FirstHealth Magazine - Spring 2024

Springing Ahead to Good Health

As we welcome the arrival of spring, a season symbolizing renewal, growth and the promise of new beginnings, I am delighted to welcome you to the spring edition of the FirstHealth magazine. While the world outside bursts with new life and possibilities, FirstHealth also embarks on a season of growth and transformation, as you will read in the stories and updates on the pages that follow.

From the launch of the Lung Bus, a mobile CT screening unit that provides lifesaving lung cancer screenings to more residents, to the expansion of women's health care facilities and services, including the development of an OB/GYN hospitalist program at Moore Regional, each initiative represents FirstHealth’s dedication to meeting the evolving needs of those we serve.

Furthermore, in a world where technology continues to revolutionize health care, we are proud to introduce virtual nursing at FirstHealth. Patients and families in our medical neurology and observation units now benefit from enhanced care delivered by virtual nurses working seamlessly alongside our dedicated onsite staff.

In our pursuit of excellence, we are proud to be recognized by Healthgrades as a 2024 Outstanding Patient Experience Award recipient for the 17th consecutive year. Moore Regional, including our Hoke and Richmond campuses, is one of only four hospitals in the nation to be in the top 5% for patient experience for more than 12 years. This prestigious accolade serves as a testament to the unwavering commitment of our staff, providers and volunteers to providing exceptional care for our patients and their loved ones. Patient experience, safety and quality are the cornerstones of all that we do at FirstHealth, guiding us as we continuously strive to serve our community in better ways.

To the FirstHealth family, I extend my deepest gratitude for your tireless efforts in delivering compassionate care to those in need. Your commitment to our core purpose, To Care for People, is truly inspiring and serves as the foundation upon which our health system thrives.

To our community, I offer my sincerest thanks for entrusting FirstHealth with your care. We are honored to be your health care partner on this journey toward improved health and well-being.

I hope you enjoy this edition of FirstHealth magazine.

Sincerely,

Mickey W. Foster, MHA Chief Executive Officer FirstHealth of the Carolinas

Cindy Goodman, Ed.D., Chair David Wood, Vice Chair Arthur Medeiros, Corporate Secretary Ray Allen, Treasurer Gary VonCannon, Immediate Past Chair

Mickey Foster, MHA

Matthew Harmody, M.D.

Jason Jerry, M.D.

Beth Jones

Susan Keller

Jefferson Kilpatrick, M.D.

Wayne Lucas, M.D.

Brian McMurray

James Obi

Tom Pashley

Sushma Patel, M.D.

Elizabeth Webster

CORPORATE OFFICERS

Chief Executive Officer

FirstHealth of the Carolinas

President, FirstHealth Physician Group

Chief Information Officer

FirstHealth of the Carolinas

President, Eastern Region

Chief Medical Officer

FirstHealth of the Carolinas

President, FirstHealth Montgomery Memorial Hospital and Western Region

Chief Financial Officer

FirstHealth of the Carolinas

Chief Operating Officer

FirstHealth of the Carolinas

Vice President, Finance

FirstHealth of the Carolinas

Chief Strategy and Innovation Officer

FirstHealth of the Carolinas

Chief Diversity Officer

FirstHealth of the Carolinas

President, Southern Region

Chief Nursing Officer

FirstHealth Moore Regional Hospital

Chief Quality Officer

FirstHealth of the Carolinas

Vice President, Operations

Mickey W. Foster, MHA

Daniel R. Barnes, D.O.

Chris Beasley, MBA

Susan K. Beaty, R.N.

Jenifir Bruno, M.D.

Rebecca Carter, R.N.

Jeffrey A. Casey

Jonathan Davis, MPH, FACHE

Chris Fraley, CPA

Amy Graham, MHA

Sharon Harrell, DDS, MPH, FAGD

Christy Land, MSN, R.N.

Jacklynn Lesniak, DNP, R.N.

Cindy McNeill-McDonald, R.N.

FirstHealth Moore Regional Hospital Matthew Prestwood, MHA

President, The Foundation of FirstHealth

Chief People Officer

FirstHealth of the Carolinas

Kathleen Stockham

Berni Szczepanski, MBA

FirstHealth of the Carolinas, a not-for-profit health system, is headquartered in Pinehurst, North Carolina, and comprises Moore Regional Hospital, Montgomery Memorial Hospital, Moore Regional Hospital – Richmond, Moore Regional Hospital – Hoke, The Foundation of FirstHealth and the FirstHealth Physician Group. Comments on the FirstHealth magazine or changes of address should be directed to (800) 213-3284 or Marketing@FirstHealth.org.

© Copyright 2024 FirstHealth of the Carolinas, Inc. No part of this publication may be reproduced or transmitted in any form or by any means without written permission from FirstHealth of the Carolinas, Inc. Articles in this publication are written by professional journalists who strive to present reliable, up-todate health information. However, personal decisions regarding health, finance, exercise and other matters should be made only after consultation with the reader’s physician or professional adviser. All editorial rights reserved. Opinions expressed herein are not necessarily those of FirstHealth of the Carolinas. Models are used for illustrative purposes only.

What’s Happening at

WINNERS:

GUARDIAN OF EXCELLENCE AWARD

FirstHealth Moore Regional Hospital, including its Hoke and Richmond campuses, has been recognized as a 2024 Outstanding Patient Experience Award™ recipient by Healthgrades, the leading resource consumers use to find a hospital or doctor. Moore Regional has earned this award for 17 consecutive years, emphasizing FirstHealth’s commitment to providing an exceptional care experience for patients and their loved ones.

