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When you need medical care, the exceptional caregivers at Medical Center of the Rockies are here for you . Part of the Poudre Valley Health System family, Medical Center of the Rockies is a full-service hospital specializing in advanced
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The Women’s Clinic has been serving Northern Colorado for over 32 years. We offer a full range of services from gynecological and obstetric care to robotic assisted surgery.
Beverly Donnelley MD
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Susan Kozak MD
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Kevin Tool MD
Angela King MD
SERVICES INCLUDE: • Fibroid Removal • 3D Ultrasound • Mammography
• Bone Mineral Density • Laboratory Blood Draw • Genetic Counseling
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Maude Vance MD
Eric Yeh MD
Philip Priebe MD
Call today to schedule your appointment Lemay Campus, 1106 East Prospect Road, Fort Collins Loveland Campus, 2695 Rocky Mountain Avenue, Suite 200 Loveland
(970) 493-7442
• www.fcwc.com
Board Certified by the American College of OB/GYN
Sabrina was treated to all-around great care when having her baby at McKee Medical Center. She received personal phone calls from her physician, Dr. Howell, to inform her of test results in the days leading up to her delivery. And she was able to relax before and after the birth of her baby in a private jetted tub. The caring staff even provided free massages and delicious cookies to help make her comfortable. But it wasn't just about Sabrina. Her whole family enjoyed the experience of the new baby together in a spacious and relaxing labor, delivery, recovery and postpartum room. McKee Medical Center provides a private, feel-good atmosphere where you can welcome your baby into the world. McKee Medical Center. Remarkable health care inspired by you.
~ ~Banner Health
McKee Medical Center www.BannerHealth.com, keyword : McKee Maternity· 2000 N. Boise Ave. · Loveland (970) 669-4640 • Job opportunities: 866-377-5627 (EOE/AA) or www.BannerHealth .com Banner Health is the leading nonprofit health care provider in northern Colorado.
Paolo Romero, MD :: Matthew Sorensen, MD Regina Brown, MD Anne Kanard, MD :: Miho Toi Scott MA, MD
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I
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style media and design, inc. | 970.226.6400 |
w w w. s t y l e m a g a z i n e c o l o r a d o . c o m PUBLISHER Lydia Dody
CREATIVE DIRECTOR Scott Prosser SENIOR DESIGNER Austin Lamb
CONTRIBUTING EDITOR Erica Pauly ADVERTISING SALES EXECUTIVES Jon Ainslie (970) 219-9226 Abby Bloedorn (970) 222-8406 Karen Christensen (970) 679-7593 Lydia Dody (970) 227-6400 Rochelle Elmore (970) 215-1012 Saundra Skrove (970) 217-9932 OFFICE MANAGER Ina Szwec
ACCOUNTING MANAGER Karla Vigil OFFICE ASSISTANT Ronda Huser CONTRIBUTING WRITERS Sandy Aldern, Allie Comeau, Stephanie Eyster, Angeline Grenz, Connie Hein, Kay Rios, Gloria Willis CONTRIBUTING PHOTOGRAPHERS Lydia Dody, Harper Point Photography, Dana Milner, Erik Stenbakken, Bob Willis AFFILIATIONS Fort Collins Downtown Business Association Fort Collins Area Chamber of Commerce Loveland Chamber of Commerce Greeley Chamber of Commerce Windsor Chamber of Commerce 2009 STYLE MAGAZINES January-Loveland/Greeley Medical & Wellness Magazine and Directory February-Building & Remodeling March-Northern Colorado Medical & Wellness March-Family, Community & Philanthropy April-Business of Northern Colorado May-Building & Remodeling - Home & Garden May-Northern Colorado Medical & Wellness June-Business & Building July-Fort Collins Medical & Wellness Magazine and Directories August-Women In Business September-Building & Remodeling Home Interiors & Entertainment October-Women’s Health & Breast Cancer October-Northern Colorado Medical & Wellness November-Holiday December-Winter/Wedding Style Media and Design, Inc. magazines are free monthly publications direct-mailed to homes and businesses in Northern Colorado. Elsewhere, subscriptions for 15 issues cost $24/ year. Free magazines are available in stands at 100 locations throughout Northern Colorado. For ad rates, subscription information, change of address, or correspondence, contact: Style Media and Design Inc., 211 W. Myrtle St., Suite 200, Fort Collins, Colorado 80521. Phone (970) 226-6400. E-Mail: ronda@StyleMedia.com ©2008 Style Media and Design Inc. All rights reserved. The entire contents of Style Magazine is copyrighted and may not be reproduced without the expressed written consent of the publisher. Style Media and Design Inc. is not responsible for unsolicited material. All manuscripts, artwork, and photography must be accompanied by a SASE. The views and opinions of any contributing writers are not necessarily those of Style Media & Design Inc.
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Lydia’s STYLE Magazine
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table of contents
medical wellness Loveland /Greeley
magazine / director y 2009
page 16 on the cover
Dr. Kenneth Richards and Dr. Maurice Lyons, CardioVascular Institute surgeons, perform a cardiovascular procedure. Cover photos by Erik Stenbakken On location at NCMC.
21
Publisher’s Letter
MCKEE: Simulation Center
page 18
page 52
INTRODUCTION LETTERS: Christopher Cornue, CEO, McKee Medical Center Rick Sutton, CEO, North Colorado Medical Center
page 21
38
MCKEE/NCMC: Top-Notch Care Nursing Profiles
page 25
page 66
page 32
MCKEE/ NCMC: Infection Control
page 38
55
page 55 page 62
page 35 medical directory
48
MCKEE/NCMC: Patient Satisfaction
NEW LEADERS SET DIRECTION: Vision for 2009 MCKEE/ NCMC: cardiovascular institute Partnering with the best
25
page 48
INTRODUCTION LETTER: Peter McNally, CEO Banner Big Thompson Medical Group, Inc.
NCMC: comfort and care at the heart neonatal care unit NCMC: Heartburn Help
page 71 wellness section page 75
MCKEE/ NCMC: Keeping Patients Safe
page 78
NCMC/MCKEE: Healing the Mindy, Body, and Spirit
page 84
PULSE FITNESS: Weight Training for a Better Body
The enclosed articles in this issue of Loveland/Greeley Medical Wellness Magazine/ Directory are for your general knowledge and not as a substitute for medical advice or treatment. If you have any questions or concerns about your health, please contact your doctor or health care provider.
84
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Lydia’s STYLE Magazine
North Colorado Medical Center is proud to have achieved Magnet™ recognition status from the American Nurses Credentialing Center. Receiving this distinction for providing the highest quality of nursing practice and patient care is a rare honor. Less than 300 hospitals nationwide have received this status. We're pleased to recognize all of the people who made this happen. But we'd like to especially recognize the dedicated and compassionate nurses who are committed everyday to making a difference in people's lives. ANCC MAGNET RECOGNITION
~
~
Banner Health
North Colorado Medical Center.,
1801 16th Street¡ Greeley (970) 352-4121 www.BannerHealth .com keyword: NCMC Job opportunities: www.BannerHealth.com or 866-377-5627 Banner Health is the leading nonprofit provider of health care in northern Colorado.
publisher’sletter NEW LEADERSHIP IN HEALTHCARE
W
e are proud to provide our region with this 4th annual edition of the Loveland/Greeley Medical & Wellness Magazine and Directory. It is an honor to collaborate with the Banner Health organization, and with the administrators, physicians, and staff of both North Colorado Medical Center and McKee Medical Center to compile this informative magazine and directory of physicians that have privileges at the Banner Health facilities. We hope you enjoy reading the interesting and informative articles about health issues, new technologies, and how each facility has stepped up its commitment to providing excellence in state-of-the-art healthcare. We hope you enjoy learning about the interesting new developments at both facilities as they pertain to and improve the delivery of healthcare to our region. In the past year, both medical centers appointed new chief executive officers. Rick Sutton moved from being the CEO of McKee Medical Center in Loveland to CEO of North Colorado Medical Center (NCMC) in Greeley. He is now at the helm of a well respected and award winning 398 bed regional hospital employing 3000. I find him to be affable, unpretentious, and genuinely interested in the entire team at NCMC. His more casual style makes him very approachable and likeable, yet his keen focus on his five prong areas of improvement align his commitment to excellence. Although I haven’t had the opportunity to meet Christopher Cornue, he became the CEO of McKee Medical Center in September bringing with him impressive credentials. As the new CEO of Loveland’s community hospital, he has already set his goals and vision to continue what Rick Sutton began and build on that platform with his specific areas of focus oriented around quality deliverables, fiscal accountability, overall satisfaction, and outreach. He has admirable goals, that in all likelihood, he will achieve! We are proud to have these two fine medical facilities serving our Colorado Front Range. Thank you to Rick Sutton, Christopher Cornue, the physicians, and clinical staffs of both facilities and Gene Haffner and Paul Matthews for spending time with us to make this annual issue possible. We appreciate your time and commitment to our healthcare excellence. I hope you enjoy this important issue and find the directory easy and useful to reference year round. Wishing each of you good health and Blessings in the new year.
Lydia@stylemedia.com
16
Lydia’s STYLE Magazine
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EOUALHOUSIN O
LENDER
Me:anber
FDIC 17
Dear NortherN ColoraDo reaDer, As I N approach my first anniversary as Chief Executive Officer at Dear orthern Colorado Reader ,
Peter J. McNally
Rick Sutton, MS, FACHE
Chief Executive Officer Bianner Big Thompson Medical Group, Inc. Chief Executive Officer McKee Medical Center
McKee Medical Center, a Banner Health facility, I am honored to be associated with such time an outstanding team, advancements and to lead this This is an exciting in healthcare.medical Technological are organization thepace, future. occurring at ainto record patients have more choices for providers, and all areenable very aware that to thecompare health care environment liveofina new We websites the public hospitals with the we click is about to change dramatically. I assure you that the McKee team will mouse. meet that change, and continue to deliver high-quality, compassionate These are positive changes for patients and for McKee Medical Cenhealth care to the people of Loveland and surrounding communities. ter. In the last three years, we have built a new Family Birthing Center, McKee has been providing the Loveland community with health care Emergency Department, Intensive Care Unit, and surgical suites to ensure for the past 30 years. Many of you were born at McKee, and probably that our physicians and patients receive the best care possible in the most more of you have received health care at McKee over the past three advanced healing decades. We haveenvironment. always been the community hospital for Loveland, 2009, we will complete our transition to athis paper-light medical record andIn have established vital relationships with community. system and we will add an additional layer of technology called ICU Yet, we recognize that as the landscape changes, so mustiCare McKee. for in the Intensive Unit. Weand willwebeare equipping Wepatients have a world class teamCare at McKee, preparedsixtopatient move rooms withBecameras monitors thatteam allow provides nurses andexcellent doctors from forward. assuredand your hospital care ainteleall medicine Banner Desert Medical Center in Mesa, monitor aspects ofsite theathealth care continuum. We have made,Arizona and willtocontinue these critically ill patients at that McKee. real-time collaboration to make, strategic decisions will Working move us in into the future, and put with medical staff at McKee, this additional layer ofstrength. support will ensure yourthe hometown hospital in a position of continued We have compiled five priorities everyonecondition. at McKee has the fastest possible response to any changethat in a patient’s Studies committed work toward, the outcome of increased quality show that thistoextra layer of care,with combined with the advanced care already care and ina the wonderful hospital experience at the core. provided ICU, saves lives and reduces hospital stays. The five areas are: As Employee Patient Satisfaction, Quality you willEngagement, read in the pages ahead, we are also in theOutcomes, midst of a Physician Friendly and Financial Strength. fundraising campaign for a simulation training center that will be built in We space are committed to ensuring thatlocal all staff at McKee and are Banner highly existing at McKee. When complete, first responders engaged,staff determined and committed to give you thebebest possible. medical throughout Colorado and elsewhere will ablecare to hone their We believeskills thatonhaving highly engaged staffthat results in the ability to life-saving computerized mannequins can bleed, talk, and exprovide higher quality care, lower turnover, increased productivity and hibit the same symptoms displayed by real life patients. a more effective organization overall. Each of these changes is intended to improve the patient experience We also are concentrating on our patient satisfaction to make at McKee, where patient satisfaction, as measured by detailed patient suryour experience at McKee one of the best in the country. At McKee veys, routinely ranks among the top 10 percent of hospitals in the country. we are compared nationally to other hospitals in the country, and are As we look to our future, we want to build upon the solid foundation consistently placing in the top one-third of all hospitals participating in we’ve created over the last 30-plus years as Loveland’s community hospithe patient satisfaction survey. tal. This means an expansion our ability existingtoservice to ensure are Of utmost importance isofour deliverlines quality healthwecare, prepared to meet our region’s growing healthcare needs. and according to our metrics, you can be assured that quality health example, we additional care services through careFor is something thatare youoffering will receive at ourheart hospital. our partnership with the Institute Northtrained Colorado We also ensure thatCardioVascular our staff members are of highly andwhich that recently opened a Loveland office on the McKee campus. we provide state-of-the-art technology so youMedical receive Center the best health we are continuing to provide the high level careAs in our the hospital market.evolves, You deserve that, and at McKee Medical Center, of service ouryou patients have come to expect. Through the first 11 months that is what will experience. We also continue to workwho hand-in-hand our physicians to of 2008, 78 percent of patients visited our with Emergency Department ensure they are pleased with the careoftheir are receiving. saw a physician within 30 minutes theirpatients arrival and 96 percentWe sawarea making sure thatanallhour. necessary equipment supplies available to physician within We will continue toand focus on ourare “Door to doc” them in as 2009. they provide health care to this community. times McKee strong due to thecontinually support oflook the As proudcontinues as we are to of be ourfinancially accomplishments, we must community, physicians, we’re wellmedical prepared to grow with forward. We will continueand to staff, investand in advanced technology and thiswill community the future. we continue toinfocus on providing the best care possible to our patients. It boils down to this: Your community is a physician We know that Northern Colorado residentshospital have options for their friendly facility, employing highly engaged staff members that provide healthcare. I am confident that when they review the statistics and learn the highest level of quality health care to you and your family. about the high quality of care provided at McKee, we will be the commuWe will always strive to ensure that you will not have a better health nity’s hospital of choice. care experience than the one you will have at McKee. Quality health care at your hometown hospital – that’s what we’re all about. Sincerely,
Christopher Cornue, MSHSA, FACHE Sincerely, Chief Executive Officer McKee Medical Center
Rick Sutton Chief Executive Officer McKee Medical Center
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Lydia’s STYLE Magazine
1/26/06 5:52:43 pM
,reDaer oDaroloC NrehtroN raeD tD a ear recffiONeorthern vitucexE feihC C olorado sa yrasrevinnR a teader srfi ym h, caorppa I sA eb ot deronoh ma I ,ytilicaf htlaeH rennaB a ,retneC lacideM eeKcM siht Itdaiselmy ot pleasure dna ,matoetwelcome lacidem you, gnidthe natMedical/Wellness stuo na hcus htiw detaito costhe sa reader, utuf eht Magazine otni noitazand inagDiro 4th edition of the Loveland/Greeley Medical.erWellness ni evil eThis w tneyear, mnoIrivam ne writing erac htlthis aeh letter eht tato ht you erawasa ythe revChief era llExecutive a eW rectory. lOfficer liw maof et eNorth eKcMColorado eht taht Medical uoy erusCenter sa I .yll(NCMC). acitamardAfter egnahserving c ot tuin obthat a si etanoissapmoc ,ytilauq-hgih reviled ot eunitnoc dna ,egnahc taht teem role at McKee Medical Center for the past three years, I joined NCMC in .seitinummoc gnidnuorrus dna dnalevoL fo elpoep eht ot erac htlaeh May 2008. erac htlaeh htiw ytinummoc dnalevoL eht gnidivorp neeb sah eeKcM I have had the opportunity to work in facilities from small rural hosylbaborp dna ,eeKcM ta nrob erew uoy fo ynaM .sraey 03 tsap eht rof pitals to large urban organizations. As I look back at the accomplishments eerht tsap eht revo eeKcM ta erac htlaeh deviecer evah uoy fo erom in ,dn2008 alevoand L rowhat’s f latipahead soh ytin inu2009, mmocI want eht nyou eeb to syaknow wla ethat vah with eW .the sedgreat aced staff, fantastic .ytinphysicians, ummoc sihcommitted t htiw spihvolunteers, snoitaler laand tiv dsupport ehsilbatof sethe evaNorthh dna ern .eeKColorado cM tsumcommunity, os ,segnahthere c epaare csdngreat al ehthings t sa taahead ht ezifor ngothis cer organization ew ,teY theoareas eand vom t derawe perserve. p era ew dna ,eeKcM ta maet ssalc dlrow a evah eW lla nWe i erhave ac tnefocused llecxe seon divaorplan p mabased et latiaround psoh rufive oy dbasic erusspriorities: a eB .drawEmrof eployee unitnoEngagement, c lliw dna ,edaPatient m evahSatisfaction, eW .muunitQuality noc eracHealthcare, htlaeh eht fPhysician o stcepsa early tFriendly up dna Service, ,erutuf eand ht oFinancial tni su evoStrength. m lliw taIham t snencouraged oisiced cigewith tartssome ,ekam ot result indicators .htgnein rtsthose deunpriority itnoc foareas. noitisop a ni latipsoh nwotemoh ruoy sah Through eeKcM tour a enefforts oyrevewith tahtemployees, seitiroirp we evfiare delalready ipmoc seeing evah eW patient ysatisfaction tilauq desascores ercni improving, fo emoctuoquality eht hindicators tiw ,drawrising, ot krocollaboration w ot dettimm oc with saeraphysicians evfi eTh growing, .eroc ehtand ta eour cneifinancial repxe latperformance ipsoh lufrednremaining ow a dnasolid. erac our ,As semthese octuinitiatives O ytilauQimprove, ,noitcafitsitallows aS tneus itaPto ,grow tnemeand gagfocus nE eeon yolimproving pmE :era . h t g n e r t S l a i c n a n i F d n a y l d n e i r F n aicisyhP healthcare in our community and all of Northern Colorado. ylhgA ihfew era highlights eeKcM tainff2008 ats llaincluded taht gnithe rusaddition ne ot deof ttim moc erahelicopter eW a second .toelbour issoair p etransport rac tseb eprogram, ht uoy evNorth ig ot dColorado ettimmocMed dnaEvac; denimthe retexpansion ed ,degagnofe othe t yCardioVascular tiliba eht ni sInstitute tluser ffaoftsNorth degagColorado ne ylhgihto ginclude nivah ataclinic ht eveatilMcKee eb eW d n a y t i v i t c u d o r p d e s a e r c n i , r e v o n r u t r e w o l , e r a c y t i l a u q r e h g i h e divorp Medical Center (Loveland); and continued recognition from outside agen.llarevo noitazinagro evitceffe erom a cies of the quality of the healthcare we provide. ekam ot noitcafsitas tneitap ruo no gnitartnecnoc era osla eW In 2009, NCMC will complete several state-of-the-art facilities and eeKcM tA .yrtnuoc eht ni tseb eht fo eno eeKcM ta ecneirepxe ruoy services. A new Endoscopy Unit, an expanded and new 10-bed Western era dna ,yrtnuoc eht ni slatipsoh rehto ot yllanoitan derapmoc era ew States Burn Center, an endovascular lab in our surgical suites and impleni gnitapicitrap slatipsoh lla fo driht-eno pot eht ni gnicalp yltnetsisnoc mentation of a paperless medical record system .yevruswill noitprovide cafsitas even tneitahigher p eht levels of service to you. NCMC continues to be the largest single-campus ,erac htlaeh ytilauq reviled ot ytiliba ruo si ecnatropmi tsomtu fO hospital h tlaeh ytinilathe uq tarea aht with derusworld-class sa eb nac utechnology oy ,scirtem and ruo equipment. ot gnidroccWe a dare na committed to continuing .latipsohtoruinvest o ta eviniecpersonnel, er lliw uoyequipment taht gnihtand emofacilities s si erac tthat aht will dnaserve deniayour rt ylhneeds gih ewell ra sreinto bmethe m future. ffats ruo taht erusne osla eW htlaeOur h tsvision eb eht isevto iecprovide er uoy othe s y“Best golonhPatient cet traExperience -eht-fo-etats- Anywhere.” edivorp ew ,This retnecan C lbe aciaccomplished deM eeKcM by ta each dna ,one tahtofevour reseNCMC d uoY team .tekramembers m eht niworkerac ing together and making the focus of our .ecentire neirepexistence xe lliw uoon y tyou, ahw the si tapaht otient. t snThe aicisentire yhp ruNCMC o htiwteam dnais h-trained, ni-dnahequipped, krow otand euncapable itnoc oof slaproviding eW eyou ra ewith W .gexceptional niviecer era care. stneitap rieht erac eht htiw desaelp era yeht erusne ot elOn balibehalf ava eraofsethe ilppover us d3000 na tnemployees empiuqe yrand assemedical cen lla tstaff aht eat rusNCMC, gnikamI .ytyou inum mallowing oc siht otusertoacprovide htlaeh your edivohealthcare rp yeht sa needs. meht want to thank each of for eWe ht realize fo tropthat pus ewe ht all ot have eud gmany norts choices yllaicnawhen nfi ebitotcomes seunittonohealthcare c eeKcM serhtiw worg ot deraperp llew er’ew dna ,ffats dna ,snaicisyhp ,ytinummoc vices. .erutotufocus f eht noni your tinupriorities. mmoc siAs ht You can rest assured that we will continue n a i c i s y h p a s i l a t i p s o h y t i n u m m o c r u o Y : s i h t o t n w o d s l i o b t I a result, you will experience even higher levels of service, quality, compasesion, divoand rp tadignity ht srebwhenever mem ffatsyou degare agnin e your lhgmedical ih gniyocenter. lpme ,yIttilisicaour f ylgoal dneito rf .ylimaf ruoy dna uoy ot erac htlaeh ytilauq fo level tsehgih eht provide you with such an exceptional experience that you would personally htlaeh retteb a evah ton lliw uoy taht erusne ot evirts syawla lliw eW choose and recommend NCMC to others in need of healthcare services. htlaeh ytilauQ .eeKcM ta evah lliw uoy eno eht naht ecneirepxe erac May God Bless you, the United States Military, and the United States .tuoba lla er’ew tahw s’taht – latipsoh nwotemoh ruoy ta erac
Rick Sutton,
MS, FACHE
Officer EHCAF ,SMNorth ,nColorado oChief ttuExecutive S k c iR Medical Center recfifO evitucexE feihC retneC lacideM eeKcM
of America. Sincerely,
Rick Sutton, MS, FACHE Chief Executive Officer North Colorado Medical Center
,ylerecniS nottuS kciR recffiO evitucexE feihC retneC lacideM eeKcM
Loveland Greeley Medical Magazine & Directory 2009
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"The friends I made at North Colorado Medical Center helped give me the strength to fight throat cancer." But it was Greg's doctors and nurses who provided him with some of the most advanced cancer treatments available anywhere. In fact, North Colorado Medical Center is accredited by the American College of Surgeons Commission on Cancer as a Comprehensive Community Cancer Program and is affiliated with the Colorado Cancer Research Program that provides access to national research studies. Our impressive array of treatment options coupled with some of the most advanced technology allows us to provide world-class cancer care to patients right here in northern Colorado-and gives people like Greg a bright outcome.
