HealthQuest - Spring/Summer 2022 by Skagit Regional Health

SPRING/SUMMER 2022

A publication of

Skagit Regional Health

Under construction

Station Square clinic, new surgery center on track | 6

True Family Medicine

Darrington providers take care of the community | 8

Surgical robotics

Gynecologists join specialists using advanced technology | 4 Gratitude Report 2021 | 21

Proudly Presents the 18th Annual

Be Well: Our commitment to help you stay healthy Skagit Regional Health is embarking on an effort to put renewed focus on the health and wellness of our communities. For starters, you will begin to see our Be Well campaign roll out through the summer and beyond, featuring positive messages of inspiration and encouragement for our patients and all residents to focus on prevention and good health. Skagit Regional Health is here to partner with you in wellness as well as to provide you the full array of healthcare services you need when you have an illness or injury. For the past two years, as we faced the COVID-19 pandemic, many people delayed getting routine and preventive care. We are moving into a new phase with the virus as some experts say we have shifted to an endemic as the number of cases and hospitalizations decrease and stabilize. So, now is the time to Be Well and return to having important screenings, such as mammograms and colonoscopies; to schedule regular checkups with providers, which can often be a convenient video visit; and to get timely vaccinations, as recommended by your primary care provider. Spring and summer are the perfect time to be more physically active, get fresh air and enjoy the fresh produce this beautiful region has to offer.

Friday, June 24, 2022 Skagit Golf and Country Club

Our efforts to help you Be Well are moving into some new arenas too – we have a growing library of Be Well podcasts featuring many of our providers discussing important wellness and prevention topics and we are developing a section of our website to focus on Be Well resources. We look forward to continuing to build on this important effort to support the health and wellness of the communities we serve. Be well.

Thank You to Title Sponsors

Brian Ivie President and CEO

For information call the Foundation office at 360-814-8376. 2

SPRING/SUMMER 2022 | VOLUME 19 | ISSUE 1 HealthQuest is published by Skagit Regional Health and the Skagit Valley Hospital Foundation. For additional copies of HealthQuest or more information, contact Vice President of Communications Kari Ranten at 360-814-2370 or go to our website at www.skagitregionalhealth.org.

04 Surgical robotics

15 Schedule screenings

06 Under construction

16 New providers

Gynecologists join specialists using advanced technology Station Square clinic, new surgery center on track

True Family Medicine

Darrington providers take care of the community

10 Coordination of care

Heart attack patients benefit from strong system

11 Be Well

Skagit Regional Health partners with community on wellness

Skagit Regional Health offers a variety of important screenings

Primary care, specialists join Skagit Regional Health

Ready to leave the hospital

Discharge planners help patients prepare for smooth transition

32 Be Well 36 COVID-19 update

Resources for a healthy life

21 Foundation Gratitude Report 32 Resources to Be Well Board of 39 Commissioners

Physicians discuss next steps in the pandemic

14 Heading outside?

Foot and ankle specialist offers tips on foot care

11 How will you Be Well?

Joshua Hawkins, MD, FACS, general surgeon at Skagit Regional Health, climbs at Mt. Erie in Anacortes.

SPRING 2022

Gynecologists Trisha Halvorsen, MD, left, and Carlyn King, DO are the latest providers to begin using the da Vinci® Surgical System at Skagit Valley Hospital.

Surgical robot offers improved patient outcomes in new specialty When the da Vinci® Xi™ Surgical System was brought to Skagit Valley Hospital in 2018, Skagit Regional Health became the first healthcare system north of Everett to offer the latest model of the advanced, robot-assisted technology. Due to the increased precision of the tiny instruments, it allows surgeons to successfully perform more minimally-invasive procedures, which affords many patients reduced recovery times, shorter hospital stays and overall improved patient outcomes.

would be interested by this advance of surgery in the pelvis so we adopted it into our specialty and began using it to help women with various conditions in the pelvis.”

Gynecologists are the latest specialists to begin using the robotic system at Skagit Regional Health, joining colorectal, general and thoracic surgeons.

“I think having the robot is really a game-changer,” said Halvorsen. “This is a benefit to our community and the fact that our administration was willing to invest in that at the request of the surgeons speaks volumes of the people who run our organization,” said Dr. Halvorsen. “I’m really excited to be able to use that technology, to offer that to my patients, to improve patient care and patient outcomes with this great device we have.”

“A lot of organizations that originally were using robotics started in general surgery because they did a lot of laparoscopy, but then the urologists found that the robot actually gives you a lot of dexterity in tight spaces, such as the pelvis,” said Carlyn King, DO, Women’s Health provider at Skagit Regional Health. “It naturally followed that gynecologists

WOMEN’S HEALTH PROVIDERS: Use our Find-a-Doc tool on our website to find the right Women’s Health provider for you. skagitregionalhealth.org

Trisha Halvorsen, MD, Women’s Health provider at Skagit Regional Health, said she believes this new technology will change how we approach gynecologic surgery in an extremely positive way.

The robot allows Dr. King and Dr. Halvorsen to perform a variety of gynecologic surgical procedures such as hysterectomies, pelvic organ prolapse, challenging ovarian cysts and surgeries for endometriosis. It even allows them to perform procedures not possible through more traditional methods. “It helps me provide complex surgery to women who might not be candidates for surgery here otherwise,” explains Dr. King. “With traditional laparoscopy, you don’t get to do a lot of the more complex surgeries. That’s because the drawback of traditional laparoscopic

instruments is their limited range of motion. The robotic instruments have a much greater range of motion due to their design, so the da Vinci robotic system allows me as a general gynecologist to really expand my repertoire of gynecologic surgery and be able to provide care for patients in our hospital without having to travel down to a faraway city for care.” Dr. King was instrumental in bringing this technology to Women’s Health at Skagit Regional Health. “I found that more and more of my patients came to me with really complex problems and had a history of multiple surgeries, or people have tried to help but never were able to be successful before for some reason or another,” said Dr. King. “Those patients, I felt, needed more technology, more support, more surgical services to be able to treat them. I realized at that point that a lot of my patients would benefit if I had an additional skill set and was able to advance my surgical skills to help them. So I started looking into robotics and we started a whole training program here. I got trained fairly quickly on it because of my experience operating with the da Vinci system in residency. Then we launched our GYN robotics program a few months later.” The training involved in becoming certified to use the robot is rigorous. Dr. Halvorsen agrees the robot offers tremendous benefit to our community, increasing our capabilities for keeping patients within the Skagit Regional Health system for high-quality treatment. “Any patient can benefit from the advantages of robotic surgery,” said Dr. Halvorsen. “In the past, if I had a patient who I recognized would not be a candidate for traditional laparoscopic surgery due to the surgical complexity, but felt that they would be a candidate for surgery robotically, I would transfer those patients out of our community to a tertiary care facility,” said Dr. Halvorsen. “Now, with having robotic technology here, we’re able to offer certain surgeries that we couldn’t have offered in the past. It’s a great thing to be able to offer our community.”

“Any patient can benefit from the advantages of robotic surgery.” Trisha Halvorsen, MD

“It’s not the robot performing the surgery. It’s the surgeon performing the surgery,” explains Dr. Halvorsen. “The robot is really just a tool to allow me to complete the surgery in a safe and efficient way, to give me better visualization, and to give me better control of my instruments.” Dr. King adds, “I feel confident in my surgical skills in general. Adding a new tool that actually allows me to use my skills more efficiently was fairly seamless. It felt like I was physically more capable with using this technology and I really enjoyed that. I realized, ‘This is the tool that’s going to help me help my patients.’” Not only does it allow the surgeon a better surgical process, there are multiple benefits to the patient, including a shorter hospital stay and significantly improved recovery time. “Our patients can go home the same day after a hysterectomy which is amazing,” said Dr. Halvorsen. “Most of our patients are up and running again within 7-14 days. They may still be sore and fatigued, but are typically off all narcotic pain meds within 1-3 days. Whereas with the traditional big incision…those patients may spend 3-4 days in the hospital and often require pain medications for quite a bit longer. During that time, mobility can be a challenge, mostly related to pain and discomfort.” Skagit Regional Health remains committed to transforming healthcare by improving access, service, quality and efficiency. “The whole driver of starting to use the robot in GYN surgery is that our patients will benefit from this,” said Dr. King. “There will be patients who can now have surgery here who couldn’t before.”

WOMEN’S HEALTH SERVICES AT SRH: We help women of any age with specific health needs and support them as they take charge of their health throughout their lifetime. Opportunities for women to be well include: • Breast Imaging Services • Breast Cancer Care • Family Birth Center • Family Planning • Gynecology Services • Gynecologic Surgery

• Menopause Management • Midwifery Services • Obstetric Care • Prenatal Care • Sexual Health

For patients who may feel hesitant about allowing a robot to be used in their surgical procedure, Dr. Halvorsen offers reassurance that the surgeon actually gains better control of the surgery than a traditional method and the benefits of that translate to a better patient experience. SPRING 2022

Skagit Regional Health – Station Square, a 30,000-square-foot facility, is under construction just west of Interstate-5 near downtown Mount Vernon.

STATION SQUARE:

New clinic is under construction The steel framework of what will be Skagit Regional Health’s newest clinic started to go up in the early days of February near the entrance to Downtown Mount Vernon in a development called Station Square. Skagit Regional Health – Station Square is on schedule for completion later this year and on target to open in December 2022. The 30,000-square-foot, three-story clinic will include Urgent Care and Primary Care, including behavioral health, midwifery, X-ray and lab. The location just off Interestate-5 affords easy access and ample parking, including two electric vehicle charging stations.

Urgent Care services will relocate from the current clinic on the Skagit Valley Hospital campus to the new, larger facility at Station Square. Additional Urgent Care clinics are located at Skagit Regional Clinics – Riverbend and Skagit Regional Health – Smokey Point, offering services seven days a week. The new clinic also helps Skagit Regional Health expand medical office space as the organization recruits additional primary care providers to meet the healthcare needs of the community. Kirtley-Cole Associates, LLC is the Contractor and Visconsi Companies, Ltd. is the Station Square developer. The Station Square development also currently features a 7-Eleven store and gas station and a Wendy’s fast-food restaurant.

MOUNT VERNON SURGERY CENTER:

New facility puts focus on outpatient procedures Skagit Regional Health is planning a new 60,000-squarefoot outpatient surgery center and medical office building to be located on the Skagit Valley Hospital campus in Mount Vernon.

Specialists in orthopedics, urology, general surgery, foot and ankle, plastic surgery, ENT, gynecology, orthopedic spine surgery and gastroenterology will provide services in the new surgery center.

The Skagit Regional Health – Mount Vernon Surgery Center will be located just north of the hospital, facing 13th Street. Building completion is expected in December 2023.

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 with patients who will need to receive hospital care following surgery and emergent procedures.

The three-story building will be home to a wide range of surgical specialties. The patient-focused design will feature four operating rooms, three endoscopy suites and one procedure room; diagnostic imaging and clinics totaling 62 outpatient exam rooms for Gastroenterology; Ear, Nose and Throat (ENT); and Orthopedics and Sports Medicine. A growing number of procedures, including some joint replacements, are performed on an outpatient basis as a result of improving technology and advances in anesthesia and pain control. “This new Mount Vernon Surgery Center will help us better meet the needs of our surgical patients with a facility and environment that is designed specifically for outpatient procedures,” said Skagit Regional Health Chief Executive Officer Brian Ivie. “We are excited to begin this project and have a surgery center that improves access to safe, quality care.” Outpatient surgery centers are a trend nationally and are often a preference for patients. “A surgery center provides a more streamlined experience for patients, because it’s a smaller venue, it’s easy to get in and out and the entire facility is designed and dedicated to outpatient procedures,” said Kelly Bradford, Regional Director of Surgical Services. “This will be a one-stop shop with many patient-focused enhancements and the latest surgical technology.”