Round-Up

Healthgrades has also recognized Moore Regional Hospital as one of America’s 50 Best Hospitals for Outpatient Joint Replacement. To identify the top-performing hospitals for outpatient joint replacement, Healthgrades analyzed patient outcomes at short-term acute care facilities nationwide that offer knee and hip replacement in an outpatient environment.

Other accolades from Healthgrades include:

 Outpatient Joint Replacement Excellence Award™ — Top 5% in the Nation

 Outpatient Orthopedic Surgery Excellence Award™ — Top 10% in the Nation

 Five-Star Distinctions in both Outpatient Total Knee Replacement and Outpatient Total Hip Replacement

Healing Design Awards

FirstHealth of the Carolinas is pleased to announce that Moore Regional Hospital (MRH) – Hoke has been named a 2023 Human Experience (HX) Guardian of Excellence Award® winner by Press Ganey, the global leader in health care experience solutions and services.

This award is part of Press Ganey’s annual ranking of the top hospitals and health systems in the country, according to performance in employee experience. As a winner of the Press Ganey HX Guardian of Excellence Award®, MRH-Hoke is in the top 5% of health care providers in delivering an exceptional employee experience in the last year.

This is the second consecutive year the MRH - Hoke team has been recognized by Press Ganey as a leader in employee experience. FirstHealth’s Montgomery Memorial Hospital team in Troy was also recognized in 2022 for exceptional employee engagement.

Additionally, Montgomery Memorial Hospital has been named a 2023 Physician Experience (HX) Guardian of Excellence Award® winner by Press Ganey, ranking it in the top 5% of health care providers in physician engagement.

RECOGNIZED FOR

Architect firm CPL has been named a winner in the prestigious 2023 IIDA Healthcare Design Awards in the ambulatory category for the FirstHealth Cancer Center design. This recognition in interior design is a testament to their commitment to creating healing and inclusive spaces that make a meaningful difference in people’s lives.

Additionally, the center was recognized by Business North Carolina magazine as one of the top 2023 designs in health care in the state.

FirstHealth

FIRSTHEALTH

Academies Expand

New Clinic in Chatham County’s Northwood Landing

FirstHealth Family Medicine –Chatham has moved into a newly constructed facility in the Northwood Landing shopping center in Pittsboro, North Carolina. The move allows for expanded primary care services provided by Claire Repine, D.O., and Roger Diaz, PA-C, and rotating specialty care services.

FirstHealth’s Nursing Assistant Academy celebrated its second class of graduates on December 22, 2023. The academy supports the FirstHealth nursing vision of being the best place to practice nursing nationally by providing a unique opportunity for a career path within nursing. The academy allows current employees, as well as external applicants, to gain the knowledge and skills to become nursing assistants in a supportive learning environment without the financial burden of traditional education programs. Following the same model, the first Certified Medical Assisting Program began in January 2024. Other FirstHealth Academies include Paramedic, Sterile Processing Tech and a Fast Track MLT program.

GRANT BENEFITS RURAL RESIDENTS

FirstHealth Community Health Services recently received a $542,000 United States Department of Agriculture (USDA) Distance Learning and Telemedicine grant that will support the purchase of telehealth equipment to provide increased access to care in Moore, Lee, Richmond and Montgomery counties, benefiting more than 230,000 residents in rural North Carolina. The grant will help FirstHealth purchase 70 iPads for patients to use in virtual, at-home care; seven telehealth medicine carts equipped with a computer to allow providers to interact with patients; and two telemedicine pods to be placed in the Mt. Gilead Library in Montgomery County and Sanford Pharmacy in Lee County.

Ask the Experts

Shammas, M.D.

Q&A: CardioOncology Comes to FirstHealth

Cardio-oncology is a relatively new field in medicine, but it can have a major impact on patients as they begin a cancer treatment journey. Dr. Rony Shammas answers some questions about the service line and how it will help FirstHealth better serve patients.

Q. What is cardio-oncology?

A. Cardiovascular disease and cancer are the first and second leading causes of death in the U.S. Some cancer therapies may have serious cardiac side effects, and some patients are at especially high risk. The goal with our service is to enable cancer patients to receive the best cancer therapy at the lowest possible cardiovascular risk while minimizing disruptions or delays of their cancer treatments.

Q. What kinds of cardiovascular issues may come up because of cancer treatments?

A. Some of the cardiac side effects may include heart failure, heart

attacks, irregular heart rhythm and high blood pressure. The incidence depends on the specific cancer therapy and the individual patient’s risk profile. By optimizing cardiovascular health and any preexisting heart disease – in addition to defining optimal surveillance and preventive efforts for each individual patient – we hope to enable patients to complete their cancer treatments, which are often curative, with the fewest cardiac complications.

Q. What else should the public know about cardio-oncology?

A. There are many shared mechanisms and risk factors between cancer and heart disease. The cardio-oncology service is a collaboration between cardiologists and oncologists to ensure cardiovascular health and safety during cancer therapy, and to follow the large number of cancer survivors after treatment to assure a safe long-term survival without impairment from cardiovascular disease after defeating cancer. We are thrilled to bring this service to patients at the new FirstHealth Cancer Center.

When to Go to the ER

Emotions often run high when injury or illness strikes. Whether it’s sudden shortness of breath or pain and swelling following a fall, stress and uncertainty can make it tough to decide what to do. Protect yourself by knowing where to go before you need care. Matthew Vreeland, M.D., explains your options.

Q. How do I know whether I need emergency care?

A. If the illness or injury is life-threatening or could cause permanent disability, go the ER. If the issue is life-threatening, call 911 so first responders can begin treatment ASAP. Examples of an emergency include chest pain, shortness of breath, bleeding that won’t stop, sudden weakness/speech changes and severe fracture.

