Table of Contents June Volume 1, Issue 2
4 6
Publisher’s/Editor’s Page Cover Story
Opening New Doors
Sioux Falls Surgical Hospital has come a long way since its humble beginnings as a small outpatient surgical center in 1985. The hospital has grown to offer a full range of inpatient and outpatient procedures and has taken its place among the surgical options in Sioux Falls, with impressive clinical outcomes, low nurse-to-patient ratios, and high patient satisfaction scores. We talked to some of the hospital’s physician-owners for this month’s MED Cover Feature.
12 15 17 18 20
Pediatric Residency Now Available in Sioux Falls Sanford Verified as Pediatric Trauma Center AHA Grant to Improve STEMI Outcomes in SD Grape Expectations: The Wines of Summer By Heather Taylor Boysen
Featured Story
Staff Publisher Steffanie Liston
Heather Boysen, Shelly Grinde
Editor in Chief Alex Strauss
Advisory Board: John Berdahl, MD Mary Berg, MD Michelle L. Daffer, MD James M. Keegan, MD, Timothy Metz, MD Patty Peters, MD Juliann Reiland-Smith, MD Luis A. Rojas, MD Daniel W. Todd, MD
Magazine Layout & Web Design 5j Design - Sioux Falls, SD Creative Director - Jake Peterson Cover & Logo Design Darrel Fickbohm Contributing Writers Mary Olinger, Charlotte Hofer, Dave Hewett,
Published by: MED Magazine, LLC Sioux Falls, South Dakota
Contact Us Steffanie Liston, Publisher 605-366-1479 Steff@midwestmedicaledition.com Alex Strauss, Editor 605-359-8897 Alex@midwestmedicaledition.com Fax: 605-271-5486 Visit us on the web at www.MidwestMedicalEdition.com Mailing Address: PO Box 90646 Sioux Falls, SD 57109
Joint Camp at CNOS CNOS in Dakota Dunes finds patient education is key to better outcomes in joint replacement surgery.
25
Sioux Falls Company Uses Text Messaging to Support Healthcare
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Autism Spectrum Disorders Program at Center for Disabilities By Shelly Grinde
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News & Notes
Reproduction or use of the contents of this magazine is prohibited. ©2010 Midwest Medical Edition, LLC Midwest Medical Edition (MED Magazine) is committed to bringing our readership of 3500 South Dakota area physicians and healthcare professionals the very latest in regional medical news and information to enhance their lives and practices. MED is published 8 times a year by MED Magazine, LLC and strives to publish only accurate information, however Midwest Medical Edition, LLC cannot be held responsible for consequences resulting from errors or omissions. All material in this magazine is the property of MED Magazine, LLC and cannot be reproduced without permission of the publisher. We welcome article proposals, story suggestions and unsolicited articles and will consider all submissions for publication. Please send your thoughts, ideas and submissions to alex@midwestmedicaledition.com. Magazine feedback and advertising and marketing inquiries, subscription requests and address changes can be sent to steff@midwestmedicaledition.com. MED is produced eight times a year by MED Magazine, LLC which owns the rights to all content.
Letter from the Publisher
W
elcome to the second issue of MED, the area’s only locally-produced publication for, by and about our
medical community. Thanks for all the wonderful feedback we got about our first issue. And a special thanks to all the advertisers who have put their faith in this magazine to help bring it to you, free of charge. We hope that you will use Steffanie Liston
their services and thank them for making this possible.
I have been so busy during the last two months, representing MED and
meeting people at many local medical events. We started with the SDMGMA Conference in Sioux Fall, SD. It was great to meet so many new people and learn about the progress happening in area clinics and hospitals. I also spent time in Rapid City to get a feel for new things happening in that area of our readership. (You’ll see some of what I learned in our next issue!) It was great to have a chance to meet so
MED Publisher Steffanie Liston surrounded by her North Central Heart/Avera Heart Hospital teammates at the Race Against Breast Cancer on May 8th.
many doctors and learn about the new West River initiatives.
I would like to thank the Sole Sisters team from North Central Heart and Avera Heart Hospital for letting me be
on their team for Avera’s Race Against Breast Cancer that was held on Saturday, May 8th in Sioux Falls. This was a great time and it was fun to be included.
Finally, a heartfelt thanks to all of you who are reading this. We do what we do because of you and we want
to make sure we are providing you with a communication tool you will enjoy, respect, and use. We welcome your suggestions and contributions any time. Until next month, Steffanie
Letter from the Editor
I
f we had any doubt about the wisdom of producing this new, local publication, your response to our first issue of MED put those doubts to rest. Thank you for all of the great feedback,
suggestions and ideas. We are committed to making MED the best communication tool it can be for our wide and diverse medical market. You can always reach me with your ideas and contributions at alex@MidwestMedicalEdition.com.
Alex Strauss
The Sioux Falls area has seen an explosion in medical development in recent years. Our
featured facility, Sioux Falls Surgical Hospital, is a perfect example. The hospital’s history of
expansion and improvement mirrors that of the medical market as a whole and has earned them national recognition as well as high patient satisfaction rates. We’ll take you inside this newly renovated physician-owned facility, as another local hospital prepares to open a new surgical center of its own.
We have been thrilled with the number of editorial contributions and news items we have received and our
second issue is packed with them. We hope you will find MED a valuable resource for keeping up with local medical news, learning about new programs and technologies…. And maybe even choosing a bottle of wine for your backyard barbeque. (Thanks to our own local wine writer!) If you have information to share with MED’s 3500 physician readers, we would love to hear from you. Here’s to a happy, healthy and productive start to your summer. Alex 4
Midwest Medical Edition - June 2010
Advanced Genetic Testing Now Available at Sanford Children’s
The MED Magazine Advisory Board
Introducing the Cytogenetics Whole Genome Array
Over the years, advances in genetic testing have improved doctors’ ability to treat and diagnose certain illnesses. By analyzing small
Juliann Reiland-Smith, MD, Breast Surgery
John Berdahl, MD, Ophthalmology
Patty Peters, MD, Family Practice
Michelle L. Daffer, MD, Dermatology
Mary Berg, MD, Family Practice
Timothy Metz, MD, Anesthesiology
Luis A. Rojas, MD, Gynecologic Oncology
James M. Keegan, MD, Infectious Disease
Daniel W. Todd, MD, Otolaryngology
samples of blood or body tissue, doctors can use genetic tests to determine whether someone carries gene mutations or chromosome rearrangements for certain inherited disorders.
Now, the Sanford Clinic USD Genetics Laboratory offers an
advancement in that technology: microarray testing. The Cytogenetics Whole Genome Array* allows screening of a patient’s entire genome at a finer resolution than can be achieved by light microscopy. The test is highly effective at detecting something (a section of DNA) that is missing from a chromosome or something extra (an additional copy of a section of DNA) that shouldn’t be there. While this test can’t see everything, it does allow for detection and diagnosis that the microscope alone doesn’t allow.
The lab’s director, Patricia Crotwell, PhD, says this type of
genetic test had to be sent out of state in the past but now can be performed here in South Dakota.
“This technology allows us to see gains and losses of ge-
netic material that we simply can’t see at the microscope,” says Crotwell. “It won’t replace a good clinical genetics evaluation, of course, but we expect it to be very helpful in determining whether a patient’s symptoms or physical findings are related to chromosome imbalances, even if those are too small to have been detectable in the past.”
Patients with the following characteristics are most likely to
benefit from microarray testing:
• Congenital anomalies or birth defects
• Delayed growth and psychomotor development
• Autism spectrum disorders
• Abnormal sexual development
• Abnormal or unusual physical features
• Seizures or neurological dysfunction
• Chromosome abnormalities
Although this new technology allows for diagnosis of a broad
range of genetic disorders, it does not replace the need for a clinical
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Midwest Medical Edition - June 2010
5
Opening New Doors
Sioux Falls Surgical Hospital Builds on its Strengths
Opened in 1985 as the Sioux Falls Surgery Center, the building has been expanded to include 13 OR’s and extensive radiology services and is licensed for 35 overnight patient beds. To reflect the expanded services, the building was renamed the Sioux Falls Surgical Hospital in January 2009.
