Page 1


New Local Podcast Offers a Way Through Grief Think You Can’t Be Scammed? Think Again! Spring Conferences and Symposiums

VOL. 11 NO. 2



When one number connects you to the region’s best pediatric specialists, Anything can be. 1.855.850.KIDS (5437) is your 24-hour link to pediatric specialists for physician-to-physician consults, referrals, admissions and transport.








A new knee for a more active you. Thanks to robotic technology. Having chronic knee pain shouldn’t mean giving up the things you love. Thankfully, Monument Health has a new way to keep you moving: ROSA Knee robotic technology. Our specially trained surgeons use ROSA Knee to personalize the approach to total knee replacement — providing a solution that works for you and your unique anatomy. Contact Monument Health today to find out whether treatment is right for you, and the risks of knee replacement.

Learn more at monument.health/orthopedics

Zimmer Biomet is a medical device manufacturer that provides products and other services used by health care professionals to create personalized care plans. Zimmer Biomet is not a medical professional and does not practice medicine. Zimmer Biomet is not responsible for the content of Monument Health. The persons in these advertisements are models and not actual recipients of Zimmer Biomet products and services. Results are not necessarily typical and will vary due to health, weight, activity and other human variables. *Not all patients are candidates for joint procedures or ROSA Knee robotic technology. Only a medical professional can determine the treatment appropriate for your specific condition. Talk to your surgeon about whether joint replacement is right for you and the risks of the procedure, including the risk of impact wear, loosening, breakage, failure or risk of infection, all of which could require additional surgery. For general information on joint pain and technology, visit www.zimmerbiomet.com or call 1.800.447.5633. ©2019 Zimmer Biomet.

VO LU M E 1 1 , N O. 2 ■ M A R C H 2020

Inside This Issue

CONTENTS PAGE 6 | What’s Wrong with This

Notice? Scams Targeting Physicians ■ Alan Lembitz, MD PAGE 8 | THIS MONTH ONLINE Go Red photos, Exclusive website articles, Power problems and medical equipment PAGE 12 | NEWS & NOTES PAGE 17 | Reverse Shoulder

Replacement Now Offered in Spearfish



H. Thomas Hermann, MD, weighs in on the past and future of healthcare in the PAGE

PAGE 19 | Is this the Future of Hospital Drug Supply? How Civica Rx is disrupting the way hospitals get their injectable medications. PAGE 19 | [Sponsored] Beef and the Mediterranean Diet PAGE 20 | Avera Researcher

Long-time Sturgis physician,


PAGE 18 | As Unique as a Thumbprint: Dakota Lions Sight & Health staffers find a novel way to support grieving families


Publishes World’s Largest Prospective Study on SIDS Risk The message and legacy of the “Safe Passage” study. PAGE 23 | Upcoming Events Conferences, Symposiums and CME Opportunities





hether you are new to medicine in the South Dakota region or you have been here a while, we think it can be valuable to occasionally get a long-term perspective. Who better to give it than H. Thomas Hermann, 135th president of the SD State Medical Association and a small-town family doctor for 33 years? We celebrate his retirement and honor his hardwon wisdom in this month’s cover feature. Also in this issue, seeing grief firsthand prompted these Dakota Lions Sight and Health staff members to launch a first-of-its-kind podcast. And how to avoid falling victim to scams that target doctors —It may not be as straight forward as you think. Be sure to check out the packed roundup of spring events inside the back cover and remember you can always add your own at MidwestMedicalEdition.com. Until next month! —Alex & Steff




VP Sales & Marketing



Publisher / MED MAGAZINE, LLC Sioux Falls, South Dakota





Vice President Sales & Marketing STEFFANIE LISTON-HOLTROP



Editor in Chief


Editor in Chief / ALEX STRAUSS



Graphic Design / CORBO DESIGN



Oct 10


Nov 10

Dec 10 Feb 10 March 10 May 10 June 10 August 10

Web Design / LOCABLE


Digital Media Director / ALYSSA MCGINNIS





Editorial contributions due March 1

PO Box 90646, Sioux Falls, SD 57109

Ads due March 10

EDITH SANFORD BREAST CENTER SYMPOSIUM FRIDAY, MAY 8, 2020 | 7:30 A.M.–4:00 P.M. SANFORD CENTER, DAKOTA ROOM 2301 E. 60TH ST. N., SIOUX FALLS, SD 57104 Sanford Health presents the annual Edith Sanford Breast Center Symposium for health care professionals. Please join us to learn about the newest innovations in breast cancer care, detection, treatment, surgery, survivorship, genetics, and research from local and national experts. Lunch and refreshments provided.

011004-00829 12/19

$50 for non-Sanford Health employees. $25 for students and Sanford Health employees.

For more information and to register, visit edith.sanfordhealth.org/symposium. Deadline for registration is May 1, 2020.



ROM ILLEGITIMATE REPRESENTATIVES who claim to be “official Medicare agents” to fake prescription discount cards, there is no shortage of scams that are connected to healthcare. In addition to going after patients and general consumers, scammers have also directly

targeted medical providers with various tactics. For example, a physician received a notice in the mail from the American Board of Pulmonary Disease. The notice said that the physician had failed to register important details about his practice and also asked for payment for a certification confirmation. The following is an abbreviated version of what the physician received. Can you spot the things that would raise concern about the legitimacy of this letter?

