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VOL. 9 NO. 3
THE SISTERS BEHIND THE SYSTEM Avera Health Sponsors Keep the Mission in Mind
THE SOUTH DAKOTA REGIONâ€™S PREMIER PUBLICATION FOR HEALTHCARE PROFESSIONALS
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APRIL | MAY
2 01 8
A Merry Heart doeth good like medicine.
From Us to You
Staying in Touch with MED
ITH SO MUCH current focus
on the “future of medicine”, it is sometimes valuable to pause and take a look at the past, especially in cases wherein it has played such a pivotal role in shaping the present and will continue to do so into the future. Avera Health is a case in point. Created by the collaborative union of the Benedictine and Presentation Sisters, its mission and ministry continue to drive it forward, even as technology, organizational structure, and care delivery models evolve. We hope you’ll enjoy our feature on the modest (and sometimes surprising) beginnings of this large and important regional healthcare leader. Also in this issue, in addition to our regular news roundup and event calendar, you’ll find expert advice for managing legal issues, fighting burnout, addressing worker fatigue, and stepping into leadership roles. We have exclusive interviews with some area physician administrators, researchers, and clinicians who are advancing care in our region in a myriad of fascinating ways. And we explore the new procedure at Dakota Lions Sight and Health that is taking the pressure off of eye surgeons across the region. Remember that you can go deeper with almost any article in MED by accessing additional information online. Just look for the “Web Extra” symbol at the end of the article. Click the link in your digital issue or search the MidwestMedicalEdition.com for the article title if you’re reading the printed issue. We hope you enjoy this month’s MED!
PUBLISHER MED Magazine, LLC Sioux Falls, South Dakota Steffanie Liston-Holtrop
VICE PRESIDENT SALES & MARKETING Steffanie
EDITOR IN CHIEF Alex Strauss
GRAPHIC DESIGN Corbo Design
PHOTOGRAPHER Julie Prairie Photography WEB DESIGN Locable
DIGITAL MEDIA DIRECTOR Alyssa McGinnis Alex Strauss
CONTRIBUTING WRITERS Anne Geske
Kelly Marshall STAFF WRITERS Liz Boyd Caroline Chenault John Knies
CONTACT INFORMATION Steffanie Liston-Holtrop VP Sales & Marketing 605-366-1479 Steff@MidwestMedicalEdition.com Alex Strauss Editor in Chief 605-759-3295 Alex@MidwestMedicalEdition.com WEBSITE MidwestMedicalEdition.com MAILING ADDRESS PO Box 90646, Sioux Falls, SD 57109
All the best! —Steff and Alex
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VO LU M E 9, N O. 3
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7 | When Physicians Need a Hand Peer support program offers help through difficult times
MED IS NOW Like and follow us at Facebook.com/MedMagazineSD for medical community news updates, events, and tips for Magazine. While you’re there, be sure to click the “Sign Up” button to get early access to every digital issue of MED. DID A NEWS ITEM CATCH YOUR EYE? Want to know more? You can find the full version of every news item in News & Notes at MidwestMedicalEdition.com. Join the email list and they’ll come right to your Inbox in a bi-monthly news roundup. So you’ll always be “in the know.”
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■ By Anne Geske
8 | Profile: Allison Wierda Suttle, MD, MBA On coming home, healthcare’s future, and making the move into administration
getting the most out of MED
■ A P R I L / M AY 201 8
18 | Black Hills Dermatologist Emphasizes Detection for Skin Cancer Awareness Month 20| Siouxland Shoulder Specialist on Reverse Total Shoulder Replacement Why backwards is sometimes better 21| Sanford Diabetes Trial Clears Another Hurdle Sanford’s T-Rex Study moves a step closer to rebalancing the immune system in diabetic children 22| American Hospital Association Invites Physicians to “Lead Well. Be Well. Care Well.” New campaign helps physicians develop leadership and collaboration skills 24| Battling Worker Fatigue Recognizing and responding to fatigue could save more than money
■ By Kelly Marshall
26| Children’s, UNMC to Participate in Neonatal and Pediatric Genome Sequencing Trial
REGULAR FEATURES 4 FROM US TO YOU 12 NEWS & NOTES 30 T HE QUESTION: WHAT AREA MARKETING EXPERTS WANT YOU TO KNOW
ON THE COVER
THE SISTERS BEHIND THE SYSTEM 14 PAGE
■ By Alex Strauss At a time when gender inequities in both the public and private sectors are making headlines, one our biggest health systems continues to be run by a team of mission-minded women. They and their Catholic sisters have been offering hope and healing in the South Dakota region for more than a century.
10 | S PONSORED FEATURE:
Dakota Lions Sight & Health Takes the Pressure Off Surgeons with Advanced, Time-Saving Procedure 28 | Avoid Medical Jargon
When Talking to the Press Here’s how to talk so that reporters — and their readers — really “get” your message. ■ By Alex Strauss
31 | Upcoming Events
On the cover: The Avera System Members: Back row: Sr. Lucille Welbig, PBVM; Sr. Joan Reichelt, PBVM; Middle row: Sr. Kathleen Crowley, OSB; Sr. Debra Kolecka, OSB; Front row: Sr. May Kay Panowicz, OSB; Sr. Kathleen Bierne, PBVM
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Steff with Rod Carlson of Sioux Falls, winner of SME’s 2018 “Sales and Marketing Executive of the Year” Award
MED’S STEFFANIE LISTON-HOLTROP HONORED BY SIOUX FALLS’ SALES & MARKETING EXECUTIVES
ED’S OWN STEFFANIE LISTON-HOLTROP recently received the first-ever “Rising in Excellence” Award from Sales & Marketing Executives, Inc. of Sioux Falls.
The new award, which was presented at the 2018
SME Excellence Awards banquet, was created to recognize an individual in the South Dakota business community between 25 and 45 who is viewed as a future leader. In a press release distributed to local media outlets, SME praised Steffanie’s “entrepreneurial spirit and desire to help others” and stated “As publisher of MED Magazine, Liston-Holtrop brings cutting edge information to healthcare providers in countless practices through print and digital stories.” In addition to SME, Liston-Holtrop is involved with the American Heart Association, the South Dakota Association of Healthcare Marketing & Public Relations (SDAHMPR), the South Dakota Association of Healthcare Organizations (SDAHO), the South Dakota Medical Group Management Association (SDMGMA), the Sioux Falls Chamber of Commerce, and the Chamber’s Young Professionals Network. The 2018 SME Excellence Awards banquet honored business development professional Rod Carlson with its 2018 South Dakota “Sales and Marketing Executive of the Year” Award. ❖
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❱ S ee all the photos from
❱ L earn more about SME
the Awards banquet
WHEN PHYSICIANS NEED A HAND
Peer Support Program Offers Help Through Difficult Times BY ANNE GESKE
filled with self-doubt—an
prevent highly trained physi-
underlying fear that I might
cians from leaving the practice
practice of medicine
make a mistake.” Dr. Drill-
over stressful events is not
carries risk, and that
Mellum now leads MMIC’s
only good for physicians and
Clinician Peer Support pro-
patients, but a smart business
can and do happen
gram, which is comprised of
move. After a claim is filed
to patients. Physicians just
a team of physicians trained
against a physician, the likeli-
don’t think they’re going to
to listen and provide emotional
hood of a subsequent claim
be a part, or cause, of them.