By Alex Strauss When it opened its doors in 1985, the Sioux Falls Surgical Center was a singlestory building in the shadow of what was then McKennan Hospital. About two dozen doctors and staff performed a handful of procedures every week – basic outpatient surgeries, such as tonsillectomies, ear tubes, and basic orthopedic knee scopes – in the facility’s six operating rooms.
Today, the Sioux Falls Surgical Hospital is an eye-catching multi-story
building with 13 modern operating rooms and 35 private patient rooms. Two hundred and forty surgeons and staff members from independent practices as well as both area health systems now perform everything from total joint replacements to pediatric surgery, delicate neurological procedures and cancer surgery.
With a volume of more than 800 procedures per month– about 10,000 a
year – this physician-owned facility has carved out a significant place for itself among the region’s surgical options.
Growth of a Hospital
From the day it opened, the Center grew rapidly. Just seven years after it welcomed the first patients, the Sioux Falls Surgical
Center had expanded to ten operating rooms. Four years after that, in 1996, a Recovery Care department was added, which consisted of five patient rooms, designed to accommodate the needs of patients having more extensive types of surgery. Though it wouldn’t change its name for years, these first overnight rooms made the surgical center officially a hospital.
That was the same year that Orthopedic Surgeon Pete Looby, MD, began
his career at Orthopedic Institute in Sioux Falls. Dr. Looby started performing outpatient orthopedic procedures at the Center, which was conveniently located
“It was evident to me early on that the Sioux Falls Surgical Center was filling an important need… There was every reason to believe that that trend would continue.”
Insight Marketing Design/Bill Goehring
not far from the Orthopedic Institute. A year later, he decided to invest in the venture, becoming a physician owner and eventually joining its management team.
“It was evident to me early on that the Sioux Falls Surgical Center was
filling an important need,” says Dr. Looby, who now serves as director of the management team. “It was the ideal setting for the types of orthopedic procedures I do and it had been expanding every couple of years since it first
Midwest Medical Edition - June 2010
7
Insight Marketing Design/Bill Goehring
Orthopedic surgical services at Sioux Falls Surgical Hospital have been nationally ranked and recognized. Pictured are Anesthesiologist Dr. Tim Metz and Radiology Technician Ashley Westerman.
opened. There was every reason to believe that that trend would
accommodations for family members who may want to stay
continue.”
overnight. It just makes for a better experience for patients and
for doctors.”
In 1998, the Sioux Falls Surgical Center expanded its
radiology services to include advanced Magnetic Resonance Imaging. As the number and complexity of surgical cases continued to grow, eight more private patient rooms were added
8
Physician-Owned, Patient-Focused
The Sioux Falls Surgical Hospital is owned by physician
to the Center.
investors and is managed by a series of leadership teams,
responsible for different aspects of its operation. A publically-
The Sioux Falls Surgical Hospital (SFSH) adopted its new
name in January of 2009, in the midst of its biggest expansion
traded Canadian company called Medical Facilities Corporation,
project to date. This project, begun in 2007 and completed in
owns 51 percent, a decision made to raise capital for continued
2009, added two floors to the hospital, increased the number of
expansion projects. Dr. Looby says MFC is not involved in the
overnight patient beds to 35 and included a complete renovation
management of the hospital.
of the lobby and reception area, staff lounge, preoperative
admission rooms, and post anesthesia unit (PACU). The entire
the physicians who are delivering the care,” asserts Dr. Looby.
project took more than 20 months as construction crews worked
“My constant message is that this facility is physician-owned
around the hospital’s busy surgery schedule.
and physician-run for the benefit of patients. Our entire goal is to
“The expansion project has just upgraded everything,” says
provide the highest possible level of care to our patients.”
Sioux Falls otolaryngologist Paul Cink, MD, chair of the
hospital’s physician management board. “The entire facility is
facility. Last year alone, more than 60 non-owner physicians
just fresher, newer and beautifully laid out. The 22 new patient
also performed procedures for their patients at SFSH. SFSH can
rooms are spacious, private and well-appointed. They also have
accommodate a wide range of surgeries, including those that
Midwest Medical Edition - June 2010
“There is no more powerful force for patient advocacy than
It isn’t just the physician owners who perform cases at the
require specialized equipment such as balloon sinuplasty, or hip
for some of the youngest, neediest and most fragile patients.
surgery from an anterior approach, for which the hospital just
acquired a special operating table. The facility has multiple lasers
with their care at SFSH. According to the HCAHPS, a national
available and is considering the addition of robotic technology.
initiative that collects data on patient perspectives of their
“We are committed to having the most advanced equipment for
hospital experience, SFSH is ranked third out of the 32 South
the best possible patient outcomes,” says Dr. Cink. “If a surgeon
Dakota hospitals that publically report their data. The survey
has a request for new instrumentation, they put in a request, we
measures patient perspectives on topics such as nurse and doctor
look at it and we get it done.”
communication, responsiveness of the staff, pain management,
Other types of surgery performed at SFSH include:
cleanliness and quietness. Patients gave SFSH an overall score
Patient satisfaction scores suggest that most are happy
• Dental/Oral Surgery
of 86%, a higher composite score than any other Sioux Falls
• Dermatology
hospital.
• Ear, Nose and Throat
• General Surgery
SFSH approach.
• Gynecology
• Neurosurgery
surgical suites is important to surgeons and this is something at
• Ophthalmology
which the Sioux Falls Surgical Hospital excels,” he says. “For
• Orthopedics
a surgeon, to be able to get cases done efficiently is refreshing.
• Pediatrics
Managing nurses are always in scrubs, in the rooms, all the time,
• Plastic and Reconstructive Surgery
so that they can make decisions. This allows for efficient flow
• Podiatry
and keeps everyone happier.”
• Radiology
• Urology
(OMB) finding on physician-owned hospitals nationally,
But Dr. Cink says patients aren’t the only ones who like the “Turnover time between cases and efficient use of our
Consistent with an Office of Management and Budget
SFSH’s morbidity and mortality levels are lower than the
“We do just about everything here but open-heart surgery,”
average traditional hospital and surgical outcomes, risk of
says Dr. Looby, who adds that, as a Medicare-certified facility
infection, postoperative pain and complication rates are
SFSH is often used by various pediatric surgeons providing care
excellent, especially in the area of orthopedics. HealthGrades has
The entire facility is just fresher, newer and beautifully laid out… It just makes for a better experience for patients and for doctors,
Multiple types of surgeries are now performed daily in the hospital’s 13 operating rooms, including Orthopedic surgery, ENT, Urology, Ob/ Gyn, General, Dermatology, Neurosurgery, Ophthalmology, various Pediatric procedures, Plastic Surgery, Podiatry, and Oral Surgery. Insight Marketing Design/Bill Goehring
Midwest Medical Edition - June 2010
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(Photo Left) Sioux Falls Surgical Hospital offers access to powerful 3T MRI imaging capabilities. 3T provides superior imaging for neurological, vascular, spinal and musculoskeletal conditions. Pictured is MRI technician Kayla Woods.
Insight Marketing Design/Bill Goehring
(Photo Below) Sioux Falls Surgical Hospital attributes much of the credit for its high patient satisfaction scores to its low nurse-to-patient ratio. Here Jeanne Wheeler, RN, talks with a patient.
“There is no more powerful force for patient advocacy than the physicians who are delivering the care.” awarded the hospital’s total knee replacement service line its five-star rating for the past four years through 2010. Sioux Falls Surgical Hospital also ranked better in the avoidance of excessive bruising or bleeding as a consequence of surgery and avoidance of respiratory failure following surgery, according to HealthGrades.
The hospital is accredited by the Accreditation Association
for Ambulatory Health Care (AAAHC) and Becker’s Hospital Review named SFSH one of the 32 best physician-owned hospitals in the country.
Unique Advantages
Drs. Looby and Cink give much of the credit for SFSH’s
high marks to the hospital’s high nurse-to-patient ratio. In the adult PACU area, there is one nurse for every two patients. For children in PACU, the ratio is one to one. In addition, there is one nurse available for every three inpatients during the day, and one-to-four overnight. ring Insight Marketing Design/Bill Goeh
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Midwest Medical Edition - June 2010
“We are committed to having the most advanced equipment for the best possible patient outcomes.”