AMERICAN BOARD OF PULMONARY DISEASE 51 N. 3rd STREET, SUITE 103 PHILADELPHIA, PENNSYLVANIA 19106 E-mail: certification@linuxmail.org IMPORTANT NOTIFICATION REGARDING ALL CERTIFICATION IN PULMONARY DISEASE: COMPLETE REQUIREMENTS BY JUNE 25, 2019 IN ORDER TO PREVENT A CHANGE IN DIPLOMATE STATUS. THIS IS A MANDATORY REPORT AND A VERY IMPORTANT REQUIREMENT TO CONTINUE CERTIFICATION IN PULMONARY DISEASE AT THIS TIME. YOU ARE ON RECORD HAVING FAILED TO PREVIOUSLY REGISTER, AND MUST COMPLY. Dear Doctor Smith, Certification Status Verification of Diplomates requires, in order to continue having Diplomate status: for Medicare, Obamacare, the new enforcement of the U.S. Code Title 18 Section Numberl861, [42 U.S.C. 1395x] Part E, by the United States Government, enforcement has already begun closing down hospitals in the state of Idaho and requires filling out of list of hospitals presently being used, listing of states where you are licensed, statement regarding any malpractice cases recently filed aganst you, and certification confirmation fee payment of $500 for Pulmonary Disease Certification Status Verification at this time. The certification confirmation registration does not constitute new Pulmonary Disease diplomate certification or recertification. Payment with check or money order made to: American Board of Pulmonary Disease. Certification Confirmation Registration Form and Fee should be received no later than June 25. Certification Confirmation Registration fee is fully tax deductible. We request that the matter of registration be taken care of as soon as possible. There are no extenuating circumstances.

❱ Go online to read Dr. Lembitz’ full list of guidelines to protect yourself from scams like these.



There is no such organization as the American

The email address is not legitimate and there

No credible medical organization would

The phrase “hospitals presently being used” is not

Board of Pulmonary Disease. is no phone number or contact person listed. reference “Obamacare.” accurate.

There is no such thing as a Pulmonary Disease Certification Status Verification.

The format of the letter is very awkward—one long paragraph and inadequate space to provide answers on the form section—and there are several typos.


There are numerous references to sending a payment (with no option to pay by credit/debit card) and a sense of urgency to respond. Physicians and medical practices are not immune

to fraud schemes. Similar to scams that target general consumers, there are common tactics that we see used: impersonating official organizations, attempting to

Boyce Law Firm has decades of experience in providing counsel to hospitals, health systems, health care providers, in-house counsel, and health care insurers across South Dakota.

adopt formal terminology specific to a group of people, and trying to create a sense of urgency to avoid legal/ disciplinary action. Another scam we have seen in recent years involves individuals posing as DEA officials who call or email DEA-registered practitioners and threaten legal action for supposed violations of federal drug laws or involvement in drug-trafficking activities. The “DEA officials” tell practitioners that they can pay a fine via wire transfer to avoid arrest, prosecution, and imprisonment. Physicians may think they are not susceptible to these types of scams, but the level at which they are occurring indicates that criminals have had some success. The Federal Trade Commission posts alerts and announcements on recent scams and how to recognize the warning signs. You can also sign up for email updates

Over the years, our attorneys have been involved with shaping the health care law landscape in South Dakota. This wealth of experience helps us to provide effective and efficient legal counsel to help clients with whatever health care related issues that arise. • Malpractice Defense • Licensing, Credentialing, and Employment • HIPAA/Privacy and Security • Fraud and Abuse/Stark • Corporate Compliance

and browse scam information by topic (e.g., health, education, online scams, etc.). Visit www.consumer.ftc.gov/ features/scam-alerts for more information. ❖ [Note: The letter contains a detailed ‘form’ at the end, which we have eliminated for space purposes]

• Roger A. Sudbeck • Lisa K. Marso • Matthew D. Murphy • Tommy L. Johnson

(605) 336-2424 • www.boycelaw.com 300 S. Main Ave, Sioux Falls, SD 57104

Alan Lembitz, MD is Chief Medical Officer at COPIC

March 2020


THIS MONTH ONLINE Highlighting content and opportunities available exclusively at MidwestMedicalEdition.com

Exclusive online articles ECHO Hub Established by USD School of Health Sciences

The Avera Human Performance Center in Sioux Falls is now open. You’ve seen the exterior, but wait til you see inside! CHECK OUT THE GALLERY OF PHOTOS ON OUR WEBSITE.

Project ECHO (Extension for Community Healthcare Outcomes), through a hub and spoke model, amplifies knowledge in order to support underserved populations. USD’s School of Health Sciences is one of the first hub locations. Find out how they’re using the model.

Dental Health in the Upper Midwest Smile if you live on the Great Plains. Three states in the MED region have made into the top 10 list of states with the best dental health.

BECAUSE YOU ASKED . . . “How do I access the digital version of MED Magazine?” MED Magazine’s popular digital edition is reserved exclusively for those on MED’s VIP email list. VIPs not only get early access to every digital issue, but they also receive twice-a-month summaries of local medical news and calendar events. Visit the website to join for free. If you are already on the list, you’ll find a link to the digital issue in every email from MED. Be sure to bookmark the page so you can find it easily! (And if you lose the link, just search your email.)

Above: [l to r] Steff with Sanford Cardiovascular Institute physicians Dr. Adam Stys, Dr. Tom Stys, Dr. Maria Stys, Dr. Ovar Jonsson, and Dr. Richard Clark Right: Steff sporting her red with GoRed attendees Mary Toso and Karen Star

MED was proud to once again be a media sponsor of the American Heart Association’s Go Red for Women event on February 11. See who else was sporting red at this popular annual fundraiser!

