Screening Surgery Patients for Cannabis Use News & Events from Around the Region
Supporting Survivors at Sanford Oncologist Shelby Terstriep, MD
NOVEMBER
THE SOUTH DAKOTA REGION’S PREMIER PUBLICATION FOR HEALTHCARE PROFESSIONALS
NOVEMBER
Are In-Person Conferences Still Relevant?
VOL. 14 NO. 7
2023
Mobility matters. Rehab therapy can help. Completing the tasks of everyday life can be overwhelming after an illness or injury. Our rehabilitation therapy team at the Good Samaritan Society provides individualized support during every phase of your patient’s recovery. When your patient is facing physical challenges or needs help with speech, language or swallowing, we’ll help them heal faster so they can get back to living.
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We’re shining brightly—now as
The story of Children’s Hospital & Medical Center has always been defined by light. Since 1948, we’ve stood as a glowing ray of hope for kids and families searching for a healthier tomorrow. And so, as a new day breaks, we continue to deliver exceptional care for every child—only now, under a different name. We are Children’s Nebraska. A new name with the same purpose: supporting the light within every child. Providing everything from routine checkups to lifesaving procedures. All while advancing the art and science of pediatric care. Today, tomorrow and far into the future. See the whole story at ChildrensNebraska.org/Shine
CONTENTS
VOLUME 14, NO. 7 ■ N OV E M B E R 2 02 3
FROM US TO YOU PAGE 6 | This Month Online SDAHO puts out a call for nurse leaders, a preview of MED's first 'Ask An Expert' column (and how you can participate), and how USD will use a $1 million grant to address the shortage of mental health professionals PAGE 11 | IN-PERSON HEALTHCARE CONFERENCES: Are They Still Relevant? As we make the rounds of area healthcare conferences, we asked several of the organizers what it is like to host an in-person conference in the post-pandemic era.
ON THE COVER
Supporting Survivors at Sanford
Oncologist Shelby Terstriep, MD ■ By Alex Strauss
In this month’s cover feature, Shelby Terstriep, MD, medical director of the Sanford Health Survivorship Program, shares how the program has evolved to meet the unique —and sometimes overlooked— needs of cancer patients during and beyond treatment.
PAGE
8
PAGE 12 | NEWS & NOTES Monument opens a news cancer center, two Sanford clinics add 3D mammography, Siouxland providers earn recognition, Prairie Lakes welcomes a new CIO, and more PAGE 22 | SURGERY AND CANNABIS: Should You Screen All Patients Before Surgery? ■ By Eric Zacharias, MD
As cannabis use becomes more common, here's what you should know about its impacts on physiology
Vice President Sales & Marketing STEFFANIE LISTON-HOLTROP Editor in Chief / ALEX STRAUSS Staff Writer / KIM LEE Magazine Design/ ANGELA CORBO GIER Client Relationship Manager / BARBIE MUNOZ Digital Media Director / HYA AMURAO
November issue of MED, the region’s foremost publication for healthcare professionals in South Dakota and surrounding states. Want access to this publication in its digital format, too? Enjoy ‘turnable’ pages and clickable links on any device! Visit the MED website (below) to get on the list. (Plus, we’ll keep you updated between issues with a bi-monthly digital newsletter!) This month, we are delighted to shine the spotlight on a cancer program whose goal is to help patients focus less on their cancer and more on their lives. We know you will enjoy meeting medical director Dr. Shelby Terstriep of the Sanford Survivorship Program. Also in this issue, we bring you ‘sneak peeks’ of exclusive online content, advice on screening for cannabis use, and a comprehensive wrap-up of all the latest healthcare headlines from across the region. Let us know what’s happening in YOUR neck of the woods. Send your news and announcements to us any time! We are grateful for your continued readership and support! —Alex & Steff
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NEW! Monthly Ask An Expert Online Column Company: KT Connections Featured Expert: Rodd Ahrenstorff, vCIO In our inaugural Ask An Expert column, KT Connections’ vCIO Rodd Ahrenstorff explains:
• what a managed service provider can do for your business • what kinds of companies are good candidates for managed IT services • how to know if your business is too small for managed IT services • the vital importance of shoring up your cybersecurity • how to know if your managed service provider is benefitting your business Each month, we’ll invite a new panel of experts to share their knowledge. You can read Rodd’s full column and find out how you or your company can be a part of MED’s monthly Ask An Expert panel on our website
Nebraska, North Dakota, and (Coming Soon) Iowa News Did you know that MED covers healthcare-related news from Nebraska and North Dakota, too? With dedicated segments on our website, we make it easy to see what’s happening in surrounding states, while still getting all the South Dakota healthcare news you count on. In 2024, we’ll expand our reach further into Iowa! If you haven’t visited in a while, come take a look around the site (and be sure to claim your free digital subscription to MED while you’re there!)
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SOCIAL WORK FUNDED OVER $1 MILLION TO ADDRESS SHORTAGE of MENTAL HEALTH PROFESSIONALS
T
he University of South Dakota Department of Social Work’s Kelly Bass, PhD, has been funded $1.06 million to address the need for more mental health professionals in high-need and underserved areas of South Dakota. The $1,059,994 grant from the Health Resources and Services Administration (HRSA), an agency of the US.Department of Health and Human Services, will be administered over the next two years. Bass, Ph.D., Department of Social Work chair, will serve as the principal investigator on the project. He and his colleagues will work to recruit and retain behavioral health providers in rural and underserved communities, specifically addressing the behavioral health needs of children, adolescents and youth aged 16-25.