Rony

Matthew Vreeland, M.D.

Q. What is the purpose of convenient care?

A. Convenient care clinics offer treatment for urgent but nonemergency needs, such as minor sprains, X-rays, cuts that need stitches, and sports/school physicals. As the name implies, these clinics are a convenient option for times when your primary care provider may be unavailable, such as evenings and weekends.

Find a FirstHealth Convenient Care Clinic near you at FirstHealthConvenient Care.org.

Q. How or why would I use FirstHealth On the Go?

A. FirstHealth On the Go gives you 24/7/365 access to providers through virtual visits on a computer, tablet or smartphone. Use it to treat conditions that do not require a visit to the ER or convenient care, such as cold/flu, allergies, rash or pink eye. To access these services, download the app or visit FirstHealthOnTheGo.org.

BSN

How to Get Started in a Health Care Career

The Foundation of FirstHealth has always been committed to supporting all parts of FirstHealth of the Carolinas, and its latest effort – FirstFutures –will transform the way the system recruits and trains the health care staff and providers of the future. Carolyn Helms, MDIV, BSN, is leading the charge as FirstFutures addresses staffing issues across the system.

Q. What is FirstFutures and how will it change FirstHealth?

A. Think of FirstFutures as a career pipeline that connects students with all the opportunities that exist across FirstHealth of the Carolinas. We hope to educate and grow the next generation of the health care workforce and invest

To find a provider closest to you, call (800) 213-3284 or visit

FirstHealth.org/Directory.

in its success with student aid and financial incentives through partnerships with our area’s community colleges.

Q. Technically speaking, how will students connect with FirstFutures?

A. Leveraging our relationships with regional high schools, we will help identify and mentor high school students with an interest in a career at FirstHealth. Through the FirstFutures Sponsorship application, students will be selected to receive funding for their education in nursing, allied health or any other trade or program at one of the local community colleges that matches with a FirstHealth employment opportunity.

For the adult learner who may be changing careers or re-entering the workforce, we will again accept applications for a FirstFutures Sponsorship that will pay

for the education of the student and provide a job opportunity for that student upon graduation.

Q. How young is too young to start thinking about a career in health care?

A. We can begin introducing these sorts of concepts in elementary school, continuing in middle and high school. We can connect kids to the system through our annual Teddy Bear Fair, health care career fairs and even teen volunteer opportunities. We are excited to use a multipronged approach to ensure that our health care workforce is strong now and in the future.

To learn more about FirstFutures, email us at firstfutures@ firsthealth.org.

Carolyn Helms, MDIV,

Introducing the Lung Bus

An estimated 238,340 people were diagnosed with lung cancer in 2023 in the United States and it is the the leading cause of cancer deaths in North Carolina. FirstHealth is pleased to introduce another tool in the fight against lung cancer.

Taking Technology to You

FirstHealth of the Carolinas has long been at the forefront of the lung cancer battle, and that fight is taking a new form – on four wheels – as the system prepares to launch a new mobile Lung Bus, which will take screening technology to the Sandhills and beyond.

“We are thrilled to be taking this technology on the road to the communities we serve,” said Michael Pritchett, D.O., a board certified pulmonologist and director of the Chest Center of the Carolinas at FirstHealth.

“We have known for some time that we can reduce some lung cancer deaths simply through screening, potentially saving as many as 20,000 lives per year. We want to save all the lives we can, and our new Lung Bus is continuing to lower the barriers to screening for lung cancer.”

The test remains the gold standard for helping providers identify lung cancer at its early

stages, when there are more treatment options.

The Road to Early Diagnosis

Once FirstHealth’s Lung Bus is up and running in spring 2024, it will visit communities throughout FirstHealth’s service area to offer screening to those who qualify.

Peter Ellman, M.D., a board certified cardiovascular and thoracic surgeon at FirstHealth, said an increase in screening will mean that he and other providers will have more options to treat someone who is diagnosed with early-stage lung cancer and improve outcomes.

“Anyone who has a history of smoking should talk to their primary care doctor about getting screened. It’s low-dose, it’s no contrast, and it can see if there is an early-stage cancer present,” Ellman said. “If we can catch these cases earlier, in many cases, we can do a minimally invasive resection of a lung with small incisions, and patients can often go home the next day.”

Criteria for lung cancer screening as set forth by the United States Preventive Services Task Force include:

• Being between 50 and 80 years of age

• Being a current smoker or having quit smoking in the past 15 years

• Having a 20 pack-year smoking history

• Not having a health problem that limits life expectancy or the ability to have surgery if cancer is found

To determine your pack-year smoking history, multiply how many packs of cigarettes you smoked per day by the number of years you smoked. For example, if you smoked one pack a day for 20 years, you would have a 20 pack-year smoking history. If you smoked two packs a day for 15 years, you would have a 30 pack-year smoking history.

Lung Care at FirstHealth

Our lung specialists are board certified and focus on malignant (lung cancer, lymphoma) and benign (fibrosis, COPD) diseases of the chest. They have specific expertise in the evaluation of abnormal findings of the chest, including nodules, masses, pleural effusions, fibrosis and enlarged lymph nodes.

FirstHealth’s Chest Center, a multidisciplinary clinic specializing in the treatment of diseases of the chest, focuses on the treatment of lung cancer as well as esophageal and mediastinal tumors and benign diseases of the chest. The physicians who call the Chest Center of the Carolinas home continuously pursue ways to improve the outcomes of patients, including participation in treatment and prevention trials. A dedicated nurse navigator works to help Chest Center patients navigate all aspects of the disease.