~ ~Banner Health North Colorado Medical Center路 www.BannerHealth.com, keyword: NCMC Cancer路 1801 16th Street路 Greeley (970) 352-4121 路Job opportunities: 866-377-5627 (EOE/AA) or www.BannerHealth.com Banner Health is the leading nonprofit health care provider in northern Colorado.
MEDICAL
LEADERSHIP
“Leaders establish the vision for the future and set the strategy for getting there; they cause change. They motivate and inspire others to go in the right direction and they, along with everyone else, sacrifice to get there.” –John Kotter, Harvard University Case in point with the new leadership at the two awardwinning facilities, North Colorado Medical Center in Greeley and McKee Medical Center in Loveland. Christopher Cornue, CEO, McKee Medical Center, and Rick Sutton, CEO, North Colorado Medical Center.
north colorado medical center & mckee medical center:
new leaders set direction By Gloria Willis • Photos by Dana Milner
Loveland Greeley Medical Magazine & Directory 2009
North Colorado Medical Center
Two of the award-winning healthcare gems are North Colorado Medical Center (NCMC) in Greeley and McKee Medical Center (McKee) in Loveland. Both Centers are Banner Health facilities, and in the past year, both medical centers retained new chief executive officers. We had a chance to sit down with Rick Sutton CEO (NCMC) and Christopher Cornue CEO (McKee) and talk with them about their goals and visions for the respective medical centers. Rick Sutton moved to NCMC as CEO last May after having served as CEO at McKee Medical Center for three years. He’s proud that NCMC is one of the largest service providers in the region with 398 beds and more than 3,000 employees. NCMC serves as a regional, full-service tertiary center for an area that includes Southern Wyoming, Western Nebraska, Western Kansas, and Northeastern Colorado. This includes transportation through various ambulance services and North Colorado Med Evac which celebrated 25 years of service last year, added a second helicopter and has flown over 15,000 incident-free flights. NCMC is one of two designated Level II Trauma Centers in Northern Colorado
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which is the highest designation in the area. In January, NCMC will open a new and expanded $4.9 million, 12,000 square foot Western States Burn Center that will serve an eight-state region and is one of only three in Colorado. Patients treated at the burn unit include people who have electrical burns, individuals burned in vehicle accidents and others injured on the job, including those burned in oil and gas rig accidents. There’s a new, larger monitoring station to accommodate all the doctors, nurses, physical and respiratory therapists, mental health specialists, social workers, care coordinators, and nutritionists that work there. NCMC also houses the CardioVascular Institute of North Colorado with everything from the most advanced diagnostic imaging (including a 64-slice CT scanner) to leading edge open-heart surgery and rehabilitation. NCMC was recognized as a Thomson 100 Top Hospitals: Cardiovascular 2007. As well, NCMC was the only medical facility to receive the Better Business Bureau’s 2008 Torch Award for ethics and long-term value of trustworthy and honorable business practices. Oncology clinical research continues to be a key initiative for the NCMC cancer program with the Colorado Cancer Research Program (CCRP), based in Denver. This affiliation allows NCMC physicians continued access to the most current and innovative studies in cancer prevention, detection, and treatment as they have access to national and international research. “We are going to concentrate on certain practices that are successful,” states Sutton. “We have a proven formula that works and that will take healthcare in Northern Colorado to a new level.” The formula has five components.
THE QUALITY AT NCMC IS ALREADY STRONG,” SAYS SUTTON. “WE ARE IN THE TOP 25 PERCENT OF THE COUNTRY, WHICH IS GOOD. BUT, OUR GOAL IS TO GET US INTO THE TOP 10 PERCENT. WE WANT GREAT! WE PLAN TO MOVE US FROM GOOD TO GREAT!
Engaged Employees According to Sutton, the most important avenue to success is through employees who are truly engaged. “Any leader or organization who thinks they got to the top by doing it alone is kidding themselves,” he says. “Employees carry organizations and leaders to the top.” Content employees are the best marketing tool to drive quality and to bring patient satisfaction to a new level. Sutton claims that the best way to do this is to make certain that you have the right people in the right jobs. “We want to have great staff that wants to work here. The best way to engage employees is to let them know what is expected of them, to give them the right tools and equipment to do their jobs, open paths of communication, and to respect their ideas. If you develop trust with your staff, it is amazing what you are able to accomplish.” Patient Satisfaction Sutton doesn’t want to stop at patients’ being merely satisfied, he wants to “wow” them. A new discharge program is an example of how NCMC exceeds patient expectations. Within 48 hours of discharge, a nurse from the patient’s unit calls the patient to answer any questions they may have. Quality “The quality at NCMC is already strong,” says Sutton. “We are in the top 25 percent of the country, which is good. But, our goal is to get us into the top 10 percent. We want great! We plan to move us from good to great!” Physician Friendly It is important to have an efficient and consistent staff to work with our doctors. Processes need to be well oiled and it is imperative that we have the right number of physicians and specialists to cover all bases. Financial Strength Although a not-for-profit, it is important for the facility to retain financial strength in order to remain competitive, and to purchase new state-of-the-art equipment, pay salaries, etc. NCMC will review its master facility plan and discuss physical growth and renovations when Sutton meets with leaders at a strategic planning meeting this month. As far as staff, the coverage is good at this time; however, as the center expands, existing services will require additional employees.
McKee Medical Center RICK SUTTON,
MS, FACHE CHIEF EXECUTIVE OFFICER NORTH COLORADO MEDICAL CENTER
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Christopher Cornue came to McKee in September from Mount Sinai Hospital Medical Center in Chicago, a teaching, research, and Level 1 Adult and Pediatric Trauma tertiary-care hospital. He served as vice president with the hospital and executive director of Sinai Medical Group. He was responsible for operational oversight, growth strategies, clinical quality, grant management, and physician relationships. As the CEO of McKee, he is in charge of a multidimensional community hospital that Lydia’s STYLE Magazine
serves patients primarily from the Loveland area. “McKee has an incredible breadth of services that you don’t normally find in a community hospital,” Cornue says. “One of my goals is to make sure that the rest of Northern Colorado knows what McKee does and how special we are. McKee is definitely a unique and special organization.” “Aside from our wide array of programs and expertise, people often tell us they return here because there is such a sense of compassion and warmth.” In September 2007, McKee opened a new Emergency Department (ED) with a design to improve efficiency and comfort. The new design includes smaller procedure rooms for less serious problems and leaves the beds for more critical patients. The core of the ED has 17 patient rooms including two trauma rooms, one isolation room and two psychiatric rooms. Rooms are universal in McKee’s flexible design and specialty equipment resides on a cart that can be moved to the patient in need. With the new design now in place, the average wait to see a physician is less than 30 minutes. McKee is in the forefront when it comes to women’s health. It has an innovative Breast Center that offers a full range of breast health services to thousands of women each year. Through the hospital’s obstetricians, gynecologists, and certified nurse mid-wives, McKee provides a wide range of women’s services from gynecological care and maternity services to menopause care. There’s also an extensive resource library providing a variety of educational materials. The Family Birthing Center, which opened in 2005, houses large birthing suites with jetted tubs. Dads can spend the night if they wish and moms can choose to care for their baby within their room. McKee offers comprehensive cancer care through the McKee Cancer Center, a 12,700-square-foot diagnosis and treatment facility where patients receive state-of-the-art medical and radiation oncology services, access to clinical trials where appropriate, and support services through the center’s social workers. The center also offers a wide variety of support groups. In September 2008, the CardioVascular Institute of North Colorado opened a new clinic at McKee where several heart conditions are diagnosed and treated. Cornue says he is eager to expand McKee’s cardiac services, however, McKee will continue to refer certain procedures such as open-heart surgery, to NCMC where the number of patients and experience of the staff ensure that patients will receive the best care. “We are delighted to partner with NCMC on this effort.” Another key initiative for McKee is to become fully electronic by July 2009. By limiting the number of times a physician or clinical staff member enters instructions on a paper chart, electronic orders greatly reduce potential for human error. The technological advances will continue in the second half of 2009 with the addition of the eICU Program in the Intensive Care Unit. McKee will be equipping six ICU patient rooms with cameras and monitors so patients can be monitored remotely by intensive care physicians and specialists from a command center at Banner Desert Medical Center in Mesa, Arizona. These specialists will be in addition to the close monitoring and observation of the McKee staff. The Mesa staff will be able to communicate in real time with the McKee staff to convey any concerns, assist with care, and ensure that ICU patients receive the best care possible. “We’re very excited about this additional layer of monitoring in our ICU unit,” Cornue says. Perhaps one of the most innovative programs under development at McKee is the new Banner Simulation System at McKee Medical Center. The simulation system uses virtual reality to imitate real medical conditions that doctors and nurses might encounter in human patients. Read more details in Cutting Edge Training on page 48. At a recent strategic planning session, Cornue had an opportunity to talk with hospital leadership about his goals and vision for McKee and to present his four areas of focus: • Quality • Fiscal Accountability • Satisfaction for Employee, Physician and Patient • Growth and Outreach “Rick Sutton did a wonderful job to get McKee where it is today,” says Cornue. “And, I am happy and excited to be here to take it to the next level.”
Gloria Willis is a freelance writer who lives with her husband and her two Australian cattle dogs in Fort Collins. Loveland Greeley Medical Magazine & Directory 2009
MCKEE HAS AN INCREDIBLE BREADTH OF SERVICES THAT YOU DON’T NORMALLY FIND IN A COMMUNITY HOSPITAL. ONE OF MY GOALS IS TO MAKE SURE THAT THE REST OF NORTHERN COLORADO KNOWS WHAT MCKEE DOES AND HOW SPECIAL WE ARE. CHRISTOPHER CORNUE, MSHSA, FACHE CHIEF EXECUTIVE OFFICER MCKEE MEDICAL CENTER
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Larry spent 32 years running a student recreation program, but after retirement, he ran into a heart problem . He experienced unusual chest pain on a mountain hike. Based on the results of a diagnostic procedure by his cardiac team, he was immediately scheduled for a triple bypass. As a member of North Colorado Medical Center's Board of Trustees, Larry knew that he could trust the hospital with his surgery. They've been nationally recognized as a Thomson 100 Top Hospital® for Cardiovascular Care, with innovative services including 64-slice CT technology for the most accurate diagnosis and a cardiac alert program that offers a positive outlook for long-term survival of heart attack patients. Thanks to the great technology, doctors and extensive cardiac rehab program following his surgery, Larry is able to move on with a healthy life.
THOMSON
TOP HOSPITALS Ca.rdirrttucHLa.r
Banner Health
CardiaVascular Institute of North Colorado
~
North Colorado Medical Center· www.BannerHealth.com, keyword: CVI • 1801 16th Street· Greeley (970) 352-4121 ·Job opportunities: 866-377-5627 (EOE/AA) or www.BannerHealth.com Banner Health is the leading nonprofit health care provider in northern Colorado.
MEDICAL
CARDIOVASCULAR INSTITUTE
partnering
North Colorado Medical Center Cardiac Alert Program provides cardiac care that is one-third faster than the national standards.
with the best By Erica Pauly • Photos by Erik Stenbakken & Dana Milner
The integration process between cardiology and radiology has begun, along with new innovative technologies, and state-of-the-art equipment. All are being done right here in Northern Colorado. The cardiologists, cardiac surgeons and staff at the CardioVascular Institute of North Colorado at North Colorado Medical Center (NCMC) in Greeley and McKee Medical Center in Loveland are the ones making it happen.
Loveland Greeley Medical Magazine & Directory 2009
The CardioVascular Institute at NCMC is a stateof-the-art program whose approach to treatment continues to break barriers. With creative and innovative ideas to achieve patient wellness, and through the newest diagnostic imaging, progressive open-heart surgery, advanced technology, and board-certified physicians, it was no wonder I was amazed upon entering the Institute. As I walked along the warm wood floor and down the picture-covered hall, I almost forgot I was in a hospital. Dawn Olson, Director of the CardioVascular Institute at NCMC, led me through the echocardiography rooms, “These echo rooms,” as she referred to them, “are where we perform cardiac ultrasounds.” The echocardiography lab is accredited by the Intersocietal Committee for the Accreditation for Echocardiography Laboratories (ICAEL). The ICAEL consists of physicians and sonographers who have come together to promote high quality care, and have met specific criteria for hospitals that want to go above and beyond the national require-
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The CardioVascular Institute continues to advance because of their commitment to their patients, progressive open-heart surgery, advanced technology, and board-certified physicians.
ments. Becoming a member of the ICAEL is not mandatory, but because of their dedication to each patient, NCMC has become a member to ensure patient satisfaction and quality care. Just past the ‘echo rooms,’ Olson led me into the Nuclear Medicine Laboratory. “The CardioVascular Institute has made it more convenient for not only the patient, but for
the families of the patient. Our nuclear room has all the radiology equipment for testing, but also contains a door, which leads them into the stress testing lab. This way, the patient and their family stay on one floor, in one room. There is no need to shuffle between floors for different procedures as we have it all right here,” she explains. Further down the hall awaits one of
NCMC’s three ‘cath-labs.’ Olson brings me in to explain the sophisticated equipment. The flat-panel technology provides better imaging for the cardiologists to view results from the procedure. The Institute offers a comprehensive scope of cardiac services in the cath lab, some of which include angiography, stent implantation, atrial fibrillation ablation, and
The CardioVascular Institute offers a comprehensive scope of cardiac services in the ‘cath lab’, some of which include angiography, stent implantation, atrial fibrillation ablation, and peripheral vascular interventions.
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Lydia’s STYLE Magazine
THE NEW DEVELOPMENT WITH MCKEE HAS BEEN A GREAT SUCCESS. IT IS GREAT TO SEE PATIENTS WHO CAN NOW STAY IN THEIR OWN COMMUNITY WITHOUT HAVING TO COMMUTE BACK AND FORTH. CARDIOLOGY IS ONE OF THE FIRST SPECIALTIES TO WORK TOGETHER BETWEEN THE TWO BANNER FACILITIES, AND I HOPE MORE SERVICES WILL FOLLOW. DAWN OLSON, DIRECTOR OF THE CARDIOVASCULAR INSTITUTE AT NORTH COLORADO MEDICAL CENTER
Loveland Greeley Medical Magazine & Directory 2009
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Physicians and surgeons not only focus on modern procedures but on patient satisfaction and understanding.