NEVER MISS AN EVENT! Check out MED’s online calendar for a complete listing of Spring 8


Digital Partners

Why is my medical equipment failing? CHRONIC REPAIR SPENDING IS A KNOWN SYMPTOM OF POWER QUALITY ISSUES. “Undesired operation” may sound nicer than “failure,” but in the healthcare industry, nobody’s looking to spare the equipment’s feelings. The cost of equipment failure is counted in multiple columns: the risk of diagnostic error, scheduling issues, lost billing, overtime, lost productivity, employee stress and turnover, and (of course), repair and replacement costs. The problem with focusing healthcare technology management solely on the equipment is that it may miss the real causes of failures. Medical technology is susceptible to power quality issues, and healthcare facilities have complex, variable power draws that can lead to power quality problems.

HOW DO I KNOW IT’S POWER QUALITY? If the problem is persistent or abnormally frequent, that could mean something external to the equipment is hastening failure. Check the frequency and timing of equipment issues. For instance, matching failures to changing demands on your power system could mean it’s a power quality problem. There’s no “one-size-fits-all” troubleshooting method that will uncover power quality issues, and if you suspect them, you should consult immediately with someone qualified to safely assess the system. It’s important to think about the whole system, since it’s not just a question of power loads from large equipment like MRI machines and CT scanners. Computers and other equipment throughout your facility create non-linear loads. Those non-linear loads can create disturbances in power systems that affect both your electrical assets and the equipment they supply power to.

Read more on the dangers of power quality issues and what to do about them in the full version of this article from ABM Healthcare.

conferences and symposiums. MidwestMedicalEdition.com/calendar 9




Hermann’s 33 year career

MED: What drew you to family medicine and to Sturgis?

in South Dakota medicine

HTH: I pretty much grew up in

MANY WAYS, H. Thomas

was not unlike that of other small-town


Sturgis. My family moved here


when I was nine and I graduated

Since 1987, he cared for grand-

from Sturgis High School. I studied

parents, delivered hundreds of

chemistry at St. Olaf College and

babies, and was on call to the ER

did some other things for a while.

for 24-hours at a time. He watched

But when I decided to go to medical

partners come and go, cared for

school, I knew I wanted to be in

multiple generations of some

family medicine. I did not want to

families, and took the lead in

be in the hospital all the time. I

community projects.

wanted to deliver babies and do

But there is one experience that few doctors outside his town have ever encountered. For one week a

Dr. Hermann gets a hug from a Monument Health caregiver at his recent retirement reception.

emergency things and be an advocate for my patients. And I remembered my own family doctor,

year, his community of 6,000 is

who was wonderful. It was just for-

flooded with a half million temporary residents — along with all of the health

tunate that we had a medical school

issues and medical emergencies that any city that size could expect.

here in South Dakota and a family

“It’s just incredible what our small town of Sturgis has done to adapt to

practice residency program in Sioux

being inundated by so many people,” says Hermann, who retired from Mon-

Falls. And that I had the opportunity

ument Health Sturgis Clinic in January. During his long career, Dr. Hermann

to come home to Sturgis.

has provided medical coverage for 33 of the 79 annual Sturgis Motorcycle rallies. “It’s amazing how many people in many different areas are involved in supporting a rally — from medicine to EMS to all of the law enforcement to all of the other people that do different jobs.”

MED: How did you come to be connected with what was then Regional Health?

It is typical of Dr. Hermann to put the focus on others. Which is why this

HTH: I was part of the Massa Berry

month, we are putting the focus on him. We asked him to share some of

Clinic, which was the first physician

the insight he has gained over three decades of serving his patients, his com-

group that Regional bought in

munity, and his fellow physicians.

1995. The idea of not having to run

H. Thomas Hermann, Jr., MD 10


MED: Are there any trends that you find concerning? HTH: More and more physicians of my generation are retiring, so we are going to have shortages of primary care physicians, which will drive up costs. Many of our good PAs and NPs Dr. Hermann greets his longtime colleague, Charles Lewis, DO.

can help take on more of the primary

a business seemed to be the wisest

uate program support to encourage

choice at the time. It paved the way

more doctors into primary care. That

for us to get a new clinic building,

is one of the primary objectives of

additional staff, benefits, etc. It

the SDSMA Foundation.

instantly eliminated a lot of administrative hassles.

MED: Do you think this trend toward physicians as employees is a good thing?

Dr. Hermann with his wife, Terry, and their children Molly and Joel.

care burden. But we need more grad-

MED: Thirty-three years is a long time to practice. Is there anything that has not changed in that time?

MED: What is next for you and your family? HTH: My wife is from Sturgis, too, so the Black Hills are home for both of us. The longest we have even been gone was two weekends with a week in between. So we may do a bit of

HTH: I think what hasn’t changed is

traveling with friends and see

HTH: I think there are good and bad

that we continue to try to do what is

what’s out there. We are so blessed

things about it. For the most part, as

right for our patients, offering quality

and grateful for good health. But I

long as you are able to continue to

medical care. In family medicine, we

will also be staying active in physi-

focus on good patient care, I think it

try to be good listeners and good

cian organizations in the state and

has been largely positive. Thanks

advocates and to guide our patients

I will be available to the clinic as

to government regulations, it is

in making good choices.

needed. ❖

even more difficult to be in private practice now than it used to be.

MED: You have long been active with the South Dakota State Medical Association. What do you see as some of the most positive changes in state medicine? HTH: Moving to Electronic Health Records was a major challenge and cost us productivity for a while, but it is a huge benefit to patients. We can now have so much information at our fingertips. And I think most of us have adapted to it. Another positive thing I see is that a lot more things are handled by teams now, which is good for patient care. We also have top-of-the-line imaging and laboratory services in most parts of the state now.