support to doctors and other
triples for two years. “If one
Patients have risk factors that
clinicians who have experi-
is feeling anxiety, anger and
can increase the likelihood
enced adverse events or are
shame, these things impact
of complications, and medical
communication and confi-
procedures have their own inherent
“Many physicians tend
under the cloud of a lawsuit,”
know this. But when some-
when they’re feeling doubt or
explains Dr. Drill-Mellum.
thing goes wrong for patients,
anxiety their tendency is
to withdraw,” says Dr. Drill-
decrease the chances that
physicians because they care
Mellum. In the past, when
this will happen, as well as
deeply about their patients.
physicians got notice of a law-
increase physician retention and patient satisfaction.
dence. Errors do increase
“A physician’s work is inter-
suit through their insurance
woven into their sense of self.
company, there was a number
“We’re trying to normalize
It’s our profession, our call-
to call. But they didn’t access
what physicians are feeling,”
ing—not just a job. If we think
this program. “They feel too
says Dr. Drill-Mellum. “That’s
we played a role in harming
embarrassed and don’t ask for
number one. We help them
our patients, we question our
help—or they think asking
move from shame to embar-
value, our competency. We
for help is a sign of weakness.
rassment to self-acceptance.
might feel a profound sense of
We found we need to reach
The Clinician Peer Support
failure and grief when we’re
out to physicians, because we
program is a service where
a part of something that went
know they won’t reach out
wrong,” says Laurie Drill-
colleagues walk through these
Mellum, MD, an emergency
Now, as a matter of course
medicine physician and chief
during a claim or lawsuit,
medical officer of Constella-
physicians get a call from
tion in Minneapolis, Minne-
a trained peer. MMIC has
sota. Left unaddressed, these
received overwhelming feed-
feelings can lead to isolation,
back from physicians and
depression and dysfunctional
alike that the program is of
Dr. Drill-Mellum knows
AFTER A CLAIM IS FILED AGAINST A PHYSICIAN, THE LIKELIHOOD OF A SUBSEQUENT CLAIM TRIPLES FOR TWO YEARS.
difficult times.” ❖
firsthand how it feels. “When I
For administrators, finding
was sued,” she says, “I was
ways to reduce errors and
April / May 2018
Anne Geske is a healthcare freelance writer.
[ PROF ILE ]
Allison Wierda Suttle, MD, MBA Chief Medical Officer, Sanford Health
L L I S O N W I E R DA S U T T L E was a
In 2001, not long after her uncle’s funeral, Suttle
natural fit for a career in medicine. The
was hired by Sioux Valley Hospital. It was there, under
daughter of a Sioux Falls radiologist,
the tutelage of veteran OB/Gyn Bob George, MD, that
she grew up watching her father “read
she learned to see what she calls “the bigger picture”.
films in the basement of Sioux Valley Hospital.” At
“Bob George helped me to see how physicians could
18, she left South Dakota for Brown University then
have a voice and a real influence on the bigger picture
gradually worked her way back westward, earning
in healthcare,” says Suttle.
her MD at Northwestern in Chicago and staying in the city for her residency.
Suttle and her husband, Gary, an English professor at the University of Sioux Falls, have one son in middle school.
Suttle returned to school to earn her MBA at USF and, in 2011, became Sanford’s Chief Medical Informa-
“I decided on OB/Gyn because I love the OR and I
tion Officer. “When EMR came, I was one of the few
love anatomy, but I also was fascinated by the idea
physicians who actually embraced it,” says Dr. Suttle.
that hormones had such a big influence on the whole
“I couldn’t wait to have all of that information at my
body,” says Dr. Suttle. But it was a cardiac event that
fingertips. So I helped the system embrace all of the
eventually brought her back to South Dakota. During
ways in which EMR could help us with our work, in
her residency at Advocate Lutheran General Hospital,
terms of better quality healthcare, fewer errors, etc.”
Suttle learned that her uncle had died suddenly of a heart attack while hunting with her father.
After several years of balancing both her clinical practice and administrative duties, Suttle made the
“His death was very sudden and unexpected and
move into full-time administration as Sanford’s Chief
it made me ask myself ‘Where do I want to be when
Medical Officer in 2015. Today, she is part of the “quality
things like this happen?’ I decided I wanted to be
cabinet” steering Sanford in bold new directions.
home,” recalls Suttle.
“It is an amazing time to be in healthcare. I get to think big and ponder and figure out how do we move this big multifaceted organization from the fee-forservice world into the value-based world,” says Suttle. “It’s fascinating to think about our work as physicians and how that changes. It is no longer just about what the doctor knows. We are now moving into more collaboration with patients. It has been an evolution.” It has also been a personal evolution away from direct patient care and into administration. Although she misses her patients, Suttle says she is “always looking for the next adventure” and welcomed the change. But three years after delivering her last baby as an OB/Gyn, and on the advice of a colleague, she has also found a way to keep her hands in the physical world of healing by teaching weekly yoga classes. “When you move into administration, you’re going from healing, helping, and touching someone every 15 minutes, to going to meetings every hour,” she says “The benefits are big but you don’t feel it for years.” ❖
❱ L earn more about Suttle’s work as a yoga teacher
❱R ead Dr. Suttle’s perspectives on using technology to improve rural health
North Central Heart
Friday, May 4, 2018 8 a.m. – 5 p.m. Sioux Falls Convention Center • Sioux Falls, S.D. Learn the latest trends in the diagnosis, technology and treatment of vascular disease during this daylong symposium. 17-HHSD-9257
Call 605-322-8950 for more information or go to Avera.org/conferences and click on Events and Live Courses to register.
4520 W. 69th St. • Sioux Falls, SD 57108 • AveraHeartHospital.org
April / May 2018
Dakota Lions Sight & Health Takes the Pressure Off Surgeons with Advanced, Time-Saving Procedure Working in the DLSH new clean room, Lisa Kelley prepares the DMEK tissue by rinsing the graft before loading it into the Jones Tube.
A DMEK pre-load, ready for delivery to a surgeon
arrives for surgery, they know it is actually going to happen. It also means that another patient would potentially be
just a few elite eye banks in the country to
able to have surgery the same day because I have more
begin offering pre-loaded corneal tissue
for transplant surgery. In this new, advanced proce-
DLSH is one of just a small handful of eye banks around
dure, a DLSH lab technician removes the cornea cells
the country now offering DMEK pre-loads. The grafts are
frequently used to treat a condition called Fuch’s Dys-
Membrane Endothelial Keratoplasty (DMEK) graft, and
trophy, a hereditary degenerative disease that causes
loads it into a Straiko Modified Jones Tube for transfer
endothelial cells to die off, creating a buildup of fluid in
to the clinic.
the cornea and clouding the vision.
According to Fargo ophthalmologist Dr. Michael Green-
“When we prepare the tissue, it saves the surgeon
wood of Vance Thompson Vision, who has been using the
about 20 minutes in the OR,” says Marie Bowden, Clinical
pre-loaded tissue from DLSH for the past few months, the
Manager at DLSH. “But, just as importantly, we now hold
technique can not only cut the transplant procedure time
all the risk of doing something wrong to the tissue, such
in half but can also cut out a lot of stress–both for him and
as tearing it when trying to pre-load it. We handle corneal
tissue for a living. This is our area of expertise, so it just
“The pre-loaded DMEK tissue lightens my stress load and allow me to be more efficient,” says Greenwood. “It
Photo courtesy DLSH.
