Meet UnityPoint Health-Sioux City's New CEO How Make-A-Wish Referral Really Works
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e n O y t n e w T P O eT
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THE SOUTH DAKOTA REGION’S PREMIER PUBLICATION FOR HEALTHCARE PROFESSIONALS
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VOL. 12 NO. 8
2021
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VO LU M E 12 , N O. 8 ■ D E C E M B E R 2021
e n O y t n e w T The TOP f o s e i r Sto 10 Midwest Medical Edition
PAGE
■
By Alex Strauss
From the cath lab to the OR to the executive's office and from the Black Hills to Watertown to Sioux City, we recap the top 21 stories to grace the pages of MED Magazine in 2021.
CONTENTS PAGE 5 | How to Refer a
Child to Make-A-Wish PAGE 6 | [Interview]
Lorenzo Suter, Regional President & CEO of Unity Point Health–Sioux City PAGE 8 | This Month Online
PAGE 21 | When Providers
Criticize Other Providers ■ By Copic's Patient Safety and
Risk Management Department PAGE 22 | [Sponsored]
Dakota Lions Sight & Health Marks 30 Years of Service
FROM US TO YOU elcome to MED Magazine’s 12th annual holiday issue. As we round out another year with you, we want to express our thanks for your continued readership, support, and service to our communities. In keeping with our annual tradition, we are bringing you a visual roundup of some of the people and programs that graced these pages in 2021. Do you know someone you’d like to see featured here next year at this time? We welcome your suggestions for articles and cover features any time at Info@MidwestMedicalEdition.com. Of course, you’ll also find the latest news, a chat with Siouxland’s newest healthcare CEO, a compilation of articles and information you’ll only find on our website, and more.
W
Until 2022! With thanks, —Alex and Steff
PAGE 16 | NEWS & NOTES
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How To Refer a Child for medical professionals Scan to refer a child.
Make-A-Wish is safely granting wishes for children in your community right now! 1. Learn more about Make-A-Wish
Make-A-Wish creates life-changing wishes for children with criical illnesses in South Dakota and Montana. A wish can help children build the physical and emooonal strength they need to fight a criical illness. The experience can be a game-changer that brings joy and a sense of normalcy back into a child’s life. Our belief in the power and impact of a wish is what guides us and inspires us to grant the wish of every eligible child.
2. Consider your current patients who may qualify to receive a wish
Children with criical illnesses, i.e., a progressive, degerneraave or malignant condiion that is placing the child’s life in jeopardy may qualify. At the me of referral, the child must be older than 2½ years and younger than 18, and must not have received a wish from another wish-grannng organizaaon.
3. Talk to the family
Medical providers and healthcare team members involved in care can refer a child. It all starts with a conversaaon with the family in which you’ll need to secure verbal consent to make a referral. There are a few misconceppons of Make-A-Wish: knowledge of who we serve can help when communicaang with the family.
4. Fill out online referral form
Visit wish.org/medical-referral and click “Refer a Child” and fill out the online form. “A child that has a wish - there is a measurable change in their outlook.” -Kendall Brown, MD For more informaaon on how to refer a child, please contact Joe Evenson, Senior Director Program Services at jevenson@sdmt.wish.org or 605.335.8000
Midwest Medical Edition
DECEMBER
5
[ INTERVIEW ]
LORENZO SUTER, REGIONAL PRESIDENT & CEO OF UNITYPOINT HEALTH–SIOUX CITY lived under a bridge and I was
I thought they just wore suits and
surrounded by drugs and alcohol.
walked around. But this CEO was
But there were also some awesome
bringing in new services and it
people in that community who
intrigued me. I decided that was
encouraged me not to settle and
what I really wanted to do, so I
helped build my character. My early
changed to a Masters in Healthcare
years taught me that, in order to
Administration.
help people, you have to meet them where they are. I see myself as
MED: What attracted you to Sioux City?
someone who works for the staff
LS: The first thing that attracted
that shows up every day to do
me to the community is the size.
what’s right for our community.
I have lived in downtown Chicago
They and the community are my
and that was intense. I didn’t know
bosses.
my neighbors there for two years.
MED: You trained as a nurse before moving into administration. What drew you to healthcare?
