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CNOS Uplevels Knee Surgery with Mako Robot Healing with Water in Watertown

NOVEMBER

Keep Home Health Workers Safe During the Pandemic

VOL. 11 NO. 7

2020

ENVISIONING THE FUTURE OF MEDICAL EDUCATION TIMOTHY RIDGWAY, MD

Dean of the USD Sanford School of Medicine

THE SOUTH DAKOTA REGION’S PREMIER PUBLICATION FOR HEALTHCARE PROFESSIONALS


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.

Education

Research

Advocacy

Care


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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. 7 ■ N OV E M B E R 2020

Inside This Issue

CONTENTS PAGE 5 | Upcoming Events In-Person and Virtual conference, symposiums, and meetings

PAGE 6 | [Interview] Anne Pithan, DNP, Chair of the USD Department of Nursing The head of USD's nursing department discusses two new programs designed to produce more nursing leaders

[ on the cover ]

ENVISIONING THE FUTURE OF MEDICAL EDUCATION New medical school dean Tim Ridgway, MD, talks about leaving his practice, what he's learned from the pandemic, and how tomorrow's doctors will change the face of healthcare. ■ By Alex Strauss

PAGE

10

PAGE 8 | This Month Online The smartest way to save for college, the critical role of humidity in a healthcare setting, web-only articles, and a new way to join the MED VIP list

PAGE 12 | News & Notes A comprehensive roundup of recent medical community news headlines from across the region

PAGE 19 | Stryker's Mako Makes CNOS Surgeon a Robotic Convert Brian Johnson says this precision tool for partial knee replacement helped him overcome his skepticism about robotic surgery

PAGE 20 | High-Tech Pool Enables Individualized Therapy in Watertown How certified aquatic therapists at Prairie Lakes are handling everything from arthritis to stress in the water

FROM US TO YOU

PAGE 22 | Home Healthcare Workers: Here's How to Stay Safe During COVID-19 ■ By Kevin Fields

CONTACT INFORMATION

All the Best! —Alex and Steff

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ne of the greatest joys of covering healthcare news in the South Dakota region for more than three decades is having the opportunity to watch the careers of extraordinary professionals unfold. SIoux Falls gastroenterologist Tim RIdgway, MD, the newest Dean of the University of South Dakota Sanford School of Medicine is a case in point. Dr. Ridgway is not only widely-known and highly-respected, but he is also approachable and a great interview. We know you will enjoy hearing his vision for the future of medical education in this month’s cover feature. Also in this issue . . . a jam-packed News & Notes section, a profile of Prairie Lakes’ outstanding aquatic therapy program, details on USD’s plan to produce more nursing leaders, and the advantages of knee surgery with the Mako robot at CNOS. Be sure to join the VIP list MidwestMedicalEdition.com to stay up to speed between issues.

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October, November, December

UPCOMING EVENTS OCTOBER 25 – NOVEMBER 25 9:00 am - 10:00 am Mindfulness Series: Cultivating Mindfulness into Daily Life Location: Sanford USD Medical Center or via Skype

NOVEMBER 6

NOVEMBER 19

Monument Health Optimizing Athletic Performance and Recovery Symposium

8:00 am – 3:00 pm

ONLINE EVENT

Mount Marty University

2020 Sacred Heart Endowed Chair Symposium

Information and Registration:

Information and Registration:

education@monument.health

avera.cloud-cme.com/course/

or 605-755-5510

courseoverview?P=5&EID=15405

Information: www.sanfordhealth.org/ classes-and-events

NOVEMBER 12

DECEMBER 1 & 15, 2020 & JANUARY 12, 2021

12:00 pm – 4:30 pm

NOVEMBER 6 8:30 am – 4:00 pm 21st Annual Sanford Health Ministry Conference ONLINE CLASS Information and Registration:

2020 Sanford Diabetes Symposium

11 am SDAHO Webinar Series: Overhaul of E/M Codes Updates for 2021

ONLINE EVENT Information and Registration: www.sanfordhealth.org/classes-andevents

Information and Registration: SDAHO.org

www.sanfordhealth.org/classes-andevents

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.

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November 2020

5


[ INTERVIEW ]

Anne Pithan, DNP Chair of the USD Department of Nursing EARLIER THIS YEAR, the University of South Dakota announced two new programs designed to equip more area nurses to step into healthcare leadership roles. The Doctor of Nursing Practice (DNP) program, which opens in the spring, will prepare nurses for administrative positions in all kinds of complex systems. The Master of Science in Nursing (MSN) program emphasizes nursing

MED: How did the school decide on these two particular tracks?

informatics and e-Health and is designed to help nurses become leaders in the growing area of telehealth. The MSN program opens

AP: We met with providers

in the fall. Both programs will be offered entirely online.

about what the need was in

MED spoke with Anne Pithan, chair of USD’s nursing depart-

nursing right now. What

ment, for additional insights into these timely new educational

bubbled to the surface from

tracks.

these conversations was information and eHealth and

“THE NEED FOR LEADERSHIP WITHIN NURSING HAS NEVER BEEN AS PROFOUND AS IT IS NOW, IN THE MIDST OF THE PANDEMIC.”

nursing leadership. We knew

we need to be able to provide

this before the pandemic, but

quality care from a distance.

the pandemic really

Those are big focuses for our

highlighted that need. Our

MSN program.

goal with these programs is

MED: Both programs were developed in partnership with other departments. Why was that important?

to meet workforce needs in our region.

MED: Our region is largely rural. How do you think these programs will benefit rural areas?