HIS WINTER, DAKOTA LIONS SIGHT and Health in Sioux Falls became one of
makes sense for us to complete the preparation here, in one fell swoop.”
not only saves me a step but it also means that I don’t have
In the rare cases when something does go wrong in
to worry about the possibility of making a mistake while
preparation, DLSH can make sure that the surgeon still
I am preparing the tissue. That means that when a patient
has a pre-load when it’s needed so the patient never has to wait. “We don’t want surgeons to have to worry or patients to have to take another day off work or be anxious any longer than is necessary,” says Bowden. “So we go out of our way to make sure they have what they need, when they need it.” “Honestly, they make it seem as though we are ordering something off of Amazon–it’s that smooth,” says Dr. Greenwood. “I see a patient in the clinic, I tell DLSH that we need tissue, it shows up when I need it. The eye bank has been a major player in improving the ease and success of corneal transplants.” ❖
“ HONESTLY, THEY MAKE IT SEEM AS THOUGH WE ARE ORDERING SOMETHING OFF OF AMAZON– IT’S THAT SMOOTH.” —DR. MICHAEL GREENWOOD
❱ F ind out how to request tissue from DLSH for transplant or other use
/ May M E D S PApril O N SO R E D 2018 F E AT U R E
❱R egister for the “GIfts of Sight & Health Golf Tournament” on June 22nd
❱R ead more about DLSH’s 25-year history in the region
Happenings around the region
News & Notes
South Dakota | Southwest Minnesota | Northwest Iowa | Northeast Nebraska
SANFORD BENSON HSU
Avera plans to build an Addiction Care Center as part of the new Health Campus at 69th Street and Louise Avenue in Sioux Falls. This $8 million project will consist of 20,000 square feet in two one-story buildings. This main building includes space for day treatment, group dining space, and a meditation room that is respectful of all faiths. A residential building will have 32 private rooms with separate areas for men and women. Treatment will typically be 28 days long and will follow criteria recognized by the American Society of Addiction Medicine (ASAM). Avera is the first member of The Hazelden Betty Ford Foundation’s Patient Care Network— the first of its kind in the addiction treatment industry. Construction is set to begin this summer, and the new Avera Addiction Care Center will open in mid-2019. Five Avera hospitals in three states have been named in the Top 100 Critical Access Hospitals in the United States by the Chartis Center for Rural Health. The Avera facilities include: Avera Hand County Memorial Hospital in Miller and Milbank Area Hospital in South Dakota, Avera Holy Family Hospital in Estherville and Floyd Valley Healthcare–Avera in LeMars in Iowa, and Avera St. Anthony’s Hospital in O’Neill, Nebraska. The facilities that made the list scored in the top 100 of Critical Access Hospitals on iVantage Health Analytics’ Hospital Strength index.
Sioux Falls pediatrician Benson Hsu, MD, has been named one of 24 2018 Bush Fellows. The Bush Fellowship provides Fellows with up to $100,000 over 12 to 24 months to pursue learning experiences that help them develop leadership skills and attributes. A total of 751 people applied for the 2018 Bush Fellowship. The 24 Fellows were selected through a multi-stage process involving Bush Fellowship alumni, Bush Foundation staff and established regional leaders. Dr. Hsu also recently had an article on healthcare data use published in the prestigious Harvard Business Review.
Sanford Health’s success in helping patients control their hypertension has been recognized by the CDC and US Department of Health and Human Services. Health systems across the nation who helped at least 70 percent
of their adult patients lower their blood pressure in the past year were named a Million Hearts Hypertension Control Champion. Sanford Health was one of 24 systems that received this recognition, helping 88.8 percent of patients achieve blood pressure control.
CASEY NELSON Sanford pulmonary care nurse Casey Nelson, RN, was recently recognized with a DAISY Award for extraordinary nurses. Nelson’s nomination described him as compassionate, extraordinary, respectful, empathetic, and patient. Sanford Worthington Medical Center is one of just eight community hospitals across the nation to receive the Bernard A. Birnbaum, MD, Quality Leadership Award. The award is given annually to academic medical centers and community hospital members that demonstrate superior performance, as measured by the Vizient Quality and Accountability Study, which has been conducted annually since 2005.
The Collaborative Research Center for American Indian Health will host its annual summit April 16-18 in Sioux Falls. Speakers will focus on storytelling as a way to share information and experience as it relates to Native American communities, research and innovation. The summit, now in its sixth year, provides networking opportunities and features presentations from researchers and experts in the field of Native American and rural health. For the first time, Sanford’s Center for Health Outcomes and Population Research will also present at the event. Registration is free and open to the public. [See Learning Opportunities, pg. 31]
SIOUXLAND CHRIS VAN BEEK This year’s Top 100 Great Iowa Nurses includes Chris Van Beek, a registered nurse from Mercy Home Care, who has traveled over 14,000 miles in 2017 to serve patients in Iowa, Nebraska and South Dakota in 14 counties and touched their lives over 1,600 times. Chris began her Mercy career in 1999 as a Mercy Home Care nurse. She has been a case manager in the northern territory since that time and has been coordinating patient care in the home setting. This year, the honorees represent 42 Iowa counties and were selected from a pool of 500 individuals who were nominated by colleagues, patients, doctors, friend, and family members.
AMY SCARMON Mercy Medical Center– Sioux City has announced the appointment of Amy Scarmon as Manager of Mercy’s Child Advocacy Center. Scarmon has been a member of the Mercy Child Advocacy Center team for the past 14 years. Prior to her promotion, Scarmon served as a forensic interviewer. She also has experience as a mental health counselor and chemical dependency counselor. Scarmon holds a BS in Psychology /Alcohol and Drug Abuse Studies and an MA in Counseling with a Certificate in Nonprofit Management.
❱ F ind the full version of each of these news items online
April / May 2018
Maternity unit staff and physicians at Huron Regional Medical Center helped kick off the official start of a planned $3 million renovation project on the third floor of the main hospital in February. The expansion will include four new LDRP suites with amenities like whirlpool tubs and walk-in showers, a family area, larger televisions, a snack center for families, more storage, and updated decor. Renovations are expected to be finished by the end of the year. Edgewood Memory Care in Sioux Falls is looking for teams, hole sponsors, and door prizes for a July 14 golf tournament. The tournament will go toward the Edgewood walk team and will be donated to the South Dakota Alzheimer’s Association. Registration forms and donations will be accepted until July 1. For information, contact executive director Jenn Nesbitt. Residents in the Ponca, Nebraska area will have a shorter trip for physical therapy starting in May. The CNOS clinic in Dakota Dunes will open a new rehab clinic there on Wednesday, May 2. The clinic will provide physical therapy services as a satellite clinic for CNOS. A long-time resident of Ponca, Christy Nelson, MSPT, will lead the rehab team, moving from her current position at CNOS’s Morningside and Northside Clinics in Sioux City, Iowa. Lizz Nedved, human resources assistant at Yankton Medical Clinic, PC, has passed her Society for Human Resource Management certification exam. The SHRM-CP credential designates the recipient as a recognized expert and leader in the HR field. Nedved is past president of the Southeast South Dakota SHRM chapter. Prairie Lakes Healthcare System is among the Top 20 Rural Community Hospitals in the nation as determined by iVantage Health Analytics. The Top 20 winners were recently announced by the National Rural Health Association (NRHA). The determining factors for the top 20 rural community hospitals were based on eight indices: inpatient market share, outpatient market share, quality, outcomes, patient perspectives, costs, charge and financial stability. PLHS serves a ten county region in eastern South Dakota and western Minnesota including twenty outreach clinics.
