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Research at JCHS

Exploring Pathways to a Healthier Tomorrow JCHS Continues G rowth with New Graduate Degrees

JCHS Night Salem Red Sox

at the

The New John Echternach, Jr. Memorial Scholarship


Sections

College Board of Directors Mr. Stephen A. Musselwhite Chair Ms. Ellen Wade Vice Chair

Jefferson Matters JCHS Continues Growth with New Graduate Degrees and Additional ABSN Cohort.......................................................................... 3 Spring Commencement 2013 ............................................................................. 4 JCHS Hosts Alumni Night at the Salem Red Sox............................................ 4

Mr. Joseph B. Wright Secretary/Treasurer

A Message From Larry Lilley, Alumni Association Board President ...................... 5 Research at JCHS .......................................................................................................... 6

Johnathon Childress, ’12 & Jayasimha Rao, Ph.D. ...........................................7

Susan Jones, M.S.N., R.N.....................................................................................9

George Steer, Ph.D., R.R.T................................................................................10

Melody Sharp, D.N.P., R.N. ..............................................................................12

Ave Mitta, M.S., OTR/L, Karen Layman, ’95, B.A., COTA/L,

& Leah Sowers, ’02..............................................................................................14

John Echternach, Jr., D.N.P., John Echternach, Sr., D.N.P.

& Deborah K. Echternach, D.P.T. ....................................................................15

Glen Kent, Ph.D. ...............................................................................................15

JCHS Scholarship Profile: The John Echternach, Jr. Memorial Scholarship......16 Why it Matters: Give to the JCHS Education Foundation.....................................17 JCHS PA Student Caroline Pilgrim, ’13, Named VAPA Student of the Year.........18

Content

A Letter from the President........................................................................................ 2

Ms. Jeanne Armentrout Ms. Maryellen F. Goodlatte Dr. David M. Gring Ms. Brenda Hale, R.N. Mr. Keith F. Helmer Dr. Maxine M. Lee Mr. William R. Reid Mr. Charles Saldarini Rev. Joy Sylvester-Johnson The Honorable Philip Trompeter Mr. G. Robert Vaughan, Jr. Mr. Gary D. Walton College Administration Nathaniel L. Bishop, D.Min. President Lisa Allison-Jones, Ph.D. Dean for Academic Affairs Glen Mayhew, D.H.Sc. Associate Dean for Institutional Effectiveness Anna Millirons, M.B.A., C.P.A. Dean for Administrative Services Scott Hill, M.S. Dean for Student Affairs

Class Notes....................................................................................................................19

Francis C. Dane, Ph.D. Chair, Arts & Sciences

Upcoming JCHS Events Calendar...............................................................................21

Sharon L. Hatfield, Ph.D. Chair, Community Health Sciences

JCHS Alumni Association Happy Hour

& JCHS Night at Party in the Park..................................................................21

JCHS Alumni Association Beer Tasting & Brewery Tour...............................21

Ava G. Porter, D.N.P. Chair, Nursing

Halls of Jefferson—A Homecoming Celebration..........................................21

Connie Cook,. M.B.A. Director of Enrollment Management

Save the Date: Second Annual JCHS 5K Riverside Run & Wellness Walk............................................................................................. back cover

About the Cover This edition of the Jefferson Chronicle focuses on the exciting, groundbreaking healthcare research being undertaken by our students and faculty. In collaboration with our fellow institutions of higher education, like the Virginia Tech Carilion School of Medicine and Research Institute, members of the JCHS community are working to find solutions that will improve the health of generations to come. On the cover are JCHS alum Johnathon Childress, ’12, and faculty member Dr. Jayasimha Rao conducting a study in the labs at Carilion Roanoke Community Hospital on the JCHS campus in Roanoke, Virginia. You can read more about their work on page 6 of this issue.

Susan Polich, Ed.D. Chair, Rehabilitation & Wellness

Magazine Editors Mark A. Lambert Amanda Ellinger Catherine P. Turner Photography Mark A. Lambert Amanda Ellinger Kevin Hurley Photography Muncy Fine Photography Design & Printing Source4 College Accreditation

Jefferson College of Health Sciences is accredited by the Commission on Colleges of the Southern Association of Colleges and Schools to award associate, baccalaureate and masters degrees. Contact the Commission on Colleges at 1866 Southern Lane, Decatur, GA, 30033-4097 or call 404-679-4501 for questions about the accreditation of Jefferson College of Health Sciences. J E F F E R S O N C H RO N I C L E

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A Letter from the President Dear Alumni and Friends of Jefferson, Our mission at Jefferson College of Health Sciences is to prepare, within a scholarly environment, ethical, knowledgeable, competent, and caring healthcare professionals. In recent years, a large part of this preparation has centered on health-related research by our faculty and students. In partnership with the Virginia Tech Carilion School of Medicine and Research Institute (VTC), Carilion Clinic and a host of other local agencies that provide health and human services to our community, we have been embarking upon research projects that will improve the lives of countless patients. In this issue of the Jefferson Chronicle, we will tell you more about some of these projects and the implications their outcomes could have on healthcare in the Roanoke Valley and beyond. For example, on page 9, you can learn more about research being conducted by Susan Jones, M.S.N., R.N. an Assistant Professor in the JCHS Nursing Program. Ms. Jones is focusing on how interprofessional education activities help students learn and what effect they have on the eventual patient care those students provide. Having led the JCHS Interprofessional Education Activity Day for five years, Susan can provide firsthand insight into this innovative way we educate the healthcare leaders of tomorrow. George Steer, Ph.D., an Associate Professor in our Biomedical Sciences Program, is investigating the cost of healthcare services and medications, as well as lost productivity, resulting from chronic heart failure (CHF), which accounts for 5.7 million new diagnoses each year. Among the questions raised in Dr. Steer’s study is whether enhanced outpatient monitoring could result in improved medical management of the disease, prevention of hospital readmissions, and improvement of the patients’ lives as they live with CHF. More on this study can be found on page 10. Melody Sharp, D.N.P., Program Director for the JCHS Post-Licensure and Accelerated Bachelor of Science in Nursing Programs, and her team from Carilion Clinic’s Inpatient Rehabilitation Unit, are creating a new path with their research, which is detailed on page 12. The team found that there were no standard or national guidelines for bladder management in the success of patients undergoing rehabilitation. As a result, they are working to establish these guidelines, which leads the way into new territory—a pathway for further research and development of new treatments for patients in the future. Ave Mitta, M.S., Director of the JCHS Occupational Therapy Assistant (OTA) Program, Karen Layman, ’95, B.A., Academic Fieldwork Coordinator and Instructor in the OTA Program, and Leah Sowers, a 2002 graduate of the OTA Program, are teaming up with Roanoke-area retirement community and rehabilitation center Friendship Manor to conduct their study. The group is looking into how inpatient occupational therapy affects stroke patients’ ability to function independently once they have returned home. You can read more about their research on page 14. Finally, JCHS Physical Therapist Assistant Adjunct Faculty member Deborah Echternach, D.P.T. has continued a research study that was being conducted by her late husband, Dr. John Echternach, Jr., before he passed away in 2012. Debbie, along with John’s father, the late Dr. John Echternach, Sr., studied a diagnostic tool called the “meniscal pathology composite score,” which could help physical therapists in clinical decisionmaking. This study is detailed on page 15 of this edition of the Jefferson Chronicle. All of these research projects—and many more being conducted at JCHS, VTC and Carilion Clinic—are vital to discovering new methods of caring for patients. Advancements in healthcare can only come about when we examine existing care and when we break down barriers to explore new ways we can improve the health of our communities. With our faculty leading the way, and with our students involved in this groundbreaking research, Jefferson College of Health Sciences is poised to become one of the finest higher education research institutions in the Commonwealth of Virginia. I am proud to turn the spotlight on our researchers and the studies they are conducting. Their dedication and hard work are inspiring and will affect patients and healthcare for years to come. Sincerely,

