Issuu

FALL 2023

Spine surgery advances New robot brings precision and efficiency | 7

You’re invited:

Mount Vernon Surgery Center Grand Opening | 9

He was only

Michael Garcia’s story of life-saving cardiac care | 5

SKAGIT REGIONAL HEALTH FOUNDATION’S THE

35TH ANNUAL

Looking to the future We have just come through a trying time as a community and as an organization. Now, coming out the other side of the complexities of a global pandemic, we are looking forward. While our focus is firmly on the future, let me say how proud I am of the Skagit Regional Health team, who came together to care for the people of our communities during a most challenging time. They truly rose to the occasion and provided quality, compassionate care to all. I want to thank these healthcare professionals for their dedication.

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It’s time for Skagit Regional Health to focus on continuing to build on our outstanding care and look to our core role in the region: Maintaining and growing our services to meet the needs of the people we serve. This means primary and specialty care providers and the facilities and equipment they need to provide state-of-the-art care in a timely way. Here are some examples of how we are advancing to benefit our patients:

Saint Joseph Center 215 N. 15th Street | Mount Vernon

• Recruitment of new providers: Through July 2023, we have recruited 28 doctors, physician assistants, nurse practitioners and midwives, bringing our employed provider total to 224.

Gala and Auction

• A new robot for spine surgery: To bring state-of-the-art robotic care to those who need back surgery, we have added the Globus Excelsius GPS® Robotic Navigation System to assist our two spine surgeons in providing precise, minimally invasive procedures. (Read more on page 7)

Friday, November 24, 6 p.m.

BANNER BANK Gala Sponsor DWAYNE LANE’S SKAGIT SUBARU Live Auction Sponsor

Santa and Friends

Saturday, November 25, 10 a.m. – 12 p.m. WHIDBEY COFFEE Santa & Friends Sponsor

Family Festival Days Saturday, November 25, 1 – 5 p.m. Sunday, November 26, 10 a.m. – 2 p.m. PACIFIC WOODTECH Family Festival Days Sponsor

Mini Tree Stroll

• New outpatient surgery center: The Skagit Regional Health – Mount Vernon Surgery Center opens to patients in December 2023, offering four operating rooms and three endoscopy suites on the first floor and medical office space for several outpatient specialty clinics on the second and third floors. (Read more on page 8) • Upgrading the cardiac catheterization labs: A two-phase project is underway to upgrade two of our labs, used to diagnose and treat heart patients, with the latest in technology and imaging. Our thanks to the Skagit Regional Health Foundation for their commitment to raise $3 million to benefit this project. (Read more on pages 4, 12 and 13) • Increasing access to Skagit Regional Health: Efforts focused on enhanced provider productivity and schedule optimization, resulting in continued improvement in patient access and appointment availability to our exceptional providers. All of us at Skagit Regional Health look forward to continuing to provide excellence in healthcare. Be Well.

November 3 – December 3 First Street store windows in Downtown Mount Vernon

Sponsored by HERITAGE BANK

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Brian Ivie President and CEO

Stay in the know – check us out online!

FALL 2023

You don’t have to wait for the next issue of HealthQuest magazine to know what’s happening at Skagit Regional Health. Scan the QR code or visit SkagitRegionalHealth.org/ HealthQuest to access our blog and sign up to receive HealthQuest Minute, our monthly e-newsletter full of updates on services we provide, provider news, health tips, employee/ department awards and much more.

VOLUME 20 | ISSUE 1

Plus, look for us on these platforms:

He was only 24 Michael Garcia’s story of life-saving cardiac care.

One step at a time Marilee Pike’s story of breast cancer treatment and walking the 500-mile Camino de Santiago.

Spine surgery advances New robot brings precision and efficiency.

Listen to our podcast! Be Well with Skagit Regional Health is a podcast that brings expert knowledge on the health topics you care about straight to you. Learn more and listen in at SkagitRegionalHealth.org/Podcast.

Mount Vernon Surgery Center An improved patient experience is coming this December.

OB/GYN and Midwifery care Learn more about each specialty.

Skagit Regional Health Foundation Help support the Cardiac Cares Capital Campaign.

Be Well – Resources for a healthy life Screenings, classes, local support groups and more for your journey to be well.

Quality, accessible healthcare A message from our Board of Commissioners.

HealthQuest is published by Skagit Regional Health. For additional copies of HealthQuest or more information, contact Marketing and Communications at 360-814-2424 or go to our website at SkagitRegionalHealth.org. COVER – Michael Garcia received life-saving cardiac care at Skagit Valley Hospital at just 24 years old. Photo credit – Aaron Logue

Cardiac cath lab upgrades

Bringing the latest in imaging to Skagit Valley Hospital For patients experiencing heart disease, unusual heart rhythms or vascular issues, the cardiac catheterization lab is a likely destination as the place where interventional cardiologists, electrophysiologists and interventional radiologists provide state-of-the-art diagnosis and treatment. Skagit Regional Health has embarked on a project to upgrade two of the three catheterization labs at Skagit Valley Hospital with the latest in cardiac imaging services. The new equipment will replace systems installed 13 and 14 years ago. The first upgraded lab was opened in July 2023 and the second will open in 2024. Once the project is complete, all three labs will provide the latest technology and be equally equipped to handle the needs of all patients.