High-End Imaging and the Future
As part of its extensive imaging department, SFSH offers
ultra high-field 3T MRI capabilities. 3T technology produces sharper, clearer images than ever before, which are particularly
helpful in diagnosing neurological and vascular conditions, as
well as imaging the spine and musculoskeletal system.
Patients who may have medical conditions or problems, including
those that are unrelated to their surgery, such as diabetes
imaging facility just across from the hospital. Open Upright MRI
or hypertension, have the peace of mind of having on-site
of South Dakota is a highly versatile scanner that allows patients
hospitalists. These internal medicine physicians are at the Sioux
to be evaluated in various positions, such as sitting, standing
Falls Surgical Hospital round-the-clock to provide care, even
or bending. The open configuration not only allows for these
when the patient’s attending physician cannot be there.
positional studies which are superior for evaluation of certain
conditions, but is also ideal for those whose age, size or anxiety
Because communication is a critical aspect of high quality
In June of 2009, SFSH opened its freestanding outpatient
patient care, especially in a growing facility like SFSH, the
level make traditional MRI too difficult.
hospital has invested in state-of-the-art personal communication
technology for its entire staff. With the building-wide Vocera
hospitals in the new Healthcare Reform Bill, the Sioux Falls
system, every employee wears a tiny communication device that
Surgical Hospital has probably undergone its last expansion
allows them to instantly communicate with anyone – or everyone
project for the foreseeable future. But with more and larger
– in the facility.
patient rooms, state-of-the-art OR’s, top level imaging services,
highly-trained staff and a growing following, Dr. Cink believes
“We believe that superior nurse-to-doctor communication is
Due to limitations on the growth of physician-owned
vital to all aspects of patient care,” says Dr. Cink. “With Vocera,
the hospital is poised for success.
no one would have to leave a procedure in the OR to request that
something be brought in, for instance. This system allows us
surgical care with low complication, pain and infection rates at
to make sure we are communicating and operating in the most
the lowest possible cost. We think that this is what patients in our
efficient manner possible.”
region deserve.”
“We will continue to follow our mission to offer world class
Pain management, whether as a part of post-surgical
treatment or as a goal in itself, is also a big part of care at SFSH. The hospital’s Pain Clinic is managed by hospital medical director and boardcertified anesthesiologist Dr.
“For most types of surgery, there is no question that we provide an outstanding patient experience and the numbers bear that out.”
Tim Metz. Dr. Metz and his colleagues use techniques such as injections, stimulation, life style changes, exercise and, most recently, implantable pumps, to control and alleviate pain that can slow recovery and inhibit the enjoyment of life.
The Sioux Falls Surgical Hospital expanded to include its first overnight beds in 1996. The hospital is now licensed for 35 beds.
Midwest Medical Edition Goehring - June 2010 11 Insight Marketing Design/Bill
Pediatric Residency Program Gains Accreditation Aspiring physicians in the area have a new place to look when
also offer students opportunities with Sanford Research and
choosing a residency program and it’s much closer to home.
Sanford Children’s Health Research Center. The new pediatric
Sanford Children’s is now accredited and offering a pediatric
residents will work side by side with medical students from the
residency program.
Sanford School of Medicine of The University of South Dakota.
The new training program is led by Joseph Zenel, Jr.,
MD, Director of the Sanford Pediatric Residency Program and
graduates from South Dakota as well as many others because it
Professor, Department of Pediatrics for the Sanford School
combines an outstanding pediatric healthcare facility with the
of Medicine of The University of South Dakota. He is also
expertise of so many committed pediatric specialists, generalists
Executive Director of Medical Education at Sanford Health. The
and researchers,” said Rodney R. Parry, MD, Dean of the Sanford
pediatric residency program will accommodate six residents each
School of Medicine of The University of South Dakota. “The end
year in a three year training curriculum. Sanford Children’s plans
result will be highly-trained physicians committed to the well-
to admit its first residency class in the summer of 2011.
being of children.”
“Sanford Children’s Hospital will be the center of training
“The immediate goal of the residency program is to enhance
for our residents; however, the program will take advantage of
the care of children in the Upper Midwest by training specialists
the distinctive characteristics of healthcare in South Dakota,
in children’s health who will populate our communities, both
including rural pediatrics and the unique aspects of caring for
large and small,” says H. Eugene Hoyme, MD, Professor and
Native American children,” said Dr. Zenel.
Chair, Department of Pediatrics Sanford School of Medicine of
The University of South Dakota. “By keeping local doctors in the
The program will take advantage of the opportunities offered
at the existing and developing Sanford Children’s World Clinics here in the United States, as well as international clinics. It will
12
“This is a remarkable pediatric residency for medical school
Midwest Medical Edition - June 2010
area, we are taking pediatric care in this region to the next level.”
The New Face of the Health Care Continuum By Dave Hewett,
to take on these policy and payment challenges. Our delivery
President/CEO SDAHO
systems are better integrated; we have a greater emphasis on primary care; and our hospital readmission rates are among the
Dave Hewett
“Value, not volume; quality, not
lowest in the country.
quantity.” That’s the theme health care
providers are hearing from politicians
be easy. It will require hospitals and physicians to work together
and health care policy makers from both
at a level they may not have in the past. It will require better
sides of the political aisle when referring
a better understanding by physicians and hospitals of post-
to new reimbursement systems for health
discharge treatment options for their patients. A closer working
care providers. This comes in the wake of
relationship with home health services and nursing facilities will
That said, this reformed model of health care won’t always
passage of national health care reform.
be important.
For now at least, reimbursement based on volume appears
“Value, not volume; quality, not quantity” is a phrase we
to be the way forward in the short-term. That will likely change
will be hearing a lot over the next few years. The politicians will
over the next three to four years as the results from pilot projects
likely not understand all of its ramifications. As providers, only
studying different approaches to reimbursement are produced.
by working together will we make it a reality!
Also contributing to the change will be payment penalties for facility acquired infections and hospital readmissions for complications related to original admissions.
These challenges are primarily
affecting hospital payments for now. They have not crept into the debate on “fixing” the Medicare payment issue for physicians – at least not yet. I say that only because the message from the provider community thus far has been to not allow a 21% decline in physician Medicare payments to be implemented. Congress’ response has been to grant short extensions “while more comprehensive solutions to the physician payment issue sought”. Given the current rhetoric surrounding the issue, that “more comprehensive solutions” will likely include payment based on the value and quality of care delivered. Exactly how that will manifest itself is anyone’s guess at this point.
The good news for South Dakota
is that the hospitals and physicians in this state are relatively well positioned
Midwest Medical Edition - June 2010 13
New Avera Surgery Center to Open in July Avera McKennan will open its new Avera Surgery Center for
patients in July.
convenient parking, and valet service. A separate entrance and
designated elevator takes patients and their families directly to the
The outpatient surgery center is newly constructed on the
The Avera Surgery Center offers a dedicated canopy entrance,
Avera McKennan campus in Sioux Falls, designed to have the
center, so there’s no chance of getting lost on the way.
convenience of a free-standing surgery center, with the medical
support of Avera McKennan. As a department of Avera McKennan,
their surgery, and then recover afterward until they’re ready to go
the center offers the same medical expertise and technologically-
home. With the help of an alpha pager and an advanced patient
advanced procedures in a new location, specially designed for
tracking system, families know exactly where their loved one is in
“5-star” comfort and service.
the surgery process at all times, either by checking a confidential
electronic board in the waiting room or their pager.
Outpatient or ambulatory surgery accounts for about 65
Patients are taken to a private room where they’ll prepare for
percent of all surgeries – up from 20 percent only two decades ago.
The new center will offer a host of same-day procedures in the
children to the OR as they are placed under anesthesia, and they
following specialties: ear, nose and throat; orthopedics; gynecology
can be with them as they wake up in their recovery room.
and gynecologic oncology; urogynecology; general surgery;
neurosurgery and spine; plastics; urology; and GI.
equipment is mounted off the floor on booms and is controlled
by touch-panel technology. The Surgery Center is connected by
Advanced surgical techniques include minimally-invasive
For pediatric procedures, parents are allowed to accompany
In the eight surgical suites themselves, the latest in OR
laparoscopic techniques, such as gall bladder removal,
skywalk to Avera McKennan, in the event a hospital admission is
appendectomies or gyn procedures. Some of these procedures are
necessary.
even scarless, because all surgical equipment is inserted through a
Physician tours of the facility will be scheduled throughout the
single incision in the navel.
month of June.