But when I moved here, my neighbors brought me baked goods! I also appreciated the access to critical access hospitals in the
LS: My grandmother was killed HIS PAST SUMMER, Lorenzo
region. These are so important.
by a caregiver at a skilled nursing
Third, I researched the UnityPoint
Suter became the Regional Pres-
facility when I was about 13. I had
Health System and found that
ident and CEO of UnityPoint
assumed that you are supposed
they really cared about the people
Health–Sioux City and Senior VP of
to be treated well at a healthcare
in their communities. I would not
UnityPoint Health. Among the usual
facility. That incident really made
be in my role today without the
activities of a new CEO, Suter started
me want to be an agent of change.
support of caring people in my
his tenure by scheduling one-on-one
I wanted to be a different kind
community, so that meant a lot
meetings with every one of his 1,700
of caregiver. I wanted to go to
to me.
employees. We caught up with him
medical school, but I was broke.
between meetings to find out more
So I started as a CNA then got a
about his management style, his first
BSN and enrolled in an NP
few months in Sioux City, and his
program. I worked in the ICU, the
MED: What excites you most about the things that are happening at UnityPoint right now?
hopes for the future.
OR, and CCU, and as a travelling
LS: I’m most excited about our
T
nurse.
MED: Both the board chairman and the CEO of UnityPoint Health made a point of mentioning your people-centered leadership style as reasons for your selection. What shaped your approach to management?
MED: How did you end up in administration?
2022 strategic plan. We have a new approach that’s coming down from corporate around the concept of ‘Onward’. We are
LS: At some point in my NP
moving onward to provide the best
program, an administrator
possible care to our community.
noticed that I could write well
That means that more resources
LS: I grew up homeless in a small
and suggested that I meet with
are going to be invested and more
community in Kentucky. My mom
a CEO. At the time, I had some
services are going to be brought
was a single mom. We literally
assumptions about administrators.
into our region. ❖
You can read more of our interview with Lorenzo Suter on our website.
6
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Midwest Medical Edition
DECEMBER
7
THIS MONTH ONLINE Highlighting content and opportunities available exclusively at MidwestMedicalEdition.com
Exclusive online articles
Breaking Down the New Rules on Patient Access to Medical Records BY COPIC’S PATIENT SAFETY & RISK MANAGEMENT
New Simulation Opportunities at USD Students in USD’s School of Health Sciences
have access to cutting edge simulation tools thanks to the expansion and remodel of the interprofessional simulation center in the Lee Medical Building on the Vermillion campus. READ MORE.
NPs a Vital Part of SI’s Acute Care Surgicalist Service Surgical Institute of South Dakota (SI) provides round-the-clock general surgery coverage to Avera McKennan Hospital in Sioux Falls. Certified Nurse Practitioners help make it possible. READ MORE about the critical role they play.
Handling Negative Comments Online Worried about a bad review? In the modern era, your online reputation matters more than ever. Here are some key tips for handling it responsibly from the liability experts at Copic.
8
IN THE ERA OF OPEN ACCESS, patient portals, and new information blocking rules, patients now have the ability to demand documentation of their visits with medical providers. Besides just wanting to review their records, patients sometimes make these requests for issues such as workers’ compensation, divorce and custody controversies, life or disability insurance application reviews, and ongoing legal proceedings. In each situation, sensitive information and potentially adverse comments in the record may result in unfavorable consequences for the patient. Under HIPAA’s Right of Access, patients have the right to review (free of charge) and receive a copy (for a reasonable, cost-based fee) of their medical and billing records and any other records that are used to make decisions about a patient. A patient’s right to access his or her electronic medical information was further expanded with the Information Blocking Rule under the 21st Century Cures Act (“Cures Act”) that went into effect April 5, 2021. Upon request, patients and other permitted requestors may now request “immediate” access to a large segment of their medical records and can demand that the information be downloaded to an app of their choosing. Additionally, under the Information Blocking Rule, providing access to other treating physicians (for treatment purposes) must also be provided without undue delay. For example, under the Information Blocking Rule, providers should be aware that the Office of the National Coordinator (ONC) has made it clear that lab and test results must be immediately provided, upon request, once those results are available to the facility or practice. It is no longer permitted to delay access until after the physician or other provider has had a chance to review the results. For more on what is and is not covered under the Information Blocking Rule, see the full version of this article online.
