SCOPE Magazine December 2015

DECEMBER 2015 VOL. 31, NO. 4 MASON GENERAL HOSPITAL & FAMILY OF CLINICS

Fantasy Forest 2015 – A Benefit for MGH&FC pages 8 – 10

Welcome to Medicare – Annual Wellness Visits now available Page 2

Hospitalist Program helps with continuity of care

Page 5

Clases y grupos de apoyo disponibles

Página 14

quality “Welcome to Medicare” Free Wellness Visits help patients be proactive about their health

Check blood pressure, vision, weight and height to get a baseline for care.

Make sure the patient is up-to-date with preventive screenings and services, such as cancer screenings and immunizations.

Order further tests, depending on the patient’s general health and medical history.

Following the initial visit, the provider will give the patient a plan or checklist with screenings and preventive services that are needed.

“Annual Wellness Visit” – what to expect

Jennifer Nelson, ARNP, (right) prepares for a patient’s Medicare Wellness Visit with Angela Barton, medical assistant, at Olympic Physicians.

Medicare patients in our area now have

a chance to be proactive with their health and team up with local health care providers to work on preventive health.

All Medicare patients are now eligible for a no-cost “Welcome to Medicare” visit, and then subsequently, “Annual Wellness Visits” to update their health records and vital information. At this time the provider will make recommendations for screenings, tests, immunizations and other preventive services. It should be noted this is not a comprehensive, head-to-toe exam, but a visit to initiate a personalized plan to prevent disease and disability based on the patient’s current health and risk factors.

The initial “Welcome to Medicare” visit A “Welcome to Medicare” visit is a onetime per patient service, also known as the “Initial Wellness Visit”, and focuses on preventive care and routine tests and 2 S C O P E

exams. It must be scheduled within the first 12 months of being on Medicare.

“The initial visit helps the patient establish a patient-physician relationship and a relationship with the health care team,” said Terri Gushee, R.N., director of Care Coordination Services at MGH&FC. “It promotes preventive care by incorporating public health screenings, identifying patients at high risk, identifying patients at risk for developing chronic diseases, and enabling early interventions for prevention.

With this information, the health care provider can create a personalized preventive health plan for patients.”

What to expect during the“Welcome to Medicare” initial visit The patient’s health care provider will: Record and evaluate the patient’s medical and family history, current health conditions and prescriptions.

At least 12 months after the initial Welcome to Medicare* visit, a patient under Medicare Part B qualifies for their first Annual Wellness Visit. Again, this is not a comprehensive, head-to-toe physical, but a more focused exam, reviewing the patient’s health and updating the plan from their initial visit.

The provider will have the patient fill out a questionnaire called a “Health Risk Assessment.” Answering these questions will assist the provider in developing the personalized prevention plan to help the patient stay healthy and serve as a reference for their subsequent Annual Wellness Visits.

The annual visit may also include: A review of the patient’s medical and family history.

Developing or updating a list of current providers and prescriptions.

Continued on page 13… *The “Annual Wellness Visit” does not require the initial “Welcome to Medicare” visit.

On the cover: Thank you to the many sponsors of Fantasy Forest 2015 – A Benefit for Mason General Hospital & Family of Clinics. This year’s event at the beautiful Alderbrook Resort & Spa on Hood Canal proved to be a wonderful success! On the cover trees include: “Holiday Beach Dream” – designed and decorated by Laura Clark and Michael Striplin; “How Sweet It Is!” – designed and decorated by MGH&FC Surgery Department; and “Hunting on the HOOD (Canal, that is!)” – designed and decorated by Julie Johnson.

Cover photo and inside tree photos by Cooper Studios, Shelton.

MGH&FC continues to transform its care delivery model – paving the way for better outcomes for the modern health care consumer

By Eric Moll, CEO, MGH&FC

The health care industry is complex.

Increasing this complexity is the need to transform the care delivery system.

At MGH&FC we are working hard to strategically improve how we deliver care.

Patients, physicians, and payors are all nudging, sometimes in conflicting ways, the delivery system to become more integrated and efficient. We are still at the Eric Moll, CEO, MGH&FC early stages of patient consumerism, but undoubtedly, the rapid expansion in out-of-pocket expenses and advances in technology enabling greater transparency will continue to increase the provider and procedure selection sensitivity by the health care consumer.

According to a 2015 American Hospital Association environmental scan, 75 percent of physicians will be employed by hospitals by 2020, continuing the seismic shift away from hospital-only organizations.

Payors, led by the Center for Medicare and Medicaid Services (CMS), continue to expand financial incentives and penalties through value-based purchasing payment models, further requiring strong collaboration between hospitals and physicians to be successful on these value-based purchasing metrics.

Transforming the health care landscape The changes brought forth as a result of the transforming health care landscape present the industry with tremendous opportunities.

We are having meaningful conversations about quality. There is starting to be a recognition that systems of care, where the whole is truly greater than the sum of the individual parts, are necessary to deliver consistently outstanding results. The industry continues to explore ways to create better alignment between the payment models and quality. As hospitals have begun integrating ambulatory care practices, we are shifting resources, like care coordination, further upstream in the care-delivery continuum to engage the patient earlier and help mitigate what can be a fragmented health care delivery system.

Reality is often far from theory, so let us look at specific examples of health care delivery transformation.

Pharmacy services The expansion of pharmacy services in the care delivery model, specifically in the ambulatory care setting, aligns well with the

Institute for Healthcare Improvement (IHI) Triple Aim of reduced cost, improved quality, and better patient experience. By having dedicated time focused solely on medication management, pharmacists are positioned to free other providers from the multitude of daily phone calls by patients with questions about medications and prescription refill requests. Providers would then have more time to see patients, which improves access to primary care. Presumably the patient experience improves with timely returned phone calls and dedicated time for their medication questions. By providing dedicated time to the patient, the pharmacist could increase medication adherence, which is proven to reduce overall cost. According to a Health Affairs study in 2011, medication adherence in chronic vascular disease resulted in a benefit-to-cost ratio of 2:1 for patients under 65, and 13:1 for patients over 65. In 2015, Washington became the first state to require pharmacists to be included in health insurance provider networks, but only fifteen states covered pharmacist professional services for Medicaid. Continued on page 13…

New Year’s resolution – set a quit date, make a plan No matter what method of smoking cessation you use, it’s

important to set a specific quit date. This could be a special day such as your birthday or anniversary, the date of the Great American Smokeout... or simply a random date.