Are you concerned about a patient’s behavior, communication or social skills?
If so, we can help! Refer them to the Autism Diagnostic Clinic at the Center for Disabilities. The Center for Disabilities offers an Autism Diagnostic Clinic for families in South Dakota and the region. Reduced rates may be available due to recent federal funding. Other Autism Program services include consultations, technical assistance, information dissemination and trainings available to schools, agencies and families. Other diagnostic clinics available through the Center for Disabilities include Fetal Alcohol Spectrum Disorder (FASD) Clinic in Sioux Falls and Rapid City, LEND Developmental Clinic in Vermillion and Reservation Developmental Clinic in Cheyenne River. For more information, please call the Center for Disabilities at (605) 357-1439 or 1-800-658-3080. www.usd.edu/cd 14
Midwest Medical Edition - June 2010
A University Center for Excellence in Developmental Disabilities Education, Research and Service
CAMPER CREATES HOPE, STRENGTH & JOY By Mary Olinger
The Make-A-Wish Foundation® of South Dakota depends
Make-A-Wish Foundation® of South Dakota
on the help of medical personnel, physicians, nurses, social workers and more. If you know of a child who has been
The 7 year-old stood by the step and looked up at his new pop-up
diagnosed with a progressive, degenerative or malignant medical
tent camper. His face beamed as he watched his most heartfelt
condition, please call us. The Make-A-Wish Foundation® of
dream come true. For weeks, he and his family had been dealing
South Dakota can be reached at 1-800-640-9198, 24 hours a day,
with the pain, fear and anxiety of his brain tumor diagnosis. He
7 days a week.
had been undergoing treatments to shrink the tumor and steroids had caused his handsome young face to bulge into red, chubby cheeks. It was hard to smile, but this camper’s grin shined through anyway.
Weak, but excited, Luke took his family, friends
and classmates on a tour of his new camper. Despite the unseasonably cool May weather, he could hardly wait to try it out. On his special “wish day”, this little boy even got to share pizza and s’mores – his favorites – with his family and friends. For a little while, he was able to completely forget about his tumor.
A wish fulfilled for a child suffering with a life-threatening
medical condition can give him or her unforgettable and sustaining memories. The Make-A-Wish Foundation® of South Dakota is committed to creating magical moments that give these children hope for a better tomorrow, strength to fight their illness today, and joy away from hospitals and treatments.
Sanford USD Medical Center Offers Region’s First and Only Verified Pediatric Trauma Center The American College of Surgeons Committee on Trauma has
is involved in your child’s care from the moment they arrive at
verified Sanford USD Medical Center as a Level II Pediatric
Trauma 5 through their rehabilitation should be comforting,” said
Trauma Center – the first and only one in the region.
Pediatric Trauma Director and Pediatric Surgeon Adela Casas-
Melley, MD, FACS, FAAP. “Our board-certified pediatric trauma
The verification as a Pediatric Trauma Center means access
to an experienced and dedicated team of board certified pediatric
surgeons are available 24 hours a day, seven days a week, each
surgeons, specially trained emergency physicians, a dedicated
and every day of the year.”
pediatric trauma flight team and rapid access to state-of-the-art
operating rooms. Following treatment at Trauma 5, Sanford
Sanford also received re-verification as a Level II Adult Trauma
Children’s Hospital is easily accessible for continuing care.
Center by the American College of Surgeons Committee on
Trauma. Sanford has been verified as an adult trauma center for
“This is a wonderful step forward for the care of the pediatric
trauma patient in our region. To know that a pediatric specialist
In addition to the new pediatric trauma verification,
16 years.
Midwest Medical Edition - June 2010 15
Experts who care. Specializing in:
The Corn Palace Has Heart The MEGA Heart™, the world’s first inflatable walk-through
Orthopaedics Neurosurgery Neurology Hand Surgery
heart exhibit that demonstrates the effects of heart disease prevention and treatment was on display at the Corn Palace in Mitchell in April.
Heart disease is the number one cause of death in the U.S.
and the American Heart Association says education, diet and exercise are the best ways to fight it. The MEGA Heart™ is an interactive tool which displays the complex heart anatomy so that the general public can more easily visualize disease processes.
Physiatry
Presented by Medical Inflatable Exhibits, Inc., the MEGA
Podiatry
of the human heart that provided visitors a close-up view of
Heart™ is a 10-foot tall, 21-foot long, and 15-foot wide replica healthy and diseased tissue, artificial valves, and a stent as well
Rheumatology
as the damage caused by a heart attack.
Physical Therapy
Visitors entered the exhibit through the superior vena cava
and exited through the aorta. During the tour, they learned about cardiovascular functions, observed examples of various types
Occupational Therapy Spine Care Sports Medicine Medical Imaging Durable Medical Equipment Athletic Training Services
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605-217-2667 cnos.net 16
Midwest Medical Edition - June 2010
of heart disease, and read about the latest medical treatments for heart problems. In addition to the MEGA Heart™, the Corn Palace event featured stations on a variety of topics including heart healthy nutrition, the importance of CPR, using Public Access Defibrillators, and more.
The South Dakota/Minnesota MEGA Heart™ tour was a
collaborative effort between the Avera regional facilities: Avera St. Luke’s in Aberdeen, Avera McKennan and the Avera Heart Hospital in Sioux Falls, Avera Sacred Heart in Yankton, and Avera Marshall in Marshall, MN, each of which sponsored a MEGA Heart™ event during the week of April 19.”
American Heart Association Receives $8.4 Million Grant to Improve Heart Attack Care in South Dakota The Midwest Affiliate of the American Heart Association will
the state in acquiring 12-lead ECG equipment and comprehensive
receive $8.4 million over three years from the Leona M. and
12-lead ECG training; transmission and receiving equipment
Harry B. Helmsley Charitable Trust to implement Mission:
for STEMI-referring and receiving hospitals; a system-wide
Lifeline, a community-based initiative aimed at improving the
data tool for quality measurement and improvement; ongoing
system of care for heart attack patients throughout South Dakota.
medical provider training and education; development of STEMI
“It is a tremendous affirmation of the importance of Mission:
protocols for EMS and hospital personnel; regional plans for
Lifeline and positions South Dakota as a leader in our nationwide
rapid transport and/or transfer of patients; and an aggressive
effort,” said Darrin Smith, Senior Director of Advocacy and State
public education campaign on heart attack signs and symptoms
Health Alliances for the Association. “This is a historic day for
and the need to activate the 9-1-1 system.
heart attack patient care in our state. As
a lifelong South Dakotan, I’m proud we
existing systems and enable us to create
will be leading the way nationally right
new systems of care for heart attack
here in South Dakota.”
patients in areas we have only dreamed
about until now,” said Tom Stys, M.D.,
Each year, hundreds of thousands
“Mission: Lifeline will enhance our
of Americans have an ST-elevated
an interventional cardiologist with
myocardial infarction, or STEMI,
Sanford USD Medical Center and member
in which blood flow is completely
of the American Heart Association’s
blocked to a portion of the heart.
Midwest Affiliate board of directors.
Currently, around two-thirds of
STEMI patients fail to receive the
across the state will be involved in the
best available treatments to restore
implementation of Mission: Lifeline,
blood flow. Mission: Lifeline seeks
with representation from large and small
to save lives by closing the gaps that
hospitals and ambulance services as well
separate STEMI patients from timely
as the American College of Cardiology,
access to appropriate treatments.
the South Dakota Department of Health
Although Mission: Lifeline is focused
and the South Dakota Office of EMS.
on improving the system of care for
patients who suffer from a STEMI
will translate into dramatically improved
each year, improving that system will
heart attack patient care all across South
More than 20 stakeholders from
“The success of Mission: Lifeline
ultimately improve care for all heart attack patients.
