Fall 2016 EvergreenHealth Monroe Monitor

monitor The Wellness Issue

20 FALL 16

Living Well with the Help of Clinical Trials Page 10

Kent Unruh, EvergreenHealth Booth Gardner Parkinson's Care Center Patient

Following the Guidelines for Preventive Care Page 4 Screening Mammograms Save Lives Page 12

Your Healthiest Best at Every Age and Stage Partnering for your wellness throughout your lifetime

Fall 2016

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Message from the Executives Dear friends, Welcome to the fall edition of Monitor.

We hope that you and your family are enjoying our Pacific Northwest’s fall season, and all that it brings with it, in good health and well-being.

The words we at EvergreenHealth live by every day, “Working together to improve the health and well-being of every life we touch,” mean a great deal to us. We have dedicated this edition of Monitor to stories about retaining and attaining your own personal definition of health and well-being … what we call “your healthiest best.”

I hope you’ll enjoy, and even more importantly be inspired by, these stories of patients, and of some of the dedicated EvergreenHealth professionals here to help you live your healthiest best—through every activity and milestone, and at every age and stage of life.

On behalf of the more than 1,100 physicians in over 80 specialties and more than 4,000 employees across our health system, from Sammamish to Kirkland to Monroe, and everywhere in between—we want to thank you for the opportunity to be your partner in health care.

And we promise to continue our dedication to you, our patients and families. It is our honor and privilege to provide you with the care and service that you trust for your and your family’s health.

Sincerely,

This handful of stories represents the thousands of personal narratives we have the honor and privilege to be a part of every year. As proud as we are to again earn recognition as being among the best hospitals in the nation, we are even more proud of these stories about the impact of the relationships between our providers and patients. They are why we exist and why we love what we do.

Robert H. Malte, EvergreenHealth Chief Executive Officer

Eric P. Jensen, EvergreenHealth Monroe Chief Administrative Officer

Contact Us

We invite your feedback and questions.

Contact us at patientrep@evergreenhealth.com

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Living Your Healthiest Best at Every Age and Stage Living our “healthiest best” means different things to different people, and can evolve throughout a lifetime—from a milestone fitness achievement, like running a marathon, to becoming mobile after surgery, from managing disease to being able to actively play with the grandchildren—our definition can change based on our current life state. No matter our age or life stage, simply finding ways to be our healthiest best is what’s important.

At EvergreenHealth, we understand the idea of optimal health is highly personal. Every day, our providers partner with patients and families to better understand their visions of health and, together, determine an individual approach to help them live well and feel good.

Living well also means finding ways to manage and maximize your health through the inevitable valleys of life. Our providers are advancing care for even the most difficult heath challenges—including those that are life-changing—with leading-edge treatments and clinical trials to aid in early detection of conditions from Alzheimer’s to breast cancer, slow the progression of chronic diseases such as Parkinson’s, and much more.

From the 280+ multispecialty physicians in our EvergreenHealth Medical Group to our clinically integrated network, EvergreenHealth Partners, and the many independent providers on our medical staff who practice at our facilities and provide care in the community, we aim to provide seamless care and resources to navigate every age and stage.

Our EvergreenHealth team is proud to serve as partners in care, helping our patients and families live their healthiest best for a lifetime.

Ray Baker, MD Vice President and Executive Medical Director, EvergreenHealth Medical Group

Table of Contents

Features 4

Your Healthiest Best at Every Age

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Clinical Trials Provide Options for Managing Chronic Disease

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Wellness and Prevention at Every Stage

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Doc Talk

In Every Issue

2 Message from the Executives 16

Health Classes

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EvergreenHealth Foundation News

20 Connect with EvergreenHealth Monroe

Victoria Baker-Hall, MD with patient Kelli Smith

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YO U R H EALTH I EST B EST AT EVE RY AGE

Living well and feeling good are common goals shared by patients and families at every age The key to a healthy outlook—or living at your “healthiest best”—often begins with thorough preventive care established in partnership with your provider and continues with your commitment to following basic guidelines, screenings and recommendations for your health as you encounter life’s milestones.

Following the Guidelines: Kids Travis Jo Cufley, ARNP, EvergreenHealth Primary Care, Kenmore

“Wellness visits give even the healthiest of families a chance to check in with their provider on many topics concerning their children’s health. It’s a good opportunity for us to have a conversation about what’s happening developmentally and provides a supportive outlet for parents to voice any concerns.”

0-10 Years VACCINATIONS are the best defense against serious illnesses. Health care experts agree that following a recommended immunization schedule is both safe and effective, and protects children from preventable diseases and illnesses.

LIMITING SCREEN TIME begins at birth and should be closely controlled through the toddler years. Children’s brains develop rapidly in their earliest years and studies show kids learn best through interaction with people, not screens.

REGULAR WELLNESS VISITS help establish healthy habits.

Travis Jo Cufley, ARNP at EvergreenHealth Primary Care in Kenmore recommends an annual checkup beginning at age two and throughout a child’s elementary school years.

Joel and Symphony, Patients at EvergreenHealth Primary Care in Kenmore

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YO U R H EALTH I EST B EST AT EVE RY AG E

Following the Guidelines: Tweens and Teens 11-18 Years TEENS NEED SLEEP. Make sure adolescents get eight to 10 hours of sleep per night to help them feel their healthiest best.

Sleep deprivation has been shown to contribute to difficulty learning, poor concentration, and decreased problem-solving abilities in school-aged kids and teens.

