The Meaning of Care Magazine - Spring 2019

Spring 2019

Families Are Families No Matter How They’re Made Page 4

President’s Letter Patients of Methodist Health System come from all walks of life. They hail from all parts of the region – from western Nebraska to western Iowa.

Bringing care to people in outlying communities, knowing patients like family through that all-important provider-patient relationship, helping couples start and grow their families, and providing lifesaving screenings are among the many initiatives we have implemented to improve the health of our communities.

Having a primary care physician like Dr. David Stearnes was critical for John Emery in 2016. A clinic visit for a stomach bug resulted in Dr. Stearnes ordering additional lab work – catching John’s pancreatic cancer in its earliest stage and giving him years to live.

Further enhancing the provider-patient relationship is our patient portal. Through our online tool and phone app, patients can interact with their physicians, view their health information and cancel or reschedule appointments with just a few clicks.

We realize patients want more control of their health, and this interactive tool helps provide that.

Steve Goeser

President and CEO Methodist Health System

Meeting patients where they are is something we’re achieving with our Methodist Mobile 3D Mammography coach, which hit the road in November 2018. Providing lifesaving breast screenings to the uninsured and underinsured, as well as to the business community, will make an impact in our fight against cancer.

For couples with dreams of having a family, the journey to parenthood can sometimes be challenging. An Omaha couple had nearly given up on the possibility of having their own children until they met Dr. Abigail Delaney. Their beautiful baby is a testament to the skill and compassion of Dr. Delaney and all Methodist providers.

We are making an impact in so many ways that wouldn’t be possible without the growth we have experienced in recent years. Whether it’s the exciting partnership with Methodist Fremont Health, new clinic locations resulting in enhanced physician accessibility or expanded outreach efforts in Nebraska and western Iowa, we are reaching more patients than ever before.

We are honored that so many families choose Methodist for their health care needs.

We’ll continue to work to improve access to our outstanding providers and ensure that each patient experiences The Meaning of Care.

Sincerely,

aldwell d Kari C Colin an girl Teddi, by eir with ba ey call th th whom acle.”

“IVF mir

Patient Portal

Primary Care

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Page 6

Infertility Page 4

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Mobile Mammography Page 8

Expansion Page 12

Methodist Jennie Edmundson Cancer Center in Council Bluffs will also be hosting a free screening event Tuesday, April 9, from 3 to 5 p.m. Call 712-396-7600 to schedule.

National Pancreas Foundation Recognizes Estabrook Cancer Center

Head and Neck Cancer Screenings Coming in April

Head and neck cancers account for about 3 percent of all cancers. And as with any type of cancer, early detection is key.

That’s why Methodist Estabrook Cancer Center is hosting free oral head and neck cancer screenings.

Those who smoke, chew tobacco, drink alcohol, have a prior history of cancer in the head or neck area or have had multiple sexual partners should consider attending the free screening.

Signs and symptoms of head and neck cancer may include a mouth sore and/ or sore throat that isn’t healing, difficulty swallowing, a change in voice or a painless lump in the neck.

“We’re seeing a lot of throat cancer related to the human papillomavirus,” said Dr. Andrew Coughlin, a head and neck surgical oncologist for Methodist Health System. “Most people clear the virus, but some don’t and can develop cancer. While the prognosis has improved in this type of cancer, patients have even better chances if it’s caught early.”

The free screening event will be held Thursday, April 11, from 3 to 6 p.m. at Methodist Estabrook Cancer Center, 8303 Dodge St. in Omaha. Call 402-354-5850 to schedule. Screening appointments are limited, and registration is required.

Methodist Launches Improved Doctor Search Tool

There’s a lot that goes into finding a doctor.

You want someone who’s an expert in his or her field. Someone with the right mix of experience and compassion. Someone who makes you comfortable.

Methodist Estabrook Cancer Center has been designated as an approved Pancreatic Cancer Center by the National Pancreas Foundation.

The designation puts Methodist in elite company. There are fewer than 50 centers nationwide, and Methodist’s is the only such center in Nebraska and Iowa.

“Pancreatic cancer can be a very challenging diagnosis for patients in many ways,” said Dr. George Dittrick, a surgical oncologist and program director for pancreatic cancer treatment at Methodist.

“This designation recognizes Methodist Estabrook Cancer Center as a place patients can go where all those challenges will be met with the highest level of care and compassion.”

Gary Garner, 75, experienced that firsthand. When he found out he had pancreatic cancer, he faced long odds.

His primary physician estimated that less than 5 percent of people in his situation survived long term.

“But I’m an optimist,” Gary said.

“So I thought I might as well be one of those 5 percent.”

Thanks to Dr. Dittrick and the team at Methodist Estabrook Cancer Center, Gary is cancer-free and back to work, coaching basketball at Dakota State University in Madison, South Dakota.

Gary and his wife considered treatment at the Mayo Clinic, but they ultimately chose Methodist. The care he received was unforgettable.

“I probably wouldn’t be alive if it wasn’t for Dr. Dittrick,” he said.

Thanks to an improved search tool at www.mhsdoctors.com, finding a Methodist doctor, specialist or other provider has never been easier.

The site allows patients to search for a provider by first or last name, specialty, location and gender. Many providers have profile pages with experience, education and video interviews to help patients make the best decision for their care.

Appointments can be requested with just a few simple clicks.

Meanwhile, the site’s “location” feature maps out Methodist facilities, providing addresses and contact information.

All of this is in a convenient site that has been streamlined for easier navigation and optimized for mobile devices.

“Choosing a provider is an important decision, and we know how valuable the relationship is between a patient and provider,” said Todd Grages, president and CEO of Methodist Physicians Clinic.

“This tool helps patients find providers who best suit their needs, not just through specialty and location, but also personality and philosophy.”

It’s one more way Methodist is empowering patients to take more control of their health care.

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Colin and Kari Caldwell with baby girl Teddi, whom they call their “IVF miracle.”

Families Are Families NO MATTER HOW THEY’RE MADE Story by Jessica Gill

Decorating a nursery.

Growing a baby bump.

Giving her firstborn a name that’s been passed through generations. These are some of the things Kari Caldwell had long dreamed about.

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“I knew how many kids I wanted by what age,” she said. “I guess you just never think it’s going to be hard.”

But for Kari and her husband, Colin, it was.

They tried for months to get pregnant before experiencing three unsuccessful in vitro fertilization (IVF) cycles, including one miscarriage. They were told their only chance at getting pregnant would be through the use of donor eggs.

In search of a second opinion, they met Abigail Delaney, MD, with Methodist Reproductive Health Specialists on the campus of Methodist Women’s Hospital – a clinic that was started by Carolyn (Maud) Doherty, MD, more than 20 years ago.

“That was probably our lowest point in this journey – walking through those doors to see Dr. Delaney,” Colin said. “In retrospect, though, it was actually the beginning of a much greater journey.”

But First, More Bad News

After getting to know Kari and Colin, Dr. Delaney felt confident they could physically and emotionally undergo another round of IVF. “I wanted to give it another try,” she said. “I felt like I could do something a little differently.”

