic lab services.
ASPIRUS GRAND VIEW SURGICAL AND EYE CENTER This specialized care center is located near the entrance of the Aspirus Grand View Campus. Dr. Marc
Santini and Dr. Enrico Braucher are both board-certified general surgeons and fellows of the American College of Surgeons. They perform general surgery, endoscopy and laparoscopic surgery. The surgical clinic also performs esophageal manometry, an outpatient test used to identify problems with movement and pressure in the esophagus. At the Eye Center, ophthalmologists Dr. Mark Stempihar and Dr. Nitin Nigam provide advanced eye care, from prescribing glasses and contact lenses to complex and delicate eye surgery. Dr. Nigam specializes in diseases of vitreous and retina, and also treats age-related macular degeneration, diabetic retinopathy, retinal detachments and all surgical conditions of retina, including trauma. Optometrists Dr. Wes Frisbey and Dr. Crystal Carrington-Hellier work closely with the ophthalmologists. They examine and diagnose eye diseases and treat conditions such as nearsightedness, farsightedness and astigmatism. The Aspirus Grand View Optical Shop is adjacent to the Eye Center. It is open Monday through Friday and offers a wide variety of optical frames and lenses.
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Jeffrey Edwards, M.D. Obstetrics-Gynecology Accepting New Patients
Tina Marshall, FNP-C Family Medicine Accepting New Patients
Assem Elfakih, M.D. Internal Medicine Accepting New Patients
Christopher Pogliano, M.D. Geriatrics and Family Medicine
Robert Gardner, M.D. Family Medicine
James Potter, PA-C Family Medicine Accepting New Patients
Michael L.K. Brostoski, D.O. Family Medicine & Obstetrics Accepting New Patients
Michele Harma, FNP Family Medicine Accepting New Patients
LeaAnn Schroeter, M.D. Pediatrics Accepting New Patients
Donna Cataldo, M.D. Radiologist
Mark Fuller, M.D. Hospitalist
Charles Iknayan, M.D. Pathologist
James Hubbard, M.D. Family Medicine and Obstetrics Accepting New Patients
Terry Steege, WNP-C Women’s Health Accepting New Patients Steven Phillipson, M.D. Hospitalist
Andrew Tait, PA-C Family Medicine Accepting New Patients
Patrick Triggiano, Ph.D. Psychology Accepting New Patients
Franklin Villaneuva, M.D. Internal Medicine
Adam Wennersten, PA-C Family Medicine Accepting New Patients
Neil Schroeter, M.D. Emergency Department
Eric Maki, M.D. Emergency Department
Enrico Braucher, M.D. General Surgeon Accepting New Patients
Dr. Yekalo Beyene, M.D. Family Medicine Accepting New Patients
Paula Havisto, PA-C
Kathy Kirchner, FNP
Marcus Santini, M.D. General Surgeon Accepting New Patients
Rachel Norabeuno, PA-C David Wood, DPM Podiatry Accepting New Patients
Wes Frisbey, O.D. Crystal Carrington-Hellier, O.D. Optometry Optometry Accepting New Patients Accepting New Patients
Harry Skye, M.D. Radiologist
Dr. Nitin Nigam Mark Stempihar, M.D. Ophthalmology/Surgery Retina Specialist/Ophthalmology Accepting New Patients Accepting New Patients
Haig Yardumian, D.O. Oncology Accepting New Patients
German Larrain, M.D. Aspirus Heart & Vascular Institute
Joshua Luce, M.D. Aspirus Heart & Vascular Institute
Paul Luetmer, M.D. Aspirus Heart & Vascular Institute