“Patients will receive the same fantastic care at the surgery center as they do at the hospital,” Bradford said. “The addition of a surgery center expands our ability to continue to care for the people of our community.” The new building will offer a convenient location, easy access, patient pick-up area and ample parking. Site work will begin in June with the estimated target to open the facility in December 2023. Skagit Regional Health is working with SVH Partners, LLC on the project and the contractor is BNBuilders.

FAST FACTS: 60,000 SQUARE FEET Faces 13th Street just north of Skagit Valley Hospital FIRST FLOOR: ORs, endoscopy, sterile processing • Four operating rooms • One procedure room • Three endoscopy procedure rooms

Site work and construction of the 60,000-square-foot Skagit Regional Health – Mount Vernon Surgery Center begins in June 2022 just north of Skagit Valley Hospital.

SECOND FLOOR: • Gastroenterology • Ear, Nose and Throat • Imaging: Two X-ray • Staff support THIRD FLOOR: • Orthopedics and Sports Medicine OPENS TO PATIENTS: December 2023

SPRING 2022

Devon Kienzle, DO, left, Kelli Kraft, ARNP and Gary Schillhammer, MD care for patients at Skagit Regional Clinics – Darrington Family Medicine.

Darrington Family Medicine takes care of the community Skagit Regional Clinics – Darrington Family Medicine is a rural clinic with a special history in a tight-knit community. The Town of Darrington sits east of Arlington on Highway 530, nestled between the Sauk River and the north fork of the Stillaguamish River, and just more than 1,000 people call it home. The clinic was constructed in 1959, funded by grants and donations and built by the hands of the community. Over the years, a variety of doctors and nurse practitioners came to the newly built clinic to provide care for the community of Darrington. All the turnover ceased in 1984 when Gary Schillhammer, MD moved in and not only began his practice, but invested his life into practicing medicine for the people of Darrington. “I came and interviewed on a sunny day and fell in love with the rural aspect of the Darrington environment and its isolation,” said Dr. Schillhammer. “I was headed to Alaska, but my pregnant wife Julie said no. I committed to a twoyear tenure through a Public Health Service scholarship for medical school loans and have stayed for 38 years!” Like his grandfather, Dr. Schillhammer graduated from the University of Vermont College of Medicine and began practicing in a small logging town – his grandfather in northern New Hampshire and Dr. Schillhammer in Darrington.

DARRINGTON CLINIC GUILD The Darrington Clinic Guild has been essential to the success of Darrington Family Medicine since 1958. From inception and construction, to continuing fundraising and support to this day, the Darrington Clinic Guild works to maintain Darrington Family Medicine as a valuable medical resource for their community.

“Coming to Darrington was exactly what I had dreamt of,” said Dr. Schillhammer. “(I wanted) to serve in a community where one could really fit in with the people as family, enjoy the outdoors and make a real impact on their lives. How true that has been.” In his early days, Dr. Schillhammer worked to support the emergency cases that occurred as a result of the large amount of logging in the area. Since then, the clinic has expanded significantly to include obstetrics, advanced medical care and interventions, chronic care management, disease diagnostic services and preventive care. “As the needs of the community expanded, we realized that we needed to provide most services here at the clinic in order for people to actually receive them,” said Dr. Schillhammer. “Our physical plant improved and expanded. The equipment capabilities were modernized. And our goal of providing health care locally has required we be fluid with the times and changes in the way health care has been provided. For that reason, we affiliated with Cascade Valley Hospital and now with Skagit Regional Health to make sure that their services are available and that we have nearly seamless support from the specialties.” As the clinic’s services expanded significantly to meet the needs of the community of Darrington, Dr. Schillhammer maintains that the clinic is a family, and they treat their patients as members of that family. “We are on a first name basis…patients at the clinic can trust that we are treating them just as we would treat patients in our own family,” said Dr. Schillhammer. “They have my home phone number and call me day and night. House calls are not uncommon when needed. If someone is sick, we stay late. Our goal is to take care of our own right here in Darrington but realize certain services are necessary and we help get them there.”

Having access to services that are not readily available within the walls of the Darrington clinic is a significant benefit of being a part of the Skagit Regional Health system. Extended services are available within the same healthcare system to rural populations – for a continuum of quality care and thus an overall better patient experience.

that comes with patients in Darrington, I get to understand their whole family.”

“We have been very fortunate to have help from Kelli Kraft, ARNP and now from Devon Kienzle, DO,” said Dr. Schillhammer. “We are all quite different and (Dr. Kienzle’s) addition has really allowed us to expand the services at the clinic with more focus from them in obstetrics, pediatrics and osteopathy. It is wonderful that patients now have choices in personalities that might help them get the personal, individualized health care they desire.”

“Probably the most exciting stories are the many times when I have flown in the helicopter to provide rescues in the woods and wilderness,” said Dr. Schillhammer. “Just plain being available has made such an impact - for people to get entered into the healthcare system easily has saved many lives I am sure.”

Dr. Kienzle completed his residency training with Skagit Regional Health and graduated in June of 2021. He began practicing in Darrington soon after and his passion for providing a family-centered medical home has already proven to be a stellar fit. “When I was deciding that I wanted to be a doctor, I wanted to also play an active role in the community and help kids grow into adulthood,” said Dr. Kienzle. The family element brings a new perspective to how he provides care and sheds a new light on how we think about our life at home and how it affects our health. “The coined term is actually a ‘patient-centered medical home’ which is where patients can basically have all of their needs met – there’s a social worker, pharmacy, mental health, all providers – it’s a one-stop shop,” said Dr. Kienzle. “The only twist I have on that is a familycentered medical home is not just where each individual comes to have all their healthcare needs met, but they come as a family and make health care an active part of their family unit, which helps improve their general wellbeing. In Darrington, we really do have the family-centered medical home. We have to understand every aspect of our patients and their families and provide that health care.”

Darrington Family Medicine is truly a special corner of Skagit Regional Health – it’s a shining example of the organization’s mission to continually improve the health of our communities, serving with compassion and respect.

The clinic providers and staff have witnessed the community’s history and are an integral part of the community today. “I love working in a small town with people from all walks of life and all different perspectives,” said Kraft. “Darrington has a strong history of people across the political divide coming together in unity as a community for a common good – for example, in the aftermath of the Oso landslide. This is part of the Darrington fiber and it helps keep me humble. I love the conversations I have with people where I get to better understand a perspective I may not have previously considered. I feel that I am a better provider and human for working in this beautiful community.”

Devon Kienzle, DO, offers a young patient the chance to use his stethoscope.

The passion for a family-centered medical home is something that all providers at the Darrington clinic share. Kelli Kraft, ARNP is a nurse practitioner at the clinic and has been practicing there since 2018. “I believe that our health is greatly influenced by our environment and our community and families, however we define that to be,” said Kraft. “I love working in rural healthcare as I get to care for people and really get to know my patients. I love caring for the full family and getting to care for multiple generations simultaneously.” Not only do the Darrington clinic providers and staff care about providing family-centered health care, but Dr. Kienzle’s arrival to the clinic also means an increased focus on obstetrics. He couldn’t be happier for the opportunity in the rural setting. “The reason I think I fell in love with it is, when you do Family Medicine with OB, in one shot, you see this progression of life – with a child, a mother, a father or other co-parent in the room, and you get to see this beautiful thing,” he said. “There is a unique opportunity

Devon Kienzle, DO skagitregionalhealth.org/podcast

“How to Safeguard Your Mental Health as a New Parent” To learn more about Devon Kienzle, DO, visit skagitregionalhealth.org. SPRING 2022

North County Regional Fire Authority Firefighter/ Paramedic intern Ryan Jaromin, from left, Firefighter/Paramedic Dan Welk and Firefighter/ Paramedic Steven Daggett stand with one of the ambulances used to transport heart attack patients to Skagit Valley Hospital.

Coordination of care benefits heart attack patients Heart attack patients in north Snohomish County are benefiting from the strong coordination of care between the emergency departments at Skagit Regional Health’s two acute care hospitals coupled with the availability of 24/7 cardiology services and an excellent partnership with Emergency Medical Services (EMS) and North County Regional Fire Authority. The Emergency Department team at Cascade Valley Hospital works closely with their colleagues at Skagit Valley Hospital in Mount Vernon to prepare and transport heart attack patients to the Mount Vernon facility where the system’s cardiac catheterization labs are located. In 2021, 13 patients were transferred to the cath lab at Skagit Valley Hospital and two have been sent north in 2022.

CARDIOLOGY SERVICES NEAR YOU With clinic locations in Anacortes, Arlington and Mount Vernon, cardiology services at Skagit Regional Health Heart and Vascular Institute provide patients across Skagit, Island and north Snohomish counties with the necessary tools to prevent or treat heart disease. Our board-certified and fellowshiptrained physicians make it easy and convenient to get comprehensive and individualized heart care when you need it – close to home.

“With a heart attack patient, it’s really important to move quickly and we have developed a seamless process between the Cascade Valley and Skagit Valley hospitals’ Emergency Departments, our cardiologists, EMS and the cath lab,” said Justin Boardley, RN, BSN, CEN, Manager of Emergency Services at Cascade Valley Hospital. “Our times from patient arrival to opening a vessel in the cath lab prove how successful we have been.” “I would have to say the partnership between the two Emergency Departments for STEMIs (heart attack) as well as county EMS for transfers has been a great system,” said Dr. Dennis Miller, Emergency Department physician and chief of the medical staff at Cascade Valley Hospital. “We typically get STEMIs out of our door in 30-40 minutes maximum, which makes door-to-balloon times outstanding. This partnership has been an invaluable asset to our patients and the community.”

Skagit Regional Clinics Anacortes Cardiology: 360-293-0308 Skagit Regional Clinics Mount Vernon Cardiology: 360-336-9757

Skagit Regional Health Arlington Specialty Clinic: 360-336-9757

Skagit Regional Health has been working on refining the process and is seeing the results with positive patient outcomes. “They say time is muscle and with an acute heart attack. The thought is, the sooner you get the vessel open, the more heart tissue you will save,” said Karen Watkins, MSN, RN, CCRN, Director of the Cath Lab and Special Observation Unit for Skagit Regional Health. “It has definitely been fun to watch the program build and see the great benefits to the patients.” Early recognition of a STEMI (ST-Elevation myocardial infarction) – or heart attack – is essential, and starts with an electrocardiogram (EKG) to check to see if the heart is beating at a normal rate and strength. “Our team at Cascade Valley is prompt in recognizing when a patient is having a STEMI and quick to initiate care, activate the transport and get the patient to the cath lab,” said Kelly Boardley, BSN, CEN, Skagit Regional Health’s Cardiac and Stroke Coordinator. A recent patient presented at Cascade Valley Hospital, was transported by the North County Regional Fire Authority for the 20-minute trip from Arlington to Mount Vernon and had their vessel reopened in the cath lab in a total of 89 minutes. The teams look to have the “door-to-balloon” time less than 90 minutes for those who present to the Skagit Valley Hospital Emergency Department and 120 minutes for patients who are transferred from an outside facility. “89 minutes, including the transport time. That’s amazing,” Kelly Boardley said, noting the important partnership with North County Regional Fire Authority. “This is an example of how we are connecting the community with more services. People don’t have to travel a long distance to access highquality care.” Skagit Regional Health recognizes the teams who provide excellence in care with a heart charm and certificate of STEMI excellence, based on criteria driven by the American Heart Association and the Cardiac Care Outcome Assessment Program.