MENINGOCOCCAL MENINGITIS is a rare but deadly bacterial infection that can affect college students, particularly freshmen, who are at higher risk as they adjust to dorm living and have potentially weaker immune

systems from unhealthy habits or late nights of studying.

EvergreenHealth urges families to get their teens vaccinated before leaving for college.

HPV, or human papilloma virus, is one of the most common sexually transmitted diseases that can cause cervical and other cancers, and prevention should start early. Providers recommend boys and girls as young as age 11 begin a series of HPV vaccines before they become sexually active.

Following the Guidelines: Women 21+ Years PAP SMEARS. Changing guidelines for cervical cancer screening have recently caused confusion about how often women should schedule a Pap smear.

According to Jeff Bray, MD an OB/GYN at EvergreenHealth Women’s Care, women do not need an annual Pap smear and should instead follow the American Society for Colposcopy and Cervical Pathology (ASCCP) guidelines to schedule one every three years. Pap smears help to detect precancerous changes and help determine if treatment is needed to prevent cancer from developing.

Begin Pap smears and pelvic exams at age 21, even if you are sexually active before then.

Continue Pap smears every three years until age 29, unless otherwise recommended by your provider.

After age 30 and through age 65, if you are average-risk, you can have a Pap smear every five years along with an HPV co-test.

Without HPV testing, continue your Pap smear every three years.

Women of all ages should continue annual pelvic exams with an OB/GYN or primary care provider and discuss overall health and any possible concerns.

WHAT'S THE DIFFERENCE?

Jeff Bray, MD, EvergreenHealth Women's Care

A pelvic exam involves a visual and physical examination of your organs by your doctor whereas a Pap smear involves collecting a sample of cells from the cervix.

“We are finding that cervical cancer—what the Pap smear primarily screens for—generally takes about 10 to 15 years to develop, so less frequent screening will still catch abnormalities for patients who are at the greatest risk,” Dr. Bray explained. “More frequent screenings in young women can lead to false-positives which can require invasive biopsies that are more harmful than they are helpful.”

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YO U R H EALTH I EST B EST AT EVE RY AGE

Preventing chronic diseases through routine care is important at any age, and especially as patients reach their middle-age milestones and beyond According to Kyle Krekow, PA-C, blood screening and lipid panel testing can help patients gauge their progress towards living their healthiest best—and most importantly, prevent chronic disorders like diabetes and heart disease, or progressively worse outcomes like hypertension and hyperlipidemia.

“Preventive care is a group effort, centered around patients making responsible choices and partnering with their providers. Healthy lifestyle choices and following screening guidelines can increase the likelihood of living well into your later years.” Kyle Krekow, PA-C, EvergreenHealth Primary Care, Woodinville

Following the Guidelines: Preventing Disease Adults PREVENTIVE SCREENINGS FOR COLORECTAL CANCER Regular colonoscopies can detect the risk of colorectal cancer and actually prevent it from occurring.

KNOW YOUR NUMBERS Work with your provider to benchmark and check your levels across several important health-risk indicators.

EvergreenHealth recommends that adults at average risk for colorectal cancer begin screening procedures—which can identify and remove precancerous polyps—at age 50 and continue based on your results and risk category.

Body Mass Index (BMI) Below 18.5 Underweight 18.5 - 24.9 Normal 25 - 29.9 Overweight 30+ Obesity risk

Learn More

Blood Pressure A normal range is typically less than 120/80 mm Hg

Join us at our free class Colonoscopy, What? to hear more about guidelines, the procedure and more. To register, visit www.evergreenhealth.com/classes.

Blood Sugar For those without diabetes, target an A1C below 5.7% Cholesterol Optimal levels for adults: Total cholesterol is less than 200 mg/dL LDL (bad) cholesterol is less than 100 mg/dL HDL (good) cholesterol is 60 mg/dL and higher

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Kelli Smith, EvergreenHealth Primary Care, Duvall patient— committed to partnering with her physician, Dr. Victoria Baker-Hall to proactively manage her health

YO U R H EALTH I EST B EST AT EVE RY AG E

Quit Smoking LUNG CANCER SCREENING FOR SMOKERS It’s never too late to quit.

That’s EvergreenHealth pulmonologist Lindy Klaff’s, MD, message to patients who smoke—no matter how old the smoker, how many packs a day or how many years they’ve indulged in the habit.

There is always an upside to smoking cessation, whether it’s improved quality of life or the chance to prevent more serious complications.

For patients with a significant history of smoking, EvergreenHealth has launched a new lung cancer screening program, which has the potential to decrease the risk of death among heavy smokers by as much as 20 percent. The program, still in its infancy, is being rolled out to be made readily available to all eligible patients across the EvergreenHealth system.

“Right now we’re focused on screening patients with the highest risk of developing lung cancer,” Dr. Klaff explained.

“There are clear benefits to screening, but tests can also reveal benign findings that can cause unnecessary stress in patients. There’s also some risk of exposure to radiation with this screening, so we’re focused on screening the patients who need it most.”

“We’re focused on screening patients with the highest risk of developing lung cancer.”

Lindy Klaff, MD, EvergreenHealth Pulmonary Care

ARE YOU ELIGIBLE? Lung cancer screening is available for patients who: Are 55-78 years old Smoked the equivalent of at least one pack per day for 30 years or Currently smoke or have quit within the last 15 years

Ready to Quit?

Discover proven step-by-step, cutting-edge techniques that can help you stop using tobacco products at EvergreenHealth’s Community Health Education Stop Smoking class, offered in partnership with Nicotine Solutions. Nicotine Solutions instructors meet individually with each student over the phone and offer lifetime support and have a 90 percent success rate.