• Happenings around the region
News & Notes
BEHIND SYSTEM THE
By Alex Strauss
April / May 2018
A TIME WHEN THE “ME TOO” Movement is making headlines and the nation is increasingly focused on gender inequities in business and government, one of our region’s largest health systems continues to be quietly run, as it has been for nearly two decades, by a group of extraordinary women.
Officially, the six nuns of the Benedictine and Presentation Orders (three of each) known as the
System Members are “sponsors” of Avera Health. Their job is to nurture Christian mission and values at Avera through orientation and education programs for Avera caregivers as well as through governance of the organization. In other words, no big decisions get made in this massive organization - including more than 330 healthcare facilities in 100 communities - without the input of these six women. We recently had the opportunity to sit down with two of them and learn more about the integration of faith and management know-how that has allowed these women, both separately and together, to create, sustain, and grow successful healthcare institutions from as early as the 1800s. Sister Mary Kay Panowicz of the Yankton Benedictines - Sacred Heart Monastery is the current chair of the System Members and is business manager of the monastery in Yankton. Sister Lucille Welbig of the Sisters of the Presentation of the Blessed Virgin Mary is a System Member and the prior chair of the group. She is vice president of the Aberdeen-based Presentation sisters and lives in Sioux Falls.
Q: How did your separate orders get involved in healthcare in the first place? MKP: Our founder is St. Benedict, an Italian month in the 5th century. We live by the Rule of St. Benedict, one chapter of which is specifically addressed to care of the sick, so that is a foundation of our ministry, if you will. We got into organized healthcare in this country in 1897. That was when the sisters, who had been recruited to help work on the reservation by the bishop of Dakota Territory, started a hospital in Yankton in what had been a monastery. LW: Our foundress, Nano Nagle, taught Catholic children in Ireland when they were forbidden to be educated and was known for ministering to the poor and sick in the evening. So that was a part of our heritage, as well. The Presentation Sisters came to Dakota Territory in 1880 to teach, but in 1901, a diphtheria epidemic broke out and they ended up turning their classroom in Aberdeen into a hospital. The sisters were well-educated women who were willing to do the work that needed to be done. They proved to be able administrators and nurses.
Surgical nurses circa 1906. Photo courtesy PBVM.
An unidentified nurse with Sr. Blanche Kribell in an ICU nursery, circa 1961. Photo courtesy OSB.
The Benedictines’ first hospital grew into Sacred Heart in Yankton and the first Presentation-run hospital became St. Luke’s. Eventually, the Benedictine Sisters were running hospitals in Colorado, Parkston and Tyndall, South Dakota, and Lincoln, Nebraska. They formed their own Benedictine Health System in the 1980s.
The Avera System Members: Back row: Sr. Lucille Welbig, PBVM; Sr. Joan Reichelt, PBVM Middle row: Sr. Kathleen Crowley, OSB; Sr. Debra Kolecka, OSB; Front row: Sr. May Kay Panowicz, OSB; Sr. Kathleen Bierne, PBVM
April / May 2018
Meanwhile, the Presentation Sisters were busy expanding their own health-
meet regularly with the President
care ministry. In 1906, the town of Mitchell, South Dakota asked the sisters to
and CEO of Avera Health. While we
run its newly-built hospital (St. Joseph’s). The group added a third facility in
no longer have as many sisters
Montana (Holy Rosary) in 1910 and, in 1911, they were invited to run the new
working in the hospitals, it is
McKennan Hospital in Sioux Falls. The Presentation System was formed in 1978.
wonderful to feel like we are
Both systems established their own nursing programs within their hospitals
reaching out beyond ourselves to
and had sisters working in the hospitals at all levels.
continue the legacy of the sisters who have come before us.
Q: What led your two orders to form Avera Health in 2000? LW: As times changed and healthcare changed, we realized that we could do better together than we could separately. At the time, we were really competitors with each other in South Dakota. We were both doing good quality work, but we realized that, if we pooled our resources, we could both respond to the healthcare needs in the South Dakota area more effectively. MKP: We knew that we could not continue to support all of the institutions that we had. So we had already gone through a two-year process of deciding where we could and should put our energies. Then we had discussion with the Presentation Sisters about where they were. It was really John Porter [now President and CEO of Avera Health] who helped the two orders sit down together and discuss this seriously.
Q: Your orders are very different in some important ways. The Benedictines are monastic and live in community, while the Presentations are apostolic. How is it that you were able to come together in this way? MKP: The gospel of Jesus is what drives our ministry, which is a huge common factor that we share. Also, we both have deep commitments to rural healthcare. Although there was some overlap, for the most part the
pieces fit together into a nice puzzle. I think we both could see that bringing the two systems together
Q: What do you see in the future for Avera?
would create a broader footprint
MKP: We are the premier eHealth
system in the country and we are
LW: Our shared commitment to rural healthcare was very important in bringing us together. But it took two years for us to really understand each other’s cultures and to figure out what this new health system would look like and what we could both bring to the table to form it.
going to continue to use that to reach beyond our borders, which is exciting. Telemedicine has helped us not only save money and improve the quality of care in rural areas, but it has also made it easier to recruit providers into these areas. We are also trying to do more outreach into the reservations, which goes back to what we both did early on in our
Q: Originally, the Sisters were also the hospital administrators. How do you stay connected and exert influence in a health system that now employees 17,000 people? LW: We retain reserve powers with the nine sponsored hospitals in the Avera health system. We also appoint Sisters to serve on those boards. There are ten to twelve Presentation Sisters and the same number of Benedictine Sisters who sit on the boards of our hospitals, so we we really do have our feet on the ground and know what is going on throughout the whole footprint. We also have mission people within all of these hospitals. We display our mission in everything we do.
histories. LW: We don’t see ourselves merging with someone else and becoming a bigger health system because we are so focused on rural health. If we take on any more facilities, they will be within our five-state area. We see ourselves working in affiliation with other critical access hospitals within our footprint. MKP: We will continue to look for collaboration with people in this area who are providing or want to provide quality healthcare. It is not an exclusive club. We want to include as many people as we can to share in our mission. It’s about Christ serving the world through us. ❖
MKP: We have good people as presidents and CEOs at the helms in our facilities, so we depend a lot on them. We also attend the Avera Health board meetings and Catholic Health Association meetings to continually stay up to date. And we
© 2018 MMIC Insurance, Inc.
Because your patients always need your best game. At MMIC, we make it our practice to protect your At MMIC, we make it our practice to protect your practice. That’s why we’ve built a responsive team of experts—to help you minimize potential risks, stay current in the everchanging health care industry, and keep your practice thriving. And, in the event of a claim, we’re here for you. Because you’re here for them—with your very best game. Insurance & Risk Solutions | MMICGroup.com
April / May 2018
Black Hills Dermatologist Emphasizes Detection for Skin Cancer Awareness Month “[SKIN CANCER] HITS THIS GEOGRAPHIC AREA HARDER IN PART BECAUSE OF OUR ELEVATION AND OUR SUNNY BLUE SKIES.”