Advanced technology and cutting edge equipment create a perfect place for patients with cardiovascular needs.
peripheral vascular interventions. We then moved on to view the 64-slice CT scanner. The high-tech name pairs well with the ability of the high-tech machine. The 64-slice CT is a diagnostic tool that may be an alternative to the heart catheterization. The patient is scanned over 12 seconds, which then produces high-resolution images of the heart, a far leap from the previous high-tech machine; the 16-slice CT scanner. NCMC is not the only location offering innovative procedures and excellent patient care. As of September, 2008, cardiologists from the CardioVascular Institute are traveling daily to McKee Medical Center in Loveland to care for patients. Randy Marsh, M.D., is one of the most consistent faces seen at McKee Medical Center, but the newest addition to the CardioVascular Institute, Ahmad Shihabi, M.D., joined the cardiologists traveling from Greeley to Loveland at the end of 2008. Olson says, “For consistency, we try to keep the same faces traveling between the two locations. We can do almost everything at McKee that we can do at NCMC.” There is a cardiologist at McKee to see patients in the clinic five days a week and in the hospital seven days a week. Although almost everything can be done at McKee, there are a few procedures that must be done at NCMC, including openheart surgery and other high-risk interventional procedures. After the procedure, the patient is able to do post-operative appointments and cardiac rehabilitation in Loveland at McKee. “The new development with McKee has been a great success. It is great to see patients who can now stay in their own community without having to commute back and forth. Cardiology is one of the first specialties to work together between the two Banner facilities, and I hope more services will follow,” says Olson. As we spoke, a voice came over the loud speaker, announcing a “cardiac alert” which informed us that an emergency patient was due to come through the doors at any time. Within moments of this message there was an array of scrubbed-in nurses and physicians awaiting the new patient. After the impressive rush to meet the patient, I learned that NCMC’s Cardiac Alert Program
The echocardiography labs at CVI are accredited by the Intersocietal Committee for the Accreditation for Echocardiography Labratories (ICAEL).
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Lydia’s STYLE Magazine
coordinates field EMS and hospital emergency personnel to provide cardiac care that is one-third faster than the national standards. The patient arrived and the cath lab was busy with hands ready to help in any and every way possible. I exited the CardioVascular Institute at NCMC as the patient was brought in, and I watched the nurses’ attentiveness to serve the patient. As I walked along the warm wood floors, past the picture-covered walls, through the ‘echo lab,’ past the 64-slice CT bed, and beyond the nuclear/stress lab, I was reassured that these were the precise people at the perfect place for someone in need. Not only was this patient receiving help in a timely manner, but he was also going to receive the best cardiac care, and the best post-op care a patient could want. Immediately following our exit, Olson took me through the cardiac rehabilitation gym. The rehabilitation gym is for patients recovering from a cardiac event. A few patients were gathering for a class while others were working their way through an exercise program. The gym contains exercise equipment and monitors to assess heart rhythms, heart rate, and blood pressures. For the patients that do not have insurance, or whose insurance will not pay, the annual Turkey Trot race is held on Thanksgiving and is sponsored by the cardiac rehab staff to raise money for their patients. The CardioVascular Institute was named one of the nation’s Thomson 100 Top Hospitals®: Cardiovascular 2007, which measures performance on key criteria for the nation’s top performing acute care hospitals. The partnership with McKee will allow even more growth and abilities for better patient care. “The CardioVascular Institute can only grow with the dedication and hard work of our cardiologists and cardiac surgeons. As we bring on new cardiologists, we are able to expand our services to other communities, says Olson, whose dreams continue to grow, “We are able to provide quality care to more people in the comfort of their own communities, and I am excited to see where else we will go from here.” Erica Pauly is a Style Magazine Contributing Editor.
Loveland Greeley Medical Magazine & Directory 2009
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LITY ~ARE Your locally owned leader in health care is a national role model for excellence. Poudre Valley Health System has received the 2008 Malcolm Baldrige National Quality Award- the highest Presidential honor given to United States businesses and organizations that demonstrate performance excellence. Thank you to our treasured patients and families, incredible volunteers, staff and physicians, and the many regional organizations who support us in achieving our vision to provide world-class health care.
Were herefor you.
www.youtube .com/user/PoudreValleyHealth
POUDRE VALLEY HEALTH SYSTEM
MEDICAL
INFECTION CONTROL
Joan Strauch, RN, CIC, Senior Infection Preventionist, McKee Medical Center, works with her staff to maintain minimum infection.
infection
control
By Connie Hein • Photo by Dana Milner
Each year, about 1.7 million people acquire infections in United States hospitals while receiving treatment for other conditions.
Healthcare providers, public health agencies, and researchers have developed a number of guidelines and initiatives to reduce this threat to patients. They include improved sterilization and disinfection of medical devices, education about the proper uses of syringes, needles and medication vials, and immunization programs for healthcare workers. Both McKee Medical Center and North Colorado Medical Center employ full-time infection experts on staff. They say the infection rates are improving in this state, thanks in part to a Colorado legislative requirement that Colorado health facilities must use the Center for Disease Control and Prevention’s National Healthcare Safety Network (NHSN) for reporting health facility acquired infections to the state health department. The reports include central line associated bloodstream infections in intensive care units and neonatal intensive care units, and surgeries for hernias, total hip replacements, total knee replacements, coronary artery bypass grafts and any related infections incurred by patients who undergo those procedures. “By focusing so much scrutiny on infection rates from these procedures, we can work with the medical staff to quickly implement changes that reduce the risks and improve patient safety,” said Joan Strauch, RN, CIC, the Senior Infection Preventionist at McKee. John Breen, M.D., infectious disease physician and chairman of the Infection Control Committee at NCMC, agrees that because of medical and government data received through these reports, infection rates are drastically improving. Both hospitals participate in ongoing discussions around the country about the most effective ways to prevent and control infections in Continued on page 51
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Lydia’s STYLE Magazine
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Loveland Greeley Medical Magazine & Directory 2009
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b m m n m No matter which direction you're headed, we're close by. Each and every patient is important to us. So we want to make sure we're doing everything we can to meet your health care needs. That's why we've added new locations and new physicians to meet the needs of our growing community. No matter which location is most convenient for your family, you can rely on attentive care from experienced physicians to meet your health care needs.
Aspen Medical Center 1808 N. Boise Ave., Loveland 970-669-6660 2001 S. Shields, Bldg. H Fort Collins 970-498-9226 Banner Medical ClinicHighland Meadows 8201 Spinnaker Bay Drive Suite D, Windsor 970-223-2272 Banner Medical ClinicNorth Loveland 3880 N. Grant Ave. Loveland 970-203-004 7 Berthoud Family Physicians 40110th St., Berthoud 970-532-4910
Big Thompson Internal Medicine 1808 N. Boise Ave. Loveland 970-278-1862 Columbine Family Practice 2701 Madison Square Dr. Loveland 970-663-0722
Banner Medical ClinicHarmony 608 E. Harmony Rd., Suite 101 Fort Collins 970-204-9069 Loveland Pediatrics 2555 E. 13th St., Suite 130 Loveland 970-663-5437
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OB/GYN Associates 1900 N. Boise Ave., Loveland 970-667-2009
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directory
Loveland Greeley Medical Magazine & Directory 2009 zzz.indb 35
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P
Lorraine said she would 've done anything to take away the excruciating pain. Thankfully, her neurosurgeon at North Colorado Medical Center was there to suggest the best option, a revolutionary new surgery that replaced her damaged disks with ones made of stainless steel. This eliminated the need to have her vertebrae fused together so she could maintain full mobility in her neck. Because of the expertise of her doctor and the entire medical team, Lorraine was back to work only a day after her surgery and back to hiking and camping within a few short weeks. With the medical advancements that helped Lorraine, as well as other innovations like minimally invasive and robotic surgery, it's no wonder North Colorado Medical Center cares for so many surgical patients in northern Colorado.
~ ~Banner Health North Colorado Medical Center® www.BannerHealth.com, keyword: NCMC Surgery· 1801 16th Street· Greeley (970) 352-4121 • Job opportunities: 866-377- 5627 (EOE/AA) or www.BannerHealth.com Banner Health is the leading nonprofit health care provider in northern Colorado.
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Dear NortherN ColoraDo reaDer, As I approach my first anniversary as Chief Executive Officer at A n update from McKee Medical Center, a Banner Health facility, I am honored to be associated with such an outstanding medicalG team, and ,toIlead B ig T hompson M edical roup nc .this organization into the future.
We all are very awareCthat the healthRcare environment we live in Dear Northern olorado eader ,
Peter J. McNally
Rick Sutton, MS, FACHE
Chief Executive Officer Bianner Big Thompson Medical Group, Inc. Chief Executive Officer McKee Medical Center
is about to change dramatically. I assure you that the McKee team will meet that change, and continue to deliver high-quality, compassionate W hat is Banner BTMG, Inc.? health care to the people of Loveland and surrounding communities. Banner Big has Thompson Medicalthe Group, Inc. (BTMG) consists of overcare 50 McKee been providing Loveland community with health for the pastand 3016 years. Many of youthroughout were bornthe at areas McKee, and probably physicians facilities located of Loveland, Fort more ofWindsor, you haveBerthoud receivedand health care at McKee over past three Collins, surrounding areas. We arethe keeping pace decades. We have been the community for Loveland, with the growth of always our communities by expandinghospital our geographical area and have established vital of relationships community. to accommodate the needs our patients.with Thethis quality of care we provide Yet, weinrecognize as the changes, sogreater must McKee. has resulted increasedthat patient visitslandscape at levels significantly than the We have agrowth world of class at McKee, we are prepared move population the team community. Sinceand we have more patientstocoming forward. Be assured your hospital team provides excellent care in all to our clinics from outlying areas, we felt it necessary to open new clinics to aspects of the health care continuum. We have made, and will continue meet their needs. New clinics opened in November 2007 in north Loveland to make, strategic decisions that will move us into the future, and put and in Windsor. We also have a new clinic now open in south Fort Collins. your hometown hospital in a position of continued strength. We have compiled five priorities that everyone at McKee has H ow has the economy affected committed to work toward, with thehealthcare outcome of increased quality in N orthern C olorado ? care and a wonderful hospital experience at the core. The five areas are: Employee Engagement, Quality Outcomes, With the economy challengingPatient familiesSatisfaction, today, people look for ways to Physician Friendly and Financial Strength. reduce their expenses. Unfortunately healthcare services become a target We arepeople committed to back ensuring that all staff at McKee highly for many who cut on physicals, checkups, and are scheduled engaged, determined and committed to give you the best care possible. appointments to help make ends meet. We have strongly encouraged We believe that having highly engaged staff results in the ability to patients to keep to their scheduled visits and we work hard to keep expenses provide higher quality care, lower turnover, increased productivity and to a minimum. Our mission will be to maintain the health of the community a more effective organization overall. through these hardships and into the future. We also are concentrating on our patient satisfaction to make your experience at McKee one of the best in the country. At McKee W is different in the wehat are compared nationally torelationship other hospitals between in the country, and are B anner and BTMG, comparisons to consistently placing in theInc top. in one-third of all hospitals participating in the patient satisfaction other mergers and survey. acquisitions? Of utmost importance is our ability to deliver quality health care, The strong relationship developed between Banner Healthcare and BTMG, and according to our metrics, you can be assured that quality health Inc. generated that interest across at theour country. This model is very care has is something you from will receive hospital. different from other organizations in that it encourages to bethat an We also ensure that our staff members are highlyphysicians trained and integral part of the organization and its decision-making This is in we provide state-of-the-art technology so you receiveprocess. the best health addition to allowing to handle day to day schedules and care in the market.physicians You deserve that, their and own at McKee Medical Center, to manage Because of physician satisfaction with this that is whattheir youown will practice. experience. organizational structure, to we work have had several requests physician We also continue hand-in-hand withfrom ourother physicians to groups be a part ofthe the care Banner BTMG, Inc. ensure wanting they are to pleased with their patients areorganization. receiving. We are making sure that all necessary equipment and supplies are available to them provideBTMG, health care this community. W hatasisthey Banner Incto. doing to improve the McKee continues to be financially strong due to the support of the quality of care and service in Northern Colorado? community, physicians, and staff, and we’re well prepared to grow with We presentlyinlooking at the next level of quality service to the this are community the future. communities by conducting patientcommunity satisfaction hospital surveys is which will be It boils down to this: Your a physician measured on a national level. We have implemented additional quality friendly facility, employing highly engaged staff members that provide measures that we of will track health and monitor to find ways of the highest level quality care towith you physicians and your family. We willthealways strive to ensure that you We willwant not have a bettertohealth improving care delivered to our patients. the patients have experience than the you their will have at McKee. health acare positive, meaningful visitone during appointment. WeQuality can make this care at your hometown – that’s what we’re all about. happen by surveying our hospital employees and listening to their ideas in order to make the environment a greater place to be. We are building our practice to service our friends and neighbors for years to come. The locations of our Sincerely, clinics are strategically placed in the community based on their needs and we are taking these extra steps so our patients don’t have to.
Rick Sutton Chief Executive Officer Peter J. McNally, CEO McKee Medical Center
Banner Big Thompson Medical Group, Inc.
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Comstock, Michael (Kim) K., MD 1801 16th Street, Main OR Greeley, CO 80631......................... 970-350-4800 Dick, Milton L., MD 1800 16th Street, Main OR Greeley, CO 80631......................... 970-350-4800 Dry, Owen L., MD 1800 16th Street, Main OR Greeley, CO 80631......................... 970-350-4800 Foley, Kevin, MD 2204 Hoffman Dr., Ste. A Loveland, CO 80538...................... 970-667-9794
allergyimmunologyinternal medicine
Lloyd, Alan, MD 2204 Hoffman Dr., Ste. A Loveland, CO 80538...................... 970-667-9794
Pace, R. Scott, MD 6801 W. 20th Street, Ste. 206 Greeley, CO 80634......................... 970-353-0155
Michael, Christopher S., MD 1801 16th Street, Main OR Greeley, CO 80631......................... 970-350-4800
Lord, Jonathan G., DO 1801 16th Street, Main OR Greeley, CO 80631......................... 970-350-4800
Song, Yo-Jun, MD 1801 16th Street, Main OR Greeley, CO 80631......................... 970-350-4800
anesthesiology
Thompson, William L., MD 1801 16th Street, Main OR Greeley, CO 80631......................... 970-350-4800
cardiology