This quit date represents a strong personal commitment. It should not be so far off that you have time to change your mind. But it should give you time to make a plan and prepare.

If you are using medications such as Zyban or Chantix, these need to be started a week or two ahead of time.

Get rid of all cigarettes and smoking paraphernalia and stock up on oral substitutes such as sugarless gum, carrot sticks or hard candy. Set up a support group of family and friends to help you.

[SOURCE: American Cancer Society, “Setting a quit smoking date and making a plan,” last medical review February 2, 2014] SCOPE 3

quality Just a few of the many patient “Kudos” MGH&FC staff and departments receive Geraldine Bell, lab assistant, Laboratory – “I live in an apartment at Alpine Way. Geri comes in early in the morning to draw blood.

She does an excellent job and is very pleasant, friendly, and the procedure is completed before I’m aware. Thank you Geri.”

Culinary & Nutrition Services Department – “I love the CNS staff and the wonderful food and service they provided during my stay in MGH. Kudos to all of you.”

Diagnostic Imaging – “Thank you for being very professional, having good communication and smooth registration. Service was timely and they explained everything, including the low dose CT.” Tina Dlouhy, RN, The Birth Center – “My husband and I had a very wonderful experience having our baby at MGH. You made our stay easy and peaceful, and you are such a lovely nurse. Thank you so much!”

Marc Reiswig, MD, Emergency Department – “Thank you for the wonderful care and follow up phone call I received from you. I have been in other emergency departments before and have seen various physicians, but none that have ever called to check on me.

Thank you.”

MSP Department – “The MSP team is the nicest team at the hospital. They make me feel at home and they go out of their way to make everybody feel at home.”

Registration Services Department – “Thank you for making the entire registration process very smooth.”

Alex Shiffman, billing representative, Business Office – “Thank you for helping sort out my billing problems and getting me up-to-date. Your assurance that everything was fine helped me tremendously.”

MSP Staff – “The MSP has the best staff they’ve ever had. I appreciate all of you.”

Karen Visser, NA-C, PACU Department – “When I go in for my infusions you are very helpful and find answers for all my questions.

You are very, very helpful.”

Alford Vassall, MD, Mountain View Women’s Health – “My husband and I had a wonderful experience having our baby.

You made our experience wonderful and easy. I want to thank you so much.”

Emergency Department Staff – “Thanks to all of you in the ED that were there for me. What an amazing group of caring people!”

When there’s a

We deliver.

baby on the way...

The Birth Center at MGH provides a calming atmosphere of family-supported birth and your own, personalized Birth Plan. With your choice of pain control in labor – from epidural to natural birth, and high-tech assistance when needed – The Birth Center gives you the very best in care, with all the CMYK comforts of home.

Call The Birth Center at MGH, (360) 426-1611 to learn more, or visit us online at www.MasonGeneral.com.

The Birth Center – “The absolute best experience ever. I wouldn’t consider going anywhere else. The nursing team was beyond amazing. I had my baby in October and couldn’t be happier.

Thank you.”

MS linked to low vitamin D levels

A recent study found a “very strong relationship” between low

levels of vitamin D over a lifetime and an increased risk of multiple sclerosis. The authors called for studies to investigate whether vitamin D supplementation might reduce the risk in persons otherwise at high risk of MS. The study had no commercial funding.

Other studies have found that MS is generally less prevalent among people who live in tropical and sub-tropical areas and have more sun exposure.

[SOURCE: Megan Brooks, “Support for causal role of low vitamin D in MS,” Medscape Medical News, September 7, 2015 (PLOS Medicine, August 25, 2015; Christopher Luzzio, M.D., “Multiple sclerosis,” Medscape Medical Reference, updated August 13, 2015]

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MGH&FC Hospitalist Program created for patient-centered care For some time now, MGH&FC has cared

for its inpatients with a Hospitalist care team. This addition has helped to make patient care more centered, complete, and in-depth.

What is a Hospitalist?

see hospitalized patients who have been referred from community primary care physicians, emergency room doctors, or other physicians at the hospital.

Why is a Hospitalist caring for me?

have an appointment to see the Hospitalist again after discharge. You may contact the Hospitalist after discharge if you have any questions about your hospital stay. Your Allen Millard, primary care physician III, M.D. asks the Hospitalist to be in charge of your care while you are in the hospital, but is welcome to check on you and discuss your care with the Hospitalist any time during your hospital stay. When you are discharged, you will return to the care of your primary physician.

A Hospitalist is a physician who specializes Your own primary care physician may in the care of hospitalized patients and request that a Hospitalist be in charge of practices in the hospital, not in an office. your care during the hospital stay. In this They are doctors whose primary focus is way you have the benefit of being seen the general medical by a doctor whose practice care of hospitalized is entirely focused on the patients. Hospitalists care of hospitalized patients. help manage Additionally, this can enable patients through your primary care physician to What if I need another specialist the continuum of be more available to you in the while in the Hospital? hospital care by office, and less frequently away Douglas Michael Keep, overseeing their Consultations with other physicians are seeing patients in the hospital.

Dightman, M.D. M.D. surgical care, seeing necessary in some cases, and the Hospitalist What does the Hospitalist do? patients in the ER, following them into can arrange for these, as needed. If you The Hospitalist will be in charge of your care the critical care unit, and organizing have been seeing other doctors at MGH&FC and will see you every day to direct your post-acute care. or elsewhere, be sure to let your Hospitalist treatment while you are in the hospital. know to keep them informed for your Patient-First care This doctor is available to you and your hospital stay.