Among the cutting-edge procedures performed at Skagit Valley Hospital are: • 3D mapping and ablation of heart arrhythmias • Leadless pacemaker implants • Placement of the Optimizer® heart failure treatment device implant - the first in Washington state • CardioMEMS heart failure monitoring device implants

“I am extraordinarily excited to see the remodel of our catheterization laboratories as we continually expand our cardiovascular and interventional radiology services,” said Cardiac Electrophysiologist Ramy Hanna, MD. “This project highlights our strong commitment to the community and our drive to always stay at the cutting edge of procedural care for electrophysiology, structural heart and interventional radiology services.” The number of procedures in the catheterization labs has increased in recent years from 2,961 in 2018 to 3,611 in 2021. A referral center for the surrounding areas, patients hailing from 15 different Zip Codes received care in the labs in 2020.

Skagit Regional Health CEO Brian Ivie, Associate Chief Nursing Officer Bianca Gordon and Chief Operating Officer Danny Vera visited the cath lab to view the new upgrades.

After suffering a cardiac arrest in 2012, Michael, husband and father, received life-saving care from the cardiac catheterization lab at Skagit Valley Hospital.

He was only 24 Michael Garcia's story of life-saving cardiac care Per his usual weekday morning routine, Michael Garcia was at his local health club. Suddenly, he dropped to the ground going into cardiac arrest. Friends nearby rushed to his side and began CPR. Michael was transported to Skagit Regional Health’s Heart and Vascular Institute where it was determined Michael’s heart attack was brought about by ventricular tachycardia, or “VT.” This abnormal heart rhythm occurs when the lower chamber of the heart beats too fast to pump well and the body doesn’t receive enough oxygenated blood. Michael’s cardiac issue required urgent treatment. “The team first implanted a defibrillator to regulate my heart rhythm. Next, they performed a catheter ablation to pinpoint where the arrhythmia started,” he explained. This minimally invasive process stops the electrical impulses that cause the arrhythmia. Michael’s life-saving procedure is one of many performed in the cardiac catheterization lab. “This experience was an eye-opener for me. At 24, I thought, what is my life going to be like?” he said.

Because of the quick CPR performed by friends, his physicians’ diagnosis and the catheterization treatment available right here, Michael leads a joy-filled, robust life raising three daughters and a 10-month-old son while running a landscape supply business with his family. In 2022, on the 10th anniversary of his cardiac arrest, Michael had a new defibrillator implanted. “It’s unreal to think I have already lived a decade plus since my first procedure. I received a second chance at raising a family, achieving wealth and, most importantly, another shot at leading a full life!”

How can you help? Donate to the Skagit Regional Health Foundation’s Cardiac Cares Capital Campaign. The investment you make today can save lives! See pages 12-13 for more information.

One step at a time

A patient's journey of breast cancer and the 500-mile Camino de Santiago In 2020, Whidbey Island resident Marilee Pike’s travel plans were put on hold. COVID-19 disrupted countless journeys and ambitions across the world, and hers was no exception. But little did she know, her journey wasn’t ending - it was only beginning. Feeling inspired by the film The Way, Pike and a friend began to dream in 2020 about their own adventure to walk the Camino de Santiago – a 500-mile pilgrimage journey to the Cathedral of Santiago de Compostela in Galicia, Spain. While COVID-19 stalled their travel plans, an unexpected chapter in Pike’s life began in September 2021 when she received a phone call from her primary care provider. “I went in for my annual mammogram…they saw something and scheduled a follow-up mammogram, ultrasound and biopsy,” said Pike.

October is Breast Cancer Awareness Month

Pike was diagnosed with Invasive Ductal Carcinoma with invasion into her lymph nodes. She soon heard from a Skagit Regional Health patient navigator and met with her oncologist and surgeon at the Skagit Regional Health Cancer Care Center in Mount Vernon. Her treatment involved surgery, eight sessions of chemotherapy and 30 sessions of radiation. Pike said she initially felt overwhelmed by the process, but reminded herself to take it one step at a time. And the support she received from her care team at Skagit Regional Health – from receiving homemade hats for warmth during the winter after losing hair, to the hugs and celebrations upon ending her treatment – helped her make it through. “I cannot say enough about the care I received at Skagit Regional Health,” said Pike. “This was a scary period of my life and they made me feel strong. Everyone, and I mean everyone, was so kind to me and concerned about me. I really liked how all my caregivers were on the same page for my treatment. There wasn’t any question or confusion about what the plan going forward was going to be.”

Mammograms can detect changes in the breast up to two years before they can be felt by a patient or provider during an exam - making mammography critical in the fight against breast cancer.