Read the full story and learn more about the critical need for this project now on our website.
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NOVEMBER
7
Oncologist Shelby Terstriep MD
SUPPORTING SURVIVORS AT SANFORD
“ You’re a survivor from the moment you’re diagnosed.” IT’S A MANTRA THAT IS REPEATED OVER AND OVER AGAIN among BY ALEX STRAUSS
cancer care providers at Sanford. But, although Sanford has long offered the gamut of cancer treatment options, they have not always put the emphasis on survivorship that they do today. “The concept of survivorship kind of birthed while I was in training in the early 2000s,” says Dr. Shelby Terstriep, a Fargo-based medical oncologist who started Sanford’s first Cancer Survivorship program in 2006. As a part of Mayo Clinic’s innovation lab, Terstriep had observed first-hand what a small percentage of a cancer patient’s life was devoted to treatment. “I became passionate about, if we can save their life, how do we impact the rest of it?,” she says.
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From the beginning, Terstriep says survivorship programs shared much in common with palliative care, most notably the emphasis on quality of life, through treatment and beyond. “I think the improved cancer survival rates we are seeing now helped bring this to the forefront,” says Terstriep, who has continued to serve as medical direc-
“ Having a program with so many different branches gives us the opportunity to say ‘You’re not cancer. You are a person who has cancer. We know that it is only one part of who you are.’”
tor of the Survivorship Program through its ongoing evolution. “Many more people are now living with a history of cancer. And many people with cancer are also living longer. It’s a great thing but it does mean that we have had to take a closer look at how we are supporting those survivors,” she says.
The Right Resources at The Right Time In simple terms, the Sanford Health Cancer Survivorship Program encompasses everything a cancer survivor might need to live their best life, outside of the treatment itself.
Evolution of Survivorship Care
But, because cancer survivors are such a diverse
The Cancer Survivorship program started small with
group, these needs can vary widely. They may range
some grant money from what is now the Sanford Health
from things like emotional support with diagnosis and
Foundation. “Early on it was about the low-hanging fruit,”
treatment, to minimizing treatment side effects, to
says Dr. Terstriep. “We were asking ‘How do we get pro-
coping with social and financial concerns, to reducing
viders thinking about this?’. There was a lot of shared
the risk for recurrence, to very specific issues such as
learning in those early days.”
preserving fertility after cancer or talking to children about it.
Today, survivorship care is not only about education, but also strategic programs to help with specific aspects
“Their needs tend to change a lot over the years
of life during and after cancer. A $1.8 million grant from
after diagnosis, as well,” says Dr. Terstriep. “In the
the CDC in 2019 has enabled the program to expand its
beginning, we are helping them deal with the uncer-
offerings in four areas patients have said they wanted:
tainty and handling the fear of cancer coming back. Five years later, they may start to be more concerned about things like how to reduce the risk for their children or how to reduce their own risk of getting other cancers.” At any point in their cancer journey, a patient can request a survivorship appointment with a nurse navigator who can help them connect with the right resources, whether it’s a support group, a financial advisor, a nutritionist, or something else. Regular focus groups help ensure that the program continues to address the evolving needs of patients, survivors, and families. The oncofertility program, which addresses fertility concerns and preservation from the start of a patient’s treatment, was a direct result of feedback from cancer survivors.
• Stress reduction, including the integration of more non-medical coping tools like mindfulness, acupressure, and biofeedback • Support for the children of cancer survivors, including a program designed to help reduce secondary trauma to young children and empowering families to talk openly about cancer • Improved care equity for groups such as Native Americans and the LGBTQ community to ensure that no patients fall through the gaps by failing to get their followup screenings • Financial “toxicity”- the idea that the financial fallout from cancer treatment can be as toxic as the drugs used to fight it - and bringing on counselors to connect patients with financial programs and other resources
NOVEMBER
9
“ I think the improved cancer survival rates we are seeing now helped bring this to the forefront.”
Andrea Mell
Megan Rogers
On the Front Lines Andrea Mell and Megan Rogers are nurse navigators who help guide patients and survivors through Sanford’s range of resources. They and other navigators provide education, coordinate appointments, and maintain constant contact throughout the treatment process, watching for barriers to compliance, and connecting patients with the support they need, when they need it. “It brings me back to the reason I became a nurse,” says Mell, a Breast Cancer Nurse Navigator who is the first point of contact for newlydiagnosed breast cancer patients. “We know it’s not going to be easy, but we want them to be able to go through the hardest time in their lives as easily as possible. These programs really support the whole person.” “It can be easy to focus just on curing the disease,” adds Rogers, a
10
Survivorship and Oncofertility Nurse
community members can support
Navigator. “But having a program
individual patients financially or
with so many different branches
through acts of service. Terstriep
gives us the opportunity to say
says many patients share requests
‘You’re not cancer. You are a person
like a ride for their children, home-
who has cancer. We know that it is
made meals, a place to stay during
only one part of who you are.’ It
out-of-town radiation treatment, or
strengthens our ability to form a rela-
just someone to walk the dog. And
tionship with patients because they
the needs don’t always stop when
feel that they are not alone.”
treatment ends.