Growth in Women’s Care:

FirstHealth’s Commitment to Quality and Access

As the Sandhills region continues to grow and attract more young families, FirstHealth is committed to enhancing care and expanding its facilities and services to meet the evolving needs of our community. Here’s a closer look at three key areas of growth in women’s care at FirstHealth.

1

OB/GYN Hospitalist Program: Elevating Care

The OB/GYN hospitalist program at Moore Regional Hospital launched on March 1 and is a pivotal addition to bolster care and support for expectant mothers.

OB/GYN hospitalists are on standby 24 hours a day, seven days a week, ready to step in during unforeseen circumstances or emergencies, ensuring that patients receive the highest standard of care.

OB/GYN providers at Southern Pines Women’s Health Center continue to be at the forefront of delivering babies at Moore Regional, but the OB hospitalist program adds an additional layer of care and availability, especially for those without a hospital-based OB/GYN.

Dan Barnes, D.O., president of FirstHealth Physician Group, stressed the significance of this program. “The development of the OB/GYN hospitalist program underscores our unwavering dedication to the health and safety of our community and to providing the highest quality care to women and children in the Sandhills,” he said.

2

FirstHealth OB/GYN and Southern Pines Women’s Health Center Welcome

New Providers: Strengthening Expertise and Accessibility

FirstHealth OB/GYN and Southern Pines Women’s Health Center are pleased to announce the addition of Lissette Machin, M.D., Taylor McCauley, M.D., and William Terry, M.D., to our team. The three physicians bring a wealth of experience and dedication to women’s health.

Emphasizing the collaborative commitment to community well-being, John Byron, M.D., of Southern Pines Women’s Health Center, said, “We are committed to working together to ensure a robust network of OB/GYN resources for our community.”

FirstHealth OB/GYN and Southern Pines Women’s Health Center now serve patients in two clinic locations in Moore County: at 145 Applecross Drive in Southern Pines and at 5 First Village Drive in Pinehurst. Locations are also available in Lee County at 2919 Beechtree Drive in Sanford, in Hoke County at 313 Teal Drive in Raeford and in Richmond County at 110 Medical Circle, Suite B, in Rockingham.

For more information, call (910) 692-7928.

3Facility Expansion: Enhancing Comfort and Capacity

The Women & Children’s Center at Moore Regional combines the latest technology with the compassionate care of our highly trained providers and staff to assure that every patient care experience is comfortable and secure. The Center includes labor and delivery, mother-baby postpartum, a 13-bed level III neonatal intensive care unit and pediatrics unit.

FirstHealth recently completed a $4.7 million expansion project in the Women & Children’s Center at Moore Regional, expanding labor and delivery rooms and triage areas. Future plans for a dedicated Women & Children’s Pavilion on the Moore Regional campus signify a long-term commitment to comprehensive women’s care.

As FirstHealth continues to evolve and expand its women’s care services, we remain dedicated to our core purpose: To Care for People. Through collaborative efforts, innovative programs and state-ofthe-art facilities, FirstHealth ensures that women continue to receive the highest quality care.

Dan Barnes, D.O.

VIRTUAL NURSING —

What to Expect on Your Next Visit to the Hospital

Virtual health care options have exploded in recent years, thanks in part to the dramatic care needs created by the COVID-19 pandemic.

Technology has helped patients and providers remain connected in critical moments, and, at FirstHealth, it has allowed the system to deliver on its core purpose – To Care for People – in new ways.

FirstHealth added an observation at-home unit to help sick patients recover outside our hospital walls and increased access to virtual primary care and virtual behavioral health. FirstHealth On the Go serves as urgent care on the go, meaning patients can see a provider and get access to prescription treatments from the comfort of their couch.

Our Next Innovation

In early 2024, FirstHealth introduced a virtual care model for nurses in two patient care departments at FirstHealth Moore Regional Hospital in Pinehurst.

The goals of the care the system provides have not changed, but the delivery of that care has been streamlined by technology.

Patients and families receiving care on both the medical neurology and observation units are receiving this enhanced care through a partnership with a virtual nurse and and a FirstHealth nurse who work together 24 hours a day, seven days a week.

FirstHealth’s Virtual Nursing model includes virtual nursing and virtual safety companions, experienced R.N.s and LPNs who

support the FirstHealth nursing team in care using a dual-stream camera, built-in audio and microphones for direct communication with patients and the health care team.

This is accomplished through televisions mounted in patient rooms as well as computer-based applications. This program has been developed in partnership with Banyan Virtual Care Technology.

“We are thrilled to bring virtual nursing to life at Moore Regional Hospital,” said Jacklynn Lesniak, DNP, MSN, R.N., NEA-BC, FirstHealth’s chief nursing officer.

“This transformative work truly creates magic for our nurses, patients and families, and there is no doubt this innovation will help us in serving our community and delivering on our core purpose –To Care for People.”

Attracting Top Talent

While there is no doubt that the growth of virtual nursing will help FirstHealth better serve its patients, the new program is also a win for nurses as the system looks to build and maintain a compassionate, competent and innovative nursing team.

Virtual care teams can help reduce burnout and turnover, fill staffing gaps and provide additional coverage for patients. Lesniak said the introduction of virtual nursing can serve FirstHealth as a recruitment tool to bring the best nurses to Moore Regional Hospital and to retain the great nurses we have.

“FirstHealth’s nurses are the backbone of our care teams, and we are committed to investing in the way we deliver care and support our care teams,” Lesniak said.