In an effort to harvest as many eggs as possible, Dr. Delaney started Kari on medication that would stimulate her ovaries more than they ever had been before.

Abigail Delaney, MD, joined Methodist in 2016. She’s part of a team of reproductive health specialists that has helped thousands of families achieve pregnancy.

Once Kari’s eggs were retrieved and fertilized with Colin’s sperm, genetic testing confirmed that the couple had produced six euploid embryos – embryos that have the appropriate number of chromosomes: 46.

“The reason these are more successful for IVF is because they have a higher implantation rate,” Dr. Delaney explained.

According to her, it’s “sort of like family planning from the start.”

“In a perfect IVF cycle, the hope is that you only have to retrieve eggs once and create embryos once. We transfer one or two, and you’ve got maybe two in the freezer for the future.”

Not long after the first embryo was transferred to Kari’s uterus, though, the couple experienced more heartbreak: a second miscarriage.

Third Time’s a Charm

Despite everything they had been through, Kari and Colin felt as if they had no choice but to continue moving forward. And if there’s any truth to the expression “third time’s a charm,” Kari and Colin’s third transfer with Dr. Delaney was an absolute miracle.

Teddi Jade Caldwell was born Dec. 21, weighing a little over 7 pounds.

“I doubt I would love her any less if we hadn’t gone through what we did,” Kari said, “but I do find myself so in love and just in awe of her, thinking there was a chance she could have never been born.”

“We found out the day we were hoping to see a heartbeat,” Kari said.

Teddi is one of thousands of dreams come true for parents who have turned to Methodist during some of their darkest days.

A few months later, Dr. Delaney transferred another. That one resulted in an ectopic pregnancy – the embryo attached itself to the outside of the uterus.

“We have a core group of people who’ve been here a really long time,” Dr. Delaney said. “There’s a lot of experience backing up what we do.”

But there’s something else Dr. Delaney believes sets Methodist apart from any other reproductive clinic in the area.

“There’s a mentality of putting patients first – making sure their needs and desires are paramount. Having worked at other places, I don’t know that’s true everywhere else.”

Teddi in her mother’s arms.

Taking the Taboo Out of It

“I don’t think it’s something to be ashamed of,” Kari said. “For me, talking about it helped. But I do think you have to go through it to really understand what that kind of pain feels like.”

Dr. Delaney does understand. She, too, once struggled to get pregnant.

“I think I speak for many women,” she said.

“One of our main goals in life is to be a mom.

When you can’t do that easily, it’s debilitating.

Many women who go through it think something is wrong with them. They’re afraid of what others might think of them.”

With 13 percent of couples in the United States experiencing infertility, Dr. Delaney is a firm believer that if more people were open to talking about it, there would be less fear and isolation felt among couples who are part of that statistic.

“By talking about it, it becomes less taboo,” she said. “You recognize that families are families no matter how they’re made.”

And with embryos remaining, Kari and Colin hope to expand the family they made.

“Teddi is the result of someone refusing to give up on us,” Kari said as she looked at Colin.

Colin smiled as he finished her thought: “Truly.

Words can’t express how grateful we are.”

To watch the video, visit bestcaretoday.com.

Kari and Colin have never been shy about their struggle with infertility.

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John Emery during a preventative health maintenance exam.

THE PRIMARY CARE VISIT THAT

Saved His Life Story by Jessica Gill

They’re one of the first things

you’ll notice when you look at John Emery: his eyes.

At 80 years old, he’s mastered the art of smiling with them.

Not Just a Stomach Bug

There’s a softness to them. There’s a sincerity to them. When he greets a person, he’s somehow able to brighten them.

“I was just really tired,” he explained.

But during a routine visit with his primary care physician, there was something different about them.

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It was December 2016. John wasn’t feeling well.

He assumed whatever it was would pass in a couple days. His wife, Sharon, gets credit for what happened next.

“She made me call my doctor,” he said. “She wanted me to get checked out. We were getting

ready to go see our son in Miami, and she didn’t want me to pass anything on to our grandkids.”

David Stearnes, DO, an internal medicine physician at Methodist Physicians Clinic HealthWest, had been taking care of John for nearly a decade. He diagnosed him with gastroenteritis – a stomach bug.

“I got up off the table,” John said. “I just about walked out the door when Dr. Stearnes said to me, ‘John, why don’t you come back here a minute.’”

Dr. Stearnes picked up the story from there: “I said, ‘All of your symptoms seem pretty straightforward, but there’s some yellowing of your eyes.’ I decided to run some lab work just to make sure there was nothing else going on.”

Lab results showed an elevation of bilirubin in John’s blood. He was asked to go to Methodist Hospital the next day. That’s when an ultrasound revealed a tumor at the head of John’s pancreas. After a CT scan and even a biopsy, there was still no certainty that it was cancer, but doctors determined it likely.

A Complex CancerConfirming Surgery

George Dittrick, MD, a surgical oncologist with Methodist, met with John and Sharon to talk about the Whipple procedure – a complex three- to five-hour surgery for which only 20 percent of pancreatic cancer patients qualify. John was in good health, and the cancer was caught relatively early. He was deemed a good candidate for the surgery, but that certainly didn’t ease Sharon’s anxiety.

John, whose daughter was killed in a tragic car accident 25 years ago, remembers word for word what his wife said to Dr. Dittrick as tears welled up in her eyes: “You mean to tell me that I’ve lost my daughter, and now I’m about to lose my husband?”

Dr. Dittrick explained to both of them that if the tumor was able to be removed, instead of weeks or months to live, there was potential that John could have years.

“We felt we had a good chance for a cure,” Dr. Dittrick said.

“We knew we had to do it,” John added.

He had the surgery in January 2017, and that’s when it was confirmed: John’s tumor was indeed cancer.

David Stearnes, DO, laughs with John Emery, who’s been cancer-free for over two years.

Establishing a Relationship

‘Get in! See your doctor. Don’t have one?

See mine!’”

Timothy Huyck, MD, an oncologist with Nebraska Cancer Specialists and another member of John’s care team at Methodist, had the honor of eventually telling John he was cancer-free.

It’s something John won’t soon forget: “He said, ‘God bless you, John. We’ve got a long way to go, but this is a great start.’”

“

They didn’t just treat me like a priority, but someone very special. I’ve got my team right here.

I will never go

“

anywhere else.

— John Emery

“I remember going to shake John’s hand,” Dr. Huyck added. “He pushed that away, and we embraced.”

Recovery has been long and hard, “but I’m alive,” John said.

“I tell everybody now – friends and associates who say they don’t feel well – I tell them,

Dr. Stearnes urges everyone to establish a relationship with a primary care provider before getting sick. He fears a person may skip a potentially lifesaving visit if he or she doesn’t have a provider lined up ahead of time.

“The fact that John had someone he could call and see right away made all the difference,” Dr. Stearnes explained. “I’m convinced he did have a viral infection, and he would have gotten better on his own. But it may have been months before he started seeing symptoms related to his cancer, and at that point, it may have been too late for a good outcome.”