Dakota, and improved patient care means lives saved,” said Tom
Isaacson M.D., Medical Director at Avera Heart Hospital and
According to the Centers for Disease Control, South Dakota
is in the Class 5 category for STEMI death rates, making it one of
interventional cardiologist with North Central Heart Institute.
the states with the highest STEMI death rates in the nation.
Health Program which over the last two years awarded a total of
“The full implementation of Mission: Lifeline with this grant
The Mission: Lifeline funding is part of the Helmsley Rural
will save lives in the Black Hills region, throughout western
more than $41 million in grants to institutions and organizations
South Dakota, and indeed all across the state,” said James
in the upper Midwest.
Walder, M.D., cardiologist with Regional Heart Doctors in Rapid City and chairman of the South Dakota Mission: Lifeline Task Force.
The grant will fund the critical elements of an optimal
STEMI system of care: assistance to every ambulance service in Midwest Medical Edition - June 2010 17
Grape Expectations By Heather Taylor Boysen
dressed with parsley and lemon vinaigrette. It is a salad worth
Good Spirits Wine & Liquor
repeating, I just need to figure out the recipe for the dressing. A beautiful California Sauvignon Blanc is absolutely perfect with
I must admit that I like to follow the rules. I go the speed
this salad. But let’s throw in a slice of goat cheese dredged in
limit much to the chagrin of some of my adult passen-
egg white and lightly sautéed in panko crumbs. Not a rule-
gers, never text while driving, and try to never miss any
breaker by any means, but do you ever think about Sauvignon
of my family’s doctors’ appointments. I am adamant about
Blanc with Goat Cheese? You should because it is wonderful!
teaching my children to look both ways before crossing the
street, wearing their bike helmets and being “politeful” as
season, grates are cleaned, tanks are filled and a trip to your
my five-year-old son likes to say.
locally-owned butcher shop is in order. As South Dakotans, we
It is the time of year when grill covers are removed for the
There is comfort in rules and organization and routine.
are in the middle of beef country. We have the best beef in the
Why then do I disregard certain age-old rules when
world here and have a plethora of choices in the steak depart-
Heather Taylor Boysen
it comes to wine and
ment.
food pairings? I am
constantly experi-
meat brings different flavors and textures to the table. A mild
menting and seeing
and fork-tender piece of filet mignon wrapped in bacon would
how the flavors of
be better suited with a bold, smokey Pinot Noir whereas an
wine and food affect
aged, peppercorn-rubbed New York Strip would be wonderful
each other. The red
with a spicy Australian Shiraz. Many people would immediate-
wine with red meat
ly consider a Cabernet Sauvignon for any steak pairing and it
and white wine with
is by no means incorrect. It’s a rule we have all followed since
white meat rules don’t
red wine was paired with red meat.
apply anymore. As our
palates become more
know this grape as Chianti (the region in Italy where the grapes
sophisticated, unusual
are grown), but this varietal has an underlying acidity and hint
ingredients and wine
of saltiness which is incomparable with the richness and fat of
choices become more
certain cuts of steak such as a Porterhouse or T-bone. Consider
abundant in our area,
a Chianti Classico Riserva or Brunello di Montalcino the next
many of the old rules
time you decide to treat yourself with a juicy piece of bone-in
we used to follow are just that – old.
A wonderfully imaginative and
Steak is not the easiest wine pairing because each cut of
However, why not consider a Sangiovese? Most of us
steak on the grill.
There is so much information regarding food and wine
talented chef recently prepared a salad for our
pairings and many more rules to “bend”, but please remember
tasting group that I can’t stop thinking about. It
one thing when pairing wine with food. It is about the experi-
was made of fresh, young lettuce, chick peas, English sliced cucumbers, lump crab, fried capers and lightly
ence and the joy of the meal. Whether it is with good friends, family or as an individual experience, it is your experience. No one is going to tell on you if you drink Cabernet Sauvignon with the salad, steak and dessert. But if you are going to drink Cabernet with your dessert, please make it a really great dark chocolate. You won’t regret it.
18
Midwest Medical Edition - June 2010
Siouxland Patients Get More with LESS Midlands Clinic Surgeons in Dakota Dunes are utilizing a new
Laparoendoscopic Single-Site Surgery or LESS is performed
instead of several. “The actual incision is so small, most patients
technique for gallbladder removal. This procedure known as
through a single incision in the bellybutton. This revolutionary
surgical procedure reduces recovery time and leaves almost no
For the patient, LESS has the cosmetic advantage of virtually
no scar since it requires only one incision, typically in the navel,
can’t even see the scar hidden in the bellybutton,” adds Dr. Rizk.
scarring. The first three patients to have the procedure done by Midlands Clinic surgeons all went home the same day of their surgery and have no scars.
Surgical skills must adapt and advance to make minimally
invasive techniques such as traditional laparoscopic surgery even less invasive. Dr. William Rizk, Dr. Lawrence Volz, Dr. Robert
Anderson and Dr. Michael Wolpert have received the specialized training to perform this procedure not only for gallbladder removals, but other procedures as well.
“We anticipate that we will be able to utilize this single
site approach for a number of procedures besides gall bladder
removal, appendix removal, and some hernia repairs,” states Dr. Volz.
Midwest Medical Edition - June 2010 19
Stacy Georgopoulos, Certified Occupational Therapy Assistant, instructs patients at a recent CNOS Joint Camp.
Joint Camp at CNOS By Alex Strauss
J
Putting Joint Replacement Patients One Step Ahead
oint replacement patients who start gentle range of motion
where they live or where they are having surgery performed.
and muscle strengthening exercises even before their
Participants can attend any time before their scheduled surgery,
surgery recover faster, have less pain, and are more likely to
whether it is weeks in advance or just days before.
comply with their physical rehabilitation plan after surgery. That
“We let them decide what would work best for their
research finding is just one of the reasons the CNOS Clinic in
schedule, but we do encourage them to try to attend. A few weeks
Dakota Dunes has launched a series of joint surgery preparation
before surgery is ideal. We feel like it is an important way for
seminars, dubbed ‘Joint Camp’.
them to prepare both their bodies and their minds for surgery,”
“The idea of Joint Camp was to help educate our patients prior to their total hip or knee surgery,” explains one of the
says Koedam. The invitation to Joint Camp is also extended to patients’
program’s developers, Brandee Koedam, DPT. “We are here
family members. At CNOS, we believe in a family-centered
to prepare them to have the best, most successful surgical
methodology. The patient must have ownership into their care
experience possible. Patients who understand exactly what is
and a support structure to help them succeed. By developing
going to happen and have realistic expectations going in, tend to
active collaboration among providers, patients, and families, we
have better outcomes.”
are all partners dedicated to a common goal of efficient, high
The Joint Camp program, which began in March, features a free seminar (including lunch) every Tuesday from 11 to 1
quality care. A key component to the program is access to education
pm. The comprehensive program is open to anyone scheduled
from a multi-disciplinary team. Healthcare is at its best when
for hip or knee replacement by a CNOS surgeon, regardless of
the care continuum is linked to ensure all the different services
function as one unit. During the two-hour Joint Camp, attendees
research shows, and what we have found to be true after the first
get a complete overview of the surgery process from a nurse,
few months of our Joint Camp program, is that patients who
information on physical and occupational therapy from the
have been doing the exercises before surgery just do better after
therapists, and instruction from the clinic’s DME specialist
surgery,” says Pierce. “Their range of motion, speed of recovery,
on durable medical equipment that might be helpful during
and pain level are all better than they are in patients who do not
the recovery process. The seminar includes a tour of the rehab
begin to exercise until after surgery.”
department and therapy sessions can even be scheduled at this time. Patients come away from Joint Camp with a pen, t-shirt, information booklet and educational DVD. But the most important thing they receive, says Koedam, is knowledge. “We believe that information and knowledge are power. From a nursing standpoint, we try to walk them through the entire process, from the time they come in for their surgery, through anesthesia and post-operative recovery. We talk to them about medications, risks, precautionary measures, anything we think might help them go into surgery with more confidence and get through the experience more smoothly.” During the physical therapy portion of the Joint Camp program, patients learn the specific exercises that they will be doing during their post-surgical rehabilitation, which is a vital part of recovery after joint replacement. “There are about seven different exercises that we teach
When Joint Camp graduates do begin their physical
them,” says Physical Therapy Assistant Michelle Pierce who
rehabilitation program after surgery, they also have the advantage
helps with the program. “We demonstrate exactly how to do
of working with therapists who are already familiar to them
each exercise properly and explain how each exercise works on
because of the program. They may even find themselves doing
different muscles to support the new joint.”