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e n O y t n e w T p o The T f o s e i r o t S
2021
BY ALEX STRAUSS
1
EACH YEAR, WE USE THIS SPACE TO BRING YOU A LOOK BACK AT
SOME OF THE TOP STORIES FROM
Our first cover feature
of 2021 celebrated the
opening of the new Mon-
ument Health Heart and Vascular
THE PAST YEAR, INCLUDING THE
Institute at Rapid City Hospital.
PEOPLE WE CHOSE TO FEATURE
The facility brought interventional
ON OUR COVERS. THIS YEAR,
cardiologists Drew Purdy, MD,
THOSE COVERS INCLUDED
and Samuel Durr, MD, and their
CARDIOLOGISTS, GENERAL
colleagues back to the hospital
SURGEONS, NURSES, AN INFEC-
campus after many years away.
TIOUS DISEASE SPECIALIST, A
The practice originally known as
HOSPITALIST, A PULMONOLOGIST,
The Heart Doctors started on the
AND A CEO AND REPRESENTED
hospital campus in what is now the infusion center. Today, the Monu-
HEALTHCARE FACILITIES IN SIOUX FALLS, AND MORE. AS
ment Health Heart and Vascular Institute has more than 16 heart doctors
WE CONTINUEOUR MISSION
including two cardiothoracic surgeons, and more than 20 advanced practices
TO SERVE AND CELEBRATE EXTRAORDINARY HEALTHCARE IN THE SOUTH DAKOTA REGION, WE WELCOME YOUR SUGGESTIONS FOR FUTURE ARTICLES!
providers. In September 2020, they moved from their previous building a few blocks away from the hospital campus into the new addition to Rapid City Hospital — a visually stunning addition that clearly reflects the value that Monument places on the program. “When you walk in, it looks like a first class heart program,” says Dr. Purdy. “Cardiologists and the hospital go hand-in-hand. It makes sense to be here.” “The good thing is it is just easier and more efficient,” Dr. Durr told MED. “You are able to see patients in the clinic and then easily go over to the hospital. It allows us to do much more with our day when we need to.”
10
MidwestMedicalEdition.com
Avera Behavioral Health Center
2
Avera announces plans to build a new four-story wing at the Avera Behavioral Health Center in Sioux Falls in response to Community Health Needs Assessment
that identified gaps in services for behavioral health and chemical dependency, made worse by the pandemic.
3
Local healthcare facilities begin offering monoclonal antibody treatment with bamlanivimab for high-risk people with COVID-19 after the FDA cleared the drug
for emergency use.
4
Clay
Holderman
becomes President and CEO of Unity-
Point Health and Sanjeeb Khatua is named President and CEO of UnityPoint Clinic.
6
The USD School of Health Sciences, the USD Center for Disabilities, and LifeScape launch South Dakota’s
first certification program for Board Certified Behavior Analysts (BCBA). The program will fill a major gap in care for children and
5
adults with problematic behaviors. On the March cover, we introduced Sanford Health’s new CEO, Bill Gassen, who took the
helm in December 2020, at a time of unprecedented change for the health system and for healthcare in general.
MED: What is one thing that the pandemic has taught the organization?
7
With the release of the first COVID-19 vaccines, South Dakota’s healthcare system kicked
into high gear to get shots in arms. Their unprecedented cooperation was the focus of our April/May Cover feature. The FDA approved the first COVID-19 vaccine on December 18 and by December 21, the first South Dakota patients were
BG: I think it has reinforced for us the strength of being an integrated
being vaccinated. And as the rollout con-
system. It allowed us to bring together the whole sum of our resources
tinued, South Dakota quickly pulled far
and leadership to benefit the whole company. It allowed us, for
ahead of other states in the percentage of
instance, to provide sufficient PPE to Good Samaritan Society facilities
the population getting vaccinated.
when other facilities were struggling. It gave us the opportunity to
By mid-March, South Dakota had fully
move COVID-positive patients to locations where we could provide
vaccinated nearly 16 percent of its popu-
the best possible care for them and reserve ICU space for those who
lation, compared to a national average of
needed it most. It reaffirms for me the need to be even more tightly integrated.
MED: What lasting impact do you think the pandemic will have on Sanford as an organization?