Hospitalists are available at MGH daily and family to answer questions and discuss your What if I don’t have a on weekends for patient or family concerns. care. The Hospitalist regular primary care Their diagnostic interpretations avoid delay works at the hospital physician? in medical decision-making. During your full-time to oversee inpatient stay, Hospitalists engage in prompt MGH&FC Hospitalists and your care and attend to communication with your primary care other hospital staff can assist any emergencies that physician to ensure your smooth transition in finding you a doctor to may arise. They may to follow-up care after hospital discharge. see after leaving the hospital. consult other doctors to Mark L. Payal K. Shah, The goal of the Hospitalist Program is to Records from your hospital participate in your care Schlauderaff, M.D. get patients healthy and back to their own stay can be sent to this as well. The Hospitalist M.D. doctors for follow-up care as quickly as physician. will make arrangements possible. for any prescriptions you may need when How to contact us you are discharged. You Hospitalist Practice If you would like to speak with one of the may be instructed to Hospitalists are doctors Hospitalists while you or a member of your make an appointment who devote their practice family is in the hospital, have them paged with your primary care to the care of hospitalized by the nurse whose care you/they physician or other doctors patients. MGH&FC are under. soon after discharge.

Hospitalists are boardSince most Hospitalists do certified in Internal Medicine Douglas F. not have an outpatient Thomas and Family Medicine, and Lindahl, D.O. Prieskorn, PA-C practice, you will not SCOPE 5

quality Olympic Physicians earns national recognition for patient-centered care NCQA Patient-Centered Medical Home™ standards emphasize enhanced care through patient-clinician partnership The National Committee for

Quality Assurance (NCQA) recently announced that MGH Olympic Physicians, a part of Mason General Hospital & Family of Clinics, has received NCQA PatientCentered Medical Home (PCMH) Recognition for using evidence-based, patientcentered processes that focus on highly coordinated care and long-term, participative relationships. All of the Olympic Physicians providers were recognized.

Mark L. Schlauderaff, M.D Board Certified, Internal Medicine

Rebecca Hendryx, M.D Board Certified, Family Medicine

Allen Millard, III, M.D Board Certified, Family Medicine

Rachel Reeg, M.D Board Certified, Internal Medicine

Lisa Dell, PA-C

KC Graham, PA-C

Katie Hackney, PA-C

Jennifer Nelson, ARNP

Olympic Physicians is known regionally as a clinic that places a strong emphasis on preventive care and maintaining health through annual wellness exams and testing.

Their newborn through senior care includes immunizations, treatment for minor injuries, family planning, diagnoses and treatment of common, acute and chronic health issues, and coordinating care between specialty physicians.

Olympic Physicians also offers guidance for weight loss, depression, and managing diabetes and other chronic conditions.

Olympic Physicians is a fullservice family health clinic that joined Mason General Hospital & Family of Clinics in 2013. Led by Mark L. Schlauderaff, M.D., board certified in internal medicine, and Pam Schlauderaff, MSM, the Olympic Physicians team includes Physicians Rebecca Hendryx, M.D., family medicine; Allen Millard, III, M.D., family medicine; Rachel Reeg, M.D., internal medicine; Physician Assistants Lisa Dell, Katie Hackney, and KC Graham; and Advanced Registered Nurse Practitioner Jennifer Nelson.

The NCQA Patient-Centered Medical Home™ is a model of primary care that combines teamwork and information technology to improve care, improve patient experience of care, and reduce costs. Medical homes foster ongoing partnerships between patients and their personal clinicians, instead of approaching care as the sum of episodic office visits. Each patient’s care is managed by physician-led teams that coordinate treatment across the health care system. Research shows that medical homes lead to higher quality and lower costs, and improve patient and provider reported experiences of care.

“Patient-first” care is a hallmark of Olympic Physicians, who put patients at the center of a physician-led team of health professionals delivering coordinated health care services. Prevention, education, and continuity of care through a closer patient/provider relationship define their award-winning patient-centered system of comprehensive care.

“NCQA Patient-Centered Medical Home™ Recognition raises the bar in defining high-quality care by emphasizing access, health information technology, and coordinated care focused on patients,” said NCQA President Margaret E. O’Kane. “Recognition shows that Olympic Physicians has the tools, systems, and resources to provide its patients with the right care at the right time.”

Flu becomes less frequent with age Upper respiratory infections occur frequently each winter but not

Flu carriers might not be sick If you’re coming down with the symptoms of the flu, you

all are the flu. And flu infections become less frequent with age.

One recent study found that children get the flu once every two years on average and older adults, only about twice a decade.

probably caught it yesterday from droplets floating in the air. In the meantime, you have probably had close contact with family members and exposed them to the same virus. The incubation period for the flu is one to four days.

[SOURCE: Reuters staff, “Adults only catch flu around twice a decade, study finds,” Reuters Health, March 5, 2015]

[SOURCE: Robert W. Derlet, M.D., “Influenza,” Medscape Medical Reference, updated January 5, 2015]

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MyMasonHealth Technology meets Patient-Centered Care The focus on ‘patient-centered’ care combines with the latest technology to provide a wonderful new tool that empowers patients to manage their own health care. MyMasonHealth puts your personal health record at your fingertips, with secure, online access to your medical records – from anywhere, 24-7!

Now you can access your medical records from home, work, on vacation – anywhere you have an internet connection.

MyMasonHealth lets you schedule or cancel your medical appointments, message your providers, review your visit summaries, manage your medications,

and even create and monitor your own personal fitness plan! Having immediate access to your medical and surgical histories, doctor’s reports and prescription medications helps you and your providers make informed decisions for your ongoing medical treatment. Once you register with MyMasonHealth, you have secure, online

MyMasonHealth puts all your health information in one, easy-to-use place that you can access anytime, anywhere you can get an internet connection. Cerner health information technology provides secure access to your medical information, partnering in the Mason Vision of patientcentered care.

access to your medical records, and full control of who can see, share or use them.