Care for you. Care for each other.

Care to keep you healthy. Skagit Regional Health is your partner in wellness. With our goal of building healthier communities, we are committed to helping you with all of your healthcare needs. This commitment includes: • Growing the number of primary care providers and advanced specialists available through Skagit Regional Health’s clinics and hospital campuses. • Adding behavioral health professionals in our primary care offices (p.17). • Helping you stay up-to-date on important health screenings (pp. 15, 32). • Providing convenient virtual care options.

KNOW THE SIGNS OF A HEART ATTACK According to the American Heart Association, call 911 if you experience the following signs of a heart attack:

Chest discomfort

Most heart attacks involve discomfort in the center of the chest that lasts more than a few minutes – or it may go away and then return. It can feel like uncomfortable pressure, squeezing, fullness or pain.

Discomfort in other areas of the upper body

Symptoms can include pain or discomfort in one or both arms, the back, neck, jaw or stomach.

Shortness of breath

• Offering podcasts and health-related classes to help you learn about and engage in behaviors that benefit your wellbeing (pp. 33-35).

We encourage you to make choices to support a healthy, balanced life, from engaging in regular exercise and proper nutrition to fostering supportive social connections and partnering with Skagit Regional Health for your healthcare needs.

How will you Be Well? Consider us your partner in wellness and visit www.skagitregionalhealth.org/bewell to get started.

This can occur with or without chest discomfort.

Other signs

Other possible signs include breaking out in a cold sweat, nausea or lightheadedness. SPRING 2022

AROUND THE REGION Skagit Regional Health receives grant to expand telehealth Skagit Regional Health was awarded a grant in October to help expand videoconferencing for telehealth patient visits.

Skagit Regional Health provider David Escobar, DO, MPH, RYT, FAAFP is serving as president of the Washington Osteopathic Medical Association (WOMA) in 2022.

The $38,515 grant was announced by U.S. Sen. Maria Cantwell and will pay for additional Zoom licenses to enable secure video visits with providers. Skagit Regional Health offers video visits in primary care and a variety of specialties including cardiology, neurology, rheumatology and orthopedics.

Dr. Escobar has been a member of WOMA since his first year of medical school in 2009, served on the organization’s Board of Governors since residency and for the past two years served as Vice President.

“Telehealth is essential to enabling access to medical advice during the COVID-19 crisis,” Sen. Cantwell said in a press release. A strong proponent of telehealth, Sen. Cantwell noted that the grant to Skagit Regional Health and several other healthcare organizations in the state “will help connect more Washingtonians to life-saving care.”

“I have found great value in advocating for the osteopathic profession and through WOMA helping to guide legislators, policymakers and other stakeholders on issues pertinent to the osteopathic medical profession,” Dr. Escobar said. “We partner strongly with our medical schools, Pacific Northwest University of Health Sciences and A.T. Still University and our residency programs across the state, including Skagit Regional Health.”

According to the press release, the grants were awarded through the Federal Communications Commission’s COVID-19 Telehealth Program. First established in the 2020 CARES Act, additional funds were appropriated by Congress as part of the Consolidated Appropriations Act in 2021.

BELOW: Leaders and staff took a banner from Clear Lake Elementary to departments throughout Skagit Valley Hospital.

Physician leads state association

Dr. Escobar also noted that WOMA partners with the Washington State Medical Association and other professional organizations on public advocacy on healthcare issues. Dr. Escobar sees patients at Skagit Regional Health – Smokey Point and Stanwood. In addition to being a Doctor of Osteopathic Medicine (DO), Dr. Escobar holds a Master of Public Health (MPH) degree, is a Registered Yoga Teacher (RYT) and a Fellow of the American Academy of Family Physicians (FAAFP).

ABOVE AND RIGHT: Banners from Conway School

Hospital Safety Grade improves at both hospitals Skagit Regional Health participates in the Leapfrog Hospital Safety Grade program and our new grades for Spring 2022 show improvement in our scores at both Skagit Valley Hospital and Cascade Valley Hospital. Cascade Valley Hospital’s Safety Grade has improved to an “A” for the current reporting period and Skagit Valley Hospital’s Safety Grade remains a “B,” though the actual score improved since last Fall. Chief Quality Officer Josh Griggs, MD notes that the Hospital Safety Grade is based on quality and safety metrics such as hospital-acquired infections, falls, hand hygiene, surgical complications, safe use of Epic as well as patient survey results. “This improved Leapfrog grade demonstrates Skagit Regional Health’s commitment to safety and high quality care and reflects the hard work of leadership and the care teams,” Dr. Griggs said. The Hospital Safety Grade is compiled under the guidance of the nation’s leading experts on patient safety and is administered by The Leapfrog Group (Leapfrog), an independent industry watchdog. The first and only hospital safety rating to be peerreviewed in the Journal of Patient Safety, the grade is free to the public and designed to give consumers information they can use to protect themselves and their families when facing a hospital stay.

Internal Medicine Residency Program earns continued accreditation Skagit Regional Health’s Internal Medicine Residency Program has received Continued Accreditation from the Accreditation Council for Graduate Medical Education (ACGME). After initial accreditation, ACGME grants a 10-year Continued Accreditation to programs that have demonstrated ongoing substantial compliance with ACGME standards and requirements. ACGME specialty experts closely monitor and review a program’s educational standards that are essential in preparing physicians to deliver safe and high-quality medical care. “The Skagit Regional Health team is elated by this news. It has been years of hard work and dedication on the part of the residency program, our providers, staff and community members,” said Chief Medical Officer Connie Davis, MD, who serves as the Designated Institutional Official for Graduate Medical Education (GME) at Skagit Regional Health. “Our GME program has been integral in our success during this uncertain time and we thank them for their compassion, energy and dedication.” BELOW: The Class of 2023 Internal Medicine residents includes Matthew Kon, DO; Melinda Mantooth, DO; Sarah Zubair, MD; Rhandy Ceballos, DO; Savannah Broadlick, DO and Khadij Assani, DO.

For more information, go to Your Hospital’s Safety Grade at hospitalsafetygrade.org.

SPRING 2022

Foot and ankle health for trail hiking and running Over the last decade, hiking and trail running has become increasingly popular worldwide and even in our very own backyard. You don’t have to be an ultramarathon runner to reap the physical benefits of hiking and running in the great outdoors. Shorter distances on local trails can do wonders for overall health, including increasing cardiovascular health (cardio fitness), muscular strength, stability and balance. Even though trail running has less impact on your knees and joints than running on pavement, it is essential to ease into the activity if it is new for you. Overusing muscles with a sudden increase in training can lead to foot or ankle injuries. Pace yourself and listen to your body. “Pain is your body’s way of letting you know when something is wrong. Please don’t ignore it or try to run through it. Watch for swelling, redness or changes in skin condition or color,” said Todd Skiles, DPM, Foot and Ankle provider at Skagit Regional Health. Dr. Skiles has been in practice for 30 years, joining Skagit Regional Health in 2019. He currently provides foot and ankle care at Skagit Regional Health – Smokey Point and Skagit Regional Clinics – Stanwood. He treats a variety of foot and ankle conditions, including foot and ankle injuries, heel pain, bunions, ingrown toenails, diabetic foot and wound care and custom foot orthotics. When it comes to running, or any physical activity, he advocates for good, quality shoes designed for the activity one is involved in.

It is essential to have the proper gear and maintain good foot and ankle health to help prevent injuries. “Patients with arch or heel pain due to plantar fasciitis should wear cushioned and supportive shoes and may need additional arch support or custom foot orthotics,” said Dr. Skiles. “Improper trimming of toenails can lead to ingrown toenails and allowing corns and callouses to develop without treatment can lead to breakdown of the skin and infection – don’t ignore areas that blister or form calluses on your feet.” There are several running stores in the area with knowledgeable specialists who can help fit runners, hikers and walkers with proper shoes and provide tips on the best local trails, running groups and upcoming races to help meet a runner’s goals. Foot and ankle care is essential to overall health. “Daily inspection of your feet for any changes or areas of concern is a good idea. Prolonged or intense pain is usually a good indicator that you should seek a referral to a foot and ankle provider,” explained Dr. Skiles. If stretching and proper shoes do not help reduce discomfort, Dr. Skiles recommends asking your primary care provider for a referral to see a specialist. DISCLAIMER - As with any new activity, please consult your healthcare provider before beginning a new workout regimen, especially if you have been sedentary for some time.

Common running injuries related to the foot and ankle include plantar fasciitis, tendonitis and stress fractures.

Local city parks, forest service lands and state parks provide miles upon miles of trails. Here are just a few to help get you started: LOCAL TRAILS:

• Little Mountain Park Mount Vernon • Cascade Trail (between Sedro-Woolley and Concrete) • Northern State Recreation Area Sedro-Woolley • Bay View Shore Trail Bay View • Deception Pass State Park Fidalgo and Whidbey Islands

UPCOMING LOCAL RESOURCES/EVENTS:

• Skagit Runners – skagitrunners.com • Snohomish Running Company – snohomishrunning.com • Greater Bellingham Running Club – gbrc.net

NOT A RUNNER? WALK OR HIKE!

You don’t have to be a runner to reap the benefits of good health and enjoying the outdoors. Enjoy the same trails listed here and get out there!

Todd Skiles, DPM Foot and Ankle (Podiatry), Podiatric Surgery, Wound Care, Surgical Services at Skagit Regional Health Todd Skiles, DPM practices Podiatry and Wound Care at Skagit Regional Health. He received his DPM from California College of Podiatric Medicine and is Board Certified by the American Board of Podiatric Surgery. Dr. Skiles sees patients at Smokey Point and Stanwood clinics as well as the Cascade Valley Hospital Wound Care Center. Patients can make an appointment by contacting the clinics directly, or by requesting an appointment through the MyChart patient portal.

Foot and Ankle providers at Skagit Regional Health • Anisa Pea, DPM • Eric Powell, DPM • Michael Riojas, DPM • Todd Skiles, DPM • Nathan Ullom, DPM Call for an appointment: In Mount Vernon: 360-848-4120 In Arlington: 360-435-6641

Schedule your screenings DIRECT ACCESS: SCREENING COLONOSCOPY Skagit Regional Health’s Endoscopy and Gastroenterology Department offers a Direct Access program in Mount Vernon and Arlington to allow healthy adults to register and schedule a screening colonoscopy with the ease of a phone call. The colonoscopy appointment is typically scheduled to occur within two weeks or at the patient’s convenience. Colonoscopy is one of the most powerful means of prevention and early detection of colorectal cancer. To schedule a colonoscopy through Skagit Regional Health’s Direct Access program, call: • Mount Vernon: 360-814-5739 • Arlington: 360-618-7975

LOW-DOSE CT LUNG SCREENING Skagit Regional Health offers lowdose CT screening at Skagit Valley Hospital and Cascade Valley Hospital. The screening is now covered by Medicare for high-risk patients ages 55 to 77. Lung cancer continues to be the leading cause of cancerrelated death in the United States and early detection is a proven and successful strategy to reduce lungspecific mortality. Low-dose CT lung cancer screening is able to detect lung nodules better than a chest X-ray and maintains a relatively low radiation exposure. If there are any nodules detected, recommendations for further procedures are made. For more information or for a referral for a low-dose CT screening, talk to your primary care provider.