March 2020

Dr. Hermann’s

CAREER HIGHLIGHTS • President, South Dakota State Medical Association (2016 – 2017) • Clinical Professor of Family Medicine, USD Sanford School of Medicine • SDSMA Foundation Board Chair • Recipient of the J. Batt, MD, Memorial Award, USD Sanford School of Medicine (2011) • Chief of Staff, Sturgis Regional Hospital • President, SD Academy of Family Physicians (1998 – 1999) • Chairman, Sturgis Community Center Board


Happenings around the region

News & Notes

South Dakota | Southwest Minnesota | Northwest Iowa | Northeast Nebraska

AVERA Olivia Brown, NP, has joined Avera Flandreau Hospital as its fourth medical provider. She did her clinical training in Tyler and Marshall, Minnesota, and at SDSU in Brookings, where she received her doctorate in 2019. Brown previously worked at Avera Heart Hospital in Sioux Falls. She specializes in family medicine.

BOB SUTTON Avera received an anonymous donation of $5 million dollars in January. The donor requested that $1 million of the donation be designated as a matching gift to support Coordinated Care. Avera’s Coordinated Care teams specialize in seeing trends and patterns that predict rising risk, and initiating or redirecting care. “A gift like this only serves to strengthen our philanthropic efforts and fulfill the ‘one Avera’ promise to donors, patients and families,” said Avera President and CEO Bob Sutton. “We’re incredibly grateful.”

Avera McKennan Hospital & University Health Center has again attained Magnet recognition as part of the American Nurses Credentialing Center’s Magnet Recognition Program. This voluntary credentialing program for hospitals recognizes excellence in nursing. In 2001, Avera McKennan was the 36th hospital in the nation to earn Magnet status. Re-designation was earned in 2005, 2010, 2014 and now in 2019. Out of 6,000 US hospitals, Avera McKennan is among fewer than 25 hospitals to earn a fifth Magnet recognition. The Avera Human Performance Center at the Avera on Louise Health Campus in Sioux Falls opened in January. The $14 million, 60,000-square-foot center is home to orthopedic and urgent care, physical and occupational therapy, sports medicine and performance training, and a full service on-site sports medicine clinic. The center will also house Avera Orthopedic Urgent Care on evenings and weekends.


Avera Health has formed a new agreement with Regional Health Services of Howard County in Cresco, Iowa. Beginning July 1, Avera will oversee all aspects of Regional Health Services of Howard County including hospital services, hospice, the Cresco and Lime Springs medical clinics, Cresco Family Pharmacy and home medical equipment. Regional Health Services will continue to be owned by Howard County, and will continue to be governed by the local Board of Trustees. They were formerly affiliated with MercyOne. Avera Queen of Peace will donate 21.7 acres of land to the Mitchell Area Development Corporation to develop workforce housing. The land is located on the east side of Foster Street slightly north of the Avera Cancer Institute in Mitchell. Initial designs show plans for 94 homes to be developed in two phases. The target price of the homes is less than $200,000. “Workforce housing was an issue at the forefront of our Forward 2040 community vision process,” said Mitchell Mayor Bob Everson. “This gift will allow us to address a critical need in Mitchell.”



Orthopedic Surgeon Joseph Humpherys, DO, recently performed a postless hip arthroscopic hip procedure, making Monument Health Orthopedic & Specialty Hospital in Rapid City the first facility in South Dakota to incorporate the Stryker Pivot Guardian Distraction System. Instead of a post, the Stryker system uses the patient’s own body weight and a strap across the chest to hold the patient in place. This lets a surgeon gently open up the hip joint while the arthroscopic surgical tools perform the needed repairs. It also makes it possible to turn and reposition the joint for better access to all areas of the hip, making more minimally invasive procedures feasible.

Monument Health officially joined the Mayo Clinic Care Network on January 17. As a member of the Mayo Clinic Care Network, Monument Health has access to a variety of network services such as AskMayoExpert, a point-of-care tool that offers concise clinical information on hundreds of conditions, eConsults that allow Monument Health physicians to connect with Mayo Clinic specialists, and eBoards that enable the Monument Health medical teams to discuss complex cases with a panel of specialists from Mayo Clinic and other care network hospitals in live video conferences.


BHASKAR PURUSHOTTAM Bhaskar Purushottam, MD, an Interventional Cardiologist and Vascular Specialist at Monument Health Heart and Vascular Institute in Rapid City, presented on six separate topics during the LINC 2020 Vascular Symposium in Leipzig, Germany in January. Dr. Purushottam lectured on innovative and novel approaches and techniques for treating complex peripheral arterial and venous disease. He has been on the medical staff of the Heart and Vascular Institute for four years.

CHRISTINE PAPINEAU Christine Papineau has been promoted to Vice President of Managed Care and Employee Health Plan Benefit Administration at Monument Health. Papineau was previously the Executive Director of Managed Care and Reimbursement at the former Regional Health. Throughout her career, she has had a number of roles in health management, managed care, and network management. She has been with the organization since March of 2019.

March 2020

MATT MERFELD Darlene Cooper, RN with the Ortho-Neuro-Surgical Unit at Monument Health Rapid City Hospital, and Matt Merfeld, RN, an ICU nurse, have been recognized with the prestigious DAISY Award. Cooper was nominated by two former patients who commented on her compassion. Merfeld’s nomination called him a “guardian angel”.