In addition to storing your electronic medical record (EMR), MyMasonHealth can be used as a ‘personal health record’ with health information that you exclusively collect and maintain yourself. With it you can govern your own fitness plan and self-manage health conditions such as diabetes or hypertension. By tracking and storing your blood pressure readings or blood glucose levels you can monitor your condition and share results with your providers. MyMasonHealth also helps you keep track of weight loss, and follow diet and exercise programs as you set and reach your goals of health and fitness.

A MyMasonHealth account is easy to set up. At your next Mason General Hospital or Clinic visit, ask to be sent an email invitation with links that will help you create a password for your account. After that you can access your medical and personal health records online any time at www.MyMasonHealth.org.

Visit MyMasonHealth.org for more information. For enrollment questions or general patient portal questions, please email patientportal@masongeneral.com. For technical questions, please call (877) 621-8014 between 8 a.m. and 8 p.m. EST, Monday - Friday (except holidays).

Parents of children under the age of 13 can enroll for access to their child’s EMR to manage their health care through the Hospital website’s MyMasonHealth portal, with the appropriate proxy granted. Parental access allows you to manage your child’s appointments, message their health care providers, keep track of their immunizations, allergies, medications, medical reports, and more. You can enroll for access to your child’s medical information at their next pediatric appointment.

SCOPE 7

ntasy Forest a f 5 1 0 2 C MGH&F

Fantasy Forest 2015

A Benefit for MGH&FC Thank you to our Sponsors!

Grand Gala & Live Auction

Gift Shop

Co-Sponsors

CellNetix Pathology & Laboratories

Heritage Bank Hiawatha Corporation

Program & Advertising Christmas Village

Fashion Show Luncheon Co-Sponsors

Columbia Bank Finninsula Foundation

Father-Daughter Dance Eric & Paula Moll

Wine Tasting

Dynamic Collectors, Inc.

Candy Cane Carnival Co-Sponsor

South Sound Radiology

Volunteer Village Co-Sponsor

Taylor Shellfish Farms

Celebration of Life Co-Sponsor

John L. Scott Foundation

Business Luncheon & Confections Auction Partnership

Alderbrook Resort & Spa

Co-Sponsor

Raffle

Hood Canal Communications Our Community Credit Union Masco Petroleum MaryAnne Munson Peninsula Credit Union

Forest Star

Bob & Melanie Appel Cameo Boutique & Wine Shop - Pam Hanson, Owner Denis & Adele Leverich Edward Jones Karen Schade Fir Lane Health & Rehabilitation Providence St. Peter Hospital Robert W. Johnson, PLLC Shelton Health & Rehabilitation Center Wittenberg CPA, PS

Event Underwriting Sponsor

Maple Glen Senior Living

Designer Decorated Trees

Little Creek Casino Resort

Thank You!

Please give our sponsors extra thanks by patronizing their businesses!

8  S C O P E

s e e r T e g r La

at alderbrook resort & Sp a

r f ou o l l to a u o y k Than

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s e e r T l l Sma

SCOPE  9

foundation

Please

use the enclosed envelope to make your tax-deductible donation to help support MGH&FC. To make a secured donation online go to www.MasonGeneral.com.

Fund-An-Item for 2015 Fantasy Forest – A Benefit for MGH&FC Grand Gala & Live Auction helped support MGH&FC’s glaucoma patients Mason General Hospital Foundation and the Fantasy Forest 2015 Steering Committee reached out to supporters during MGH&FC’s annual Fantasy Forest Grand Gala & Live Auction in November. This year the funds raised during the Fund-An-Item portion went towards the purchase of a new Ellex Tango SLT/ YAG Combination Laser for MGH&FC’s Eye Clinic.

Ellex Tango SLT/YAG Combination Laser

This piece of equipment will provide a new service to MGH Eye Clinic patients with glaucoma. The Selective Laser Trabeculoplasty (SLT) is an advanced, non-invasive, non-thermal laser therapy, which stimulates a natural healing response in the eye to manage the intraocular pressure associated with glaucoma. Funds needed for the purchase total $51,727.

MGH Foundation aims to fund 3D MRI and CT Technology for MGH&FC’s Diagnostic Imaging Department Through fundraising efforts during the 2015

Fantasy Forest event, Mason General Hospital Foundation aims to raise funds to go toward the purchase of the MRI/CT 3D Workstation for MGH&FC’s Diagnostic Imaging Department.

The 3D Workstation provides advanced imaging technology and brings the power of image processing found in larger institutions into our community. The 3D imaging workstation creates MRI/CT 3D Workstation precise anatomical visualizations of the human body and will also allow MGH&FC’s physicians to more easily facilitate diagnoses, treatment and planning, such as demonstrating complex fractures for orthopedic surgical planning. The introduction of the new 3D technology can also facilitate non-invasive surgical planning, and serve as easy-to-read visuals for patient education and communication.

This new technology also aids in diagnosing any vascular blockages and diagnosing strokes, including computer aided diagnosis (CAD), and lung nodule tracking for low-dose lung cancer screening. This new equipment includes software for cardiac, vascular, lung and body applications, such as virtual colonoscopy. The total cost of the 3D Workstation for MGH&FC is $186,305.

If you would like to make a 100% tax-deductible donation to help purchase one or both pieces of medical equipment for MGH&FC, please contact Jennifer Capps, Chief Development Officer, Mason General Hospital Foundation at (360) 427-3622, or mail in your donation (see enclosed envelope) to MGHF, P.O. Box 1668, Shelton, WA 98584. You can also make a gift online at www.MasonGeneral.com or with Visa or MasterCard. You have until midnight (postmarked) December 31, 2015 to receive a 100% tax deduction for 2015.