Skagit Regional Health follows the American Cancer Society in recommending assessment of breast cancer risk in all women at age 40. This October, make your health a priority and make the call to schedule your mammogram. Extended hours are offered in October and convenient appointment hours are available throughout the year.

CONTINUED ON PAGE 7

Skagit Regional Health offers 3D mammography in two locations: Women’s Imaging Center – Mount Vernon: 360-424-6161 Cascade Valley Hospital – Arlington: 360-814-2168

Whidbey Island resident Marilee Pike (above and right) walked the famous 500mile Camino de Santiago in Spain after receiving breast cancer treatment at the Skagit Regional Health Cancer Care Center.

“This was a scary period of my life and they made me feel strong." - Marilee Pike Soon after ending her treatment, Pike was told she was “NED” - No Evidence of Disease. She was thrilled and decided to give back by participating in the Susan G. Komen 3-day 60mile walk in Chicago occurring a few months later. She began the walk one year and one day after receiving her cancer diagnosis. “I don’t think my outlook changed right after I was given my NED,” said Pike. “I was ready for my body to start healing. I think my outlook on life changed less than a year later when my older brother was diagnosed with throat cancer and my younger brother was diagnosed with mesothelioma…my life is truly a gift from God. I don’t question why I had cancer. There must be a reason, so I am grasping onto every minute of it.” In May of 2023, Pike and her friend fulfilled their dream to walk the Camino de Santiago. Their trip is one they will never forget and offered a chance for Pike to reflect and learn from others on a similar journey. “The most memorable events were the people I met along the way,” said Pike. “They were from all over the world, sharing their stories as we walked…some were breast cancer survivors, which gave me hope for my future.” Although Pike recalls feeling overwhelmed when she first began her cancer journey, like the Camino de Santiago, she reminded herself to take it one step at a time. “I would absolutely recommend Skagit Regional Health to anyone facing this challenge,” said Pike, reflecting on her cancer treatment. “The folks are wonderful and the care is outstanding.”

Spine surgery advances with new robot Skagit Regional Health spine surgeons Dylan Morris, DO (left) and David Mourning, MD (right) will use the Globus ExcelsiusGPS® Robotic Navigation system for hardware placement procedures using diagnostic images. Surgeons at Skagit Regional Health started using a new robot in August to assist with precise back procedures. The Globus ExcelsiusGPS® Robotic Navigation system uses diagnostic images of the patient, that are displayed on a computer screen, to help guide surgeons in providing precise, minimally invasive procedures. The images help the surgeon create a surgical plan based on the patient’s individual anatomy and determine the size and placement of screws. “The robot is a precision guide for hardware placement,” said spine surgeon David Mourning, MD. “It does not do nerve decompressions, such as discectomies or laminectomies, as those still require the steady hand of a surgeon combined with tactile feedback to safely operate.” For patients, the main benefit is safety and efficiency, said spine surgeon Dylan Morris, DO. “The robot will allow us to perform complex spine surgeries in a safe and efficient manner,” Dr. Morris said. “This will allow us to continue to give the best care possible for our patients at Skagit Regional Health.” Dr. Mourning also noted the efficiency of hardware placement with the precision of the robot. “Using the robot can greatly decrease time in the operating room by 10 to 20 percent as the screws go in like clockwork, eliminating delays due to visualization, difficult anatomy and other issues,” Dr. Mourning said. “Less time under anesthesia and shorter time in the OR is better for the patient.” The robotics and navigation reduce the length of procedures, improves accuracy and dramatically lowers the level of radiation exposure from fluoroscopy, which is good for the patient and the OR team. In addition, the smaller incisions mean less tissue damage and a shorter hospital stay. “We won’t do any new surgeries, we’ll just do the procedures safer and faster,” Dr. Mourning said. “I’ve been looking forward to getting this for several years now. I’ve used several other systems for guidance (image guidance, artificial reality headsets) but nothing compares to the reliability and efficacy of this system.” This is not the first surgical robot in use in the operating rooms at Skagit Valley Hospital. Skagit Regional Health’s general, colorectal and thoracic surgeons, OB/GYNs and urologists use the da Vinci® Xi™ Surgical System, brought to the hospital’s operating rooms in 2018.

Kelly Bradford, MBA, RN, CNOR, Regional Director of Surgical Services; Matt Ornelas, MBA, Ambulatory Surgery Center Administrator and Michelle Gjersee, Plant Operations Program Manager in the new Outpatient Surgery Center reception area of the Mount Vernon Surgery Center, opening December 2023.