Meeting Needs Beyond the Survivorship Program
care, we may not recognize all of the
“Oftentimes, even in primary lifelong things that patients deal with after cancer,” says Dr. Terstriep, who reminds primary care providers that cancer survivors can still get
As much as Terstriep and her
help from the program even after
colleagues would like for the Survi-
they are no longer seeing an
vorship Program to meet the needs
oncologist.
of every patient in every situation,
“Survivorship is life long,” she
they know it’s not possible. To help
says. “We really need to look at the
fill some of gaps they could not even
whole picture and the whole person
anticipate, Sanford has recently
to have the best outcomes. If we look
“It brings me back to the reason I became a nurse.” partnered with a technology plat-
at the person from a whole person
form called “We’re In This Together”
perspective, we can feel really good
or WIIT.
about what we do in healthcare.”
“WIIT sort of takes the concept
“Our goal is to minimize the long
of a wedding registry and combines
term effects of cancer so they don’t
it with the GoFundMe concept,”
have to carry that cancer with them
explains Terstriep. “It allows patients
for years to come,” says Rogers. “So
to share specific things they need
that when they look back, their
when they are going through
cancer diagnosis isn’t something that
treatment.”
is going to shadow them for their
Through the WIIT reg istr y,
whole life.” ❖
MidwestMedicalEdition.com
IN-PERSON HEALTHCARE CONFERENCES
Are They Still Relevant?
A
UTU M N IS AN E SPECIALLY busy season for healthcare meetings and conferences around the region. Like many of you, we here at MED are
grateful for the chance to interact face-to-face with other people again. And it made us wonder how —or if— the experience of organizing and hosting these kinds of events has changed in
MED's Steffanie Holtrop with Monument Health President & CEO Paulette Davidson at the SDAHO convention in Sioux Falls.
recent years. We reached out to the organizers of two of the most recent events we sponsored and attended, the South Dakota Association of Healthcare Organizations annual convention in September and the North Dakota Hospital Association annual convention in October, to find out. “Overall we had about the same number attend if not a little bit more than last year,” says Michella
conferences - even shorter ones - still play a critical support role in healthcare.
Sybesma, VP of Education & Communication at
“Even though Zoom meetings are convenient,
SDAHO. “But we had many more exhibitors and
I feel people may be burned out on them and want
sponsors than in the past, which was awesome to
the social interaction of an in-person meeting,”
see. Having more sponsors helped to offset the
says Cook.
fact that we also reduced the registration fee this year.”
“Bringing our members together in one place is one of the main reasons we exist,” adds Sybesma.
Pam Cook, Director of Educational Services at
“At a time when there are so many things going
the North Dakota Hospital Association, reports a
on in healthcare, it’s so important to have that
similar experience. Although attendance at NDHA’s
camaraderie and have that unified voice. That’s
spring leadership conferences was down, it was a
why it is so vital to have that connection.” ❖
banner year for the fall convention. “We had probably the best attendance since 2016 with over 100 participants and 42 exhibitors,” says Cook. Both organizations say they have made an effort to pack more information and education into a shorter time frame to maximize impact, reduce lodging costs, and make travel easier for participants - especially for those who have to travel several hours. “As a meeting planner, it is my responsibility to make sure time isn’t wasted when our members are away from their hospitals for multiple days,” says Cook. In recent years, SDAHO has shortened the length of its convention, which now starts on a Thursday morning and wraps up by noon on Friday. But both Sybesma and Cook say that in-person
Midwest Medical Edition
NOVEMBER
Holtrop and partner Alex Strauss at the North Dakota Hospital Association convention in Fargo.
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NEWS & NOTES
Happenings around the region
News & Notes South Dakota | Southwest Minnesota | Northwest Iowa | Northeast Nebraska
AVERA JAMES “JIM” DOVER James “Jim” Dover is the new President and CEO of Avera Health. Dover received his bachelor’s degree in bacteriology from the University of Idaho and his master’s degree in hospital administration from the University of Minnesota and is a Fellow of the American College of Healthcare Executives. He joins Avera following Bob Sutton’s resignation early this summer due to a serious health issue. Dover will be Avera’s third President and CEO. His first day with Avera is October 23.
SHANTEL KREBS Shantel Krebs has been named Regional President and CEO of Avera St. Mary’s Hospital in Pierre. As top executive in the Avera St. Mary’s region, she will be responsible to provide leadership, direction and administration across all aspects of care delivery within the region. She will also serve as a member of the Avera senior leadership team.
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AMY ELLIOT Avera Research Institute has been awarded federal grant funding that will total up to $58 million over seven years to conduct research to benefit the health of mothers and children, especially those in American Indian and rural communities. “The complex part is reaching all of our different populations, as we never want anyone’s ZIP code to determine their maternal or pediatric health,” said Amy Elliott, PhD, Chief Clinical Research Officer at Avera Research Institute. Clinician-to-clinician telemedicine provider Avel eCare recently acquired Fident Health, a Texas-based virtual hospitalist provider. Earlier this year, Avel eCare announced the acquisition of Nightwatch, a provider of remote pharmacy services to hospitals, clinics and nursing homes throughout the Midwest and mid-Atlantic region.