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Nathaniel L. Bishop, D.Min. President, Jefferson College of Health Sciences


Je f f e r s o n M at t e r s

JCHS Physician Assistant student Chelsea Mattox (left) talks to her mock patient, played by Nursing student Kyleigh Moore, during the annual Interprofessional Education Day activity at JCHS In April 2013, supervised by Assistant Professor in Nursing Fancy Rop, M.S.N.

JCHS Continues Growth with New Graduate Degrees and Additional ABSN Cohort JCHS has received approval from the Southern Association of Colleges and Schools Commission on Colleges (SACSCOC) to offer two new degree options on the master’s level. The Master of Healthcare Administration (MHA) will begin classes in fall 2013. This program focuses on recruiting graduates of the existing JCHS Bachelor of Science in Healthcare Management degree program, other individuals seeking to enter the field of healthcare administration and individuals already employed in healthcare seeking advancement opportunities. Because many of the students enrolling in this program work full-time in healthcare, the program is offered primarily online through innovative educational software like Blackboard, Self Service and WebEx Videoconferencing. This enables the MHA students to learn at times that fit into their busy professional and personal schedules. The second approved program is a Family Nurse Practitioner (MSNFNP) concentration within our existing Master of Science in Nursing Program. This program will begin classes in fall 2014. The students who enroll will be graduates of the current JCHS Bachelor of Science in Nursing

Program, graduates of other Master of Science in Nursing concentrations and nurses wishing to become Family Nurse Practitioners. The program will prepare graduates to sit for a national certification exam with subsequent licensure to become primary care Family Nurse Practitioners. JCHS is adding these new graduate level degree options to meet the demand for increasingly specialized healthcare professionals in the Roanoke Valley and beyond. For example, we know there is a projected shortage of physicians in the next 15 years that could have a major impact on the way our families, friends and neighbors receive care. We believe that Family Nurse Practitioners can play a vital role in not only providing high-quality care to these patients, but also in realizing the provisions of the Affordable Care Act. In addition, healthcare organizations like Carilion Clinic are beginning to require leaders in nursing and other areas of healthcare to obtain advanced degrees on the graduate level. With employment opportunities in these leadership roles expected to increase, JCHS wants to be on the forefront of offering this educational experience to students via our MHA Program.

With the addition of these programs, Jefferson College of Health Sciences now offers 18 degree and certificate program options to our students. You can learn more about the MHA Program on the JCHS website at www.jchs.edu/page.php/prmID/1054. More information about the curriculum and program format of the MSNFNP Program will be communicated as it becomes available. In addition, JCHS will begin offering a spring cohort of our Accelerated Bachelor of Science in Nursing (ABSN) Program beginning in spring 2014. The popular program allows nursing students to complete a BSN degree in four semesters over 16 months, earning their four-year degrees in less than two years. The additional opportunity to begin the ABSN program is a result of demand from prospective students for this fast-paced curriculum and the need for additional nurses in the healthcare community with a baccalaureate degree. You can learn more about the ABSN Program on the JCHS website at www.jchs.edu/page.php/prmID/921. You can also learn more by contacting the JCHS Office of Admissions at 1-888-985-8483 or via e-mail at admissions@jchs.edu.

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Je f f e r s o n M at t e r s

Spring Commencement 2013 at the Roanoke Civic Center.

Graduate student Susan Wirt receives her master’s hood.

Spring Commencement 2013 Spring 2013 Commencement speaker Dr. Michael J. Friedlander.

JCHS President Dr. Nathaniel L. Bishop with a new grad.

Our honored guests and College leaders during the ceremony.

In May 2013, 180 JCHS students became alumni at the College’s 30th annual Commencement Ceremony, held at the Roanoke Civic Center. The ceremony held special significance for members of the Emergency Services Program, which graduated its inaugural class of bachelor’s level graduates since transitioning from a two-year program to a four-year program. After greetings from Chairman of the JCHS Board of Directors Stephen A. Musselwhite, College President Dr. Nathaniel L. Bishop welcomed everyone to the ceremony. Dr. Bishop then introduced our graduate student speaker, Susan C. Wirt, a graduate from the Master of Science in Nursing Program. Brook-Lynn Velvin, a graduate of the Health Psychology Program, then delivered the undergraduate student remarks.

The Commencement Address was given by Dr. Michael Friedlander, the founding Executive Director of the Virginia Tech Carilion (VTC) Research Institute and the Senior Dean for Research at VTC School of Medicine, where he is Professor of Psychiatry and Behavioral Medicine. You can see Dr. Friedlander’s complete remarks and learn more about his professional and personal accomplishments on the JCHS website at www.jchs.edu/page.php/prmID/1071. The ceremony ended with the graduates crossing the stage and receiving their diplomas. Please join us in wishing all of our 2013 graduates happy, healthy and prosperous lives as Jefferson alumni! At left and above are some snapshots from our 2013 Spring Commencement Ceremony. Enjoy!

JCHS Hosts Alumni Night at the Salem Red Sox On April 24, 2013, JCHS hosted Alumni Night at the Salem Red Sox at Memorial Ballpark in Salem, Virginia. The event brought alumni and their families together with current students, faculty and staff to enjoy a game and a wonderful buffet of ballpark favorites like hot dogs and hamburgers.

JCHS students (left to right) Troy Evans, Ashley Karnes, Brook-Lynn Velvin and Alex Breeding.

Among the highlights were the first pitch being thrown by JCHS Alumni Association President and faculty member Larry Lilley and the National Anthem sung by Dr. De-dee Foti, a member of the Alumni Association Board and the Associate Director of the Bachelor of Science in Nursing Program. Everyone had a great time on a warm, sunny early spring evening in the shadow of the Blue Ridge. We hope you enjoy the snapshots at right from our evening with the Red Sox!

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JCHS Alumni Association JCHS Associate Dean for Board Members (left to right) Institutional Effectiveness Sue Campbell, De-Dee Foti Glen Mayhew and his son, Hunter. and Larry Lilley.