Mount Vernon Surgery Center boasts efficiency and state-of-the-art equipment Patients can expect an improved overall experience. The Skagit Regional Health – Mount Vernon Surgery Center opens to patients in December, providing a modern, stateof-the-art outpatient facility for surgery and endoscopy. The 60,000-square-foot building, just northwest of Skagit Valley Hospital, also serves as a medical office building and home to clinics for Audiology; Ear, Nose and Throat (ENT); Gastroenterology; Orthopedics and Sports Medicine, Interventional Pain Medicine and Spine Surgery. The three-story building features four operating rooms, three endoscopy suites and on-site diagnostic imaging. “We will have an abundance of technology in place that will protect our patients and allow the staff to focus on patient care,” said Matthew Ornelas, MBA, Ambulatory Surgery Center Administrator. “We are very excited about how the Mount Vernon Surgery Center will expand our organization’s surgical capability, allowing surgical services to continue growing and providing care to the patients of this region.” With a growing number of surgical procedures now offered in the outpatient setting, including many total joint replacements, the patient-focused facility features the latest in technology and offers a convenient location, easy access, patient pick-up area and ample parking.

Suresh Alagugurusamy, MD

Christopher England, MD

Christopher Sheu, MD, FAAOS

Natural light and calm, neutral colors are part of the patientcentered approach to the Mount Vernon Surgery Center. The goals of the project are focused on the patient, said Plant Operations Program Manager Michelle Gjersee, who has played an integral role in the project planning. “Calming and welcoming colors with cleanable materials, large lobbies, waiting spaces flanked with windows and a quick patient pick-up location are design elements that show how we have achieved a patient-centric facility and demonstrate that Skagit Regional Health puts our patients first in all that we do,” Gjersee said. Providers who will work in the building have been very involved in the planning of the facility, which will benefit the patients and staff. Specialists in orthopedics, urology, general surgery, foot and ankle, plastic surgery, ENT, gynecology, orthopedic spine surgery, gastroenterology and other surgical specialties will provide services in the new surgery center operating rooms. “Patients will have a faster and more seamless experience at the surgery center,” said Orthopedics and Sports Medicine specialist Christopher Sheu, MD, FAAOS.

Dr. Sheu said he looks forward to more streamlined care, the “latest and greatest technology” and state-of-the-art instrumentation and facilities, including video towers in the operating rooms. Patients will benefit from better outcomes, less complication and infection rates, along with the advanced technology, he said. Dr. Sheu plans to perform minimally invasive shoulder, hip and knee arthroscopy at the Mount Vernon Surgery Center, as well as reconstruction/replacement of the shoulder, hip and knee at the outpatient center. Ear, Nose and Throat specialist Christopher England, MD notes that the new facility will provide “access to a highly efficient operating suite which will make things more convenient for our patients and increase access to care without sacrificing quality or safety.”

Gastroenterologist Suresh Alagugurusamy, MD looks forward to the new facility opening. “The patients will appreciate the attractiveness of the new spaces and modern equipment, which means more patients will be interested in getting services,” said Dr. Alagugurusamy. “There will be more privacy in the preand post-op areas for our endoscopy patients.” “This facility is designed for this purpose. This is purely an outpatient facility and will have the efficiencies and processes for each patient,” he said. “I am very excited we will be moving into this new facility. I think for the patients and providers, having this state-of-the-art endoscopy unit will be awesome.” Dr. Alagugurusamy will perform upper endoscopy and colonoscopy in the new facility, which also features the latest processing equipment for the scopes.

“The surgery center will be far more efficient as we are dealing primarily with healthy patients and outpatient procedures and this will allow us to be more efficient in how we treat our patients,” Dr. England said. “The center has a modern design which I also feel will be more comfortable for patients. Plus, the technology going into the clinics and operating rooms is state-of-the-art. The new facility will have the most up-to-date version of almost everything.”

Skagit Regional Health’s planning process for the highly anticipated new facility has included input from a variety of providers.

Dr. England will perform a full range of procedures in the new facility, including thyroid, sinus and ear surgery, plus cosmetic reconstruction. ENT providers use an image guidance system to visualize during sinus surgery compared with a patient’s CT scan. “It makes surgery safer, faster and, in my experience, provides superior outcomes,” he said.

“Skagit Regional Health has had physicians involved in the design and implementation of the surgery center since the beginning,” Dr. England said. “This includes everything from discussing floor plans to how the operating rooms are used and shared between services. There are a lot of moving pieces and it is a complex process, however, physician input has been used throughout the planning and construction.”

“I have been a proponent of the surgery center since I started here seven years ago,” Dr. Sheu said. “It’s finally here. I’ve been fortunate enough to be involved in the entire process from its inception, design and served on the strategic planning team.”

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Mount Vernon Surgery Center Grand Opening Several Skagit Regional Health providers were involved in the planning of the facility. Providers from several specialties who will practice in the new building helped to break ground on June 30, 2022 to begin construction on the Mount Vernon Surgery Center. Pictured left to right: Suresh Alagugurusamy, MD (Gastroenterology); Christopher England, MD (Ear, Nose and Throat); Joshua Hawkins, MD, FACS (General Surgery); Christopher Sheu, MD, FAAOS (Orthopedics and Sports Medicine) and James Gross, MD (Ear, Nose and Throat).

