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Providence

FALL 2012

A guide to healthy living and quality care providencehealthonline.org

Decoding Your Health Care Choices Providence experts provide tips for choosing the right insurance plan

This One’s for the Guys Get relief from common below-the-belt problems

Facing Cancer? Clinical trials provide hope

Vaccines are Vital Find out which immunizations you need

Providence Holy Cross Medical Center Mission Hills

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Providence Little Company of Mary Medical Center San Pedro

Providence Little Company of Mary Medical Center Torrance

Providence Affiliated Medical Groups

Providence Saint Joseph Medical Center Burbank

Providence Tarzana Medical Center Tarzana

Providence TrinityCare Hospice

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Thoughts from Your Chief Executives

Compassionate Care for All It’s that time of the year again when you have the chance to choose a health care plan for you and your family, and we’d like you to consider our Providence family of services. Not only does Providence Health & Services, Southern California, offer five high quality medical centers—three in the San Fernando Valley and two in the South Bay—but we also team with some of the region’s finest physicians to provide primary care and a vast range of specialty services through our Providence Medical Institute clinics. If you’re facing your annual open enrollment period, check us out at california.providence.org. Providence medical centers are with you from birth to the golden years, providing an innovative continuum of care. Aside from providing services such as emergency medicine, surgery, maternity, pediatrics, cardiology, oncology, neurology and orthopedics, we also have niche

IN THIS ISSUE

  6 One-Click Convenience Providence’s new website is easy, informative and connected.

  8 Below the Belt

Men, don’t suffer in silence. We’re here to provide relief for common groin problems.

offerings such as our Center for Optimal Aging at Providence Little Company of Mary Medical Center San Pedro and our Wound Care Center at Providence Tarzana Medical Center. Both programs are highlighted in the following pages. Plus, we feature a new program that helps deliver stronger, healthier babies at our five medical centers. And as a patient of Providence, you or a loved one has the opportunity to be included in clinical trials, as appropriate, thanks to the research program headquartered at Providence Saint Joseph Medical Center’s Roy and Patricia Disney Family Cancer Center. Providence is a faith-based, not-forprofit organization, dedicated to creating healing places of quality and compassionate care and to serving those in need. For information on all the programs offered by Providence Health & Services, Southern California, please visit our new website, california.providence.org, or call us at 1-888-HEALING (432-5464).

10 Understanding Open Enrollment Our experts help you choose the right insurance plan.

IN EVERY ISSUE  3 Community Connections

Larry Bowe Chief Executive Providence Holy

Cross

Nancy Carlson Chief Executive Providence Little Company of Mary San Pedro

Kerry Carmody Interim Chief Executive Providence Saint Joseph

Elizabeth Dunne Chief Executive Providence Little Company of Mary Torrance

Bill Gil Chief Executive Medical Foundations

Dale Surowitz Chief Executive Providence Tarzana

Terri Warren Chief Executive Providence TrinityCare Hospice

14 Senior Health 15 Foundation Focus 16 Providence Medical Institute 17 Calendar of Classes and Events

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PROVIDENCE HEALTH Produced by Marketing & Communications at Providence Health & Services, Southern California

Content Editor: Colleen Ringer

Providence Health Editor-in-Chief: Nancy Franklin

Art Director: Maggie Conners

Providence Health Managing Editors: Patricia Aidem Gwyn Dilday Jennifer Fagnani Connie Matthews Kirk McDonald Diana Reynar Natasha Shows

Production Technology Specialist: Sonia Washington

Contributors: Tiffany DeVall Brenda Goettemoeller Juanita Perea Kathryn Sprague

Providence Health is published four times annually by McMurry, 1010 E. Missouri Ave., Phoenix, AZ 85014. Volume 4, Number 4 © 2012 McMurry.

Imaging Specialist: Dane Nordine

The material in Providence Health is not intended for diagnosing or prescribing. Consult your physician before undertaking any form of medical treatment or adopting any exercise program or dietary guidelines. If you wish to be removed from the mailing list, please tear off the shipping label and mail it to Remove Me, P.O. Box 17910, Phoenix, AZ 85011 or go to acd.mcmurry.com.

Production Manager: Tanya Clark

Printed on recycled paper.

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Community Connections

OUR MISSION AS PEOPLE OF PROVIDENCE, WE REVEAL GOD’S LOVE FOR ALL, ESPECIALLY THE POOR AND VULNERABLE, THROUGH OUR COMPASSIONATE SERVICE.

Experiencing Old Age Firsthand

Growing Older? Get Support For more

information abou t the services offe re Center for Optim d at the al Aging, call 1-888-HEALING (432-5464).

CORE VALUES

Compassion Caring for each person as part of our family.

Justice Working for a fair and equitable society.

Respect Affirming the God-given dignity and worth of each person.

Excellence Continually improving all that we do.

Stewardship Wisely caring for and sharing human, environmental and financial resources held in trust.

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At just 53 years old, Colleen Wyllie, R.N., knows the pain of stiff joints and the frustration of cataracts that cloud her vision. Well, kind of. As a clinical educator at Providence Little Company of Mary Medical Center San Pedro, Wyllie is among the nurses on staff who have donned an “old-age” simulation suit to understand firsthand the physical limitations of elderly patients. “My energy was zapped after wearing the suit for 15 minutes,” she says. The suit uses weights and bands to force wearers into a stooped posture. Elbows and knees don’t bend easily, creating difficulty reaching for things. Goggles limit peripheral

vision and simulate cataract development while earplugs reduce hearing capability. “Putting the suit on helps our nurses experience the difficulties that many elderly patients experience,” Wyllie says, adding that the device can also be used for caregiver training at the Center for Optimal Aging at Providence Little Company of Mary San Pedro. “If nurses and caregivers are aware of the anxiety associated with decreased hearing and vision, fear of falling, and impaired walking, climbing or bending, they will develop empathy. It’s one thing to create a safe environment for our older population. It’s another thing to understand why we’re doing it.” fall 2012 Providence Health | 3

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Community Connections

Unraveling the Mystery of Cancer Clinical trials are the basis of all progress in cancer therapy. Understanding this, the Roy and Patricia Disney Family Cancer Center’s clinical trial program is bringing leading research—and hope—to cancer patients. “In the last decade, enormous strides have been made in unraveling the mystery of cancer,” says Peter Rosen, M.D., medical director of clinical research at the Disney Family Cancer Center at Providence Saint Joseph Medical Center. “Major new drugs are now available for a variety of what used to be referred to as ‘untreatable cancers,’ and are extending survival and improving quality of life.” The Providence research network is currently enrolling patients in clinical trials at the Disney Family Cancer Center, Providence Holy Cross Medical Center and Facey Medical Group, with plans to expand throughout the rest of the Providence system. “Patients with malignancies should be aware that this resource is available to them,” Dr. Rosen says.