A Mes s age from yo u r Alumni Association President Larry Lee Lilley, III, M.S.N., M.A., R.R.T., R.N. Dear esteemed colleagues and alumni: I hope this letter finds you well. With the change of seasons, I want to take the time to speak to you about our Alumni Association. As you know, I have had some of the best experiences of my life during my time at the College. I think of the friends I have made, the education I have received, and the differences I have been able to make—all of these experiences are vital to who I am today. At JCHS, we have the opportunity to train those who will then go out and serve others. It is amazing how many lives are touched because of this institution. That is why I am so proud to be part of the JCHS Alumni Association. The great things we are able to accomplish are associated with our alumni. From professional networking to the gift of time and financial support—everything you do changes lives. Your contributions have been an integral part of providing students with scholarships and emergency funds. Your donations benefit our communities by funding service projects. Your support continues to ensure that JCHS remains a strong pillar in the healthcare community of the Roanoke Valley. That is why I am urging you to stay involved in the Alumni Association. Whether through volunteering at events or through a monetary contribution, you are the catalyst that ensures the Alumni Association continues to be an energetic and important part of the JCHS family. Please think about the difference you can make. We appreciate your consideration in being partners in all of our endeavors. The upcoming months bring many exciting and fun activities that all alumni can take part in. On August 29, you can join us for our second annual JCHS Night at Party in the Park, right across the street from the JCHS campus at Elmwood Park in downtown Roanoke. Immediately prior, we welcome you to be with us for our second annual JCHS Alumni Association Happy Hour at the Patrick Henry, just down the block from Elmwood Park. On October 10, the Alumni Association will be hosting a Beer Tasting and Brewery Tour event at the Roanoke Railhouse Brewery. And November 8-9, 2013 is our official “Homecoming” weekend at JCHS! You’re invited to come back to campus and tour the “Halls of Jefferson,” and then get out there bright and early the next morning for our second annual JCHS 5K Riverside Run and Wellness Walk, benefiting the Alumni Association and SARA, Inc. You can read more about all of these events on page 21 and the back cover of this edition of the Jefferson Chronicle.

Larry Lee Lilley, III, JCHS Alumni Association Board President

JCHS Alumni Association Board of Directors Executive Officers Larry Lilley, III, ‘85, E.M.S., ‘87, R.T., ‘02, EHS, ‘04, A.S.N., ‘05, B.S.N. President Sara Nicely, ’02, P.A. Vice-President Karen Layman, ’95, O.T.A. Corresponding Secretary Kim Roe, ’84, R.T. Treasurer Board Members Sue Campbell, ‘00, P.A. Alisha Carroll, ’05, R.T. Patricia Crockett, ‘74, R.N. De-Dee Foti, ’09, M.S.N. Phyllis McCallie, ‘58, R.N. Al Overstreet, ‘95, O.T.A., ‘01, H.O.M. Cynthia P. Smith, ‘07, M.S.N. Rebecca Underwood, ‘11, B.S.N.

I just can’t hide my enthusiasm for Jefferson College of Health Sciences. It is home to me, and I want to help in any way possible to support it. It is my great pleasure to serve as your Alumni Association President. With your support and generosity, we can be partners in a legacy that is as strong as our graduates. All it takes is you to make the difference.

Larry Lee Lilley, III, M.S.N., M.A., R.R.T., R.N.

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Exploring Pathways to a Healthier Tomorrow For over three decades, Jefferson College of Health Sciences has been educating the healthcare leaders of tomorrow. In our 31st year, we continued our commitment to providing students with the support they need to become ethical, knowledgeable, competent and caring professionals in their disciplines. And we’re doing it with innovative technologies like the Emergency Services Department’s Ambulance Simulator—an interactive simulation of an emergency response vehicle that gives our students critical care experience that they normally would have had to leave the classroom to obtain. Through the use of these types of groundbreaking and forward-looking techniques and tools, we are positioning JCHS as a leader in healthcare education not only in Roanoke, and not only in southwest Virginia, but in the nation. Now JCHS is directing our students and faculty into new territory where they are conducting healthcare-related research on our campus and in our communities. On the following pages, you can read about some of the studies being conducted at JCHS, in collaboration with our colleagues at Carilion Clinic and fellow institutions of higher education, like the Virginia Tech Carilion School of Medicine and Research Institute. Through this research, we are working every day to ensure a healthier tomorrow for our families, friends and neighbors in this region and beyond.

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RESEARCH at JCHS

Johnathon Childress and Dr. Jayasimha Rao in the laboratories at Carilion Roanoke Community Hospital on the JCHS campus.

Analyzing Genomes of the Multi-drug

Resistant Bacterium Acinetobacterbaumannii

Johnathon Childress, ’12 and Jayasimha Rao, Ph.D., Associate Professor, Biomedical Sciences Johnathon Childress graduated from JCHS in December 2012 with a degree in Biomedical Sciences. As a student at JCHS, he was asked if he would be interested in participating in bench research for his senior Capstone research final assignment. He accepted the opportunity to partake in what was initially a strange setting. Dr. Jayasimha Rao, his mentor, quickly brought Johnathon up to speed with what he would be doing in the laboratory. The focus was on a project involving a multi-drug resistant bacterium, Acinetobacterbaumannii, a strain of which had been collected from an intensive-care unit (ICU). This strain was responsible for a mini-outbreak, which spread through the ICU and infected several immunocompromised patients. The outbreak had resulted in a 33-percent mortality rate in that ICU. Johnathon’s specific research involved analyzing the genomes of these outbreak strains in hopes of identifying possible genes responsible for the drug-resistance that all of these strains demonstrated. The ultimate goal was development of a rapid diagnostic method. J E F F E R S O N C H RO N I C L E

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RESEARCH at JCHS

This project was funded by an RAP-6 grant and supported by Jefferson College of Health Sciences and Carilion Clinic’s Infectious Disease Department. There was collaboration with Virginia Bioinformatics (VBI) at Virginia Tech (genomic sequencing and alignment), and the University of Virginia’s Microbiology Department (antimicrobial and bacterial guidance). Carilion’s Infectious Disease Department offered continual insight as the research progressed. Carilion’s and Jefferson’s Microbiology Laboratories were also active

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and provided needed information (antibiotic sensitivity testing and profiles) as the research continued.

program, he came to find that he was well prepared to tackle the challenges presented by clinical research.

This research interested Johnathon because it was something that he had not previously had the opportunity to do as a student. The research also was 100 percent clinically relevant, an important criterion to Johnathon (and the entire research team), and it meshed very well with Johnathon’s program of study as well as his career goal of becoming a physician. With the background and material covered in the Biomedical Sciences

Johnathon’s preparation, support and hard work were well recognized when he received a travel grant from The American Society of Microbiology to present a poster regarding his research at the 113th General Meeting of the Society in Denver, Colorado. Johnathon is the first JCHS undergraduate to present at this meeting, an accomplishment Dr. Rao labeled “very prestigious.”


Susan Jones, M.S.N., R.N. (center) accepting the 2013 Faculty Award for Research Excellence with Director of the Post-Licensure and Accelerated BSN Programs Dr. Melody Sharp (left) and Dean for Academic Affairs Dr. Lisa Allison-Jones.