Get to know Skagit Regional Health at the new Mount Vernon Surgery Center. Date - Saturday, December 2, 2023, 2 to 4 p.m. Location - 211 S. 13th Street, Mount Vernon Join us for tours, meet providers and browse our health fair.

CONTINUED FROM PREVIOUS PAGE “The planning team worked with the whole endoscopy team, staff and providers, to determine patient flow, placement of equipment and other details that will make this a very efficient place to work and a modern facility for our patients,” said Dr. Alagugurusamy. The addition of the Mount Vernon Surgery Center will relieve pressure on the six operating rooms at Skagit Valley Hospital, where the focus will remain on patients who need to receive hospital care following surgery and emergent procedures. “Patients will receive the same fantastic care at the surgery center as they do at the hospital,” said Kelly Bradford, MBA, RN, CNOR, Regional Director of Surgical Services. “The addition of a surgery center expands our ability to continue to care for the people of our community.”

Your wishes, your voice: The power of advance care planning

What if you experienced a sudden accident or illness that prevented you from making your own medical decisions? Would your family or loved ones know what kind of care you want or don’t want? An advance directive is a legal document that allows you to state your wishes for medical care in the event you become unable to speak for yourself. This can include decisions about cardiopulmonary resuscitation (CPR), life support and other life-sustaining treatments. By having an advance directive, you can help ensure your wishes are followed and that your loved ones and healthcare providers know what you would want. In Washington (and many other states), the advance directive also enables you to assign someone to act as your healthcare durable power of attorney. This is a person you trust to make healthcare decisions for you when you are unable to communicate or make decisions for yourself. Often people don’t consider filling out an advance directive until they are of a very advanced age or facing a significant medical diagnosis. However, we highly recommend every adult complete this form. Anyone who is at least 18 years old can and should have an advance directive. Some people are reluctant to complete an advance directive because they are unsure about some of the choices, or they worry, “What if I change my mind?” The advance directive can be updated as frequently as you desire. We recommend people review their advance directive at least every ten years, any time they experience a significant life change (e.g., a loved one’s death, a significant move or divorce), or if they have received a new life-limiting diagnosis. Sometimes as we age, have more life experiences or watch loved ones endure tough situations, we may reassess our feelings about things like CPR or life support. This is completely natural. Advanced directives do not lock you into any decisions.

Special features: • A dedicated pick-up area located at the front of the building will provide for easy transition to the car for patients. • Thoughtful design creates staff and patient flow efficiencies. • Clinic waiting areas are flanked with east-facing windows to provide an abundance of natural light. • Cool, neutral paint, furnishings and finish work create an overall calming experience and healing environment. • The heating, ventilation and air conditioning system filters air at the point of use, just above the ceiling, to ensure the most freshly filtered air is entering the facility at all times.

People of an advanced age, who have a serious illness or who possess a very strong opinion about not undergoing CPR should also consider completing a Portable Order for Life-Sustaining Treatment (POLST) form. The advance directive is really only valid inside a hospital or other healthcare facility. Having a POLST signed by your healthcare provider helps ensure emergency medical service (EMS) providers can follow your wishes should you need help at home or in a public place. Since we never really know when one of these moments may arise, it’s best to get started on your advance directives now to make sure your voice is heard.

Questions? If you have questions or would like to learn more, Hospice of the Northwest offers classes in Advance Care Planning regularly throughout Island, San Juan, Skagit and North Snohomish counties. Use the QR code or visit www.HospiceNW.org/calendar to find a class near you.

Volunteers are essential at Hospice of the Northwest Whether it’s offering companionship to hospice patients, providing respite support to their loved ones or assisting with administrative tasks, volunteers are an integral part of the Hospice of the Northwest team. For more information or to apply, visit HospiceNW.org/Volunteer.

WOMEN’S HEALTH

OB/GYN and Midwifery care At its core, the Women’s Health department at Skagit Regional Health is committed to compassionate medical care, support and guidance for every patient. Recently, the Women’s Health clinic at Skagit Regional Clinics – Mount Vernon has expanded into two separate clinics – Obstetrics/ Gynecology (OB/GYN) and Midwifery. Both OB/GYN and Midwifery care are also available at Skagit Regional Health – Arlington Women’s Health.

Midwifery For patients who desire a holistic approach and present as low-risk, midwifery is a good option. “Midwifery focuses on patientcentered care,” said Tami Schnell, Regional Director for Women’s and Children’s Services. “The philosophy of empowering women to make informed decisions about their health…CNMs (Certified Nurse Midwives) strive for longterm relationships with their patients.” The new midwifery clinic at Skagit Regional Clinics – Mount Vernon is set up well to enable this. “Midwifery care involves providing care during pregnancy, childbirth, and the postpartum period as well as reproductive and gynecologic health services, with a focus on education and care of the whole person,” said Madeline Harris, CNM, Certified Nurse Midwife at Skagit Regional Health. “Midwives primarily care for healthy, low-risk individuals, but can also manage many of the most common pregnancy complications, including gestational diabetes that is controlled with diet, mild preeclampsia and advanced maternal age.”