Beckmann, James H., MD 1800 15th Street, Ste. 310 Greeley, CO 80631 ...... 970-392-0900 See ad on page 90 Chapel, Harold L., MD 1800 15th Street, Ste. 310 Greeley, CO 80631 ...... 970-392-0900 See ad on page 90 Doing, Anthony, MD 2121 E. Harmony Rd., Ste. 100 & 200 Fort Collins, CO 80528 .......... 970-221-1000 Dong, Lin-Wang, MD 1800 15th Street, Ste. 310 Greeley, CO 80631 ...... 970-392-0900 1900 N. Boise Ave., Ste. 200 Loveland, CO 80538 .... 970-203-2400 See ad on page 90 Green, C. Patrick, MD 2121 E. Harmony Rd., Ste. 100 & 200 Fort Collins, CO 80528 .......... 970-221-1000 Gryboski, Cynthia L., MD 1800 15th Street, Ste. 310 Greeley, CO 80631 ...... 970-392-0900 1900 N. Boise Ave., Ste. 200 Loveland, CO 80538 .... 970-203-2400 See ad on page 90
Abston, Phillip A., MD 1800 15th Street, G-10 Greeley, CO 80631......................... 970-396-6994
Hurst, Paul G., MD 1800 15th Street, Ste. 310 Greeley, CO 80631 ...... 970-392-0900 See ad on page 90
Agnello, Joseph, MD 2204 Hoffman Dr., Ste. A Loveland, CO 80538...................... 970-667-9794
cardiac electrophysiology
Johnson, C. Timothy, MD 2121 E. Harmony Rd., Ste. 100 & 200 Fort Collins, CO 80528 .......... 970-221-1000
Pfahnl, Arnold E., MD 1800 15th Street, Ste. 310 Greeley, CO 80631 ...... 970-392-0900 1900 N. Boise Ave., Ste. 200 Loveland, CO 80538 .... 970-203-2400 See ad on page 90
Marsh, Randall C., MD 1800 15th Street, Ste. 310 Greeley, CO 80631 ...... 970-392-0900 1900 N. Boise Ave., Ste. 200 Loveland, CO 80538 .... 970-203-2400 See ad on page 90
Balestrieri, Frank, MD 2204 Hoffman Dr., Ste. A Loveland, CO 80538...................... 970-667-9794 Birgenheier, James, MD 1801 16th Street, Main OR Greeley, CO 80631......................... 970-350-4800 Callahan, Vicki L., MD 1801 16th Street, Main OR Greeley, CO 80631......................... 970-350-4800
Loveland Greeley Medical Magazine & Directory 2009
Larson, Dennis, MD 2121 E. Harmony Rd., Ste. 100 & 200 Fort Collins, CO 80528 .......... 970-221-1000
Myers, Gerald, MD 2121 E. Harmony Rd., Ste. 100 & 200 Fort Collins, CO 80528 .......... 970-221-1000 Oldemeyer, J. Brad, MD 2121 E. Harmony Rd., Ste. 100 & 200 Fort Collins, CO 80528 .......... 970-221-1000 Rath, Gary A., MD 1800 15th Street, Ste. 310 Greeley, CO 80631 ...... 970-392-0900 See ad on page 90 Pfahnl, Arnold E., MD 1800 15th Street, Ste. 310 Greeley, CO 80631 ...... 970-392-0900 1900 N. Boise Ave., Ste. 200 Loveland, CO 80538 .... 970-203-2400 See ad on page 90 Shihabi, Ahmad H., MD 1800 15th Street, Ste. 310 Greeley, CO 80631 ...... 970-392-0900 See ad on page 90 Stoltz, Chad, MD 2121 E. Harmony Rd., Ste. 100 & 200 Fort Collins, CO 80528 .......... 970-221-1000 Strote, Justin, MD 2121 E. Harmony Rd., Ste. 100 & 200 Fort Collins, CO 80528 .......... 970-221-1000 Tate, Charles, MD 2121 E. Harmony Rd., Ste. 100 & 200 Fort Collins, CO 80528 .......... 970-221-1000 Treat, Stephen, MD 1900 N. Boise Ave., Ste. 410 Loveland, CO 80538.............. 970-663-3107 Voyles, Wyatt, MD 2121 E. Harmony Rd., Ste. 100 & 200 Fort Collins, CO 80528 .......... 970-221-1000 Zumbrun, Steven R., MD 1800 15th Street, Ste. 310 Greeley, CO 80631 ...... 970-392-0900 1900 N. Boise Ave., Ste. 200 Loveland, CO 80538 .... 970-203-2400 See ad on page 90
39
dermatology
Dixon, Mark, MD MMC Emergency Dept-PO Box 830 Loveland, CO 80539.............. 970-635-4071
Blattner, Mary A., MD 5881 W. 16th Street Greeley, CO 80634................. 970-313-2734
Doyle, Robert F., MD 1801 16th Street Greeley, CO 80631................. 970-350-6244
Lewis, Michelle D., MD 2500 Rocky Mountain Ave., Ste. 350 Loveland, CO 80538.............. 970-619-6558
Fuhrmann, Eric MD MMC Emergency Dept-PO Box 830 Loveland, CO 80539.............. 970-635-4071 Genova, Ronald T., MD 1801 16th Street Greeley, CO 80631................. 970-350-6244
ear, nose, throat Chand, Maria, MD 4026 S. Timberline Rd., Ste. 120 Fort Collins, CO 80525 ..............970-372-0307 Gill, Sarvjit, MD 3820 N. Grant Ave. Loveland, CO 80538................970-593-1177
Huntington, Michael, MD MMC Emergency Dept-PO Box 830 Loveland, CO 80539.............. 970-635-4071 1801 16th Street Greeley, CO 80631................. 970-350-6244 Hurst, John G., MD 1801 16th Street Greeley, CO 80631................. 970-350-6244
Waggener, William, MD MMC Emergency Dept-PO Box 830 Loveland, CO 80539.............. 970-635-4071
Clang, Daniel R., DO 6801 W. 20th Street, Ste.101 Greeley, CO 80634................. 970-378-8000
endocrinology Kumar, Nirmala, MD 1800 15th Street, Ste. 200 Greeley, CO 80631................. 970-378-4676
family medicine Albritton, Eliz, MD 7603 Colland Dr. Fort Collins, CO 80525 .......... 970-461-8031
James, Tyler M., DO 1801 16th Street Greeley, CO 80631................. 970-350-6244
Allen, Thomas, MD 295 E. 29th Street Loveland, CO 80538.............. 970-669-6000
Jobin, Michael, MD MMC Emergency Dept-PO Box 830 Loveland, CO 80539.............. 970-635-4071
Anderson, Thomas, DO 2701 Madison Square Dr. Loveland, CO 80538.............. 970-663-0722
Kitagawa, Benji K., DO 1801 16th Street Greeley, CO 80631................. 970-350-6244
Armour, Ross, MD 401 10th Street Berthoud, CO 80513 ............. 970-532-4910
Link, David W., MD 1801 16th Street Greeley, CO 80631................. 970-350-6244
Bakanauskas, Elge A., MD 1300 Main Street Windsor, CO 80550 ................ 970-686-5646
Maxwell, Peter W., MD 1801 16th Street Greeley, CO 80631................. 970-350-6244
Bearden, Jacqueline S., MD 5623 W. 19th Street Greeley, CO 80634................. 970-353-9011
McLaughlin, Keith, MD MMC Emergency Dept-PO Box 830 Loveland, CO 80539.............. 970-635-4071
Bradley, Robert C., MD 1300 Main St. Windsor, CO 80550 ................ 970-686-5646
Purdie, Frank R., MD 1801 16th Street Greeley, CO 80631................. 970-350-6244
Branum, Joanna H., MD 2520 W. 16th Street Greeley, CO 80631................. 970-356-2520
Rein, Jody A., DO 1801 16th Street Greeley, CO 80631................. 970-350-6244
Brown, Cara E., MD 222 Johnstown Center Dr. Johnstown, CO 80534............ 970-587-4974
Baker, Jeffrey T., MD 1801 16th Street Greeley, CO 80631................. 970-350-6244
Sato, Randall, MD MMC Emergency Dept-PO Box 830 Loveland, CO 80539.............. 970-635-4071
Brown, J. Matthew, MD 222 Johnstown Center Dr. Johnstown, CO 80534............ 970-587-4974
Campain, James J., MD 1801 16th Street Greeley, CO 80631................. 970-350-6244
Schwartz, Jeffrey C., MD 1801 16th Street Greeley, CO 80631................. 970-350-6244
Budensiek, Richard L., DO 5623 W. 19th Street Greeley, CO 80634................. 970-353-9011
Cole, Charles A., MD 1801 16th Street Greeley, CO 80631................. 970-350-6244
Sundheim, Scott, MD MMC Emergency Dept-PO Box 830 Loveland, CO 80539.............. 970-635-4071
Cabrera, Anthony, MD 914 W. 6th Street Loveland, CO 80537.............. 970-667-3976
Peterson, Keith E., MD 2528 W. 16th Street Greeley, CO 80634................. 970-356-4646 Peterson, Thomas T., MD 2528 W. 16th Street Greeley, CO 80634................. 970-356-4646 Robertson, Matthew, MD 1120 E. Elizabeth St., Bldg. F-101 Fort Collins, CO 80524 ..............970-221-1177 Woodson, Trudi A., MD 5881 W. 16th Street Greeley, CO 80634................. 970-313-2740 Zacheis, David, MD 3820 N. Grant Ave. Loveland, CO 80538..................970-593-1177
emergency medicine
40
Clang, Tamara S., DO 6801 W. 20th Street, Ste.101 Greeley, CO 80634................. 970-378-8000 Colgan, Ann T., MD 2520 W. 16th Street Greeley, CO 80634................. 970-356-2520 Coonrod, Aline R., MD 1600 23rd Avenue Greeley, CO 80634................. 970-356-2424
Hutchison, Timothy J., MD 1801 16th Street Greeley, CO 80631................. 970-350-6244
Gupta, Sanjay K., MD 5881 W. 16th Street Greeley, CO 80634................. 970-313-2740
Carey, Michael V., MD 1300 Main St. Windsor, CO 80550 ................ 970-686-5646
Corliss, Scott A., MD 5881 W. 16th Street Greeley, CO 80634................. 970-313-2700 Corona, Joseph A., MD 5881 W. 16th Street Greeley, CO 80634................. 970-313-2700 Dallow, Kurt T., MD 1600 23rd Avenue Greeley, CO 80634................. 970-356-2424 Deutchman, Mark E., MD 1600 23rd Avenue Greeley, CO 80634................. 970-356-2424 Doft, Anthony, MD 8201 Spinnaker Dr., Ste. D Windsor, CO 80528 ................ 970-223-2272 Dubin, Jeremy, DO 3320 W. Eisenhower Blvd. Loveland, CO 80537.............. 970-669-2849 Fahrenholtz, Daniel H., MD 1600 23rd Avenue Greeley, CO 80634................. 970-356-2424 Finnoff, Gregory J., DO 2930 11th Avenue Evans, CO 80620 .................. 970-353-9403 Flake, Zachary (Zach), MD 2701 Madison Square Dr. Loveland, CO 80538.............. 970-663-0722 Flower, Thomas J., DO 2122 9th Street Greeley, CO 80631................. 970-356-7555 Ford, Amy K., MD 2930 11th Avenue Evans, CO 80620 .................. 970-353-9403 Frickman, C. Elmo, MD 3320 W. Eisenhower Blvd. Loveland, CO 80537.............. 970-669-2849 Garber, Stacey L., MD 2420 W. 16th Street Greeley, CO 80631................. 970-353-7668
Lydia’s STYLE Magazine
Greene, Dana, MD 2420 W. 16th Street Greeley, CO 80634................. 970-353-7668
McCall, Janis R., MD 5623 W. 19th Street Greeley, CO 80634................. 970-353-9011
Schaffer, Scott, MD 7603 Colland Dr. Fort Collins, CO 80525 .......... 970-461-8031
Burgert, Stephen, MD 2555 E. 13th Street, Ste. 220 Loveland, CO 80537.............. 970-669-5432
Gregory, Joseph E., MD 222 Johnstown Center Dr. Johnstown, CO 80534............ 970-587-4974
Mills, Angela, MD 5623 W. 19th Street Greeley, CO 80634................. 970-353-9011
Schmalhorst, Brian K., MD 5881 W. 16th Street Greeley, CO 80634................. 970-313-2700
Jensen, Geoffrey, MD 2555 E. 13th Street, Ste. 220 Loveland, CO 80537.............. 970-669-5432
Grosboll, Robert, MD 2802 Madison Square Dr., Ste. 120 Loveland, CO 80538.............. 970-776-1950
Morgan, Frank D., MD 5623 W. 19th Street Greeley, CO 80634................. 970-353-9011
Sheppard-Madden, Dena, MD 295 E. 29th Street Loveland, CO 80538.............. 970-669-6000
Kading, Steven O., MD 1900 16th Street Greeley, CO 80631................. 970-350-2470
Hailey, Mark, MD 914 W. 6th Street Loveland, CO 80537.............. 970-667-3976
Nwizu, Chima C., MD 6801 W. 20th Street, Ste.101 Greeley, CO 80634................. 970-378-8000
Smith, David B., MD 1600 23rd Avenue Greeley, CO 80634................. 970-356-2424
North, Crystal M., DO 1800 15th Street, Ste. 300 Greeley, CO 80631................. 970-378-4475
Haskins, R. Scott, MD 6801 W. 20th Street, Ste.101 Greeley, CO 80634................. 970-378-8000
Nystrom Robert R., DO 1300 Main St. Windsor, CO 80550 ................ 970-686-5646
Stoddard, Andrew P., MD 2520 16th Street Greeley, CO 80634................. 970-356-2520
Sears, Stephen, MD 2555 E. 13th Street, Ste. 220 Loveland, CO 80537.............. 970-669-5432
Hollos, Lori, MD 2701 Madison Square Dr. Loveland, CO 80538.............. 970-663-0722
Odgen, Samuel C., MD 1600 23rd Avenue Greeley, CO 80634................. 970-356-2424
Stansloski, Julie, MD 914 W. 6th Street Loveland, CO 80538.............. 970-667-3976
Sherif, Ahmed M., MD 1800 15th Street, Ste. 300 Greeley, CO 80631................. 970-378-4475
Jacob, Prema, MD 914 W. 6th Street Loveland, CO 80537.............. 970-667-3976
Olds, Kenneth M., MD 6801 W. 20th Street, Ste.101 Greeley, CO 80634................. 970-378-8000
Strong, Lewis, MD 2555 E. 13th Street, Ste. 220 Loveland, CO 80537.............. 970-669-5432
Jeffers, Wayne S., MD 1600 23rd Avenue Greeley, CO 80634................. 970-356-2424
Oligmueller, William, MD 5881 W. 16th Street Greeley, CO 80634................. 970-313-2700
Taylor, Grant, DO 608 E. Harmony Rd., Ste. 101 Fort Collins, CO 80528 970-204-9069 See ad on page 63
Joseph, Francis F., MD 2930 11th Avenue Evans, CO 80620 .................. 970-353-9403
Paczosa, Michelle K., DO 6801 W. 20th Street, Ste.101 Greeley, CO 80634................. 970-378-8000
Kasenberg, Thomas, DO 295 E. 29th Street Loveland, CO 80538.............. 970-669-6000
Peterson, Jeffrey E., MD 6801 W. 20th Street, Ste.101 Greeley, CO 80634................. 970-378-8000
Kenigsberg, Thomas A., MD 222 Johnstown Center Dr. Johnstown, CO 80534............ 970-587-4974
Pflieger, Daniel P., MD 2420 W. 16th Street Greeley, CO 80634................. 970-353-7668
Kennedy, Christopher T., MD 2420 W. 16th Street Greeley, CO 80634................. 970-353-7668
Powell, Patricia K., MD 2930 11th Avenue Evans, CO 80620 .................. 970-353-9403
Kurth, Jay, DO 608 E. Harmony Rd., Ste. 101 Fort Collins, CO 80528 970-204-9069 See ad on page 63
Rangel, Keith A., MD 1300 Main St. Windsor, CO 80550 ................ 970-686-5646
Ley, James W., MD 5881 W. 16th Street Greeley, CO 80634................. 970-313-2700 Magnuson, Douglas A., MD 2520 16th Street Greeley, CO 80634................. 970-356-2520 Maly Timothy, MD 401 10th Street Berthoud, CO 80513 ............. 970-532-4910 Manter, Charles D., DO 2627 W. 10th Street, Ste. 3 Greeley, CO 80634................. 970-352-3274 Martinez, Matthew L., MD 6801 W. 20th Street, Ste.101 Greeley, CO 80634................. 970-378-8000
Reents, William, MD 914 W. 6th Street Loveland, CO 80537.............. 970-667-3976
Trevino, Julia B., MD 2930 11th Avenue Evans, CO 80620 .................. 970-353-9403 Volk, John W., MD 2930 11th Avenue Evans, CO 80620 .................. 970-353-9403 Waugh, Kyle B., MD 2520 W. 16th Street Greeley, CO 80634................. 970-356-2520 Wiggins, Michael, MD 3880 N. Grant Ave., Ste.140 Loveland, CO 80538.............. 970-203-0047 Wilson, D. Craig, MD 2520 16th Street Greeley, CO 80634................. 970-356-2520 Young, Mark D., MD 2420 W. 16th Street Greeley, CO 80634................. 970-353-7668
Loveland Greeley Medical Magazine & Directory 2009
Carlton, John, MD 1817 N. Cheyenne Ave. Loveland, CO 80538.............. 970-669-4176 Englert, Thomas, MD 1900 N. Boise Ave., Ste. 410 Loveland, CO 80538.............. 970-667-2009
gynecologybreast center
Risenhoover, Edwin, MD 295 E. 29th Street Loveland, CO 80538.............. 970-669-6000
Rule, Ingrid, MD 1323 Harlow Lane Loveland, CO 80537.............. 970-667-3030
Burke, Robert MD 1817 N. Cheyenne Ave. Loveland, CO 80538.............. 970-669-4176
Zucker, Charles I., MD 6801 W. 20th Street, Ste.101 Greeley, CO 80634................. 970-378-8000
Ripley, Lori A., MD 2520 16th Street Greeley, CO 80634................. 970-356-2520
Rommereim-Madden, Daphne, MD 1600 23rd Ave. Greeley, CO 80634................. 970-356-2424
gynecology
gastroenterology
Carter, Susan D., MD 1800 15th Street, Ste. 220 Greeley, CO 80631................. 970-353-1335
Abu Qwaider, Yazan, MD 1800 15th Street, Ste. 300 Greeley, CO 80631................. 970-378-4475
41
hyperbaric medicine (hbo)wound Olsen, Eric B., MD 1801 16th Street Greeley, CO 80631................. 970-350-6071
Randle, Michael T., MD 1900 16th Street Greeley, CO 80631................. 970-350-2438 Reinhardt, Marcus R., MD 1900 16th Street Greeley, CO 80631................. 970-350-2438
Breen, John F., MD 1801 16th Street Greeley, CO 80631................. 970-350-6360
hematologyoncology
Liao Ong, Jacob, MD 2121 E. Harmony Rd., Ste. 380 Fort Collins, CO 80528 ..............970-224-0429
Kemme, Douglas J., MD 1800 15th Street, Ste. A Greeley, CO 80631................. 970-353-6722
Peskind, Robert, MD 2121 E. Harmony Rd., Ste. 380 Fort Collins, CO 80528 ..............970-224-0429
Lininger, Thomas R., MD 1800 15th Street, Ste. C Greeley, CO 80631................. 970-378-4170 2050 N. Boise Ave., Ste. A Loveland, CO 80538.............. 970-667-7870 Shelanski, Samuel A., MD 2050 N. Boise Ave., Ste. A Loveland, CO 80538.............. 970-667-7870 Stone, Michael, MD 1800 15th Street, Ste. C Greeley, CO 80631................. 970-378-4170 2050 N. Boise Ave., Ste. A Loveland, CO 80538.............. 970-667-7870
hospice/ palliative medicine Allen, David, MD 305 Carpenter Rd. Fort Collins, CO 80525 970-663-3500 See ad on page 67 Danforth, James, MD 305 Carpenter Rd. Fort Collins, CO 80525 .......... 970-663-3500
42
Currie, James B., MD 7251 W. 20th Street, Bldg. K Greeley, CO 80634................. 970-353-4322
Rust, Stephen, MD 2726 W. 11th Street Rd. Greeley, CO 80634................. 970-352-8487 Smith, Peter, MD 1808 N. Boise Ave. Loveland, CO 80538.............. 970-278-1862
infectious disease
internal medicineinfectious disease
Tallman, Marsha, MD 1600 23rd Avenue Greeley, CO 80634................. 970-356-2424 Tello, Robert, MD 1808 N. Boise Ave. Loveland, CO 80538.............. 970-278-1862 Thompson, Keith S., MD 1900 16th Street Greeley, CO 80631................. 970-350-2438 Tryggestad, David I., MD 1900 16th Street Greeley, CO 80631................. 970-350-2438 Zenk, Daniel R., MD 1900 16th Street Greeley, CO 80631................. 970-350-2438
nephrology Merritt, Jason, MD 1600 Specht Point Dr., Ste. I Fort Collins, CO 80525 ......... 970-493-7733 See ad this page Muelken, Kevin, MD 1600 Specht Point Dr., Ste. I Fort Collins, CO 80525 ......... 970-493-7733 See ad this page Rademacher, Donald R., MD 1900 16th Street Greeley, CO 80631................. 970-350-2438 Simmons, Richard E., MD 1600 Specht Point Dr., Ste. I Fort Collins, CO 80525 ......... 970-493-7733 See ad this page
internal medicine
Singer, James R., MD 1600 Specht Point Dr., Ste. I Fort Collins, CO 80525 970-493-7733 See ad this page
Berntsen, Mark F., MD 1900 16th Street Greeley, CO 80631................. 970-350-2438
Teruel, Mark A., MD 1600 Specht Point Dr., Ste. I Fort Collins, CO 80525 ......... 970-493-7733 See ad this page
Bohm, Martin, DO 2802 Madison Square Dr., Ste. 120 Loveland, CO 80538.............. 970-776-1950 Cash, Robert L., MD 1900 16th Street Greeley, CO 80631................. 970-350-2438 Christiansen, Dana, MD 7251 W. 20th Street, Bldg. K Greeley, CO 80634................. 970-353-4322 Ebens, John B., MD 1900 16th Street Greeley, CO 80631................. 970-350-2438 Keefe, Kevin, DO 1808 N. Boise Ave. Loveland, CO 80538.............. 970-278-1862 Loecke, Steven W., MD 1900 16th Street Greeley, CO 80631................. 970-350-2438 Parliment, Joel, MD 1808 N. Boise Ave. Loveland, CO 80538.............. 970-278-1862
internal medicinehospitalist Hipp, Naomi, MD 2000 N. Boise Ave. Loveland, CO 80538.............. 970-203-6770 Norman, Edward, MD 1808 N. Boise Ave. Loveland, CO 80538.............. 970-203-6770 Pearson, Antony, MD 2000 N. Boise Ave. Loveland, CO 80538.............. 970-203-6770