BG: I think it will definitely change us for the better as we move forward. It highlighted both the things we were doing well and the things we need to do better. It showed us that there is very little margin for not being prepared or not being in a position to be prepared quickly. And it has forced us to keep in mind that, when it comes to our employ-
just 11 percent. Only Alaska and New Mexico were doing better and only by a couple of percentage points. “We were very fortunate that the South Dakota health department has been an excellent partner in making sure that we were all kept informed,” Shankar Kurra, MD, Vice President of Medical Affairs at Monument Health Rapid City Hospital told MED. “Already in November, they were let-
ees, we have to take care of the whole person. We have to be mindful
ting us know that the vaccines were getting
that when they come in every day, they bring with them their respon-
close to their trial dates and we were begin-
sibilities outside the workplace.
ning to coordinate across the state on how we would do this. That allowed us to get prepared.”
Midwest Medical Edition
DECEMBER
11
9 10
The South Dakota Board of Nursing approves Yankton Medical Clinic to offer a 320-hour clinical enrichment program for up to three
qualifying nursing students. In the June issue, we highlighted Jacob Weasel, MD, Rapid
City’s first Lakota surgeon and the newly- appointed Assistant Dean for Diversity and Inclusion at USD Sanford School of Medicine. “At 16, I told my girlfriend that I was The first step to vaccinating South
going to go to medical school to become
Dakota was to divide the workload. The
a surgeon,” Monument Health general
state’s health systems conferred to decide
surgeon Dr. Jacob Weasel told MED.
who would take which counties.
“When I wrote my personal statements,
“I think the key to our success as a state
I always said that my goal was to have
has been clear messaging and consistent
a significant impact on Native Ameri-
communication,” said David Erickson,
can healthcare. That is what really
MD, Chief Medical & Innovation Officer
started the whole journey for me.”
for Avera Health. “When it came to the
During his general surgery resi-
vaccine, everyone’s goal was just to get
dency in Des Moines, Weasel began to
shots in arms. We all know that vaccination
search for a position that would allow
is the only way forward out of this
him to practice the advanced surgical
pandemic.”
techniques he had learned and simultaneously support the health of native people. Monument Health Rapid City Hospital, with its large population of Native American patients and it’s advanced medical facilities, was the perfect solution. Dr. Weasel, his wife, and three children moved to Rapid City in 2018 at the end of his residency. “Most of my patients know that I’m native and that I’m Lakota,” says Weasel. “At first, they are surprised and then there is this comfort level. People open up to you in a way that they might not with other healthcare providers and I’ve been able to help restore trust in the healthcare system.”
8
Carl June, MD, professor of immunotherapy in the Perelman School of Medicine
at the University of Pennsylvania wins
Sanford’s $1 million Lorraine Cross Award for achievements in medical sciences.
12
11 12
Dakota Lions Sight & Health announces a partnership with Avera to bring the first birth tissue donation program to South Dakota. Later in the year, DLSH added a birth
tissue donation program at Monument Health. The USD Sanford School of Medicine ranks No. 6 among the nation’s 160 medical education programs for the percentage of graduates working in rural areas.
MidwestMedicalEdition.com
14
15
Monument Health announces a
Kentucky native Lorenzo
partnership with Vibra
Suter, BSN, MHA,
Healthcare to build the
DHA, becomes
area’s first long-term
the new regional
acute care hospital and
president and
expanded rehabilitation
CEO of UnityPoint
facility in Rapid City.
Health–Sioux City
The facility will fill a
and senior VP for
care gap highlighted
UnityPoint Health.
by the pandemic.
13
In July/August, we paid tribute to pediatric infectious disease specialist Ashlesha
Kaushik of UnityPoint Health who had
16
Huron Regional Medical Center kicks off a $9.3 million construction project to add 23,000 square feet to its multi-specialty clinic and
expand the imaging department to accommodate stateof-the-art MRI and 3D mammography.
more about COVID-19 infection in children
17
and teenagers than UnityPoint Health-St.
ing the Sanford Sports Complex,
been recently selected to the national faculty of a CDC/AAP project to help slow the spread of COVID-19 and other infectious diseases in children. Few physicians in the country know
million initiative
delivery and access by expandcreating eight new residencies
cialist Ashlesha Kaushik, MBBS, MD, FAAP.
and fellowships in critical
Last summer, while the rest of the
specialty areas, and building a
world was still trying to wrap its head
60,000 square foot virtual care
around the scope of the pandemic and
center. We discussed the project
ICUs across the country were filling up
with hospitalist Jeremy Cauwels,
with sick patients, Kaushik was already matory syndrome (MIS-C), one of the most
Health
announced a $300
to transform rural healthcare
Luke’s Pediatric Infectious Disease spe-
publishing papers on multisystem inflam-
Sanford
MD, chief physician at Sanford Health, and surgeon Luis Garcia, MD, president of Sanford Health’s
serious illnesses caused by SARS-CoV-2
clinic division for our September/October cover.
infection in young patients.