therapy beside other patients they met at Joint Camp, creating a
Patients learn how ankle pumps work to get blood flowing again and help to prevent clots. Short and long-arc quads, heel slides and sets to strengthen the gluteal muscles for
spirit of camaraderie and encouragement that can make the work of therapy a little easier. Even the most well-prepared of patients may encounter
hip replacement
something unexpected during or after their surgical experience.
patients are all part
The developers of Joint Camp hope to allay patient fears by
of the training. By
discussing common concerns, such as the amount of bruising or
the end, participants
wound drainage to expect, so that patients will be less worried by
not only understand
their own normal physical symptoms to surgery.
how to do each
Joint Camps, which started in March, bring in a handful
exercise and its
of patients every week, but there is plenty of room for growth.
value, but also
The surgeons of CNOS perform approximately 500 knee
understand why
replacements and 200 hip replacement surgeries every year and
they should get
each of those patients will be invited to take advantage of the
started on them
Joint Camp program.
even before surgery. “What the
“Joint Camp gives them the opportunity to talk with specialists in so many areas and get their questions answered,” says Koedam. “What we are already seeing is that patients who
Nurse like Sure Reuter, RN, walk patients through the entire surgery process so they will know what to expect before, during and after their procedure.
come through this program are ten steps ahead of other patients after surgery.” CNOS plans to soon launch a Spine Camp for patients who are scheduled to have spine surgery. Midwest Medical Edition - June 2010 21
American Cancer Society Online Resources for Physicians. By Charlotte Hofer and Ashley White, American Cancer Society No one knows better than physicians the impact that cancer can have on a person touched by the disease. In honor of National Cancer Survivors’ Day on June 6, the American Cancer Society reminds area physicians of the range of online resources designed to support the medical professionals who work with cancer patients. Charlotte Hofer
At the ACS website, cancer.org, physicians and other healthcare
professionals can find accurate, up-to-date information on cancer
diagnosis, treatments, prevention and local resources. In conjunction with the ACS toll-free phone line, 1.800.227.2345, it is designed to provide fast easy access to the most relevant cancer information, day or night, 365 days a year.
For those interested in Continuing Education resources, including information on all
aspects of oncology, from cancer prevention and diagnosis to treatment and palliative care, access the ACS Continuing Education (CE) program at cme.amcancersoc.org.
The American Cancer Society also provides a wide range of resources for
patients, including online mammogram reminders. Patients can sign up at cancer.org/ MammogramReminder and receive a free screening mammogram. Smokers can find clear, in-depth information about the dangers of lung cancer and practical support for quitting at cancer.org/quittobacco. The website provides honest information from people who have
Inside the new Lee Med Building on the campus of the Sanford School of Medicine in Vermillion.
been through the quitting process themselves and understand the challenges.
WE SUPPORT. From a warm welcome through treatment, recovery and healing, our services support you every step of the way.
910 E. 20th Street, Sioux Falls 605-334-6730 • www.sfsurgical.com
22
Midwest Medical Edition - June 2010
Medical school achieves one of best re-accreditations ever The Sanford School of Medicine has
inadequate facilities on the Vermillion
been re-accredited through 2018 by
campus. That issue was addressed
the Liaison Committee on Medical
with the state-of-the-art, $37 million
Education.
Andrew E. Lee Memorial Medicine and
“We received one of the best re-
Science Building, which was officially
accreditation reports in our history,”
dedicated in the fall of 2008.
Rodney R. Parry, M.D., vice president
of health affairs and dean of the medical
Building, other strengths included
school, said. “We are truly blessed with
the medical school’s leadership,
outstanding leaders and committed
professionalism integrated fully into the
faculty and staff throughout the state.”
curriculum, a supportive environment
for medical students, dedicated doctors
The LCME report cited nine
In addition to the Lee Med
strengths and only three relatively
who teach courses throughout the state,
minor matters that are being addressed.
faculty mentoring and strong hospital
Two transitional issues were noted. For
system partners.
the first time, the report did not mention
any concerns about the school’s
came to the medical school in October
facilities.
2009. The Liaison Committee on
Medical Education issued its final
The most serious concern in
the last accreditation report was the
The accreditation site visit team
report after its February 2010 meeting.
Dr. Wendell Hoffman Receives Medical School’s Alumni Award
Hoffman
The Sanford School of Medicine of
medical degree from The University of South Dakota. He then
The University of South Dakota has
completed his residency training in internal medicine as well as a
presented its 2010 Distinguished Alumni
fellowship in infectious disease at the Mayo Graduate School of
Award to a physician who is a leader on
Medicine. Hoffman has been part of the medical school’s faculty
bioterrorism prevention, patient safety
since 1987. He’s now a clinical associate professor of internal
and medical education.
medicine.
Wendell Hoffman, M.D., Class
of 1979, is a specialist in infectious
which is sponsored by the medical school and the school’s
disease and the patient safety officer at
Alumni Relations Council, on Friday, May 7.
The award was presented at the annual alumni banquet,
Sanford USD Medical Center. He received his undergraduate and
Midwest Medical Edition - June 2010 23
Compounding-Only Pharmacies are Prescription ‘Problem Solvers’ By Cheri Kraemer, RPh
The term ‘compounding-only’ means that every prescrip-
Many times a patient can benefit from a medication in a tab-
let or capsule form but that same medication contains an inactive
tion a pharmacy dispenses is made from scratch according to a
ingredient that the patient cannot tolerate or may have an allergy
practitioner’s order. There are many potential advantages to this
to. This inactive filler may be a dye, a gluten or even lactose.
approach for physicians. Pharmacy compounding can allow doc-
With a doctor’s prescription, a compounding pharmacy can make
tors to think “out of the box”. Doctors have many manufactured
that medication in a capsule form but leave out the problem filler.
products to choose from but compounding can be valuable when
there is a medication problem or a gap to fill. An example of this
ziness, constipation or nausea. Classic examples of these are
is when a great product was discontinued or may be temporarily
antispasmodics, anti-emetics and pain management drugs. A
unavailable.
compounding pharmacy can take the active chemicals and com-
pound them into a topical transdermal application. The product is
When a product is available as a capsule or tablet, in an adult
Sometimes oral dosage forms will cause drowsiness, diz-
form only, a compounding pharmacy can make that medication
absorbed without use of the stomach and or liver, and side effects
into a pediatric liquid. Sometimes doctors have a “product wish
are limited. There are many drugs that do work through systemic
list” and use compounding to fill this need. A compounding phar-
absorption when needed.
macy can make medications dye free, preservative free, gluten free, casein free, egg free, soy free, corn free, metal free, phenol free and sugar free. Prescriptions are compounded in a special sterile ‘clean room’ at Pharmacy Specialties in Sioux Falls
24
Midwest Medical Edition - June 2010
Sioux Falls Company Uses Text Messaging to Support Healthcare The healing touch in
practitioner’s clinic,” he says.
medicine may soon
become the healing
leading company developing secure technology.
text. With advances
in technology, mobile
people tent to have their phone with them. There are very few dead
messaging gives
spots in South Dakota today, compared to several years ago, since
healthcare professionals
so much has been invested in the past two years for improving
new ways to communicate
towers,” says Schuler.
with each other and with
patients. Now a South
is in place, Schuler and Amundson say their system would allow
Dakota company is
first responders to log in with their phones and get information
working on ways of using
about prescriptions or conditions while transporting a patient,
the technology to make
possibly several hours across the state. But they know challenges
medicine more mobile.
exist.
2DigitMedia™ is working with CellTrust, Inc. of Arizona, the “For rural areas, text messaging is a good solution because
Once a planned automated state health information exchange
2DigitMedia™, a start-up based in Sioux Falls, gives healthcare
providers new ways to use text messaging to communicate.
just for kids and that it is going away,” says Schuler. “But it’s also
proving to people it is more than the Internet, and more secure and
With this system, clinics can remind patients of appointments.