Avera Health and Owens & Minor, Inc. have announced plans for a 330,000 square foot commercial building for supply distribution and other integrated services at Foundation Park in north Sioux Falls. Owens & Minor is Avera’s primary distributor of essential medical/surgical supplies and is expanding its presence in the region. The Integrated Service Center will be a hub to service Avera and other healthcare organizations in the region. Opening is planned for Spring 2025.
MONUMENT LUIS HERNANDEZ Monument Health Heart and Vascular Institute is extending its cardiac services to include treatment for advanced heart failure. This includes a partnership with the University of Minnesota, a leader in cardiovascular care. Luis Hernandez, MD, FACC, recently completed an Advanced Heart Failure and Transplant Cardiology fellowship at the Cleveland Clinic, and has been named Monument Health Service Line Lead for Heart Failure. Breanna Connett, DO, board-certified general surgeon, and Marcus Tjeerdsma, MD, board-certified general surgeon, joined Monument Health’s General Surgery team in September. Both are trained in the da Vinci Robotic Surgical Assist System. Their addition expands Monument’s ability to provide the most advanced minimally invasive, general surgery services to the region.
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Monument Health Rapid City Market has attained Magnet designation from the American Nurses Credentialing Center. Magnet designation is the highest recognition for nursing excellence and quality patient care in the United States. Earning the designation can take up to four years and involves collecting and submitting extensive data and documentation that demonstrate a commitment to excellence in nursing.
Monument Health Supply Chain has received the Curvo Customer Excellence Award for achievements in sourcing performance. Curvo Vice President of Customer Experience, Joe Jackson, presented the award on October 3 to Brad Haupt, Vice President of Supply Chain, and Dr. Deepak Manmohan Goyal, Executive Medical Director.
Monument Health Rapid City Hospital has received the American Heart Association’s Get With The Guidelines– AFib GOLD quality achievement award for its commitment to managing atrial fibrillation, ultimately helping to reduce stroke risk. In 2022, Rapid City Hospital was recognized with the Silver Award, the highest possible award an organization can receive in its first year of participation and has now upgraded to the GOLD recognition.
The Department of Veterans Affairs has announced Sanford Health is among 13 community healthcare systems that have pledged to share data to improve the Veteran experience regardless of where Veterans receive their healthcare — inside or outside of VA. Sanford has also been recognized by Military Times for being one of the best employers across the country for veterans.
SANFORD
Becker’s Hospital Review has named Sanford Health’s Erica DeBoer to the 2023 edition of its “Hospital and health system chief nursing officers to know” list. DeBoer helped lead an expansion of workforce development programs and has been instrumental in system wide initiatives for leveraging technology, AI, and automation to address nursing workforce shortages.
The Sanford Cancer Center and the Edith Sanford Breast Center have been designated as an American College of Surgeons Surgical Quality Partner. This distinction is given to institutions dedicated to maintaining the highest standards in surgical care. Sanford Health is accredited by the National Accreditation from the ACS’s Commission on Cancer and the ACS’s National Accreditation Program for Breast Cancer.
ERICA DEBOER
Sanford Health has earned gold recognition from the American Medical Association as a ‘Joy in Medicine’ recognized organization. The distinction is granted to organizations that demonstrate a commitment to preserving the well-being of clinical care team members by combatting work-related stress and burnout.
KRISTEN WESTENFIELD Internist Kristen Westenfield, MD, has joined the Sanford Health Watertown Clinic. Dr. Westenfield received her medical degree from the University of Minnesota and completed her internal medicine residency at Abbott Northwestern in Minneapolis. She specializes in the management of acute and chronic conditions in adults as well as preventative medicine. Physicians, caregivers and patients recently celebrated the official completion of the Cancer Care Institute expansion and renovation with an official ribbon cutting. The expanded Cancer Care Institute has more than doubled the space available to treat the growing need for cancer care in the Midwest. The 70,000-square-foot, two-story project began in 2021.
Midwest Medical Edition
NOVEMBER
13
• Happenings around the region
News & Notes
NEWS & NOTES
Happenings around the region TWO SANFORD RESEARCHERS HAVE RECENTLY RECEIVED SIGNIFICANT GRANTS FROM THE NIH:
ABDELHALIM LOUKIL Abdelhalim Loukil and his lab will use their $2 million 5-year grant to investigate the molecular processes that modulate primary cilia dynamics and neural signaling. Cilia dysfunction causes a broad range of developmental disorders in humans, commonly known as ciliopathies.
An evening of philanthropy in Sioux Falls recently raised more than $1 million for local children and their families who receive care at Sanford Children’s. The Sanford Health Foundation reignited The Children’s Gala in October for the first time in 10 years, bringing together donors and community members to help launch a new era of care for patients. Gifts from donors are used to help families with meals, mileage, lodging and other costs not covered by insurance.
AIMEE MIDDLETON Aimee Middleton, vice president of operations for the Good Samaritan Society, was part of a panel on long-term care workforce challenges with other industry leaders at the 2023 American Health Care Association/National Center for Assisted Living Convention and Expo in Denver in early October. With the proposed minimum staffing standards for skilled nursing facilities from CMS, Middleton will share what’s at stake for seniors and their loved ones and how the Society is prioritizing its workforce. Sanford Luverne and Sanford Vermillion have added new 3D mammogram capabilities for early breast cancer detection. Low-dose 3D mammography captures multiple high-quality images at different angles, allowing physicians to detect breast cancer at its smallest and most treatable stage. Funding for the new technology in Luverne came from the Sanford Foundation and in Vermillion from the Dakota Hospital Foundation.