If you do not wish to receive future fundraising requests to support the Foundation, please email us at foundation@masongeneral.com. As an alternative, you may call our local number (360) 427-3623 or the toll free number (855) 880-3201 ext. 28084, and leave a message identifying yourself, stating you no longer want to receive fundraising requests. We will honor your request not to receive any Mason General Hospital Foundation fundraising communications from us after the date we receive your decision.

10 S C O P E

community Local Credit Union donates $10,000 for immediate community pool repairs Our Community Credit Union CEO Bert Fisher (left) presents a “check” for $10,000 to SPLASH Chair Jacquie MacAlevy, with MGH&FC CEO Eric Moll.

Our Community Credit Union (OCCU)

has helped SPLASH (Support & Preserve Lifelong Aquatic Safety & Health) to meet its funding goal with a contribution of $10,000 to go toward the immediate repairs required to keep the Shelton community pool open. Bert Fisher, CEO, OCCU, stated at the presentation, “OCCU is committed to supporting a safe environment where everyone in Mason County and surrounding areas can learn to swim and be comfortable in and around the water.

We would be irresponsible if we did not support SPLASH’s efforts to ensure that everyone has access to this important community resource. The Shelton Pool project and the outstanding efforts of SPLASH provide this opportunity. We are thrilled to be a part of the great work being done for the overall health and safety of our community. The Shelton community is surrounded by access to some of the most spectacular waters in the Pacific Northwest.

As good stewards of the community, OCCU feels an obligation and responsibility to the members of our community, especially our children, and the generations to follow.”

Working on a tight deadline to assure the completion of the repairs needed to maximize use of the pool by community members, students and local swim teams, SPLASH feverishly raised money to fund

the construction work needed to keep the pool in operation. The immediate repairs cost a total of $177,000. Working with the community, SPLASH has directly raised over $100,000. Additional grants and support from local and regional partners has contributed to raising the total amount needed to complete the current pool repairs. The generous and timely donation of $10,000 from OCCU made it possible for SPLASH to meet the pool’s funding needs for repairs that had to be completed by the September 25, 2015, deadline.

“Kudos to the members of the SPLASH board and to the numerous community members, businesses and organizations

who have stepped forward to raise the funds for the repairs needed to keep the pool open. The SPLASH Board members have done an amazing job in garnering community support and raising funds in a very short period of time, and are an awesome example of our community working together to accomplish great things,” said Eric Moll, CEO, MGH&FC. Joining Moll in praise was Bob Appel, former MGH&FC CEO and now Hospital District liaison to SPLASH, who added, “A cooperative and dynamic partnership has been forged between Mason General Hospital & Family of Clinics, the Shelton School District, and SPLASH to raise the immediate funds needed for the repairs to the pool that allow it to stay open.”

Each cigarette shortens life 11 minutes For every cigarette you smoke, your life

is shortened by 11 minutes, according to calculations of research fellows at the University of Bristol in England. By avoiding just one pack of 20 cigarettes you might gain enough time (three hours and 40 minutes) to view a long film, watch two football games or travel from London to Paris and visit a café.

[SOURCE: Mary Shaw, et al, “Time for a smoke? One cigarette reduces your life by 11 minutes,”

BMJ Letters, January, 2000]

How to research & compare plans for yourself and your family.

At MGH&FC, we want you to be well-covered. So before registering for a health plan, please contact Susana Lopez, project supervisor at MGH&FC, at (360) 432-7766, or email at slopez@masongeneral.com.

OPEN ENROLLMENT extended until January 31, 2016.

For more information go to: www.masongeneral.com & click on Healthplanfinder.

Washington Healthplanfinder A part of the Affordable Care Act S C O P E 11

giving MGH Foundation contributors memorialized Mason General Hospital Foundation would like to acknowledge former contributors. Listed below are supporters, now deceased, the Foundation would like to recognize for their past support of our mission and work in the community. Please join us in acknowledging their support of the Foundation during their lifetimes.

Alene R. Zamzow Alice Phythian Andrea Chavez Anita J. Ogden Arline E. Mead Bern L. Scoles Betty Whitmore Daryl F. Bugge Dean Hardie Don Reid Doris Cooper Doris Jones Elizabeth Hall

Erling H. Hansen Felix Massaia Ginny Briesmeister Harriet E. Smith Inez Fielis Jim McMahon Jim Rich Ken Reese Lula A. Cochran Mary Beth Morris Mike E. Petty Molly Clark Nancy K. Hausser

Olive Wentz Reggie P. Kelley Robert C. Esson Robert J. Kreitler Ruth D. Dowty Sally Waller Scott Seymore Shirley Stites Shirley Wildoner Teresa Makoviney William H. Sibley William Vanderwal

Honorary/Memorial contributions made to MGHF Mason General Hospital Foundation has received generous donations in honor and/or memory of the individuals listed below. Donors and honored/memorialized individuals listed in this report reflect contributions made to the Foundation between July 14 and November 12, 2015.

Mr. and Mrs. Gordan Keller In Memory of:­ Rikki Puetz Mr. W.R. Nasmyth In Honor of: Geraldine Bell Eugene H. Stidd In Memory of:­ Gwendolyn Stidd Bruce and Gina Munro In Memory of:­ Ruth D. Dowty

Edith B. Jaques In Memory of:­ Dr. Norman Jaques Patricia K. Orr In Memory of:­ Mary E. Dickinson Robert and Frances Soule In Memory of:­ Mary E. Dickinson Norma J. Gray In Memory of:­ Mary E. Dickinson

Please be advised that every effort has been made to ensure the integrity of this listing.

If we have inadvertently omitted any names, please accept our apologies and most sincere thanks for your generosity and continued support of Mason General Hospital Foundation.

12 S C O P E

Shelton Hospital Association supports MGH Emergency Department

Last spring the Shelton Hospital Association (SHA) made an allocation of $52,190 to MGH&FC that fully funded the purchase of a new ultrasound machine for MGH’s Emergency Department.

Nancy Kissner, SHA treasurer (center), presented the check to MGH&FC Board of Hospital Commissioners Nancy Trucksess (far left), Scott Hilburn, and Don Wilson.