“I see it in so many cancer cases,” Dr. Dittrick said. “That initial diagnosis frequently comes from a primary care provider.”

Dr. Stearnes understands that not everyone’s experience with primary care will result in the revelation of cancer, but he believes it’s about so much more than that.

“We keep you up to date on vaccines, and we keep tabs on your cardiovascular health,” he continued. “I can’t stress it enough. Preventative health maintenance is so important.”

John feels blessed to have the relationship he does with Dr. Stearnes. He feels blessed his wife made him call when she did. More than anything, though, he feels blessed to be a part of the Methodist family.

“The promptness. The no messing around.

The organization from start to finish. They didn’t just treat me like a priority, but someone very special. I’ve got my team right here,” he said while standing in the HealthWest lobby.

“I will never go anywhere else.”

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Mobile 3D Mammography BREAKS DOWN BARRIERS Story by Katina Granger

When 41-year-old Inocenta Barrera stepped onto the bright pink motorized coach last fall, she was a little nervous.

She had never had a mammogram before. Thanks to the arrival of this mobile mammography coach and the incredible care team on board, now was her chance.

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Making Mammograms Accessible

When the Methodist Mobile 3D Mammography coach first hit the streets in November 2018, the goal was simple: Make mammograms more accessible to women in our communities.

The first and only vehicle of its kind in the region, the coach takes 3D digital mammography screening technology on location.

“It’s really important when we talk about breast health that we address it not only with

Inocenta Barrera might have never gotten screened without Methodist’s Mobile 3D Mammography coach. Now she has peace of mind, knowing she’s cancer-free.

the business community, but also the underserved – those who are uninsured or underinsured,” said Sharlon Rodgers, service executive for diagnostic imaging services at Methodist Hospital. “We know the same barriers – time, convenience, cost, transportation – can plague women all over our communities to forego or postpone lifesaving screenings. We want to make sure whatever we can do to eliminate those barriers, we get done.”

Methodist Mobile 3D Mammography makes screenings more accessible by going to work sites and health clinics in underserved areas.

“Today’s busy women tend to put family and career ahead of their own health care,” said Sue Collins, director

of practice operations for Methodist Physicians Clinic. “Our solution is to work with employers, corporate sponsors and clinics to bring this potentially lifesaving cancer screening directly to their doorstep.”

Breaking Down Barriers For Inocenta, having some of those barriers removed was the incentive to have her first mammogram. When she saw the opportunity for a screening at OneWorld Community Health Center in South Omaha, she signed up immediately.

“I had heard a lot lately about breast cancer, so I was most interested in having a mammogram,” Inocenta said through her interpreter. “To be honest, I didn’t feel any pain, and it was a very nice experience. The mobile coach was comfortable, and the staff was very nice.”

Using the latest FDA-approved technology, the mobile mammography team takes multiple X-rays of tissue to re-create a three-dimensional picture of the breast.

“These multiple images of breast tissue slices give doctors a clearer image of breast masses, making it easier to detect breast cancer,” Collins said. “A 3D mammogram releases the same amount of radiation as a traditional mammogram. It is of no greater risk to the patient.”

The coach can provide screenings for approximately 16 patients a day. Images are downloaded and read by Methodist radiologists. Screening results are then provided to the patient and the patient’s primary care physician within seven days.

Mammographer Robbi Wurdeman runs a quality control check before screening patients.

All About the Experience While the convenience and technology on the coach may be what brings patients in, the radiologic technologists who staff the coach said the experience patients have during a visit is just as important.

“We try to really make it amazing,” said Ashlee Murphy, RT (R)(M), a radiologic technologist for the coach. “We get so many patients who say, ‘For a mammogram, this is the best experience I’ve ever had.’”

“We want them to feel important for that little bit of time they are with us,” said Kim Livingston, RT (R)(M), who also works on the coach. “Our hope is that they tell others about their good experience so they come in and get screened as well. It means so much to us that we really provide high-quality care and make it an event they remember.”

Partnerships Set the Wheels in Motion Director of operations for OneWorld Community Health Centers Inc.

The Methodist Mobile 3D Mammography coach

Methodist Mobile 3D Mammography started with a partnership between Susan G. Komen Great Plains and Methodist. The entire project was made possible through donors, grateful patients and Methodist employees who together contributed more than $674,000 to purchase the coach.

“Methodist employees, as well as the Harper Family Foundation, played a huge role in making this entire project happen,” said Tracy MaddenMcMahon, president and chief executive officer of Methodist Hospital Foundation. “More than 2,000 people in our community donated to this effort because they saw the genuine need and the importance of bringing health care directly to the people who need it.”

Aside from financial assistance, the most important collaboration comes every day with the local businesses and clinics that bring the coach within reach of the women it serves.

“It means a lot to us to be able to bring this service to our patients,” said Jennifer Mayhew, director of operations for OneWorld Community Health Centers Inc. “It was clear that Methodist wasn’t just there to have the best technology or just to have a mobile coach, but they really thought about all the details that would make patients comfortable and feel reassured.”

Priceless Reassurance

For Inocenta, having that reassurance was everything. While she had no history of breast cancer in her family, she knew the importance of having a mammogram. When the coach pulls up to the clinic again, she’ll be back for her yearly exam.

“Knowing there was no cancer was like having a weight lifted,” Inocenta said.

“My heart was happy.”

To watch the video, visit bestcaretoday.com.

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PATIENT PORTAL:

A Valuable Health Tool AT YOUR FINGERTIPS Story by Patrick Smith

As the director of admissions at Creighton Preparatory School in Omaha, Josh Luedtke is part of a team working to put young men on the path to success.

He sees many of them outside of the school’s hallways, too, as head basketball coach.

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Whether in the classroom or on the court, students are taught the importance of education and how to become leaders.

Staff members also stress responsibility and accountability.

For Josh, those valuable lessons also apply to his health.

Taking Ownership of His Health

Josh, 47, is serious about his health. He’s diligent about getting his annual physical,

Josh Luedtke with his primary care provider, Gregory Hutteger, DO, at Methodist Physicians Clinic Regency.

and he tries to be proactive as he deals with concerns common for a man his age: weight, high blood pressure, thyroid issues and sleep apnea.

Those efforts are a little easier with the help of the patient portal at my.Bestcare.org, an online resource that brings patients’ electronic medical records to their fingertips and offers the ability to send secure messages to providers.

Gregory Hutteger, DO, who is Josh’s primary care provider as well as Methodist Health System’s chief medical information officer, recommends the health management tool to all of his patients. Once enrolled, they can access it 24/7 via computer, mobile device or an app called HealtheLife.

When Dr. Hutteger suggested the portal to Josh, he jumped at the opportunity.

“It’s a great tool for you to use to take control of your own health,” said Josh, who sees Dr. Hutteger at Methodist Physicians Clinic Regency. “Your health is your health.

You’ve got to take ownership.”

Your Doctor is Only a Message Away

For Josh, being able to quickly review data like his cholesterol levels or his most recent weight has been motivating.

“When I log on and see my weight, I’m like, ‘I don’t want to be there. I want to be somewhere else,’” he said. “So it encourages me to try and make better decisions.”