MARK SCHULTE Mark Schulte, President of Monument Health Sturgis Hospital and Market, has been named the Robert S. Hudgens Young Executive of the Year by the American College of Healthcare Executives. “This is an award that has been historically given to an executive from a metropolitan healthcare system,” Schulte said. “This honor goes to show that regardless of your location, we all can make meaningful contributions to the healthcare leadership field.” Schulte has been with Sturgis Hospital for six years.

Monument Health orthopedic surgeons will soon be performing robotically assisted knee replacement surgery with the help of Zimmer Biomet’s ROSA Knee System. The system combines robotic technology with industry-leading knee implants to help surgeons personalize procedures with greater precision and flexibility. Monument Health has acquired two ROSA systems, one for Monument Health Spearfish Hospital and one for Monument Health Orthopedic & Specialty Hospital in Rapid City.


Happenings around the region


CASSANDRA MENZEL Two Sanford nurses were recently recognized with DAISY awards for extraordinary nursing. Melinda Tufts, RN, is with the Chamberlain Medical Center, a part of the Sanford Health Network. The second recipient is Cassandra Menzel, RN, of the Sanford Brain & Spine Center. Pioneer Memorial Hospital in Viborg, a part of the Sanford Health Network, is hosting an Extravaganza event on Friday evening, March 27 at the Viborg Community Center. The event features hors d’oeuvres, musical entertainment, and a silent auction. Proceeds will go toward a new Cardiac Monitoring System for the Emergency Room and Hospital.


The staff of Pioneer Memorial Hospital & Health Services was recognized with a DAISY Team Honoree award by the Sanford Health Network. One patient’s family wrote, “I want to commend PMH as a whole for being such an excellent facility”. The patient herself said, “I felt as though everyone was concerned with my well-being and went out of their way to make sure my questions were answered.”


Prairie Lakes Healthcare System (PLHS) recently welcomed Physician Assistant Abby Gietzen to the dermatology staff. Gietzen received her BS from SDSU and earned a Master’s degree in Physician Assistant Studies from Augsburg College in Minneapolis. She is a Watertown native with more than five years experience working in family medicine. Gietzen joins Dr. Jeffrey Smith in the Prairie Lakes Dermatology Clinic.


Physician Assistant Stefanie Roby recently joined the nephrology staff at PLHS. Roby earned her BA from SDSU and a Master’s degree in Physician Assistant Studies from the University of Nebraska. She is certified by the NCCPA and is a member of the American Academy of Physician Assistants and the South Dakota Academy of Physician Assistants. She joins Dr. Tina Melanson and Physician Assistant Kari Fleming in caring for patients in the Prairie Lakes Nephrology Clinic and Kidney Dialysis Units in the region. Roby is a Watertown native.


Acid reflux specialists Dr. Greg Gerrish and Dr. Jacob Schaeffer have expanded services for patients with Barrett’s esophagus with a new treatment called Barrx. Barrx uses heat to remove tissue affected by Barrett’s esophagus. Clinical studies have found that it can eradicate the Barrett’s tissue, nearly eliminating the risk of progression to esophageal cancer.


Monica Everson is the new Emergency Department Director at PLHS. Everson holds a Bachelors of Nursing Degree from South Dakota State University and has served patients at Prairie Lakes for more than ten years. During her tenure, Everson served as Trauma Nurse Leader and was instrumental in forming procedures to care for those in critically emergent conditions. Everson will oversee the Trauma Program as well as the ED.



Prairie Lakes has again been named a Top 20 Rural Community Hospitals by the National Rural Health Association. It means Prairie Lakes is among the 20 highest-ranked prospective payment system hospitals in the country based on data from the iVantage Health Analytics’ Hospital Strength Index. PLHS also earned a four out of five star facility rating from Hospital Compare, a service of CMS.

March 2020

Sioux City welcomed a new pediatrics clinic in January. UnityPoint Clinic Pediatrics — Sunnybrook opened January 27 and Jeremy Granger, MD and Sandra Granger, MD, saw their first patients in early February. Before joining UnityPoint Clinic Pediatrics, both doctors worked as pediatric hospitalists at UnityPoint Health – St. Luke’s. Jeremy Granger holds an MD from Texas Tech and Sandra Granger earned her MD from Creighton. Both doctors completed residencies at San Antonio Uniformed Services Health Education Consortium and are board certified.

ASHLESHA KAUSHIK Ashlesha Kaushik, MBBS, MD, FAAP, with UnityPoint Clinic Pediatric Infectious Disease, has been appointed by the Stead Family Department of Pediatrics as a Clinical Assistant Professor for the University of Iowa (UI) Carver College of Medicine. Dr. Kaushik began teaching this program in February 2018 and teaches various aspects of diagnosis, management and prevention of infections afflicting children and newborns. She is the only pediatric infectious disease specialist in Siouxland teaching this program.


Happenings around the region

OTHER Children’s Hospital & Medical Center’s Criss Heart Center has been certified as a member of the Aetna Institutes of Excellence in pediatric congenital heart surgery. The certification, which is awarded to programs that have met enhanced quality review criteria, puts The Criss Heart Center in good company, as only 25 programs in the US hold this designation.

MICHAEL O'KEEFE Michael O’Keefe has been named CEO of Encompass Health Rehabilitation Hospital of Sioux Falls, the future inpatient rehabilitation hospital currently being built by Birmingham, Alabama-based Encompass Health. The 40-bed hospital, which is under construction at 4700 W. 69th Street in Sioux Falls, is expected to open in the summer of 2020. O’Keefe comes to Encompass Health after nine years at Avera St. Luke’s Hospital in Aberdeen, where he served as CEO and VP of business development. He holds a BA in healthcare administration from USD.