Diabetic eye disease worse after years of poor blood sugar control Persons newly diagnosed with diabetes often have eye diseases such as

retinopathy. This is usually because they had several years of poor blood sugar control before being diagnosed. Children with type 1 diabetes usually do not get eye problems until they reach puberty; type 1 adults usually have diabetes five years or more before eye diseases show up.

Results from the large Diabetes Control and Complications Trial (DCCT) show that patients who maintain tight control of blood sugar have a 50 to 75 percent reduced risk of retinopathy and other diabetic complications.

[SOURCE: “Eye problems and diabetes,” WebMD Medical Reference, reviewed by Michael Dansinger, M.D., February 12, 2015]

Eye care guidelines for diabetics To prevent diabetic eye diseases, the American Diabetes Association

recommends the following eye care guidelines for diabetics: Type 1 diabetes: a dilated eye exam within three to five years of diagnosis and annual exams thereafter Type 2 diabetes: a dilated eye exam shortly after diagnosis and yearly exams thereafter More frequent exams for both type 1 and type 2 diabetics if early signs occur Women with a history of diabetes should have an eye exam prior to and during pregnancy

[SOURCE: “Eye problems and diabetes,” WebMD Medical Reference, last editorial review, May 12, 2012]

I ❤ TO VOLUNTEER

Want to Volunteer?

Every day, volunteers help Mason General Hospital & Family of Clinics with many tasks that are important to patient care.

Want to volunteer? Call (360) 427-3621, 901 Mountain View Dr., Shelton, WA 98584 Toll-free: (855) 880-3201, Allyn: (360) 275-8614 • Equal Opportunity Provider Translation Services Provided • Se habla Española

Wellness Visits

continued from page 2...

Height, weight, blood pressure, and other routine measurements.

Detection of any cognitive impairment.

Personalized health advice.

A list of risk factors and treatment options.

A screening schedule (like a checklist) for appropriate preventive services.

Get info about coverage for screenings, immunizations and other preventive services.

If you are interested in having the initial Welcome to Medicare visit or Annual Wellness Visits – please contact your local health care provider to schedule an appointment. Local Clinics offering the initial Welcome to Medicare visit or Annual Wellness Visit include: MGH Family Health (360) 426-3862; MGH Hoodsport Family Clinic (360) 432-7781; MGH Olympic Physicians (360) 426-2500; and MGH Shelton Family Medicine (360) 426-2653.

Source: Medicare.gov

Health care delivery

continued from page 3...

Mental health in the primary care setting Another example of transformation is the integration of mental health in the primary care setting. Rural markets are severely underserved by psychiatrists. With telepsychiatry, costs can be contained effectively while providing open access to these services. According to a study in the Journal of the American Medical Association, approximately 25 percent of primary care patients have one or more mental health conditions – mostly anxiety, depression, or substance abuse. A 2013 Wall Street Journal article noted a University of Washington study of 1,800 patients, which found that providing a year of integrated care cost at $600 per patient also saved an average of $4,000 in lower medical bills over the next four years. Through tele-psychiatry at Mason General Hospital & Family of Clinics, we have moved toward better integration of mental health. The psychiatrist has been able to manage complicated medications related to the mental health diagnosis, and the primary care physician is able to see the psychiatrist’s notes on a timely basis – integration that is extremely difficult to achieve when referring a patient outside our area. Complexity, uncertainty, change, unsustainability: words that have been consistently applied to the health care industry for years. Is our current environment truly different? I would suggest it is, but not for those words. It is different because of the need for transformation – to break free from incremental change to new care delivery paradigms.

classes & support groups “Living Well With Diabetes” class in February A two-day class in diabetes self-management.

When: Tuesday and Wednesday, February 2 &3, 2016 from 12:30 to 4:30 p.m.

Where: Pershing Meeting Room at MGH. Registration: Pre-requisite: diabetes education and advance registration is required by calling Sue Barwick, R.N., C.D.E., at (360) 426-1611, ext.

28940 (from Allyn (360) 275-8614, ext. 28940).

Note: There is a fee for this class, however, diabetes education is a covered service under most insurance plans.

First Aid/CPR/AED course in January, February, and March Class size is limited to 16 persons, and an early, non-refundable registration fee of $35 (exact cash or check) is required to cover the cost of books and materials. It is open to the entire community and a Spanish interpreter can be made available upon request. Comfortable clothing is recommended.

When: Thursday evening classes on January 14, February 11 or March 10 from 5 to 9 p.m.

Where: MGH&FC Learning Center, next to the Shelton McDonald’s on Olympic Highway North.

Registration: Advance registration is required no later than 10 days prior to the scheduled class by calling the Learning Center at (360) 427-3609.

Note: First Aid/CPR/AED classes are held on the 2nd Thursday of every month from September to June.

Cancer Support Group meetings this winter Mason General Hospital and Harmony Hill cosponsor a Cancer Support Group for anyone who has been affected by a cancer diagnosis, including caregivers. Sessions will be held on the 3rd Monday of each month, and will be facilitated

by Ronnie Hacken, MA, LMFT, a cancer retreat facilitator at Harmony Hill. The next Support Group meetings are scheduled for January 18, February 15, and March 21 from 6 to 7:30 p.m. in the Pershing Meeting Room at MGH. Please enter through the Main (south) Entrance. For more information, call Karry Trout, Patient Navigator, at (360) 432-7706.

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clases

hola

"Vivir bien con la diabetes" clase en febrero

El radón es un gran problema de la salud pública La exposición al radón, un gas que sube de

Dos días de clase sobre la autogestión de la diabetes.

Cuándo: martes y miércoles, el 2 y 3 de febrero, 2016 desde las 12:30 a las 4:30 de la tarde.