And he isn’t shy about asking questions related to his diet, prescriptions, vitamins and more. He typically has a response within 24 hours.

Dr. Hutteger said he gets five to 10 messages a day from patients – communication that leads to better outcomes. Those messages aren’t meant to take the place of necessary face-to-face conversations with your doctor, but they can help determine if an appointment is necessary.

Some patients, he said, have sent him photos of symptoms and asked if an office visit was appropriate, or if a health situation while overseas required immediate attention.

Patients appreciate the reassurance and peace of mind they can get from a quick message, Dr. Hutteger said.

“I like the technology,” he said. “I think we’re able to save patients a lot of money and a lot of time.”

A Must-Have Tool for Busy People

Chris Holm, RN-BC, is reminded daily of how valuable the portal is. As a health coach at the Regency clinic, Holm helps patients manage

The patient portal gives you access to your electronic medical records, secure messaging and other health management tools. chronic illnesses by seeing them in the office and reaching out to them at home. For patients with diabetes, she in some cases adjusts insulin doses as often as every three days.

Communication is essential, she said.

said. “I think they feel more connected. I think they feel more taken care of because usually the response is pretty fast. I think their outcomes are better because we’re communicating more frequently.”

“We play phone tag a lot with patients. Their busy schedules. Our busy schedules,” she said.

“The portal has been the best thing ever for us to be able to communicate.”

Changing and Improving Care

Holm explained how a patient can send a secure message at any hour with blood sugar information typed out or displayed in a photo or PDF. Her response via the portal reveals another way it provides peace of mind.

“It’s huge for patients when it’s in writing and you can go back and reread something,” she said.

She believes patient response to the portal has been overwhelmingly positive.

“All my patients who use it feel it’s the best way to communicate with their busy schedules,” she

The patient portal already provides impressive benefits for patients and providers, but Dr. Hutteger is excited about what’s down the road. He sees more document availability and built-in telemedicine services on the horizon.

“This is the tip of the iceberg, the way we’re using it in the current state,” he said.

In the meantime, he wants patients to see how it can help them be more involved in their health.

“Patient engagement, through getting patients to have access like this, has the most ability to change and improve care,” Dr. Hutteger said.

The patient portal at my.Bestcare.org The portal is available via computer, mobile device or the HealtheLife app. It allows you to: • Communicate securely with your health care team • View your health information and electronic medical records • Request prescription refills • Schedule appointments with your primary care provider • Cancel and reschedule all appointments • Access health system resources, including tools to find doctors and clinic locations

How do I sign up?

Have questions?

There are three ways:

• For FAQs to help you set up online access after you receive email instructions, visit bestcare.org/signon.

1. If you have your medical record number (available on a Methodist billing statement), you can self-enroll at my.bestcare.org.

2. Talk with your Methodist provider or clinic staff about enrolling. You will need to present a valid photo ID. After you sign up, you’ll receive an email with instructions to create your account.

3. Call Methodist Customer Support Monday-Friday, 8 a.m.-5 p.m. at 402-354-5410 to receive an invitation.

• For help navigating the portal, call Methodist Customer Support Monday-Friday, 8 a.m.-5 p.m. at 402-354-5410. Leave a voicemail after hours and on holidays for a return call the next business day.

• For portal access and issues that cannot wait for business hours, call Cerner Customer Support 24/7 at 877-621-8014.

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GROWTH WITH

More Patients in Mind Story by Patrick Smith

Respiratory therapist Aimee Bissell, RRT, AE-C, holds an interactive stethoscope to Ronda Daffer’s chest during a telemedicine appointment at Montgomery County Memorial Hospital in Red Oak, Iowa.

Marilynn Fidler has never met her pulmonologist in person, but she credits him with dramatically improving her life.

Marilynn, who has end-stage COPD, had been traveling from her home in Glenwood, Iowa, to Council Bluffs for treatment. When Sumit Mukherjee, MD, of Methodist Physicians Clinic Council Bluffs began using remote technology to see patients in Red Oak, where Marilynn works, she decided to give it a try.

“I feel very blessed that I did,” said Marilynn, the first Red Oak patient to see Dr. Mukherjee this way. “He’s taken very good care of me.

He has excellent rapport. The things that he’s done with me through the medications and the treatments have made a dramatic change in my life and my lifestyle.”

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Patient outcomes like hers were one of the goals when the Red Oak telemedicine outreach began last summer. The program also illustrates how accessibility and convenience are priorities as Methodist Health System grows to meet patient needs.

Consumer-Focused Care and Accessibility

New facilities, more providers and the recent addition of Fremont Health are key to the system’s growth strategy, but efforts that may not generate headlines are just as important.

“Our growth is planned around primary care.

That’s how patients access the system in the metro area,” said Steve Goeser, president and CEO of Methodist Health System. “It’s also extremely important that we develop relationships with the rural hospitals around us in western Iowa and eastern Nebraska.”

The overarching goal is to become more consumer-focused and give more people access to care. Sometimes that means growing in familiar places. Other times it means going to the patient.

Fremont Partnership

The two health care organizations signed an affiliation agreement in July, creating Methodist Fremont Health. The partnership adds valuable services like Medicare home health and skilled nursing to Methodist Health System. Fremont’s behavioral health services will complement the program already in place at Methodist Jennie Edmundson Hospital.

Beyond having access to Methodist’s deep pool of specialists, Methodist Fremont Health will benefit from efficiency and savings through Methodist’s electronic health record technology and IT security.

And by spreading costs over a larger base and adding revenue, Methodist can invest in equipment and technology – things that often prove invaluable for a patient’s well-being.

“Having a good strong system that you can rely on for that kind of capital ensures that we can meet the primary needs of the individual patient,” Goeser said.

More Clinics, Providers As the demand for primary care increases, Methodist has responded. Of note:

• The Fremont partnership adds five OB/GYN doctors, four internal medicine doctors, two family medicine doctors, four advanced practice registered nurses and a physician assistant providing care at clinics in Fremont and outreach locations in North Bend and Dodge.

• Four new internal medicine doctors are now seeing patients at Methodist Physicians Clinic Cass Street, which opened in February at 8019 Cass St. in Omaha.

• More exam rooms were recently added at Methodist Physicians Clinic Gretna, allowing for the addition of one or two primary care providers.

• More space will soon be available for new primary care providers at Methodist Physicians Clinic Indian Hills after a private practice ends its lease this spring.

Medical Office Building

Work has begun on a 60,000-squarefoot medical office building on the busy Methodist Jennie Edmundson Hospital campus in Council Bluffs. When complete in 2020, the building will have clinic space for approximately 15 primary care providers and be home to an urgent care facility. It will also be a hub for women’s services by: • Housing Methodist Physicians Clinic OB/GYN providers and additional independent providers.

• Having imaging capabilities, including mammography, ultrasound and DEXA bone-density scanning.

• Including space for Methodist Women’s Hospital maternal-fetal medicine specialists and potentially other specialists.