A unique benefit to midwifery care at Skagit Regional Health is the ability to deliver in a hospital setting while maintaining a holistic approach. “(Midwives’) philosophy is to provide women with the delivery of their choosing in an atmosphere of compassion, skill and health promotion,” said Schnell.

Obstetrics and Gynecology (OB/GYN) For patients with complicated or high-risk pregnancies, OB/GYN care is necessary. OB/GYN providers are also trained to partner with patients experiencing complex gynecologic issues. “OB/GYN (providers) are dedicated to the health and well-being of women as well as their unique needs,” said Schnell. “Their focus is on the clinical aspects of care…from preteens through menopause. (They) are trained to do surgeries and manage pregnancy-related complications.” One benefit to receiving gynecologic and pre-/post-natal care at Skagit Regional Health is that the Midwifery and OB/GYN services are closely connected in both Mount Vernon and Arlington. “Although midwives at Skagit Regional Health typically care for low-risk pregnancies, they are adept at identifying any complications of childbirth and closely work with consulting OB/GYNs when necessary,” said Carlyn King, DO, OB/GYN provider at Skagit Regional Health. “The (OB/GYN and Midwifery) providers are a team, in two different clinics,” said Schnell. “The admiration and respect of each other’s skill levels and their philosophy creates the best care for patients.”

Childbirth education e-class Skagit Regional Health offers an evidence-based, video-rich and engaging childbirth e-class. You will have access to videos, animations, optional read-along audio, quizzes, interactive exercises and essential pregnancy, birth and new-parent tools including a PDF library, glossary and web links. Scan the QR code to visit the Classes and Events page at SkagitRegionalHealth.org or call 360-814-2283.

Family Birth Center tours Skagit Regional Health has two Family Birth Center locations, one in Mount Vernon at Skagit Valley Hospital and one in Arlington at Cascade Valley Hospital. Scan the QR code or visit SkagitRegionalHealth. org/FBCStay for video tours.

Lactation service Skagit Regional Health offers consultations with our lactation specialists during and after your hospital stay. For more information, call: Mount Vernon: 360-814-2283 Arlington: 360-618-7754

Cardiac Cares CAPITAL CAMPAIGN

A growing need for advanced cardiovascular care The statistics are hard to ignore. Heart disease continues to be the leading cause of death in the U.S. for both men and women. Each year, one in seven adults die from the disease. You probably know someone who has struggled with heart disease. A parent. A sibling. A neighbor. A friend. The good news is that cardiovascular disease is highly treatable when diagnosed early. Skagit Regional Health’s Heart and Vascular Institute provides outstanding cardiovascular care to more than 3,000 patients from 15 different Zip Codes each year. And the need continues to grow. An investment in having the best cardiac imaging services available is what our community deserves. Imaging technology has improved immensely and has proven to increase the accuracy of early detection. It allows for more precise interventional cardiac procedures such as those to open blocked arteries or place the heartbeat back into rhythm. Most importantly, this new diagnostic technology will provide our cardiologists with quicker results and improve overall outcomes for Skagit Regional Health patients. With this goal in mind, the Skagit Regional Health Foundation Board of Trustees made the commitment to raise $3 million to fund state-of-the-art cardiac diagnostic imaging equipment for two catheterization labs in Skagit Regional Health’s Heart and Vascular Institute.

Scan to give a gift today!

What is a cath lab? A catheterization lab or cath lab is a procedure room with imaging equipment used to visualize arteries and chambers of the heart to diagnose heart disease, treat any blockage identified and prevent heart attacks (see page 4).

Many treatment options With the planned upgrades, our multidisciplinary cardiovascular team will continue to provide the following services: • Angioplasty • Cardiac catheterization • Arrhythmia and atrial fibrillation management • Electrophysiology • Pacemaker insertion And, as an added benefit, these non-surgical, minimally invasive treatments usually do not require an overnight hospital stay. The patient can expect to return to their home the same day to rest and recover.

“Skagit Regional Health is a force in cardiac care! This campaign will give us the tools we need to continue to provide state-of-the-art diagnostics and therapies for heart patients in our community. The staff here provides kindhearted and patient-centered care. I would not choose to work anywhere else!” Ramy Hanna, MD Electrophysiologist

FOR MORE INFORMATION contact the Foundation at 360.428.2140 or email us at

Our goal is $3 Million!

Help fund state-of-the-art cardiac diagnostic and imaging equipment for two cardiac catheterization labs at Skagit Regional Health.

Heartfelt giving makes a difference With your support, the Skagit Regional Health Heart and Vascular Institute’s team of cardiovascular providers will continue to revolutionize cardiac care in our region. A gift of any size is meaningful and will make a positive impact on the lives of cardiac patients for decades to come.