For registration information, visit www.evergreenhealth.com/classes .

Patients who match EvergreenHealth’s screening criteria meet with a provider for a shared decision-making appointment where they talk through all of the risks and benefits of the screening and decide on a plan of action.

Patients who choose to move forward are enrolled in an annual CT scanning program for up to three years, depending on their results.

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YO U R H EALTH I EST B EST AT EVE RY AGE

Twilight Years

Memory Assessments Help Families Navigate Signs of Aging While some signs of aging are common milestones, others offer warning signs of potential memory disorders or other conditions requiring specialized geriatric care and treatment. In an age when Alzheimer’s disease impacts more than five million Americans each year, and is among the top three causes of death for Americans age 65 years and older, catching signs at their earliest onset can help patients and families navigate the challenges of a memory disorder.

EvergreenHealth’s Memory Assessment program, driven by EvergreenHealth Geriatric Care, enables patients referred by their primary care provider to have an evaluation to determine if they are exhibiting normal signs of aging or early signs of a memory disorder.

The comprehensive approach also examines personal health histories, family concerns, medications, physical abilities, lab tests and other diagnostics. Specialists, including geriatricians, nurses, social workers and pharmacists, then collaborate to examine the results and determine a diagnosis.

“A memory diagnosis involves the entire family, and it’s important to be proactive and spot potential warning signs as early as possible.

By identifying signs early on and finding the right team, we can help ensure your loved ones' twilight years are as fulfilling and comfortable as possible.”

Connie Smith, MD, Medical Director, EvergreenHealth Geriatric Care

Valeria Derleth worked with her mother’s primary care provider Nonna Morgenroth, MD, at EvergreenHealth Primary Care, Canyon Park, to set up an informational appointment.

“The team there is so well-trained. They made us feel welcome and provided some great insights on signs to look for,” Derleth described.

Valeria Derleth attends her mother Nellie’s appointment at EvergreenHealth Geriatric Care with Dr. Anslem Opitoke

EvergreenHealth’s interdisciplinary Geriatric Care team looks at all of the contributing factors to memory loss impacting seniors. In addition to evaluating neurological influences, the assessment includes a review of social factors and family history, along with a pen-and-paper memory test in consultation with a social worker.

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“The experience was really helpful and informative,” Derleth added. “The team provided an interpreter for my mother, who speaks Russian, which took the burden from me, and gave me ideas for many community resources we can look to in the future if needed.”

Learn More If you’re interested in scheduling a memory assessment for yourself or a loved one, you may not need a referral. Start by checking with your insurance provider and primary care provider, call EvergreenHealth Geriatric Care directly at 425.899.6800, or visit www.evergreenhealth. com/geriatric-care-memory-clinic for more information.

YO U R H EALTH I EST B EST AT EVE RY AG E

More ways EvergreenHealth is helping you to be your healthiest best Honored as one of America’s 100 Best™ Hospitals EvergreenHealth was recognized as one of Healthgrades’ America’s 100 Best™ Hospitals in five specialty areas in the Healthgrades 2017 Report to the Nation. This is the fourth consecutive year EvergreenHealth has been ranked among the 100 Best™ hospitals for pulmonary and gastrointestinal care, and the third straight year for general surgery.

The annual study demonstrates how clinical performance differs dramatically between hospitals, and the impact that variation may have on health outcomes.

Want Healthy Tips Delivered to Your Inbox?

Our monthly e-newsletter provides seasonal tips on health and wellness, plus trending national health stories and the latest news on EvergreenHealth. Sign up for this free monthly newsletter at www.evergreenhealth.com/ newsletter.

Ranked Among the State’s Elite Hospitals For the fourth consecutive year, U.S. News & World Report recognized EvergreenHealth Medical Center as one of the top health care facilities in the region and among the best in Washington state for outstanding clinical care and service in its annual Best Regional Hospitals™ rankings.

U.S. News & World Report recognizes hospitals that excel in providing the best care for the most serious or complicated medical conditions and procedures. EvergreenHealth earned High Performing national ranking in gastroenterology & GI surgery, nephrology and pulmonology specialty care areas, as well as for the treatment of heart failure and chronic obstructive pulmonary disease (COPD).

Book Your Next Primary Care and Mammography Screenings from Anywhere, at Any Time EvergreenHealth now offers the ability to schedule primary care visits and mammography screenings through its My Navigator portal.

If you already have a My Navigator portal account, simply log into the patient portal, click on ‘Appointments’ and ‘Schedule a New Appointment’ to book your next visit.

To find out more about scheduling a primary care appointment via the portal visit www.evergreenhealth. com/portal-pc, or to find out about scheduling a screening mammogram visit www.evergreenhealth. com/portal-mammo.

STAYING YOUR HEALTHIEST BEST

Want to learn more about how to stay your healthiest best?

EvergreenHealth created a website just for you. Visit our new website www.healthiestbest.org for recipes, exercise suggestions, tips for healthy living, and more.

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YO U R H EALTH I EST B EST AT EVE RY STAGE

Being your healthiest best means finding ways to live well through all of life’s ups and downs Though it’s natural to strive for optimum health, we all encounter seasons of change that can present challenges and uncertainties in our daily lives. Whether facing a chronic condition or unexpected stage in life, it’s possible to live well, even when you’re not feeling your best. Read more about ways EvergreenHealth partners with patients to help you be your healthiest best at every stage.