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LOUIS JAN “LJ” PILAZ Louis Jan “LJ” Pilaz and his lab will use a $2 million 5-year grant to investigate the cellular and molecular mechanisms regulating the production of neurons in prenatal brain development. The lab will use the grant to research a gene mutation that causes macrocephaly. Sanford USD Medical Center has cleared the final hurdle to be verified a Level I Adult Trauma Center by the American College of Surgeons. A Level I trauma center is required to have a certain number of surgeons and anesthesiologists, specialists, and other services on duty 24/7. This achievement makes Sanford Health the only healthcare system in South Dakota with a Level I Adult Trauma Center. Sanford Center for Digestive Health recently received accreditation from the Accreditation Council for Graduate Medical Education as a gastroenterology fellowship program, the only program of its kind in the Dakotas. Jeffrey Murray, M.D., a gastroenterologist at Sanford Health, will oversee the fellowship curriculum, clinical learning experiences, faculty development and supervision of gastroenterology fellows.
Sanford Health hosted the second annual Summit on the Future of Rural Health Care in Sioux Falls in mid-October. The event featured candid, wide-ranging conversations focused on creating a more resilient, sustainable rural healthcare workforce. Jesse Ehrenfeld, MD, president of the American Medical Association and Mark Parkinson, president and CEO of the American Health Care Association, were among the Speakers.
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Working Hand in Hand: The Value of Community Health Workers (CHWs)
Earn 2 FREE CMEs Access the free, self-paced South Dakota Community Health Worker (CHW) Planning and Sustainability Toolkit to learn more! Upon completion of the toolkit, you will receive 2 FREE CMEs*.
www.chwsd.org/chw-toolkits/
The South Dakota Community Health Worker (CHW) Planning and Sustainability Toolkit provides information, resources, and frameworks to help you work effectively with CHWs. For more information about CHWs in SD and to learn more about the Community Health Worker Collaborative of South Dakota (CHWSD), visit www.chwsd.org.
Midwest Medical Edition
NOVEMBER
*In support of improving patient care, this activity has been planned and implemented by Avera, Community Health Worker Collaborative of South Dakota, Sage Project Consultants, LLC. Avera is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
www.CHWSD.org
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• Happenings around the region
News & Notes
NEWS & NOTES
Happenings around the region
Sanford Children’s Aberdeen CHILD Services, which offers complimentary safety and prevention services to families, has moved to the Sanford Aberdeen Medical Center on 3rd. Avenue. CHILD Services supports the development, health and safety of children in eastern South Dakota and Sanford says this new location offers additional convenience.
SIOUXLAND Six MercyOne employees from across the state of Iowa were recognized as “ Hospital Heroes” by the Iowa Hospital Association at its Annual Meeting in October. The Iowa Hospital Heroes Awards recognize outstanding hospital employees who go above and beyond the call of duty with no expectation of award or recognition. MercyOne Siouxland Medical Center has renewed its certification as a Level II Trauma Center. To achieve certification, MercyOne met standard-ofcare criteria outlined by the American College of Surgeons’ Committee on Trauma’s current Resources for Optimal Care of the Injured Patient manual. It’s the only hospital within a 100-mile radius of Sioux City to achieve the distinction and one of only four in Iowa. MercyOne Central Iowa has been awarded over $144,000 from Variety – the Children’s Charity. A $116,275 grant was awarded to the MercyOne Children’s Hospital to purchase three GE Panda infant warmers
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and to renovate three labor and delivery suites to accommodate the warmers. An $8,895 grant was awarded to MercyOne House of Mercy which will provide new ADA accessible picnic tables at their outdoor playground.
HIJINIO CARREON MercyOne Chief Medical Executive Hijinio Carreon, DO, is one of 130 “chief medical officers of hospitals and health systems to know” in 2023, as selected by Becker’s Hospital Review. Dr. Carreon earned his DO at Des Moines University – Osteopathic Medical Center and began his career with MercyOne in 2007 at MercyOne Des Moines Medical Center. He served as Chief Medical Officer of MercyOne’s Central Iowa region before being appointed chief medical executive and senior vice president of the health system in 2021.
CRAIG NEMECHEK Craig Nemechek, MD, a boardcertified general surgery specialist at CNOS in Dakota Dunes, is this year’s recipient of the Dr. George G. Spellman Annual Service Award from MercyOne. He received his medical degree from the University of Nebraska Medical Center and has been with the CNOS clinic since 2011. He has served as medical director of MercyOne Siouxland Medical Center’s trauma center and as a hospital board member.
UnityPoint Health–Sioux City welcomed nine new providers between July and October. These new providers are working at a variety of locations in Siouxland. They include:
UNITYPOINT HEALTH – ST. LUKE’S Daniel Wei, MD, emergency medicine Pritee Taxac, MD, radiology Jeff Sykes, MD, cardiology
UNITYPOINT CLINIC
Maggie Bisgard, ARNP, urgent care Matthew Gawart, MD, general surgery Ben Pottebaum, DO, gastroenterology Joe-Ann Lourens, MD, pediatrics Kevin Ree, DO, family medicine
SIOUXLAND PACE Kylee Lefebvre, FNP-C, family medicine
JANE ARNOLD Jane Arnold, MSA, MA, OTR/L, CMPE, is the new Market President of UnityPoint Health–Sioux City. Arnold received her MS in Administrative Studies and Health Services Administration from the University of South Dakota. In addition, she is a Certified Medical Practice Executive by the American College of Medical Practice Executives. She will oversee operations at UnityPoint Health–St. Luke’s and UnityPoint Clinic locations in Siouxland.