Effects of an Interdisciplinary Simulation Activity on Team Collaborating Skills Susan Jones, M.S.N., R.N., Assistant Professor, Nursing Program In the provision of healthcare, perhaps the only thing that remains constant is change. Today’s standards of care, medical technologies, diagnostic testing, even patient demographics and health needs look much different than they did even five years ago. In order to adapt to these changes and deliver high-quality patient care, healthcare providers must be able to function as part of a collaborative team. This includes effectively communicating with providers in other disciplines to treat a patient holistically. Unfortunately, professional identity often isolates students and faculty in their specific discipline—a trait which can carry over to the practice environment after graduation. Further, the lack of understanding of other scopes of practice may impair team collaboration. In 2006, Susan Jones, M.S.N., R.N., Assistant Professor in the JCHS Nursing Department, began to consider ways the College could provide its students with the opportunity to experience working across disciplines to assess and treat patients. In 2007, the College hosted the first of what would become an Annual Interprofessional Education Day. The event allows students and other healthcare professionals to experience what it’s like to work as a team during a simulated

emergency situation involving many patients with a variety of injuries. During the activity, students from a variety of JCHS academic programs and classes—including Nursing, Respiratory Therapy, Physician Assistant, Medical Laboratory Sciences, Physical Therapist Assistant, Occupational Therapist Assistant, Emergency Services, and Public Health—are grouped together and assigned to a mock patient involved in the situation. The students caring for patients are not informed of the nature of the event until the activity begins. They then have to assess the situation and treat their patients as a team in real time. The event is followed by a debriefing session where students can share their experiences and receive feedback from faculty on areas of strength and areas where additional development is needed. Goals of this simulation activity include improving students’ skill and comfort level with communication, collaboration and critical thinking in a simulated care environment; helping students understand and value the contribution of other disciplines to quality patient care; and sharing knowledge and best practices for interprofessionalism through peer education.

In May, Ms. Jones was recognized with a Faculty Research and Scholarship Award for her leadership and organization of the Interprofessional Simulation Day, although Ms. Jones would be the first to tell you that the event would not be possible without the participation of a host of players from JCHS, the Virginia Tech Carilion School of Medicine (VTC) and Carilion Clinic. As the event has grown, it has been expanded to include medical students from VTC, area pharmacy students, and representatives from JCHS, VTC and Carilion Clinic’s Pharmacy Department, Trauma Team, Lab Department, Emergency Department, Heartnet, and Police and Chaplain Services. In an attempt to measure the impact of the activity on students, Ms. Jones and a group of faculty from JCHS, VTC and Carilion survey students before and after the simulation activity to determine if they report an increase in skills and comfort level in interprofessional patient care as a result of the activity. To date, the research has shown consistent improvements in students’ confidence levels, as well as an increase in communication, collaborating and critical thinking skills—skills that students can take with them as they transition out of the classroom and into clinical settings. J E F F E R S O N C H RO N I C L E

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Research team members (left to right) George Steer, Ph.D., R.R.T.; John Lystash, M.D.; Stephen Phillips, M.D.; and Mary Davis, R.N. at the Carilion Clinic Cancer and Rehabilitation Center.

End Tidal Carbon Dioxide (ETCO2) in Heart Failure Patients as an Indicator of Cardiovascular Status George A. Steer, Ph.D., R.R.T., Associate Professor, Biomedical Sciences Program The following is an interview with Dr. Steer about his research.

Q:

You’ve been involved in a number of research projects this year. Your study on Chronic Heart Failure is particularly interesting. Can you tell us more about that study?

A:

There are 5.8 million cases of congestive heart failure in the US,i and the incidence rate approaches 10 in 1,000ii after age 65. The death rate ≈ 50% in 5 years and 1 in 5 within the first year. Congestive/chronic heart failure (CHF) patients have a relatively high rate of readmission to the hospital; 27% of Medicare patients are readmitted within 30 days of hospital discharge due to acute decompensation.iii Current outpatient monitoring techniques clearly are not effective in maintaining a relative homeostatic state of the disease. Readmission is costly to Medicare, but more importantly, it has a significant impact on the quality of life of the patient with CHF. New studies show that 71% of CHF patients are readmitted to the hospital within a year of discharge.iv We hope to find an accurate, convenient and noninvasive monitoring

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technique which is readily available to patients through physician offices, home healthcare visitors and perhaps even local pharmacies, to detect changes in heart function. We hope to detect these changes early enough to adjust medications in order to prevent decompensation of the stable chronic condition, which results in hospitalizations and a poor quality of life. We know that exhaled carbon dioxide decreases as cardiac function (cardiac output) decreases. This has been verified in several types of acute heart failure (over 4 hours), in animal models and in patients in acute heart failure for various reasons. We also routinely use exhaled carbon dioxide measurements as a monitor of the effectiveness of cardiac compressions during CPR. More effective compressions increase CO2 elimination. What we do not know is if CO2 output gradually decreases as the heart function of the CHF patient progressively worsens over time. We also do not know if CO2 monitoring over weeks to months can detect subtle changes in cardiac output more effectively than current indicators, specifically weight gain. Patients, for some reason, are not in tune to the worsening of their cardiac function, even if they monitor their weight gain. They are often unable to detect changes in their functional status even when family members can detect these changes.

As a result, when they notice the change, it is so significant and they are so ill that they have to call the ambulance or go to the hospital.

Q:

What types of interventions will you be using with CHF patients to test your hypothesis?

A:

We will use several noninvasive, verified indicators of cardiac output or cardiac functioning to assess the relationship of changes in CO2 to cardiac output. The Duke Activity Survey Index (DASI), a questionnaire regarding activities of daily living, and the six-minute walk test are validated indicators of cardiac output. Biweekly, we will ask the patient to complete the DASI, and monthly, we will exercise the patient. Additionally, on a monthly basis, the patient will have a venipuncture for Pro BNP, a cardiac stretch marker that indicates heart failure, and hemoglobin & hematocrit to ensure that changes in pulmonary ventilation are not due to other factors. Finally, and most importantly, we will assess the patient’s CO2 elimination biweekly. While assessing this value, we will monitor the patients’ pulmonary ventilation to ensure the patient’s breathing pattern is comparable to previous measurements.