MED: Why is it important to make this investment in rural healthcare
Kaushik, winner of the CDC 2019 Childhood Immunization Champion Award, also serves as the hospital’s Director of Antimicrobial Stewardship. “Antimicrobial stewardship is really the need of the hour,” says Kaushik. “Antibiotic-resistant microbes are becoming a
now, when so many Americans are moving to larger cities?
JC: While some towns are shrinking, other towns and other ways to earn a living in those areas are absolutely growing. Part of our job, if we want to be the premier rural health provider in the US, is to find ways to reach out and deliver premium care to those rural patients, whether they live 7 miles away from a medical center or 70 miles.
bigger threat globally because of overuse.
That is our mission.
We have to continue to share the basics
LG: The reality is that about 20 percent of the US population
of infection control and the principle of
still lives in rural areas. Rural Americans are more likely
using the most narrow antibiotic possible
to die from the four leading causes of death in this country:
for the problem.”
heart disease, cancer, storke, and injury. Most of these
The message has hit home for UnityPoint Health-St. Luke’s, which has reduced its own antibiotic use by 50 percent in the last three years.
Midwest Medical Edition
DECEMBER
deaths are preventable with better access to care. While the attention tends to turn toward urban settings, one
1 2 0 2
fifth of our population is still living in rural areas.
13
“This is what our health system needed to be and I am proud of the way they have fulfilled that role,” says Senne. Senne himself has done multiple interviews with local media outlets to encourage masking, vaccination, and other safety practices. He’s also worked to arm primary care providers with information they need to help get their own patients vaccinated. “I challenge people when they cite misinformation,” he says. “And it can be hard to challenge your neighbors.”
Clinic in Dakota Dukes in January. The strategic
its new Hubbard Center for Children,
alignment of the two practices will expand CNOS’ reach in the
21
nearly doubling Children’s physical
region and will allow them to offer new specialties.
capacity.
The Hubbard Center for Children
18
The orthopedic and general surgeons of Tri-State Specialists, LLP, of Sioux City will join the CNOS
19 20
Omaha Children’s Hospital and Medical Center celebrates the opening of
MercyOne Siouxland Medical Center unveils its newly renovated emergency department called Fast Track, designed to provide access to experts in
90-minutes or less. For our November cover story, we shined the spotlight on Watertown pulmonologist Dr. Svien Senne who is carrying on the family tradition
of facing healthcare challenges with compassion and equanimity at Prairie Lakes Healthcare System. Svien Senne, DO, has a special place in his heart for grandparents. Not only is the Vermillion native descended from a long
line of prominent healthcare providers in the region, but, as a Pulmonologist and Critical Care specialist at Prairie Lakes Healthcare System, he’s also spent much of the last year-and-a-half trying to make it safe for others to spend time with their own aging relatives again. “I’m trying to navigate us through this pandemic so that we can all hang out with our grandparents again,” says Dr. Senne. During the pandemic, Dr. Senne has been a key player in Prairie Lakes’ response, not only as it relates to the care of their own patients but also as a public health
1 2 0 2
information leader for the region.
Dr. Svien Senne
14
MED & MEDICINE EXPLORING. ADAPTING. EVOLVING. EXPANDING.
JUN E
icited How to Handle Unsol ts Test Resul ol Finding Infection Contr Knowledge Gaps Now Birth Tissue Donation a Available in South Dakot
In today’s healthcare environment, the only constant is change.
2021
Coping with Compassion Fatig ue Protecting Your Prac in the Age of Teleh tice ealth
Jacob Weasel, MD, General Surgeon
PUBLICATION N’S PREMIER DAKOTA REGIO THE SOUTH
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VOL. 12 NO. 4
Happenings around the region
News & Notes
South Dakota | Southwest Minnesota | Northwest Iowa | Northeast Nebraska
Sanford Health has been recognized by Military Times for being one of the best employers across the country for veterans. The 2021 Best for Vets: Employers List highlights 161 employers, and Sanford Health landed at the no. 36 spot, up from 42 last year and number one in the business category rankings for Healthcare Services and Nonprofit. This is the third year in a row Sanford Health has been recognized on this list.