CCORDING TO THE SKIN CANCER FOUNDATION, more people in the US are diagnosed with skin cancer each year than all other cancers combined. More than 5.4 million cases of nonmelanoma skin cancer were treated in 2012 and an estimated 178,000 cases of melanoma will
be diagnosed in the US in 2018. Unfortunately, says Regional Health dermatologic surgeon P. Kim Phillips, MD,
residents of the Black Hills may be especially vulnerable. “It hits this geographic area harder in part because of our elevation and our sunny blue skies,” says Dr. Phillips. “Also, many people in this region tend to have fair skin and light eyes. That, along with the leisure activities and outdoor work that goes on here, means that people here are susceptible to premature aging and skin cancers.” As with most cancers, early detection is the key to survival and Dr. Phillips says primary care physicians play a key role in that, as do patients themselves. Total body photography and handheld dermascopes have improved diagnostic precision, but some patients, such as solid organ transplant recipients, require special diligence.
“They may start developing skin cancer about 10 years
response modifier Imiquimod and fluorouracil (5FU) are
after transplant and can actually die from their skin cancer
examples of effective topical treatments. Larger tumors
before they would die from any complications related to
or those with a high risk of recurrence may require MOHS
their transplant,” says Phillips, who
micrographic surgery, which has a
spent time with the transplant team
high cure rate and good cosmetic
at Mayo clinic during her training. “So
it is especially important to be proac-
More complicated cases of basal
tive with these patients and to see
cell carcinoma may benefit from
them regularly. Primary care physi-
systemic therapies such as the
cians can help keep these patients
from falling through the cracks.”
vismodegib or sonidegib. Dr. Phillips
Although skin cancer rates
says radiation may also be used in
continue to rise, Dr. Phillips says
skin cancer treatment, though it is
there are now more effective options
not typically a first-line therapy.
for treating both melanoma and
But some of the best news is in one
nonmelanoma skin cancers.
of the most serious cancers:
“There are lots of tools in the
toolchest now,” she says. “The
“Twenty to twenty-five years
morphology of the tumor is very
ago, there was nothing in the tool-
important, as is the site, whether or
P. Kim Phillips
not the patient is immunocompromised,
chest to increase disease free survival,” says Phillips. “Now, we have
and whether or not it is a recurrent tumor.”
all these families of molecular therapy. We are now seeing
Among the tools in Dr. Phillips’ toochest are destruc-
what are essentially tumor vaccines. We can look at
tive therapies such as cryotherapy with liquid nitrogen
specific tumor markers and create these very targeted
or electrodesiccation and curettage (EDC). The immune
❱ Is there a “sunscreen gene”? Find a link to the study on our website.
❱H ow to talk to patients about cancer: Read our discussion with a Sioux Falls oncologist
SOUTH DAKOTA MEDICAL GROUP MANAGEMENT ASSOCIATION
ERA OF CHANGE April 25-27, 2018 @ Holiday Inn Sioux Falls City Centre
Learn from local and national experts on topics of workplace violence, protecting culture and preventing harassment, courageous leadership in your professional and work life, motivating healthcare teams in an era of change, ending team drama and what we know about genetics today and how it impacts tomorrow! For the full schedule or to register, visit our website at sdmgma.org Like us on Facebook at www.facebook.com/sdmgma Follow us on Twitter @SDMGMA
April / May 2018
SIOUXLAND SHOULDER SPECIALIST ON REVERSE TOTAL SHOULDER REPLACEMENT HERE ARE SEVENTEEN
problems, or total shoulder replace-
pioneers in shoulder diseases and
muscles in the human
ments that need revision are also not
treatments. He has also spent time
shoulder, giving a healthy
good candidates for standard total
with a number of US shoulder
shoulder replacements. Fortunately
range of motion of any joint in the
for patients with these issues in the
“I think if you keep yourself open,
Siouxland area, Dr. Johnson has had
you can learn something from every-
Johnson, MD, an orthopedic surgeon
great success performing reverse total
one,” says Johnson. “I have learned
at CNOS in Dakota Dunes who
shoulder replacements, which were
a lot from other people’s mistakes,
specializes in shoulder care, four
FDA approved in 2003.
so I pay very careful attention to
of those muscles—the muscles that
The procedure reverses the ball
comprise the rotator cuff—cause
and socket of the shoulder joint,
His careful observation has paid
more problems than the other
affixing a metal ball to the socket and
off. Of the 500 reverse total shoulders
a plastic cup to the upper end of the
he has performed—about 70 of which
Johnson has become a regional
humerus. Johnson trained on the
were revisions of standard total
expert in a procedure that attempts
procedure in France where it was
shoulder replacements—there have
to get around one of the problems
developed and where it has been used
been only four dislocations, a rate of
inherent in a diseased or injured rota-
for the last 30 years. He has performed
less than one percent (compared to a
tor cuff: the fact that it is unlikely to
more than 500 reverse total shoulders
national average of 3 to 31 percent).
support a standard total shoulder
over the last 11 years.
The reverse procedure has lowered
“I wanted to see what the limita-
the risk of complications with revision
“The rotator cuff is what holds the
tions and applications of this reverse
standard total shoulder in place,” says
procedure were,” says Johnson, who
“In France, which is a much more
Dr. Johnson.”But if you have a tear, it’s
was fellowship trained in advanced
mature market, 95 percent of shoulder
going to rock up and down and cause
shoulder reconstruction and sports
replacements are reverse total shoul-
the component to fail. It also increases
medicine in San Diego. Dr. Johnson
ders,” says Johnson. “It offers options
dislocation rates and causes pain.”
spent time in Nice and Lyons, France
for something that didn’t have options
Like those with rotator cuff prob-
learning the reverse total shoulder
and there is some evidence that it may
lems, patients with severe arthritis,
technique from Dr. Gilles Walch
even be better. So it is a rapidly evolv-
complex fractures, glenoid bone stock
and Dr. Pascal Boileau, international
ing area of shoulder science.” ❖
surgery by 20 percent.
❱W atch a video explanation of reverse total shoulder replacement
❱R ead about the region’s new orthopedic residency program
[ RESE ARCH ]
Sanford Diabetes Trial Reaches Full Enrollment
N FEBRUARY, The Sanford Project: T-Rex Study, a Phase 2 clinical trial on diabetes in children, enrolled the last of
its 110 trial participants. The project is studying the potential of a cell therapy developed by Caladrius that uses each patient’s own regulatory T cells, or Tregs, to fight type 1 diabetes. Kurt Griffin, MD, PhD, director of clinical trials for The Sanford Project,
says reaching full enrollment is a
THE WHOLE IDEA BEHIND THIS TRIAL IS TO TRY TO FILL A GAP AND REBALANCE THE IMMUNE SYSTEM IN THESE CHILDREN.
critical milestone for the project. “If
body, purified, expanded in culture,
we look at clinical trials in general,
and returned to blood circulation in an
there are many of them that never actu-
effort to slow the decline of insulin
ally fill,” Griffin told MED. “In other
cases, a trial will take so long to fill that
Griffin says this trial represents
it isn’t even relevant anymore. It is still
the first time this type of autologous
a long way from having the answer, but
immune cell transplant has been tried
reaching full enrollment essentially
in diabetic children. The therapy has
tells us that we are going to get there.”
received fast track designation from
Now that the T-Rex Study trial is
the FDA, a first for any type 1 diabetes
officially full, Griffin says “the clock
intervention. If the study produces
starts ticking” toward the primary end-
positive results, the next goal will be
point, which is the last year of treatment
to expand it to include younger
for the last enrolled child.