AP: The DNP program is partnering with our business

AP: Making sure that our

school because nurses not

citizens in rural areas are

only need leadership skills

getting their health needs

but they also need to have

met is a big focus for us. We

those business and financial

know that telehealth is an

pieces in order to lead

opportunity to have a

effectively. Dakota State

personal connection with

University is especially

people from a distance. But

strong in informatics and

we still want to maintain

AP: The need for leadership

cybersecurity, two areas that

that compassionate caring

within nursing has never

we knew we wanted to focus

side of nursing while using

been as profound as it is now,

on in our MSN program, so

the latest technology to

in the midst of the pan-

we are partnering with

deliver those patient

demic. Both new nurses and

them, as well. These

outcomes. We are excited to

experienced nurses need

partnerships bring an

have this opportunity to

strong leadership. The

interprofessional aspect to

enhance the nursing

pandemic has also shown us

our educational programs

profession statewide. We

that we really need to be able

that will make them solid

need solid leaders now more

to use data to provide the

and strong.

than ever. ❖

MED: Why did USD decide to introduce these two programs now?

6

best patient outcomes and

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W O R G , D A E LE V R E S D N A ow n g n i s r USD Nu MSN and New g n i r e ff o ons to i t p o P DN areer c r u o y advance

usd.edu/nursing

605-658-5600

7


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

Saving For College? Here’s What Frontier Bank’s Wealth Advisors Recommend

Exclusive online articles David Strand, MD, And The Team Approach To Weight Loss Surgery At Surgical Institute Of South Dakota — Surgeon

There is no doubt that 2020 has been an uncertain year for colleges across the US as higher education grapples with the implications of a global pandemic. But one thing that continues to be a certainty is the long-term value of a college education. “The data is pretty convincing that people with four-year degrees are going to earn more over their lifetime than someone who has a high school degree,” says Brad Lupkes, a wealth advisor in the Wealth Management & Trust department at Frontier Bank. “Unfortunately, there is a lot of cost that goes along with getting that degree.” In the 2019-2020 school year, the average tuition at a 4-year public university stood at around $22,000. With an average inflation rate of 6 percent, a child born today could expect to pay about $60,000 a year by the time they’re 18. Lupkes says it is possible that a shift toward more

David Strand explains how SI’s team approach helps support long-term weight loss and better health after gastric bypass, sleeve gastrectomy, gastric bands, and intragastric balloons.

online learning could reduce those numbers slightly. Either way, most parents will need a plan to save for college. And the earlier they start, the better. While there are several ways to save for college, Lupkes says a 529 plan is by far the best tool. A 529 plan is a tax-free savings account that is strictly for educational expenses.

For more on 529 plans, including what happens if the child you’re saving for gets a scholarship, READ THE FULL VERSION OF THIS ARTICLE ONLINE.

The Pandemic and Public Health Messaging

VOL. 11 NO. 4

2020

‘COVID Heroes’ Help Healthcare Weather the Storm Timely Resources for Reopening Your Practice From Shell Space to Surge Space in Record Time

CREATING UNBREAKABLE BONDS STEVEN J. MEYER, MD Orthopaedic Surgeon

THE YEAR OFTHE NURSE CELEBRATING NURSING IN THE TIME OF COVID

THE SOUTH DAKOTA REGION’S PREMIER PUBLICATION FOR HEALTHCARE PROFESSIONALS

8

JULY AUGUST

Supporting Staff in Stressful Times

JUNE

Recognizing Local ‘COVID Heroes’

VOL. 11 NO. 5

2020

COVID-19 is still with us and so are the healthcare heroes who are helping to fight it. Meet some of the area’s top ‘COVID Heroes’ featured in MED Magazine on our website.

Jewel Goodman Shepherd, PhD, of USD’s Beacom School of Business

Encouraging a Commitment to Research: Helping Students Understand the Opioid and METH Epidemics Across Disciplines — USD

is finding innovative ways to help business students play a role in the societal fight against opioid addiction.

Operating Your Medical Practice to Endure a Crisis — The experts at Eide Bailly explain why simply “operating” isn’t enough if you want to buffer your practice against hardship and pave the way for growth.

THE SOUTH DAKOTA REGION’S PREMIER PUBLICATION FOR HEALTHCARE PROFESSIONALS

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Maintaining A Safe And Healthy Environment With Proper Humidification

Digital Partners

Hospitals and healthcare systems are working harder than ever to reduce the spread of infections. Long before COVID-19, healthcare-acquired infections were already costing the nation’s hospitals millions every year and costing more than 100,000 people their lives. But one area that too often gets overlooked in the ongoing effort to create clean and safe environments is the role of humidification. “If you are sitting in a building in the winter in South Dakota, your humidity can be down to about 15 percent,” says Ryan O’Connor, president of O’Connor Company, an arm of HVAC Elements and the region’s humidification experts. “If you sneeze, the water molecules full of pathogens are going to linger in the air up to 25 feet in front of you.” In fact, evidence suggests that those expelled droplets quickly lose their moisture content in any environment with less than 40 percent relative humidity (RH). These smaller droplets not only linger in the air longer, but also preserve pathogens in a crystallized solid state. More live pathogens in the air, means a higher risk for infection, even if every surface in the room is clean. “If we have higher humidity in that space, those molecules are going to hit other molecules in the air. Rather than lingering, they are going to drop to the ground,” explains O’Connor. “It is easier to clean a surface than it is to clean the air.”

LEARN MORE about optimizing humidity in medical facilities in the full version of this article ONLINE.