SANFORD An investigational device invented at Sanford Health that helps high-risk vascular disease patients has been granted a breakthrough device designation by the U.S. Food and Drug Administration. Vascular surgeon Patrick Kelly, MD, invented the aortic stent graft system designed to treat a thoracoabdominal aortic aneurysm. Dr. Kelly’s concept has the potential to treat more people utilizing a minimally invasive approach. More than 150 patients have been treated with the device at Sanford over the past nine years.
16
NATHAN SCHEMA Sanford Health joined the NIH, the National Center for Advancing Translational Sciences (NCATS), Oregon Health & Science University, and an Australian health insurer in a recently-published study of healthcare costs for patients with rare diseases. The retrospective study examined medical and insurance records for people with rare diseases and found medical costs for those with rare diseases are similar to those for cancer, heart failure and Alzheimer’s disease–up to five times higher than the general public.
Nathan Schema has been named the new president and CEO of The Evangelical Lutheran Good Samaritan Society, the nation’s largest non-profit provider of senior care and services. Schema’s dedication and leadership has led to a successful career with the Good Samaritan Society, serving as a nursing home administrator; the associate director of operations; regional vice president of operations; and most recently as the vice president of operations. He will replace Randy Bury, who is retiring December 31st.
The American Medical Association has recognized Sanford Health as a recipient of the 2021 Joy in Medicine Health System Recognition Program. The AMA distinction recognized an elite group of 44 health systems for their demonstrated commitment to preserving the well-being of healthcare team members by engaging in proven efforts to combat work-related stress and burnout.
AVERA Avera has again earned the highest level of recognition as a Level 10 organization in the 2021 Digital Health Most Wired Survey conducted by the College of Healthcare Information Management Executives. This is the third year that Avera has been named as a Level 10 organization, achieving the highest level for both acute and ambulatory settings, with previous elite designations including Top 10 and “advanced.” A total of 36,674 organizations were represented in the 2021 Digital Health Most Wired program. This is the 22nd time Avera has been honored on the Most Wired list.
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• Happenings around the region
News & Notes
INDEPENDENTS
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RISE Custom Solutions (a division of LifeScape) is among 44 orthotics and prosthetics (O&P) providers across the nation that were recently honored with the 2021 Freedom Award. The annual award, sponsored by Orthotic and Prosthetic Group of America (OPGA), recognizes O&P providers who deliver exceptional standards of care for military personnel needing orthotic and prosthetic devices. Recipients of the 2021 Freedom Award received a framed award to showcase in their patient care facility.
KRISTEN HUGHES Kristen Hughes, MD, an internal medicine physician at Huron Regional Medical Center, passed her board exam and is now board-certified by the American Board of Internal Medicine. Dr. Hughes earned her medical degree at the University of Medicine and Health Sciences in St. Kitts & Nevis. She completed her internal medicine residency at Wayne State University in Michigan. The Lodge at Deadwood, a longtime supporter of MED Magazine, has started construction on a hotel expansion. All 40+ of the new rooms and suites will offer views of the Black Hills as well as the luxury and comfort that the hotel is known for. Completion is expected in Spring 22.
MidwestMedicalEdition.com
Prairie Lakes Cancer Center held an unveiling ceremony for the Cancer Center’s new Bell in October. The Cancer Center purchased the bell with a donation from the Prairie Lakes Healthcare Foundation. The bell is mounted on a plaque on the wall in the Cancer Center and will help cancer patients celebrate their accomplishments and journey milestones.
INCREASED COLLABORATION. GREATER ACCESS. MORE SPECIALTIES.
Surgeons at Brookings Health System performed the first robotic-assisted surgery using the newly acquired da Vinci Xi in October. Brookings Health first invested in the da Vinci robotic platform in 2013, becoming the third hospital in South Dakota to actively offer robotic surgical technology. The upgraded system allows Brookings Health to perform more procedures robotically, including acid reflux surgery, colon and gastrointestinal surgery and endometriosis surgery.