Participate in a Clinical Trial

The Roy and Patricia Disney Family Cancer Center has more than 60 active clinical trials. To learn more, call 1-888-HEALING (432-5464).

39 Weeks to Healthier Babies

Your Pregnancy Resoreuabrocuteour

Learn mo grams ucation pro ild ch birth ed es by visiting and servic dence.org or rovi california.p 8-HEALING. 8 8 1g n lli ca

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Not long ago, convenience-driven deliveries of babies at 37 or 38 weeks’ gestation were common. Not anymore. Citing a study that revealed potential harm from elective early deliveries, James Danielzadeh, M.D., chief of obstetrics and gynecology at Providence Tarzana Medical Center, says all five Southern California Providence medical centers adopted a “39-week rule” two years ago. “Before 39 weeks, sometimes there are problems with readiness to live outside the womb,” Dr. Danielzadeh says. Providence now delivers after at least 39 weeks’ gestation unless medical necessity dictates otherwise. As a result, Providence Little Company of Mary Medical Center Torrance NICU

nurse Lori Delgado, R.N., says admissions of infants with respiratory distress at 37 and 38 weeks’ gestation are down. “The 39-week rule results in lower NICU admissions, no separation of mom and baby, and better bonding and breastfeeding,” she says. Jeffrey Hartleroad, M.D., NICU medical director at Providence Holy Cross Medical Center, says the “39-week rule” exemplifies the strength of Providence. “We all work together to improve care and make sure we’re on the same page,” he says. Of course, if your little bundle of joy is born needing NICU care, Providence offers Level III NICUs in Tarzana, Mission Hills, Burbank and Torrance, which is home to the first single-family NICU in Los Angeles County. providencehealthonline.org

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Community Connections

Healed: A Return to Living Wearing shorts. Swimming. Walking on her own two legs. Thirty-year-old San Fernando resident Maria Sandoval takes none of these things for granted. In fact, she credits Providence Tarzana Medical Center’s Wound Care Center for inspiring her toward a total health makeover. Diabetic, weighing 440 pounds and plagued by two chronic ulcers on the back of her right leg, Sandoval visited the emergency department at Providence Tarzana in January 2010. There, she met Barbara Walker, R.N., a certified wound specialist. Walker recommended a follow-up visit to the Wound Care Center, where Sandoval was introduced to a team of specialists who persisted with various treatments—including debridement, skin grafting, custom compression stockings and diabetes education—that saved her leg from amputation.

The Wound Care Center helps patients like Sandoval with a variety of chronic, non-healing wounds, including: • Ulcers of all types (diabetic, arterial, immunologic disorder-related) • Soft-tissue infections • Post-acute burns • Surgical wounds Wound Care Center physicians also specialize in sorting out underlying causes that keep wounds from healing. “They never gave up on me when I continued to have complications,” Sandoval says. “Because they didn’t give up on me, I stopped giving up on myself, and now I am a totally different person.” In two years, Sandoval lost 190 pounds and is no longer diabetic. She regularly works out and is finding greater fulfillment in her relationships. “Before, I was existing. I wasn’t living. I wouldn’t have the life I’m living today if not for the wound center.”

Maria Sandoval

HAVE A NON-HEALING WOUND? Don’t give up. Providence Tarzana Medical Center’s Wound Care Center can help. For more information, call 818-757-8839.

Save the Date! Providence High School Holds Annual Open House The new school year is off to a great start at Providence High School. Last month, a grand opening ceremony was held to celebrate the completion of the long-awaited science center, which features three state-of-the-art classroom laboratories. Take a tour of the new science center and see firsthand all that PHS has to offer on Nov. 18 at Providence’s annual open house held from 1 to 4:30 p.m. In addition to the open house, prospective students are invited to campus on Oct. 13 from 9 a.m. to noon for Providence in Action, which gives students a glimpse of what life at PHS is like. For more information, please call 818-846-8141 or visit providencehigh.org.

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Find health calculators, symptom checkers and more at the brand-new california.providence.org.

One-Click Convenience Providence’s new website is easy, informative, fresh and connected

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In four words, california.providence.org is:

Easy

Whether you need free online health tools, help finding a doctor or assistance locating world-class care, california.providence.org is the site to click to. With an easy-to-navigate format, it offers concise information in user-friendly categories. Having unwelcome symptoms? Click the “Health Education and Tools” tab to use our interactive symptom checker. Need a doctor to check those symptoms? Click the “Find a Doctor” tab and search by provider name, specialty name, your insurance plan or ZIP code. providencehealthonline.org

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s a savvy health care consumer, you probably have a strong preference for using online resources to make medical decisions. Meet your match: california.providence.org. Offering personalized, trustworthy information, a sparkling new website for Providence Health & Services, Southern California, is useful, fun, educational—and social. The new site helps users explore Providence services in the San Fernando Valley and South Bay areas while tapping into health calculators, symptom checkers and interactive bells and whistles designed to help you live healthfully.


“You’re always welcome to tour our hospitals in person, but our new virtual tours make it easy to navigate through all our services, specialties and specialists to choose what’s best for your individual needs,” says Tiffany DeVall, regional director of new media for Providence Health & Services, Southern California.