ARE YOU ON THE LIST?? MED VIPs get early and exclusive access to the digital version of MED Magazine as well as bimonthly summaries of local medical community news right in their Inbox. This is a FREE service open to all area healthcare professionals but you have to sign up to take advantage. Don’t be left out! Join the VIP list at midwestmedicaledition.com/pages/ join-the-vip-list or scan this QR code:

November 2020 September / October 2020

9


ENVISIONING THE FUTURE OF MEDICAL EDUCATION DR. TIM RIDGWAY, DEAN OF THE USD SANFORD SCHOOL OF MEDICINE BY ALEX STRAUSS

O

N SEPTEMBER 1ST, Sioux Falls

MED: Has it been an aspiration of yours to be a

gastroenterologist and USD

medical school dean?

Sanford School of Medicine graduate Tim Ridgway, MD, was

TR: When I first went to med school and came out

named Vice President of Health

and practiced I was going to see patients and do

Affairs and the medical school’s new dean. Dr. Ridgway is well-known in the region, having practiced in the state since 1991, and is the recipient of many awards and accolades, including the South Dakota State Medical Association’s Presidential Award in 2017. He is also a familiar face in the medical school as the previous executive dean, dean of faculty affairs, and a professor in the internal medicine department. He takes the helm at a truly unprece-

procedures for the rest of my life. But I found in education what I see as an even greater purpose. I am not a person who said ‘I want to be a dean’ and applied to deanships around the country. I was very happy in my role as dean of faculty. But when this position came up, I just knew that I wanted to be dean of this school because the school gave a small town kid from Ravinia, South Dakota the chance to pursue a dream. MED: You decided to leave your position as a staff

dented time in American healthcare and

physician at the VA when you took over as dean.

medical education. We spoke with him just

Why was that?

a month into his new position to get his

10

insights so far. True-to-form, Dr. Ridgway

TR: I know some deans have continued to practice.

is facing the new challenge with optimism,

In theory, it would be great. But this job is so all-en-

pragmatism, and a dose of good humor.

compassing that it would not get the attention it

MidwestMedicalEdition.com


deserves. It was a hard decision for

MED: And how about the students?

me but, after a month on the job, I

Do you think they have learned

can already see that it was the right

something from the challenges of

one. And, in a way, I feel like I am

this year?

still doing what I was called to do — take care of patients. I’m prepar-

TR: All of these students are going

ing future doctors to take care of

to face some form of adversity in

us. It is a natural progression to help

the future. One of my goals is to

ensure that South Dakota patients

produce students who are knowl-

continue to get high quality care

edgeable and intelligent but also

for years to come.

have a holistic approach including how to communicate well and how

Dr. Ridgway served thirteen years as South Dakota's Alpha Omega Alpha Councilor. AOA is the Honor Medical Society.

MED: This has been a strange year

to handle difficulties. If they feel

for education in general. At USD,

confident about these things, they

classes had to move online and

are going to be more willing to

holistic health leadership, so that

medical students had to pull out of

serve.

this new generation can help shape future healthcare policy. If COVID

clinical rotations for a while. What have you learned from the

MED: Even before the pandemic,

has taught us anything, it is the

pandemic?

healthcare was in a state of turmoil,

value of a public health knowledge

with disgruntled patients and

base. We are seeing the need for

TR: We have learned some incred-

burned out physicians. How do you

experts in public health firsthand.

ible things. One thing is that some

see this turning around?

So these are the types of things

of the foundational courses can be

that we need to give our students.

taught online and that allows us to

TR: The solution lies in our physi-

These kids really do have a call to

better utilize expert faculty from

cians. We need to step up and

service. If we do everything in our

around the whole state. They can

provide guidance for new doctors

power to let our students fulfill

just Zoom in for an hour and impart

about how they are going to

their potential, everything else is

their wisdom. When we started

improve the healthcare system

going to take care of itself.

guiding students through clinical

and improve the health of this

material online, students ranked

country. Part of the problem is that

MED: And what about you,

these sessions much higher than

my generation was instructed in

personally? What have you learned

face to face.

how to take a history and make a

after a month on the job?

The other thing is faculty devel-

diagnosis and provide treatment.

opment. We would try to bring

But we didn’t get any training in

TR: The thing I kind of knew but

people in for half-day seminars and

healthcare policy. Physicians today

that has really, really come to the

you might get a core group of these

need to be more than just provid-

forefront one month in is that being

busy physicians to attend. Now

ers of healthcare to patients. They

a leader in health science is less

that we are doing it online, we are

also need to have the tools, knowl-

about the technical things, like

getting much more participation.

edge and language to help direct

initiating a program, and more

Even in our facility alone, we have

how that healthcare is delivered.

about the people, including our

quadrupled the number of people

faculty and the health systems that

who show up for meetings because

MED: What does that mean for

we rely on. It’s about listening to

they don’t have to come to the

medical education?

them and interacting with them

medical school.

and understanding them as we all TR: The curriculum needs to

work together toward a common

evolve. It has to include training in

goal. ❖

“P HYSICIANS TODAY NEED TO BE MORE THAN JUST PROVIDERS OF HEALTHCARE TO PATIENTS. THEY ALSO NEED TO HAVE THE TOOLS, KNOWLEDGE AND LANGUAGE TO HELP DIRECT HOW THAT HEALTHCARE IS DELIVERED. "

November 2020

11


Happenings around the region

News & Notes

South Dakota | Southwest Minnesota | Northwest Iowa | Northeast Nebraska

The Avera Research Institute Center for Pediatric and Community Research has received a $1.9 million grant to join a nationwide partnership for pediatric research through the National Institutes of Health (NIH). Avera will enter the ECHO IDeA States Pediatric Clinical Trials Network (ISPCTN), an NIH-led program, making South Dakota the 18th state to join the network. Avera, South Dakota tribal leaders, and health organizations in western South Dakota will work together to conduct clinical trials focused on a wide range of pediatric health conditions.