“The whole idea behind this trial is
“By the time someone shows up
to try to fill a gap and rebalance the
with high blood sugar, you have already
immune system in these children,”
killed off most of your beta cells,” says
says Dr. Griffin. Participants between
Dr. Griffin. “The immune processes
8 and 18 at 13 sites were randomized
continue to accelerate and expand. If
to either of two doses in the treatment
we can catch this earlier, the immune
arms or to placebo. For those in the
system might be more amenable to a
treatment groups, the participant’s
gentle nudge in the right direction and
own Treg cells were extracted from the
it might have better effect.” ❖
❱G o online for a list of clinical research trials currently enrolling at Sanford.
April / May 2018
American Hospital Association Invites Physicians to “Lead Well. Be Well. Care Well.” LEAD WELL Improving the health of the enterprise and forming collaborative teams to move organizations forward
HE ORGANIZ ATION THAT rep-
“Physicians who sign up to be part of the
resents the nation’s hospitals and
Alliance are joining a culture in which physi-
healthcare networks has launched
cians are empowered to deliver care more
a new initiative aimed at training
effectively in the face of change,” says Bhatt.
physicians to play a bigger role in shaping
“Personally, I have found the training in
the future of American healthcare.
adaptive leadership in particular to be very
The American Hospital Association’s new
helpful. It has helped me connect with things
Physician Alliance offers resources, data,
that are positive, rewire my brain, and be more
tools, and services specifically
resilient. It is something
designed to help physicians meet
I am using every day.”
three objectives—to lead well, be
BE WELL Improving the health of clinicians and building resilience
CARE WELL Prioritizing better health for patients and communities
Bhatt says Alliance
well, and care well.
resources address topics
“The relationship between
that may not have been
hospitals and physicians has never
part of a physician’s
been more important than it is now,
medical training like
when the environment is changing
workflow, conflict man-
and healthcare delivery is chang-
agement, having crucial
ing,” says internal medicine
conversations, and deal-
physician Jay Bhatt, MD, AHA’s
ing with uncertainty—all
Senior Vice President and Chief
of which can make them
Medical Officer. “Doctors need to
more effective leaders
be strategic partners with hospital
leadership in order to chart a better future.”
within their care teams. “As healthcare delivery changes from fee-for-serve
A third of America’s physicians are now
to a value-based system, it is incredibly
employed. Bhatt says the Physician Alliance
important to have physicians shaping the
is designed to help these doctors work more
future along with administrative leadership,”
effectively within their hospitals and health
says Dr. Bhatt. “You don’t want to let external
systems by providing them with podcasts,
factors shape you and how you do the things
webinars, issue briefs, toolkits, and unique
that drew you to medicine in the first place.”
immersion experiences. Alliance members
Tools and resources are available for
will also be able to participate in dedicated
senior physicians leaders in AHA-member
educational tracks at AHA flagship meetings
institutions as well as frontline employed
and be a part of a community of like-minded
❱ F ind out how to join the AHA Physician Alliance
❱R ead the AHA’s fact sheet on physician burnout and resilience
Trust our Mohs Board Certified Dermatologists. Our providers have advanced training in the surgical treatment of skin cancer.
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April / May 2018
Battling Worker Fatigue By Kelly Marshall
OU LOOK TIRED.” Everyone
those sleeping less than seven hours a night
knows this is never a compliment.
experience a significantly higher risk of injury
But did you also realize it can be
than those who sleep more than seven hours
an actual danger to yourself and
on a regular basis 3.
others in your workplace? While fatigue is
It is estimated that fatigued worker
not the same thing as general sleepiness,
productivity can cost employers between
ongoing lack of quality sleep can increase
$1,200 to $3,100 annually per employee 4.
the risk of fatigue. Additionally, shift work,
In addition to direct costs, employers may
workload, monotonous tasks, and other
experience the indirect costs of additional
environmental factors can also increase
medical conditions that plague the fatigued:
one’s risk of fatigue in the workplace.
diabetes, hypertension, cardiovascular
So what’s the big deal? Consider these
disease, and obesity, to name a few.
historical incidents as you ponder this ques-
Shift workers, especially those working
tion: Chernobyl, the Exxon Valdez oil spill,
night or rotating shifts, can be at a higher risk
and the Space Shuttle Challenger explosion1.
for fatigue as both the duration and timing
Worker fatigue played a role in each of these
of their sleep is likely to be affected. Sleep
historical disasters. Fatigued employees are
loss can actually mimic alcohol intoxica-
nearly three times as likely to be involved
tion. Environmental conditions can be a
in a workplace accident 2. It’s estimated that
factor, as well. Environmental causes such
up to 13% of workplace injuries could be
as temperature, lighting, and noise can all
attributed to fatigue 3. Increased fatigue
contribute to fatigue.
increases the risk of errors in judgment, slows
So what can you do? Most importantly,
reaction time, and decreases productivity
raise awareness. A recent survey shows that
and work performance3.
only 20% of employees understand fatigue 3.
As hours of sleep decrease, workplace
Provide employees with the education and
injury rates increase. Research shows that
resources they need to recognize signs of
$1,200 TO $3,100 ESTIMATED ANNUAL FATIGUED WORKER PRODUCTIVITY COST PER EMPLOYEE
Resources: Kelly Marshall, OT 1 Employee Health and Safety. (2002). Severe impact of fatigue in the workplace examined. is a Job Analysis and Retrieved from http://www.ehstoday.com/news/ehs_imp_35340 Ergonomics Specialist 2 A fundamental way to reduce fatigue & workplace accidents. (n.d.). Retrieved from with RAS. https://www.fusionhealth.com/health-and-safety/fatigue-workplace-accidents/ 3 Fatigue in the workplace: Causes & consequences of employee fatigue. (2017). Retrieved from http://www.nsc.org/Fatigue%20Documents/Fatigue-Survey-Report.pdf 4 Fatigue – you’re more than just tired. (n.d.). Retrieved from http://www.nsc.org/learn/NSC-Initiatives/Pages/Fatigue.aspx 5 Lerman, S. Eskin, E., Flower, D., George, E., Gerson, B., Hartenbaum, N., Hursh, S., & Moore-Ede, M. (2012). ACOEM presidential task force on fatigue risk management. Journal of Occupational and Environmental Medicine, 54(2), 231-258.
WATCH OUT FOR:
• Increased errors in judgment • Memory lapses • Microsleeps; drooping eyes and nodding heads • Difficulty concentrating or focusing • Slowed reaction time • Irritability • Reduced ability to handle stress on the job • Increased sick days or absenteeism
fatigue in themselves and their colleagues. Include
opportunity for an appropriate amount of turn-
fatigue education in safety talks, memos, and
around time between shifts whenever possible.
posters in your workplace.