Clinical Trials Provide Options for Managing Chronic Disease When 46-year old Seattle-resident Kent Unruh began noticing symptoms of early-onset Parkinson’s disease, he went straight to work coordinating care from specialists across the Puget Sound region.

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YO U R H EALTH I EST B EST AT EVE RY STAG E

“The key to an effective approach to managing a disease like Parkinson’s is to bring the best elements together,” EvergreenHealth patient Kent Unruh shared. That search for excellence in medical care led Unruh to EvergreenHealth’s Research program.

As a research scientist himself, Unruh knew the advantages of participating in clinical trial programs and was impressed by EvergreenHealth’s access to trials that just a handful of institutions across the United States currently offer.

Under the guidance of his neurologist Pinky Agarwal, MD, Unruh enrolled in EvergreenHealth’s Apomorphine Infusion Parkinson’s study, which administers a continuous flow of medication that seeks to curb many of the symptoms which would otherwise keep Unruh from leading his active lifestyle.

“Clinical trials take time, effort and engagement on the patient’s part. Certainly, there are ups and downs, but the benefits can be pretty remarkable, as well,” Unruh shared.

Since enrolling in the Apomorphine Infusion Trial, Unruh has adapted his lifestyle to be able to continue doing the things that are important to him—spending time with his family, staying engaged in his work, and remaining physically active.

“It’s allowed me to still work

part-time. But the real gift in all of this is being able to come home and play with my children by shooting hoops in the street, or going for a short bicycle ride with them.”

“Trials are a big part of the comprehensive care that we offer at EvergreenHealth’s Booth Gardner Parkinson’s Care Center,” Dr. Agarwal explained. “In addition to the patient-centered approach of a community-focused health system, we offer cutting-edge research and medications that give patients different options for managing their condition. In Kent’s case, the trial is enabling him to maintain his quality of life, and the results we’ve seen so far have been very encouraging.”

“Gaining headway in understanding Parkinson’s takes patients and providers working together and contributing to the knowledge base over time,” Unruh said.

“I feel like EvergreenHealth really understands that balance and brings both scientific thinking and compassion to their approach.”

“Trials are a big part of the comprehensive care that we offer at EvergreenHealth’s Booth Gardner Parkinson’s Care Center.”

Pinky Agarwal, MD, EvergreenHealth Booth Gardner Parkinson's Care Center

Learn More EvergreenHealth Neurological Care offers classes and resources to support patients and their families who live with neurological conditions and movement disorders.

To learn more or register, visit www.evergreenhealth.com/ neurological-classes.

ARE YOU ELIGIBLE FOR A CLINICAL TRIAL? EvergreenHealth currently offers more than 50 actively enrolling clinical studies with dozens of new trials coming on board each year.

Visit www.evergreenhealth.com/ research or call EvergreenHealth’s dedicated research hotline at 425.899.5385 to learn more.

Kent Unruh, EvergreenHealth Booth Gardner Parkinson's Care Center patient

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Mobile Screening Mammograms Save Lives Linda Hanseth hadn’t had a screening mammogram in over 20 years.

The 70-year-old lifelong Sultan resident had a particularly painful experience years earlier and avoided returning for regular screenings, instead doing her best to push the potential consequences from her thoughts.

But last spring, during a visit to her longtime primary care provider Mark Raney, MD, Hanseth noticed EvergreenHealth’s mobile mammography coach stationed outside EvergreenHealth Primary Care in Sultan and took note.

During her appointment, clinical staff mentioned the coach’s walk-in screening availability and left Hanseth with information about the mobile mammography services.

“I had no intention of following up, but the next day I found myself dialing the number to make an appointment for a mammogram,” Hanseth recalled.

It turns out it was one of the best calls she’s ever made.

Hanseth was scheduled promptly for a screening mammogram aboard the coach in Sultan, and though it wasn’t completely painless, she describes the experience much more positively than her prior mammograms—and abundantly worthwhile.

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The 3-D screening detected a mass, and it was stage II breast cancer.

Hanseth’s care team at EvergreenHealth, with Dr. Raney at the center, quickly began coordinating a treatment plan that included surgery and radiation at EvergreenHealth’s main campus in Kirkland.

“I’ve walked this path with many patients,” Dr. Raney said. “We know the next 10 to 20 steps in the process and can anticipate our patients’ unasked questions.”

Despite her diagnosis, Hanseth said she remained at peace

throughout the process knowing that she was in good hands.

“Dr. Raney is not just my doctor.

He’s my neighbor and he’s my friend,” Hanseth shared. “I knew that he would make it easy for me to consider all of my options and move forward with the best plan for treatment with my EvergreenHealth doctors.”

Today, Hanseth is cancer-free and a passionate advocate for breast health screening. “Now I tell everyone, just do it. It may save your life.”

“As a family doctor in a small town, I'm caring for generations of families who are both patients and friends.

Marrying our approach in Sultan with the quality medicine and specialists in the EvergreenHealth network is a huge gift.” —Dr. Mark Raney Dr. Mark Raney has cared for patients from the same private practice in Sultan for more than 20 years, which recently joined EvergreenHealth’s primary care network.

YO U R H EALTH I EST B EST AT EVE RY STAG E

Following the Guidelines: Early Detection is Our Best Defense Against Breast Cancer Mammograms are the gold standard for early detection of breast cancer. EvergreenHealth follows the National Comprehensive Cancer Network’s guidelines that recommend all women receive clinical breast exams beginning at age 30 and annual screening mammograms beginning at age 40.

BREAST CANCER MYTHS AND MISCONCEPTIONS

Meet Bella!