3D MAMMOGRAPHY Skagit Regional Health now offers 3D breast tomosynthesis in Mount Vernon and Arlington. A 3D mammogram combines several breast X-rays to produce a threedimensional, high-resolution image of the breast for early detection of cancer. The 3D technology generates high-resolution images of the breast, improves detection of cancer, works well for women with denser breast tissue, lessens the uncomfortable compression time and lowers the number of recalls for additional tests. To schedule a mammogram, call: 360-814-8208

TESTING FOR PROSTATE CANCER The Centers for Disease Control notes there are two tests that are commonly used to screen for prostate cancer: A Prostate-Specific Antigen (PSA) blood test or a Digital Rectal Examination. Talk to your primary care provider for recommendations on when to get tested.

ABOVE: 3D Mammography is offered at Cascade Valley Hospital in Arlington, shown here, and the Skagit Imaging Pavilion in Mount Vernon.

SPRING 2022

New Providers

Skagit Regional Health is committed to serving as a partner in wellness by recruiting and hiring quality primary care and specialty care providers – helping communities be well.

CARDIOLOGY

Bryon Dorgan, DO

Mount Vernon

Jammie Menetrey, DO Mount Vernon

DERMATOLOGY

Michael Barton, MD Riverbend

Michael Salama, MD

Kamalneel Singh, ARNP

Mount Vernon

EAR, NOSE AND THROAT

Daniel Leifer, MD Riverbend

Ryan Toering, PA-C Mount Vernon

Michael Thompson, ARNP Mount Vernon

ENDOCRINOLOGY

Mathew Rosner, DO Mount Vernon

FAMILY MEDICINE

Alden Campbell, MD Smokey Point

Shelley Higman, DO Mount Vernon

Jared Lambert, MD Arlington

Jacklyn Lee, DO Arlington

Stephanie Wahlgren, ARNP Mount Vernon

Guide to Credentials

FAMILY MEDICINE WITH OBSTETRICS

FOOT AND ANKLE

Devon Kienzle, DO

Eric Powell, DPM

MD: Doctor of Medicine DO: Doctor of Osteopathic Medicine ARNP: Advanced Registered Nurse Practitioner

PA-C: Certified Physician Assistant PMHNP: Psychiatric Mental Health Nurse Practitioner

Darrington and Smokey Point

Mount Vernon

GENERAL SURGERY

Christina Clark, PA-C Mount Vernon

Jessica LeVasseur, PA-C

Marta Swanson, PA-C

Mount Vernon

NEPHROLOGY

ORTHOPEDICS

Jimmy Thomas, MD

Colin Healy, PA-C

Hospital Parkway Plaza

Smokey Point

OUTPATIENT BEHAVIORAL HEALTH*

Rita Kostelik, PMHNP Mount Vernon

Hannah Spears, PMHNP Smokey Point

Mount Vernon

Sylvia Wilson, PA-C Mount Vernon

Xue Zeng, MD

Arlington/Smokey Point

Smith Meads, DO Smokey Point

RHEUMATOLOGY

Ruthie Chua, MD Smokey Point

Laura Grantham, PA-C Riverbend

*The role of outpatient behavioral health is to evaluate, diagnose and assist with psychopharmacology medication management for established primary care patients needing behavioral health assistance. These providers do not offer talk therapy.

SLEEP MEDICINE

Kelsey Hamilton, ARNP Skagit Valley Hospital

URGENT CARE

Jennifer Elliott, ARNP

Paula Wolff, ARNP

www.skagitregionalhealth. org/find-a-doctor.

WOMEN’S HEALTH

Nichole Baruth, MD Mount Vernon

To learn more about our providers or to schedule an appointment, use the Find-a-Doc tool on our website:

Madeline Harris, CNM Mount Vernon

Christopher Prompuntagorn, MD Mount Vernon

SPRING 2022

Gastroenterologist Samit Datta, MD, talks with a patient about their care plan.

Getting ready to leave the hospital From the time a patient is admitted to the hospital, discharge plans are already set into motion to ease the burden of transition from inpatient to home care for patients and their caregivers. The Centers for Medicare and Medicaid (CMS) has a helpful Discharge Planning Checklist that is used by Skagit Regional Health’s discharge planners in preparing for a patient’s departure.

Recovery and support: The checklist goes over any medical equipment needed; preparedness to do basic selfcare activities; having support in place; understanding how to do anything special, such as a wound dressing change or giving a shot; sharing concerns about how the family is coping with the patient’s illness; and asking questions about insurance coverage.

Planning the details of a patient’s discharge makes the healing process more smooth and the transition to care at home or another facility a more positive experience.

Written discharge instructions: Be sure to ask for written discharge instructions and current health status and make sure they are understood by the patient and caregivers. The “My drug list” and “My appointments list” that are part of the checklist will be helpful to take to any followup appointments.

Some of the key topics addressed in the CMS checklist include: Care after discharge: Making sure the patient knows where they will get the post-hospital care they may need and who will provide the care. Your health: By talking to the providers and staff, patients and caregivers can learn about the patient’s health condition, what can be done for the patient to get better, problems to watch for and who to call if something comes up. Know your medications: There is a place to write down the items on “My drug list” to review with staff. Make sure to include prescriptions as well as over-the-counter items such as vitamins and supplements.

For the caregiver: The person or people who will assist in providing care after a person is discharged from the hospital should write down and discuss any questions and make sure they are prepared to provide the patient what they need by talking with the staff and providers. Having prescriptions and any special diet needs in mind are important, along with contact information on who to call if the caregivers have questions. To access the CMS Discharge Planning Checklist, go to: www.medicare.gov/Pubs/pdf/11376-dischargeplanning-checklist.pdf

Skagit Regional Health delays payments for patients financially impacted by COVID-19 Skagit Regional Health is aware of the financial impact that COVID-19 is having on the health and financial wellbeing of our patients. We know that an unexpected illness can be a big burden on you and your family. Our Patient Financial Services Department is here to help you during your time of need. Our team understands that this can be a complex process for our patients. The important thing to remember is nobody should delay needed medical services because of their ability to pay. If you’re experiencing any kind of financial hardship, whether it’s related to COVID-19 or other factors, the important thing is to contact us. We will always work with you. If you need help paying your bill, whether or not you have insurance, Skagit Regional Health offers a Financial Assistance Program to assist qualified patients. Please contact Patient Financial Services, for help with: • Questions about your bill • Financial assistance • Medicaid Apple Health • Setting up a payment plan • Deferring your current payment plan

For those individuals seeking financial assistance or who need to delay payments due to lost wages or other financial hardship caused by COVID-19, please call the Patient Financial Services Customer Service Department at 360-814-7575. We have many options available to you. This initiative is an extension of Skagit Regional Health’s already robust financial assistance programs, which include payment plan options.

Online resources are also available to you: • Skagit Regional Health: www.skagitregionalhealth.org/ for-patients/finance-and-billing-information • Washington State Hospital Association: Charges for common procedures: www.wahospitalpricing.org Compare hospital quality scores: www.wahospitalquality.org • Washington Health Plan Finder: www.wahealthplanfinder.org or call 1-855-923-4633. • MyChart: mychart.skagitregionalhealth.org

Your Rights and Protections Against Surprise Medical Bills When you get emergency care or are treated by an out-ofnetwork provider at an in-network hospital or ambulatory surgical center, you are protected from surprise billing or balance billing. Visit SkagitRegionalHealth.org for information on the recently adopted No Surprises Act. For billing questions, please contact Skagit Regional Health’s Patient Financial Services team at 360-814-7575.

SPRING 2022

Pediatric hospice patient benefits from massage Kiley’s Story

The vast majority of hospice patients are adults experiencing a terminal illness. However, Hospice of the Northwest also serves pediatric patients needing highquality hospice care across our service area. This is a story about Kiley, a young girl facing a life-limiting illness at just nine years old. Kiley has a degenerative condition that caused her to go from frolicking through the pumpkin patch just a few years ago to being unable to leave her bed or talk. She has a loving family, with parents who are exploring every opportunity to improve Kiley’s quality of life. One avenue that gives Kiley some joy and relief includes integrative therapies, such as massage therapy and aromatherapy, provided by Hospice of the Northwest. “[Kiley’s] comfort is my number one priority,” said her mother, Krystal. As with other hospice patients, Kiley’s integrative therapies offer non-medicinal methods to relieve muscle pain, motivate sluggish systems and address edema. It also provides comfort and reassurance to Kiley and her family to know that she is being cared for beyond shots and medical procedures. Kiley’s condition causes severe muscle spasms and aches. Sometimes medication is the only thing that provides relief, however Krystal appreciates being able to employ massage therapy and aromatherapy to give her a break from the medication that makes her sleepy. Hospice of the Northwest Integrative Therapy provider Tiana, regularly visits Kiley to offer massage therapy and aromatherapy. “Her smiles are like gold,” said Tiana. “I can see it on Kiley’s face when I do the raindrops [oil technique] on her back. I can just see the smile.”

Integrative therapies offer gentle and safe touches in patient homes, where they feel comfortable. By having integrative therapies in patient homes, it also gives the opportunity to share those pleasurable moments with loved ones. It creates quality moments and improves everyone’s quality of life, both patients and caregivers. “It’s added a lot more comfort for Kiley because we don’t get out much, so for somebody to come into [our home] and make her comfortable means a lot,” Krystal said. In addition to massage therapy and aromatherapy, Hospice of the Northwest also offers integrative therapies such as clinical music sessions, therapeutic art activities, animal-assisted therapies and more. All of these integrative therapies go above and beyond what a typical hospice may offer and are completely funded by generous community donors through the Hospice of the Northwest Foundation. This means they are provided at no cost to the patient. People who know Kiley insist she is still that happy, playful girl who was, not too long ago, running through the pumpkin patch. It takes just a little more work to see that in her. “She has a lot of personality,” Tiana said. “She just doesn’t have a lot of opportunities to show it.” ABOVE: Hospice of the Northwest brings a full array of aromatherapy options to Kiley’s home.

There are differences, albeit subtle ones, when caring for a child in hospice compared to a mature patient. Often, integrative therapies combine the discipline with comforting memories and speaking of times past. However, with Kiley and other pediatric patients, it is about creating pleasurable memories for a young mind to find comfort.

Learn more about Integrative Therapies Visit www.hospicenw.link/Integrative-Therapies

Gratitude REPORT

20 21

JANUARY 1 TO DECEMBER 31, 2021

SPRING 2022

Board of Trustees

Mission

The mission of the Skagit Valley Hospital Foundation is to raise, manage and distribute funds to assure the continued availability of quality health care services and programs at Skagit Regional Health. The Foundation will foster awareness of and community support for Skagit Regional Health through the involvement of the people it serves.