Q: A:

Why did you choose to investigate Chronic Heart Failure? I have always been interested in cardiopulmonary physiology and monitoring of cardiopulmonary functioning in the acute care of the critically ill patient. I started my career as a respiratory therapist in the ICU. When working in the Resuscitation Research Laboratory of Dr. George Kramer, at the University of Texas Medical Branch (UTMB) in Galveston, Texas, we were interested in a noninvasive, reliable indicator of cardiovascular status that could be applied in the field for the war-fighter. Hemorrhagic and burn shock are significant causes of cardiovascular collapse in this scenario. Monitoring pulmonary gas elimination and carbon dioxide directly correlates to changes in cardiac output in acute shock states and during cardiopulmonary resuscitation. We applied exhaled carbon dioxide monitoring to the experimental shock states and found it to be reliable in an animal model during controlled mechanical pulmonary ventilation. The plan was to continue the studies in spontaneously breathing animal models. After leaving the laboratory and coming to Roanoke, I continued to investigate equipment capabilities to monitor pulmonary functioning in cardiac assessment. When attending a Respiratory Care conference sponsored by Carilion Clinic, I asked the product representative about the capabilities of the device. He was unable to answer my questions and referred me to technical experts at Oridion. The manager at Oridion was interested in my application of the device and asked me to present the topic at his organizational development meeting. From there, I developed the question which seeks to investigate if this cardiopulmonary physiological measurement could be applied to long-term outpatient monitoring of a chronic disease which desperately needs a mechanism to improve the patient’s quality of life: congestive heart failure.

RESEARCH at JCHS

Q: A:

How does this study fit into your larger program of research? I actually have three areas of research interests: cardiopulmonary injury or illness in animal models for translation into clinical practice, clinical investigations for more immediate intervention(s), and the evaluation of teaching techniques of, and therefore learning of, Anatomy and Physiology. A common opportunity in each of these areas is the student. At UTMB, I was able to incorporate non-invasive cardiopulmonary monitoring techniques used in clinical practice with research exposure for Respiratory Therapy students. Here at JCHS, we have identified aspects of our training programs where we may have an opportunity to improve student outcomes— Anatomy and Physiology is one of those areas. My colleagues and I have undertaken preliminary studies to determine if some modification of the laboratory experiences would help student learning and if an assessment tool could be used to determine if we should help prepare the student with foundational knowledge before entering into post-secondary Anatomy and Physiology courses. The CHF study also has the potential to include students from exercise physiology or respiratory therapy, providing us with the opportunity to develop a clinical practice experience with undergraduate research exposure. The CHF study is one component that incorporates two aspects of my interests: research and teaching. The student who participates in this study would apply knowledge from A&P classes, pathophysiology, specific technical expertise from their respective professional program and exposure to research techniques.

Q: A:

Are there any partners involved in this project? The study is currently funded by Carilion Clinic’s Research Acceleration Program and Oridion Capnography—a Covidien company. JCHS has provided faculty committed time

in order to initiate this project. Carilion Clinic is funding laboratory studies (Solstas Labs), cardiopulmonary rehabilitation clinic space (directed by Mr. Shane Blanchard) and research management support through the Office of Sponsored Projects. Oridion has provided two exhaled carbon dioxide monitors, disposable patient application devices, and will provide financial support for additional disposable and non-disposable ventilation monitoring equipment and computer technology. We have several collaborators on the project, including our Oridion Partners; Stephen Phillips, M.D., Medical Director (Carilion Clinic Heart Failure Clinic); John Lystash, M.D., Cardiologist (Carilion Clinic Heart Failure Clinic); Mary Davis, R.N., Cardiac Nurse (Carilion Clinic Heart Failure Clinic); Susan Jones, R.N. (Research Nurse, JCHS); Carla Holly, R.R.T. (Carilion Clinic Respiratory Therapy Department); Brandon Briggs, Exercise Physiologist (Carilion Clinic); Patrick Nichols, R.R.T., Manager of Respiratory Care (Carilion Clinic Respiratory Therapy Department); and Scott Blaukovitch, R.R.T., Education Coordinator (Carilion Clinic Respiratory Care).

Q: A:

Is there anything else you want us to know about your project? We would like to expand this project into the long-term care inpatient and assistedliving arenas to increase the number of patients for whom we may be able to help improve their medical care and quality of life. It also bears mentioning that this is a collaborative effort between the clinical arena of Carilion Clinic and a faculty member of Jefferson College of Health Sciences and Virginia Tech Carilion Clinic School of Medicine. This endeavor displays how Carilion Clinic recognizes the potential contribution of all of its partners and holds the philosophy that clinical research is a fundamental and integral component of quality patient care. This research strives to “promote excellence in the quality of care to our patients.”

Lloyd-Jones D, Adams RJ, Brown TM, et al. Heart Disease and Stroke Statistics—2010 Update. A Report from the American Heart Association Statistics Committee and Stroke Statistics Subcommittee.* Circulation. 2010;121:e1-e170. ii American Heart Association. Heart Disease and Stroke Statistics – 2011 Update. A Report from the American Heart Association. Circulation. 2012;10:2012. e12-209. iii Jencks, S.F., Williams, M.V., & Coleman, E.A. Rehospitalization among patients in Medicare fee-for-service program. New England Journal of Medicine, 2009;360(14),1418–1428. iv New study currently being retrieved by Mr. Price i

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Evaluation of a Bladder Management Protocol as Evidence for Establishing

National Clinical Practice Standards in the Inpatient Rehabilitation Setting

Melody Sharp, D.N.P., R.N., Director and Associate Professor, PostLicensure & Accelerated Bachelor of Science in Nursing Program Bladder management in rehabilitation patients plays an important role in patient outcomes, including a patient’s ability to return to his/her home following an injury or illness. Yet there are no standard or national guidelines for bladder management of patients in rehabilitation settings. The most general approach to bladder management is catheterization, an invasive process which is both time-consuming and a leading cause of hospital-acquired infections. In 2009, the Centers for Disease Control and Prevention issued a statement suggesting providers use portable bladder scanners to assess urine volume and reduce unnecessary catheter insertions. However, there is still no established protocol for the use of bladder scanners in the rehabilitation setting, and the equipment is significantly underutilized in bladder management. Seeing the potential to develop a bladder management protocol that would improve treatment for patients in the rehab setting, decrease the risk of infections caused by catheterization, and lower the cost of treatment for both the patient and the provider, a group from CRCH’s Rehabilitation Unit joined forces with the JCHS Nursing Department to explore alternate options of care. The team includes Alice Christaldi, B.S.N., R.N., C.R.R.N. (Principal Investigator and CRCH Rehab-7 Preceptor); Mary Via, R.N., C.R.R.N. (Clinical Team Leader, CRCH Rehab-7); Stimis Smith, M.B.A., B.S.N., R.N., C.R.R.N. (Unit Director, CRCH Rehab-7); and Melody Sharp, D.N.P., R.N. (Director, Accelerated BSN and RN-BSN Programs, JCHS Nursing Department). The team’s initial quality improvement project focused on bladder management in the rehabilitation setting among stroke patients. In the United States, an estimated 795,000 people suffer a stroke each year (American Stroke Association, 2010). Of admissions to CRCH’s Rehabilitation Unit, 34% are patients who have had strokes; many of these patients also have bladder management issues. This seemed to be an ideal population for the team to base this study on. Together, the team developed an algorithm and corresponding guidelines that standardized patient care and provided a cohesive approach to bladder management for stroke patients, which utilized current evidence-based practices. This guideline addressed issues such as timed voiding, bladder scanning and indications for urinary catheterizations. They recognized that in order to test these newly developed guidelines, they would need the cooperation of the Rehabilitation staff, and a formal process was created for providing education to all staff on the Unit. Education included best practice guidelines, staff roles in implementing the pilot guidelines, basic anatomy and physiology of the urinary system, bladder scanning rationale and technique, and accurate documentation in patient records. Retrospective data were collected six months pre-education and six months post-education. The education and implementation of the pilot algorithm and guidelines resulted in a positive culture change among the Unit’s staff regarding the importance of bladder management for the Unit’s patients. It also gave staff more time to focus on patients who required intensive care. When the pilot was first implemented, staff performed bladder scans every 8 hours for the first 72 hours after a patient was admitted to the Rehabilitation Unit, but this is no longer the case. Bladder scanning has now decreased to the first 12 to 24 hours after admission. This has provided savings in both nursing time and Unit expense.