BREAST CANCER IS HEREDITARY

EvergreenHealth’s mobile 3-D mammography coach, known as Bella, brings the benefits of regular breast cancer screening to the community’s doorstep.

MYTH FACT: Just one in eight breast cancers are hereditary.

Instead, the vast majority are considered “sporadic,” which means the patient has no genetic history of the disease.

BREAST CANCER DOESN'T AFFECT MEN FACT: Though male breast cancer is rare, some men are

MYTH

at higher risk than others. Both men and women should perform regular self-exams to know what’s normal for their bodies and discuss any concerns with their health care providers.

I NEED A REFERRAL FOR MY SCREENING MAMMOGRAM FACT: Women over age 40 don’t need a written referral

MYTH

from their provider for a screening mammogram—you can schedule an appointment with the Breast Health Center directly. In some cases, women under 40 may need to obtain a written order from a health care provider to be eligible for insurance coverage.

The coach was the first of its kind west of the Mississippi to offer 3-D mammography screening aboard a mobile unit, offering the same high quality experience that patients receive in the Breast Health Center at EvergreenHealth’s hospital campus in Kirkland.

Hassle-free exams are completed in about 20 minutes, and walk-in and scheduled appointments are available every day of the week.

To learn more, visit www.evergreenhealth. com/schedule-a-mammogram.

Mammograms are still appropriate for women with no symptoms or concerns about their breasts. If something concerns you or your doctor, a diagnostic mammogram should be done.

BREAST CANCER ONLY AFFECTS OLDER WOMEN FACT: At EvergreenHealth, 33 percent of breast cancer

MYTH

cases treated are in women under age 50. Regular annual screenings beginning at age 40 are the best defense against cancer.

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YO U R H EALTH I EST B EST AT EVE RY STAGE

Cardiac Rehab Provides a Safe Space for Staying Fit

Harlan Harris exercising with supervision at EvergreenHealth

When Harlan Harris’ cardiologist prescribed a fitness and rehabilitation program at EvergreenHealth following a heart procedure, the 54-year-old Microsoft employee was skeptical.

Harris expected the exercise rehab experience to be underwhelming and tailored to elderly adults.

He found just the opposite. “Cardiac Rehab is a really vibrant place full of healthy people from our community who want to get back to their active lives,” Harris described.

Harris joined a 12-week program designed for patients to engage in exercise in a safe environment closely monitored by clinical providers.

For Harris, the benefits were both physically rewarding and greatly educational.

“My key learning was realizing how much daily exercise is a magic bullet for me—it’s my most important medicine. Now, working out on my own, I can see the direct impact of the metrics I’m tracking on my health.”

“We supported Harlan by monitoring his heart during exercise and helping him manage other factors to lower his risk for cardiac failure.”

Mary Goodwin, RN, Case Manager, EvergreenHealth Cardiac Rehab

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Preparing for an Emergency Many Northwest residents agree that a major earthquake will shake this region at some point during our lifetimes. Though we may not know exactly when it might occur, EvergreenHealth experts urge residents to be prepared for when that day—or any unexpected emergency­—comes our way.

“We all have a responsibility to be personally prepared in case of an emergency or natural disaster,” said Barb Jensen, Emergency Preparedness and Trauma Program Manager at EvergreenHealth. “It’s easy to think volunteers will rush in after a disaster happens; however, that is not our reality. Residents should think about being prepared to shelter in place and care for themselves and their families for up to five to seven days. Preparation takes time and commitment, but the resources for making a good plan are readily available.”

GET STARTED UNDERSTAND THE ESSENTIALS. Visit www.ready.gov to download checklists and brush up on emergency-preparation basics.

TAKE A CLASS. EvergreenHealth offers resources that teach residents skills including CPR training and how to build an emergency kit.

SHARE YOUR PLAN. Families should ensure everyone knows details like important contact information and where to meet in an emergency.

Learn More Join EvergreenHealth’s Community Health Education class Are You Ready for an Emergency? for a hands-on tutorial on the essential items you should have in your emergency kit and where they should be stored. Register by visiting www.evergreenhealth.com/classes.

Doc Talk

We asked providers across multiple areas of care to share the ways they each encourage patients to remain their healthiest best at different stages of personal health. Here’s what they had to say.

Ted Brown, MD, MPH, Director of Neurorehabilitation, EvergreenHealth Multiple Sclerosis Center A good laugh may be good for the body and soul, stimulating the heart and lungs, producing endorphins, strengthening the immune system and improving mood. Laughter has such inherent potential, we’re researching the impact of an eightweek laughter therapy program on individuals with a variety of neurological disorders. This unique study, for which we are actively recruiting, is supported by a grant from the EvergreenHealth Foundation.

Mary Hejnal, LICSW, Bereavement and Family Support Specialist, EvergreenHealth Grief & Bereavement Coping with a death is difficult any time of year, but in fall and winter months Seasonal Affective Disorder (SAD) can exacerbate grief and bereavement periods, causing additional angst, anxiety or mood swings. We offer counseling, including one-hour sessions with our clinical social workers, workshops, support groups and other resources to help individuals cope with loss in their own personal way.

Victoria Baker-Hall, MD, Family Medicine, EvergreenHealth Primary Care, Duvall Family medicine provides patients and families with the latest insights into health care guidelines and advice.

We are the first line of defense when it comes to evaluating and managing a family’s health, and are here to address important topics like timely health assessments, best practices for skin protection, the need for annual screenings and immunizations, and how to live the healthiest lifestyle possible.