Over 50 miles away in Council Bluffs, pulmonologist Sumit Mukherjee, MD, visits with patient Ronda Daffer.

Hospital Expansion

Methodist Hospital is expanding its Emergency Department, which saw over 28,000 patients in 2018 and has experienced a more than 20 percent increase in patient volume over the past five years. The $25 million project will double the amount of patient rooms to 24, improve ambulance access and add parking, among other additions. Construction is expected to begin this year and take about three years.

Regional Outreach

Outreach is critical to Methodist’s strategy of meeting patients where they are.

Among the efforts: • Cardiologists treat patients in Fremont, Blair, Osceola, St. Paul, Creighton, Osmond, Plainview, Red Oak, Denison, Harlan, Atlantic, Glenwood and Hamburg.

They also travel outside of Nebraska and Iowa to see patients in Fairfax, Missouri.

• Maternal-fetal medicine specialists from Methodist Women’s Hospital Perinatal Center offer their services on-site in Council Bluffs, Hastings and Grand Island while using telemedicine technology to read ultrasounds from other areas.

• Dr. Mukherjee uses telemedicine tools to see patients once a month at Red Oak’s Montgomery County Memorial Hospital.

He also travels to Myrtue Medical Center in Harlan, Iowa, twice a month.

“That creates ties with those communities and opens the door for specialty care to be provided here at Methodist,” Goeser said.

Dr. Mukherjee is on the front lines of the strategy, using video technology to communicate with patients like Marilynn Fidler and Ronda Daffer.

“It’s just like he’s actually there,” said Ronda, who lives in Red Oak. “It’s not any different than having a regular doctor’s appointment.”

When it’s time to listen to the heart and lungs, Dr. Mukherjee uses an interactive stethoscope held by staff.

“Quite honestly, the sound quality is just as good as if I was listening to my own stethoscope,” he said.

Health Care on a Personal Level

Methodist’s growth is guided by a commitment to doing what’s best for the people it cares for.

Marilynn said she feels fortunate for the opportunity to see Dr. Mukherjee from Red Oak. Beyond the reduced travel, there are a lot of little things that make a big difference for someone managing COPD – things like avoiding vehicle fumes in covered parking lots and possible illnesses in busy waiting rooms.

And then there’s the expert care. After her most recent appointment, he ordered a low-dose CT scan and pulmonary function test. He has also helped her with the process of getting on the lung transplant list.

“I can’t praise him enough, nor the system the way it works,” she said. “I get excited when I think about all of the positives that it brings to my life.”

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Educating with

New Technology Students at Nebraska Methodist College (NMC) are able to see inside the human body like never before, thanks to a new 3D virtual dissection table.

NMC is now home to this next-generation teaching tool called the Anatomage Table. It was made possible by the generosity of a former Methodist employee.

“This is a great resource. It helps to connect concepts learned in the classroom with a real-world application,” said Timothy Noonan, an NMC student.

Anatomage technology creates a high-definition 3D rendering from a 2D cadaver photo. Anatomy is presented as a fully interactive, life-size experience that employs touch-screen technology.

Assistant professor Becca Bouckaert with students Timothy Noonan and Keagan Hill.

The Anatomage Table won’t replace the use of actual cadavers, but the technology allows students more access, more repetition and the ability to shift into quiz or case-study mode.

“You still need that feel, that touch,” Bouckaert said.

Eventually, the table could be used by Methodist physicians to prepare for upcoming surgeries or procedures. NMC also believes it will help attract new students to the college.

“The most exciting thing about the table is the strong interest,” Bouckaert said. “We have students from nursing, radiology, sonography, surgical technology as well as respiratory, occupational and physical therapy – all of these programs want to use it.”

Published benefits of the Anatomage Table include improved test scores and more efficient class and lab sessions.

“We’re able to cut through every section of the body,” said Becca Bouckaert, an assistant professor at Nebraska Methodist College.

The Anatomage Table was made possible by Bob Keckler, a 30-year Methodist employee who included Methodist Hospital Foundation in his estate plans.

The table features four cadaver renderings – two men and two women – each with unique diseases. Users are able to visualize their anatomies exactly as they would on real cadavers.

“I told my students this was made available because of a gift,” Bouckaert said. “These are people who are pulling for you. It’s pretty great to have that support behind you.”

“You look at this, and it looks like a real person,” Bouckaert said.

“The technology is incredible.”

To learn more, please visit MethodistHospitalFoundation.org.

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methodisthospitalfoundation.org

Methodist Physicians Clinic Women’s Center Julia Bishop, MD Jessica Bracken, MD Named for the year in which Amanda Buskevicius, MD Methodist Hospital was established, Mark Carlson, MD the 1891 Society recognizes the Paige Charleston, MD Lanette Guthmann, MD current giving of loyal donors Rebecca Jacobi, MD who support the programs and Carolee Jones, MD projects of Methodist Hospital Brian Karre, MD Foundation. We thank the following Brianne Kling, MD friends who made a gift between Annamaria Nagy, MD October 1 and December 31, 2018.

Darrick Peters, DO Allison Phillips, MD Founders: Antara Pothuloori, MD Gifts & pledges $100,000 & greater Megan Prickett, MD The Dorothy B. Davis Foundation Aimee Probasco, DO Ruth & Thomas Gabelhouse Judith Scott, DO The McGowan Family Foundation Tifany Somer-Shely, MD Methodist Medical Staff Rachel Swim, MD Larry & Linda Pearson Sarah Vondrak Gernhart, MD Methodist Volunteers In Partnership Christine Vo, MD Leaders: William Weidner, MD Gifts & pledges $50,000 - $99,999 Susan Westcott, MD The Harper Family Foundation Mid-Continent Irrigation Howard & Rhonda Hawks Dr. & Mrs. John P. O’Gara Leap-for-a-Cure Perinatal Associates, PC Mutual of Omaha Foundation Robert Bonebrake, MD The Pathology Center Brendan D. Connealy, MD Peter Abasolo, MD Joshua D. Dahlke, MD Jiri Bedrnicek, MD Neil Hamill, MD John Gentry, MD Todd Lovgren, MD Christine Hans, MD Emily Patel, MD Gene Herbek, MD Andrew Robertson, MD Tess Karre, MD Hemant Satpathy, MD Shane Kohl, MD Radiologic Center, Inc. Charles Mosher, MD Lisa A. Bladt, MD Diana Nevins, MD Kevin M. Cawley, MD Deborah Perry, MD Paul S. Christy, MD Gregory Smith, MD Ryan A. Dvorak, MD Alan Torell, MD David J. Hilger, MD Bill & Sydney Winstrom Richard A. Kutilek, MD Ben A. Maertins, MD Guardians: Kevin L. Nelson, MD Gifts & pledges $10,000 - $49,999 Nick L. Nelson, MD Dennis & Cathy Blackman Temple S. Rucker, MD Bob Cohn Linda A. Sing, MD Brian & Carey Hamilton Max Stevens, MD Head for the Cure Foundation Kristofer A. Vander Zwaag, MD Kathy Koslosky