DARREN CHESTER Sioux Falls-based Physicians Vein Clinics opened its sixth location in the Midwest in Mitchell on March 3. Physicians Vein Clinics owner, Lornell E. Hansen II, MD, RPhS, DABVLM, along with Darren Chester, MD, and his team offer a broad range of treatment options for vein issues. Physicians Vein Clinics currently has locations in Sioux Falls, Watertown, Sioux City, Sioux Center, and Fargo-Moorhead. The new clinic is on East 7th Avenue next to Avera Queen of Peace Hospital. Wapiti Medical Staffing in Milbank, South Dakota has received ClearlyRated’s “Best of Staffing” Client and Talent Awards for the sixth consecutive year. Best of Staffing Awards are given to staffing agencies based on ratings from their clients (Wapiti partner facilities) and talent (Wapiti providers). ClearlyRated.com is an online business directory for professional services.

Modern Day Health Care in Sioux Falls has added functional medicine to its list of provided services with the addition of Christine Wakefield. Dr. Wakefield is a long-time Sioux Falls chiropractor and natural health provider who has been certified in Functional Medicine since 2017. MDHC is an advanced practice nurse-owned and operated healthcare clinic, offering primary care services to rural areas via telemedicine.

The South Dakota Highway Patrol, members of the Sioux Falls Stampede, and area hockey players were at the Sioux Falls airport on the last day of 2019 to send a 7-year-old Make-A-Wish wish recipient off on his dream trip. The child suffers from a rare disease that has caused an immune system disorder. His dream was to meet NHL goalie Tuuka Rask of the Boston Bruins. The wish was adopted by the South Dakota Law Enforcement Appreciation and Children’s Charities Dinner, a local event that has raised millions for South Dakota children’s charities since 1982.

MARY NETTLEMAN Dr. Mary Nettleman, dean of the USD Sanford School of Medicine and vice president for health affairs, will retire in July after eight years of leading the med school. During her tenure, the school expanded its class size from 56 to 71, established the Frontier and Rural Medicine (FARM) Program which allows some medical students to learn in rural areas, and increased the school’s scholarship base. Nettleman received the 2019-2020 Elizabeth and Emily Blackwell Award for Outstanding Contributions to Advancing the Careers of Women in Medicine.

LINDSEY BOUMA Lindsey Bouma, PA-C has joined Surgical Institute of South Dakota. She received her Masters of Science in Physician Studies and her Bachelor of Science in Biology at the University of South Dakota and is board certified by the National Commission on Certification of Physician Assistants. She also holds certifications in ACLS, BLS and PALS. Bouma primarily practices in conjunction with Dr. Michael Brozik.

❱ Intrigued by something you’ve read here in News & Notes? Want to know more? You can always read the full versions of these and other recent news items on our website. New articles are added every week!



Monument Health Leans Into Wind Power


ONUMENT HEALTH has committed to receiving 20 percent of its electrical power from a wind power generating

facility operated by Black Hills Energy. The program, called “Renewable Ready,” gives subscribers the option of having up to 100 percent of their electricity needs supplied by Wyoming wind energy, according to Black Hills Energy. As a Renewable Ready subscriber, Monument Health will be powered by 20 percent wind energy for the next 15 years, starting in late 2020. “By choosing low-cost renewable energy

SURGERY when you need it.


when you don’t.

resources to power Monument Health, we’re able to advance our goals and sustainability objectives while also supporting the expansion of affordable, renewable energy development in our region,” said Dave Ellenbecker, Vice President of Facilities Management and Plant Operations. Black Hills Energy plans to build a utility-scale wind power generating facility in 2020 to supply

Trust our experts to explain treatment options – and deliver them – close to home. Together, we’ll find your patient’s best path forward.

the energy for its Renewable Ready program. Located near Cheyenne, the Corriedale Wind Energy Project will produce 52 megawatts (MW) of energy when operational.

REFER TO 605-217-2667, OPTION 7. CNOS.NET

According to Black Hills Energy, Renewable Ready is now fully subscribed. The program was designed for and open to large commercial and industrial customers and governmental agencies in the company’s electric service territories in South Dakota and Wyoming who use a minimum of 300,000 kilowatt-hours of energy per year. ❖

March 2020


As Unique as a Thumbprint Dakota Lions Sight & Health staffers find a novel way to support grieving families


N THEIR MISSION to ‘enable the restoration of the gifts of sight and health’, grief is something the professionals at Dakota Lions Sight and Health inevitably encounter. As the region’s

long-standing eye and tissue bank, DLSH provides a host of resources intended to support donor families after the loss of a loved one. This summer, they added one more: a podcast on grief. “Grief is as Unique as Your Own Thumbprint” is the brainchild of DLSH Family Care Coordinator Patti Auch and Community Outreach Coordinator Chad Hohwieler. Auch hosts the podcast and Hohwieler, who spent years in local radio as Chad “Mackenzie”, produces it. “Sometimes, I only get one or two chances to talk to a family after the loss of their loved one,” says Auch. “I loved the idea of having a way to give them ongoing support. This is not about donation. We are just trying to give a spark of hope to people. There is a lot of pain and sadness out there.” With Hohwieler’s encouragement, Auch, whose background is in nursing, agreed to give podcasting a try. In the first few episodes, she simply shares what she has learned about grief and grieving during her tenure at DLSH and as a small town nurse working in geriatrics. She covers topics such as suicide and managing grief during the holidays. More recent episodes feature interviews with people who have had their own experience of loss. One of those guests is Hohwieler himself, who lost his 20-year-old son to a rare heart condition in 2010. “There is just something about the human voice that people really connect to,” says Hohwieler. “I think Patti has a real gift there. She has a very calm manner and she gets the point across. Anyone who has suffered a loss which is nearly everyone - will get something out of these podcasts.” “We are really just trying to be an avenue of support to anyone who needs it,” says Auch. “We want them to

“We are just trying to give a spark of hope to people. There is a lot of pain and sadness out there.”


know that grief is about mustering the courage to mourn. We encourage them to find their own way through it.” “Grief is as Unique as Your Own Thumbprint” can be found at Dakotasight.org/podcast, on Podcast.com, and on Apple iTunes. ❖


Is this the Future of Hospital Drug Supply?