nephrology-
internal medicine Bruce, Julia L., MD 900 14th Street Greeley, CO 80631................. 970-304-0010
Rigsby, Lonard C. III, MD 1801 16th Street Greeley, CO 80631................. 970-378-4259 Valin, James, MD 2000 N. Boise Ave. Loveland, CO 80538.............. 970-203-6770
neurology Ewing, David L., MD 7251 W. 20th Street, Bldg. C Greeley, CO 80634................. 970-356-3876
Lydia’s STYLE Magazine
Jacobs, Marianne B., DO 295 E. 29th Street, Ste. 240 Loveland, CO 80538.............. 970-669-2668 Schmitt, Joseph, MD 295 E. 29th Street, Ste. 240 Loveland, CO 80538.............. 970-669-2668 Siegel, Jeffrey, MD 1517 16th Avenue Ct. Greeley, CO 80631................. 970-350-5612
ob-gyn
O’Neal, Jean-Pierre, MD 2410 16th Avenue Greeley, CO 80634................. 970-352-6353
Berdahl, Laurie D., MD 2410 16th Street Greeley, CO 80634................. 970-352-6353 Budd, L. Ginger, MD 1900 N. Boise Ave., Ste. 300 Loveland, CO 80538.............. 970-203-2150 Burket, Charles R., MD 1900 16th Street Greeley, CO 80631................. 970-350-2403 Colberg, Craig S., MD 1900 16th Street Greeley, CO 80631................. 970-350-2403 Crane, John, MD 1900 N. Boise Ave., Ste. 300 Loveland, CO 80538.............. 970-203-2150 Elkington, Kenneth W., MD 1600 23rd Avenue Greeley, CO 80634................. 970-356-2424 Fiala, Jenna E., MD 2410 W. 16th Street Greeley, CO 80634................. 970-352-6353 Hiratzka, Paul S., MD 2410 16th Street Greeley, CO 80634................. 970-352-6353 Howell, Elizabeth, MD 1813 N. Cheyenne Ave. Loveland, CO 80538.............. 970-203-6801 Kiser, Rick E., MD 1900 16th Street Greeley, CO 80631................. 970-350-2403 Loken, Karla, DO 1813 N. Cheyenne Ave. Loveland, CO 80538.............. 970-203-6801
Dhupar, Scott K., MD 1800 15th Street, Ste. 320 Greeley, CO 80631................. 970-353-5959
Saenz, Suzanne, MD 1900 N. Boise Ave., Ste. 300 Loveland, CO 80538.............. 970-203-2150
Mellin, Richard W., DDS, MD 3400 16th Street, Bldg. 1S, Ste. A Greeley, CO 80634................. 970-353-5826
Donner, E. Jeffrey, MD 3810 N. Grant Ave. Loveland, CO 80538.............. 970-669-8881
Slack, Kenneth, MD 1813 N. Cheyenne Ave. Loveland, CO 80538.............. 970-203-6801
Nicholas, Kenton C., DDS 1900 16th Street Greeley, CO 80631................. 970-350-2458
Durbin, Mark, MD 2500 E. Prospect Rd. Fort Collins, CO 80525 .......... 970-493-0112
Sokolowski, Irene, MD 1900 N. Boise Ave., Ste. 300 Loveland, CO 80538.............. 970-203-2150
Grant, Michael, MD 3810 N. Grant Ave. Loveland, CO 80538.............. 970-669-8881
Stoltz, Michelle, MD 2410 W. 16th Street Greeley, CO 80634................. 970-352-6353
Grossnickle, Mark D., MD 1900 16th Street Greeley, CO 80631................. 970-350-2427
Abbott, Stewart M., MD 1715 61st Avenue Greeley, CO 80634 ................... 970-336-1500 Allen, Neil H., MD 2410 16th Street Greeley, CO 80634................. 970-352-6353
oral surgery
opthalmology
oral & maxillofacial surgery Bley, Justin C., DMD 1707 61st Avenue, Ste. 102 Greeley, CO 80634................. 970-506-0350
Adams, John C., MD 3400 W. 16th Street, Ste. O Greeley, CO 80634................. 970-351-6216 Brotsky Rochelle J., MD 1616 15th Street Greeley, CO 80631................. 970-352-6688 Carter, Douglas B., MD 1931 65th Avenue, Ste. C Greeley, CO 80634................. 970-352-1877 Cecil, Jennifer, MD 2902 Ginnala Dr., Ste. 1 Loveland, CO 80538.............. 970-669-8998 Crews, Michael J., MD 3400 W. 16th Street, Ste. O Greeley, CO 80634................. 970-351-6216 Foe, Elaine V., MD 1931 65th Avenue, Ste. C Greeley, CO 80634................. 970-352-1877 Kirk, John, MD 3650 E. 15th Street Loveland, CO 80538.............. 970-669-1107 Palmer, Charles F., MD 3400 W. 16th Street, Ste. P Greeley, CO 80634................. 970-351-0999 Uyemura, Matthew J., MD 1616 15th Street Greeley, CO 80631................. 970-352-6688 Weeks, Jeffrey B., MD 1931 65th Avenue, Ste. C Greeley, CO 80634................. 970-352-1877 Welch, John R., MD 1616 15th Street Greeley, CO 80631................. 970-352-6688
Loveland Greeley Medical Magazine & Directory 2009
Hajek, Michael R., MD 5890 W. 13th Street, Ste. 101 Greeley, CO 80634................. 970-348-0020 Houghton, Michael, MD 2500 E. Prospect Rd. Fort Collins, CO 80525 .......... 970-493-0112 Hunter, Brett P., MD 1900 16th Street Greeley, CO 80631................. 970-350-2427 Jackson, Wesley, MD 2500 E. Prospect Rd. Fort Collins, CO 80525 .......... 970-493-0112
orthopaedics
Knauer, Sally, MD 2121 E. Harmony Rd., Ste. 290 Fort Collins, CO 80528 .......... 970-224-9890
Anderson, Gilbert I., MD 1801 16th Street Greeley, CO 80631................. 970-392-2486
Mahon, John (Jack), MD 2121 E. Harmony Rd., Ste. 260 Fort Collins, CO 80528 .......... 970-221-2827
Baer, Robert, MD 2500 E. Prospect Rd. Fort Collins, CO 80525 .......... 970-493-0112
Martin, Dale, MD 2923 Ginnala Dr. Loveland, CO 80538.............. 970-663-3975
Beard, David, MD 2923 Ginnala Dr. Loveland, CO 80538.............. 970-663-3975
McFerran, Mark, MD 2923 Ginnala Dr. Loveland, CO 80538.............. 970-663-3975
Benz, Robert, MD 2923 Ginnala Dr. Loveland, CO 80538.............. 970-663-3975
Pazik, Thomas J., MD 6801 W. 20th Street, Ste. 201 Greeley, CO 80634................. 970-330-1090
Biggs, William MD 2500 E. Prospect Rd. Fort Collins, CO 80525 .......... 970-493-0112
Pettine, Kenneth, MD 3810 N. Grant Ave. Loveland, CO 80538.............. 970-669-8881
Brackett, Bess, MD 7251 W. 20th Street, Bldg. N Greeley, CO 80634................. 970-330-5400
Reckling, W., MD 800 E. 20th Street, Ste. 300 Cheyenne, WY 82001 ............ 307-632-6637
Bussey, Randy M., MD 5890 W. 13th Street, Ste. 101 Greeley, CO 80634................. 970-348-0020
Rusnak, Michael, MD 2500 E. Prospect Rd. Fort Collins, CO 80525 .......... 970-493-0112
Chamberlain, Satoru, MD 2500 E. Prospect Rd. Fort Collins, CO 80525 .......... 970-493-0112
Sachtleben, Thomas, MD 2500 E. Prospect Rd. Fort Collins, CO 80525 .......... 970-493-0112
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Sanderford, Kelly R., MD 5890 W. 13th Street, Ste. 101 Greeley, CO 80634................. 970-348-0020
Sisson, C. Brad, MD 1136 E. Stuart St., Bldg. 4-104 Fort Collins, CO 80525 .......... 970-221-9451
Seiler, Steven J., MD 1900 16th Street Greeley, CO 80631................. 970-350-2427
Halbert, Richard E., MD 2555 E. 13th Street, Ste. 120 Loveland, CO 80537 .... 970-461-6091 See ad on page 67
Sides, Steven D., MD 1900 16th Street Greeley, CO 80631................. 970-350-2427
palliative medicine
Tartaglia, Louis, MD 1708 N. Boise Ave. Loveland, CO 80538.............. 970-669-6880
Rust, Stephen T., MD 2726 W. 11th Street Rd. Greeley, CO 80634................. 970-352-8487
Watkins, John J., MD 1900 16th Street Greeley, CO 80631................. 970-350-2427 Young, Eric, MD 2121 E. Harmony Rd., Ste. 260 Fort Colins, CO 80528 ........... 970-221-2827
pathology Allen, Patrick, MD PO Box 419 Loveland, CO 80539.............. 970-635-4126
pain management McCeney, Michael, MD 1300 Oakridge Dr., Ste. 130 Fort Collins, CO 80525 .......... 970-221-1919
Dunn, Cory D., MD 2555 E. 13th Street, Ste. 120 Loveland, CO 80537 .... 970-461-6091 See ad on page 67
Bee, Christopher, MD 2555 E. 13th Street, Ste. 120 Loveland, CO 80537 .... 970-461-6091 See ad on page 67 Chaffin, D. Joe, MD 2555 E. 13th Street, Ste. 120 Loveland, CO 80537 .... 970-461-6091 See ad on page 67
Hamner, H. Wentzell., MD 2555 E. 13th Street, Ste. 120 Loveland, CO 80537 .... 970-461-6091 See ad on page 67 Libby, Arlene L., MD 2555 E. 13th Street, Ste. 120 Loveland, CO 80537 .... 970-461-6091 See ad on page 67 Neuhauser, Thomas, MD 2555 E. 13th Street, Ste. 120 Loveland, CO 80537 .... 970-461-6091 See ad on page 67 Walts, Michael J., MD 2555 E. 13th Street, Ste. 120 Loveland, CO 80537 .... 970-461-6091 See ad on page 67 Wilkerson, James, MD PO Box 419 Loveland, CO 80539.............. 970-635-4126
pediatric cardiology Brescia, Samuel, MD 10099 Ridgegate Pkwy., Ste. 300 Lone Tree, CO 80124 ............ 303-860-9933
pediatrics Bruce, Robert, MD 2555 E. 13th Street, Ste. 130 Loveland, CO 80537.............. 970-663-5437 Dubynsky, Orest G., MD 1601 25th Avenue Greeley, CO 80631................. 970-356-2600 Kaplan, Kenneth H., MD 1620 25th Avenue, Ste. B Greeley, CO 80634................. 970-352-1900 Kolanz, Meshelle M., MD 5881 W. 16th Street Greeley, CO 80634................. 970-313-2700 Konda-Sundheim, Rachel, MD 2021 N. Boise Ave. Loveland, CO 80538.............. 970-669-3298
Caring for a Patient is Caring for a Person providing compassionate cancer care to our community since 1982
William B. Casey, MD
Gwen H. Lisella, MD
C. Kelley Simpson, MD
Centennial Radiation Oncology, P.C.
The Mission of Centennial Radiation Oncology, P.C., is to provide safe, effective, and accurate radiation therapy to cancer patients in Northern Colorado, in order to cure, palliate, and/or provide extended quality of life.
McKee Cancer Center | 2050 N Boise Ave Unit B | Loveland, CO 80538 | 970.679.8900 North Colorado Cancer Institute | 1801 16th St | Greeley, CO 80631 | 970.350.6680 Poudre Valley Radiation Oncology | 2121 E Harmony Rd, Ste 160 | Fort Collins, CO 80528 | 970.482.3328
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Lydia’s STYLE Magazine
Marler, McKay, MD 2555 E. 13th Street, Ste. 130 Loveland, CO 80537.............. 970-663-5437 Mead, Andrea, MD 2555 E. 13th Street, Ste. 130 Loveland, CO 80537.............. 970-663-5437 Moore, Christopher P., MD 5881 W. 16th Street Greeley, CO 80634................. 970-313-2700 Norman, Jennifer, MD 2555 E. 13th Street, Ste. 130 Loveland, CO 80537.............. 970-663-5437 Patrick, Jenny, MD 2555 E. 13th Street, Ste. 130 Loveland, CO 80537.............. 970-663-5437 Pedersen, Robert L., MD 5881 W. 18th Street Greeley, CO 80634................. 970-313-2700 Quintana, Michael, MD 2021 N. Boise Ave. Loveland, CO 80538.............. 970-669-3298 Ryan, Joseph P., MD 5881 W. 16th Street Greeley, CO 80634................. 970-313-2700 Teruel, Katherine MD 2555 E. 13th Street, Ste. 130 Loveland, CO 80537.............. 970-663-5437 Wiesner, Mark, DO 2555 E. 13th Street, Ste. 130 Loveland, CO 80537.............. 970-663-5437 Wright, Jason, MD 2555 E. 13th Street, Ste. 130 Loveland, CO 80537.............. 970-663-5437
physical medicine & rehabilitation Cutter, Nancy C., MD 1055 Clermont St. Denver, CO 80220 ................. 303-393-2819
podiatry Atwood, Thomas C., DPM 2122 9th Street, Ste. 3 Greeley, CO 80631................. 970-353-5800 Hatch, Daniel J., DPM 1931 65th Avenue, Ste. A Greeley, CO 80634 ...... 970-351-0900 See ad on page 51
Vaardahl, Michael D., DPM 1931 65th Avenue, Ste. A Greeley, CO 80634 ...... 970-351-0900 See ad on page 51
psychiatry Clark, Charles F., MD 928 12th Street Greeley, CO 80631................. 970-352-1056 Ruegg, Robert G., MD 928 12th Street Greeley, CO 80631................. 970-352-1056 Sills, Theron G., MD 900 14th Street Greeley, CO 80631................. 970-352-4284 Venard, Neil A., MD 928 12th Street Greeley, CO 80631................. 970-352-1056
pulmonology Breyer, Diana, MD 2121 E. Harmony Rd., Ste. 300 Fort Collins, CO 80528 ..............970-224-9102 Fitzgerald, David J., DO 1900 16th Street Greeley, CO 80631................. 970-350-2448 Gunstream, Stanley, MD 2121 E. Harmony Rd., Ste. 300 Fort Collins, CO 80528 ..............970-224-9102 Hoyt, James, MD 2121 E. Harmony Rd., Ste. 300 Fort Collins, CO 80528 ..............970-224-9102 Janata, Kelli R., DO 1900 16th Street Greeley, CO 80631................. 970-350-2448 Janata, Robert J., DO 1900 16th Street Greeley, CO 80631................. 970-350-2448 Kukafka, David, MD 2500 Rocky Mountain Ave., Ste. 300 Loveland, CO 80538 .... 970-619-6100 See ad on page 49 Milchak, Richard, MD 2500 Rocky Mountain Ave., Ste. 300 Loveland, CO 80538.............. 970-619-6100
Loveland Greeley Medical Magazine & Directory 2009
Neagle, Mark, MD 2121 E. Harmony Rd., Ste. 300 Fort Collins, CO 80528 ......... 970-224-9102 See ad on page 49 Negron, Ana, MD 2500 Rocky Mnt Ave., Ste. 300 Loveland, CO 80538 .... 970-619-6100 See ad on page 49 Peters, Brent MD 2500 Rocky Mountain Ave., Ste. 300 Loveland, CO 80538.............. 970-619-6100 Petrun, Mark, MD 2121 E. Harmony Rd., Ste. 300 Fort Collins, CO 80528 ......... 970-224-9102 See ad on page 49 Stevens, Eric, MD 2500 Rocky Mountain Ave., Ste. 300 Loveland, CO 80538.............. 970-619-6100 Wallick, Kristin, MD 2121 E. Harmony Rd., Ste. 300 Fort Collins, CO 80528 ..............970-224-9102
Bodenhamer, John, MD 2008 Caribou Dr. Fort Collins, CO 80525 .......... 970-484-4757 Contreras, Jaime, MD 2008 Caribou Dr. Fort Collins, CO 80525 .......... 970-484-4757 Fuller, Samuel, MD 2008 Caribou Dr. Fort Collins, CO 80525 .......... 970-484-4757 Geraghty, Michael, MD 2008 Caribou Dr. Fort Collins, CO 80525 .......... 970-484-4757 Harris, John P., MD 1801 16th Street Greeley, CO 80631................. 970-350-6860 Hayes, Amy, MD 2008 Caribou Dr. Fort Collins, CO 80525 .......... 970-484-4757 Howshar, Mark, MD 2008 Caribou Dr. Fort Collins, CO 80525 .......... 970-484-4757 Jess, Sarah Jane, MD 2008 Caribou Dr. Fort Collins, CO 80525 .......... 970-484-4757
radiation oncology
Koplyay, Peter, MD 2008 Caribou Dr. Fort Collins, CO 80525 .......... 970-484-4757 Kreider, Dan F., MD 1801 16th Street Greeley, CO 80631................. 970-350-6860
Casey, William B., MD 1801 16th Street Greeley, CO 80631............... 970-350-6680 See ad on page 42
Markel, Curtis, MD 2008 Caribou Dr. Fort Collins, CO 80525 .......... 970-484-4757
Klish, Marie D., MD 2050 N. Boise Ave., Ste. B Loveland, CO 80538..................970-679-8900
Nelson, Todd P., MD 1801 16th Street Greeley, CO 80631................. 970-350-6860
Lim, Meng Lai, MD 1801 16th Street Greeley, CO 80631 .........................970-350-6680
Pacini, Richard, MD 2008 Caribou Dr. Fort Collins, CO 80525 .......... 970-484-4757
Lisella, Gwen H., MD 2121 E. Harmony Rd., Ste. 160 Fort Collins, CO 80528 ......... 970-482-3328 See ad on page 42 Simpson, C. Kelley, MD 2121 E. Harmony Rd., Ste. 160 Fort Collins, CO 80528 ......... 970-482-3328 See ad on page 42
Paquelet, Jean MD 2008 Caribou Dr. Fort Collins, CO 80525 .......... 970-484-4757 Peck, Steven, MD 2008 Caribou Dr. Fort Collins, CO 80525 .......... 970-484-4757 Peet, Gary, MD 2008 Caribou Dr. Fort Collins, CO 80525 .......... 970-484-4757 Reese, Mark, MD 2008 Caribou Dr. Fort Collins, CO 80525 .......... 970-484-4757
radiology Bauerle, Gary W., MD 1801 16th Street Greeley, CO 80631................. 970-350-6860
Singer, Charles, MD 2008 Caribou Dr. Fort Collins, CO 80525 .......... 970-484-4757
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Weissmann, Jeffrey, MD 2008 Caribou Dr. Fort Collins, CO 80525 .......... 970-484-4757
Keeler, Bradford, MD 1900 N. Boise Ave., Ste. 420 Loveland, CO 80538.............. 970-669-3212
Wiedeman, Marj M, MD 1801 16th Street Greeley, CO 80631................. 970-350-6860
Lee, James S., MD 6801 W. 20th Street, Ste. 202 Greeley, CO 80634................. 970-350-0948 Ogren, Jason W., MD 1800 15th Street, Ste. 210 Greeley, CO 80631................. 970-352-8216
rheumatology
Schmidova, Karin, MD 1900 N. Boise Ave., Ste. 420 Loveland, CO 80538.............. 970-669-3212
Murray, Garvin C., MD 239 W. 67th Court Loveland, CO 80538.............. 970-461-1880
surgerycardiothoracic
surgerygeneral-burn Goodwin, Cleon W., MD 1801 16th Street Greeley, CO 80631................. 970-350-6301
Lyons, Maurice I., DO 1800 15th Street, Ste. 340 Greeley, CO 80631 ...... 970-378-4593 See ad on page 90 Richards, Kenneth M., MD 1800 15th Street, Ste. 340 Greeley, CO 80631 ...... 970-378-4593 See ad on page 90 Tullis, Gene E., MD 1800 15th Street, Ste. 340 Greeley, CO 80631 ...... 970-378-4593 See ad on page 90
surgerygeneral Burton, Lisa K., MD 1800 15th Street, Ste. 210 Greeley, CO 80631................. 970-352-8216 Blomquist, Thomas, MD 1900 N. Boise Ave., Ste. 420 Loveland, CO 80538.............. 970-669-3212 Collins, Jerome, MD 1900 N. Boise Ave., Ste. 420 Loveland, CO 80538.............. 970-669-3212 Johnell, Michael W., MD 1800 15th Street, Ste. 200 Greeley, CO 80631................. 970-378-4433
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surgerymaxillofacial
surgeryplastic surgery
Zulian, Michael, DDS 2800 Madison Square Dr. Loveland, CO 80538.............. 970-669-6850
Boustred, A., MD 2315 E. Harmony Rd., Ste. 160 Fort Collins, CO 80528 .......... 970-493-8800
Eddy, Michael J., MD 1647 E. 18th Street Loveland, CO 80538.............. 970-669-9100
Brewster, Amy E., MD 2121 E. Harmony Rd., Ste. 360 Fort Collins, CO 80528........ 970-266-0456 See ad above
Goodman, Gary R., MD 1900 16th Street Greeley, CO 80631................. 970-350-2491
surgery-neuro Coester, Hans C., MD 1313 Riverside Ave. Fort Collins, CO 80524 ...... 970-493-1292 2001 70th Ave., Ste. 300 Greeley, CO 80634............ 970-356-4488 See ad on page 37
Chapman, Jeffrey, MD 2315 E. Harmony Rd., Ste. 160 Fort Collins, CO 80528 .......... 970-493-8800 Gonyon, Denis L., MD 4450 Union St., Ste. 100 Johnstown, CO 80534............ 970-624-7979
Crylen, Curtis E., MD 5890 W. 13th Street, Ste. 106 Greeley, CO 80634 ...... 970-378-1000 See ad on page 33
Phillips, George H., MD 1647 E. 18th Street Loveland, CO 80538.............. 970-669-9100 Soper, Timothy, MD 2315 E. Harmony Rd., Ste.140 Fort Collins, CO 80528 .......... 970-484-6700 Wolach, James W., MD 5890 W. 13th Street, Ste. 106 Greeley, CO 80634 ...... 970-378-1000 See ad on page 33
Turner, Donn M., MD 1313 Riverside Ave. Fort Collins, CO 80524 ...... 970-493-1292 See ad on page 37
urology
Wirt, Timothy, MD 1313 Riverside Ave. Fort Collins, CO 80524 ...... 970-493-1292 See ad on page 37
Bruns, Thomas C., MD 1907 N. Boise Ave. Loveland, CO 80538.............. 970-669-2770
*Physicians list provided by McKee Medical Center and North Colorado Medical Center. This list is current as of 12/1/2008.