“Texting is so new to the United States, some people think it’s
Patients with chronic conditions can receive automatic messages at
regulated than the Internet, so it’s a public education process.”
an exact time telling them when to take medications. Patients can
even receive test results directly without the need to call a lab and
for all Americans and we believe healthcare, too,” adds Amundson.
“In the future, mobile technology will be part of the life line
first responders can be sent critical patient health information onscene in emergency situations.
Robert Amundson, 2DigitMedia™ President, says, “There
are two different products we’re developing. One is an interface that will work with existing clinic appointment and management software systems to send si mple, short reminder messages.”
The other, patent-pending system will employ encrypted text
messaging which will be HIPAA and HL7 compliant. Amundson says the secure system can also send up to 5000 characters that will be received in a single text. “We can send extensive medical records this way since we’re not limited to the 160 characters in a standard text message.”
Mark Schuler, 2DigitMedia™ Vice President, says healthcare
providers using similar systems in Europe have seen a 50-percent drop in the number of missed appointments.
“While some may be concerned about the cost of
implementing the system, we believe it pays for itself. Some industry experts estimate a single missed appointment could cost a clinic $250, so avoiding just a few of those in a month covers the investment,” Schuler says.
And Amundson says this advanced technology is not limited
to large health systems. “It’s designed to be usable even for a single
Mark Schuler and Robert Amundson, owners of 2DigitMedia in Sioux Falls
Midwest Medical Edition - June 2010 25
The Autism Spectrum Disorders Program at The Center for Disabilities By Shelly Grinde, MA, CCC-SLP
Avera McKennan Laboratory Wins Top Honors
Director of Services and Supports
Shelly Grinde
The Center for Disabilities Autism Spectrum Disorders Program
has been named Medical Laboratory
provides training; consultation, including on-site assistance;
of the Year for 2010 by Medical
evidence-based diagnostic evaluations; and information
Laboratory Observer magazine. The
dissemination to families, agencies, and those entities working
peer reviewed publication rates labs
in the field of autism spectrum disorders (ASD). Trainings for
across the nation on criteria such as
professionals, parents, and family members are offered throughout the year. Consultation
accuracy, efficiency and customer
may consist of on-site observation and interviews with professionals and parents, as well
service.
as specific feedback “in the moment” for classroom teachers working with a student with
an ASD.
McKennan Lab superior for topping
several benchmarks including
Clinical diagnostics include evaluations from an interdisciplinary evaluation team
MLO deemed the Avera
specifically trained in ASD. Information dissemination includes the distribution of
achievement of a phenomenal testing
handbooks that provide strategies and techniques for working with a person with ASD as
accuracy rate of 99.99993% — or only
well as a wide variety of materials available in the Wegner Health Science Information
about 70 errors per 1 million tests.
Center.
Recently, the Center for Disabilities led the state in a Region 8 Act Early Summit
in order to bring together key participants from across the state to finalize a State Plan and logic model which is integral to the success of people with ASD and their families. Participants from South Dakota state agencies, colleges and universities, parents of children who have been diagnosed with an ASD, physicians, and agencies working with children who have been diagnosed with ASD and their families, will continue to meet to ensure activities will continue. Follow-up activities include:
• Identifying a screening tool for pediatricians
• Identifying a cadre of 5-10 parents of children with ASD who are
interested in providing training and support for other parents
• Compiling a resource guide specific to ASDs
• Providing an autism summer training in 2 sites across the state
• Working with a dedicated group of stakeholders devoted to improving
the systems of care for South Dakotans with ASDs.
Because of the unique nature of the Center for Disabilities Autism Spectrum
Disorders Program within the state of South Dakota, families have access to highlyqualified, experienced clinicians who utilize the latest evidence-based techniques for diagnostic evaluations.
For more information about the Center for Disabilities Autism Spectrum Disorders
Program, call 605-357-1439 or 800-658-3080(V/TTY) or visit the website at www.usd. edu/cd.
26
The Avera McKennan laboratory
Midwest Medical Edition - June 2010
The lab was also credited for outstanding efficiency through its
extensive use of LEAN principles. Identifying and improving
College of American Pathologists (CAP) ISO 15189 SM
upon the most effective use of work time allows lab staff to be
Accreditation.
more productive and efficient while still providing lab results that
are incredibly accurate in fast turnaround times.
and presents the winners in conjunction with National Medical
Laboratory Professionals Week, which was April 18-24, 2010.
“Our system is designed to best utilize the exceptional talents
• The first hospital lab in the nation to achieve the
Medical Laboratory Observer conducts the ratings each year
of our individuals to achieve the extraordinary goals of the team,” said Leo Serrano, Avera McKennan Laboratory Director. “That leads to results and service to our patients that are second to none and we’re very proud of that.” The MLO article also points out that rising above the rest is nothing new to the Avera McKennan Lab and listed several other firsts to go along with the Medical Lab of the Year distinction.
• The first hospital-based molecular-diagnostics department
• The region’s only bone-marrow/peripheral-blood/cord-
and full-service virology section; blood stem-cell processing laboratory;
• The first same-day rapid-processing service in anatomic
pathology in the region; and
Midwest Medical Edition - June 2010 27
News & Notes The Center of Excellence designation is given to those medical
Avera Dr. Megan Leloux received a Women of Excellence Award in the category of Young
programs that combine superior clinical care with excellent patient support.
Woman of Excellence at the April 27 Sales and Marketing Executives Women in Business event in Sioux Falls. Dr. Leloux is a psychiatric pharmacy resident at the Avera Behavioral Health Center. Among her duties are educating
Leloux
patients and families on medications and how
to use them, and developing protocols for patient medication reconciliation. In addition to board certification in psychiatry, Dr. Leloux hopes to become a Certified Geriatrics Pharmacist, with a goal of developing a geriatric pharmacy program on the health system level.
Sanford Children in northwest San Diego County will soon have their own Castle of Care™. Sanford Health plans to open a Sanford Children’s Clinic in Oceanside, CA. In partnership with Rady Children’s Hospital-San Diego, the primary care pediatric clinic is made possible by a $2.5 million donation from Pamela and Martin Wygod and the Rose Foundation. The Sanford Children’s Clinic in Oceanside is the third Sanford Children’s World Clinic announced by Sanford Health.
Central America is one step closer to having more pediatric healthcare closer to home after the groundbreaking on May 4 of the first Sanford Children’s international clinic. The clinic in Belize City, Belize will open by the summer of 2011. It will provide pediatric care to the growing population and be designed in a castle theme similar to other Sanford Children’s facilities. Belize is a country with about 320,000 people with 160,000 of them children.
Construction has begun on a new hospital in Aberdeen. Site-work for the hospital in Aberdeen began with an official groundbreaking on May 18th. The 48-bed, 113,000-square-foot hospital will attach to the current Sanford Clinic Aberdeen building at 3015 3rd Ave, S.E. The three-story hospital is expected to open summer 2012 and will employ more than 200 people. Sanford Medical Center Aberdeen will provide many services including an emergency department, heart catheterization lab, advanced imaging, operation rooms, labor and delivery and more.
Sanford Cancer Center will receive $2 million in funding from the National Cancer Institute over two years to expand existing cancer research programming and patient services. This includes adding at least nine new staff members to support additional early (Phase I) clinical trials for cancer patients, increased outreach and education targeted at populations with cancer healthcare disparities (i.e. Native Americans, new immigrants and colony populations) and nurse care coordinators who will work with newly diagnosed patients and cancer survivors.
Regional Regional Health is implementing a new outpatient electronic medical records and practice management system at its clinics. Regional Health Physicians, Regional Health’s multi-specialty physician organization, will begin using the electronic medical records system at Buffalo Regional Medical Clinic, Dakota Hills Regional Medical Clinic in Sturgis and Queen City Regional Medical Clinic in Spearfish. The system will be phased into all other Regional Medical Clinics by January 2011.