The 1891 Society

8701 WEST DODGE ROAD, SUITE 450 OMAHA, NE 68114 402-354-4825

Louis & Kathi Rotella Stanley M. Truhlsen Family Foundation

Protectors:

Gifts & pledges $5,000 to $9,999

Baird Holm LLP Dr. & Mrs. Craig A. Bassett Kathleen A. Fahey Kay Lynn & John Goldner Michele & Doug Grewcock Virginia Grove Healthcare IQ Eleanor McIntosh Chris & Elizabeth Murphy Dr. & Mrs. Stephen M. Nielsen Dr. John Park & Dr. Anna Trauernicht David J. Pelster Lawrence & Carol Uebner Anne Thorne Weaver Drs. Susan & Michael Westcott World Education Foundation

Friends:

Gifts & pledges $1,000 to $4,999

Jean & Jeff Koerten Jack & Stephanie Koraleski Beverly J. Kruger Dr. & Mrs. Richard A. Kutilek Bonnie Lammers, MD Deb & Steve Landon Kathy Lewis Roger & Carol Lewis Stephen & Sue Long Dr. & Mrs. William Lydiatt Tracy Madden-McMahon & Sean McMahon Tom & Angy Malicki Drs. Thomas McGinn & Annamaria Nagy Jeanne M. McGinnis Steven & Susan McWhorter Dr. David & Maria Minderman Cyndy Peacock Ann Pickel Jeff & Katie Prochazka Charlotte P. Schenken Dr. & Mrs. Thomas W. Seidel Cyril Sisel, Jr. Spiker’s Volleyball Lois Stebbins Betsy J. Stephenson, MD Nick & Carol Taylor Terry McGill, Inc. L. B. “Red” & Jann Thomas Del & Phyllis Toebben Dr. & Mrs. John S. Treves US Foods Samuel Watson, MD Adam & Sarah Yale

Scott & Lauren Adrian Judith & Robert Bachman Sandra & Charles Beermann Kimberly Bland Dr. & Mrs. Daniel G. Bohi Bridges Trust Management Art & Jan Burtscher Steven & Sandra Callahan Centris Federal Credit Union Patty Devaney Dave & RyAnne Elsesser William & Barb Fitzgerald Family Foundation Jeff & Keri Francis Our friends who wish to remain anonymous.

Angela D. Freund Russell Fries & Ruth Dickson Steve Fries Steve & Brenda Goeser Richard & Pat Hahn Dr. & Mrs. Gene Herbek Johnson Controls Dr. & Mrs. Brady A. Kerr Ed & Diane Klima Nancy E. Koehler

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Generosity Helps

From left: Annabel Galva, MD; Jean Thomsen, MD; and Michael Zlomke, MD

Fund Radiography System and

Enhance Patient Care Community support. That’s what enabled the Jennie Edmundson Hospital Foundation to purchase a state-of-the-art system many are calling “lifesaving.”

“The Faxitron BioVision digital surgical specimen radiography system will enhance patient care at the hospital’s Breast Health Center,” said Michael Zlomke, MD, general surgeon and medical director of the center.

The system delivers increased magnification to detect the smallest abnormalities in a tissue specimen, while creating optical images that enable specialists and surgeons to more accurately orient the specimen for review.

The imaging system is also designed to provide immediate verification of excised breast tissue margins.

Faster Confirmation

As soon as a suspected cancerous lesion is removed, a surgeon can place the specimen inside the BioVision system and send a detailed

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X-ray to a radiologist for confirmation that the entire lesion is contained within that tissue.

“That X-ray tells the surgeon right away if the entire lesion has been removed,” said Annabel Galva, MD, a radiologist with Diagnostic Radiology PC and the Breast Health Center.

“The faster I can provide an answer, the better it is for the patient.”

Within 60 minutes of removal, a pathologist delivers the specimen to the pathology lab to preserve it for further testing.

“Preserving the specimen is vital in determining what treatment the patient receives after surgery,” said Jean Thomsen, MD, with PathLab Ltd. at Methodist Jennie Edmundson Hospital.

“The best test result equals the best treatment.”

Support for Breast Health Care

In October 2018, Pink Out events were held across western Iowa. Volunteers and participants enjoyed an array of activities, while raising funds for breast cancer awareness and treatment.

A generous legacy gift made to the hospital foundation, along with donations from a direct

mail campaign, also highlight the compassionate nature of Methodist patients, families and friends.

“The addition of this potentially lifesaving specimen radiography system would not have been possible without the community’s generosity,” said Tara Slevin, vice president of Volunteer Services and Foundation for Methodist Jennie Edmundson Hospital.

A Comprehensive Team Here at Home

The Breast Health Center began serving patients in 2000. Its continuum of care includes preventative and diagnostic screenings, as well as personalized treatment of breast health issues.

Having it in western Iowa means patients can stay close to home and still receive high-quality treatment from someone they know.

“Many times, the people we treat are our neighbors, our friends – people we have known for years,” Dr. Zlomke said.

“That is personalized care at its best.”

To learn more, please visit www.jehfoundation.org.

jehfoundation.org

Grateful Donors A gift to Jennie Edmundson Foundation is a meaningful way to create a lasting legacy to ensure the hospital will continue to offer hope and healing for generations to come.

We thank the following friends for their gifts during 2018.

$25,000 and greater

Connections Area Agency on Aging, Inc. JEH Auxiliary and Gift Shop Marcia A. Hastings Estate Methodist Jennie Edmundson Hospital Medical Staff Susan G. Komen Greater Iowa The Hawks Family Philanthropy Fund The Lozier Foundation

$5,000-$24,999

Availa Bank Bill and Connie Barrier Steven and Kathy Baumert Bluffs Pain Management & Medical Anesthesia Associates Dr. Tom and Becky Brandt Dr. Thomas and Michelle Cheatle Diagnostic Radiology, P.C. Tami Doll Electric Company of Omaha Richard Graeme Heartland Oncology & Hematology LLP Heartland Properties, Inc. Gilbert M. and Martha H. Hitchcock Foundation Hoy-Kilnoski Funeral Home & Crematory Donna and Tom Hubbell Hy-Vee, Inc. Jason and Shari James Jack and Stephanie Koraleski Law Offices of Gallner & Pattermann Midwest Gastrointestinal Associates PC Mutual of Omaha John and Anne Nelson Noddle Companies Pathlab LTD Pepsico Foundation E. F. & Sylvia Schildberg Foundation Dr. John and Leslie Southard Warren Distribution Dr. Michael and Mary Zlomke

$1,000-$4,999

Adult Pediatric Urology & Urogynecology American Direct American National Bank Ron and Pat Andersen Mark and Joni Anderson Anderson Partners Angels Care Home Health Rex and Patricia Anthony Dr. Robert and Vicki Armbruster Availa Foundation Dr. Joseph Ayoub Dr. Thomas and Susan Baer Baird Holm LLP James and Karen Baker Barnhart Press Barton Solvents, Inc. Deb Bass Beacon Vacations LLC