Volunteers are the key to the Skagit Valley Hospital Foundation’s efforts in securing philanthropy. We are pleased to acknowledge the efforts of our trustees who unselfishly give their time and resources as an example to all, and who provide leadership in the Foundation’s prudent stewardship of gifts. Zachary Barborinas Katie Biringer Lesha Boucher Travis Coulter Mary June Curtis Viry Delgado

Bobbi Fisher Laura Fisher Jacqueline Hawkins Dr. Joshua Hawkins Duane Henson Alicia Huschka

Brian Ivie Katie Jungquist Aldi Kllogjeri Matt Lehman Mike Lervick Mike Marken

Wendy Ragusa Stewardship and Annual Fund Manager

Kylee Dowe Development Associate

Staff Linda Frizzell Executive Director

Evelyn Morse Holly Nielsen Larry Otos Dale Ragan Scott Railton Brent Thompson Kris Wollan

Letter from the President On behalf of the Skagit Valley Hospital Foundation Board of Trustees and staff, I would like to thank everyone for helping us meet our goals over the past year. Fundraising in the face of the pandemic has been challenging, however, the resolve of our donors and volunteers has been outstanding. Thanks to your support, the Foundation was able to exceed our $465,000 goal to help purchase new equipment for the Family Birth Centers at Skagit Valley Hospital and Cascade Valley Hospital. We are also grateful for your support of our Children’s

Skagit Valley Hospital Foundation P.O. Box 1376 Mount Vernon, WA 98273 360-428-2140 NEW OFFICE LOCATION: 120 South 13th Street Mount Vernon, WA 98274

Therapy Program during our Have A Heart for Kids fundraiser in February. Our Board of Trustees is looking forward to our next fundraising campaign. See page 28 for our exciting announcement about our next big project to help meet the needs of the patients and families we serve each day at Skagit Regional Health. The Foundation’s commitment to its mission is unwavering and with that the board readied itself to make an important change to support the mission. At the Foundation’s March

Like us on Facebook at www.facebook.com/ SkagitValleyHospitalFoundation To learn more about how you can support the Skagit Valley Hospital Foundation, visit www.skagitvalleyhospitalfoundation.org

GIVE TODAY! 22

Scan or visit bit.ly/svhfgive

summit the board voted to change the Foundation’s name to SKAGIT REGIONAL HEALTH FOUNDATION. Watch for the introduction of a revised logo and marketing materials. Thank you for your continued support as we navigate through this new exciting change. Respectfully,

Larry Otos, President Skagit Regional Health Foundation

OUR

Donors

With sincere gratitude to our community for your support, the Skagit Valley Hospital Foundation proudly presents our annual report for the year 2021. We apologize for any incorrect or misspelled names that may appear in any of our listings. Please help us maintain accurate donor records by notifying the Foundation office of any errors by calling 360-814-8376. Donations listed were received January 1, 2021 through December 31, 2021. Donors designated their giving to the following funds:

THE BREAST INSTITUTE Ben & Frei Burton Amy Evans Sarah James La Conner Volleyball Booster Club Sarah Mejia Mount Vernon Bulldog Volleyball Booster Club Paul & Holly Nielsen

Riverside Health Club Sedro-Woolley Riding Club Stanwood Eagles Auxiliary In Memory of Margaret Ann King Linda Morrison Jerry & Marily Nelson Roxanna Potter & Howard Tronsdal Gene & Pam Van Selus

CANCER CARE Toni Bateman Raymond Blank Mary Chatfield Louis & Dominique Dailly Epic Systems Cindy Hencheroff Thomas & Linda Henry Mariner Construction, LLC Dr. Bruce Mathey Terry & Tammy McNeil Paul & Holly Nielsen John & Berdean Ring Andrew Rodriguez Roger & Sandra Saben Skagit Community Foundation Skagit Woodstock Music Festival Todd & Debbie Thompson Scott & Diana Wharton

In Memory of Mike Bergstrom Gerald & Susan Christensen In Memory of Don Bossio Gary & Stephanie Fiedler In Memory of Lori Janeen Crabtree Larry & Janette Lund In Memory of Cathy Dutton Merwyn Dutton In Memory of Hebeltje “Ineke” Dykstra Marinus & Jill Rouw In Memory of Colleen Dynes Mullen Barbara Ballard Tim & Cheryl Bartholomew Scott & Laura Breckenridge Kellie Cargile Gerald & Susan Christensen CONTINUED ON NEXT PAGE

2021 Gratitude Report The Skagit Valley Hospital Foundation is forever grateful to our 2021 donors who generously gave 911 gifts totaling more than $725,000 to help us fulfill our mission. These gifts were received in the form of cash, stock, pledges, event proceeds, gifts in kind and bequests. In turn, the Foundation was pleased to provide the following grants totaling $64,668 to support specific programs and services at Skagit Regional Health.

$18,432

$3,300

Cancer Care Patient Assistance

Mental Health Care

Surgical Services

General/Unrestricted Program Needs

$2,883

$16,717

$12,824 Children’s Therapy

$8,620 Emergency Services

Program

$1,892

Cardiac Care

SPRING 2022

OUR

Donors

Mike & Jodi Dynes Jeff & Linda Frizzell Robert & Sharon Gilbert Fran Hansen Jeffrey & Deborah Scott Charlotte Von Moos In Memory of Bob Englund Klaudia Englund In Memory of Melvin Fitzgerald Bette Fitzgerald In Honor of Linda Flanagan Carol Flanagan In Memory of Neil Hall Myrene Moller Darcy Wells In Memory of Gary Hartnett Kathy Hartnett In Memory of Wayne Hegeberg Gerald & Susan Christensen In Memory of Walter Janicki Gerald & Susan Christensen In Memory of Paige Marken James & Patricia Close In Memory of Larry Moller Myrene Moller In Memory of Bob Paciotti Sandi Paciotti Eric & Andrea Van Pelt In Memory of Dennis & Judith Pearce Jeffrey & Linda Pearce In Memory of David Schink Helga Schink In Memory of James Stewart Ann Stewart In Memory of Tim Thornton R.D. & Joan Hanson Corey Jones John & Janet McNiven Shirley Morrow

CARDIAC CARE Justin & Kelly Boardley Bruce Moberg & Denise Decker Barbara Webb

CONTINUED

In Memory of Ron Gilbertson Bethany Gilbertson In Memory of Jim Hobbs Sr. Diane Bergan Gerald & Susan Christensen Mary Hudson Florrie Reep Anne & Mike Spink Bonnie Warnecke Ruth Wylie In Memory of Ron Leitner Donna Johnson In Memory of Doug Lundgren Kellie Cargile Mike & Jodi Dynes Jeff & Linda Frizzell Harlan & Emily Jackson Michael Lundgren Myrene Moller Brenda Riseland & Julie Hoerner David Williams In Memory of James Parker Linda Parker

CASCADE VALLEY HOSPITAL Jolanda Barnett Justin & Kelly Boardley Yvonne Christos Andy & Dr. Rosana Go Bruce & Debra Lisser Michelle Sand Louise Wardell In Memory of Linda Utgard Margaret Utgard

CHAPEL Dr. Catherine Bree Johnston

CHILDREN’S THERAPY PROGRAM Julie Blazek & Jacque Beamer Scott & Laura Breckenridge Dr. Erin Charles & Lennart Bentsen Gerald & Susan Christensen Dean & Janice Cunningham

Dan De Vries & Clarissa Wong Robert & Cheri Fiedler Gloria Fish Bobbi Fisher Ronald & Catherine Frederick Dan & Valerie Gorton Grace Cochrum Guild Thomas & Cynthia Grillot Roger & Kerri Helgeson Barry & Karen Hiatt Erin Hurley & Ben Kosek Earl L. & Katherine H. Jensen Dr. Morrie & Marcia Johnson Michael Lervick & Dr. Oksana Miller Lisser & Associates, PLLC Arlyn & Kristine Livingston Gerald & Leanne Maskell Keith & Christie Peterson Jon & Linda Petrzelka Tim & Nancy Raschko Deanna Scott & Randy Koster Nancy Scott James Sloan Bob & Denise Taylor Mary “MJ” Tyler Blaine & Kris Wollan In Honor of Sue Rogers Meghan Rogers In Memory of Peter Urban Nancy Beath Gerald & Susan Christensen Jeff & Linda Frizzell Bev Herbst Steven & Robyn Johnson Marcy Johnson Steve & Katie Jungquist Chris & Jenn Poppe Dennis & Sharon Wildfang

COMMUNITY EDUCATION Dr. Jhoanna Santos

DR. MAYNARD JOHNSON ENDOWMENT Paul & Gina Williams In Memory of Neil Hall Judge John & Susan Meyer

In Memory of Jim Hobbs Sr. Judge John & Susan Meyer In Memory of Charleen “Char” Relyea Judge John & Susan Meyer In Memory of Abe Vanderwal Judge John & Susan Meyer

FAMILY BIRTH CENTER Kelli Anderson Angela Anderson Jayme Arthurs Jim & Ann Barborinas Nancy Blaire Julie Blazek & Jacque Beamer Corey & Carly Boon Don & Louise Bottles Thomas & Lesha Boucher Charles Broadbent Dr. Gary & Susan Brown Dr. Kirk & Sandra Brownell Richard & Evelyn Buchanan Lisa Buller Dr. John T. & Michele Burke Julie Carlson Michelle Chambers Travis & Kelly Coulter Jeff & Mary June Curtis Julie Davies Mike Dyberg & Dr. Connie Davis Patricia De Carteret Ross & Kyla De Wit Bryce Dickie Dr. Jovita Dsouza Epic Systems Dr. John & Marie Erbstoeszer Drs. Roger & Leslie Estep Jay & Shelly Fallihee Annaluz Fox Ronald & Catherine Frederick Jeff & Linda Frizzell Bonnie Giebel Andy & Dr. Rosana Go Peter Goldfarb Patricia Grenfell Dr. Joshua Griggs Bill & Barbara Gurney Drs. Paul & Keri Halgren Fred & Mary Hall CONTINUED ON NEXT PAGE

COMMUNITY FOCUSED

A Legacy of Supporting Care for Kids The Grace Cochrum Guild was initiated during a gathering at the SedroWoolley home of Mary Henderson Jones in 1958. Named after Mary’s friend, Grace, who was an LPN, the guild’s mission would be to ensure that every child could live the healthiest and most fulfilling life. For many years, the guild fundraised in tandem with the Whatcom/Skagit Orthopedic Guild. When that group disbanded in 1997, they found new inspiration to continue their philanthropy and support for children receiving care in Skagit Regional Health’s Children’s Therapy Program. An initial gift of $33,000, followed by years of fundraising efforts, supported quality care through oneon-one therapy sessions with highly qualified pediatric speech, physical and occupational therapists and, most importantly, ensured hope for our youngest patients and their families.

Big-hearted Philanthropy

Thank You Donors!

From spring dances, bake sales, craft fairs and champagne-spaghetti dinners, to working with the Skagit Valley Hospital Foundation at its annual “Have a Heart for Kids” dinner, the small yet passionate group of volunteer members of the Grace Cochrum Guild raised more than $100,000 for the Children’s Therapy Program during its more than 50-year history.

The guild is grateful for the amazing support of the community – individuals, families and businesses – who attended special fundraising events, gave gifts-in-kind and donated to the Children’s Therapy Program.

Guild members met monthly for lunch meetings to conduct business and hear the latest about Children’s Therapy Program developments. The guild was honored to work with hospital administration to determine how its fundraising initiatives could enhance the patient program.

After more than 50 years of coordinating charitable activities, the membership voted to retire the guild on July 6, 2021. Two charter members celebrated with their guild sisters at a farewell presentation in Skagit Valley Hospital’s piano lobby. Skagit Regional Health President and Chief Executive Office Brian Ivie spoke on behalf of the organization and shared his gratitude for the guild’s long-standing advocacy of Children’s Therapy Program patients and staff. “We had a great run,” said Sylvia Mangold, former Guild President. “We had lots of fun and, if we could, we would do it all over again!”