Heather Bradford, CNM, ARNP, EvergreenHealth Midwifery Care With today's busy on-the-go lifestyles, taking care of yourself can be an afterthought. Annual exams are a good way to improve self-care. In these appointments, we have in-depth conversations about contraception, screenings and healthy lifestyle choices related to diet and exercise. One of my favorite parts of my job is partnering with women before pregnancy, during, and after, and helping them focus on their individual needs.

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Health Classes Register for classes online or by phone.

For your convenience, you may register and pay for classes 24/7 online at www.evergreenhealth.com/classes.

You may also call the EvergreenHealth Nurse Navigator & Healthline at 425.899.3000, Mon.–Fri., 7 a.m. –7 p.m.

Pre-registration is required for all classes. Checks, VISA and MasterCard are accepted. Refunds and rescheduling will only be given for cancellations two business days prior to the class. Let us know if you need special accommodations to participate.

FREE SEMINARS Breakthrough Treatment for Knee or Hip Pain There’s nothing worse than pain that keeps you from your work, your favorite activities or just getting out of bed in the morning without hurting.

At our free seminars, learn how our advanced treatment technologies can help you get back to life pain-free.

Weight-Loss Surgery: Is it Right for You? Experts from the EvergreenHealth Bariatric Center will discuss surgical options, postoperative follow-up, lifestyle changes, financial information and nutrition support.

WELLNESS & HEALTHY LIVING Healthy Meals Made Easy!

Are you looking for something new to include in your weeknight meal rotation? If so, let us help you! Join us in our demonstration kitchen where you will learn how to master wonderful recipes, gather a few tips and tricks, and gain nutritional knowledge. Samples included!

• Cooking for One • Computer Vision Syndrome—Are You At Risk?

• Arthritis Pain Management • Macular Degeneration • Holiday Wellness: Keeping Calm Through the Holidays

EMERGENCY & SAFETY EDUCATION

Tools and Technology to Improve Your Life

• Babysitting Basics

Join us for an informative discussion of the latest tools, equipment and technology that can improve physical and cognitive function for those living with multiple sclerosis.

• Infant and Child CPR • Community CPR • Community First Aid

• Introduction to Qigong

• Community CPR and First Aid

• Eating to Live!

• CPR for Health Care Providers

• Are You Ready for an Emergency?

• Get a Good Night's Sleep • Acid Refulx/GERD • Busting the Diet Myth • Writing for Stress Management • Cholesterol and Diabetes Screening • Snack Better: Creating Quick & Healthy Snacks for You or the Whole Family

SENIOR HEALTH CLASSES In addition to the classes offered at EvergreenHealth Medical Center, we offer classes and health screenings at other convenient community locations.

Visit www.evergreenhealth.com/ classes for class schedules and locations.

• AARP Smart Driver Program

• Let's Get Moving

• Memory Matters

• Menopause: Will Your Follow in Your Mother's Footsteps?

• Cholesterol and Diabetes Screening

• Good Intestines

• Five Wishes: Advanced Care Directives

• Navigating the Healthcare System • Stop Smoking: Nicotine Solutions • Bodyweight Bootcamp • Seasonal Affective Disorder: Are You Feeling SAD? • Natural Immune Boosting Tips

• Pumpkin This, Pumpkin That

• Colonoscopy, What?

• Leftover Thanksgiving • Healthy Holiday Desserts

• How to Choose a Healthy Meal

• Chocolate!

• Tell-Tale Heart

• Low Sodium

• Mindfulness Based Stress Reduction

• Stay Warm Indoors: Chair Exercises • What You Need to Know About Stroke • Back Talk NEUROLOGICAL & MOVEMENT DISORDERS EvergreenHealth Neurological Care offers classes and support groups to aid patients living with a variety of neurological diseases and movement disorders.

The workshop was made possible through a collaborative partnership with the MS Center at EvergreenHealth and the National MS Society, Greater Northwest Chapter, and will cover: • Optimizing physical function with rehab tools and adaptive aids • Increasing safety for performing daily tasks and activities • Helping with management of fatigue • Improving cognitive function with apps, brain training games and organizational tools Register by calling the MS Society Information Resource Center at 1.800.344.4867.

• PD Carepartner Support Group • Dance for Parkinson's • Neurological Exercise Group • Neuro-Nutrition Class • From-The-Ground-Up Strength and Flexibility • Living Well After Stroke • Evergreen Men's Group • Therapeutic Yoga for MS

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EvergreenHealth Monitor

CHILDBIRTH PREPARATION For class dates & times or to register for classes, go to www. evergreenhealth.com/childbirth or call the EvergreenHealth Nurse Navigator & Healthline at 425.899.3000. Register early during your pregnancy, as classes fill quickly.

• Delivery Day for Teens and Young Adults

• Infant Safety and Injury Prevention: Just for Parents

• Delivery Day for Multiples

• Infant Safety and Injury Prevention: Just for Grandparents

• Labor Coping Skills Review • Prepare the Nest: Childbirth, Breastfeeding & Newborn Care Class

• Day About Baby • Breastfeeding Basics and Beyond

• Pondering Parenthood

• Hypnobirthing®—The Mongan Method

• Family Maternity Center Tour

• Siblings Class

• Bringing Baby Home Workshop

•

• Conscious Fathering

• Parent-Baby Groups

• Fit4baby Program

• Parenting Your Toddler Classes

Tour De La Sala De Maternidad En EvergreenHealth Para Parejas De Habla Hispana

• Understanding Your Prenatal Testing Options • Warm Welcomes • Delivery Day­—Birth and Beyond

Cancer Care Classes

• Yoga for Pregnancy • Pelvic Health Class BABY CARE

EvergreenHealth offers cancer care support and education for patients and families in partnership with Cancer Lifeline. To register, call 206.297.2500 or 1.800.255.5505, or visit online at www.cancerlifeline.org.