Naming opportunities This capital campaign offers the following naming opportunities to recognize leadership gifts from individuals, families, corporations and foundations that support this important effort: $1,000,000 Heart and Vascular Institute $250,000 Special Observation Unit $100,000 Procedure Suites (3) $50,000 Diagnostic Imaging Waiting Room $50,000 Special Observation Unit Waiting Area $25,000 Procedure Suites (12) four names per suite $10,000 Patient Observation Rooms (10) The Foundation welcomes tribute gifts made in memory or in honor of a loved one. Anonymous gifts are also gratefully accepted.

Recognizing your gift A donor wall offering permanent recognition will be placed outside the Skagit Regional Health Heart and Vascular Institute. Donor gifts of $5,000 or more will be acknowledged. All gifts of $1,000 or greater will be recognized on the Foundation’s Donor Recognition Wall inside of Skagit Valley Hospital.

foundation@skagitregionalhealth.org

Ryan Vellinga, MD, Orthopedics and Sports Medicine provider at Skagit Regional Health, visits a classroom and shows students an educational model he helped secure for use in an Arlington High School Health science classroom.

Orthopedic providers bring hands-on learning to Arlington high school students The Arlington School District (ASD) has recently partnered with Skagit Regional Health providers as part of their Career and Technical Education Advisory Board, bringing medical expertise to their Health Science program to offer better resources and information for students interested in pursuing future career paths in healthcare. Orthopedic Surgeon Ryan Vellinga, MD is one Skagit Regional Health provider who offers up-to-date information to educators to aid teaching and help enhance the overall student learning experience – all with the goal of enabling students with interest in a career in healthcare. “If (students) in high school get a chance to be around something in medicine and see something cool and surprising, that could alter their career path,” said Dr. Vellinga. “There is a whole host of kids who may also be great physicians but never had inspiring exposure to it – so providing the opportunity to explore their interest could help some pursue something they’d really like to do for their own career.” The teachers see tremendous benefit for both their students and themselves as they plan their program. “Dr. Vellinga has shared things that helped him in school and medical school and that has helped me as a teacher to change or add things to my lessons to help the kids,” said Nicole Roskelley, Arlington High School Health Science instructor. “It is so appreciated and we love having them as part of our group and an active part of our community/ board.” School district officials see the benefits and plan to keep it going – for several career fields. “This is an example of the kind of partnership we seek in all our Career and Technical Education programs,” said Brian Long, College and Career Readiness Director for ASD. “We have extensive programs best supported by a vast array of careers and people. Our goal is to align our courses with industry standards so that our classrooms look less like classrooms and more like worksites. We cannot do this without the input of industry content experts like Dr. Vellinga.”

Resources for a healthy life

Screenings Colonoscopy

Healthy adults over the age of 45 who have not had any colon-related symptoms or any other major health problems are eligible to receive a screening colonoscopy without a doctor’s referral through Skagit Regional Health’s Direct Access program. Call 360-814-5739 to schedule.

Childbirth/Family Resources

Community Resources

Skagit Regional Health offers excellent resources to help expecting parents prepare for their new arrival. See page 11 to learn more.

Skagit Helps

Medicare Enrollment

Mammography plays an integral part in the early detection of breast cancer because it can show changes in the breast up to two years before you or your healthcare provider can feel a noticeable lump. Call 360-424-6161 to schedule a mammogram in Mount Vernon and call 360-814-2168 to schedule in Arlington.

The Medicare Annual Enrollment Period is upon us. Patients have between October 15 and December 7 to make important Medicare plan decisions for 2024. For instant comparisons of Medicare plans please visit MedicareOnDemand. com/Skagit or call the Medicare Insurance Helpline, serviced by MedicareCompareUSA toll-free at 1-866-389-0445, TTY 711 Monday through Friday 6 a.m. - 5 p.m.

Talk with your healthcare provider about the other screenings available at Skagit Regional Health:

Need to renew your Medicaid Apple Health?

• Prostate cancer screening

Please contact:

Mammography

• Lung cancer screening • Cervical cancer screening To learn more, go to SkagitRegionalHealth.org and search ‘screenings.’

Mental Health

Apple Health Customer Service Call 1-800-562-3022 Login to Washington Connection: WashingtonConnection.org Skagit Regional Health Patient Financial Services - Call 360-814-7575

988 Suicide & Crisis Lifeline If you or someone you know is experiencing thoughts of suicide, a mental health crisis, a substance use crisis or any other kind of emotional distress, please call or text 988 to be connected with a trained crisis counselor. It is confidential, free and available 24/7/365. Services are available in Spanish, along with interpretation services in over 250 languages. Deaf/hard of hearing/TTY: Use your preferred relay service or dial 711 then 1-800-273-8255.

Volunteer at

Skagit Regional Health There is an urgent need for volunteers in our Skagit Valley Hospital Gift Shop, re-opening soon, as well as our information desks and other essential areas of our hospitals. Please apply online at SkagitRegionalHealth. org/Volunteer. Contact volunteer@ skagitregionalhealth.org or call 360814-2142 for more information.