Skagit Regional Health thanks the following women who were dedicated members of the Grace Cochrum Guild. We are forever grateful for their support: Kathy Brown Marsha Christofferson Margaret Coultas Betty Davidson

Virginia Engen Zona Goodwillie Mary HendersonJones Shelia Herzog

Faye Huggins Rhonda Huggins Sherry Kelly Lonnie Keown Patty Krieger

Sylvia Mangold Dee McIllrath Gilda Padden Karen Raper Jill Raupp

Beverly Ringhouse Agnes Stransky Kim Vranich Susie Wardell

ABOVE: Guild members joined by SRH Staff. Seated: Agnes Stransky, Founding Guild Member. Standing from left: John Gates, Director of Volunteer Services; Kylee Dowe, Foundation Associate; Wendy Ragusa, Stewardship and Annual Fund Manager; Guild Members: Kathy Brown, Jill Raupp, Lonnie Keown, Susie Wardel, Sylvia Mangold, Dee McIlrath, Mary Henderson Jones and Betty Davidson. Back row right: Brian Ivie, SRH CEO and President; Patty Krieger, Guild Member; Linda Frizzell, Foundation Executive Director and Gail Noble-Sanderson, former Children’s Therapy Program Director. SPRING 2022

OUR

Donors

Narajanti Handaja Frank & Lynn Handy Dr. Joshua & Jacqueline Hawkins Gaylen Heacock Dr. Sarah Hill Dr. William Hinderstein & Jessica Bell Dr. Mary Ann Hink Erin Hurley & Ben Kosek Glenn & Alicia Huschka Peter Hutchinson Paul & Mary Ishizuka Brian & Debi Ivie Dana Keefe Roxy Larson Matt & Susan Lehman Michael Lervick & Dr. Oksana Miller Tim Lewis Lisser & Associates, PLLC Jonathan & Melissa Lyons Marathon Petroleum Foundation Michael Marken Jim & Evelyn Morse Nick & Liz Movius

CONTINUED

Network for Good Paul & Holly Nielsen Worth & Lisa Norton Larry & Lisa Otos PACCAR Technical Center PayPal Giving Fund Danny & Jill Pickering Nina Plata Dale & Susan Ragan Scott & Deborah Railton Dennis & Janiece Reilly Christine Riley Mike & Anita Roozen Dr. Robert & Rebecca Rosenfeld Tami Schnell Ronald & Melinda Schrage Kathie Schroeder Mahesh Seelam Skagit Community Foundation Adele Skinner Stuart Stavig Kerrie Steffan Ann Stewart Svend & Caitlin Svendsen

COMMUNITY-FOCUSED

Mary Taylor & Jagpal Singh Jeri Teevan The Benevity Community Impact Fund The Nysether Family Foundation William & Krista Thomas Brent & Betsey Thompson Mary “MJ” Tyler Matthew Vaughn Danny & Stephanie Vera Thakou Vu Richard & Karen Watkins Scott Williams Blaine & Kris Wollan

In Honor of the exceptional employees, providers and volunteers of Skagit Regional Heath and the great work that they do for our patients every day! Brian & Debi Ivie In Honor of Saylor Marie Tami Schnell In Honor of Ashlynn & Lucas Barborinas Jim & Ann Barborinas In Memory of Joyce Berentson Mary Celia Michael & Suzanne Felt Jim & Judi Kennedy Lee & Melody Kue Irene Pass In Memory of Betty Black Susan Hall

Community Gifts Build a Healthier Community Sedro-Woolley Riding Club – For the sixth year in a row, this club raised funds for the Foundation’s Breast Institute Fund through its annual Tough Enough to Wear Pink campaign. This nationally-recognized campaign helps rodeos promote breast cancer awareness and fundraise to benefit their local communities. They presented a check in the amount of $686.50.

In Memory of Patricia Carter Devin & Jama Hiltz In Memory of Frank Coddens Molly Coddens In Honor of Adalynn, Sienna & Jaxon Dowe Justin & Kylee Dowe In Honor of Arabella Faith Julie Edwards In Honor of Emma & John Floyd Helga Schink In Honor of Taylor Frizzell Helga Schink

In Memory of Warren “Bud” Gilbert Jr. Gerald & Susan Christensen In Honor of Cassidy & Parker Halgren Drs. Paul & Keri Halgren In Memory of Neil Hall Phil & Leanne Holboy Larry & Bonnie Lee Sarah Marin In Memory of Mr. & Mrs. Pradaja Handaja Narajanti Handaja In Memory of Greg Hinton Gerald & Susan Christensen In Memory of Jim Hobbs Sr. Maynard & Laurie Axelson Julie Blazek & Jacque Beamer Don & Louise Bottles Scott & Laura Breckenridge Jeff & Mary June Curtis Gregg & Lea Davidson John & Marie Erbstoeszer Jeff & Linda Frizzell Judith Gibbs Huntly & Sandee Gordon Claudette Gubrud Susan Hall Jama Hiltz Glenda Hobbs Dorothy Hughes Marinus & Jill Rouw Steve & Katie Jungquist Mike & Diane Laucius Bruce & Debra Lisser Dennis & Annette McDonald Roger & Mary Ann Mercer Ann Oakland Robert & Mary Ann Pelland Dale & Susan Ragan Roger & Wendy Ragusa Dr. Robert & Rebecca Rosenfeld Helga Schink Carl & Barbara Seutter Dallas & Darlene Wylie In Memory of Genevieve Johnson Rand Johnson In Memory of Joseph G. Krause Ron & Gailyn Ploeg In Memory of Hope Martin Roxy Larson

In Honor of Alex & Francesca Ragusa Roger & Wendy Ragusa In Honor of Dr. Jhoanna Santos Roger & Wendy Ragusa In Honor of Zayd Andrés Strinden Tami Schnell In Memory of Maverick Stromberg Nathan & MacKenzie Stromberg In Honor of Eric Stubben Helga Schink

FESTIVAL OF TREES LIVE AUCTION PATRONS Jim & Ann Barborinas Michael Berger Rich Block Peter & Laurel Browning Gerald & Susan Christensen Sharon Cole Waldschmidt Barbara Dahlstedt David & Nancy Esary Bobbi Fisher Zoee Force Dr. Joshua & Jacqueline Hawkins Roger & Kerri Helgeson Arthur & Susan Henry Catherine Kouchakji Troy & Joyce Kunz Michael Lervick & Dr. Oksana Miller Mark & Vickie Nysether Dan & Jan Olson Steve & Kari Ranten Stacey Salyer Gary & Judy Shand Rocky & Kristina Storm Melissa Van Straten Jerry & Carol Whitfield Troy & Angie Wright Brandon & Laho Zachmeyer

FESTIVAL OF TREES SPONSORS A-1 Mobile Lock & Key, Inc. Alfie Hill-Banta Amerigroup Corporation Angell & Company Arne Svendsen Trucking Co.

Banner Bank Bellingham Anesthesia Associates Bruce & Dee Berglin Bertlesen Winery Blade Chevrolet & RVs Crown Distributing Co. Davis Wright Tremaine LLP Dwayne Lane’s Skagit Subaru Foothills Toyota Friends of Corey Mendoza Gerald & Susan Christensen Gilbertson Funeral Home Hansen’s Furniture Hawthorne Funeral Home and Memorial Park Helga Schink Heritage Bank Hulbush Funeral Home John Piazza Jr. Construction Josephine Caring Community Kelley’s BBQ & Catering Mexico Café Modern Cleaners Moss Adams, LLP Nate & Katherine Wolfe North Coast Credit Union Pacific Woodtech Corporation Peoples Bank PRIMAC Electric, LLC Quality Sewing & Vacuum Rallye Auto Sales, Inc. Rolfson’s Home Furnishings, Inc. Richard & Jaynie Roozen SaviBank SB&C, Ltd. Sierra Pacific Industries Skagit Acres Skagit Radiology Inc., P.S. Skagit Regional Health Skagit Regional Health General Surgeons • Dr. Edwin Chang • Dr. Weslee Chew • Dr. Joel Dean • Dr. Patricia Franklin • Dr. Joshua Hawkins • Dr. Janice Kang • Dr. Richard Leone • Dr. Allison Porter • Dr. Kristine Schmaltz Soroptimist International of Burlington

Sound Physicians Spane Buildings, Inc. State Farm Insurance Agents • Carol Lawson • Brad Methner • Keith Sorestad Strauss Jewelers Swinomish Casino & Lodge TeamHealth - Northwest Emergency Physicians The Family of Dave Hansen The Grand Willow The Net Drive-In The Nysether Family Foundation Thomas Cuisine TRICO Companies, LLC Twin City Foods, Inc. VSH Certified Public Accountants, PLLC

Whidbey Coffee Company World Kinect Energy Services Wycoff Insurance Agency, Inc.

Skagit Regional Health Leadership Team Tree Sponsors Greg & Angela Abbott Leanna Anderson Jolanda Barnett Julie Blazek & Jacque Beamer Charles Broadbent Lisa Buller Jamie Carpenter Kelsi Collier Melinda Comnick CONTINUED ON NEXT PAGE

Skagit Regional Health Employees Support Patient Care Right Here! More than $58,855 was raised during the March 2022 Skagit Valley Hospital Foundation Employee Giving Campaign. During the month of March, Skagit Regional Health employees are invited to support any of the Foundation’s 19 patient-centered funds by giving a cash gift, gift of paid time off or monthly payroll deductions. The annual online employee giving campaign has been a tradition for more than 25 years and most recently became an online fundraiser. Employees’ gifts make a significant annual impact in addition to generous giving year-round through their treasure or volunteering at a Foundation event. SPRING 2022

OUR

Donors

Mike Dyberg & Dr. Connie Davis Mike & Tracey Elfstrom Epic Training & Support Team Andy & Tressa Fraker Jeff & Linda Frizzell Jacob & Brienne Gahan John Gates Steve & Tami Gilbert Lisa Grentz Dr. Joshua Griggs Ben & Jenny Gunn Barry & Karen Hiatt Dr. Mary Ann Hink Ashlynn Ishikawa Paul & Mary Ishizuka Brian & Debi Ivie Bruce & Debra Lisser

CONTINUED

Christina Logalbo Lonnie & Jeannine Lyon Jonathan & Melissa Lyons Robert & Suzanne Mortensen Paul & Holly Nielsen Worth & Lisa Norton Mathew & Jammie Novak Justin Oram Nina Plata Steve & Kari Ranten Dennis & Janiece Reilly Michelle Sand Tami Schnell Kathie Schroeder Gary & Judy Shand Adele Skinner Michael Storlie

Board of Trustees Take New Project To Heart Patients served by two new Cardiac Catheterization Labs will be the beneficiaries of the Skagit Valley Hospital Foundation’s next fundraising campaign. At a recent board summit, the Foundation Board of Trustees voted unanimously to raise $3 million to upgrade two Cardiac Catheterization labs located at Skagit Valley Hospital. Recognizing that diseases of the heart are still the #1 cause of death in the U.S., the Board is eager to raise funds to purchase the latest state-of-the-art imaging equipment that will assist in diagnosing and treating heart diseases. Skagit Regional Health’s Cardiac Catheterization and Electrophysiology programs, in partnership with the interventional radiology program, serve as a regional hub for heart care, treating more than 3,000 patients from 15 different Zip Codes each year. “We are really excited about this campaign and the number of patients who we will be helping,” said Foundation President Larry Otos. Please watch future communication for more information on how you can provide a gift to support this important patient care program.

GIVE TODAY!