Dónde: Sala de Reunión Pershing en el HGM Registro: pre-requisito: la educación sobre la diabetes y también se requiere un registro avanzado por llamar a Sue Barwick, enfermera registrada y educadora certificada sobre la diabetes (R.N., C.D.E.), al (360) 426-1611, ext. 28940 (desde Allyn (360) 275-8614, ext. 28940).

Nota: Hay una cuota para esta clase, sin embargo, la educación sobre la diabetes es un servicio cubierto por la mayoría de los planes de seguro médico.

Primeros auxilios/RCP/DEA curso en enero, febrero y marzo Tamaño de la clase es limitado a 16 personas, y una cuota de inscripción no reembolsable de $35 en efectivo o en cheque (exacto) se necesita temprano para cubrir el costo de los libros y materiales. Está abierta a toda la comunidad y un intérprete de español puede estar disponible si se lo pide. Se recomienda llevar ropa cómoda.

Cuándo: las clases son los jueves por la tarde el 14 de enero, el 11 de febrero o el 10 de marzo desde las 5 a las 9 de la noche.

Dónde: HGM y CF Centro de Aprendizaje, junto al McDonald's en Olympic Highway Norte.

Registro: un registro avanzado se requiere a más tardar 10 días antes de la fecha prevista para el comienzo de las clases en el centro de aprendizaje por llamar al (360) 427-3609.

Nota: Las clases de los primeros auxilios/RCP/DEA se imparten en el 2º jueves de cada mes, desde septiembre hasta junio.

Las reuniones de GRUPOS DE APOYO PARA EL CÁNCER son este invierno El Hospital General de Mason y Harmonía Hill copatrocinan a un grupo de apoyo para el cáncer para cualquier persona que haya sido afectada por un diagnóstico de cáncer, incluso los cuidadores. Las sesiones se celebrarán en el tercer lunes de cada mes, y serán facilitadas por Ronnie Hacken, quien tiene un título de maestría de artes, y quien es terapeuta licenciada en familia y matrimonios (MA/LMFT), una facilitadora de retiros para cáncer en Harmony Hill. Las próximas reuniones del Grupo de Apoyo están programadas para el 18 de enero, el 15 de febrero y el 21 de marzo desde las 6 a las 7:30 de la noche en la Sala de Reunión Pershing en el HGM. Favor de entrar por la entrada principal (sur). Para más información llamar a la Navigadora de Pacientes Karry Trout al (360) 432-7706. a or ble Ah oni sp Di

la tierra y entra en las casas y los lugares de trabajo, mata a más estadounidenses que el manejar borracho, según la Agencia de Protección Ambiental. Es la causa principal de cáncer del pulmón en los no fumadores y es particularmente peligroso cuando se combina con fumar.

El Plan Federal de Acción Sobre Radón, anunciado en 2011, les anima a los americanos a que ordenen que se hagan pruebas en sus casas y, si es necesario, que se las traten para bajar los niveles de radón. Por ejemplo, el gobierno federal está probando todas las propiedades que se le pertenecen – incluso siete millón residencias.

[RECURSO: Nick Mulcahy, “Por Fin, más acción: los federales se dirigen al radón,” Medscape, 3 de enero, 2012]

Cada cigarrillo acorta la vida por 11 minutos Por cada cigarrillo que se fuma, su vida

se acorta por 11 minutos, según las calculaciones de los responsables de investigación en la Universidad de Bristol en Inglaterra. Por evitar solo un paquete de 20 cigarrillos se podría ganar suficiente tiempo (tres horas y 40 minutos) para ver una película larga, ver dos partidos de fútbol americano o viajar de Londres a Paris y visitar a un café.

[RECURSO: Mary Shaw, et al, “¿Tiempo para fumar? Un cigarrillo reduce su vida por 11 minutos,” BMJ Cartas, enero, 2000]

Accede a sus historiales por internet

Desde Cualquier Lugar

Haz Clic Aquí

con facilidad y conveniencia.

Para más información visite a MyMasonHealth.org. Para hacer preguntas acerca de la inscripción o para hacer preguntas generales con respecto al portal de pacientes, favor de enviar un correo electrónico al patientportal@masongeneral.com. Para hacer preguntas técnicas favor de llamar al (877) 621-8014 entre las 8 de la mañana y las 8 de la noche, Hora Estándar del Este, lunes - viernes (excepto las fiestas).

14 S C O P E

La enfermedad ocular diabética empeora después de años de mal control del azúcar sanguínea Las personas recién diagnosticadas

con la diabetes frecuentemente tienen enfermedades oculares tales como la retinopatía. Normalmente esto se debe a varios años de mal control de la azúcar sanguínea antes de que se les diagnostiquen. Los niños con la diabetes tipo 1 normalmente no desarrollan problemas oculares hasta que lleguen a la pubertad; los adultos con el tipo 1 normalmente tienen diabetes durante cinco años o más antes de que se les desarrollen las enfermedades oculares.

Los resultados de la gran Prueba de Control y Complicaciones de la Diabetes (DCCT) muestran que los pacientes que mantienen un control estricto de su azúcar sanguínea tienen un riesgo reducido por 50 a 75 por ciento de la retinopatía y otras complicaciones diabéticas.

[RECURSO: “Los problemas oculares y la diabetes,” WebMD Referencia Médica, revisada por Michael Dansinger, M.D., 12 de febrero, 2015]

Propósito del nuevo año – ponga una fecha para dejarlo, haga un plan No importa de cualquiera manera de cesar

que se use, es importante que se ponga una fecha específica para dejar al vicio.

Este podría ser un día especial tal como su cumpleaños o aniversario, la fecha del Great American Smokeout (un día para dejar de fumar en los Estados Unidos)...o simplemente un día aleatorio.

Esta fecha para dejarlo representa un compromiso fuerte y personal. La fecha no debería ser tan distante que tenga tiempo para cambiar de parecer. Pero si debería darle tiempo para hacer un plan y prepararse. Si usted está usando medicamentos tales como Zyban o Chantix, debería comenzar a tomarlos una semana o dos antes.