Informative

From services to patient and visitor info, california.providence.org has all your 411—with a little added fun. “The ‘Health Education and Tools’ tab—that’s where all the fun stuff is,” DeVall says. Click this tab to find a wealth of wellness tools, including a calorie burner calculator, desirable body weight calculator and even a waist-to-hip calculator that illustrates how your body shape may correlate to health risks. Moms-to-be will discover an amazing, interactive world called “Pregnancy Central,” which is bursting with videos, checklists and plans to prepare for pregnancy as well as baby’s arrival. Other useful links on the site lead to: • Information on Providence’s top specialties • Access to quality and safety records • Classes, events and health screenings • Providence news and headlines

Providence Goes Prime time

Fresh

Clickable blue tabs across the top of california.providence.org may look familiar. It’s what’s underneath the tabs that’s fresh. In the past, users first had to choose a facility before even searching for services, doctors or care. “If I had a relationship with Providence Holy Cross Medical Center, I wouldn’t know that Providence Tarzana Medical Center has an amazing pediatrics program for my children or that Providence Little Company of Mary Medical Center San Pedro offers the Center for Optimal Aging for my aging parents,” DeVall says. The new site is organized by the way people search—by health needs. Additional fresh content embraces the interactive, digital age. “There are links to virtual tours, physician profile videos, healthy living videos, an interactive symptom checker and a week-by-week look at pregnancy,” DeVall says.

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Connected

California.providence.org forms smart, social connections— both within the site and outside of it. It’s smart: An important new feature enables users to create online accounts to receive individualized suggestions. “When you shop at amazon.com, the software understands your interests and makes recommendations. Similarly california.providence.org ‘learns’ your preferences. As you interact with the site, our software will recommend content, classes and physicians based on your needs,” DeVall says. It’s social: Twitter, YouTube and Facebook fans, unite. A quick click on the “Connect with Us” tab opens a world of useful links to trending medical news stories, healthy recipes and practical advice on a host of health issues. Users can also offer feedback about Providence experiences. “Whether through Tweets or Facebook posts, we want to hear what our patients have to say. Social media is a great way to do that,” DeVall says. With all these bells and whistles, what are you waiting for? Our family is here to help your family—both in person and online. Visit california.providence.org today. providencehealthonline.org

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Providence Health & Services, Southern California, and CBS2/KCAL9 have partnered for a feature called “Your Health/Your Decision.” Airing on television channels 2 and 9, the program launched in July and presents new health topics each month. “I know firsthand just how challenging and exhausting it can be to sort through all of the information that is out there to make critically important decisions about health care,” says Steve Mauldin, a stage 4 cancer survivor and president and general manager of CBS2 and KCAL9. “Your Health/Your Decision” delivers trustworthy tips on the latest science, treatment options and community resources—straight from Providence physicians. “Viewers will be directed back to our website, where they can watch a full-length video, take online assessments and visit unique microsites developed around each issue,” says Tiffany DeVall, regional director of new media for Providence Health & Services, Southern California. Visit california.providence.org for a schedule of upcoming programs.

Take Us with You! On the go? Providence Health & Services, Southern California, is now mobile. Scan this code with your mobile device to be taken to california.providence.org. Here you can find a physician, get directions or tap into health tools.

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Below

Providence offers relief for common groin problems in men

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isten up, men. It’s time for you to step up. Don’t let procrastination or embarrassment prolong your suffering from common “below-the-belt” problems. Providence experts offer the latest treatments for prostate cancer, erectile dysfunction and incontinence.

Prostate Cancer

As senior vice president of communications for the Prostate Cancer Foundation, Dan Zenka has used keyboards, cameras and social media to get the word out about prostate cancer. At 4:30 p.m. on April 13, 2010, a single look from his urologist confronted him with the cruelest of ironies—he would also be using his own experience. “The cancer communicator jumped the fence and became the cancer patient,” he says. Zenka, 53, turned to Providence Little Company of Mary Medical Center Torrance, which, along with Providence Little Company of Mary Medical Center San Pedro, is a recipient of the HealthGrades Prostatectomy Excellence Award. There, Zenka underwent a robotic-assisted laparoscopic radical prostatectomy performed by urologist Garrett Matsunaga, M.D. Dr. Matsunaga has performed more than 700 robotic surgeries to remove the prostate. “The instruments offer greater range of motion than a human hand,” he says. In addition, the robotic procedure, which is also available at Providence Saint Joseph Medical Center, usually results in minimal blood loss and faster patient recovery. In Zenka’s case, Dr. Matsunaga discovered that the cancer had spread to the lymph nodes, upgrading his condition to stage 4 cancer. “This is not the kind of upgrade I’m used to,” Zenka admits. However, the fact that his Providence team has managed his radiation therapy and hormone treatment with expertise and compassion has enhanced his already positive outlook. “Everyone in urology, oncology and radiation oncology has been fabulous— very caring and professional,” he says. For his part, Zenka hopes that men, especially older men, will get serious about prostate cancer. “Men my age are often hesitant to talk about diseases below their belts,” he says.

Erectile Dysfunction

Based on data from the National Health and Nutrition Examination Survey, erectile dysfunction (ED) affects 18 million men in the U.S. Prevalence increases with age, as a whopping 70 percent of men 70 and older live with ED. To Zenka’s point, ED can be embarrassing to discuss. Martin Gelbard, M.D., a Providence Saint Joseph urologist who specializes in ED, encourages men not to suffer in silence. “In the 1950s, it was thought that the majority of cases were psychological,” he says. “Contemporary research shows that 90 percent of men with ED have a physical basis.”

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STAND BY YOUR MAN Women, if you know your guy is suffering in silence, encourage him to visit a Providence urologist today. Or make an appointment for him by calling 1-888-HEALING or visiting california.providence.org. providencehealthonline.org

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In fact, Dr. Gelbard says ED can generally be traced to two types of causes: endocrine or vascular. Providence hospitals treat both. On the endocrine or hormonal side, younger men with low testosterone typically respond well to testosterone replacement. Many older men find that diabetes is a culprit for ED. “Fifty percent of men who get to middle age and beyond with diabetes will have some degree of ED,” Dr. Gelbard says. In fact, ED is sometimes the first warning sign of a serious health condition. From a vascular standpoint, Dr. Gelbard says high cholesterol, high blood pressure and Peyronie’s disease—a connective tissue disorder for which Dr. Gelbard’s work has been recognized—can affect blood flow to and from the penis. Depending on the cause, treatments can range from simple lifestyle changes, phosphodiesterase inhibitors (such as Viagra or Cialis), injections that stimulate erections, a vacuum erection device that pumps blood into the penis or implant surgery.