For the third consecutive year, UnityPoint Health has been named one of the best employers in Iowa, Illinois, and Wisconsin by Forbes. In compiling their 2023 list of “America’s Best Employers by State,” Forbes surveyed more than 70,000 workers at companies with at least 500 employees in each state and the District of Columbia. UnityPoint Health was one of 276 hospitals and health systems nationwide included in this year’s list. Ben Pottebaum, DO, and Morgan Hemer, ARNP, have joined the team at UnityPoint Clinic General Surgery providing gastroenterology services for the Siouxland area.
BEN POTTEBAUM Dr. Pottebaum received his medical degree from Des Moines University College of Osteopathic Medicine and completed his residency in gastroenterology at Parkview Medical Center in Pueblo, Colorado. He is boardcertified by the American Board of Internal Medicine.
MORGAN HEMER Hemer earned her master’s degree in nursing at Maryville University in St. Louis, Missouri and is board-certified by the American Academy of Nurse Practitioners.
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ASHLESHA KAUSHIK Ashlesha Kaushik, MD, pediatric infectious disease physician with UnityPoint Health–Sioux City, is one of only five physicians chosen to pursue a Master of Science in Healthcare Quality and Safety at Harvard Medical School. Dr. Kaushik will be part of a diverse group of leaders to pursue this advanced degree designed to improve physician leadership in advancing healthcare quality and safety initiatives, reducing mortality and improving hospital star ratings.
Expanded
Therapy Services Led by Marty Walsh
INDEPENDENTS Prairie Lakes Healthcare System and Brown Clinic announced in September that Prairie Lakes will acquire Brown Clinic as of January 1, 2024. Brown Clinic will then become Prairie Lakes Brown Clinic. “The next step in the transition is getting into the specifics of processes, systems, people, and protocols that need to be in place before January,” says John Allen, CEO of Prairie Lakes Healthcare System.
TIM PUGSLEY Tim Pugsley is the new Chief Information Officer at Prairie Lakes Healthcare System. Pugsley graduated from Bellevue University in Nebraska with a degree in Management of Information Systems and went on to earn his MBA. He is a Fellow with the American College of Healthcare Executives, the Health Information Management Systems Society, and the College of Healthcare Information Management Executives.
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NOVEMBER
As Neurology Physical Therapy Team Lead, Walsh will oversee the therapy for a wide variety of patients suffering from neurological diseases, injuries, complications and disorders such as:
MARTY WALSH, DPT
• Parkinson’s Disease (Certified in LSVT Big™ Treatment for Parkinson’s) • Traumatic Brain Injuries • Headaches
• Balance • Dizziness • Stroke • TMJ disorders
CNOS DAKOTA DUNES
CNOS MORNINGSIDE
Wednesday, Friday
Monday, Tuesday, Thursday
REFER TO 605-217-2667, OPTION 2.
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NEUROLOGY • NEUROSURGERY • ORTHOPAEDICS PODIATRY • RHEUMATOLOGY • SPINE • DERMATOLOGY GENERAL SURGERY • GASTROENTEROLOGY OCCUPATIONAL MEDICINE • IMAGING CENTER
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• Happenings around the region
News & Notes
NEWS & NOTES
Happenings around the region
AUSTIN DALE
Jennifer Bailey, MPH Degree: Master of Public Health
CRNA Austin Dale, Director of Anesthesia at Prairie Lakes, recently completed his Fellowship in Advanced Pain Management through Texas Christian University. Dale has been with Prairie Lakes for eight years and has three years of experience in nerve- and injection-related procedures for acute surgical pain. He will be offering new pain management services through the Pain Science Center at Prairie Lakes Specialty Clinic.
Current Position: Environmental Protection Specialist with the VA Jennifer Bailey’s path to public health has been an unusual one. A native of Vermillion, Bailey studied biology as an undergraduate at USD. For more than two decades, she has been a fish biologist at the La Crosse Fish Health Center, a US Fish and Wildlife facility in Onalaska, Wisconsin, where she focused on the health of fish populations across the Midwest. “I was interested in the epidemiology of fish populations and started to think about how I could make the biggest impact,” says Bailey. “That got me thinking more about the environment and what fish and people need to be healthy. So my perspective began to change.” When she found out that her Alma Mater had started a public health program, and that she could earn a master’s degree remotely without uprooting her family, she knew it was the right next step. “Since I was juggling my full time job and my kids, it was great to be able to take it slow,” says Bailey. “The professors were wonderful, but what really surprised me was the genuine connections I made with my fellow students.” Bailey says she especially appreciated the ability to choose electives that would support her unique approach to public health. She recently accepted a new job as an environmental protection specialist with the Veterans Health Administration. Although some might see it as a departure from her work with wildlife, Bailey sees her new position as a natural evolution of her interest in the environment, one that she could not have accomplished without the USD School of Health Sciences. “My focus has moved from fish and wildlife to environmental health to human health,” she says. “It is really my studies in public health that pushed me in this new direction.”