Scan or visit bit.ly/svhfgive

Matthew Vaughn Danny & Stephanie Vera Richard & Karen Watkins

FESTIVAL OF TREES UNDERWRITERS Jon & Susan Aarstad Henderson Atwood Miller Bellevue Healthcare Jennifer Berard Marni Casanova Jennifer Cooper Shelly Critchlow Louis & Dominique Dailly Mike & Tracey Elfstrom Derek & Julie Floyd G & W Wallace, Inc. Mary Geyer Suzanne Hahn Barry & Karen Hiatt Hughes Farms, Inc. Julie Hunter Sheryl Knowlton Lisser and Associates, PLLC Mariner Construction, LLC Michael & Lisette Mast Dennis & Connie Milliken Mount Vernon Carpet One Mount Vernon Kiwanis Dale & Susan Ragan Reel Class Charters William Roozen & Susie Jungemann Sahale Wellness The Grand Willow Inn The Learning Ladder Susan Uker Richard & Laury Volwiler Phyllis Walter Robert & Carol Walters Lloyd & Shirley Watkinson Rich Weyrich & Babetta Spinelli Paul & Gina Williams Rob Zwick & Mary Kubelbeck

FESTIVAL OF TREES GIFTS-IN-KIND Ben & Nancy Angel Zachary & Adele Barborinas Luke & Jessie Bennett Chloe Bonsen Chris & Cheryl Bonsen

Jeanne Cadle Central Moving & Storage Children’s Museum of Skagit County Credo Graphics Sarah Dahl Gregg & Lea Davidson Edge & Element Landscape Design Carol Edwards elSage Designs Gary & Stephanie Fiedler Frieda Fuhrmann Stephanie Gage Desiree Lange Jeff & Shelly Langness Clay & Virginia Learned Mathew & Jammie Novak Rhoni Colvin Photography Vernon & Tammy Ringhouse Skagit Valley College Nursing Club Bradley Sloan Skagit Publishing Sprouts Clothing Stardust Designs TechPower Solutions USA Triumph Tattoo Rosemary Weimer Craig & Becky Wells Wilson Framing Whidbey Coffee Company Brandon Williams

FINE ART Robert & Tamara Cesena Mathew & Jammie Novak Karl Stansbury In Memory of Neil Hall Gerald & Susan Christensen In Memory of Rosemary Shaffer Greg & Angela Abbott Robert & Tamara Cesena Kim Durko Jeff & Linda Frizzell Ashlynn Ishikawa Janet Oertli Steve & Kari Ranten Kathie Schroeder In Memory of Keith “Joey” Warren Roger & Wendy Ragusa In Memory of Margaret “Margy” Wilskie Gerald & Susan Christensen

COMMUNITY-FOCUSED

FINE ART GIFT-IN-KIND Earle Family Trust Larry Hartford Robert & Marilyn Welch

FOUNDATION SUPPORT Dean Altschuler & Valerie McWhorter AmazonSmile Zachary & Adele Barborinas Dr. Lyall & Judy Bishop BNBuilders, Inc. Lisa Buller Jeff & Mary June Curtis Lucas & Jihan Deryckx Mike & Tracey Elfstrom Robert & Cheri Fiedler Dr. Joshua & Jacqueline Hawkins Elizabeth Holden Steve & Katie Jungquist Aldi Kllogjeri & Dr. Jennifer Benson Cindy Lane Roxy Larson William Jay Lechnick Tess Lentz Michael Lervick & Dr. Oksana Miller Ron & Alice Maxfield John & Victoria May Michael C. Mast Insurance Mary Moody Paul & Holly Nielsen John & Carol Parks PayPal Giving Fund Ron & Gailyn Ploeg Martha Polson Scott & Deborah Railton Mike & Anita Roozen Sakata Seed America, Inc. Mary Smith Smith Gardens Mel & Alice Takehara The Benevity Community Impact Fund In Memory of Eileen Carpenter Helga Schink In Memory of Jon Ryan Carpenter Roxy Larson

In Memory of Gregg A. Collins Mike & Anita Roozen In Memory of Leslie Crawford Tammy Anguiano Billie “BJ” Brown Danielle Hall Dayna Hanson Debbie James Amber Miller Laurie Seese Lindsay Van Wieringen Sherri Williams Cindy Wilson Teresita Zavala-Garcia In Memory of Hebeltje “Ineke” Dykstra Diane Morton & Wendy Cobb In Memory of Jesse Tyrrel Galbreath Richard & Jaynie Roozen In Memory of Jeanne Gerde Kellie Cargile

Bump, Set, Give! The Foundation thanks two local high school volleyball teams for fundraising to support breast cancer care during the month of October. We thank the Mount Vernon High School team for raising $1,100 and the La Conner High School team for their gift of $1,200. We appreciate their enthusiasm and efforts to support this important cause.

In Memory of Warren “Bud” Gilbert Jr. Huntly & Sandee Gordon Mike & Anita Roozen In Memory of Lorraine Gundersen Kellie Cargile In Memory of Barbara Harris Michael & Diane Dodd In Memory of Miles & Kathleen Jackson Joe & Linda White In Memory of Brian Jedlicka Huntly & Sandee Gordon In Memory of Olive Kouyian Ivan & Kimberly Fowler In Memory of Ron Leitner Mike & Jodi Dynes In Memory of Anna McNett Charlotte Von Moos In Memory of Jennifer Medved Mike & Anita Roozen

Tee It Up For Cancer Care In December 2021, Skagit Woodstock directors Dave Clark and Reed Harlow presented the Skagit Valley Hospital Foundation with a check for $11,000 to support the Cancer Care Patient Assistance Fund. Monies were raised at the charity’s 2021 golf tournament which successfully hosted 136 golfers at Avalon Golf Links in Burlington. Skagit Woodstock has raised more than $89,070 during its 12 years, beginning with a decade plus of music festivals. The Foundation is most grateful to Skagit Woodstock’s organizers and donors for their ongoing support of patient care.

CONTINUED ON NEXT PAGE SPRING 2022

OUR

Donors

CONTINUED

In Memory of LaVone Newell-Reim Ruth Wylie

In Memory of Georgia Jane Walters Ivan & Kimberly Fowler

In Memory of Tammi Hopkins Chris & Jeanne Skeels

In Memory of Rodney Olson Steven & Suzanne Appelo

In Memory of Brad Youngquist Mike & Anita Roozen

In Memory of Ray Houser Mark Houser & Joan Allmaras

In Memory of Tom & Sandra Pollino Chris & Jennifer Pollino

INPATIENT KIDNEY DIALYSIS

In Honor of Connie Milliken Jennifer Milliken

In Memory of David S. Quall Susan Hall Donna Johnson In Memory of Charleen “Char” Relyea Kellie Cargile Jeff & Linda Frizzell

Randy & Theresa Bartelt Patricia Good In Memory of Dorothy Conser Lois Powers In Memory of Jack Frisk Dennis & Connie Milliken Jennifer Milliken

In Memory of Charles Meade Sprouse Donna Johnson

In Memory of Imogene Harder Bethany Gilbertson

In Memory of Steve Thronsen Huntly & Sandee Gordon

In Memory of Hoke Hodgins Richard & Evelyn Buchanan Linda Parker

In Memory of Leah Otis David & Beverly Gufler In Memory of Don Ross Lois Powers

MENTAL HEALTH CARE Tina Leach Paul & Holly Nielsen Greg & Shelley Powell Steve & Kari Ranten Gina Smith Dr. Richard & Elizabeth Williamson Honor of the ICU/ CCU Nurses Rita Sutker

PALLIATIVE CARE COMMUNITY-FOCUSED

Dr. Catherine Bree Johnston

PAR TEE GOLF SPONSORS

Dwayne Lane’s Cares Random acts of kindness go a long way, especially when sweet treats are involved. In mid-February, Dwayne Lane’s Auto Family CEO Tom Lane, Marketing Director Shelia Countryman-Bean and Dwayne Lane’s Skagit Subaru Manager Bart Bunnell surprised the Skagit Valley Hospital Emergency Department, CCU and Environmental Services staff with a generous array of snacks as a token of appreciation for the great care for and attention to patients and families visiting Skagit Valley Hospital. THANK YOU, Dwayne Lane’s Skagit Subaru!

Alfie Hill-Banta Arrow Insulation & Electric Baird Management, Jeff Stewart, CFA Banner Bank Biringer Nursery Cascade Natural Gas Chad Fisher Construction Chandler’s Group CPI Plumbing & Heating Crothall Healthcare & EVS Dwayne Lane’s Skagit Subaru Electrocom Sound & Communication Systems Foster Garvey G&W Commercial Flooring Harris Company HomePlace Memory Care In Memory of Paige Marken LifeNet Health Lisser & Associates, PLLC Marathon Petroleum McKinstry

MV Police Services Guild Optimum Properties Peoples Bank Piper Sandler & Co. PRIMAC Electric Property Trio Retail Lockbox SaviBank SB&C, Ltd. Seattle Cancer Care Alliance Skagit Aggregates Skagit Law Group Skagit Regional Health Skagit Valley Hospital Auxiliary Smiley Insurance State Farm Insurance Agents • Carol Lawson • Brad Methner • Keith Sorestad The Truss Company Gary and Anne Thompson Thomas Cuisine TRICO Companies, LLC USI Insurance VECA Electric VSH Certified Public Accountants, PLLC WAFD Insurance Group Where The Heart Is Assisted Living Whidbey Coffee Company Rob Zwick

PAR TEE GOLF GIFTS-IN-KIND Arne Svendsen Trucking Avalon Golf Links Zach & Adele Barborinas Bellingham Golf & Country Club Joe & Kate Biringer Blade Chevrolet & RVs Kati Collins Columbia Tower Club Costco Wholesale Jeff & Mary June Curtis Crown Distributing Dusty’s Detail Bobbi Fisher Duane & Lynnette Henson Katie Jungquist Munros’ Driving Instruction, Inc.

Skagit Golf & Country Club Sudden Valley Golf Course Brent & Betsey Thompson Carol Walters Wells Nursery Whidbey Golf Club Blaine & Kris Wollan

SKAGIT REGIONAL CLINICS Karen Fure Ben & Jenny Gunn Barry & Karen Hiatt Archie & Patty Knudson In Memory of Kenneth Hughes Dorothy Hughes

SPECIAL CARE NURSERY Vernon & Tammy Ringhouse

SURGICAL SERVICES/ENDO Kelly Bradford Lisa Grentz Dr. Richard & Katherine Leone Enoc Martinez Sid Nix

TEACHING HOSPITAL Dr. Mark Wallace & Jan Garavaglia

WOUND CARE Charles & Pam Eger In Memory of Neil Hall Maynard & Laurie Axelson Diane Bergan Colin & Carolyn Beveridge Don & Louise Bottles Scott & Laura Breckenridge Jeff & Mary June Curtis Gregg & Lea Davidson Justin & Kylee Dowe Mike & Tracey Elfstrom Jeff & Linda Frizzell Catherine Gibson Huntly & Sandee Gordon

Claudette Gubrud Jerry & Sharon Hayes Jean Henson Alfie Hill-Banta Jama Hiltz Mary Hudson Dorothy Hughes Jim & Fiona Jackson Donna Johnson Steven & Robyn Johnson Mike & Diane Laucius Rick & Tracey Levine Bruce & Debra Lisser Brad & Pam Methner Gary & Arlene Moore Keith & Christie Peterson Tony & Bronwyn Pickering Dale & Susan Ragan Stan Relyea Mike & Anita Roozen Helga Schink John Schmidt Jeffrey & Deborah Scott Carolyn Stone Mark & Diane Studley Jen Thomas Blaine & Kris Wollan Ruth Wylie In Memory of Larry Locken Larry & Kathy Ellestad In Memory of Janette McPherson Andrea Martin Nancy Rockwood Arturo & Judy Vivanco Isaac & Sarah Williams Len & Clara Wood In Memory of Aundrea “Andy” Pippel Charles & Pam Eger Chiyoko Flagg Jason & Melissa Flowers Toby & Michelle Knutzen Dr. Doris Lam Dennis & Janiece Reilly Lisa Sutherland

Have a

for

Have a Heart for Kids Fundraiser Benefits Skagit Regional Health’s Children’s Therapy Program The Skagit Valley Hospital Foundation’s 19th annual “Have a Heart for Kids” fundraiser held during the month of February 2022 raised $7,333 for Skagit Regional Health’s Children’s Therapy Program. Special thanks to our partner Bill Constantine, owner of Il Granaio Authentic Italian Restaurant in Mount Vernon, for the continued support he and his staff provide for this online fundraiser. The Skagit Valley Hospital Foundation Board of Trustees and staff share this success with you and truly appreciate your generous support. Thank you to those who purchased meal vouchers and/or made direct donations to support the purchase of therapy equipment including iPads used in speech therapy. Their gifts, in turn, make a significant impact for the program’s young patients and their families.