Implement a Fatigue Risk Management System
Allow for flexible scheduling and breaks when-
(FRMS) 5. This may include workplace fatigue
ever possible, especially for those working high-risk
assessment, investigation, and follow-up. By
shifts, hours, or jobs. Employees with long com-
including fatigue in your accident and incident
mutes may also be at increased risk for workplace
reporting, you gain additional opportunities to
fatigue. Assure that these employees have the
identify fatigue risk within your organization. ❖
❱H ow to communicate more effectively with an injured or ill employee
DISCOVER. INSPIRE. GROW.
Edith Sanford Breast Center Symposium Friday, April 20, 2018 JOIN US Edith Sanford Breast Center Symposium | Friday, April 20
Sanford Center, Dakota Room 2301 E. 60th St. N | Sioux Falls, SD
Learn from local and national breast cancer experts on topics such as survivorship, genomics, immunotherapy, staging guidelines, lymphedema and lymph node surgery, radiation oncology technology and scientific research in breast cancer at Sanford Health. To register, visit sanfordhealth.org keyword: Edith Symposium
April / May 2018
“Genetics is changing the paradigm for the treatment of newborns,” says Dr. Brunelli. “In the next 10 years, we will see a dramatic shift in the implementation of precision neonatal medicine, coupled with improvements in areas such as ventilation, nutrition and pharmacogenomics.”
Children’s, UNMC to Participate in Neonatal and Pediatric Genome Sequencing Trial
Children’s is home to a Level IV Regional NICU, the most advanced level of neonatal care available. “We are the only site in the Midwest for this exciting trial,” says Dr. Brunelli. “I am confident this will make a difference and allow us to improve healthcare for newborns here in Omaha and throughout the region.” The Department of Genetic Medi-
HILDREN’S HOSPITAL & Medical Center and the University of
cine at the Munroe-Meyer Institute
Nebraska Medical Center (UNMC) will take part in one of the
(MMI), the PICU at Children’s, and the
nation’s first large-scale trials of clinical whole-genome sequenc-
Bioinformatics and Systems Biology
ing (cWGS) in the neonatal and pediatric intensive care unit (NICU
Core Facility in the Department of
and PICU) environments. The primary aim of the study is to evaluate
Genetics, Cell Biology and Anatomy
whether the clinical management of acutely ill newborns suspected of
at UNMC also will be involved in this
having a genetic condition is altered with cWGS.
Whole-genome sequencing is the most comprehensive method for ana-
“In the NICU, babies are waiting
lyzing the genome, which has been instrumental in identifying inherited
for physicians to make the right deci-
disorders, characterizing the mutations that drive cancer
sions, and time is of the
progression, and tracking disease outbreaks.
essence,” says collaborator
Clinical WGS is a relatively new technology and still not widely
Babu Guda, PhD, Chief Bio-
available; it allows the interpretation of the complete genetic
informatics and Research
information of an individual within one to two weeks instead of
Computing Officer at UNMC.
the usual three months that is currently required for these test
“So if you can reduce the
results to be returned, according to Luca Brunelli, MD, PhD, Chil-
time from days to hours,
dren’s Specialty Physicians,Division Chief of Neonatology at
that is the key. Right now,
Children’s and an associate professor of Pediatrics–Neonatology,
the time lapse from collect-
and Genetics, Cell Biology and Anatomy in the UNMC College of
ing the sample to getting the
❱ L earn more about Dr. Brunelli’s local collaborators in the extended version of this article on our website.
MEDAd2018_RAS_Layout 1 3/22/2018 3:25 PM Page 1
IN THE NICU, BABIES ARE WAITING FOR PHYSICIANS TO MAKE THE RIGHT DECISIONS . . . IF YOU CAN REDUCE THE TIME FROM DAYS TO HOURS, THAT IS THE KEY.
approximately three months. Our goal is to reduce these months to days, and that is the main technological highlight of this project.â€? Moreover, Dr. Guda pointed out that Childrenâ€™s and UNMC already have several pieces in place, from
Applying a Human Factors and Occupational Health Philosophy to Risk Management. Highly Trained Team of Specialists with Expertise in: Human Factors Engineering & Ergonomics Government Compliance and Regulation Industrial Hygiene Industrial Safety Occupational Therapy Psychology
a Clinical Laboratory Improvement Amendments (CLIA)-certified lab at MMI for sequencing to a robust bioinformatics infrastructure to rapidly analyze the data needed to institute the technology on a per-
Workersâ€™ Compensation. Itâ€™s what we do. Itâ€™s who we are.
manent basis following the trial. â?–
Compassion . Experience . Trust Â Â? Â? Â? Â? Â Â 605.334.1930 6301 S. Minnesota Ave., Suite 300 www.plasticsurgerysiouxfalls.com April / May 2018
Avoid Medical Jargon When Talking to the Press By Alex Strauss
Equally concerning is the fact
Having a camera or microphone
by a member of the
that industry jargon may be unfamil-
in your face or a reporter frantically
media can be both
iar to the reporter. This is a problem
typing over the phone line can make
exciting and a little
because you need that reporter to
it seem like the time to be at your
intimidating – especially for those
clearly understand you so that he or
most scientifically eloquent. Resist
who don’t do it often. How do you
she can accurately convey your mean-
the temptation! Remember, your goal
make the most of your opportunity
ing to an audience.
is to make things clear and simple –
to promote your practice, boost
If in doubt, don’t risk it. When you
for the reporter as well as the audience.
your brand, and educate the public?
are tempted to use a medical term or
Slow down, repeat, rephrase. This is
For starters, make sure you’re
research jargon, dumb it down. And
not a medical conference.
don’t worry about being too simplis-
If you want to be quoted . . . or
Remember: When you talk to the
tic. Reporters are taught to write for
quoted again . . . or called back . . . use
media, you are not talking to your
a third to fifth grade audience and
as much ordinary language as possi-
colleagues (unless you are talking
your goal is to make this task as easy
ble. Reporters will love you for it.
to MED). You are not talking to the
as possible for them.
ANALOGIES AND VISUAL AIDES
reporter. You are not even talking to
Think of your oldest, youngest, or
a room full of patients. You are talking
most-confused client or patient and
Especially if a concept is likely to be
to one single patient. And it’s best to
speak to that person. Here are some
tough to grasp or unfamiliar, try to
assume that the patient to whom you
examples of medical jargon and
paint a picture with your words. Say
are talking is also pretty unsophisti-
abbreviations along with plain
things like “Imagine two metal plates
cated. If it doubt, always err on the
language (read, more press-friendly)
rubbing together. . . .” or “weak like a
side of simplicity.
balloon that has been overinflated”.
NO ONE KNOWS THE WORD ‘EDEMA’
ABRASION = scrape, scratch BIOPSY = tissue sample
Of course, some people obviously
BLOOD GLUCOSE = blood sugar
know the meaning of the word
EDEMA = swelling
“edema”, but it may be fewer people
EXCISE = remove
than you realize. It is vital to keep in mind, especially if you are new to
HYPERTENSION = high blood pressure
working with the press, that words
LACERATION = cut, tear
that may be part of your daily lexicon
PALPATE = feel
are likely to be totally unfamiliar to your audience.