This SUCCESS SPOTLIGHT brought to you by
PLHS recently received an overall five out of five-star hospital rating on the CMS Care Compare website. The overall star rating for hospitals nationwide is based on how well a hospital performs across quality-of-care measures, including readmission rates and safety of care. PLHS received a 4-star rating in 2022 and another 5-star rating in 2021.
KEVIN HOFER Huron Regional Medical Center has announced that it has expanded its orthopedic surgical services to include robotic-assisted surgery for total knee and hip replacements. Orthopedic surgeon Kevin Hofer, MD, who recently joined the HRMC medical staff, trained on and utilized robotics throughout his residency at the University of Kansas in Wichita. Dr.Hofer joins Todd Anderson, MD, to expand orthopedics at HRMC. Both surgeons will utilize robotics for many total knee and hip replacements. Huron Regional Medical Center (HRMC) honored its October Exceptional Employee of the Month, Jozlynn Powles, earlier this month. Powles, who has worked as a radiologic technologist at HRMC for just over one year, was nominated by her colleagues.
USD.EDU/HEALTH
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HRMC has been awarded a three-year term of accreditation in mammography as the result of a recent review by the American College of Radiology. The ACR gold seal of accreditation represents the highest level of image quality and patient safety. It is awarded only to facilities meeting ACR practice guidelines and technical standards after a peer-review evaluation by board-certified physicians and medical physicists, according to Rycraft.
CASEY GLANZER Casey Glanzer, RN, has been promoted to director of inpatient obstetric services at HRMC. Glanzer holds a BS in nursing from Grand Canyon University and joined HRMC in 2018 and as an RN in the emergency department. She was promoted to nursing supervisor and, most recently, case management and clinical documentation integrity where she worked with leaders and clinical care teams in a range of specialties.
PCMC ED physician Dr. Thomas Chapa (right) accepting the Trailblazer award.
Pipestone County Medical Center, a rural community hospital in Minnesota recognized among the nation’s top 100 Critical Access Hospitals, is the first facility to receive the new Trailblazer Innovation Award From Avel eCar, a provider of clinician-to-clinician telemedicine services. PCMC first partnered with Avel in 2005 and has integrated telemedicine services into day-to-day operations and initiatives including the ED and the ICU.
CNOS providers Brandee Koedam, DPT, and Christy Nelson, MSPT have both recently received new certifications:
BRANDEE KOEDAM Koedam is the newest member of Sportsmetrics, the first training program that decreases serious knee ligament injuries in female athletes.
CHRISTY NELSON Nelson was recently certified as a Certified Running Rehabilitation Specialist allowing her to assess running mechanics, treat running related injuries/pain, and evaluate for muscle weakness and joint problems related to running
Midwest Medical Edition
NOVEMBER
19
• Happenings around the region
News & Notes
NEWS & NOTES
Happenings around the region
McCormick
Dyhrkopp
White
Mahal
CNOS has also added four new nurse practitioners. Rayna McCormick will work with Dr. Rettedal and his Orthopaedic Clinic, Ashley Dyhrkopp and Rebecca White will be working in the Neurology Department, and Matt Mahal has joined Orthopaedic Urgent Care. Yankton Medicine Clinic physician Dr. Tim Irwin has won the Pam Kettering Spirit of Volunteerism Award from the Yankton United way for his strong, dedicated and healing spirit. Dr. Irwin is a volunteer physician at Servant Hearts Clinic, a free, faithbased clinic to assist the uninsured or underinsured. Dr. Irwin also serves as a board member, medical student supervising physician, and team leader for various committees at Servant Hearts Clinic.
JENNIFER FILLAUS Jennifer Fillaus, DO, has joined the specialty care physicians at Yankton Medical Clinic. Dr. Fillaus trained at University of Nebraska Medical Center and most recently practiced in Omaha. She is board certified in Internal Medicine and Nephrology and board eligible and fellowship trained in Geriatric Medicine. She will specialize in geriatrics.
Yankton Medical Clinic has been recognized as Business Partner of the Year by the Department of Health and Human Services, Indian Health Services, Wagner IHS Healthcare Center. Specifically, Dr. Emma Bye, Obstetrician/Gynecologist and medical assistants Pam Cokeley, Lizzie Huber, and Janine Van Osdel were named on the award which was given “In grateful recognition of your service in healthcare for Native Americans and Alaskan Natives.” Dr. Bye provides women’s healthcare outreach to the Wagner IHS in addition to her OB/GYN practice at Yankton Medical Clinic.
OTHER The South Dakota Association of Healthcare Organizations presented 11 distinguished services awards at its recent fall convention. Some of the award recipients included
Larry Veitz Lifetime Achievement Award Bob Sutton, president & CEO of Avera Health.
Healthcare Hero of the Year Marcia Taylor, Patient Experience Director with Monument Health
Honorary Healthcare Heroes of the Year George Simpson, a certified therapy dog, and Johanna Simpson, a Certified Therapy dog handler, both with Therapy Dog International.
Healthcare Professional of 2023 Angela Schoffelman, Community Program Manager with Avera Health
Young Professional of the Year
TIM IRWIN
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Kristi Livermont, Administrator with Avera Missouri River Health Center in Gettysburg
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ZAC KEENUM and TANNER FERGUSON
More than 250 people gathered at Maribella Ristorante in Sioux Falls in September to celebrate ARTisan Skin and Laser Center’s 10th Annual Client Appreciation Event. The event raised more than $2500 in gift cards and 25 free haircuts for the Veterans Community Project, a nonprofit that provides housing and walk-in support services for veterans.