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RESEARCH at JCHS

Research team members (left to right) Mary Via, R.N., C.R.R.N.; Alice Christaldi, B.S.N., R.N., C.R.R.N.; Melody Sharp, D.N.P., R.N.; and Stimis Smith, M.B.A., B.S.N., R.N., C.R.R.N. with a bladder scanner in the Carilion Clinic Inpatient Rehabilitation Unit at Carilion Roanoke Community Hospital on the JCHS campus.

These findings were disseminated during a podium presentation at The Association of Rehabilitation Nurses National Convention in Nashville and at the Carilion Clinic Research Day. The frontline nurses were awarded a research fellowship through Carilion Clinic for their role in implementing the quality improvement study, as well as The Nightingale Award to help defray costs for the trip to Nashville. In 2012, the team was nominated for The Carilion Clinic Quality Award and designated a Level 3 for achievement. These awards recognize efforts to improve processes, make care safer and enhance customer service efforts. The team is committed to research and utilizing the knowledge they have acquired to improve the care patients receive. Next steps include making modifications to the algorithm and guidelines and replicating the study with a larger group of rehab patients. Data analysis will include a three-year retrospective analysis of similar patients treated on the same unit. Data will be examined to determine the impact of the algorithm on patient outcomes and cost savings. The data gathered can then be used to replicate the bladder management algorithm in other rehabilitation facilities in order to further enhance the generalizability of this guideline and eventually to establish a national clinical practice standard.

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Research team members (left to right) Ave Mitta, M.S., OTR/L; Karen Layman,’95, B.A., COTA/L; and Leah Sowers, ’02 at Friendship Retirement Community.

Post-Discharge Occupational Therapy Functional Outcomes in Persons with Cerebrovascular Accident Ave Mitta, M.S., OTR/L, Director and Assistant Professor, Occupational Therapy Assistant Program; Karen Layman,’95, B.A., COTA/L, Academic Fieldwork Coordinator and Instructor in the Occupational Therapy Assistant Program; and Leah Sowers, ’02 In June 2012, Ave Mitta, M.S., OTR/L, Director of the JCHS Occupational Therapy Assistant (OTA)Program, and Karen Layman, ’95, B.A., COTA/L, OTA Program Academic Fieldwork Coordinator, teamed up with Leah Sowers, B.A., COT/L—a 2002 graduate of the OTA Program and Outpatient Therapy Manager for Friendship Retirement Community—to take a closer look at the functional abilities of patients who have had strokes, after their discharge from occupational therapy services. The team hopes to measure functional ability in this group of patients over time in order to identify the supports and barriers that have the greatest impact on changes in a patient’s ability to complete basic activities of daily living. The project was born from a desire to address some of the issues facing providers in today’s economy. Namely, how can healthcare payer sources manage limited funds while providing the highest quality of care? Moreover, how can healthcare professions, especially occupational therapy practitioners, provide effective, cost-contained, evidence-based interventions that improve quality of life for patients and increase their ability to function independently in a home setting? The team found that much of the current research on post-discharge patient outcomes focuses on either

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hospital-based inpatient rehabilitation facilities or skilled nursing facility outcomes. Although these studies compared factors such as length of stay, intensity of therapy, and various demographic information, few research studies focus on postdischarge outcomes, and none of these studies discussed the reasons why patients’ functional abilities improved or declined after discharge from occupational therapy services. The period immediately following discharge from therapy is a high-risk time for patients, in particular older adult patients, who are especially vulnerable to declines in physical function during this time period. Using Friendship Retirement Community, the largest retirement community in Virginia, as the site for the research, the team will focus on adult patients admitted to Friendship for occupational therapy following a Cerebrovascular Accident (CVA), or stroke. Patients will first be interviewed immediately following discontinuation of occupational therapy (OT) services, and then again at one month post-discharge. At both interviews, qualitative data using the Canadian Occupational Performance Measure (COPM) will be collected in the following major areas of occupational

performance: Self-Care, Productivity and Leisure. Numerical scores will be assigned to clients’ performance in self-feeding, hygiene/grooming, bathing, toileting, upper-body dressing, lowerbody dressing, community activities of daily living, functional mobility during activities of daily living, and problem solving. The COPM is an individualized outcome measure designed for use by occupational therapists to detect change in a client’s self-perception of occupational performance over time. The results of the study will provide new insight into reasons for changes in patient functional status following discharge from occupational therapy services. Results will be shared with other OT practitioners and healthcare professionals in order to better facilitate long-term improvement in outcomes for patients with past CVAs. Specifically, the team hopes to: 1) determine the number of clients with CVAs whose functional performance was improved, maintained, or declined during the month following discharge from OT services; 2) identify trends in barriers and supports having the greatest impact on changes in functional performance of activities of daily living; and 3) determine the impact (if any) of demographic factors on patient functional changes.


Meniscal Pathology Composite Score John Echternach, Jr., D.P.T., former Academic Clinical Coordinator and Assistant Professor, Physical Therapist Assistant Program; Deborah K. Echternach, D.P.T., Adjunct Faculty, Physical Therapist Assistant Program; and John Echternach, Sr., D.P.T. Dr. John Echternach, Jr. chose to study the Meniscal Pathology Composite Score (MPCS) to determine if this special test could diagnose one cause of knee pain and expedite referral to an orthopaedic surgeon. As a clinical Physical Therapist (PT) Specialist in orthopaedics, Dr. Echternach frequently evaluated patients with a generic diagnosis of “knee pain.” When Dr. Echternach passed away in July 2012, his father, John “Dr. Jack” Echternach, (also a PT and researcher) and his wife, Deborah, finished the study as a tribute to him. This case study included two patients who presented with a diagnosis of knee pain: a 53-year-old male industrial worker with a diagnosis of knee pain of six weeks’ duration, without a significant past medical history, and a 42-year-old male middle school teacher, with a one-year history of knee joint pain, with a gradual onset of symptoms. Both had been referred to physical therapy. Neither patient had

a classic traumatic mechanism of injury that would lend itself to the diagnosis of a meniscal tear. In addition to a thorough history and examination including other special tests, John used the MPCS to determine the diagnosis of a meniscal tear. The MPCS has a specificity of 99% if the patient presents with all five criteria: patient report of mechanical locking or catching, joint line tenderness, pain with forced knee hyperextension, pain with maximum passive flexion and pain or audible/palpable click with McMurray test. Specificity is 96% if four of the five criteria are present. Utilizing the MPCS to rule in meniscal pathology and other special tests to rule out other causes of knee pain allows the Physical Therapist to make sound clinical decisions using evidence-based practice. This was a collaborative effort in that John collected the original data and had drafted an abstract. He had not completed this work and did not have time to create or publish a poster

or presentation. Since most of the research had already been done, it was just a matter of compiling and editing the information in the abstract, and developing the poster format. Jack was instrumental in John Echternach, Jr., D.P.T. editing the abstract draft and defining the research design, while Debbie formatted the poster. Both Debbie and Jack presented the poster at the VPTA annual conference in October 2012, and most recently at the JCHS Research Day in April 2013. In the summer of 2013, Dr. Jack also passed away. The results of this study, based on the efforts of father and son, as well as Deborah, will be their lasting legacy in the field of Physical Therapy for years to come.