Original analogies are even better. Whatever it takes to make the point clear. If you typically use hand gestures, models or pictures to illustrate a point for patients in the office, consider offering to do the same for the reporter. During your interview, take a cue from media darling Deepak Chopra, MD, and speak slowly, over enunciate, and pause often. And if in doubt, stop and simply ask the reporter if he or she understands your meaning.
TAKE HOME MESSAGE: Reporters and patients want to work with people who speak in terms they can understand. Use your interview to demonstrate that you are that person. ❖
a spectrum of patient-focused care By providing innovative and personalized care at five specialty centers, Sioux Falls Specialty Hospital has earned the confidence of patients and partner referrals throughout the region. And with the recent launch of Sioux Falls Urgent Care, we offer an expanded range of health services that all have one focus – the best patient care. Meet the team at one of our specialty centers today. SURGERY | MIDWEST IMAGING MIDWEST PAIN SPECIALISTS | SIOUX FALLS URGENT CARE WORKFORCE OCCUPATIONAL HEALTH Proud to be Physician Owned and Operated
April / May 2018
(605) 334-6730 •
[ T HE Q UE S T IO N ]
Best Practices in PR & Communications If you are a busy clinician, we are betting that you rarely have a chance to sit down with someone in your marketing department and discuss best practices regarding PR and communication in the digital age. So MED did it for you! Here are what some of the area’s top marketing experts want you to know. SIGRID WALD —Avera St. Mary’s Hospital Great storytelling is attention-grabbing and inspires action. Patient stories, in particular, have the potential to influence how people approach healthcare. Share your success stories with your marketing department and make time for media interviews. These steps will position you as a thought leader in your industry and could encourage someone to seek care when they need it most. CHERYL HAVERMANN —Yankton Medical Clinic Social listening is critical to be aware of what is being said about you or your clinic, as well as responding to posts and reviews in a timely manner. Reaching out to take a negative conversation offline will demonstrate that you are hearing what is being said and offering to listen, in private, to not fuel the online flames. MADISON ZIMMERMAN-DUSEK — Rapid City Medical Center With 93% of healthcare decisions made based on word of mouth, reputation management is key. Investing in a reputation management software was worth it to us. Also, engaging with happy and longtime patients encouraging them to leave reviews, which can help to flood out any negative reviews. Positive reviews also help with search engine optimization. LINDSEY MEYERS —Avera Health Marketing is moving in a digital direction. Physicians who have room for new patients should have a profile video and a head shot that’s within the last few years on their website. More patients are choosing a physician online, and this will help people understand what makes you unique. JENNIFER BENDER —Prairie Lakes Healthcare When some physicians hear ‘marketing’ they think ‘advertising’. However marketing is a process. As a marketer, I endeavor to understand our prospective and current patients and support them with access to resources and suggested steps in their health and wellness journey. Marketers and physicians can be efficient partners in accomplishing these patient centric goals and improving our community’s health. SARAH FULLER —Regional Health Marketing professionals want to have comprehensive understanding of a provider’s practice and to work together as collaborative partners. I believe that builds a trusting relationship that allows for fluid conversation and streamlined execution of marketing campaigns and tactics.
April, May, June, July
Upcoming Events APRIL 11
26th Annual Avera McKennan Trauma Symposium
23rd Annual North Central Heart Vascular Symposium
Location: SF Convention Center
Location: SF Convention Center
South Dakota Association Healthcare for Marketing and Public Relations (SDAHMPR) Summer Conference
Information & registration:
Information & registration:
Location: Holiday Inn City Centre, SF
CRCAIH Research Summit on Native & Rural Health
Location: UnityPoint Health–
DLSH 20th Annual “Gifts of Sight & Health” Golf Tournament
8:00 am–4:00 pm
8:00 am–5:00 pm
Location: Sanford Center, Sioux Falls Registration: crcaih.org/summit.html
8:00 am–5:00 pm
44th Annual Perinatal Conference St. Luke’s Auditorium Information: 712-279-3500
Location: Prairie Green Golf Course, SF Registration: dakotasight.org/event/
APRIL 20 Edith Sanford Breast Center Symposium Location: Sanford Center, Dakota Room Registration: sanfordhealth.org, keyword: Edith Symposium
6:00 pm–9:00 pm American Cancer Society Magic of Hope Benefit Event Location: SF Convention Center Information: firstname.lastname@example.org Tickets: acsmagicofhope.com
8:20 am–4:30 pm Avera McKennan Diabetes Conference Location: Hilton Garden Inn Downtown Information & registration: email@example.com Phone: 605-322-8950
8:30 am–4:00 pm Avera Caring Professionals Conference Location: SF Convention Center Information & registration: firstname.lastname@example.org, Phone: 605-322-8950
JUNE 29 10:00 am
Edgewood Senior Living 4-Person Golf Scramble Location: Lenkota Golf Course, Lennox, SD Information:
3:30 pm, Thursday 4:15 pm, Friday Avera Orthopedics and Sports Medicine Symposium Location: Sioux Falls Information & registration: email@example.com Phone: 605-322-8950
edgewoodseniorliving.com Phone: 605-367-9570
8:00 am–4:00 pm 20th Annual Missouri Valley Symposium Location: ASHH Professional Offices Pavilion, Yankton, SD Information: YanktonMedicalClinic.com/MVS Phone: 605-665-6933
SO SONO NO WOMAN WOMAN WONDERS WONDERS Join Join thethe Wisdom Wisdom Study Study and and help help end end thethe confusion confusion around around breast breast cancer cancer screening. screening.
THIS THIS STUDY STUDY IS DESIGNED IS DESIGNED TO:TO: INCREASE INCREASE • Screening • Screening safety safety • Effectiveness • Effectiveness for women for women • Discovery • Discovery of breast of breast cancer cancer earlier earlier
ThisThis study study is designed is designed to determine to determine thethe bestbest screening screening option option for breast for breast cancer: cancer: Annual Annual screening screening or personalized or personalized screening. screening.
You can You can join quickly join quickly by completing by completing the questionnaire the questionnaire on our on website. our website.
DECREASE DECREASE • False • False alarms alarms • Unneeded • Unneeded biopsies biopsies
CRITERIA CRITERIA TO TO ENROLL ENROLL • Women, • Women, agesages 40-74 40-74 • English • English speaking speaking • Able • Able to provide to provide consent consent • No• personal No personal history history of breast of breast cancer cancer or or ductal ductal carcinoma carcinoma in situ in situ
19059-01189 019059-01189 2/18 2/18
Safe Safe Whether Whether you are you in are the in annual the annual or personalized or personalized screening screening group, group, you’ll you’ll receive receive the highest the highest quality quality of care. of care.
Our Our goalgoal is toisfind to find the best the best screening screening guidelines guidelines for ourselves, for ourselves, our our daughters daughters and and future future generations generations of women. of women. If you’re If you’re a woman a woman age age 40-74 40-74 withwith no personal no personal history history of of breast breast cancer cancer or ductal or ductal carcinoma, carcinoma, you you maymay qualify. qualify.
JOIN JOIN TODAY TODAY EdithSanford.org/WISDOM. EdithSanford.org/WISDOM. CallCall 1-87-SURVIVAL 1-87-SURVIVAL for more for more information. information.