FIRSTHEALTH CONTINUALLY STRIVES TO MAINTAIN AND ENHANCE OPPORTUNITIES FOR PROFESSIONAL GROWTH, DEVELOPMENT AND SUPPORT IN NURSING. OUR PROFESSIONAL PRACTICE MODEL IS RELATIONSHIP-BASED CARE WITH THE PATIENT AT THE CENTER OF EVERYTHING WE DO. IT IS BASED ON OUR CORE VALUES OF CARE: COLLABORATION, ADVOCACY, RESEARCH, EVIDENCE-BASED PRACTICE AND EXCELLENCE IN NURSING. I KNOW THAT VIRTUAL NURSING IS THE FUTURE OF CARE DELIVERY AND WILL BE A WIN FOR PATIENTS AND OUR NURSES.”

Jacklynn Lesniak, DNP, MSN, R.N., NEA-BC

A JOURNEY HE NEVER SAW COMING

A Regular Checkup Led to Lifesaving Care for Sanford’s Chris Hill

It’s no secret that men don’t go to the doctor as often as women.

According to data from the U.S. Centers for Disease Control and Prevention, women are 33% more likely to visit the doctor than men, and women are significantly better at undergoing screening and preventive care.

There are plenty of reasons for the alarming gap, including fear over what a doctor's visit might reveal.

Sanford’s Chris Hill understands all of that, describing himself as “not much of a doctor person.”

A Surprising Wake-Up Call

Despite that, the 63-year-old has visited his primary care physician consistently over the last several years to keep an eye on his health. His most recent visit, in late 2023,

led him on a journey he never saw coming – one that included quadruple bypass surgery and a brief stay at FirstHealth Reid Heart Center.

“Last year I went and, during my checkup with Dr. Michael Patterson, my pulse was low. It was in the 40s,” Hill said. After a referral, Hill ended up in the office of Dr. Mahmoud

Chris Hill with his wife, Jan

Atieh, a cardiologist with FirstHealth and Pinehurst Medical Clinic.

“I went through the whole series of diagnostic tests. I did a stress test, wore a heart monitor and underwent an ultrasound,” he said. “They showed that I did have some blockages, and I thought maybe I might end up getting a couple of stents. Once I had a CAT scan, things changed quickly.”

A Fortunate Finding

Hill ended up having significant blockages in four arteries, including a 100% blockage of his left anterior descending artery (LAD), otherwise known as the 'widow-maker artery.

“The coronary catheterization made it clear I was going to need bypass surgery, and I met Dr. Cliff Kitchens on the same day. He happened to be there at the time of my catheterization, so we talked. That was a Thursday afternoon, and Dr. Kitchens did my surgery the following Monday,” Hill said.

Dr. Kitchens explained the blockage of Hill’s LAD artery was of particular concern. "Chris had multivessel disease, and we did four bypass grafts. The ‘widow maker’ is a stenosis, or narrowing, of the artery that could suddenly close off if the plaque ruptures and forms thrombus within the diseased lumen,” Kitchens said. “A chronically occluded proximal LAD usually has formed collaterals that minimize a sudden heart attack but still cause ischemia to the heart that can be improved with revascularization, which was Chris’ case.”

Life Lessons

Thinking back on how quickly his life changed on that Thursday, Hill is fast to point back to his initial meeting with his primary care provider.

“Much of my story comes back to the idea of how important it is to see your primary care provider. I didn’t have any symptoms. I’m a healthy eater. I don’t smoke, drink or have any weight issues,” he said.

“One thing that I had minimized during my life was family history. My dad and grandfather both died of heart attacks. I discounted that during my life, but now I feel differently. I’m thankful they were able to discover my issues and get them corrected, because I was on my way to a major heart attack, and the outcome would not have been good.”

Kitchens agreed, saying it was crucial that Hill had an ongoing relationship with his primary care provider.

“Preventive medicine with primary care not only delays the onset of major acquired diseases like coronary artery disease but also allows for timely intervention and close follow-up,” he said. “This can lead to an elective trip to the operating room when the time comes, along with a smoother recovery, rather than someone who is coming to an emergency room in an urgent situation.”

After his surgery, Hill spent a couple of days in Reid Heart Center before returning to Sanford to continue recovering.

“The experience at Reid was incredible. I have told folks that if they ever have any heart issues or need a heart procedure, they need to come to Pinehurst,” he said. “I went home a couple days after the surgery, and I feel great.”

The experience also led to some important conversations with friends and his four children.

“The hereditary part of this was the leading factor for me, and this event – as shocking as it was – has allowed me to have more conversations with my children about guarding their own heart health and being proactive as they age,” he said.

“I’ve even had friends who got their hearts checked because of what happened to me.”

HEART CARE AT FIRSTHEALTH

“

Cliff Kitchens, M.D. PREVENTIVE MEDICINE WITH PRIMARY CARE NOT ONLY DELAYS THE ONSET OF MAJOR ACQUIRED DISEASES ... BUT ALSO ALLOWS FOR TIMELY INTERVENTION AND CLOSE FOLLOW-UP."

Our core purpose is To Care for People. At FirstHealth Reid Heart Center, and in our clinics throughout the region, that means each patient receives personalized care from the area’s most skilled cardiologists, surgeons, nurses, techs and support personnel. In our state-of-the-art Reid Heart Center on the campus of FirstHealth Moore Regional Hospital, patients have access to leading-edge technology, treatment options and services usually reserved for universitybased centers in large cities.

Mahmoud Atieh, M.D.