WELCOMING
(TOP TO BOTTOM, L TO R)
Aaron Althaus, MD • Joanie Columbia, MD • Raymond Kuwahara, MD Kevin Liudahl, MD • Joseph Morris, MD • Phinit Phisitkul, MD Bill Samuelson, MD
SIOUXLAND UnityPoint Health – St. Luke’s is participating in the U.S. Department of Health and Human Services (HHS) Perinatal Improvement Collaborative, a large-scale, data-driven collaborative of 200+ leading hospitals caring for diverse populations in all 50 states. The HHS Perinatal Improvement Collaborative will test interventions and protocols to reduce preventable deaths and complications among mothers and their babies.
Midwest Medical Edition
DECEMBER
Improving Health, TOGETHER
We are pleased to announce that effective January 3, 2022, the physicians of Tri-State Specialists will join CNOS. Together, we’ll expand quality patient care through enhanced collaboration and the addition of new specialties. REFER TO 605-217-2667, OPTION 7. CNOS.NET
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Happenings around the region
DANIELLE PINGEL
Siouxland made miracles happen for local children during the UnityPoint Health – St. Luke’s Children’s Miracle Network 2021 Mediathon event on November 9th and 10th. The two-day event was broadcast live on KG95 and KTIV, as the community pledged their support to our local Children’s Miracle Network. A total of $125,095 was raised by our community, supporters, and sponsors for the kids of Siouxland!
Danielle Pingel is the new Executive Director of Rural Hospital and Clinic Operations at MercyOne Siouxland Medical Center. Pingel comes to Sioux City from UnityPoint Fort Dodge, Iowa where she was Director of Clinic Operations over multi-specialty clinics and family medicine clinics, a women’s imaging center, and a fully owned independent lab. Pingel was previously the Manager of Population Health and an administrative fellow at MercyOne.
MIR RAUF SUBLA
Patients across Siouxland will now have quicker access to the highest quality of care thanks to the new transport vehicle commissioned by UnityPoint Health – St. Luke’s. The NICU Transport Vehicle’s primary purpose will be to transport Neonatal Intensive Care Unit staff to the bedside in cases where advanced care is needed in rural communities. It will also serve to transport newborns to the area’s only Level II NICU at UnityPoint Health – St. Luke’s for continued care and monitoring. UnityPoint Health – Sioux City plans to open another UnityPoint Clinic location in Sioux City. Located in the old Shopko building on Hamilton Boulevard, between Once Upon a Child and Wilmes Hardware, UnityPoint Clinic – Marketplace will include 7,742 square feet of space and will be home to four family medicine providers and two urgent care providers. Construction started in November and the new location is expected to open in the spring.
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Dr. Mir Rauf Subla, MD, FACC, FSCAI is the new Medical Director of Cardiology at MercyOne Siouxland Medical Center. Dr. Subla is quadruple board-certified in internal medicine, critical care medicine, cardiology and interventional cardiology. He completed fellowships in Heart Failure at Cleveland Clinic, Cardiovascular disease at Mayo Clinic and Interventional Cardiology at Duke University Hospital. He also holds an assistant professor of medicine position at Mayo College of Medicine and Science in the Division of Cardiology and Critical Care at Mayo Clinic. Dr. Subla performs all major interventional procedures including TAVR, MitraClip, Watchmen, CardioMEMS and EKOS.
GARY CHAN Dr. Gary Chan, DO, PhD, has joined MercyOne Siouxland Heart and Vascular Center as a general cardiologist. Dr. Chan finished his fellowship at the University of Arizona last year. He went to medical school at Kansas City University of Medicine and Biosciences and in between he did a Postdoctoral Research Fellowship at Harvard Medical School, Division of Molecular and Vascular Medicine. He will be concentrating his practice in the outpatient clinic. MercyOne Dakota Dunes Breast Care Center has been awarded a three-year term of accreditation in mammography. The ACR gold seal of accreditation represents the highest level of image quality and patient safety. MercyOne Dakota Dunes Breast Care Center is the only ACR Breast Center of Excellence in the tri-state area representing accreditation in mammography, ultrasound, stereotactic biopsy and breast MRI.
❱ I ntrigued by something you’ve read here? Want to go deeper? Read the full versions of these and other recent news items on our website.