Black Hills Energy Bonnie Bolte Drs. Scott and Elisa Bomgaars Chad Taylor Excavating Ed and Emma Chance Lora Cobbs Lisa Coldewey Corporate Caddie Janitorial Amy Crawford Dr. Michael and Abbie Crawford Crystal Forge D & D Construction Grant and Kate Dean Drs. Anand and Pooja Deshmukh Dr. Gary and Nadine DeVoss Dodge Trust Doll Distributing LLC Candice Eggerss Carol and Kim Elder Rita Epperson Fraternal Order of Police Council Bluffs Lodge #1 Frontier Savings Bank Stacy Funk Richard and Wanda Gibson Carolyn Good Dr. Aashutosh Goswami Grease Monkey Jason Gylling Brad Hansen Kevin and Karen Hansen Scott and Susan Hartman Peggy Helget HGM Associates Inc. Holland Basham Architects Diane L. Hughes Iowa Western Community College JE Dunn Construction Company Tammy Johnson Dr. Shawn and Amanda Jones Ed and Linda Kemp Rick and Jill Killion Dr. Dan and Pam Kinney Pete and Karen Krause Dr. Alan and Deborah Kricsfeld Dr. Barry and Barbara Kricsfeld Loess Hills Harley-Davidson Malvern Bank Dr. Jose and Caryl Martinez McMullen Ford Methodist Health System Methodist Jennie Edmundson Hospital Methodist Physicians Clinic Dr. Philip and Jane Meyer MidContinent Trucking Midlands Living Center LLP Midstates Bank Miller Orthopaedic Affiliates, P.C. Glen and June Mitchell Jeffrey Morgan and Holly Huerter Morgan Ed and Fran Morris Dr. Sumit Mukherjee My Pediatric Dentist National Concrete Cutting, Inc. Dr. Evan and Rebecca Neesen Keith and Kristy Nickolisen Chad Taylor and Mandi Nielsen Dr. Nicole Nolan Terry and William Oldenburg Olsson Associates T.J. and Laura Pattermann Rita Pierson Pottawattamie County Community Foundation Dr. Lori Platt and Mr. Matt Rase Lorrie Reddish

933 EAST PIERCE STREET COUNCIL BLUFFS, IA 51503 712-396-6040

Dr. Evelyn and Alan Reher Dr. Michael and Annette Romano Beau Saar Irven Saar Jane Scherle Frank and Cindy Schmader Valerie Seevers Dr. Crystal and Matt Seluk Shared Service Systems Dr. William and Laura Shiffermiller Tara Slevin Teresa Slevin Southwest Iowa Renewable Energy, LLC Specialized Engineering Solutions St. John Lutheran Church Foundation Dr. Rachel and David Stearnes Synchronicity Linda Thomas Kathy and Steve Tisher Peter and Mary Anne Tulipana Tyson Foods, Inc. US Bank Veridian Credit Union Aaron Walter Thomas and Janet Whitson Virginia Whitten Dr. Kent and Shannon Willadsen

Sheri Holub Horizon Mental Health Management Carol Horner Dr. Tien-Shew Huang Luann Hughbanks LeAnn Hughes Scott Jensen Michelle and Brian Kaufman Dr. Takashi Kawamitsu Marcia Keith Kirsch Transportation Services Knights of Columbus Andrew and Katie Kyker Carol Lam Kimberly Lammers Leach Camper Sales Ronald Lewis Robert Lookabill Ed and Elma Lynn Katina Mach Donald Matson Cynthia McCall Dr. Jessica McCool Kim and Anne McKeown Medtronic Memory Lane Classics MidAmerican Energy Company Midwest Glass & Glazing, Inc. Mindy Miller $500-$999 Mobilis, Inc. Carla Abel Zieg Nebraska Coast, Inc. Dr. Patrick and Mrs. Natalie Jean Ahrens Jeremy and Ginger Noel Allen and Jo Alsman Donna Petry Diane and Ron Andersen Joseph Poore Chris Anderson Tom and Dena Potvin Arrow Towing, Inc. Kimberly Dawn Radice Dr. Jason Arthur & Dr. Annabel Galva Carol Reeder Charles and Tammy Bardon Gregory and Carol Reeder Steven and Kristie Bastron Vince Rew Scott and Lisa Beckman Phillip Rief Robin Behlers Jerry Rinne and Jodi Spale Rick Benson Rock Hard Motors, Inc. Gerald Berthold Dr. Anthony Romano Black Squirrel Aktion of Council Bluffs Joan Rostermundt Tia Brandenburg Diane Ryan Rebecca Bussey S & L Sanitation Enterprises Inc. Marianne Campbell John and Debora Scanlan David and Rhonda Clark Courtney Schmid Sarah Clark Rodney and Wendy Schultz Bob and Karen Collins ServiceMaster of South Central Omaha Sarah Colpitts Clodagh Slevin Credit Information of Council Bluffs Crystal Smay Sara Crinklaw Rozan Smith Rick and Joan Crowl Cutler-O’Neill-Meyer-Woodring Funeral Home Julie Smith Jim and Robin Spitznagle Dan Buckelew Trucking Theresa Stevens Doffin Trucking Inc. Spencer and Joy Stevens Neal Drickey Larry Taylor and Sherry Bills-Taylor Dr. Randall Duckert The Graham Group Rod and Callie Earlywine Tish’s Restaurant Mr. Michael Ellwanger Tri-State Electronic Service Inc. Marilyn Evans Matt and Barb Walsh Jill Ferguson Warren Weber Lisa Fidone Fred & Sandy Westphal Jeffrey and Marilyn Fife Teri Wilson and Greg Spencer Peter Fink Women’s Christian Association Fisher Building Services, Inc. Carol Wood Jennifer Fletcher Gary and Barbara Woods Glenwood State Bank Wyman BodyWorx Inc. Wendi Graham Rick and Patti Guill Jim’s Hauling Patricia Heger Hilltop Animal Hospital Holiday Inn Hotel & Suites

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Investing in

Our Future Educating Through Experience

Methodist Fremont Health and Midland University dedicated a new simulation laboratory in 2018. Funded solely through philanthropic support, the simulation lab features five state-ofthe-art mannequins that breathe, talk, bleed and even give birth like real human beings.

This lifelike learning experience will help staff and students develop skills essential in actively and accurately caring for patients. Users will learn clinical and therapeutic techniques, communication, problem-solving and critical thinking on their feet, all in a risk-free environment.

Rooms are nearly identical to actual patient rooms, and the hospital’s equipment is used, adding another layer of real-life application. The lab also uses the hospital’s electronic health record system, so staff can train on logging and charting as they go.

The project was fully funded through donations, with a generous $500,000 lead matching grant from the Rupert Dunklau Foundation.

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Bobby Johnson, RN, BSN, and Jolynn Hartman, RN, with “Victoria,” the maternal birthing simulator.

Funding for the Next Generation

Scholarships are a fundamental piece for students pursuing health care careers. In 2018, the Fremont Health Foundation awarded 17 students with $18,500 in scholarships. These scholarships are given to high school students entering college in the fall and to collegiate students who have completed a year of postsecondary education.

The foundation also awards scholarships to children of Methodist Fremont Health employees pursuing careers in any course of study.