Urinary Incontinence

About one in 10 men ages 45 to 64 suffer—sometimes for years— from urinary incontinence (UI). In fact, in recent membership surveys, the National Association for Continence found that people wait an average of seven years before seeking treatment for incontinence. Asghar Askari, M.D., a urologist at Providence Little Company of Mary Torrance and Providence Little Company of Mary San Pedro, urges men not to suffer. Whether due to an enlarged prostate, a side effect of surgery or a consequence of a medical condition, UI can be treated in several different ways. For example, if an enlarged prostate, or benign prostate hyperplasia, is the cause, treatment to reduce the size of the prostate may help. “Then, the bladder can empty itself,” Dr. Askari says. Other treatments include medication to relax the bladder muscles, Interstim therapy to stimulate bladder muscles or tibial stimulation, in which an electrical impulse is sent through the tibial nerve to regulate urinary function. “This can decrease the frequency, letting urine be collected in the bladder rather than a patient needing to go every 10 minutes,” Dr. Askari says. Whether you’re living with symptoms affecting your lifestyle or sex life, or you’re due for a PSA exam, don’t wait any longer. Providence hospitals are here to help today. fall 2012 Providence Health | 9

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Understanding

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hat do those two pen enrollment. W Empowerment at words stir in you? choose a health the opportunity to Or ur family’s needs? plan that meets yo l? complexity of it al helplessness at the n visit to d hospitals you ca an s or ct do e th From preventive care, e lik gs in th r fo y rhow much you pa your choice has fa s, ay st al it sp ho d ake, prescriptions an with so much at st d n A s. n io at ic pl is open reaching im ith information th w lf se ur yo m . ar to it’s time ime in with advice ch s rt pe ex ur O . enrollment season

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The Basics: What You Need to Know

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Open enrollment is the time of year when your employer advises you of the various benefit packages that they will be offering. These packages include your health coverage. The choice you make will be with you for the entire year, so it’s important to weigh your options. Careful consideration of the following criteria can help you choose the right insurance plan. Cost. “Cost is at the front of everyone’s mind, but remember that a lower monthly premium might result in higher deductibles and/or co-payments,” says Karen Carrol-Kowalski, director of marketing and customer service for Facey Medical Foundation, the operational side of Providence-affiliated Facey Medical Group. She recommends a two-part analysis. First, honestly assess your health. Second, scour coverage options for the cost of benefits you may need. For example, if you’re healthy, pay attention to what the cost would be for annual physicals or if you had to have emergency surgery. If you’re planning to start a family, scrutinize covered benefits such as cesarean sections and inpatient hospitalization costs. If you have a chronic health condition, note the applicable co-pays, deductibles and coverage for lab work, prescriptions, office visits and hospitalization. Take into account what would fall outside the plan and would require additional payment. providencehealthonline.org

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Find the right physician. The first question many ask during open enrollment season is, “Can I see my current physician under this plan?” If you don’t have a doctor, open enrollment is a great opportunity to select a Providence-affiliated physician. “It’s critical for an individual to select a health care team—starting with your doctor—who will work with you to maintain good health and tackle medical issues as they arise,” says Jeffrey London, M.D., medical director of Affiliates in Medical Specialties, a member of Providence Medical Institute (PMI). PMI is a network of clinics and urgent care centers located throughout the region. Remember, you will not be “locked into” the physician you select at open enrollment. Neither, however, do you want to be “locked out” from access to your preferred physicians by choosing a plan not contracted with your hospital of choice. “If you do choose a Providence physician as your primary provider, then you’re already covered by primary care, specialty care and ancillary care under the Providence umbrella,” says Ron Robinson, administrator of Axminster Medical Group, which became affiliated with PMI last year. This is why, Carrol-Kowalski says, it’s important to investigate your insurance options. “If it’s 4:45 p.m. on the last day of your employer’s open enrollment period and you throw a dart at your options, you might choose a plan that does not allow you to see the fall 2012 Providence Health | 11

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facilities. A Providence-affiliated physician can coordinate your care from outpatient Take charge of your health evaluation and subspecialty referral needs care! Register for an upcoming open enrollment seminar. Call to inpatient care, creating the best health 1-888-HEALING today for dates, care team to address your needs. times and locations. • Growing numbers of physician groups are aligning with Providence. Providence Care Network (PCN) was established in 2011 to deliver Providence quality health care. Accessibility to Providence care. The selection It represents close to 40 primary care and more than of your physician goes hand in hand with access to your 200 specialty physicians. Affiliates in Medical Specialties was one preferred hospital. Make sure any health plan or physician group of the original PCN members. you choose includes a Providence medical center. Dr. London says joining PCN made sense for many reasons, Why? including the excellent communication between physicians’ offices • Providence medical centers draw upon each other’s strengths. and Providence medical centers, as well as Providence’s calling to When you’re connected to Providence, you’re connected to its deliver health care to those in need. “I’m very proud about that as continuum of specialty services and expertise. Providence hospitals a physician of Providence. It should give patients the additional and physician groups complement each other’s services and work confidence to know that Providence’s goals and spirit are in the closely with each other to enhance care. right place.” • Your favorite physician may not be on staff at your favorite Bringing all of this together is Providence Partners for Health hospital. If you have a preferred hospital, based on quality and (PPH), a partnership among Providence Health & Services, compassionate care, it is important to ensure that your physician, Southern California, and area doctors. More than 660 physicians or a hospitalist who works with your physician group or knows are associated with PPH, which connects providers and the hospitals your physician, can care for you there during your stay. Some electronically, fostering more accountability and consistent, insurance companies limit their physicians to practice at certain physicians you want. Make sure your preferred physician and your preferred hospital are on your plan,” she advises. To view a list of insurance carriers contracted with Providence, visit california.providence.org, click the “Find a Doctor” tab and then click the “Accepted Insurances” link.

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Sign Up for a Seminar


high-quality care. “We want the same things patients want— physicians who communicate with one another, have access to information important to patient care, and are dedicated to providing exceptional care while reducing costs,” says John Armato, M.D., an endocrinologist at Providence Little Company of Mary Medical Center Torrance.