Brain CareWHOLE-PERSON

If you are at risk for dementia or Alzheimer’s disease, or are caring for someone living with this group of conditions, it can be a little lonely. Brain health isn’t talked about much. And many people who are struggling do so in silence. But FirstHealth of the Carolinas is actively working to change that — and their message is one of hope.

“There is so much we can do to boost our brain health as well as better care for those diagnosed with all the subtypes of dementia, including Alzheimer’s disease,” explained Karen Sullivan, Ph.D., ABPP, board certified

neuropsychologist and medical chief for FirstHealth's Center for Well-Being. “Now is the time to take action.”

Taking Control

When it comes to the dementias, you have more control than you might think. Although you can’t change some risk factors, like advancing age and genetics, there are ways you can lower the chance of developing brain disease.

“You can help prevent symptoms of dementia by controlling your risk factors and building cognitive reserves, which buffer the brain from damage as you age,” said Dr. Sullivan. Here are some steps you can take:

• Prioritize movement – moderate exercise with lots of unique activities is best.

• Avoid smoking and drinking too much alcohol (one drink a day max).

• Cut down on processed fare and focus on a whole-food diet.

“

BRAIN HEALTH IS FUNDAMENTALLY WHOLE-PERSON HEALTH,” SAID

DR. SULLIVAN. “WHAT

IS GOOD FOR OUR BODIES AND SOULS IS ALSO GOOD FOR OUR BRAINS.”

• Prevent or manage high blood pressure, Type 2 diabetes and high cholesterol.

• Treat hearing and vision loss.

• Focus on getting quality sleep and address any sleep disorders.

• Establish positive social relationships and connect often.

• Stimulate your brain by learning and doing new things.

• Reduce stress whenever possible and learn to effectively manage stressors in your life.

Whole-Person Health

Many of these lifestyle changes sound all too familiar. But each step impacts brain health in very real ways. For example, during deep sleep, our brain clears away amyloid protein deposits that can build up to cause Alzheimer’s disease. And eating a whole-food diet protects against inflammation and increases blood flow to the brain, cutting Alzheimer’s disease risk by more than 50%.

“Brain health is fundamentally whole-person health,” said Dr. Sullivan. “What is good for our bodies and souls is also good for our brains.”

Better Treatment

More than 6 million people are living with Alzheimer’s disease in the United States, and the number is expected to grow exponentially. Clearly, widespread prevention is critical, but so are innovative ways to treat the disease.

For decades, the primary treatment for Alzheimer’s disease was symptom-relief medication. However, a groundbreaking drug that modifies the disease was recently approved by the FDA. This medication – the first of its kind –works to remove amyloid plaques in the brain, reducing cognitive decline in those with early-stage Alzheimer’s disease.

“The field of brain health care is advancing rapidly,” added Dr. Sullivan. “But I hope we can also advance how humanity values and includes people with dementia and Alzheimer’s disease.”

New Perspective

Dr. Sullivan is helping shift how people think about Alzheimer’s disease as well as helping people learn more positive and effective ways to support those living with it.

“I believe that dementia is more heartbreaking than it needs to be,” Dr. Sullivan said. “We need to make a culture shift in our community to focus on what people with dementia and Alzheimer’s disease can do and provide them with the support and resources they need. By working together, we can create a network of whole-person brain care that genuinely makes things better.”

Reid Fellowship for Healthcare Transformation : Creating a Dementia Movement

The Foundation of FirstHealth, the philanthropy organization that funds vital programs and resources for FirstHealth of the Carolinas, is tackling the issue of dementia and Alzheimer’s disease.

Neuropsychologist Karen Sullivan, Ph.D., ABPP, serves as the fellow for the Foundation of FirstHealth’s Reid Fellowship for Healthcare Transformation program, which focuses on brain health. This funding opportunity is made possible through the generous support of the community; namely, the Reid family. In this role, Dr. Sullivan addresses the pressing need for dementia and Alzheimer’s disease education, training, support and care in our area with a focus on the health care system and community supports joining together.

“Alzheimer’s disease is currently the third leading cause of death in Moore County. With our aging population skyrocketing in the next five years and not enough specialty providers to meet demand, our community is in crisis,” explained Dr. Sullivan.

In her fellowship role, Dr. Sullivan works to improve dementia and Alzheimer’s care in numerous ways — from creating a guide to help people navigate services to educating health professionals and training community members on best practices in whole-person brain care at no cost.

“We are creating a dementia movement. We have lofty goals but are working together to make real change,” said Dr. Sullivan. “No one can care for dementia alone.”

Karen Sullivan, Ph.D., ABPP

MAXIMIZE YOUR HEALTH WITH A PRIMARY CARE PROVIDER

Our health impacts almost every aspect of life – from how we feel each day to what activities we enjoy, if we are able to work and so much more. As a result, it’s important to make health a priority. One key step is to find a primary care provider you can trust.

“A primary care provider is your partner in health. Our goal is to treat patients as if they were our own family members,” explained Victor Farrah, D.O., primary care physician with FirstHealth Family Medicine - Troy. “Regular visits with a primary care provider can be vital to long-term health and wellness. Not only can we help manage chronic illnesses, like diabetes and high blood pressure, but, detect health issues before symptoms arise – when they are most treatable.”

Full Gamut of Services

Primary care providers, which can include doctors, physician assistants, nurse practitioners and clinical nurse specialists, help manage your health through a wide range of services. They may:

• Track and monitor your health history and vital health markers over time

Victor Farrah, D.O.