A one-night class held on Dec. 9, 2016, focused on six practical steps to avoid common relationship challenges and make the magic last. Intended for new and expectant parents, this class is part of the nationally recognized Bringing Baby Home Program developed by Dr. John Gottman based on 30+ years of marriage and family research.

• This is Not What I Expected • Starting Solids

• Car Seat Safety

• Breastfeeding Your Older Baby

• Car Set Checkup

• Baby & Family Boutique

ARTISTIC EXPRESSION

PRESENTATIONS

• Creating a Meditative Labyrinth

• Life After Treatment: Opportunities and Challenges

• Ikebana Flower Arranging

Classes and support groups at Halvorson Cancer Center.

• Pumping Class

Making the Magic Last: Relationship Refresher for Couples

• Oral, Head and Neck Cancer Support Group SPECIAL EVENT

• Creating a Legacy Book

STRESS MANAGEMENT

Metastatic Cancer Retreat October 8, 10am-3pm 21 Acres—Woodinville, WA Registration 206.832.1270

• Creative Collage to Express Feelings

• Beginning & Continuing Meditation

AMERICAN CANCER SOCIETY (ACS)

COOKING DEMONSTRATION

• Finding Calm with Yoga Nidra

• Look Good, Feel Better Workshops (monthly sessions)­—Support for Women Dealing with Hair Loss

• Fall & Winter Card Making • Keepsake Books & Bookmarks

• Anti-Inflamatory Foods for Health & Wellness • Winter Salads • A Healthier Holiday • Vegetarian Comfort Foods • Warming Winter Soups & Stews EXERCISE AND MOVEMENT • Intro to QiGong • Tai Chi for Everyone • Gentle Yoga

• Eating & Living To Best Support Your Metabolism

SUPPORT GROUPS • Breast Friends Breast Cancer Support Group (Evening) • Bosom Buddies Breast Cancer Support Group (Day)

To register for monthly sessions, call ACS at 1.800.237.2345.

• Colon Cancer Support Group • Living with Cancer—All Cancer Support Group

STRENGTH. DIGNITY. HOPE.

• Living with Metastatic Cancer—All Cancer Support Group

For more scheduling information: Visit www.evergreenhealth.com/classes for a full listing of classes, descriptions, dates and times.

Fall 2016

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New Wireless Fetal Monitors Provide Standardized Care Seasons of Hope Fundraising Luncheon Celebrates the 25th Anniversary of the Hospice Center Join us on Nov. 10, 2016 for the 8th annual Seasons of Hope Fundraising Luncheon, benefiting EvergreenHealth Hospice and Palliative Care programs and services.

This year’s luncheon will celebrate the 25th anniversary of the Gene & Irene Wockner Hospice Center in Kirkland, the only free-standing, inpatient hospice center in King and Snohomish counties.

We hope you’ll help us recognize a quarter century at the inpatient care center by supporting these valuable services in our community.

A suggested minimum donation of $100 is encouraged.

For more information, to reserve your seat, or learn about the other ways that you can participate or support the luncheon, please call the Foundation office at 425.899.1900 or visit www.seasonsofhopeluncheon.org.

The Family Maternity Center (FMC) care team and our patients would like to extend a big thank you to all who supported the 2016 Evergreen Gala.

Proceeds from the 2016 Evergreen Gala funded a new fleet of wireless fetal monitors for EvergreenHealth’s Family Maternity Center.

The wireless technology allows mothers laboring at EvergreenHealth to move freely during labor with greater peace of mind and less risk of disrupting the fetal monitor, which helps track the baby’s vital signs. The freedom of mobility has been shown to help with fetal descent, fetal positioning and naturally increases labor progression.

After testing a series of brands and models, assessing patient and staff needs, and listening to staff input, the FMC selected a wireless monitoring system by Phillips.

According to Carolyn Short, RN in the FMC, using a single brand of monitoring equipment helps improve patient safety and promotes ease of use among nursing staff.

“I believe I speak for a lot of FMC nursing staff when I say we are very excited to receive these great new monitors and we are very happy with our decision to go with Philips,” Short added.

SAVE THE DATE The Evergreen Gala | April 29, 2017 The Charitable Focus of the 2017 Evergreen Gala is EvergreenHealth’s Transitional Care Unit for Behavioral Health Our community is experiencing an alarming increase in the number of patients with behavioral health needs. The safety and security of these patients and our staff present some distinct challenges. Proceeds from the 2017 Evergreen Gala will enable EvergreenHealth to design a setting that better supports these patients. The Transitional Care Unit for Behavioral Health will be designed to provide for the patient’s unique needs while providers transition their care to their final treatment setting.

For more information, contact Christie Elliot at 425.899.1906 or caelliott@evergreenhealth.com.

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EvergreenHealth Monitor

EvergreenHealth Monroe Foundation’s 3rd Annual Blue Jeans and Boots Gala Raises $141,000 for 3-D Mammography Dr. James Swenson was presented with the first annual Dr. Joseph Feek Community Service Award for his outstanding service to the Monroe Community.

Blankets from Local Partnership to Benefit Cancer Services The EvergreenHealth Foundation was pleased to accept a donation of fleece blankets from the Leukemia and Lymphoma Society in partnership with Eastside Subaru.