ANFORD Health recently

of their annual medications through

received its first shipment

them. Civica keeps a six month safety

of Vancomycin Hydrochlo-

stock of all of its medications. Crab-

ride from Civica Rx, the

tree says the model may be the future

new nonprofit drug company collab-

of drug supply management for US

oration of which Sanford became a


founding member in 2019. Civica Rx

“Civica is a disruptor,” says Crab-

was created to ensure a predictable

tree, who sits on Civica’s medical

supply of medications to member

trends advisory board. “This idea is


raising a lot of eyebrows. It is making

“There are shortages of certain

people look at drug supply in a different way.”

drugs off and on all the time,” says Josh Crabtree, MD, Senior VP for

Daptomycin will be the next drug

Clinic Operations at Sanford Health.

for the 1200+ Civica Rx hospitals,

“When you only have a single source

some time in late 2020. Crabtree says

for a certain pharmaceutical, if a

the company is exploring the possi-

hurricane or some other disaster

bility of moving beyond contracting

happens in that location, you have a

to manufacture some medications

shortage and prices go up.”

itself. Eventually, Civica may apply

Civica Rx provides its members with a steady supply of generic medications they need in exchange for a guarantee that the institution will buy at least 50 percent

the model to oral solid medications, too. “I believe they are going to find a way to make that happen with certain medications,” says Crabtree. ❖

[ S P O NS O R E D C O N T E N T ]

Beef and the Mediterranean Diet

1 O  'Connor LE, Paddon-Jones D, Wright AJ, Campbell WW. A Mediterranean-style eating pattern with lean, unprocessed red meat has cardiometabolic benefits for adults who are overweight or obese in a randomized, crossover, controlled feeding trial. Am J Clin Nutr 2018, nqy075. https://academic.oup. com/ajcn/advance-article/doi/10.1093/ajcn/ nqy075/5036105 2 Maki KC, et al. A meta-analysis of randomized controlled trials comparing lipid effects of beef with poultry and/or fish consumption. J Clin Lipidol 2012;6:352-61. 3 Roussell MA, et al. Beef in an Optimal Lean Diet study: Effects on lipids, lipoproteins, and apolipoproteins. Am J Clin Nutr 2012;95:9-16.

March 2020

The Mediterranean diet is one of the most popular eating patterns, and its popularity continues to rise alongside the increasing need for healthier eating patterns and lifestyles. The diet is often characterized by a relatively high consumption of fruits, vegetables, whole grains, nuts/seeds and olive oil, and lower consumption of sweets, sodium and red meat. Interestingly, many Mediterranean countries eat about the same amount or more red meat as the United States, but those countries pair red meat with more fresh vegetables and fruits, whole grains and healthy oils. Recent scientific evidence shows that a Mediterranean-style eating pattern that includes lean, unprocessed red meat can improve cardiometabolic risk factors, such as blood pressure and total and LDL cholesterol.1 This study adds to the growing body of research demonstrating that a healthy dietary pattern incorporating lean, unprocessed beef alongside poultry and/or fish offers the same cardiovascular health-promoting properties as a red meat restricted dietary pattern. 2-3 To learn more about this research and other studies of beef’s nutritional qualities visit BeefItsWhatsForDinner.com.


Avera Researcher Publishes World’s Largest Prospective Study on SIDS Risk skyrockets by almost 12 times when the behavior continues past the first trimester of pregnancy,” says Elliott. The data is compelling. Elliott was part of a large international team that enrolled more than 10,000 women in early pregnancy for a study that spanned 15 years. The five US enrollment sites included two American Indian reservations. Approximately 5,500 of the mothers came from the South Dakota region. “It is the largest prospective study ever done on SIDS and probably the largest that will ever be done,” says Elliott of the NIH-


Amy Elliott

funded “Safe Passage” study. “The strength of the evidence is very, very strong.”





Its size was not the only thing that made Safe Passage unique.

alcohol exposure can lead

“Prospective studies are often a

to cognitive impairment and

challenge to run because of the need



for compliance,” says Jyoti Angal, MPH,

smoking increases the risk for prematu-


Director of Clinical Research at the Avera

rity, infection, and low birthweight.

Center for Pediatric and Community

Now, research published by Amy

Research. “These women had to commit to

Elliott, PhD, Chief Clinical Research

multiple appointments during pregnancy

Officer of the Avera Center for Pediatric

and up to 18 months afterward. The fact

and Community Research in Sioux Falls,

that we had over 86 percent compliance

has taken this knowledge a step further.

for those visits speaks to the relationships

In the largest prospective study ever

formed between staff and patients.”

Jyoti Angal

conducted on SIDS, Elliott and her col-

Dr. Elliott says the most important message clinicians should take

leagues found that drinking and smoking

from her research is not to assume knowledge on the part of their

together increase risk more than either

pregnant patients.

by itself.