AVERA Avera has launched the Home for Hope Campaign, a fundraising effort to expand its lodging location dedicated to patients and families receiving care in Sioux Falls at the system’s tertiary medical center, Avera McKennan Hospital & University Health Center. The Avera Foundation is guiding the campaign’s effort, with a fundraising goal of $2.5 million. Members of Avera eCare are on the board of advisors of The American Board of Telehealth, a new national entity created to improve and ensure the quality of telehealth by developing high-quality, evidence-based education in the practice of telemedicine. ABT is developing a new national certificate program and future CME-accredited educational tracks for virtual care delivery and telehealth integration. The board and certificate program are supported by generous grant funding from the Helmsley Charitable Trust.

12

MONUMENT CHANTEL BIGGINS JAWAD NAZIR Avera will participate in three Phase 2 and 3 clinical studies evaluating whether a combination of two lab-made antibodies can not only treat but prevent SARS-CoV-2, the virus that causes COVID-19. The clinical studies are sponsored by Regeneron Pharmaceuticals, Inc., which was approved to move forward following positive Phase 1 safety results. Phases 2 and 3 will focus on testing the effectiveness of the drugs to either prevent or treat COVID-19. Jawad Nazir, MD, an infectious disease specialist with Avera Medical Group, is the principal investigator for the three studies.

Chantel Biggins, Registered Nurse with the Monument Health Heart and Vascular Unit, has been recognized with a DAISY Award for exceptional nursing. Biggins was nominated by family members of two patients, both of whom showed signs of stroke in her presence, forcing her to take quick action.

MELISSA BROWN & RUSSELL HAYDEN Urologists Melissa Brown, M.D., and Russell Hayden, M.D., have joined the Monument Health Rapid City Medical Clinic. Dr. Brown has more than 27 years of experience and is a clinical instructor with the University of South Dakota Sanford School of Medicine. She practiced in Aberdeen prior to joining Monument. Dr. Hayden sub specializes in male infertility. Before joining Monument Health, he served as the Fellow in Male Infertility and Sexual Medicine and as an Instructor of Urology at Weill Cornell Medicine in New York. For the eighth consecutive year, Monument Health Heart and Vascular Institute has received the American College of Cardiology NCDR Chest Pain – MI Registry Platinum Performance Achievement Award, reflecting HVI’s superior quality outcomes compared with their peers for two consecutive years (2018 and 2019). Monument Health is one of only 140 hospitals nationwide to receive the honor this year.

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ANGELA KLIEWER Angela Kliewer, Director for the Monument Health Foundation, has recertified as a Certified Fund Raising Executive (CFRE). Kliewer, a CFRE since 1999, is one of more than 6,900 professionals around the world who hold the designation. CFRE recipients are awarded certification for a three-year period. Sculptor Dale Lamphere, South Dakota’s Artist Laureate, has been commissioned to create an art installation in Monument Health Rapid City Hospital’s new lobby. He invited regional artists to join him in creating what he calls “Community Tapestry.” Lamphere’s piece will feature metal diamonds arranged in a 16-foot-wide by 32-foot-tall space. Twenty of the diamonds will showcase the work of other artists from the Black Hills and western South Dakota. Completed pieces are to be delivered in February. In late August, Monument Health Heart and Vascular Institute recently became the first healthcare system in South Dakota or North Dakota to use the LUX implanted cardiac recording device from Boston Scientific. The LUX records the patient’s heart rhythm nonstop and monitors conditions such as atrial fibrillation or abnormal rhythms. Ten centers across the nation were part of the initial limited release of the LUX.

November 2020

John Summerville, a patient at Monument Health Rapid City Hospital, uses an iPad to keep in touch with family.

A Monument Health project that began as a means to help COVID-19 patients connect with loved ones when they couldn’t have visitors has turned into an initiative to deploy more than 300 iPads across the Monument Health system. The primary purpose is to help patients communicate with family and friends who can’t be there in person. The Monument Health Foundation received funding from the John T. Vucurevich Foundation ($25,000) and the South Dakota Community Foundation ($20,000) to purchase iPads and wall mounts so they can be secure and compliant in patient rooms.

13

• Happenings around the region

News & Notes


Happenings around the region

SIOUXLAND WENDY LINDLEY

SANFORD Sanford Health is running a Phase 1b trial of SAB-185, a first-of-its-kind human polyclonal antibody therapeutic candidate developed by Sioux Falls-based SAB Biotherapeutics for patients with mild to moderate COVID-19 at an early stage of the disease. The trial will enroll 21 adults across several clinical sites. Sanford Health was the first site in the country to open the study to patients. The Department of Defense named Sanford Health as one of the 2020 Secretary of Defense Employer Support Freedom Award Winners. The award was created to publicly recognize employers who provide exceptional support to their guard and reserve employees. Almost half of the US military consists of the guard and reserve. Sanford Health is one of 15 recipients of the Freedom Award for 2020.