If you need assistance with housing/ basic needs, alcohol/drug overuse, depression/anxiety, thoughts of suicide/self-harm or just need someone to talk to, visit SkagitHelps.org to learn more about local resources available to you.

Give blood Bloodworks Northwest offers blood drives in our community for our community. Call 1-800-398-7888 or visit Schedule.BloodworksNW.org to donate now.

Stop the Bleed® Save lives by learning how to provide vital initial responses to stop uncontrollable bleeding in emergency situations. Call 360-814-8245 to learn more about hosting a Stop the Bleed® class.

Have unused medications? Dispose of them properly Search MedTakeBackWashington.org to find local, secure drop-off kiosks for your unused medications or to order mail-back supplies.

Stilly Valley Health Connections Skagit Regional Health has a joint partnership with Stilly Valley Health Connections, Public Hospital District #3 in Snohomish County. They offer classes and resources on a wide variety of health topics. Visit StillyValleyHealth.org to browse their listings and register.

More Be Well resources Visit SkagitRegionalHealth.org and click on classes and events to find more Be Well resources or email healthquest@skagitregionalhealth.org.

Quality, accessible healthcare From the patient perspective:

Having quality, accessible healthcare services is an essential foundation to the well-being of any community. Some may not realize the breadth of the strong healthcare system we are fortunate to have right here in our community or know much about how our public hospital district works.

"I am a board member and a patient. I recently spent three days on the second floor of Skagit Valley Hospital and could not be more impressed with every staff member I encountered. They were kind, compassionate and worked hard to meet my needs along with the safety and satisfaction standards that I know we are working toward for every patient encounter. From checking for pressure wounds and rounding to fall prevention and meal deliveries, you name it, they were on top of it. This includes all of the nurses, medical assistants, environmental services staff, techs, leaders and others I met along the way. All these people and many more contributed to the excellent care I received. The people involved in my entire stay represent a great example of the caring staff we have in our public hospital district and healthcare system who are dedicated to providing outstanding care to each individual patient." - Gary Shand

Skagit Regional Health is a non-profit, community-owned public hospital district that has an outstanding track record of providing excellent care, 24/7, since 1958.

What is a public hospital district?

As a public hospital district, it’s important for you to know that the organization needs a margin – or profit. Any margin earned is reinvested into the organization to support the work of our team and to reinvest in equipment, infrastructure and important advancements in technology to provide the most advanced care to our patients.

In Washington, public hospital districts are community-created, governmental entities authorized by state law to deliver health services – including, but not limited to, acute hospital care – to district residents and others in the districts’ service areas. Owned and governed by local citizens – a publicly elected Board of Commissioners – hospital districts tailor their services to meet the unique needs of their individual communities. Public Hospital District No. 1, Skagit County – Skagit Regional Health – now includes Skagit Valley Hospital, Cascade Valley Hospital and nearly 30 clinic locations in Skagit, north Snohomish and Island counties.

As a longtime resident of Skagit County with a career in law enforcement, I am honored to serve Skagit Regional Health. I am one of seven, publicly elected members of the Board of Commissioners who represent the people of Public Hospital District No. 1 and provide governance for the organization. As commissioners, we take our job very seriously. We are constantly learning about the complexities of running a growing healthcare system that includes two hospitals and nearly 30 clinics. Skagit Regional Health is the largest employer in Skagit County, including 224 employed doctors and advanced practice providers (physician assistants and nurse practitioners). We focus on quality and safety; best practices; leading-edge technologies and meeting the needs of the community. Skagit Regional Health offers an impressive array of primary and specialty services right here in our communities. There are few reasons why a patient would need to travel to get the care they need. We offer cancer care, robotic surgery, acute hospital care, cardiac catheterization, urgent care, joint replacement, primary care, general surgery and many more specialties right here. In every way, this is a big operation with an annual budget of more than $536 million in net patient service revenue. The Board is here to help keep it on track, be good stewards of our funds and grow to meet the communities’ needs. The past few years have been especially challenging in many ways, including financially. With a strong financial improvement plan in place and hard work by our entire team, the organization is well on its way to a return to positive financial performance.

For the past 65 years and for many more in the future, Skagit Regional Health – a public, non-profit healthcare system – is the foundation of healthcare services that is essential to support the well-being of the communities we serve. Staying connected to the community is very important to us as a Board of Commissioners. If you have questions or comments, please let us know via email at srhboard@skagitregionalhealth.org. We look forward to hearing from you.

Gary Shand Chair, Public Hospital District No. 1 Skagit Regional Health Board of Commissioners

P.O. Box 1376 Mount Vernon, WA 98273-1376

Join us!

Mount Vernon Surgery Center Grand Opening Get to know Skagit Regional Health at the new Mount Vernon Surgery Center. Date - Saturday, December 2, 2023, 2 to 4 p.m. Location - 211 S. 13th Street, Mount Vernon Join us for tours, meet providers and browse our health fair.