The Bariatric Program at Sanford USD Medical Center is pleased to announce that it has received the Center of Excellence designation by OptumHealth Care Solutions (OptumHealth). The goal of the OptumHealth Center of Excellence networks is to provide customers value by identifying hospitals and physicians that meet or exceed rigorous performance standards. This information enables consumers and payers to make informed choices and become more engaged in healthcare decisions. 28
Midwest Medical Edition - June 2010
An update of the results of a study on the breast cancer drug raloxifene (initially used to prevent and treat osteoporosis in postmenopausal women) showed the drug improved its effectiveness against noninvasive breast cancer, caused significantly less endometrial cancer and was significantly less toxic than tamoxifen. The Regional Cancer Care Institute (CCI) participated in the Study of Raloxifene and Tamoxifen (STAR),
one of the largest breast cancer prevention clinical trials ever
22nd at Sertoma Park. Over 100
conducted. CCI enrolled 36 women. 161 total were enrolled in
patients, families and friends
South Dakota.
participated. Money raised will go to provide research funds to help find a cure for Crohn’s & Patty Kussman, LPN, CBPN-IC, of the Regional
Colitis. Some of the money raised also provides funds for Camp
Cancer Care Institute, recently earned the
Oasis in Minnesota, a camp for children with these diseases.
designation of Certified Breast Patient Navigator
Questions about CCFA or Camp Oasis, visit www.ccfa.org/
in Breast Imaging and Breast Cancer Navigation
chapters/minnesota/
from the National Consortium of Breast Centers Kussman
(NCBC). She is now a certified breast health educator in western South Dakota. Breast Health
This year’s annual Hot Harley Nights fundraising event for Make-
navigators coordinate the clinical, educational, and support needs
A-Wish will take place on Friday, Saturday and Sunday, July 9,
of breast cancer patients and their families.
10 and 11. A motorcycle is not needed to participate, however,
Siouxland
Bruening
those who have them are encouraged to shine them up and join in the parade. Events will take place at J & L Harley Davidson in
Dr. Beth Bruening of Bruening Eye Specialists
Sioux Falls on Friday and Saturday and will continue downtown
in Dakota Dunes has been distinguished as a
on Saturday night. This event is held annually and sponsored by J
2009 Top 10 Surgeon in the U.S. by Sightpath
& L Harley Davidson to benefit the Make-A-Wish Foundation® of
Medical. She was chosen from hundreds of
South Dakota. In 2008, $162,758 was raised to help grant wishes
surgeons nationwide. Dr. Bruening has been
to children throughout South Dakota suffering with life-threatening
serving Sioux City and surrounding areas for 19
medical conditions.
years. She is certified by the American Board of Ophthalmology and specializes inno-stitch cataract surgery, an advanced, minimally invasive outpatient lens replacement
Orange City Area Health System will celebrate 50 years of
procedure. Sightpath Medical is a leading U.S. provider of surgical
healthcare services with a Prairie Grass Music Festival on
services and equipment for cataracts, glaucoma and refractive
Saturday, June 12, from 11:30am to 8:30pm. This family-friendly
procedures.
event is held in conjunction with Blue Mountain Culinary Emporium’s Annual Rhubarb Festival. Free concerts on an outdoor
Other
Rothrock
stage -- located near the pond on Highway 10 East -- will feature Orthopedic Institute in Sioux Falls welcomes
local entertainers, culminating in Des Moines-based rockers The
Corey P. Rothrock, MD. Dr. Rothrock graduated
Nadas at 5:30. In addition to Blue Mountain’s popular rhubarb
from the University of Nebraska School of
cookoff, there will be rhubarb-inspired foods for sale, a wine and
Medicine and completed residency at Orlando
beer garden, Dutch games for the kids, and more. Details can be
Regional Medical Center. Following residency,
found on the health system’s web site at www.ocHealthSystem.
Dr. Rothrock completed a musculoskeletal
org. Rhubarb Cookoff information and registration can be found at
oncology fellowship at Memorial Sloan-Kettering Cancer Center.
www.bluemountainemporium.net/rhubarb/
Dr. Rothrock specializes in the treatment of bone and soft tissue tumors including sarcoma, primary and revision joint replacement, and pelvic and acetabular fracture surgery. He is a member of the Musculoskeletal Tumor Society and the Connective Tissue Oncology Society.
The Sioux Falls Advisory Council, Minnesota/Dakotas Chapter
2010 Advertising Editorial Deadlines ISSUE
Copy/AD Deadline
July/August September/October November December
June 5th August 5th October 5th November 5th
**Ads/Copy turned in past deadline, subject to not make it in the issue. Not all copy will be published in the magazine; some copy may be put in later issues. The features are subject to change. Please make sure all copy is ready for print. Related photos or graphics are welcome.
of the Crohn’s & Colitis Foundation held a walkathon on May Midwest Medical Edition - June 2010 29
Local Recovery Program Designed for Medical Professionals Sioux Falls is home to an addiction recovery program designed
specifically for regulated health care professionals.
complements the TLC non-clinical approach with specialized
clinical services which may include psychiatric consultation,
In collaboration, Avera Behavioral Health Services and
In the Medical Professionals Recovery Program, Avera
Transitional Living Corporation (TLC) offer the Medical
psychological assessment, dual diagnoses services, history and
Professionals Recovery Program at Tallgrass, the only specialized
physical examination, physician-directed toxicology testing,
program of its kind in the upper Midwest, said Craig Kindrat,
physiatry and pain management services as well as group therapy
MS, LPC, LMFT, CCDC III, Supervisor and Clinician with Avera
and other counseling assistance for individuals, couples or
Behavioral Health Services’ Addiction Recovery Program.
families.
“Unique issues often come into play for health care professionals
in recovery,” Kindrat said, including licensure, certification or
and clinical areas to care for a specialized population,” Kindrat
state board directives.
said.
The Medical Professionals Recovery Program at Tallgrass
“We’re taking the best of what works in both non-clinical
It’s estimated that 10 percent of adults in America will
is designed to assist the health care professional in regaining
experience a substance abuse or chemical dependency issue
and maintaining productivity, health and esteem necessary to
during their lifetime, yet only 10-15 percent of that 10 percent
reintegration into professional practice.
will seek help. Studies indicate that the incidence of substance
Medical professionals can access the program on a voluntary
abuse or chemical dependency is equal to or higher among health
basis, or they can be referred by another health professional, a
care professionals than the general population, with the health
state board, or a respective state Health Professionals Assistance
professional typically being even less inclined to reach out for
Program.
help than the non-medical professional.
Avera Behavioral Health Services has 15 years experience in
“Addiction, like cancer, is non-discriminatory and affects
working with medical professionals in recovery on an outpatient
people in every walk of life,” Kindrat said. “Our whole goal is
basis, but there are times when a more intensive program is
to remove barriers and create access so individuals will seek
needed, Kindrat said.
the assistance they need and deserve before it becomes an
employment or licensure issue, a family problem, an intensified
Tallgrass, an 18-bed residential recovery facility located on
the southwest corner of Sioux Falls, utilizes a curriculum of deep
personal health issue or a patient liability.”
immersion in the 12-steps of recovery. As a component of the
minimum 30-day stay, treatment guests will have the opportunity
Recovery Program, call Avera Behavioral Health Services at 322-
to attend numerous 12-step meetings and meet many individuals
4079 or TLC Tallgrass at 368-5559 or (877) 737-6237.
For more information about the Medical Professionals
from the local recovering community.
Index of Advertisers Make-A-Wish.............................................................................................................................. Inside Front Cover Pharmacy Specialists..................................................................................................................................... Page 5 Make-A-Wish / Hot Harley Nights............................................................................................................... Page 12 Sioux Falls Cardio........................................................................................................................................ Page 13 USD Sanford School of Medicine................................................................................................................ Page 14 CNOS.......................................................................................................................................................... Page 16 Sioux Falls Surgical Hospital........................................................................................................................ Page 22 Sanford Health.............................................................................................................................Inside Back Cover 30
Midwest Medical Edition - June 2010
Leading the future of HEART CARE takes singular vision. Bringing the most innovative heart care to the region takes a team with the same foresight. These specialists always look beyond convention. They lead research. They publish. Sharing knowledge, exploring breakthroughs, and bringing the world’s most innovative solutions to you. The future of heart care is here. To make an appointment, call 605-328-2929. For more information, visit BeHeartSmart.org.
Š Sanford Heart Hospital