Dale Patterson, PA-C/APP

• Ensure your vaccinations are up to date

• Recommend preventive screening tests such as colonoscopies or lung cancer screenings to catch problems early

• Manage chronic illnesses and provide health education

• Coordinate specialty care providers

• Treat acute injuries and illnesses, like infections, minor injuries and more

• Review risk factors related to lifestyle and family medical history

“See your primary care provider at least once a year for a well checkup, even if you have no health concerns,” said Dr. Farrah, who has served as a primary care physician for more

A PRIMARY CARE PROVIDER IS YOUR PARTNER IN HEALTH. OUR GOAL IS TO TREAT PATIENTS AS IF THEY WERE OUR OWN FAMILY MEMBERS.”

— Victor Farrah, D.O.

than 40 years. “Your primary care provider knows you and is looking at your whole health over time. Getting regular preventive care, such as annual blood tests and other screenings, is one of the best ways to stay healthy.”

Building a Relationship

Getting to know your primary care provider and developing an open, honest relationship is vital to maximizing your medical visits.

“It’s important to find a primary care provider you are comfortable talking with and asking questions of,” explained Dale Patterson, PA-C/APP, a primary care provider with FirstHealth Family Medicine - Biscoe. “Patients need to know that primary care providers have their best interests at heart. They should be able to discuss sensitive issues, such as sexual health, weight concerns or obstacles to health.”

Patterson, who has significant experience training physician assistants, explained that primary care providers discuss the value of positive patient/provider relationships during their education. However, they truly hone their approach to patient care and “soft skills,” such as communication style, during their time with patients.

“Every patient and every provider is different. When looking for a primary care professional, choose someone you connect with and who really listens to you,” advised Patterson. “Also, remember that communication goes both ways. The more information your provider has, the better they can help you.”

Health Care Home

Although convenient care clinics play a vital role in treating acute issues after office hours and medical specialists provide in depth expertise in specific areas of medicine, your primary care provider acts as your health care home.

“I believe that health care is a team sport. We work together with other health professionals to provide patients continuity of care,” said Dr. Farrah. “Primary care providers understand your medical history and approach care from a whole-person perspective.”

For example, primary care providers often serve as an extension of specialty care, providing day-to-day monitoring and treatment close to home. They review all prescription and over-the-counter medications to ensure patient safety and effectiveness. Primary care professionals also provide follow-up care after convenient care visits, emergencies and hospitalizations.

Choosing Your Provider

If you do not currently have a primary care provider, now is the best time to find one. To get started, ask trusted family members or friends for recommendations. Check which providers are covered by your insurance plan and conveniently located. Once you’ve identified a potential provider, call the office to set up an appointment.

“It’s important to not just see a primary care provider regularly, but establish care with someone who shares your philosophy on health,” said Patterson. “Use the initial visit to ask questions and evaluate if your personalities are compatible.”

Dr. Farrah added, “Serving as a primary care physician is so rewarding. I’ve cared for people throughout their lives and often know and involve their family members and caregivers. Developing this level of history and trust is invaluable.”

FirstHealth offers family, primary and internal medicine clinics in Moore, Richmond, Montgomery, Lee, Hoke and Chatham counties. Find a primary care provider or medical specialist at FirstHealth.org/Directory.

Empowering Hope:

FIRSTHEALTH’S CANCER SUPPORT

SERVICES

FirstHealth’s Cancer Center stands as a pillar of strength in the mid-Carolinas, offering not only cutting-edge cancer treatments but also a comprehensive array of support services to provide guidance and assistance to individuals and families grappling with a cancer diagnosis.

At the heart of FirstHealth’s cancer support system lies the Foundation of FirstHealth’s Cancer CARE Fund. Since its inception, this fund has been a lifeline for countless individuals facing cancer, providing financial assistance for transportation, medication, wigs, prostheses and nutritional support.

The Cancer CARE Fund recently reached a significant achievement by assisting its 10,000th patient. Since its establishment, the fund has now supported more than 10,660 patients, providing a total disbursement of $2,633,536.84 to those in need. One of its key initiatives, support for the Cancer Wellness Program, focuses on supporting the physical and emotional wellbeing of patients and caregivers through exercise.

“By integrating exercise into the treatment plan,

patients not only experience physical improvements but also find renewed strength and resilience in their battle against cancer,” said Cinnamon LeBlanc, exercise specialist with FirstHealth’s Cancer Wellness Program.

“The Cancer CARE Fund plays a pivotal role in ensuring that financial constraints do not hinder access to vital support services, such as the Cancer Wellness Program.”

The Cancer CARE Fund aims to empower individuals to navigate the challenges of cancer with resilience and dignity. In the fight against cancer, FirstHealth stands not only as a provider of treatment but also as a source of strength and support for all those affected by this disease.

A Day of Yoga

Serenity swept over the Clara McLean House as the community came together for a daylong yoga retreat in support of the Cancer CARE Fund on March 9. Spearheaded by FirstHealth Fitness yoga instructors, many of whom have been personally touched by cancer, this event offered a sanctuary of healing and hope.

With no set fee for participation, attendees were encouraged to make a donation, with all proceeds benefiting the Cancer CARE Fund. The

morning sessions embraced more active yoga styles, invigorating participants with energy and vitality, while the afternoon transitioned into yin yoga, fostering relaxation and introspection.

A highlight of the retreat was the meditative class accompanied by a soothing sound bath, rounding out the day with a sense of tranquility. Adaptive classes were also available, ensuring that all attendees could take part in the day's offerings, regardless of physical ability.