14

A pilot program bringing the benefits of Sanford Imagenetics and Color, a precision healthcare company, rolls out to various Sanford Health locations this fall. Sanford Health patients who have not previously taken part in the Sanford Imagenetics Chip testing are eligible for this limited time offer. The COLOR DNA test involves a saliva sample that is collected at home and mailed to the laboratory. The comprehensive genetic test results are available in four to six weeks. The offer will last for four months or until 1,000 patients are enrolled. Sanford Worthington is installing a TrueBeam linear accelerator for enhanced cancer treatment. The device delivers high-energy x-rays that conform to the specific size, shape and location of a tumor. It will give Sanford Health providers in Worthington the ability to target and destroy cancerous cells in a precise area of the body, with minimal exposure to healthy tissue. The linear accelerator will also cut treatment time for some patients, while offering enhanced imaging. The linear accelerator comes with a $3.4 million price tag. Teachers, parents and families can now bring the Sanford PROMISE (Program for the Midwest Initiative in Science Exploration) Lab into their own classrooms and homes, just in time for remote learning. More than 9,000 visitors have stepped inside the PROMISE Lab in Sioux Falls, South Dakota, where they participate in hands-on science activities and witness Sanford Research scientists in action. PROMISE is free and includes lesson plans, printable resources, educational slideshows, and videos. Sanford Health has opened a Phase 1/2a trial using umbilical cord lining stem cells (ULSCs) to treat patients with moderate to severe cases of COVID-19, both prior to being placed on a ventilator as well as after requiring ventilator support. The randomized, placebo-controlled and blinded study will look at whether infusing patients with ULSCs may be a safe and effective treatment for COVID-19. The trial also aims to identify the population that will benefit most optimally by enrolling patients with moderate to severe COVID-19. The study is the first of its kind in the US.

Wendy Lindley, MSN, RN, NE-BC, Chief Nursing Executive at UnityPoint Health–St. Luke’s, has been named the 2020 Outstanding Nurse Executive by the Iowa Organization of Nurse Leaders (IONL). Lindley has been an employee of St. Luke’s for 8 years, beginning as the Director of the Emergency Department. Her experience also includes leading Care Coordination, the hospitalist program, the hospital’s Post-Acute Strategy, and most recently Chief Nursing Executive

ASHLESHA KAUSHIK Ashlesha Kaushik, MBBS, MD, FAAP with UnityPoint Clinic Pediatric Infectious Disease, has been appointed as a national spokesperson for the American Academy of Pediatrics (AAP), as well elected to the Iowa AAP Board of Directors. Along with being the Medical Director of Pediatric Infectious Diseases and Director of the Antimicrobial Stewardship Program at UnityPoint Health–St. Luke’s, Kaushik also holds an academic appointment by the Stead Family Department of Pediatrics as a Clinical Assistant Professor for the University of Iowa (UI) Carver College of Medicine.

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KEVIN HANDKE Kevin Handke, Emergency Preparedness Specialist and STEMI Coordinator at UnityPoint Health–St. Luke’s has received the Woodbury County Sheriff’s Office Appreciation Award for his help with COVID-19 preparedness. Handke has dedicated a total of 31 years to the Siouxland community in Emergency Medical Service roles including serving as both a paramedic and a flight paramedic. He has held the role of Emergency Preparedness Specialist/STEMI Coordinator at UnityPoint Health–St. Luke’s for nearly three years

UnityPoint Health–St. Luke’s has received five performance achievement awards for implementing quality improvement measures outlined by the American Heart Association and the American College of Cardiology for the treatment of heart attacks and strokes.The awards include the 2020 Mission: Lifeline Gold – Receiving (STEMI), 2020 Mission: Lifeline Gold – NSTEMI, 2020 Get with the Guidelines - Heart Failure Gold Plus with Honor Roll, 2020 Chest Pain – MI Registry Platinum Performance Achievement, and the 2020 Get with the Guidelines – Stroke Silver Plus.

TORRES POTTER MercyOne Siouxland Medical Center is proud to welcome Losty T. Torres Potter, MD to the MercyOne family and excited to introduce MercyOne Siouxland Endocrinology Care to Siouxland. Dr. Torres Potter joins MercyOne Siouxland following her stay as Chief Fellow of Endocrinology, Diabetes and Metabolism at the University of South Florida in Tampa. She completed her Internal Medicine Residency at St. Barnabas Hospital in Bronx, New York and earned her MD from the Instituto Technologico de Santo Domingo, Dominican Republic.

November 2020

15

• Happenings around the region

News & Notes


Happenings around the region

INDEPENDENTS The University of Sioux Falls has added a new Doctorate in Leadership program. It’s the first-ever Doctorate in Leadership from a Sioux Falls university. Between 2016 and 2019 alone, regional demand for doctoral-level interdisciplinary leadership professionals increased by 77 percent according to a recent regional study. USF got input from area businesses and organizations to develop the program. It will be fully taught by USF professors with on-campus, online, and hybrid courses and will take approximately 39 months to complete.

RANDY BURY Randy Bury, CEO of the Evangelical Lutheran Good Samaritan Society, has been elected to the American Health Care Association Board of Governors. The AHCA is the nation's largest association of long-term and post-acute care providers. AHCA provides information, education and advocacy tools for its more than 14,000 members to advance public policies that enhance the quality of long-term care. Members of the AHCA Board of Governors are elected by the association’s governing body, the Council of States.

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Make-A-Wish South Dakota has joined with Make-A-Wish Montana, a younger chapter with much potential, in order to share organizational expertise and expand the wish fulfillment capacity of both organizations. The two organizations have become one chapter known as Make-A-Wish South Dakota & Montana. The South Dakota Chapter of Make-A-Wish has granted over 1,500 life-changing wishes in the last 36 years and is seen as a national leader. The Sioux Falls office of Make-A-Wish South Dakota will now be the headquarters for Make-A-Wish South Dakota & Montana. The new chapter will maintain regional offices in Missoula, Montana and Rapid City.

Madonna Rehabilitation Hospitals broke ground on a $57 million expansion and renovation in August n Lincoln, Nebraska. The 112,000 sq. ft. expansion project adds 59 state-of-theart private patient suites equipped with leading-edge technology, more family support amenities, recreation therapy activities, and a new kitchen and dining area. It also includes a 50,000 sq. ft. renovation of outpatient registration and support services and a new main entrance. It’s the largest construction project on the Lincoln Campus to date. The project is expected to be finished in January 2023.