The Leukemia and Lymphoma Society partners with local businesses in the communities they serve to provide these blankets to local nonprofits. The beautiful, individually wrapped and boxed blankets will be given to EvergreenHealth patients through our Cancer Support Services.

We want to extend a big thank you to the Leukemia and Lymphoma Society of Washington/Alaska and Eastside Subaru for this gift!

Matthew Waitman of Eastside Subaru and Josh Buren of the Leukemia and Lymphoma Society presented the blankets to the EvergreenHealth Foundation and EvergreenHealth Cancer Support Services.

Pictured left to right: Dr. Jack Handley, Chief Medical Officer, EvergreenHealth Monroe; Stacy Morse, Chair of the Board, EvergreenHealth Monroe Foundation; Dr. James Swenson, Chief of Staff, EvergreenHealth Monroe

Guests at the 3rd Annual Blue Jeans & Boots Gala held in September at Pine Creek Nursery in Monroe jumpstarted a yearlong campaign to raise funds to bring a permanent 3-D Tomosynthesis Mammography Unit to the Breast Center at EvergreenHealth Monroe. The Foundation’s goal is to raise $200,000 to support the hospital’s purchase of this equipment in 2017. Fundraising is off to a strong start thanks to proceeds from this year's gala.

“Thank you to our sponsors and guests at the gala who pledged $141,000 to our yearlong campaign to raise these important funds. We are confident that our generous local community will help make 3-D breast cancer screening a reality in 2017, and we are so grateful for their support,” said Connie Wittren, Director of the EvergreenHealth Monroe Foundation.

Pictured left to right: Dr. Eric Taylor, Medical Director Radiation Oncology; Rose Guerrero, Director of Cancer Services; Matthew Waitman, Eastside Subaru; Josh Buren, Leukemia and Lymphoma Society; Kae Peterson, VP and Executive Director, EvergreenHealth Foundation

The Blue Jeans and Boots Gala was chaired by Dianne Forth of Monroe and a dynamic team of community volunteers.

Dave Wagner of KIRO-TV emceed the event along with Stephen Kilbreath of KING-TV as auctioneer. The event welcomed more than 245 people in attendance who together raised more than $31,000 during the raise-the-paddle alone.

Thank you to all who attended and supported this special event!

Fall 2016

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12040 NE 128th Street Kirkland, WA 98034 www.evergreenhealth.com

EvergreenHealth Monroe EvergreenHealth Monroe Adds Full-Time Hospitalist Physician Team EvergreenHealth Monroe’s fulltime hospitalist group works in conjunction with other inpatient and specialty care providers to carefully monitor patients’ progress and treatment in postsurgical, critical care and acute rehabilitation programs.

Advanced Stroke Care Evaluation and Services Exceed National Benchmarks EvergreenHealth Monroe’s Emergency Service department now offers one of the most advanced, rapid emergency stroke care evaluations in the region. Our innovative new program enables providers to perform a complete evaluation of a potential stroke patient within 20 minutes of arrival —exceeding the American Heart Association’s national benchmark.

EvergreenHealth Monroe Recovery Center The EvergreenHealth Monroe Recovery Center launched the region’s first patient-referral program built around relationships with your primary care provider. Patients dealing with substance abuse can now work discreetly with their primary physicians to seek counseling and treatment. The Recovery Center continues to be a progressive leader in substance abuse treatment and supplementing treatment with appropriate medication.

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Healing Notes Music Program A new initiative organized

by EvergreenHealth Monroe Commissioner Charles Strub, MD, Healing Notes invites local musicians and groups to perform throughout the hospital, lifting patients’ and families’ spirits and providing comforting music during their stay.

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Sign up today at: evergreenhealth. com/newsletter

For more information

Contact EvergreenHealth by email at patientrep@evergreenhealth.com, or call the 24/7 Nurse Navigator & Health line at 360.794.1111.

SNOHOMISH COUNTY PUBLIC HOSPITAL DISTRICT #1 BOARD OF COMMISSIONERS GREG ACCETTURO, Chair ALICE CABE, Secretary TONY BALK STEVE MATUSCHAK CHUCK STRUB, MD EVERGREENHEALTH BOARD OF COMMISSIONERS AL DEYOUNG, Chair Bothell/Duvall/Woodinville JEANETTE GREENFIELD, Secretary At Large MINERVA BUTLER At Large REBECCA HIRT Kirkland/Kenmore CHUCK PILCHER, M.D. At Large

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VIRGIL SNYDER At Large You may contact the Commissioners by email at commissioners@evergreenhealth.com.

EvergreenHealth complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.

EDITOR EvergreenHealth Marketing and Public Relations Group and Firmani + Associates Inc.

Español (Spanish) EvergreenHealth cumple con las leyes federales de derechos civiles aplicables y no discrimina por motivos de raza, color, nacionalidad, edad, discapacidad o sexo.

PHOTOGRAPHY Keith Brofsky

繁體中文 (Chinese) 注意：如果您使用繁體中文，您可以免費獲得語言援 助服務。請致電 425-899-1000（TTY：425-899-1000）。

2015 EvergreenHealth Community Annual Report

DESIGN Arscentia EvergreenHealth Monitor is published as a community service by EvergreenHealth. Its contents are not intended to replace professional health care. See your health care professional for information relevant to your medical history.

EvergreenHealth is an equal opportunity employer and service provider.

For career opportunities at EvergreenHealth, visit our website at https://jobs.evergreenhealth.com.