MidwestMedicalEdition.com
When Providers Criticize Other Providers Recognizing the difference between medical errors and jousting
BY COPIC’S PATIENT SAFETY AND RISK MANAGEMENT DEPARTMENT CASE STUDY 1 A neurologist sees a patient for a stroke follow up. In reviewing the medical records, he sees that she had complained to her PCP about palpitations prior to her stroke. The EKG at that time showed atrial fibrillation, but the issue was never addressed. The neurologist believes that the atrial fibrillation was causative of the stroke and the patient will need anticoagulation.1 CASE STUDY 2 A 35-year-old man with a comminuted humerus fracture is treated surgically by Doctor A. The patient moves to another state and follows up with a different orthopedic surgeon, Doctor Joust. Upon reviewing the X-ray, Doctor Joust asks “Why did Doctor A use this hardware? That’s crazy. What an idiot!”
The AMA Code of Medical Ethics
Ethics Manual 2 states, “It is unethical
Opinions 9.4.2 notes that “Reporting
for a physician to disparage the
a colleague who is incompetent or
professional competence, knowl-
who engages in unethical behavior
edge, qualifications, or services of
is intended not only to protect
another physician to a patient or
patients, but also to help ensure
third party or to state or imply that
that colleagues receive appropriate
a patient was poorly managed or
assistance from a physician health
mistreated by a colleague, without
program or other service to be able
substantial evidence.”
to practice safely and ethically.”
The issue of criticizing other providers is further highlighted
JOUSTING
in a Journal of General Internal Medi-
Jousting is making negative com-
cine article 3 about a study where
ments on prior care without
recorded patient interviews showed
complete knowledge of the facts.
that 30% of physician’s comments
The American College of Physician
were critical of prior care. ❖
1 N Engl J Med 369;18 1752-1757 (case study was adapted from this article) 2 www.acponline.org/clinical-information/ethics-and-professionalism 3 J Gen Intern Med. 2013 Nov; 28(11): 1405–1409.
❱S ee the extended version of this article for more on physician criticism and its implications.
In the first case, there appears to be a medical error and an ethical responsibility to be transparent with the patient. The second case represents a scenario where “jousting” occurred and the subsequent provider is critical of a previous provider’s care without a full understanding of what happened.
WHEN A MEDICAL ERROR OCCURRED Talking with patients about other clinicians’ errors was the focus of a New England Journal of Medicine article1 which notes that even though physicians recognize the ethical duty to be transparent with patients, there are uncertainties with fulfilling this responsibility.
Midwest Medical Edition
DECEMBER
21
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Dakota Lions Sight & Health Marks
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30 Years of Service
INCE ITS FOUNDING
social workers, and first responders.
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grown into a large professional orga-
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Medical Director Dr. Mike Eide of
nization, serving a multi-state region
From the 99 corneas placed in
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Dakota Lions Sight & Health’s first
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worldwide.
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Vance Thompson Vision Sioux Falls,
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In addition to preparing tissue for
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says DLSH CEO Marcy Dimond. “I am
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22
MidwestMedicalEdition.com
Naloxone can save lives.
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Having access to naloxone is critical. Promote naloxone education & make sure your patients know how to get it. If your patients have opioids in their homes—they are at risk for overdose. Keeping naloxone on hand can reverse an overdose and save lives. The SD Standing Order makes it easy for your patients to get naloxone from participating pharmacies.
Encourage your patients to keep their families safe. Help them understand:
• Naloxone is a safe medication used to reverse an opioid overdose. • ANYONE can administer naloxone. • There is no potential for abuse, and side effects are very rare. • Naloxone is available statewide at participating pharmacies. • If they can't afford naloxone, their pharmacy can help them
Refer your patients and their families to the
Resource Hotline 1-800-920-4343
It’s FREE, confidential, and available 24/7
get it for FREE!
For more information on naloxone, the State Standing Order, or key data, visit AvoidOpioidSD.com Brought to you by the South Dakota Department of Social Services. Funding made possible through a Substance Abuse and Mental Health Services Administration (SAMHSA) grant. Nothing in this PSA constitutes a SAMHSA endorsement of content, services, or policies.
MATERNAL-FETAL MEDICINE SPECIALISTS At Sanford Health Our leading team of Maternal-Fetal Medicine specialists provide advanced care and support for patients experiencing high-risk pregnancies. We combine our passion for innovation with the latest technology – creating an environment of compassionate, patient-focused care for women and their families. We partner closely with referring providers and provide:
Jeffrey Boyle, MD
Michael McNamara, DO
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• High-risk obstetric care • Advanced diagnostic testing • Treatment services • Genetic Counseling • Consultation and Maternal Transports 24/7
Call (605) 328-4600 for a consult or to refer a patient. 389-939-889 Rev. 11/21