Triune Health Research Update Glenn Kent, Ph.D., Assistant Professor, Health Psychology Program The following is an update to the Triune Research article featured in the Winter/Spring 2013 edition of the Jefferson Chronicle:

Glenn Kent, Ph.D.

We made significant progress on our Psychology of Eating investigation during the spring 2013 semester at Jefferson College of Health Sciences (JCHS). With the aid of student research assistants, we collected psychological, demographic, anthropomorphic, and food consumption data on over 50 student, faculty, and staff participants. We plan to recruit the remaining 25 participants over the summer and disseminate our findings during the fall 2013 semester. Also, during the spring semester, we added a new twist to our study. Now, in collaboration with JCHS researchers Rick Carliss,

Ph.D., Sara Reed Houser, M.S., and Kristin Knight, M.S., we are collecting cheek cells from participants and isolating a small segment of their DNA from these cells called telomeres. Telomeres reside at the ends of chromosomes and serve to protect them from deterioration. It is believed that these genetic “endcaps” serve as markers for aging and possibly health. Gathering this new data, in addition to the measures already in place, may offer insights into the relationship between biology and environment, adding further to the discourse on “nature and nurture.”

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JCHS SCHOLARSHIP PROFILE: THE JOHN ECHTERNACH, JR. MEMORIAL SCHOLARSHIP In June 2012, during the severe storms that swept through the region, John L. Echternach, Jr., D.P.T., Academic Coordinator of Clinical Education and Assistant Professor in the JCHS Physical Therapist Assistant Program, was fatally injured while responding to an emergency call as a volunteer with the Boones Mill Fire Department. The John Echternach, Jr. Memorial Scholarship was established in honor of Dr. Echternach’s dedication to and passion for teaching the healthcare leaders of tomorrow. It will support students at JCHS in any program, but who have volunteered for two or more years as a volunteer EMS provider or firefighter. Through the generosity of these donors, the fund has raised over $8,000 to date. Nancy Howell Agee Nathaniel & Sylvia Bishop Allan & Coreen Bookout Boones Mill Volunteer Fire Department, Inc. Allison Bowersock Vicki & Harold Brackett Howard & Nancy Butts Virginia Capps Francis C. & Linda R. Dane Catherine Dudley Anita Ella Raymond Fielding Suzanne Glasson Ashley Green

Ron & Susan Greer Robert & Cherie Hall Joan Hoover Jan Jessee Mary Kay Kahn Martin Lambert Randi & Jackie Lemmon Jacqueline Luckett James W. Matheson Gary & Pamela Mayberry Bill & Joni Mercer Jeanne & William Mitchell Lisa Moulse Christina Murtagh John & Sarah Pero Pine Spur Hunt Club, Inc.

On Tuesday, July 23, 2013, JCHS awarded the inaugural John Echternach, Jr. Memorial Scholarships to Bachelor of Science in Nursing students Morgan Colomb and Brandon McKee at the Boones Mill Fire Department in Boones Mill, Virginia. Both Morgan and Brandon currently volunteer with the Boones Mill Fire Department and had the honor of working with and learning from Dr. Echternach. The scholarship is usually awarded to one student per academic year, but these students tied due to their outstanding work ethic in improving the health and safety of our families, friends and neighbors. In the photo are (left to right) Echternach family members Jaimie Echternach, Debbie Echternach, and Jeff Echternach; scholarship recipients Morgan Colomb and Brandon McKee; and JCHS President Dr. Nathaniel L. Bishop.

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Diane Prime Professional Therapies of Roanoke, Inc. James & Deborah Reynolds Sherri Sanders Olaide Sangoseni David Scalzitti John & Katherine Scruggs Janet Smith Jessie VanSwearingen Cheryl Vaughan Paula M. Warwick Cheryl Weber Greg & Teresa Wilkins Alan & Suzanne Williams Pamela Yates


Did you know that the

JCHS Education Foundation

helped 260 STUDENTS attend JCHS by awarding almost $109,000 for the 2013-2014 academic year? Please consider a gift to the JCHS Education Foundation to help support the healthcare professionals of tomorrow. There are three ways to give: • Online through our secure website at https://www.carilionfoundation.org/jchs • Via check payable to the “JCHS Education Foundation” at JCHS, P.O. Box 13186, Roanoke, VA 24031-9900

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JCHS Physician Assistant Student

Caroline Pilgrim, ’13 Named VAPA Student of the Year The Virginia Academy of Physician Assistants (VAPA) has chosen Caroline Pilgrim, ’13, a student in the JCHS Physician Assistant (PA) Program, as its Student of the Year for 2013. Caroline Pilgrim, ‘13

The annual award is presented to an outstanding senior Physician Assistant student in good standing attending an accredited PA program in the Commonwealth of Virginia. In addition to the Student of the Year Award, VAPA also presents awards each year for the Physician Assistant of the Year; Physician/PA Partnership of the Year; Outstanding Preceptor of the Year; and Humanitarian of the Year. The award recipients are selected by VAPA leaders based on specific criteria for each award. To receive the Student of the Year Award, those being considered must be a current VAPA member, must be nominated and must submit a faculty reference that details their exemplary academic skills. Caroline was informed that she had been named the Student of the Year in June 2013. She accepted the Award at the VAPA President’s Inauguration & Awards Ceremony, which was held on July 22 at the Hilton Virginia Beach Oceanfront Hotel in Virginia Beach, Virginia. The Awards Ceremony accompanied the 31st Annual VAPA CME Conference, which took place from July 21-26, 2013. VAPA Award recipients receive one year of complimentary VAPA membership and one complimentary Conference Registration for 2013-14. To learn more about the Master of Science in Physician Assistant Program at JCHS, visit the College website at www.jchs.edu/page.php/ prmID/382. To learn more about VAPA, visit their website at www.vapa.org/index.php. Congratulations from all of JCHS to Caroline for this wonderful recognition and for representing JCHS so well!

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Class Notes

1950s Phyllis McCallie, JHSON, ’58, is proud to announce the birth of two grandchildren. Harper Lawson McCallie is the son of Thomas and Dee Dee McCallie and was born on July 11, 2012. Jackson Brent Anderson was born on April 3, 2013 to Laura and Kevin Anderson.