Deshágase de todos los cigarrillos y parafernalia de fumar y abastézcase con los substitutos orales, tales como el chicle sin azúcar, las barritas de zanahoria o caramelos.

Organice un grupo de apoyo de familiares y amigos para que le ayuden.

[RECURSO: Sociedad Americana del Cáncer, “Programar una fecha para dejar de fumar y hacer un plan,” última revista médica 2 de febrero, 2014]

Como investigar y comparar los planes para usted y su familia.

En MGH&FC, queremos que usted tenga suficiente cobertura. Así que antes de registrase para un plan de salud, favor de comunicarse con Susana Lopez, Patient Accounts Office, al (360) 432-7766.

La inscripción está abierta hasta el 31 de enero del 2016 Para más información visite a: www.masongeneral.com y haga clic en Healthplanfinder.

Washington Healthplanfinder Parte del Plan de Seguro Médico Asequible

La EM se vincula con niveles bajos de la Vitamina D Un estudio reciente encontró una

“relación my fuerte” entre los niveles bajos de la vitamina D sobre una vida y un riesgo elevado de la EM. Los autores pidieron estudios para investigar que si los suplementos de la vitamina D podrían disminuir el riesgo en personas que de otra manera tendrían un riesgo alto de desarrollar la EM. El estudio no tenía ningún financiamiento comercial.

Otros estudios han encontrado que la esclerosis múltiple normalmente es menos prevalente entre las personas que viven en las áreas tropicales y subtropicales y que tienen más exposición al sol.

[RECURSO: “Apoyo para ele rol causal de bajos niveles de lat vitamina D en la EM”, Noticias Médicas Medscape, 7 de septiembre, 2015 (PLOS Medicine, 25 de Agosto, 2015; Christopher Luzzio, M.D., “Esclerosis Múltiple,” Referencia Médica Medscape, actualizado el 13 de Agosto, 2015]

Pautas para el cuidado de los ojos para los diabéticos Para prevenir la enfermedad ocular diabética, la Asociación Americana de la Diabetes recomienda las siguientes pautas para los diabéticos acerca del cuidado de los ojos:

La diabetes tipo 1: un examen con los ojos dilatados dentro de tres a cinco años desde la diagnosis y exámenes anuales a partir de entonces en adelante.

La diabetes tipo 2: un examen con los ojos dilatados poco después de la diagnosis y exámenes anuales a partir de entonces en adelante Más exámenes frecuentes para ambos tipos 1 y 2 si indicaciones tempranas ocurren.

Las mujeres con una historia de diabetes deben tener un examen ocular antes de y durante el embarazo.

[RECURSO: “Los problemas oculares y la diabetes,” MedicineNet.com, WebMD Referencia Médica, última revisión editorial, 12 de mayo, 2012] S C O P E 15

CMYK

ECRWSS POSTAL CUSTOMER

Hoodsport 119 Lake Cushman Rd

11

N

10 A Emergency Entrance B Main Entrance 1 MGH Mountain View Women’s Health 2 MGH Eye Clinic

3 MGH Shelton Orthopedics 4 MGH Walk-In Clinic 5 MGH Shelton Family Medicine 6 MGH Ankle & Foot 7 MGH Family Health

101

lton

Published by: Mason General Hospital & Family of Clinics. Published four times per year.

Editor: McCarty & Associates, Inc. “a marketing firm”.

Business Office: Office hours: 8 a.m. – 5:30 p.m., Monday – Friday. Spanish Translator Available.

Located at Gateway Center, 2505 Olympic Hwy N., Suite 460, (360) 427-9547 Mason General Hospital: Visiting hours: 8 a.m. – 8:30 p.m., daily. Intensive Care Unit (ICU) visiting CMYK special hours on a patient-by-patient basis, call for Unit hours. Located at: 901 Mtn. View Drive, hours: PO Box 1668, Shelton, WA 98584-5001, (360) 426-1611, from Allyn (360) 275-8614, Toll free (855) 880-3201, TTY/TDD (360) 427-9593. Serving the medical needs of Mason County since 1968. Accredited by The Joint Commission. Translation Services Provided. Se habla español. Equal Opportunity Provider.

Administration: Eric Moll, chief executive officer; Micheal Keep, M.D., chief of staff; Nancy Trucksess, commissioner/president; Scott Hilburn and Don Wilson, commissioners.

Shelton

< < < < < < < < < < < << < < < < < < < < <

The Mason Vision: We put patients first. We provide quality medical care to assist the individuals of our community to restore and preserve their health. We conserve patient and community resources through a sustainable, financially viable, coordinated system of health care delivery.

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901 Mountain View Drive Shelton, WA 98584

NONPROFIT ORG U S POSTAGE PAID APEX MAILING SERVICES INC

8 MGH Surgery Clinic 9 MGH Olympic Physicians 10 MGH Oakland Bay Pediatrics 11 MGH Hoodsport Family Clinic

Surgery Close to Home OB/Gynecological • Orthopedic • Podiatric • Eye • General Surgery MGH Shelton Orthopedics

MGH Mountain View Women’s Health (360) 426-0955

(360) 427-0663

MGH Ankle & Foot (360) 427-0366

Stephen Ou, D.O.

Alford N. Vassall, Jr., M.D. Board Certified OB/GYN

Mercedes Goebel, M.D. Board Certified OB/GYN

MGH Eye Clinic (360) 426-8717 CMYK

Board Certified Orthopedic Surgery

Michael Henry, M.D. Board Eligible Orthopedic Surgery

John V. Rice, D.P.M., F.A.C.F.A.S.

James A. Wright, D.P.M., F.A.C.F.A.S.

Board Certified Podiatric Surgery Board Certified Podiatric Surgery

MGH Surgery Clinic

(360) 426-4142

Monica Vuong, M.D. Board Certified Ophthalmology

William D. Neal, M.D., F.A.C.S. Board Certified General Surgery

16 S C O P E

John Clayton, D.O. Board Certified General Surgery