DONALD SCHMIDT Dr. Donald Schmidt is the new vice president of Medical Affairs and Chief Medical Officer for Madonna Rehabilitation Hospitals with locations in Lincoln and Omaha, Nebraska. A Nebraska native, Dr. Schmidt received his MD from the University of Nebraska College of Medicine in Omaha and completed his internal medicine residency at UNMC. Dr. Schmidt comes to Madonna from Nebraska Internal Medicine, where he was in private practice for 11 years.

Madonna Rehabilitation Hospitals is partnering with medical device maker Curbell Medical to commercialize its First Hope system. The Madonna First Hope system hones in on an individual’s abilities such as a sip or puff of air, a wiggle of a toe, or a muscle twitch, and translates that into actionable electric signals that can enable them to call a nurse, surf TV channels, turn off the lights, and more. The Assistive Control Adapter, or AC20, is now available for distribution. Sioux Falls-based Goodcare AtHome Rehab is expanding its partnership program with senior living communities in Sioux City and Omaha. Goodcare AtHome Rehab provides at-home and in-facility occupational, physical, and speech therapy programs. They serve seniors who do not quality for home health services through Medicare and patients in senior living communities who do not wish to travel to an outpatient clinic, want to age in place at home but need some help, or have been recently discharged from the hospital but are not considered "homebound" to qualify for home health therapy. The 15th annual Spencer Hospital Breast Cancer Awareness Walk took place on October 1st as a "COVID-Style" event. Participants were invited to come any time between 5 and 7 pm to allow for social distancing. They walked a route that took them through downtown Spencer to the Little Sioux River bridge and back.The theme of this year's walk was "We're in This Together".

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Encompass Health Rehabilitation Hospital of Sioux Falls held its official ribbon cutting in September. The presentation was held in the hospital's courtyard on 69th stress in Sioux Falls. Encompass Health is a 40-bed hospital featuring a large therapy gym with advanced rehabilitation technologies. It serves patients recovering from debilitating conditions including strokes and other neurological disorders, brain injuries, spinal cord injuries, amputations, complex orthopedic conditions, and cardiac and pulmonary conditions.

Black Hills Orthopedic & Spine Center recently acquired a surgery center in Wyoming. The North East Wyoming Surgery Center in Gillette is now Black Hills Surgery Center of Wyoming. The physician owners also plan to expand the facility to meet the growing needs of the region. Board-certified orthopedic foot and ankle surgeon Dr. Peg Chilvers, who relocated from the practice’s Rapid City location to the practice in Gillette full-time, is the practice president.

Children’s Hospital & Medical Center has received the 2020 Secretary of Defense Employer Support Freedom Award, the highest US government honor to employers for support of National Guard and Reserve employees. While this award is typically presented during a large-scale event at the Pentagon, due to the COVID-19 pandemic, it was awarded at a brief ceremony with state and local military representatives and Lt. Gov. Mike Foley in the hospital’s atrium in early September.

The University of South Dakota School of Health Sciences has developed a new team of students, faculty, and alumni to provide support and public health services to the university and communities and tribes across the state. The South Dakota Community Action Response Epidemiology (CARE) Team, created in collaboration with the South Dakota Department of Health and the Great Plains Tribal Chairmen’s Health Board (GPTCHB), will offer contact tracing, health promotion and comprehensive services.

Treating You Well A C C E P T I N G NEW Primary Care Patients

Samantha Konechne CNP, DNP, FNP-BC, RN, CEN

November 2020

StormClinic.com 17

• Happenings around the region

News & Notes


HEIDI M. FURTH

JORDAN SCHILD Dr. Jordan Schild of Yankton Medical Clinic has earned board certification by the American Board of Family Medicine (ABFM). Dr. Schild joined the family medicine department in September and sees patients at both Yankton Medical Clinic and Vermillion Medical Clinic. Prairie Lakes Healthcare System and Watertown Area Breast Cancer Support Group turned their sixth annual Celebrating Life event into a month-long online event in October. Participants had the chance to interact live with author and breast cancer survival Nicole Phillips on Facebook and YouTube. They could also vote for favorite local businesses sporting decorated pink ribbons. Brown Clinic, PLLP Radiology in Watertown has been granted a three-year term of accreditation by the Intersocietal Accreditation Commission (IAC) in CT in the area(s) of Body CT, Neurological CT, Vascular CTA, and Maxillofacial CT. Accreditation consists of a detailed self-evaluation followed by a thorough review by a panel of medical experts and assesses both the critical operational and technical components of the applicant facility.

LINDSEY PETERSON

ALORA WEINRICH

MIKALA SIMON

Telehealth specialty clinic Modern Day Health Care (MDHC) has opened a new clinic location in Aberdeen. The physical location is staffed by Doctor of Physical Therapy Mikala Simon, Physical Therapy Assistant Alora Weinrich, and Board Certified Family Nurse Practitioner Lindsay Peterson APRN, MSN, FNP-BC. Patients can receive care through virtual visits, office visits, and in-home visits, where an RN assists with the virtual office visit from the patient's home.

ANTHONY LOEWEN Huron native and general surgeon Anthony Loewen, MD, has joined Huron Regional Medical Center. As part of HRMC’s “grow your own” recruitment strategy, Dr. Loewen made the commitment to return to Huron to practice prior to entering medical school at the Sanford School of Medicine. The hospital supported him through medical school and residency at St. Joseph Hospital General Surgery in Denver, Colorado. That support and medical school loans are forgiven over the next five years.