1960s Maxine Funkhouser Smith, JHSON, ’63, retired on April 5, 2013 from Richfield Retirement Community. Maxine is active in planning the JHSON Class of 1963 50th reunion scheduled to take place Aug. 23 and 24, 2013.

1990s Dean Billings and Kate Billings, ES, ’95, are proud to announce the birth of Lydia Deann Billings on October 16, 2012. She weighed 7 pounds, 14 ounces and was 19 ¾ inches long. E.W. Tibbs, ASN, ’91, BSN, ’97, was named President and CEO of Centra Health, a regional nonprofit healthcare system based in Lynchburg, VA. Before his promotion, Tibbs served as a Senior Vice-President for Operations and CEO at Centra Southside Community Hospital in Farmville, VA. Elizabeth Clark Woodyard, ASN, ’96, was recognized by Carilion Clinic with the Healthcare with a Human Touch Award.

2000s John C. Cook, ES, ’00, and current Director of the JCHS Emergency Services Program, is proud to announce that he and his wife welcomed their second child, Landen Wesley Cook, on May 20, 2013. Landen weighed in at 9 pounds, 12 ounces.

Landen Wesley Cook, born on May 20, 2013

Send us your new baby photos and we’ll send you a JCHS baby bib!

Faith Sword Cooner, OT, ’03, and her husband Jeff Cooner are proud to announce the birth of their son, Jaxon Robert Cooner. Jaxon was born on Dec. 23, 2012 at 6:46 a.m., weighing 6 pounds, 9.5 ounces and measuring 20 inches long.

E-mail digital images (at least 300 dpi) to malambert@jchs.edu or mail to Mark Lambert 101 Elm Avenue, SE Roanoke, VA 24013-2222.

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Class Notes

Jackie R. Zeltvay, PA, ’08, was recently awarded a Certificate of Added Qualifications (CAQ) in Psychiatry from the National Commission on Certification of Physician Assistants (NNCPA). She earned the distinction by meeting licensure, education and experience requirements and then passing an exam in the specialty. Zeltvay, who is employed by The Center for Emotional Wellness, is one of only 12 certified Physician Assistants in Virginia to earn a CAQ in cardiovascular and thoracic surgery, orthopaedic surgery, emergency medicine, nephrology or psychiatry since the inception of this new specialty credential in 2011.

2010s Conner Matthew Merchant, born on Dec. 21, 2012

Brandi Buckalew Merchant, ASN, ’04, and her husband Jason Merchant would like to announce the birth of their son, Conner Matthew Merchant. He was born on Dec. 21, 2012 at 3:08 p.m., weighing 7 pounds, 3 ounces.

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Elizabeth Schutte Powell, PA, ’09, is working for Cardiovascular Associates in Kingsport, TN. She recently received her MPAS from the University of Nebraska. Nancy Rucker, ASN, ’06, is proud to announce the birth of her two newest granddaughters. Marissa Rucker was born Dec. 14, 2012 and Abigail Farmsworth born March 4, 2013. Nancy works full-time as a clinical nurse at Carilion Clinic’s Daleville Family Practice Clinic. Nancy’s son, Stephen Rucker, has been accepted to JCHS and will be starting the Physician Assistant Program in August 2013.

Tiffany Allen, ASN, ’04, BSN, ’12, was recognized by Carilion Clinic with the Healthcare with a Human Touch Award. Kathleen Baudreau, MSN, ’10, was recognized by Carilion Clinic with the Healthcare with a Human Touch Award. Rebecca (Becky) Corley, ASN, ’05, BSN, ’10, is working for Carilion Clinic in Labor and Delivery and is also a Preceptor. Cornelius Powell, BioMed, ‘11, is living in Johnson City, TN and finished his first year of medical school at East Tennessee State University. Elizabeth (Lisa) Silva, PTA, ’12, accepted a position with Carilion Clinic as a Physical Therapist Assistant and began working in August 2012 at Carilion Clinic’s Inpatient Rehab at Carilion Roanoke Community Hospital—right upstairs from her old JCHS classrooms!


JCHS Upcoming Events Calendar JCHS Alumni Association Happy Hour & 2013 JCHS Night at Party in the Park Both events take place on Thursday, Aug. 29, 2013 The Alumni Happy Hour will take place in the Penny Deux Lounge at The Patrick Henry from 5 to 6:30 p.m. Free appetizers & drink specials! Party in the Park takes place in Elmwood Park in downtown Roanoke from 5:30 to 8:30 p.m. Wear your JCHS T-shirt for free admission to the event!

The Jefferson College of Health Sciences Alumni Association invites you and a guest to attend a

Beer Tasting and Brewery Tour Thursday, Oct. 10, 2013, at 5:30 p.m. Roanoke Railhouse Brewery 451-C McClanahan St. SW, Roanoke, VA 24014 Each guest will receive five tastings. Cost is $5 per person. This event is limited to the first 35 people. Alums can bring one guest. All participants must be 21 or older.

To register, please visit www.carilionfoundation.org/tasting.

Halls of Jefferson – A Homecoming Celebration Friday, Nov. 8, 2013, from 5:30 to 9 p.m. JCHS Campus at Carilion Roanoke Community Hospital (CRCH) 101 Elm Avenue, SE, Roanoke, VA 24013 5:30 p.m. – “Mocktail” Hour – CRCH Lobby 6:30 p.m. – Discover the Halls of Jefferson *8:00 p.m. – Cocktails and Dessert – Fralin House *For Alumni and their guests RSVP by Friday, Nov. 1, 2013 by e-mailing alumni@jchs.edu. This is a family-friendly event.

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NON-PROFIT ORG U.S. POSTAGE PAID PERMIT NO. 78 ROANOKE, VA

101 Elm Ave., SE Roanoke, VA 24013-2222

JCHS is hosting our second annual Jefferson College of Health Sciences 5K Riverside Run & Wellness Walk, presented by Medical Facilities of America, an Exclusive Provider of LifeWorks Rehab! This event supports the JCHS Alumni Association as it raises money for scholarships to support current students and SARA, Inc. as they provide services to victims of sexual assault and sexual abuse and their families. The 5K race begins at 9 a.m.; the Wellness Walk begins at 9:05. Online registration is NOW AVAILABLE by going to https://www.jchs5k.com. Sign up today! EVERYONE is welcome and encouraged to participate. Registration fees for the event are:

Save the Date! Saturday, Nov. 9, 2013

- Early registration - available until midnight, Sept. 23, 2013 - $25 - Standard registration - available from Sept. 24 until noon, Nov. 6, 2013 - $30 - Day of registration (and at Packet Pick-Up) is $40 We hope to see you bright and early on race day! For more information about the 2013 JCHS 5K Riverside Run & Wellness Walk, visit https://jchs5K.com.

Jefferson Chronicle, Summer/Fall 2013  

Featuring "Research at JCHS: Exploring Pathways to a Healthier Tomorrow."

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