What About Medicare?

Initial enrollment for Medicare age-in plans—plans for those turning 65, or “aging in” to Medicare—occurs three months prior to your 65th birthday. Joining during this time period will allow you to have Medicare coverage the first day of your birthday month. You are also able to enroll, with no penalty, the month of your birthday and/or three months after—however, your coverage will be delayed. For existing Medicare recipients, open enrollment occurs annually from Oct. 15 through Dec. 7. “Recipients of Medicare are able to change doctors or medical groups any time they want throughout the year. However, changes to their health insurance plan can only happen during that window,” Carrol-Kowalski says. The criteria for selecting Medicare coverage—cost and physician/hospital preferences—are similar to that for commercial plans, with special consideration required for prescriptions. Medicare Parts A (hospital insurance) and B (medical insurance) do not include prescription drug coverage. To obtain this coverage, you must join a Medicare prescription drug plan (Medicare Part D). Consumers have another option: A Medicare Advantage Plan (Medicare Part C) includes both Medicare Part A and Part B and quite often includes Medicare Part D. Medicare Advantage Plans are offered by private insurance companies approved by Medicare. Through PMI, physicians are accessible to Medicare recipients who have Medicare Parts A and B and also to those recipients who have chosen to obtain coverage through Medicare Part C. When researching prescription drug coverage, it is important to investigate the plans’ drug formularies. “This is especially true for people who may be on brand-name prescriptions,” Carrol-Kowalski says. Your best reference for Medicare information is medicare.gov. Type in your ZIP code to review your health insurance options. You can also check your prescriptions to see which plan may have the best coverage. One other twist that some Los Angeles County Medicare recipients must consider is a new pilot program for “dual eligibles,” or those who are dually eligible for Medicare and Medi-Cal. “The ultimate goal is improved care, better health and a better delivery system,” Robinson says, adding that in Los Angeles County there are 370,000 dual eligibles. By June 2013, all dual eligibles must sign up for a managed care plan, or else be assigned to one. If this describes you, be proactive to select a managed care plan contracted with Providence. For more information, visit calduals.org.

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Finish Strong

After you’ve researched and selected the right insurance option for you, don’t let your efforts go to waste. • Examine your ID card to ensure the doctor you’ve selected appears on it. providencehealthonline.org

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GET HELP NAVIGATING THE SYSTEM Enrollment seminars can be a valuable tool in sifting through the variety of insurance plans and products available. “It’s your best opportunity to get to meet with medical groups, insurance representatives and human resources personnel all in one fell swoop,” says Karen Carrol-Kowalski, director of marketing and customer service for Facey Medical Foundation. In fact, open enrollment and Medicare health plan seminars offer the chance for consumers to: • Compare insurance plan features and benefits. • Ask questions to medical group and insurance plan representatives. • Express priorities and offer feedback on past performance. To sign up for a seminar, call 1-888-HEALING (432-5464) today. Providence offers you and your family more than 3,600 primary care physicians and specialists—some of whom are more closely aligned with Providence hospitals and services and some who are contracted with Providence but may have contracts with other health care organizations as well. For a physician referral, call 1-888-HEALING or visit us at california.providence.org. Affiliated Medical Groups: Advanced Care Medical Group Affiliates in Medical Specialties Axminster Medical Group Facey Medical Group Providence Care Network Providence Medical Group Contracted Medical Groups: Healthcare Partners Medical Group Lakeside Community Healthcare Regal Medical Group

• Scrutinize your insurance packet to make sure it reflects the plan, deductibles and co-pays you’ve elected. Finally, keep in the know about health care reform—and keep in mind that Providence Health & Services, Southern California, is poised to adapt within the regulatory climate without sacrificing care, quality or its commitment to the community. “Health care reform asks, ‘How do we deliver quality care efficiently in a safe setting?’ Providence is asking those same questions,” Dr. London says. “No one really knows what health care reform will look like in its final form. The details are probably not as important as the fact that we know medicine will change—and needs to change—to be more efficient, more convenient and more transparent.” fall 2012 Providence Health | 13

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Senior Health

Breast Cancer Care Providence provides next-generation care for today’s seniors

Low-Cost Mammogram s Available To schedule a mammogram screening price, call 1-88 at a reduced 8-HEA (432-5464). LING

mammography. “Our computers have the ability to point out problems that the radiologist might not see,” Dr. Sanani says.

During Cancer

Before Cancer

Annual mammography is the best way to detect breast cancer, and this remains true for seniors. “There is no age cutoff. We don’t say that after a certain age, you don’t have to worry about mammography,” says Moshe Faynsod, M.D., a surgical oncologist with Providence Little Company of Mary Medical Center in San Pedro. Deanna Attai, M.D., a breast surgeon with Providence Saint Joseph and Providence Tarzana Medical Centers, agrees. “A lot of women who are older stop getting mammograms. They think, ‘I’m over 60 or 70. I’m safe.’ However, cancer risk increases with age.” Not only can Providence handle your screening mammogram needs, but you’ll also have access to the latest in digital 14 | Providence Health

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After Cancer

An important advancement, genetic testing is offered at the Roy and Patricia Disney Family Cancer Center at Providence Saint Joseph to identify your risk of breast cancer before the disease strikes. However, it can be just as important after a breast cancer diagnosis. Ora Gordon, M.D., director of cancer genetics at Providence Saint Joseph, explains. “We always want to test the person who has been affected with breast cancer, even if it was 40 years ago,” she says. “It’s a mistake to think, ‘I already took my hit. I had my cancer.’ ” Here’s why: No. 1, the link between breast cancer and ovarian cancer is very important, and genetic testing might shape how you are screened as you age. No. 2, genetic testing could help identify what caused your cancer, which could, in turn, help protect your own daughters and granddaughters. providencehealthonline.org

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Age shouldn’t stop you from doing the things you love, and it certainly shouldn’t stop you from pursuing the latest in breast cancer diagnostics and treatment. “Our goal is always early detection by mammography, and then to preserve the breast— no matter what a woman’s age,” says Shamel Sanani, M.D., FACP, an oncologist at Providence Holy Cross Medical Center. Here, Providence physicians highlight three before-, duringand after-cancer options available to seniors.