Lydia’s STYLE Magazine
CARING HEARTS IS RANKED
IN THE TOP 100 HOME HEALTH AGENCIES IN THE NATION!
MEDICAL
SIMULATION CENTER
cutting-edge training
The Simulation Center will be especially beneficial for team training,
McKee’s simulation center By Angeline Grenz • Photos by Harper Point Photography
Imagine if every new doctor, nurse, or first responder was able to practice every procedure dozens of times before treating you. Would you have more confidence in them? Would they have more confidence in themselves? And, most importantly, would they provide better patient care? 48
The answer to all three questions is yes, which is why McKee Medical Center is taking a cue from the aviation industry and building the largest medical simulation training center in Colorado. Here, providers will be able to refine their skills on high-tech mannequins that can bleed, code, and simulate dozens of other human patient reactions. The Banner Simulation System at McKee Medical Center will house four state-of-the-art simulation bays and control rooms in 3,000 square feet of existing hospital space. It will be available to physicians and nurses at McKee, North Colorado Medical Center, Sterling Medical Center, East Morgan County Hospital in Brush and seven other facilities in Banner Health’s western region including facilities in Alaska, Nevada, Wyoming, California, and Nebraska. Lydia’s STYLE Magazine
Local non-Banner physicians and nurses, as well as local first responders will also be invited to train in the facility. “Local EMS and ambulance services are a key part of healthcare,” explains Michael Armacost, Western Region Simulation and Innovation director for Banner Health. McKee’s simulation center will be equipped with seven mannequins: five adults, one child and one infant, each of which carries a $60,000 to $65,000 price tag. The mannequins are the latest in simulation technology and are as life-like as science can make them. They breathe, blink, and excrete various fluids. A closer inspection reveals pores in the skin. Each one is anatomically correct, with proper airways and a beating heart. Through the control room, the mannequins can speak and demonstrate certain disease states. The mannequins can provide real-time responses to the procedures administered. This instantaneous feedback is invaluable in training, especially for those high-risk, low-volume procedures that medical staff rarely perform, but which require a certain amount of skill, says Armacost. After a training exercise, students can review the procedure and outcome and, if need be, repeat the process. “When I was training, the way they said it was “You see one, you do one, you teach one,” said Bert Honea, M.D., the chief medical officer at McKee who graduated from the University of Cincinnati Medical School in 1978. “That was the intern resident mantra. The reality was you struggled with many, you were finally able to do a couple, then you could teach it. Of course every time you struggled with one you did so in a real patient.” Much has changed since then. Healthcare educators are following in the footsteps of other high-risk industries, “such as the aviation field, which use simulation for procedures you don’t get to do very often, in order to practice in a safe way,” Armacost says. Today, there is a national movement toward requiring simulation time for medical training. Banner has opened a number of simulation facilities of various sizes and has based at McKee a mobile simulation center for the Western Region since 2006. In addition to the new McKee center, the system is planning to open a simulation facility in Mesa, Arizona. Most simulation centers are in academic settings which makes Banner’s investment somewhat unique, Armacost said. “Banner is playing a leading role,” Armacost says. “They really are setting the bar.”
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Loveland Greeley Medical Magazine & Directory 2009
David Kukafka
md fccp dabsm
critical care
Mark Neagle md fccp bE
sleep disorders
anna Negrõn md
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High-tech mannequins will be used for training and practice. Each mannequin can bleed, code, and simulate dozens of other human patient reactions.
Each mannequin has pores and tear ducts.
50
Armacost says the simulation center will be especially beneficial for team training. There are some multidisciplinary teams who only work together when responding to a medical emergency, such as when a patient’s heart stops. In the simulation center, these teams will train together and review the results to see where improvement can be made. Special mannequins are available for a wide variety of situations. McKee hopes to add obstetrics mannequins to their collection in the future; a mother and infant, each individually controlled. McKee’s Simulation System comes with a $1 million price tag. “The money will finish, equip, and furnish the space,” explains McKee Foundation Director Julie Johnson Haffner. The McKee Foundation put up the first $250,000 toward the project. Another $68,000 was raised in November during McKee Foundation’s Evergreen Evening Gala. McKee hopes to raise the remaining funds through partnerships and sponsorships in the community and across the country.
Construction of the Simulation Center will begin once the funds have been raised. “Ideally, we would like to begin in the first quarter of 2010,” says Johnson Haffner. But with the current economy and strapped marketing budgets, fundraising may be a slow process. “We are just not sure how long it will take.” After initial construction and equipment costs have been paid, Banner will cover the ongoing operating and staffing costs which will run about $600,000 a year. “Banner is committed financially and philosophically to improving healthcare,” concludes Armacost. “This will produce an expert faculty,” adds Johnson Haffner. “It will provide a very rich learning experience for McKee’s staff. And, with training available to other agencies, this will be a wonderful community partnership where all benefit.” Angeline Grenz is a Fort Collins freelance writer.
Lydia’s STYLE Magazine
Infection Control continued from page 32 hospitals. “At McKee and NCMC this involves not only education about cleanliness and hand sanitation, but also about administering the correct dose of antibiotics within 60 minutes of surgery, when necessary, and correct and timely discontinuation,” Dr. Breen said. “Education is always the best defense,” Strauch agrees. “But another important piece to consider is making the staff aware of how they are doing.” She shares the data with hospital staff to celebrate when the news is good and if improvements are needed, she provides education. Dr. Breen says NCMC and McKee leaders spend much time and energy emphasizing hand washing. This is the best defense against the spread of germs everywhere. “At NCMC, we have added waterless hand sanitizer dispensers outside of the patient rooms, and all staff members are monitored to be sure they comply with hand washing procedures before and after entering any patient room,” Breen said. “Another important step we take is that when a patient is diagnosed with an infectious disease, the patient is immediately put into carefully controlled isolation to prevent the spread throughout the hospital.” Here are suggestions for patients and hospital visitors from Strauch and Dr. Breen for preventing infections and infectious diseases: • Patients should ask staff members who enter the room if they have washed their hands. If you don’t see them wash their hands, always ask. • Wash your own hands for 15 seconds or as long as it takes to sing ‘Twinkle, Twinkle Little Star.’ Strauch says national statistics show most people wash their hands between two to five seconds. That does not kill all the germs. You must have the scrubbing action for at least 15 seconds on the entire surface of the front and back of your hands including wrist and finger nails. • Never visit a patient if you have a cold or flu-like symptoms. Strauch and Dr. Breen agreed that working hard to keep hospitals safe for patients is their No. 1 goal, and said informed patients can be a great help. Dr. Breen added: “My best advice for everyone is to listen to your grandmothers and wash your hands!” Connie Hein is a freelance writer living in Windsor and the author of The Toliver in Time series of Children’s books. Loveland Greeley Medical Magazine & Directory 2009
51
MEDICAL
PATIENT SATISFACTION Pat McNulty-Collins (left), Director of Service Excellence - North Colorado Medical Center, and Amy Searls, Service Excellence Director - McKee Medical Center.
Being admitted to a hospital can cause anxiety and fear, but local residents can breathe easier knowing that McKee Medical Center and North Colorado Medical Center consistently receive high ratings on patient satisfaction surveys.
why banner scores
with patients Many hospitals throughout the country review their survey results only once a month or less, but, as part of the Banner Health network, McKee and NCMC employees receive daily satisfaction ratings and goals. Amy Searls, Service Excellence Director at McKee says that its executives use a “leader rounding” approach which provides constant feedback from staff members. Areas of success or concern are immediately addressed. Searls says that McKee employees have great attitudes because of the “people above all” philosophy at Banner. “We value our employees; there’s a great work/life balance here. Our physician satisfaction rate is in the 90th percentile.” And that definitely trickles down. One national researcher re-
By Stephanie Eyster • Photos by Dana Milner
ports that patients who have been treated by a kind, courteous staff are more apt to follow instructions and have better treatment outcomes. NCMC Director of Service Excellence, Pat McNulty-Collins emphasizes the culture of the hospital when giving new employee orientations. “Our vision is to create the best patient experience anywhere. We encourage our staff to see hospital care through the eyes of the patient and to listen to the voice of the patient, so the approach is individualized.” McNulty-Collins adds that hourly patient rounds to assess pain, offer repositioning, or provide restroom assistance benefit the patient as well as the staff. “The workforce is more engaged and the patients feel safe and comfortable. By asking what
one thing we can do to make the experience the best possible, patients are given permission to ask for what they need and are put at the center of their care.” Any stay in the hospital is stressful, and every patient deserves respect, compassion, open communication, and above all, the highest quality care. It is clear that Banner Health’s McKee and North Colorado Medical Centers are fulfilling the organization’s mission: “We exist to make a difference in people’s lives through excellent patient care.” Stephanie Eyster is a freelance writer who lives in Fort Collins.
The dedicated staff who create the highly recognized patient satisfaction in Northern Colorado.
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Lydia’s STYLE Magazine
Our game plan is ER care within 30 minutes for our patients. Take Brenton for example. Last year was his first season playing tackle football. He was hit really hard during practice and later complained he had a bad headache and was lethargic. Brenton and his parents were scared, but the quick emergency care he received at McKee Medical Center made them feel a lot better. He was able to see a doctor in only 20 minutes because of McKee's streamlined ER that's zoned to treat the needs of each patient based on the severity of their medical problem. Our highly skilled team took the time to calm Brenton's fear, while running the required tests that eventually cleared him to get back in the game. McKee Medical Center. Remarkable health care inspired by you.
~ ~Banner Health
McKee Medical Center www.BannerHealth.com, keyword: McKee ER • 2000 N. Boise Ave.· Loveland (970) 669-4640 ·Job opportunities: 866-377-5627 (EOE/AA) or www.BannerHealth.com Banner Health is the leading nonprofit health care provider in northern Colorado.
When it came time for Sarah to have her baby, McKee Medical Center went the extra mile. Her physician, Dr. Budd, paid special attention to make her comfortable and McKee Medical Center gave her the most relaxing birthing experience possible in a private labor, delivery, recovery and postpartum room. Sarah and her husband took advantage of our affordable, upgraded package that includes such amenities as a flat-screen TV, gourmet meals and a limo ride home from the hospital. It's a great way to start your new life with your baby in style. McKee Medical Center. Remarkable health care inspired by you.
~ ~Banner Health
McKee Medical Center www.BannerHealth.com, keyword: McKee VIP· 2000 N. Boise Ave.· Loveland (970) 669-4640 • Job opportunities: 866-377-5627 (EOE/AA) or www.BannerHealth .com Banner Health is the leading nonprofit health care provider in northern Colorado.
MEDICAL
NURSING PROFILES
Since the heroic story of Florence Nightingale, we have had a special place in our hearts for the nurse. We admire the selflessness and dedication to the patient. Often, it is the nurse’s care and compassion that provides the lasting impression from a stay in the hospital.
tirelessly providing
top-notch care By Angeline Grenz • Photos by Bob Willis
Daniel Beckle, North Colorado Med Evac flight manager, North Colorado Medical Center It was serving in the Wyoming Air National Guard in Cheyenne, working alongside paramedics, that first spurred Daniel Beckle’s interest in nursing. After obtaining his degree from the West Nebraska School of Nursing, Beckle refined his interests and took a paramedic course for flight nurses. Beckle has served as a critical care nurse for 21 years, 19 of them at North Colorado Medical Center, and 17 as a flight nurse. Today, Beckle is the manager for North Colorado Med Evac and staffs their two helicopters. He loves both the adrenaline and the autonomy that comes with being a flight nurse. His staff averages between two to three flights a day throughout the year. Flights span 250 to 300 miles at their furthest distance. Helicopters are manned
Loveland Greeley Medical Magazine & Directory 2009
by a pilot, a nurse, and a paramedic. “We generally see a patient on the worst day of their life. We have to be calm, have an air of confidence and try to always keep patients as informed as possible. This is a job where time is critical. We deal with newborns to age 100-plus. We must deal with all aspects of patients and emergencies within a matter of minutes.” Couple the emergent nature of Beckle’s work with the inherent dangers surrounding flight, from equipment malfunctions to dangerous weather patterns, and this is a field of nursing not for the faint of heart. “You must promote your own safety and the safety of the patient. You must be able to switch through processes and treatment modalities as quickly as the patient changes.” All done, Beckle adds, in a compassionate and professional manner in confined and cramped space.
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Jack Burke, Chief Nursing Officer, North Colorado Medical Center For Jack Burke, nursing wasn’t a profession he was interested in until he worked closely with nurses while serving in the U.S. Air Force. Once he began his nursing career, however, Burke never looked back. After being led west by his wife from Montana, the native Bostonian took over as North Colorado Medical Center’s Chief Nursing Officer in March 2008. Burke’s early career in nursing was as a staff nurse in the psychiatry ward, not, in Burke’s words, where you would typically find “a guy in nursing.” His interest soon redirected itself and Burke obtained specialty training in nursing administration. Burke is accountable for all the clinical operations of nurses at NCMC. He finds the biggest challenge is “having the right people in the profession. Nursing is tempting because the money is good. Bottom line, though, you just have to like people” in order to be well-suited to the career. “Nursing is not done in a vacuum. Nurses work with all disciplines in the hospital. My job is to balance the tensions and pull people together.” Burke says career opportunities in nursing have never been greater. Insurance companies, factories, even architectural firms, have openings for skilled registered nurses. Burke hopes to see a growing diversity in the nursing field, not only an increase of male nurses, but a more diverse ethnic population as well. “Nursing is always among the top ten professions people trust. We have to make sure we continue to keep that trust and really represent the communities we serve.”
Julianne Fritz, Director of Oncology Services and Clinical Care Operations, North Colorado Medical Center Julianne Fritz came to North Colorado Medical Center immediately after obtaining her nursing degree from the University of Wyoming. Her first position was in the oncology unit. “I realized immediately I truly loved oncology nursing and the vast scope it entails.” In 1986, Fritz obtained a certification in oncology with the first group of nurses nationally to sit for this level of certification. From oncology staff nurse to Director of Oncology Services, Fritz has followed her passion through its many phases. She loves public speaking and education, especially when related to cancer issues. “I truly feel challenged every day. The aspect of what I enjoy most combining nursing with management is the ability to grow programs and services to better meet the needs of our patients and community.” Over the years, Fritz has seen her field evolve countless times as access to new medications and technologies have emerged. Every time technology changes, Fritz says, so does the field of nursing. Despite the evolving nature of the medical field, “nursing has not lost its focus on treating the patient.” In Fritz’s oncology unit, they continually refine their approach to caring for a patient. “A cancer diagnosis packs a tremendous emotional punch for the person and their family. At NCMC we treat the patient physically, emotionally, spiritually and psychosocially.” To do this, they developed the patient navigator program where a nurse meets with a new patient, from the point of diagnosis and brings all the resources the patient needs to them. “Unlike other fields of nursing where you see patients for only a short period of time, in oncology we get to know our patients and family and help them heal and go home or affect them positively even at the end of their lives. It is both challenging and rewarding.”