CHRISTOPHER BRONSON Christopher Bronson, MD, the newest internal medicine physician at Huron Regional Medical Center, is offering medically assisted treatment for opioid addiction at the HRMC Physicians Clinic. Dr. Bronson is certified to prescribe buprenorphine, which is one of three medications commonly used to treat opioid addiction. The medication is administered slowly and under careful supervision.

Heidi M. Furth, CNP, MSN, has joined Dakota Dermatology in Sioux Falls. Furth holds an MSN from South Dakota State University and is a member of the American Academy of Nurse Practitioners, the Nurse Practitioner Association of South Dakota, and the Dermatology Nurses' Association.

JOSHUA HOCKETT Orthopedic trauma specialist Joshua Hockett, DO, has joined the trauma team at CNOS in Dakota Dunes. Dr. Hockett grew up in Tennant, Iowa and earned his DO from A.T. Still University in Kirksville, Missouri. He completed his residency at Kansas City University/St. Mary's Medical Center and did a fellowship at Duke University. He joins Dr. Dan Kensinger in providing trauma coverage for both Sioux City Health Systems.

Madison Regional Health System is celebrating 5 years at their new location in October. The facility has exceeded expectations during these five years and has expanded multiple services across the system in an effort to provide optimal healthcare services to the Madison region. The operating room was among many of the departments which expanded. The department is now five times the size of the former OR and is located in one self-contained unit to optimize patient privacy and workflow.

❱ Intrigued by something you’ve read here? Want to go deeper? Read the full versions of these and other recent news items on our website.

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Stryker’s Mako Makes CNOS Surgeon a Robotic Convert

B

R IAN J O H N SO N , M D, an

the cuts. That means you cut less soft

robotic partial knee replacements

orthopaedic surgeon with

tissue and disrupt less of the knee.”

are lasting as long as total knees

CNOS in Dakota Dunes, says

The system lets the surgeon

for the first time ever, giving more

he was never anxious to jump

overlay a series of

patients a shot at a “forgotten

on the robotic “bandwagon”. During

checkpoints with

knee” —a joint so strong, flex-

his residency 14 years ago, Johnson

CT

to

ible, and pain-free that the

took part in a study comparing

ensure precise

patient can simply forget that

robotic surgery to traditional instru-

placement of the

it was ever a problem.

mentation for knee replacement.

array and ultra

“With the robotic partial

fine tuning of the

knee, a lot more people end up

joint position.

with a forgotten knee,” says

“Back then, the tech was clunky and it took a long time,” he says.

images

“Most importantly, it didn’t affect the

“How many

Johnson. “The key is to get the

outcomes for patients. So I had a

humans can take

baseplate as big as you can

healthy sense of skepticism for a long

a pin and draw a

time.”

perfect circle a thousand times in a

ACL. The robot helps you do that. It

without compromising the

Johnson was also unmoved by

row? No one can, but the robot can,”

can also simulate how the forces

studies conducted by robot manu-

says Johnson. “It allows you to imple-

are going to go through the knee in

facturers in recent years showing

ment exactly what’s in your mind. It

that particular patient, so you can

a clinical benefit. It was not until

will not allow you to deviate from

adjust by just a few millimeters.”

the independent Australian Ortho-

your own plan.”

Johnson is hopeful that this

paedic Association National Joint

Johnson says the result is a safer,

level of precision will also make a

Replacement Registry (AOANJRR)

more precise operation, and a bal-

big difference for total knees, too,

released its own data in 2017 that

anced, stable joint. This precision is

but the data is not in yet. In the

he decided to take a more serious

especially critical with partial knees,

meantime, he is working with

look at the robotic approach to knee

which tend to have a higher failure

Stryker to help develop a robotic

replacement.

rate than total knees. The data shows

procedure for the shoulder joint. ❖

“The Australian Registry is the best in the world and is completely independent,” says Johnson. “Their data showed a clear difference. Not a hint of a difference, but a clear superiority for robotic-guided partial knee replacement.” After seeing the Mako Robotic Arm Assisted Surgery system firsthand, and evaluating the independent research, Johnson says he was determined to help bring it to Siouxland. “The biggest advantage is that it allows you to balance the knee more cut,” explains Johnson who has offered robotic knee surgery at CNOS for about a year. “Traditionally, you would make the cut and then adjust the soft tissue to balance it. Now you can balance it before you even make

November 2020

Photo courtesy Stryker

precisely before you even make a

19


HIGH-TECH POOL ENABLES INDIVIDUALIZED THERAPY IN WATERTOWN

T

HE ZERO ENTRY THER APY POOL AT PR AIRIE L AKES Rehabilitation Services in Watertown is smaller than most people expect it to be. But Dot McAreavey, PT, MS, Director of

Rehabilitation and Wound Care at Prairie Lakes, says what it lacks in size, it makes up for in sophistication. “It has all sorts of bells and whistles that allow us to be very flexible and create highly individualized programs,” says McAreavey whose department mantra is “movement is medicine.”. With warm water for support and buoyancy, specially trained aquatic therapists can tailor their sessions to account for virtually any physical limitation. Thanks to a floor that adjusts from ground level to a depth of six feet and even a water-safe wheelchair, the pool can accommodate patients of any height, mobility, or level of comfort in the water. “The sky’s the limit as to who this can be used for,” says McAreavey. “Patients who have sprained their ankle and are having trouble getting back to a normal gait, patients who have had a total hip replacement, people with chronic conditions, even patients with just general weakness. Gravity can be a barrier. We can remove that barrier, help the person get