Breast conservation surgery, or lumpectomy, can be a great treatment option for seniors whose cancer is caught early. “Just because a cancer patient is 80 doesn’t mean she requires a mastectomy. We’ve gotten rid of the concept that older women don’t need their breasts,” Dr. Faynsod says. Additionally, lumpectomy accompanied by radiation offers the same survival benefit as mastectomy, Dr. Attai says. “In other words, removal of the breast will not cause you to live any longer,” she says.


Foundation Focus

Connect With Us Social media brings Providence supporters together

By now, if you are not moving at the speed of social media, you are probably moving too slowly. The Providence Health & Services, Southern California, Foundations have recognized the need for this method of communication and have embraced it with open arms! We want you to friend us, follow us, just find us today, and you’ll discover quick health tips and stories of hope and healing made possible by the Providence Foundations—and you. We also just want to talk!

Building Better Relationships

At the Providence Foundations, social media is strengthening relationships by transforming communication that has typically been one-sided. “We want to create relationships, and to do that you need conversation,” says Ann Beurskens, marketing and public relations manager for Providence Health & Services Foundation, Valley Service Area. “With social media, we’re creating relationships with our communities. You have a sense of what we’re doing, and, likewise, we get to know you and how to better serve you.” The Valley Service Area Blog averages 2,500-plus visits a month thanks to the foundation’s online marketing coordinator, Kristina Aguirre. Her favorite part of the job, however, is when a chain of replies opens new conversations, or when a link to the blog gets retweeted and interaction really begins. “It’s really quite thrilling,” Aguirre says.

Remaining Relevant

The Valley Service Area Providence Foundation President Patricia Modrzejewski has spearheaded the move into the social sphere, recognizing that “people want to be informed more frequently, but they don’t need it in a 15-page piece. Most people don’t even want it in hard copy anymore,” she says. The South Bay’s Providence Little Company of Mary Foundation President Joe Zanetta agrees. While he still reads the Los Angeles Times cover to cover each morning and relishes his daily dose of old school, his 18-year-old son rocks the here and now: “He’ll say, ‘Dad, voicemail, email and reading are so last century.’ ” Zanetta admits his son is onto something. “Social media can reach supporters instantly and frequently,” he says.

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New Approaches to Fundraising

Social media opens up new avenues for fundraising, which the Providence Foundations depend upon to keep pace with technology and community needs. In fact, social media can generate buzz and inject fundraisers with fresh excitement. Case in point: The Providence Foundations annually partner with the Entertainment Industry Foundation/Revlon Run/ Walk. This year, Beurskens and Aguirre launched a social providencehealthonline.org

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media campaign prior to the event called “We Mustache You a Question.” “We created stick-on, paper mustaches for everyone to wear, and handed out cards reminding women that they ‘must-ask’ themselves the right questions and become educated on how to detect early stages of women’s cancers,” Beurskens says. “We filmed, took photos for Flickr, blogged, tweeted and posted on Facebook. Because of social media, people were aware of our presence and made it a point to find our booth that day.” Another example of Providence using Facebook successfully is last year’s “Toyota 100 Cars for Good” campaign. Facebook users were asked to vote for their favorite charity and TrinityKids Care won a muchneeded free Toyota van. The benefits of these social media campaigns would not be achieved without both Providence’s participation and that of our online friends and followers.

Find Us Online Southern California: providencepowerofgiving.org In the Valley Blog: providencefound.blogspot.com Facebook: facebook.com/providencefound Flickr: flickr.com/providencefound Pinterest: pinterest.com/providencefound Twitter: twitter.com/providencefound YouTube: Search Providence Foundations In the South Bay Providence Little Company of Mary Foundation Facebook: facebook.com/plcmfoundation Flickr: flickr.com/photos/plcmfoundation YouTube: youtube.com/providenceca Providence TrinityCare Hospice Facebook: facebook.com/trinitycarehospice

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Providence Medical Institute

An Ounce of Prevention Adult immunizations protect you and the ones you love Vaccines aren’t just for kids. Adult immunizations protect against painful, dangerous diseases, such as shingles, pneumonia and even cervical cancer. So why don’t more adults get them? “People start getting complacent,” says Paul Murata, M.D., MSPH, chief medical officer for Providence Medical Group, one of the medical groups affi liated with Providence Medical Institute. “In LA County in 2010, there was a huge rise in pertussis [whooping cough] because people stopped getting immunized.” Similarly in Japan in the mid-1970s, pertussis vaccinations plummeted and by 1979, 13,000 cases developed, with 41 deaths. So, which vaccines do adults need? Dr. Murata discusses three broad categories.

Childhood Carryover Vaccines

Newer vaccines were not available when some adults were children. In other cases, immunity fades or perhaps you weren’t immunized at all. Talk to your doctor about the measles, mumps, and rubella (MMR), varivax (chickenpox), Hepatitis A, Hepatitis B and meningococcal vaccines.

HPV Vaccines

While the first dose can be administered to girls at age 12 or 13, the vaccine can be given up to age 26 and can prevent against cervical cancer later in adulthood.

The ‘Big Four’

Adults should be current on: influenza (annually), tetanus, diphtheria, pertussis or “Tdap” (once, followed by the regular tetanus/diphtheria booster every 10 years), shingles

PROTECT YOURSELF

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When to Get Your Shots

Providence Medical Institute clinic family medicine physician Steve Yi, M.D., says annual physicals are a great time to discuss immunizations with your doctor. “We want to prevent serious illness. Part of that is making sure vaccinations are up to date,” he says. In the end, Dr. Yi says, adult immunizations can prevent infections, pain, some cancers and— in the most serious cases—death. “If you can prevent these things,” he asks, “why not do it?”

FIGHT THE FLU With flu season approaching, Genesa Wagoner, M.D., a pediatrician at the Providence Medical Institute clinic located near Providence Little Company of Mary Medical Center San Pedro, reminds parents to schedule flu shots for their children. “The flu shot protects your kids—and others,” she says. According to the Centers for Disease Control and Prevention: • Everyone 6 months and older should get an annual flu vaccine. • Children younger than 5, adults 65 and older, and pregnant women are at high risk for flu complications. • Vaccination before December is best.