Dr. Zac Keenum and Dr. Tanner Ferguson have joined Vance Thompson Vision in Sioux Falls. Dr. Keenum recently completed a two-year American Society of Ophthalmic Plastic and Reconstructive Surgery Fellowship at the University of Texas and specializes in aesthetic upper and lower blepharoplasty. Dr. Ferguson will provide advanced cataract, LASIK, cornea, and glaucoma surgery.
Center for Family Medicine celebrated their 50th anniversary with an Open House event at their Sioux Falls clinic in Avera Plaza 2 on the Avera Campus in Sioux Falls in early October. CFM has been home to the Sioux Falls Family Medicine Residency since 1973, hosting 33 resident physicians between the Sioux Falls and Pierre branches of the program. 14 faculty physicians lead the CFM team, including the recently promoted Program Director, Dr. Brad Kamstra.
The University of South Dakota’s Department of Nursing marked a milestone in August—the first students graduated from its Doctor of Nursing Practice (DNP) program and were recognized at a hooding ceremony. The DNP program admitted its first students in spring of 2021. It was created to help South Dakota address a nursing shortage crisis and introduces well prepared nurse leaders with a strong business acumen and ability to navigate and foster change.
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WE SEE YOU A t P r a ir ie L ak es Hea l t hc a re Syst em, we s e e y o u l ivin g y o u r l ife . A n d w e 're here f o r yo u wi t h t he l a t est t e c h n o l o gy an d t h e m e d ic a l e x p er t i se yo u need t o l i v e yo ur be s t l if e po s s ibl e .
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• Happenings around the region
News & Notes
Surgery and Cannabis Should You Screen All Patients Before Surgery? BY ERIC ZACHARIAS, MD
O
VER THE LAST TWO DECADES, there has
of this overview, there are several important effects
been a significant increase in the number
to consider. A key point is to maintain vigilance to the
of Americans who regularly use cannabis
possibility that any cannabis and CBD products used
with approximately 10% of the population
by a patient may contain contaminants that could
reporting monthly or greater use. Additionally, cannabis
also impact their physiology. Additional considerations
use disorder—clinically significant impairment caused
include:
by the recurrent use of marijuana—is believed to be present in about 6 percent of surgical patients.1,2 Due to the potential for cannabis to impact physiology in multiple domains and for these impacts to adversely affect patients in the perioperative period, the American Society of Regional Anesthesia and Pain Medicine has recently updated its consensus guidelines on management of the perioperative patient on cannabis and cannabinoids. These guidelines are not intended to 3
• Cardiovascular effects from cannabis include an increased risk of perioperative myocardial infarction with recent usage as well as tachycardia from reduced parasympathetic activity and peripheral vasodilation.
• A nesthesia requirements may be impacted as well as the need for postoperative opioids.
• The respiratory system effects can include
supersede clinical judgment but are designed to enhance
respiratory depression as well as bronchospasm
person-centered decision making in the clinical realm.
from smoking or vaping, and difficulty with
Key points include:
airway management.
• P rior to any surgery requiring anesthesia, the anesthesiologist should ask the patients if they use cannabis, including frequency, method of use, and when last used.
• The gastrointestinal effects include increased postoperative nausea and vomiting.
• Lastly, cannabis and cannabinoids can impact anticoagulants and antiplatelets as well as the
• Anesthesiologists and surgeons should be prepared for the possibility that they may need to alter the perioperative anesthesia plan and/or delay the operation based on when cannabis was last used.
major enzyme systems involved in the metabolism of multiple classes and types of medications. In summary, cannabis and cannabinoids usage is common, and this may continue to increase in all regions of the country as state and federal laws become more
• P rocedures should be delayed for at least two
permissive. These substances can have implications in
hours from recent smoking of cannabis to avoid
multiple realms of care for the perioperative patient,
increased risk of myocardial infarction. This
and current guidelines advise screening all patients for
delay may need to be longer for other routes
cannabis use prior to surgery and using that information
of administration based on clinical judgment.
along with medical judgment to help optimize patient
• Elective procedures should be postponed
safety in a given surgical scenario. ❖
if a patient is impaired with altered mental status from acute cannabis intoxication. Although the myriad potential clinical impacts of cannabis in the surgical patient are beyond the scope
Substance Abuse and Mental Health Services Administration. (2018). Key substance use and mental health indicators in the United States: Results from the 2017 National Survey on Drug Use and Health (HHS Publication No. SMA 18-5068, NSDUH Series H-53). Rockville, MD: Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration.
1
22
Eric Zacharias, MD, is part of the COPIC Department of Patient Safety and Risk Management.
2 McAfee J, Boehnke KF, Moser SM, et al. Perioperative cannabis use: a longitudinal study of associated clinical characteristics and surgical outcomes. Reg Anesth Pain Med 2021; 46:137.
Shah S, et al. ASRA Pain Medicine consensus guidelines on the management of the perioperative patient on cannabis and cannabinoids. Reg Anesth Pain Med. 2023 Mar;48(3):97-117. Epub 2023 Jan 3.
3
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