THE DAY OF YOGA IS AN OPPORTUNITY TO REMIND PARTICIPANTS THAT THEY ARE PART OF A LARGER COMMUNITY COMMITTED TO SUPPORTING THOSE AFFECTED BY CANCER,” SAID LEBLANC. “THROUGH THE PRACTICE OF YOGA, ATTENDEES FOUND SOLACE AND STRENGTH, NOT ONLY FOR THEMSELVES BUT FOR THOSE FACING THE CHALLENGES OF CANCER.”

FirstHealth in the Community

FirstHealth celebrated Veterans Day with an inaugural event on November 7. It was a great pleasure to honor our veterans for their dedication and sacrifice to both our country and the communities FirstHealth serves

FirstHealth joined Operation Green Light to show support for veterans by lighting up Reid Heart Center and the FirstHealth Cancer Center November 6 through 12. Operation Green Light encourages changing exterior lights to green to show solidarity and support for veterans as green is a symbol of hope, renewal and forward movement.

The annual Shine a Light on Lung Cancer Vigil was held November 27 at the FirstHealth Cancer Center. Our care team is honored to join nationwide efforts to bring lung cancer into focus and honor those impacted by the disease. Thank you to our patients and families who attended.

Ernest Samuel, administrative director of Imaging Services, was honored with the prestigious 2024 Martin Luther King Jr. Leadership Award during the annual service.

New Providers

Do you need help finding a primary care provider or medical specialist? If so, visit FirstHealth.org/Directory.

Family Medicine

Martina Monroe, M.D.

FirstHealth Family Medicine — Raeford

Family Medicine

Abel Soto, FNP

FirstHealth Family Medicine — Raeford

Gastroenterology

Katie Hickey, FNP

Pinehurst Medical Clinic — Gastroenterology

Hospice

Timothy Beittel, M.D.

FirstHealth Hospice

Primary Care

Sharon Taylor, FNP

FirstHealth Primary Care — Southern Pines

ADDITIONAL NEW PROVIDERS

ANESTHESIA — FIRSTHEALTH

ANESTHESIA

Melissa Oullette, CRNA

ANESTHESIA — PROVIDENCE

ANESTHESIA ASSOCIATES

Brandon Leighton, D.O.

BEHAVIORAL - FIRSTHEALTH

BEHAVIORAL SERVICES

Phillip Dandridge, PA-C

Interventional Pain

Joshua Perry, PA-C

FirstHealth Interventional Pain Medicine

Neurology

Amy Gonzales, PA-C

Sandhills Neurologists –a FirstHealth Clinic

Neurology

Autumn Grimm, FN

Sandhills Neurologists –a FirstHealth Clinic

OB/GYN

Colleen Brown, FNP

FirstHealth OB/GYN – Rockingham

OB/GYN

Tamara Meekins, M.D.

FirstHealth OB/GYN Hospitalist

FIRSTHEALTH CONVENIENT CARE

Mercedes Morris, FNP

EMERGENCY MEDICINE – SANDHILLS EMERGENCY PHYSICIANS

Brent Bachman, PA-C

FIRSTHEALTH HOSPITALISTS

Matheson McDonald, PA-C

Natalie Mannino, FNP

Susan Valentine, N.P.

Radiation Oncology

Amanda McGarry, PA-C

FirstHealth Radiation Oncology

ORAL AND MAXILLOFACIAL SURGERY — SPRING LAKE ORAL SURGERY

James Arnold, DMD

FIRSTHEALTH WOUND CARE

Susan Dionne, FNP

FITNESS TESTS Linked to a Longer Life 4

Want to live longer? Test yourself on these four elements of fitness, which are linked with longer lifespans. Then try the exercise tips to help improve your results.

1. 2. 3. 4.

BaLance

WHY IT’S IMPORTANT: Better balance means less chance of a fall.

TEST IT: Try to stand on one leg with no support for 10 seconds.

IMPROVE IT: Walk heel-to-toe or try tai chi or yoga.

Hand Grip Strength

WHY IT’S IMPORTANT: Grip strength is a good indicator of overall physical fitness.

TEST IT: Use a dynamometer – a tool that measures grip strength.

IMPROVE IT: Squeeze a rubber ball as hard as possible.

MobiLity

WHY IT’S IMPORTANT: Good mobility helps you stay independent and active.

TEST IT: Time yourself as you rise from a seated to a standing position, walk about 10 feet, turn, walk back, and sit again. (Faster time = better mobility.)

IMPROVE IT: Dance – especially if it’s with a partner or in a group.

Heart and Lung Endurance

WHY IT’S IMPORTANT: Good endurance gives you higher energy and helps avoid cardiovascular diseases.

TEST IT: See how far you can walk in six minutes.

IMPROVE IT: Climb stairs, jog, swim or do yard work.

exceptional patient experience

Excellent Emergency Department Care

Dear Members of the Emergency Medicine Staff,

We wish to thank each of you for the wonderful care you provided during my recent visit to the ER early on Sunday morning, January 21.

From the moment the receptionist greeted us, to meeting with Zoe (triage nurse), to the ongoing care provided by the R.N., Nate, and the most efficient, thorough and caring treatment from Dr. Alexis Davis and the discharge procedure, we are grateful for the work and dedication your staff provided me.

I’m sure there are times when you are overwhelmed and find it difficult to address everyone’s needs as quickly as you would like, but please know that we are deeply appreciative of your commitment to treat every patient that comes through your doors.

We are very fortunate to have such high-quality care in this community.

Thank you, again.

Sincerely,

James

Heisey

(Patient)

Irina Heisey (Spouse)

Do you have a FirstHealth employee you would like to give KUDOS to, or would you like to share your patient experience? If so, visit FirstHealth.org/ CaretoShare and share your exceptional experience with us today.

Alexis Davis, M.D.