Looking toward the future of education, the foundation recently launched the Ignite Scholarship program. The program’s goal is to significantly grow the scholarship funds available for students as well as enhance and add scholarships – including larger grants, needs-based awards, renewable options, certificate programs and employee development funds. The program will also invest in ways to ignite greater interest in health care careers among youth in our area. To date, the program has raised nearly $70,000.

To learn more, please visit fremonthealthfoundation.org.

450 EAST 23RD STREET FREMONT, NE 68025 402-727-3566

fremonthealthfoundation.org

2018 Collegiate Scholarship Recipients Fremont Health Foundation Scholarship

Allison Heineman University of Nebraska-Lincoln Courtney Kment University of Nebraska-Lincoln Fremont Health Employee Child Scholarship

Olivia Bures University of Nebraska-Lincoln Michaela Eurek Dakota Wesleyan University Fremont Health Foundation Impact Scholarship

Jenna Johnson Bryan College of Health Sciences Byron M. Dillow MD Memorial Scholarship

Dylan Emanuel Wayne State College Paige Heinke Bryan College of Health Sciences Robert & Arlis Higley Memorial Scholarship

Tabitha Wiese Bryan College of Health Sciences Michael Leibert Scholarship

Cari Leick Bryan College of Health Sciences

2018 Donors Gifts made to the Methodist Fremont Health Foundation stay in Fremont to support programs and services of the Medical Center. We thank the following friends who made gifts in 2018.

$350,000-$50,000 Dale & Fern Olson Rupert Dunklau Foundation

$49,999-$5,000

Patrick & Judy Booth Debby Durham Family Foundation Charlie & Mary Lou Diers First National Bank First State Bank & Trust Company Fremont Health Medical Staff Terry & Linda McClain Dr. Thomas & Jean Merrick Dr. David & Kay Merrick Mr. & Mrs. James H. Moore Jr. Pinnacle Bank Dr. Monty & Lynnette Sellon Dr. F. Thomas & Carol Waring Dr. Stephen & Patricia Wendt

$4,999-$1,000

Abe Krasne Home Furnishings Anonymous Randy & Jackie Beaton Ken & Pat Beebe Barry & Jennifer Benson Brown's Medical Imaging Cerner Corporation James & Christy Conrad Diers Ford Don Peterson & Associates Mike & Amy Fachman Judy Ferguson Fremont Family Dentistry JB & Kristin Harris HDR Architecture, Inc. Dick & Paula Hendriksen Hoegemeyer Family Foundation Steve & Beverly Johnson Johnson Controls, Inc. Melinda Kentfield Andy & Carla Kloeckner Janae Lamme Dr. Adam & Jill Lamprecht Scott & Patty Meister Midland University Dave & Sheila Monke Joe & Leah Munoz Steve & Julie Navarrette Nye Health Services OrthoNebraska Pediatric Partners LLC Charles W. Poore

Steve & Peg Pribnow Brett & Heidi Richmond Sampson Construction Company Sid Dillon Chevrolet-Fremont, Inc. Sodexo The Harry A. Koch Co. Tom & Sheryl Thomsen UNMC - Regional Pathology Services Bill & Joan Vobejda Wealth Partners, Phil Wood & Jon Gilfry Jennifer Weiss-Assmann Marvin Welstead

$999-$500

Altus Architectural Studios, Inc. Lee & Ruth Anderson ASI Signage Innovations Dr. Corey J. Auch Baird Holm LLP JJ & Jennifer Bixby Judson & Karen Byleen Cargill Layne & Bethany Childers Dr. Thomas & Barbara Christensen Neal & Tammy Chromy Dr. Nicole & Mr. Patrick Dix Family 1st Dental Fremont Electric Inc. Fremont Health Pharmacy Gene Steffy Chrysler Jeep Dodge Getzschman Heating LLC Mike & Theresa Goertzen Scott & Joy Jensen Mic & Nancy Johnston Jeff & Deborah Kloster Lincoln Premium Poultry Lueder Construction Company Marco Technologies Midwest Respiratory & Rehab Nebraska Breastfeeding Coalition OfficeNet, Inc. Prairie Health Ventures Brian & Rachel Reiman Bill & Kathy Rhea RTG Medical Sentrixx Security Sidner Law Michael & Susan Sindelar Gene & Peg Steffensmeier Dr. David & Regina Sterns Victor Outdoor Advertising Jeffrey P. Wagner Gail M. Wallace Jon & Jan Weinberg Thomas & Deanna Wolf

$499-$200

Phillip & Judy Askew Dr. Curtis & Patricia Batten Jesse & Beth Belmont Amy Beranek Paul & Renee Berger Bomgaars Gerald & Linda Bontrager Leo Bowland Brenda Breeding Brian & Pam Brodd Linda Brodd Calvin L. Hinz Architects, P.C.

Beth Craig James & Marilyn Cunningham Jennifer Dahlhauser Roger & Sara Decker Anne Dennis Julie Diminico Jerry Ebers Lori Eurek Larry & Mary Flamme Andrea Foltz Fremont Area Community Foundation Dr. Todd Gaddie Scott & Judy Getzschman Fern Gifford Dr. Terry A. Glauser Tammy Groh Dr. Paige Groppe-Giesselmann & Paul Giesselmann Brenda Halbmaier Grant & Cheryl Hansen Collette Heiman Don & Jan Hinds Jeffrey & Barbara Hines Steven & Kathryn Hoden Blair & Jody Horner Terry & Patricia Hussey Mark & Mary Jensen Chuck & Caryl Johannsen Dr. Gerald & Barbara Keasling Lisa Kennedy Launette Kotik Dr. Karen Lauer-Silva & Mr. Thomas Silva John D. Lewis Drs. Richard & Madeleine MacDonald Randall & Julie Martin Diane Matthews Nancy May Richard & Carol McGill Donald & Lanette Morgan Patricia Osborn Allen & Janet Pawling Paige Pioppi Bonnie Podany Mark & Ann Prince Brandon Quindt Adrianne Ray Tami Ruskamp Lyla D. Ruud Dr. Eric & Brandy Samuelson Mitch & Bridget Sawyer Mike & Ann Schow Rebecca Schwisow Lance & Theresa Shafer Randy Smrcina Jon & Debra Tank Mary Teachout Robert & Kay Tegt Joanne Thietje Kathy Wagner James & Carol Watson Keith Weinhold Dale & Linda Wimer

Spring 2019

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Nonprofit U.S. Postage PAID Omaha, NE Permit No. 563

825 S. 169th Street Omaha, NE 68118

Spring 2019 Volume 9 – Issue 1

The Meaning of Care magazine is published by Methodist Health System Marketing & Public Relations. Free subscriptions are available by emailing your request to bestcare@nmhs.org.

Senior Director of Marketing Director of Public Relations Writer/Associate Editor Writer/Associate Editor Writer/Associate Editor Photographer/Videographer Art Director/Photographer

Jenni Stoll Claudia Bohn Katina Granger Jessica Gill Patrick Smith Daniel Johnson Chris Thompson