“It's critical to get rid of assumptions about what women know

“The combination increases the risk

and don’t know and and make sure that all women are receiving

for SIDS synergistically and that risk

this information in a way that supports them in making changes



as early as possible for a healthy pregnancy,” says Elliott. Although Safe Passage has concluded, it will continue to contribute to medical knowledge for years to come. A second study, called ECHO, will provide ongoing follow-up with 2,500 of the children born to study participants. It could shed light on the link between habits during pregnancy and rates of various health conditions over time. “I really see this as a legacy study that is going to live on through ECHO,” says Angal. “These types of studies don’t happen a lot because of the time and investment required.” ❖

❱ Find a link to the full NIH article published by The Lancet on our website.

March 2020




MARCH 26, 2020

8:00 am – 5:00 pm

2:00 pm – 4:30 pm

7:30 am – 4:30 pm

UnityPoint Health Emergency Conference 2020

Mindfulness: Stress Reduction – 8-week course

Location: Sioux City Convention Center Information: UnityPoint.org

Location: Sanford Center for Learning, Sioux Falls

29th Annual Sanford Perinatal Neonatal Women’s Conference

MARCH 7 5:30 pm American Heart Association Rapid City Heart Ball Location: Rushmore Plaza Civic Center, LaCroix Hall Information: Robin.Albers@Heart.org, 605-484-1853 Tickets: heart.org/en/affiliates/ south-dakota/south-dakota

Information: Ellie.schellinger@sanfordhealth.org Registration: Sanfordhealth.org/ classes-and-events

Location: Sanford USD Medical Center, Sioux Falls Information: Sanfordhealth.org/ classes-and-events



8:00 am – 4:30 pm

7:30 am – 5:00 pm

13th Annual Avera Brain & Spine Institute Conference

Pediatric Trauma Symposium

Location: Hilton Garden Inn Downtown, Sioux Falls Information: avera.cloud.cme.com

Location: Moquist Hall at Sanford Center, Sioux Falls Information: Stefanie Hoffman, 605-328-0829 Registration: Sanfordhealth.org/ classes-and-events

VISIT THE ONLINE CALENDAR at MidwestMedicalEdition.com to find more information on these and other upcoming events between issues. You can also add your own event to the calendar for free.

Quality Heart Care. More than 35 years of helping you love longer.


Heart flutters, high blood pressure and leg pain are all signs of heart or vascular conditions. No referral necessary. Talk directly to the experts at North Central Heart by calling 605-250-6598.




30 30+


Our team of providers is part of the region’s first hospital dedicated to the treatment of heart disease. Our providers at North Central Heart, a division of Avera Heart Hospital, continue to develop innovative ways to treat our patients with the largest, most experienced network of providers in the area.


March, April, May




9:00 am – 6:00 pm

8:30 am – 4:15 pm

9:00 am – 6:30 pm

Sanford Heart and Vascular Symposium

Avera McKennan Diabetes Conference 2020

Sanford Kidney Symposium

Location: Hilton Garden Inn, Fargo, ND Registration: Sanfordhealth.org/ classes-and-events

Location: Hilton Garden Inn Downtown, Sioux Falls Information: averacontinuing education@avera.org Registration: avera.cloud-cme.com


MAY 1 – 2

7:30 am – 4:00 pm 28th Annual Avera Trauma Symposium Location: Sioux Falls Convention Center Information: Faith.MinnichKjesbo@avera.org, 605-322-7805 Registration: avera.cloud-cme.com

Location: Schroeder Auditorium, Sanford Medical Center Information: Catrina Hruby 605-328-9290 Registration: Sanfordhealth.org/ classes-and-events

APRIL 29 – 30 8:00 am – 5:00 pm

8:00 am – 6:00 pm, 8:00 am – 3:45 pm

Post-Acute Partners in Care Conference (SDAHO)

14th Annual Sanford Sports Medicine Symposium

Location: Best Western Plus Ramkota, Sioux Falls Information and Registration: SDAHO.org

Location: Sanford Pentagon, Sioux Falls Information: tryg.odney@sanfordhealth.org 605-312-7801 Registration: Sanfordhealth.org/ classes-and-events

APRIL 17 7:30 am – 7:30 pm Avera Research Integrity Conference Location: Holiday Inn City Centre, Sioux Falls Information: avera.cloud-cme.com

I wish to go deep sea fishing in Hawaii Kaiser, 16

kidney disease

March 2020


YOUR WORLD IN OUR HANDS SPECIALTY SERVICES When your child needs services that go beyond general care, turn to Sanford Health. We are here to provide you with expert pediatric specialty care close to home. • General pediatrics

• Neonatal intensive care

• Allergy

• Perinatal medicine

• Anesthesiology

• Nephrology

• Cardiology

• Neurology

• Child abuse and neglect

• Neurosurgery

• Child and adolescent

• Ophthalmology and optometry

psychiatry • Child and adolescent psychology

• Orthopedic surgery • Palliative medicine

• Clinical pharmacy

• Pulmonology

• Developmental pediatrics

• Radiology

• Ear, nose and throat

• Rehabilitation

• Emergency medicine

• Rheumatology

• Endocrinology

• Sleep medicine

• Gastroenterology

• Surgery

• Genetics

• Therapy

• Hematology and oncology

• Trauma

• Hospital medicine

• Urology

• Infectious disease • Intensive care Learn more about our specialty services at childrens.sanfordhealth.org.

012000-00734 2/20

Profile for MED- (Midwest Medical Edition)

MED Magazine March 2020  

Whether you are new to medicine in the South Dakota region or you have been here a while, we think it can be valuable to occasionally get a...

MED Magazine March 2020  

Whether you are new to medicine in the South Dakota region or you have been here a while, we think it can be valuable to occasionally get a...