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Lydia’s STYLE Magazine
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Julie Firman, Chief Nursing Officer, McKee Medical Center Julie Firman was made Chief Nursing Officer and Associate Administrator at McKee Medical Center in 2004, moving to the region from another Banner hospital in Ogallala, Nebraska. At McKee, Firman oversees all nursing areas and overall operations for areas of fiscal responsibility, patient satisfaction, physician satisfaction, quality of care, and employee engagement. Early in her career, Firman focused on nursing education. During that time she became dedicated to “improving processes that allow nurses to give better care more efficiently at the bedside.” She went back to school to obtain her Masters in Nursing Administration. Today, Firman ensures her nurses have the equipment, education and resources to “do what they do best.” “Think about a hospital stay,” Firman said. The first person you see is the nurse. This is the person you develop a therapeutic relationship with and they are the eyes and ears in the hospital. Their job is to help physicians make the very best decisions for patients.” Firman strives to provide her staff with the support they need to advocate, above all, for patient safety. At McKee, she believes great nursing involves a shared leadership structure, where the bedside nurse has an equal voice in how nursing overall should be practiced. Today, “nursing is an art and a science unto itself.” Nursing is still evolving, Firman adds. She believes in the future nursing will come together as a profession with one basic level of education, but an endless choice of career possibilities. “A lot of CNOs are people who go on to be hospital CEO’s,” she says. “There are a lot of management opportunities for nurses.”
Pat Village, Director of Surgical Oncology and Orthopedics, McKee Medical Center During Pat Village’s 35 years as a registered nurse at McKee, she has spanned a multitude of specialties, from obstetrics to critical care to clinical educator. “But when I did the intensive care unit education, I really enjoyed working to inspire the staff, leading them to levels they didn’t think they wanted to go. I decided I would really like a team of my own.” Today she serves as the Director of Surgical Oncology and Orthopedics. “I feel a strong obligation and passion for creating an environment that is healthy, encourages growth, and improves the care for people who are vulnerable and in need.” Village works tirelessly to promote the relationship of staff in all departments to make overall patient care better. The Surgical Oncology unit has benefitted greatly from this spirit of coordination. “Surgical oncology is a little different at McKee. We took a look at the needs of the community, especially patients with cancer. We found they had such fragmented care, sent to multiple units within the hospital.” Today, patients coming to McKee’s oncology unit have the same team of dedicated nurses caring for them throughout the duration of their illness. “We will follow you. Patients have the same unit and the same team. We build camaraderie with patients and their families. It is calming to be treated by the same people.” “Nursing is becoming more and more complex as patients are getting sicker and sicker,” adds Village. “We need to take a holistic perspective and the nurses are the gatekeepers for the patient. We are seeing a shift back to the view of the professional role of nurses as leaders.”
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Lydia’s STYLE Magazine
Yo u r M e d i c a l H o m e Dr. John Guenther
Dr. Carole Anderson
From skiing to soccer, Dr. John Guenther has seen his share of sports injuries. with two children of his own, he also knows first-hand that an ounce of prevention is worth a pound of cure.
Seeing eye to eye with your kids is easy for Dr. Carole Anderson. Specializing in premature infants, she’s there at every age and stage. “Getting in tune with the entire family is my priority. It’s the best way for me to understand your child.”
Dr. Beth Ballard Dr. Beth Ballard loves kids. With four children of her own, she knows first-hand the challenges that every age presents. With more than twenty providers just like Dr. Ballard, the Youth Clinic has served northern Colorado families since .
For an appointment, call
970.482.2515 North Fort ColliNs 1200 East Elizabeth Street
lovelaNd 2695 Rocky Mountain Avenue, Suite 260
MAIN NUMBER (970) 267-9510 •
Loveland Greeley Medical Magazine & Directory 2009
www.youthclinic.com
south Fort ColliNs 1214 Oak Park Drive
• FAX (970) 207-9967
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Kelly Studer, Director of Care Coordination and Case Management, McKee Medical Center Of Kelly Studer’s 25 years with Banner Health, 23 have been spent at McKee, where she is the Director of Care Coordination and Case Management. She obtained her Bachelor’s degree in nursing from the University of North Dakota. Prior to moving into administration, Studer spent several years in intensive and critical care. While Studer says her current role may not be the most glamorous in nursing, the behind-the-scenes work her staff does is no less critical to patient health. Studer directs a nursing staff of case managers and social workers. “Our department helps patients and their families arrange for their needs when they are ready to leave the hospital and also work with their insurance companies.” Transitional care can range from providing oxygen for a patient returning home to transitioning a patient to another facility for additional care. “Often, we do a lot of troubleshooting to see what services a patient might need once they leave. A seamless continuum of care from the hospital to home is what we strive for.” Services extend to those who come to the hospital with minimal resources. “Our case workers work creatively to make sure underinsured or not insured patients have what they need. That is where we work our magic.” “Nothing makes me feel better then when I hear one of my case workers has had a tough case and worked it out to fill the patient’s needs.” The clinical care, “hands-on” side of nursing may not be for everyone, says Studer, and despite her department’s background role in patient care, she adds, “I get to go home at night and say ‘we did a good job.’”
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Karen Lindhorst, Trauma Services Coordination, McKee Medical Center Karen Lindhorst’s nursing career is as much a calling as a chosen profession. “I always wanted to be a nurse, even in grade school,” says Lindhorst, Trauma Coordinator and the Chair of the Emergency Management Committee at McKee. The desire may have been in-born. As an adult Lindhorst found her mother had desired to go to nursing school as well. Lindhorst came to McKee in 1979, working for years in the intensive care and emergency departments. “As Trauma Coordinator, I work to make sure McKee has systems, policies and procedures, and resources in place to provide a high level of care” for trauma patients. Through her career, Lindhorst says she has been fueled by the adrenaline rush that comes with working in the ER. “It keeps you going. Patients come for care and you get them on the road to recovery, whether setting a broken bone or getting them admitted for further care. In the ER, you never know what will walk through the front door.” Despite being a bit of an adrenaline junkie, Lindhorst said patient care remains the most important part of what she does. “Caring for the patient as an individual and focusing on them and their families” is the most important part of what she does. Another hat worn by Lindhorst is her role in emergency management. In prior years, the responsibilities focused mainly on the hospital’s response to multiple person accidents. Since 9/11 and hurricane Katrina, “we have taken a whole new look at how the hospital would respond to any situation, including terrorism and natural disasters.” Angeline Grenz is a freelance writing living in Fort Collins with husband Josh and petite St. Bernard, Bella.
Loveland Greeley Medical Magazine & Directory 2009
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MEDICAL
NEONATAL CARE
(From left) Linda McCarney, MSN, NNP, BC, Sarah Gray, NICU and Mom/Baby unit Manager, and Ann Chernoff, RN, monitor a premature infant at the Neonatal Intensive Care Unit at North Colorado Medical Center.
comfort and convenience at the
ncmc neonatal intensive care unit By Kay Rios • Photos by Bob Willis
Nestled inside of the Monfort Family Birth Center at North Colorado Medical Center (NCMC), the Neonatal Intensive Care Unit (NICU) offers topof-the-line care as well as comfort and convenience for premature babies and their parents. 62
“The NICU is a level IIB classification. That means we can handle most sick or premature babies,” says Sarah Gray, Clinical Manager of both the NICU and Mom/Baby unit. “We have the skills and equipment to stabilize any baby and, if necessary, prepare a baby for transport to Denver.” The first thing a visitor to NICU notices is the quiet and sense of calm that seems to permeate the unit. “Everything in here is designed to be developmentally supportive,”Gray says. The NICU has 13 beds and also provides areas where parents can spend time with their babies in comfort and peace. “Each bed area where the babies are staying has a rocker, a recliner, and a curtain for privacy,” Gray says. Parents are encouraged to interact with the babies, Gray continues, “We really encourage our families of preemies to do Kangaroo care. That’s skin to skin holding. We snuggle the baby up against the mom or dad’s skin and then cover them with a Lydia’s STYLE Magazine
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Sarah Gray, Clinical Manager of both the NICU and Mom/baby units at North Colorado Medical Center.
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blanket.” That helps in a number of ways, she explains. “Preemies don’t always remember to breathe. Just that motion of Mom or Dad’s breathing is enough to stimulate the baby to take a breath. Using Kangaroo care is based on research, Gray says. “It’s been shown that babies who receive kangaroo care gain weight faster and go home earlier.” There are also other benefits. “For moms who are breast feeding, it helps stimulate milk production.” Babies like to snuggle against Dad as well. “Dad’s hairy chest is a comfort. They snuggle in and grab the hair and hold on.” Two family care rooms are also available; families can stay in these rooms while the baby is in the NICU. Staff can monitor the baby there and parents can sleep in the room with their baby.” The rooms are also used if the baby needs to come back to the hospital for further treatment. “We encourage the parents to be here with their babies.” The staff in NICU take measures to make the parents feel welcome and to show how special each baby is. “We have nurses who make a name tag for each baby with scrapbook supplies; plus we celebrate each baby’s milestones with the family.” The NICU receives strong community support, Gray says with appreciation. “We Lydia’s STYLE Magazine
had a quilting group from a local church donate quilts that we use as a cover on the baby’s isolette. We need to keep the environment dark as it supports the baby’s growth and development. As the baby grows and is able to handle more stimulation, we can fold back the quilt and get them used to more light and sound. Then the families get to take the donated quilts home.” Other volunteers have provided knitted and crocheted hats and baby blankets. Those personal touches are only the gravy on a full menu of services available to parents and their new babies. “We have neonatal nurse practitioners from Children’s Hospital 24-7 who supervise the medical care of every baby. They are available for staff questions and to assist in bedside care. They are a valuable member of the team. We also have a pharmacist in the NICU 5 days a week and 24-hour coverage from the main pharmacy.” Several lactation consultants are on staff to support the breastfeeding mothers. The NICU’s current space is fairly new, Gray says. “We moved into this area three years ago and it has given us so much more square footage – it has more than tripled the amount of space of each baby’s room. Previously, the NICU was confined to an area the size of two adult patient rooms.” The entire Birthing Center was expanded based on need. “We were growing,” Gray explains. “Our average daily census in the NICU was growing, and Greeley was growing. Births overall were up. The average birth rate at NCMC was about 120 a month in 1992, and as of 2007, we were averaging 200 births a month. The expansion provided additional Mother/Baby rooms by adding 12 rooms to the existing 15. “We still have space to expand when we need to,” she says. NICU has its own space within the Birthing Center but they share the amenities, Gray says. “We have a security system for all our infants. Babies get a security tag. If the baby is taken too close to an exit in our department, a lock - down process is initiated that ensures that our babies and families are safe and secure.” Ten labor and delivery rooms are available; two operating rooms inside the Birthing Unit mean that moms don’t have to be transported to another area in the hospital for their C - section. “And all of our labor and delivery nurses are cross trained to go into the operating and recovery rooms so we’re not introducing new faces at a time when someone may be scared or just need a familiar face.” Also on staff are Certified Registered Nurse Anesthetists (CRNA) who are dedicated to the Birthing Center. Both the NICU and the Birthing Center are based on a family centered philosophy
of care, Gray says. On the Mom/Baby unit there is a pullout couch or chair for dad or a support person to stay with the mom. “We encourage families to stay so they can get rest and go home prepared.” The Birthing Center is also culturally friendly with bilingual guest relations staff available from 7 a.m. to 11 p.m. In every patient room, a blue phone with two receivers provides translation options. English is spoken into one of the receivers and translated into the other receiver in the selected language. Over 100 languages are available. There are, in addition, some luxury items like a free massage for each mom after
delivery or the fresh warm cookies and juice provided in the afternoons after “Mommy Moments.” And then, of course, there’s a very dedicated staff. “We have some of the greatest longevity of any department in the hospital,” says Gray, who has been in the family birth area since 1992. “Our staff has a tendency to stay because we love what we do.” Kay Rios is a freelance writer based in Fort Collins. She is currently a doctoral candidate in Educational Leadership at Colorado State University.
Amy Hulstrom, M.S., PA-C, Kevin E. Bachus, M.D., FACOG, Shari Olson, Ph.D., Bonnie Overholser, PA-C
(970) 493-6353 • (800) 624-9035
Loveland Greeley Medical Magazine & Directory 2009
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MEDICAL
HEARTBURN
Yazan Qwaider, M.D., Gasteroenterologist, NCMC, cautions against a one-size fits all approach to heartburn medication, and instead takes time to meet with patients frequently.
heartburn
help
By Kay Rios • Photo by Dana Milner
Most everyone has experienced the discomfort of
heartburn at some point in life. Especially in the crunch of the holiday celebrations, too much food, too much drink, and more than enough merriment can result in
gastric upset. That’s easily handled with an antacid or two and a few lifestyle changes. Prolonged and more
frequent bouts, however, require additional attention,
says Yazan Qwaider, M.D., gastroenterologist, at North Colorado Medical Center (NCMC). 66
“With infrequent symptoms, it’s reasonable to use antacids. If it is frequent or prolonged, then it may require more intensive treatment,” he says. “Patients describe it as a burning in the chest but it has nothing to do with the heart. It is the result of acidic gastric content that refluxes up into the esophagus and causes discomfort, commonly a sensation of burning.” Heartburn is estimated to affect ten million adults in the U.S. on a daily basis. It is, Dr. Qwaider says, the most common symptom of gastro-esophageal reflux disease (GERD). While everyone experiences gastroesophageal reflux, the body usually takes care of it before it’s even registered. “We don’t usually realize it because the saliva neutralizes acid and the esophagus contracts, pushing it back down. When episodes are frequent and prolonged that is when we talk about GERD.” The exact reason for heartburn is unknown, Dr. Qwaider says. “Sometimes, it can be an anatomical abnormality like hiatal hernia or it can be a weak lower esophageal sphincter but that’s not necessarily so. You don’t have to have a hernia to have reflux and some people with hernias do not have reflux.” GERD is a concern for those who experience regular discomfort but he says, for the vast majority of patients, the situation is not serious as long as the reflux is treated. Untreated severe GERD symptoms can cause serious complications including the formation of esophageal ulcers, scarring and narrowing of the esophagus, lung and throat problems such as asthma. Esophageal cancer is at the far end of the extreme, Dr. Qwaider says. “The incidence rate is increasing and it tends to affect middle age white men. We see a direct correlation with prolonged, untreated heartburn.” GERD is usually diagnosed based upon symptoms and response to treatment. Recommended treatment is based on severity, Dr. Qwaider says. For mild GERD, Lydia’s STYLE Magazine
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initial treatment includes dietary changes and the use of over-the-counter medications including antacids or histamine antagonists. “When there are more frequent symptoms, once or twice a week, then we may use a proton pump inhibitor (PPI),” he says. The proton pump inhibitor is a medication that targets and blocks the receptors responsible for acid production in the stomach, ultimately reducing acid secretion by the gastric glands. Dr. Qwaider cautions that treatment is not a one-size-fits-all approach. “Treatment should be determined on an individual basis. And if there are more alarming symptoms, such as difficulty swallowing or vomiting blood, you should seek immediate attention.” Surgery may be considered in extreme cases. The most common surgical treatment is a laparoscopic procedure, which wraps the upper part of the stomach around the lower end of the esophagus. “Surgical procedures are directed toward increasing the competency of the lower esophageal sphincter and making it less likely for the gastric content to reflux into the esophagus,” Dr. Qwaider explains. Since 80 percent of patients on PPI will use it for years, some opt for the surgery rather than be tied to a prolonged treatment with medication, he says. “It is a simple procedure but it can cause problems,” he cautions. Some of the complications include persistent difficulty swallowing (this only occurs in about 5 percent of patients), bloating and gas and, though rarely, can also result in diarrhea based on nerve injury. “The field of gastroenterology is an expanding field and a lot of new developments have come out over the past few years,” Dr. Qwaider says. One of the newer techniques uses endoscopic ultrasound for treatment. Dr. Qwaider and Ahmed Sherif, also an M.D. and gastroenterologist at (NCMC), are the only two doctors in Northern Colorado who offer this procedure. NCMC’s gastroenterologists are always learning new things that can help their patients, Dr. Qwaider says, “We are currently in the process of building a ‘heartburn center’ as part of our new endoscopic suite at NCMC.” The suite will offer more space and new state-of-the-art equipment. The expansion came about as the result of increased patient load, Qwaider says, and it will allow for an increase in educational outreach. “We are developing a center of excellence that will serve our patients well.” Kay Rios is a freelance writer based in Fort Collins. She is currently a doctoral candidate in Educational Leadership at Colorado State University.
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McKee Medical Center keeps your life in rhythm with state-of-the-art diagnostic and McKee Medical Center keeps your life in rhythm with state-of-the-art diagnostic and interventional heart procedures, as well as in cardiac rehab services to get yourdiagnostic heart back in McKee Medical Center keeps your life rhythm with state-of-the-art and interventional heart procedures, as well as cardiac rehab services to get your heart back in shape. When you need more advanced care, you can take comfort in knowing that McKee interventional heart procedures, as well as in cardiac rehab services toinget yourdiagnostic heart in shape. When you need more advanced care, you can take comfort knowing that back McKee McKee Medical Center keeps your life rhythm with state-of-the-art and Medical Center is part of Banner Health, giving you access to an extraordinary network of shape. When you need advanced youyou can takeservices comfort knowing that McKee Medical Center is part ofmore Banner Health, giving access to an extraordinary network of interventional heart procedures, well care, as cardiac rehab toinget your back in cardiac physicians experienced inas providing comprehensive care for even theheart most serious Medical Center is part of Banner Health, giving you access to an extraordinary network of cardiac physicians experienced in providing comprehensive care forineven the most serious shape. When you need more advanced care, you can take comfort knowing that McKee heart conditions. McKee Medical Center andcomprehensive Banner Health.care Keeping youthe healthy so you cardiac physicians experienced providing for even most serious heart conditions. McKee Center and Banner Health. you healthy so you Medical Center isheart. part of Medical BannerinHealth, giving you access to Keeping an extraordinary network of can follow your heart conditions. McKee Medical andcomprehensive Banner Health.care Keeping youthe healthy so you can follow your heart. cardiac physicians experienced in Center providing for even most serious can follow your heart. heart conditions. McKee Medical Center and Banner Health. Keeping you healthy so you can follow your heart. Banner Health facilities include: Banner Health facilities include: BannerColorado Health facilities North Medicalinclude: Center North Colorado Medical Center Banner Health facilities North Colorado Medical Center McKee Medical Center Sterlinginclude: Regional MedCenter McKee Medical Center Sterling Regional MedCenter McKee Medical Center Sterling Regional MedCenter East Morgan County Hospital North Colorado Medical Center East Morgan County Hospital Morgan County Hospital McKee MedicalEast Center Sterling Regional MedCenter
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For more information, visit www.BannerHealth.com or call 800-505-6877. information, visit www.BannerHealth.com or call 800-505-6877. For For job more opportunities, visit www.BannerHealth.com or call 866-377-JOBS (5627). East Morgan County Hospital For For job more opportunities, visitvisit www.BannerHealth.com or call 866-377-JOBS (5627). information, www.BannerHealth.com or call 800-505-6877. Banner Health is the leading provider of not-for-profi t health care in northern Colorado. For jobHealth opportunities, visitprovider www.BannerHealth.com or call 866-377-JOBS (5627). Banner is the leading of not-for-profit health care in northern Colorado. For more information, visit www.BannerHealth.com or call 800-505-6877. Banner Health is the leading provider of not-for-profit health care in northern Colorado. For job opportunities, visit www.BannerHealth.com or call 866-377-JOBS (5627). Banner Health is the leading provider of not-for-profit health care in northern Colorado.