20

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stronger in the water, and then transition to land.” The pool’s treadmill floor can help recovering patients regain strength and mobility without the pain of land exercise. Resistance jets and adjustable speeds allow for a gradual increase in workout intensity. Even breathing problems can be addressed with aquatic therapy, using the water’s resistance to build chest strength. Cameras in the pool and monitors in the wall give patients real-time feedback as they work with their therapist. “We knew the water would help patients, but we underestimated how empowering it could be,” says McAreavey. “When a patient who is unable to walk gets in the pool and can walk, they are motivated. They feel empowered. It gives them hope.” ❖

CERTIFIED AQUATIC THERAPISTS CAN HELP PATIENTS WITH THE FOLLOWING CONDITIONS: • Arthritis

• Osteoarthritis

• Arthroscopic surgery recovery

• Orthopedic injuries

• Autism

• Bursitis

• Pulmonary issues, poor activity tolerance

• Cerebral palsy

• Multiple sclerosis

• Chronic pain

• Rheumatoid arthritis

• Balance disorders

• Depression •J  oint pain of unknown cause

• Parkinson’s disease

• Scoliosis • Stress

•J  oint reconstruction surgery recovery

• Spinal cord injury

• Joint replacement surgery recovery

• Tendonitis

• Lower back pain

• Sprains and strains • Stroke

• Traumatic Brain Injury

By your side, and moving

FORWARD. We wake up every day to serve in the towns and places you call home. We’ve expanded our innovative care, expertise and access to always keep your patients moving. Because forward is the only direction we know.

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

❱ Check out the website for a video of the pool in action.

November 2020

21


HOME HEALTH CARE WORKERS

Here’s How to Stay Safe During COVID-19 BY KEVIN FIELDS

IT

has always been a challenge

• Approved disinfectant wipe

for Home Health Care Pro-

• Hand sanitizer

viders to keep themselves

safe while providing safe care to clients. In the era of COVID-19, it can be harder than ever. Here is an overview of best practices to

• Medical supplies • Trash bags • Surface barrier (i.e. wax

paper)

protect both providers and clients.

PRIOR TO THE APPOINTMENT Inventory Supplies: • Full PPE: N95 mask with

storage container, face shield, gown, and gloves • Mask – extra in case client/

family members need one • Gloves • Eye protection

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Contact the client and ask the following questions:

➤ Have you been medically directed to self-quarantine due to possible exposure to COVID-19? ➤ Have you had any illness symptoms such as fever, cough, shortness of breath, sore throat, fatigue, body aches, or chills within the last 48 hours? ➤ If the answer to any of these questions is YES or the occu-

➤  Have you, or anyone in your

pant(s) prefers not to have a

family, been in contact with a

worker in their home, the visit

person that is in process of being

should be rescheduled or, if

tested for COVID-19?

possible, conducted virtually. As

➤ H ave you, or anyone in your

a general rule, a yes answer

family, travelled outside of the

requires the visit to be resched-

United States in the last 2 weeks

uled for no earlier than 14 days.

or just travelled outside of your city?

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➤ If a household member other

DURING THE VISIT

than the client is a contact, ask them to use a face mask during the visit and to stay in another room, if possible. ➤ Ask if anyone in the household has nebulizer treatments; require nasal/oral suctioning; use Cpap, Bipap, or a Ventilator, and if so, what hours they are used. Note: Visit should be postponed for 3 hours after aerosolizing or don full PPE as a precaution.

➤ Don full PPE prior to entering the home for COVD-19+ clients. All home visits will require mask, goggles/shield, and gloves. ➤ Do not shake hands or touch others when greeting or interacting. ➤ Wash your hands frequently and use hand sanitizer when soap and water is not available. ➤ Use a bleach and water solution to disinfect any work areas. Wax paper can be used as a barrier in homes to sit bags and equipment on. ➤ A ll equipment should be cleaned with approved disinfectant prior to returning them to your bag. ➤ L imit unnecessary contact with surfaces/items and avoid shared use of tablets, laptops, writing utensils, and cell phones. Regularly wipe

AT THE HOME

down all items. ❖

➤ Call the client upon arriving and reassess risk by asking the same questions (listed above) before entering. ➤ If the answer to any question

❱G  o online for tips on what should happen after the exams and a list of article resources.

is YES, act as directed above. Remind the client to: •K  eep family members at least 6 feet from you unless the family member is being taught care by the HHCP staff.

Committed to Making Your Workplace Safer

•S  ecure any pets. •E  nsure that there is a clear path to and from the client.

Kevin Fields is a Loss Control Specialist with RAS. He is a member of the American Society of Safety Professionals and is a certified OSHA 10-hour trainer.

November 2020

We're more than a workers' compensation insurance provider. We're your partner in driving injury prevention. RASCompanies.com 800.732.1486

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DR. MARK DENISON

DR. CARL JUNE

DR. MICHAEL WELSH

WHEN SCIENCE WINS, WE ALL WIN. As one of America’s largest nonprofit health systems, Sanford Health is sponsoring the $1 million Sanford Lorraine Cross Award for those pushing the boundaries of medicine. For these nominees, it means a future for their research. For the world, it means a medical cure, treatment or discovery that impacts lives today. Because when someone wins the Sanford Lorraine Cross Award, we all win.

MEET THE 2020 NOMINEES Dr. Mark Denison has put his life’s work into action during the COVID-19 pandemic. Dr. Carl June is forging ahead on a groundbreaking, FDA-approved cancer treatment. And Dr. Michael Welsh pioneered the field of cystic fibrosis by identifying how it disrupts the lungs.

See their stories at

SanfordLorraineCross.com

Profile for MED- (Midwest Medical Edition)

November 2020 MED Magazine