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To find out about low-cost immunizations or for a physician referral, call 1-888-HEALING (432-5464).

(single dose at 60) and the pneumococcal vaccine (one or two doses in adulthood if at high risk, otherwise a single dose at 65). If you have never had chickenpox, consider getting a varivax immunization. “Influenza and pneumonia are both upper respiratory infections that kill many people every year—especially the chronically ill with compromised immune systems,” Dr. Murata says. “These are clearly vaccines where an ounce of prevention is worth a pound of cure.”

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Calendar October-December

Community Classes and Events From support groups to fitness classes, each Providence medical center provides the programs you need to live healthfully. For more information on any of the classes, events and screenings listed below, visit providenceclasses.org or call 1-888-HEALING (432-5464). SUPPORT GROUPS Support groups offer patients and families a chance to share experiences of learning and healing. For those who have experienced health issues, we offer the following support groups: Alzheimer’s/Other Dementia (Spanishlanguage group available) Bereavement Better Breathers’ Club Breast Cancer Cancer Cardiac Rehabilitation Caregivers Congestive Heart Failure Diabetes Early Memory Loss Grief Heart Disease Liver and Pancreatic Cancer

Live Wires* *For Parkinson’s disease patients who have undergone deep brain stimulation Lymphedema Osteoporosis Stress Reduction Stroke Survivors After Suicide Traumatic Brain Injury Valley Pumpers Women’s Cancer FITNESS Arthritis Friendly Exercise Program Chair Exercises for Strengthening and Flexibility Exercise Safely with Guidance & Support Get Physical Lively Lungs Tone Up Tuesdays Burbank Mall Walkers

Childbirth and Parent Education

South Bay Galleria Gaitors Walking Program Call 818-847-4535 for more information. WELLNESS CLASSES AND SCREENINGS Asthma Education Nutrition Roundtable Outpatient Nutritional Counseling Pre-Operation Total Joint Replacement Education Pulmonary Education Program Pulmonary Rehab Self-Training DIABETES CLASSES Basic Diabetes Education Class Diabetes 101 & Self-Care Diabetes and Pregnancy Diabetes Self-Management Program Healthy Living with Diabetes Individual Sessions with a Diabetes Specialist

All Providence medical centers offer a full schedule of classes to prepare parents-to-be for pregnancy, birth and parenting. For more information or to download a copy of our 2012 schedule of classes, visit providence.org/baby or call 1-888-HEALING (432-5464).

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PREPARE FOR BIRTH BabyWise Maternity Tour Big Kids and Babies Sibling Maternity Tour PREPARE FOR BABY The Amazing Newborn Anesthesia and Cesarean Section Baby Care Breastfeeding Childbirth Preparation Lamaze Classes* *Spanish-language classes available Childbirth Preparation Intensive Course, one-day intensive class Childbirth Refresher Course Parents Expecting Multiples Preparing for Your Newborn, four-part series Transition to Parenthood providencehealthonline.org

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CLASSES ABOUT BABY Baby Signs Basics, baby sign language for hearing babies Infant Safety and CPR, a class for expectant and new parents; newborn to age 1 Infant/Child Safety and CPR*, a class for parents who have children from newborn to age 8 *Spanish-language classes available

SUPPORT GROUPS Breastfeeding MommyWise, a weekly support group for new mothers and their infants Perinatal Loss

AFTER BABY IS BORN Safe Sitter/Super Sitter, a program that teaches young adolescents how to care for children Sign, Say and Play Continuing Program, six-week baby sign language program

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FEATURED EVENTS SCRAPBOOKING: CAPTURING THE MOMENTS Building memories through pictures, words and stories gives families the chance to relive joyous events and special moments. This workshop nurtures self-esteem, fosters friendships and strengthens families. Plus, it is a wonderful tool for reminiscing. Meets: Every Friday, 11 a.m. to 1 p.m. Location: Leeza’s Care Connection, Providence Saint Joseph Medical Center, 1-South Tower, 501 S. Buena Vista St., Burbank Info: 818-847-3686 ARE YOU AT RISK FOR COLON CANCER? One in 20 people will develop colon cancer in their lifetime. Don’t become a number. Schedule your colonoscopy. Location: All Providence hospitals Info: 1-888-HEALING (432-5464) TAKE CONTROL OF YOUR BREAST HEALTH Schedule your low-cost mammogram today. Weekend and evening appointments available. Location: All Providence hospitals Info: 1-888-HEALING (432-5464)

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YOGA, MEDITATION AND MORE Numerous classes are open to the public, including yoga, acupressure, meditation, massage, qi gong, acupuncture, tai chi, therapeutic touch, sonic healing and guided imagery. Meets: Various days and times. Visit triumphovercancer.org for a full schedule. Location: All classes held at the Roy and Patricia Disney Family Cancer Center, 181 S. Buena Vista St., Burbank Info: 818-748-4701 WEIGHT LOSS SURGERY Are you ready to restart your life? Learn more about our minimally invasive options, including Lap-Band, gastric bypass and gastric sleeve procedures. Location: Providence Saint Joseph Medical Center, 501 S. Buena Vista St., Burbank Info: Visit restartlife.org. CHILDBIRTH PREPARATION Learn what to expect during labor, delivery and recovery. Certified childbirth educators also will share breathing and relaxation techniques. Meets: Mondays, Oct. 1–Dec. 31; Wednesdays, Oct. 3–Dec. 26; 6:30–9 p.m. Location: Providence Tarzana Medical Center, 18321 Clark St., Tarzana Info: 1-888-HEALING (432-5464)

Online Calendar Go to providenceclasses.org for class descriptions, times and locations, and to register.