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Even after he was diagnosed with nonHodgkin's lymphoma, Jerry found comfort in playing the piano. And thanks to McKee Medical Center's carefully coordinated cancer team, he soon found the strength to go on to a healthy life. The pathology and imaging departments quickly gave Jerry's doctors his test results, which helped get his treatment started right away. Yet, Jerry said his considerate doctors and nurses took the time to explain his condition and give him the best care possible. Because of this highly specialized, personal approach, Jerry's life is in tune. Now he not only plays for comfort, he gives back by using his piano to lift the spirits of those in cancer support groups. McKee Medical Center. Remarkable health care inspired by you.
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WELLNESS
PATIENT SAFETY
Anne Rydesky, Associate Administrator at McKee Medical Center.
patient safety at
ncmc and mckee By Allie Comeau • Photo by Dana Milner
The challenges that North Colorado Medical Center (NCMC) and McKee Medical Center (McKee) face in terms of patient safety are universal to hospitals everywhere – communication breakdowns, patient handoffs and medication management. Within these three areas arise many of the major patient safety issues in hospitals around the country. Loveland Greeley Medical Magazine & Directory 2009
Style spoke with Anne Rydesky, Associate Administrator at McKee, Judy Lenz, Interim Quality Management Director at McKee, and Tracy Mutschler, Quality Specialist at NCMC, about these challenges to patient safety and the solutions proposed by each facility. Communication is a problem widely reported in all industries, but it can be especially troubling in a clinical environment. With so many different departments, staff, and shifts, communicating well is paramount to success. “Communication is always a challenge when working with so many people,” says Lenz. “That’s one of the reasons we started the Patient Safety Champion Program – most safety issues are related to a breakdown in communication.” The Patient Safety Champion Program at both NCMC and McKee involves every department at each hospital in patient safety and helps ensure the hospitals meet national patient safety goals. The Patient Safety Committee meets to discuss safety initiatives and challenges and the patient safety champions then report back to their respective departments, ensuring the entire hospital is on the same page in regards to patient safety goals. “The Patient Safety Champion Program is an exciting new program,” says Lenz. “We meet monthly
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IT’S NOT JUST THE CAREGIVERS THAT LOOK OUT FOR PATIENT’S SAFETY – IT’S EVERYONE AT THE HOSPITAL. OUR WHOLE CULTURE REVOLVES AROUND PATIENT SAFETY. ANNE RYDESKY, ASSOCIATE ADMINISTRATOR AT MCKEE with a representative of every department to discuss patient safety, brainstorm ideas to improve it, and then they pass the information on to their respective staff members.” The AHRQ Culture of Safety Survey is another communication tool used to evaluate how the hospitals are doing in terms of patient safety. “The Culture of Safety Survey is a yearly survey given to staff members to help us get a broad idea of how we’re doing as a whole to meet patient safety goals,” says Mutschler. “Through answers to the questions asked, we get a good idea of areas that need improvement and what our unique challenges may be.” Staff education and involvement is also essential when it comes to patient safety. From the patient safety orientation that every new employee receives to the annual competencies given to staff of all levels, education and involvement is highly valued. “Everyone that works here, from the nurses to the maintenance staff makes patient safety their top priority,” says Mutschler. “It’s our entire culture.” Rydesky offers similar sentiments about patient safety at McKee. It’s not just the caregivers that look out for patient’s safety – it’s everyone at the hospital. “Our whole culture revolves around patient safety,” she says. “Patient safety is hugely important at McKee and in Banner Health as a whole, at both the staff and executive level. Patient safety is our constant concern.” Lenz agrees. “If the night janitor sees a fall-risk patient walking around by himself, he or she would escort him back to his room and notify the proper personnel,” she says. “Everyone looks out for the patients.” Every new patient to NCMC and McKee is given a risk assessment upon admittance and is identified accordingly. Color-coded wristbands and bright yellow socks are among the identifiers used and recognized by all staff. “For example,” says Lenz. “Every patient is given socks with tread, but if a patient is at risk for a fall, he or she is given bright yellow socks to wear. Every staff member is trained to be on the lookout to provide assistance to these particular
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patients.” Safety officers, who specialize in environmental care, are constantly assessing the physical safety of patients and employees at the hospitals and implement things like handrails, socks with tread, and hand-sanitizer outside of every room. “The job of the safety officer and the staff is to ensure that each and every patient has a safe environment,” says Mutschler. When it comes to medication management and surgical procedures, proper identification is crucial. Both McKee and NCMC have a double identification policy in place. “Two forms of patient identity, wristband information, and verbal confirmation for example, need to be confirmed in order to administer medications,” says Rydesky. “Time-outs, where the entire surgical staff stops what they’re doing to orally review the details of the case, are also mandatory before any procedure can take place.” Patient hand-offs, when a patient is passed from one staff member to another during a shift change, is a critical time. “Our challenge is how best to communicate essential patient information to the next caregiver,” says Rydesky. Situation Background Assessment Recommendation, or SBAR, provides an outline of how best to communicate patient hand-offs. “SBAR is a communication tool that ensures necessary patient information is passed on as well as a patient assessment,” says Mutschler. “The format is a guideline to ensure important details aren’t left out.” Between confidential occurrence reporting by staff, patient safety goals, patient satisfaction scores, and Root Cause Analysis, which determines the cause and subsequent solution of safety-related occurrences at the hospital, both NCMC and McKee have many programs and procedures in place to ensure patient safety. “Patient safety ranks as the top importance at NCMC,” says Mutschler. “If you don’t have safe care, what do you have?” Allie Comeau is a Fort Collins freelance writer. Lydia’s STYLE Magazine
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Loveland Greeley Medical Magazine & Directory 2009
Kelly B. Jones, DDS, MS Undergraduate Degree from University of Arkansas, Doctor of Dental Surgery from University of Tennessee, Advanced Speciality Training, Certificate in Endodontics and Master’s Degree from University of Minnesota “We are proud that our offices are equipped with state-of-the-art equipment and we are knowledgeable in the latest technical treatments.”
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WELLNESS
MIND, BODY, SPIRIT
Chaplain Mark Weiler of North Colorado Medical Center provides support for patients beginning the healing process or in the midst of an illness or trauma.
healing the mind, body and spirit chaplaincy program at NCMC and McKee By Allie Comeau • Photos by Dana Milner
Being admitted to the hospital can be a life-changing event for both a patient and a patient’s family. In times of severe illness or unexpected trauma, a patient’s life may take on an entirely different meaning and focus.
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Suddenly things that seemed important this morning may be replaced with thoughts about life as a whole and the meaning of it all. In times like these, a hospital chaplain provides an invaluable service, both to the patient in need and the patients’ family. Chaplain Mark Weiler of North Colorado Medical Center (NCMC) and Chaplain Bruce Rippe, McKee Medical Center (McKee), both agree that a chaplain’s main responsibility is to support patients and families of all faiths and denominations during hospitalization. Both chaplains believe that the path to healing involves not only the body, but the mind and the spirit as well. In fact, they believe one cannot truly happen without the other two. That’s where the Chaplaincy programs Lydia’s STYLE Magazine
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at NCMC and McKee come in – by providing patients with the spiritual support they need to begin the healing process in the face of illness or trauma. Weiler, who completed his residency at Duke University Medical Center, says chaplains provide many more services than the public may realize. “Most people think a chaplain is only called on during the last few hours of life, but we do so much more than that,” he says. “We respond to trauma and deaths in the ER, we provide emotional support to patients and staff and help them find answers to difficult questions, we provide memorial services for patients, family, and staff, and we routinely perform blessing of the hands ceremonies to bless the work done at the hospital.” Teams of volunteer chaplains and trained staff visit patient care units and office areas to offer a blessing on the hands of any staff member who wishes to participate. It is a moving process that emphasizes the importance of the patient’s care entrusted to nurses, physicians, and staff. Beyond that, a chaplain can also help a patient and his or her family better understand their hospital experience. “We help patients understand the system a little bit better and help bring a bit of normalcy to the experience, says Weiler. “People appreciate having someone who will listen to their concerns, no matter what they may be, and to help them by providing emotional support, whether through prayer, spiritual guidance, or just by letting them talk about their feelings.” Bruce Rippe, who completed his internship and residency at Bethesda Hospital and Presbyterian St. Lukes Medical Center in Denver, says he is available to anyone at the hospital who has a story that needs telling. “Some people are story tellers,” he says. “I’m a story listener. I am here to help people make sense of their life story. That’s the most important thing. No matter what a particular patients’ belief, or non-belief, system may be, they undoubtedly have a story to tell.” Both Weiler and Rippe are board-certified by the Association of Professional Chaplains and have completed their Clinical Pastoral Education (CPE) residencies in addition to possessing Master and Doctorate degrees in theology and ministry. CPE, typically a one-year residency that provides interfaith clinical education for pastors, provides chaplains-in-training with the necessary skills and nuances needed to work in the clinical environment. CPE is an essential part of a chaplain’s education. “CPE is a specialized training for chaplains,’ says Weiler. “Most hospitals won’t hire a chaplain who hasn’t completed CPE, no matter what degree of theological
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I AM HERE TO HELP PEOPLE MAKE SENSE OF THEIR LIFE STORY. THAT’S THE MOST IMPORTANT THING. NO MATTER WHAT A PARTICULAR PATIENTS’ BELIEF, OR NON-BELIEF, SYSTEM MAY BE, THEY UNDOUBTEDLY HAVE A STORY TO TELL. CHAPLAIN BRUCE RIPPE, MCKEE MEDICAL CENTER
education they may have.” “Just like physicians, chaplains go through an additional clinical residency that gives us very detailed and concentrated experience in working at the bedside” says Rippe. “Being board-certified by the APC, and the subsequent level of clinical experience and training that comes with it, sets us apart in terms of what a pastor might do in a parish setting and what a chaplain does in a clinical setting. There’s a more holistic approach to care.” The NCMC Chaplaincy program is a little different from others in the area due to the sheer size of it and the fact that they offer a CPE residency program right at the hospital. “Our program has seven CPE students this year and 15 volunteers who work on-call one night a month,” says Weiler. “We have 25 – 30 people involved in the program which is quite a bit more than most hospitals.” McKee, on the other hand, has Chaplain Rippe, and Jennifer Veigut, a part-time chaplain on staff. Rippe is on call 95 percent of the time. “Because of the size of the hospital, we don’t have all of the staff that NCMC has,” he says. “It’s just me and one other chaplain, but we provide the same
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level of service, day in and day out.” That’s a lot of on-call time, but anyone who has ever spoken with Rippe about his job knows that he wouldn’t spend it any other way. “I try to keep balance in my life,” he says. “But I feel privileged to be with people during these all-important moments in their life. It’s truly an honor.” When asked how chaplains engage people of varying denominations, respect was the word most often used. “We are not here to convert anyone, or to practice religion per se,” says Weiler. “We are here to help them tap into their own spiritual beliefs or spiritual heritage. We respect all denominations and faiths and strive to make everyone comfortable no matter what their belief system is.” When I come to the bedside of a new patient, I come to it from their perspective and not my own,” says Rippe. “I come into a room without an agenda to address either religious or physical concerns. Rather, I step into the bedside environment interested in nothing but the patient’s story and how they express that in terms of their individual spirituality. My challenge then is to help them make sense and meaning out of their
experience within a context that makes sense to them.” These sentiments are proven by the chapels at NCMC and McKee and the multitude of religious faiths represented within. A menorah is displayed on the altar, along with a Hebrew bible, a cross and a Muslim prayer cloth. Weiler hopes to eventually have a symbol of every faith represented in the NCMC chapel. “We are open to all faiths and beliefs,” says Weiler. “We have a diverse group of people in our program, from many different denominations, and we want to reflect that in our chapel. It’s a quiet, comfortable place for patients and their families to get away from the bustle of the hospital, say a prayer, or simply reflect on the current situation.” Both Weiler and Rippe believe in a holistic approach to medicine. “While each person has a mind, body, soul, and spirit, we are all one,” says Weiler. “We are all connected. It’s not like you can separate the components out and treat only the physical entity. When a person has a physical problem it also impacts their emotional and spiritual wellbeing. Part of what we do is to enhance the physical treatment of our patients by
Lydia’s STYLE Magazine
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honoring, respecting, and recognizing the emotional and spiritual experience as well.” When a patient or a patient’s family calls on the services of a chaplain, a spiritual assessment is made to help the chaplain decide how to proceed. This assessment takes into consideration many things; among them, the patient’s belief system or non-belief system, their physical diagnosis, and their individual story. During Rippe’s spiritual assessment, he puts himself in the patient’s position and keeps in mind three questions he considers to be all important: Who am I? Why am I here? What is the meaning/purpose of life? “When new patients come to the hospital, there is usually something disrupting their life. This can be looked at as an opportunity for spiritual growth. There is something remarkable about being with someone on the worst day of their life and being present with them in a way that allows them to get through whatever crisis it is that has instantaneously changed their life,” says Rippe. Rippe says that even if a patient’s hospital experience is a positive one, like birthing a baby, these questions are still front and center. “There is a commonality around these questions and I’m here to help people understand themselves in relationship to the greater universe in which we all live. In the course of that, I help people sort these questions out in the face of either a lifechanging or life-threatening event.” In addition to supporting patients and their families, chaplains are also available to support the hospital’s caregivers, whose jobs can be emotionally and spiritually difficult at times. “The support I give to staff people is another major part of what I do,” says Rippe. “I was just speaking with a nurse who’s having a hard time emotionally with a particular patient. My challenge is to support her so that she can better support his wife and children.” Rippe and Weiler both agree that every patient in the hospital, no matter what their religious denomination or beliefs, can find support and a well-practiced ear in their hospital chaplain. “I consider myself a spiritual caregiver,” says Weiler. “Healing cannot take place just by treating the physical illness. I am here to help patients have better health – emotionally, spiritually, and in turn, physically.” “Treating only the physical problem is an illusion,” says Rippe. “Treating the entire person; emotionally, spiritually, and physically, is the only path to healing. It’s all connected.” Allie Comeau is a Fort Collins freelance writer.
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Lydia’s STYLE Magazine
VISION ??????? Loveland Greeley Medical Magazine & Directory 2009
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WELLNESS
WEIGHT LIFTING
Michelle Croteau, certified personal trainer, certified Les Mills group fitness trainer, at Pulse Fitness Center in Fort Collins, has worked with client, Ellen Fisher, for three years, who has lost inches, pounds, and body fat percent.
weight training for
a better body By Sandy Ernst Aldern • Photos by Lydia Dody
Much has been said about cardiovascular fitness in recent years. It is important for the sake of our health to keep our bodies fit and our hearts strong. Cardiovascular fitness, is however, not the only piece of the health puzzle. 84
Here enters weight training. Some people call it “strength training,” while others call it “resistance training,” or “lifting.” Whatever term is preferred, know that the act of lifting weights (free weights, barbells, or using weight machines) is crucial to your body. First, weight training not only strengthens the muscles worked, it strengthens the connective tissue around that muscle, as well as the bones to which those muscles attach. Therefore, as your muscles get stronger, you increase your bone density. Osteoporosis is a condition of abnormally reduced bone density, a concern for most post-menopausal women. If you can increase your bone density, you decrease your Lydia’s STYLE Magazine
2009
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The American College of Sports Medicine (ACSM) recommends that healthy adults exercise each muscle group two to three non-consecutive days of the week.
risk of osteoporosis. Remember, however, that training a muscle strengthens the adjoining bone, not the bones in other parts of your body. This means you must weight train both upper and lower body in order to get the full benefit of decreasing osteoporosis risks. Another benefit of resistance training is that it increases your physical work capacity. This means that you have an improved ability to perform the activities of your daily life, such as vacuuming, raking leaves, or just putting away the groceries. As a matter of fact, I have an exercise that I make all my clients do that I call “groceries”— it uses the same movements that you use to literally put groceries into an upper cabinet. This practice trains muscles up and down the body so that you are less likely to wrench your back, when performing this functional movement. This type of training is called “functional training” for that exact reason — it’s functional, not just in the gym, but in your daily life. It is often stated that building muscle increases your metabolism. While it is true that, when used, muscles use more energy (calories) than fat, the amount of metabolic increase is different for everyone. What is also true is that increasing muscle mass in-
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creases your lean body mass, thereby lowering your percentage of comparative body fat. Remember, muscle weighs more than fat, so the new weight lifter might initially gain a few pounds. But not to worry — with regular lifting, you’ll likely settle back into your old weight soon. If you are trying to lose weight, however, don’t be afraid of those few pounds! Lifting weights does require energy, so you will burn more calories lifting weights than you would if you were going about business as usual. If you’d like to increase the amount of calories expended during lifting, do what is called “circuit training.” This means that you perform weight-lifting one exercise after another after another without rest until all your different exercises are complete. This keeps your heart rate up, thereby increasing your caloric burn. This can also slightly increase your cardiorespiratory fitness, improve your glucose tolerance, decrease the amount of fat in your blood, and may slightly reduce your resting blood pressure (Personal Fitness Training Theory, AFAA, 2007). Core training is the training of your torso — abdominals, back, hips, shoulder blades, and glutes. These are muscles that stabilize our bodies. While lifting weights, our “core”
holds us in place so that we can move other parts of our bodies. The core is also extremely important in our balance. If we are walking on a slippery path and we begin to lose our footing, the amount of strength in our core can keep us upright...or not! Suffice it to say, training the core (abdominal crunches, for example) is of great benefit in keeping fit and injury-free. How often should you strength train? The American College of Sports Medicine (ACSM) recommends that healthy adults exercise each muscle group two to three nonconsecutive days of the week. Being stronger means being more fit. Being more fit means being more able to go about our day with a lower risk of injury. It also means we feel better, both physiologically and psychologically, resulting in a higher quality of life. Check with your doctor about starting a training program. A great way to get started is to hire a personal trainer who can get you on the right track. You’ll have fun and you’ll be one step closer to completing that puzzle of health! Sandy Ernst Aldern is a Personal Trainer and Instructor at Pulse Fitness Center, Fort Collins. Lydia’s STYLE Magazine
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