CONGESTIVE HEART FAILURE SUPPORT GROUP Live well with CHF by learning to recognize the symptoms and manage medications and diet. Family members welcome. Bring a list of your current medications. Meets: Oct. 17, 5–6:30 p.m. Location: Providence Little Company of Mary Medical Center Torrance, Del Webb Center for Health Education, 4101 Torrance Blvd., Torrance Info: 1-888-HEALING (432-5464) CARDIAC SUPPORT GROUP Cardiac patients, family and friends meet to provide mutual support and discuss solutions to common problems. Meets: Once a month from 5–6:30 p.m.; call for specific dates. Location: Providence Cardio-Pulmonary Rehab Center, 20929 Hawthorne Blvd., Torrance Info: 310-303-7070 DIABETES SELF-MANAGEMENT PROGRAM This comprehensive approach to diabetes self-management education will help you gain control of your diabetes, improve your health and help you feel your very best. The program is customized to meet your unique needs. Doctor referral required to schedule an appointment. Location: Providence Little Company of Mary Medical Center Torrance, Del Webb Center for Health Education, 4101 Torrance Blvd., Torrance Info: 310-303-5560 BRIDGES PSYCHIATRIC OUTPATIENT DAY PROGRAM This program offers psychiatry, group therapy and socialization. A wide range of topics is covered, from depression and anxiety to coping skills and healthy relationships. Meets: Mondays, Wednesdays and Fridays; 10 a.m.–2 p.m. Location: Providence Little Company of Mary Medical Center San Pedro, 1300 W. 7th St., San Pedro Info: 310-241-4325 THINKSTOCK

LATEST TRENDS IN BREAST CANCER DIAGNOSIS AND TREATMENT Speaker: Vanessa Dickey, M.D., Oncologist Meets: Oct. 18, 6:30–8 p.m. Location: Crowne Plaza Redondo Beach, 300 N. Harbor Drive Sponsored by: Providence Little Company of Mary Medical Center Torrance Info: 1-888-HEALING (432-5464)

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AARP DRIVER SAFETY PROGRAMS This two-part AARP/Driver Safety Program is for people 55 or older who want to reduce their automobile insurance premiums. You must attend both four-hour sessions to receive your AARP certificate. $12 for AARP members; $14 for nonmembers. Meets: Oct. 10 and 17; 1–5 p.m. (No classes in November or December) Location: Providence Occupational Health Center, 3413 Pacific Ave., Burbank Reservations: 818-847-4535 THE CAREGIVER LECTURE SERIES Join the team at the Center for Optimal Aging to discuss topics including: Oct. 18–“Handling the Legal Affairs of a Senior Loved One” All lectures are from 6:30–8:30 p.m. Location: Providence Little Company of Mary Medical Center San Pedro, 1300 W. 7th St., San Pedro Info: 1-800-618-6659 BURBANK MALL WALKERS Join the Burbank Mall Walkers for information that can help your health. Presentations include: Oct. 10–“Happy Healthy Bones,” by Boyd Flinders, M.D. All classes are from 9–10 a.m. Location: Burbank Town Center, Food Court, third level, 201 E. Magnolia Blvd., Burbank Info: 818-847-4535 GALLERIA GAITORS WALKING CLUB Join the Galleria Gaitors for group exercises and quarterly presentations. Galleria doors open to members at 7 a.m., seven days a week. Applications are available at Guest Services, first level, in the Nordstrom wing. Meets: Thursdays, 8 a.m. Location: South Bay Galleria, Food Court, third level, 1815 Hawthorne Blvd., Redondo Beach Info: 310-371-7546

PROSTATE CANCER SCREENINGS ONE IN SIX MEN WILL DEVELOP PROSTATE CANCER. DON’T BECOME A NUMBER. Providence Saint Joseph Medical Center Call for an appointment. Location: Roy and Patricia Disney Family Cancer Center, 181 S. Buena Vista St., Burbank Info: 818-748-4762

FREE SEMINAR DEMYSTIFYING PSA AND PROSTATE CANCER Meets: Sept. 25, 6:30–8:30 p.m. Location: Manhattan Beach Marriott, 1400 Park View Ave., Manhattan Beach Speaker: Timothy Lesser, M.D., Urologist Reservations: 1-888-HEALING (432-5464) Sponsored by: Providence Little Company of Mary Medical Center Torrance

OPEN ENROLLMENT: Seminars are being held now through December at multiple times and locations in the Valley and South Bay. Open enrollment and Medicare health plan seminars offer the chance for consumers to: • Compare insurance plan features and benefits. • Ask questions to medical group and insurance plan representatives. • Express priorities and offer feedback on past performance. To sign up for a seminar, call 1-888-HEALING (432-5464) today.

MONTHLY CPR & SAFETY CLASSES • Basic Life Support for Health Care Providers • Basic Life Support, Part 2: Skills Evaluation • Heartsaver CPR and AED (automated external defibrillator) • Heartsaver First Aid with CPR and AED (automated external defibrillator) • Heartsaver, Part 2: Skills Evaluation • Infant/Child CPR • Super Sitter

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Call 1-888-HEALING (432-5464) or visit providenceclasses.org to register.

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Providence Saint Joseph Medical Center 501 S. Buena Vista St. Burbank, CA 91505-4809

Non Profit Org. U.S. POSTAGE

PAID Providence Health

In this time of healthcare reform, the healthcare choices you make are more important than ever.

Choose wisely. Choose Providence. With all the changes in healthcare, it’s easy to get confused. But choosing the right healthcare plan and providers for you and your family has never been nsuranc ra e ranc more important. Whether you’re enrolled in a Medicare plan, or get insurance pa y, the y, through your employer, the choices you make can impact the costs you pay pay, services you get or the doctors and hospitals you’re able to see. At Providence, we can help you understand your choices. We’re contracted with most insurance plans and our strong network of clinics, doctors and hospitals is among the largest in the greater Los Angeles area. And we’ve been recognized for quality time and time again by national ratings and accreditation organizations. Whether you prefer to receive your healthcare close to home or close to work, there’s a quality Providence doctor or hospital near you.

Learn More FREE, Educational Seminars are being held throughout the Valley and South Bay. Attend to learn more about your healthcare options and our Providence network of services. Please call 1-888-HEALING (432-5464) for dates, times and locations.

PROVIDENCE MEDICAL CENTERS Providence Holy Cross Medical Center Mission Hills

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Providence Little Company of Mary Medical Center San Pedro

Providence Little Company of Mary Medical Center Torrance

Providence Affiliated Medical Groups

Providence Saint Joseph Medical Center Burbank

Providence Tarzana Medical Center Tarzana

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Providence Health Magazine - Fall 2012