You can now support the Skagit Valley Hospital Foundation on your phone! 1. Download or update to the latest version of the Amazon Shopping app on your phone. You can find it in the App Store for iOS or Google Play for Android. 2. Join AmazonSmile. Simply sign up by selecting Skagit Valley Hospital Foundation as your charity. 3. Turn on AmazonSmile. Open the app and find ’Settings’ in the main menu. Tap on ‘AmazonSmile’ and follow the on-screen instructions to turn on AmazonSmile on your phone. SPRING 2022

Resources for a Healthy Life SCREENINGS Regularly scheduled screenings can detect cancer early According to the American Cancer Society, “screening increases the chances of detecting certain cancers early, when they are most likely to be treated successfully.” Several reliable, cost-effective screening tests are approved and available to help us detect breast, prostate, colon, lung and cervical cancers. Start the conversation with your healthcare provider today to determine what screening tests are right for you.

Direct Access – An easy way to sign up for a screening colonoscopy Skagit Regional Health’s Endoscopy and Gastroenterology Departments offer a Direct Access program in Mount Vernon and Arlington allowing healthy adults to schedule a screening colonoscopy with the ease of a phone call. The colonoscopy appointment is typically scheduled to occur within two weeks or at the patient’s convenience. Colonoscopy is one of the most powerful means of prevention and early detection of colorectal cancer. To schedule a colonoscopy through Skagit Regional Health’s Direct Access program, call 360-814-5739 in Mount Vernon or 360-618-7975 in Arlington.

3D Mammography in Mount Vernon and Arlington Mammography is a specific type of breast imaging that uses lowdose X-rays to detect breast cancer early – before women experience symptoms – when it is most treatable. 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.

Mammography appointments are available at: Skagit Imaging Pavilion 1320 East Division Street Mount Vernon A service provided cooperatively by Skagit Regional Health and Skagit Radiology.

Skin Cancer Screening A provider from Skagit Regional Clinics – Dermatology will conduct visual inspections of skin abnormalities you are concerned about. This free inspection is not a full body scan. Space is limited, pre-registration required. THURSDAY, AUGUST 11 1:30 - 4:30 p.m. Host: Skagit Regional Clinics – Dermatology Location: 2320 Freeway Drive, Mount Vernon To Register: Call 360-814-7007

Cancer Support Cancer patients and survivors, please call 360-814-8255 to find resources near you.

Cascade Valley Hospital 330 S. Stillaguamish Avenue Arlington Call 360-814-8208 to schedule your mammography appointment.

Give Blood

Need a Doctor? Use our online Find-a-Doc tool at skagitregionalhealth. org or call our free Find-aDoctor phone line at 360848-5555. The referral line is open Monday – Saturday between 6:30 a.m. and 8 p.m.

The local blood supply has hit emergency levels. To schedule an appointment at one of our local Pop-Up donation sites, visit bloodworksnw.org or call 800-398-7888.

For questions, please call 360-814-2424

HEALTH EDUCATION & RESOURCES Heart Healthy Presentation Make heart health your top priority this year and join us in a virtual presentation. Jeff Rhodes, MS, ACSM-CEP, Cardiac Rehabilitation Coordinator at Skagit Regional Health will share helpful information gained from his experience in cardiac-pulmonary rehabilitation and heart-healthy fitness. Learn how to improve your heart health through exercise and lifestyle habits. This event is free and open to anyone in the community. WEDNESDAY, JULY 13 6 - 7 p.m. Location: Online via Zoom To Register: Call 360-814-2424 or visit skagitregionalhealth.org click on classes and events

Medicare Compare Do you need help understanding Medicare and how Medicare supplement plans work? Please call the Medicare Insurance Helpline at 1-866389-0445 for free, unbiased Medicare guidance provided by licensed, highlytrained insurance agents or visit skagitregionalhealth.org/medicare for assistance in comparing and enrolling in Medicare plans accepted by Skagit Regional Health.

Certified Diabetes Education Program Skagit Regional Health offers a multidisciplinary, comprehensive, individual education program for adults with diabetes, either newly diagnosed or for those patients who want additional guidance to help reduce the risks of long-term complications. A referral is required, so talk to your healthcare provider. The program is covered by most insurance companies. Please check with your insurance provider to confirm. In person, virtual and telephone appointments are available. For other questions or more information about the program in Mount Vernon and Arlington, contact our Diabetic Education Program Scheduler at 360-814-8329 or visit

skagitregionalhealth.org and search for Diabetes Education.

Gestational Diabetes Program Diabetes during pregnancy, or gestational diabetes, can result in serious complications to your baby. Skagit Regional Health offers a referral-based education program to improve gestational diabetes selfmanagement skills and provide tools for moms-to-be to feel confident that they are doing all they can to have a healthy baby. Our highly-trained and dedicated diabetes education team provides participants with the skills to manage their blood sugar through healthy eating, stress management, increased activity and blood glucose monitoring. The program at Skagit Valley Hospital offers individual nutrition therapy appointments. For more information, please contact our Diabetes Education Program at 360814-8329.

Chronic Kidney Disease Nutrition Class Nutrition plays an important role in helping you feel better and helping prevent a decline in kidney function. This class will increase your knowledge about better eating habits with chronic kidney disease and your awareness of nutrients in your diet such as proteins, potassium, sodium, phosphorus and fluids that all play a part in how your kidneys function. In addition to the class, one-on-one education with a Registered Dietitian is also available. For more information, please call 360814-8329.

Cardiac Rehabilitation Program Have you had a recent heart attack, bypass surgery, angioplasty or stent placement, heart valve surgery or congestive heart failure? We have a program to help you return to your active lifestyle and learn how to reduce your risk factors. A team of clinical exercise physiologists supervise the classes to provide a safe, friendly atmosphere to ask questions and learn how to pace yourself as you recover. This is a physician-referred program.

or email HealthQuest@skagitregionalhealth.org

Medicare and most insurances cover cardiac rehab. This program typically lasts for 8 to 12 weeks. For more information call 360-814-8368.

Pulmonary Rehabilitation Program This intensive program can help patients with Chronic Obstructive Pulmonary Disease (COPD) and other chronic lung diseases to reduce respiratory symptoms, improve functional independence and complications and reduce hospitalizations. The program is provided by a multi-disciplinary team, plus individualized education, to help patients understand and learn how to manage and cope with daily activities. Participants learn self-management and relaxation techniques to improve emotional well-being, skills to help regain control of their breathing and pursue activities to the fullest extent of their abilities. The classes meet on Tuesdays and Thursdays for approximately 12 to 16 weeks. For more information call 360-814-8368.

Parkinson’s BIG® Program Skagit Regional Health Occupational Therapist Jenna Williams, OTR/L and Physical Therapists Dana Sturtz, DPT; Sarah Gerspacher, DPT and Kaitlyn Ambrose, PTA have completed the required comprehensive hands-on training and testing through LSVT Global to become certified LSVT BIG® clinicians. LSVT BIG® is a researchbased exercise program focused on amplitude (bigger movement) training for individuals with Parkinson’s disease. Parkinson’s often results in the slowing of movements, and decreased size of movements leaving the individual struggling with daily tasks and walking. The LSVT BIG® program focuses on teaching patients the amount of effort needed to produce normal movements through intensive and high-effort practice. The protocol consists of 16 one-hour sessions, four days a week for four weeks. This program is appropriate for all stages of Parkinson’s disease and is offered at Skagit Valley Hospital. A provider referral is required. Please discuss program options with your healthcare provider. For more information, visit LSVTGlobal.com or call 360-814-2184. SPRING 2022

CHILDBIRTH & FAMILY RESOURCES

FAMILY BIRTH CENTER TOURS

At Skagit Regional Health, our goal is to equip each mom with the knowledge and skills necessary to be the best mother she can be. We encourage new moms and their partner or support person to utilize the educational resources below or visit skagitregionalhealth.org and search Family Birth Center. Childbirth class app coming soon!

Lactation Service Skagit Regional Health offers newborn weight checks and breastfeeding consultations with our lactation specialists during your hospital stay and after you return home. For more information, call 360-814-2283 in Mount Vernon or 360-618-7754 in Arlington.

Cascade Valley Hospital Scan the QR code to be directed to a video tour of Cascade Valley Hospital’s Family Birth Center. Questions, please call 360-618-7754.

Baby Line If you have any questions about caring for your baby, call 360-814BABY (2229) in Mount Vernon or 360435-2133 in Arlington to speak with a Registered Nurse who can answer questions about newborn care or any postpartum concerns.

Child Safety Seat Education South Snohomish EMS and Fire is offering a free, online car seat safety class to learn how to properly use your car seat. Registration is required by visiting southsnofire.org and click on Community Programs.

Nurse-Family Partnership Skagit Valley Hospital Scan the QR code to be directed to a video tour of Skagit Valley Hospital’s Family Birth Center. Questions, please call 360-814-2283.

The Nurse-Family Partnership serves first-time moms who are eligible for Apple Health or WIC. Moms are paired with nurses who meet with them from early pregnancy until their child turns two, providing personalized information and support for a healthier pregnancy and more confident parenting experience. This program is provided by Skagit County Public Health at no cost to families. For more information, please call 360-416-1523 or visit nursefamilyparternership.org.

Welcome Baby United Way of Skagit County’s Welcome Baby program has resumed visits to families at Skagit Valley Hospital. The voluntary visits by trained Welcome Baby staff members offer information on safe sleep and early literacy as well as resources as a central point of contact to rely on when parents have questions, concerns or just need a listening ear related to their child’s development or parenting. For more information call our warmline at 360-9222644 or email welcomebaby@ unitedwayskagit.org.

Women, Infants and Children (WIC) nutrition program The WIC program provides healthy foods, nutrition education, breastfeeding support and linkage to health and social services. WIC services women who are pregnant, breastfeeding or post-partum and infants and children up to age five. Clinics are available at multiple locations across Skagit and Snohomish counties: Anacortes: 360-416-7595 Arlington: 360-435-3735 Camano Island: 360-387-0184 Concrete: 360-854-0435 Granite Falls: 360-691-7039 Marysville: 360-657-4102 Mount Vernon: 360-416-7595 Sedro-Woolley: 360-854-0435 Swinomish Indian Health Clinic: 360-466-3900

CPR and First Aid

American Red Cross CPR classes are designed for the way you live and learn. With options available on weekdays and weekends, plus online, instructor-led and blended learning course formats, you can get the CPR training you need on your schedule. Please visit redcross.org.

For questions, please call 360-814-2424

MENTAL HEALTH AND SUPPORT GROUPS Crisis Support

Resources to Help

It is more important than ever to talk openly and candidly about mental health. If you or someone you know is in an emergency, call 911 immediately. If you are in crisis or are experiencing difficult or suicidal thoughts, call the National Suicide Prevention Lifeline at 1-800-273-TALK (8255). You can also text NAMI to 741-741 to be connected to a free, trained crisis counselor on the Crisis Text Line.

If you or someone you know is struggling, there are resources for help – help with alcohol or drugs, thoughts of suicide or self-harm, feeling depressed or anxious, or having trouble affording basic needs. To find these resources, or if you could use someone to talk to who is caring, compassionate and confidential, visit SkagitHelps.org.

Crisis line 24-hour hotline: 800-584-3578 (Island, Skagit, Snohomish & Whatcom counties) Veteran Suicide Hotline: 800-273-8255 press 1, text 838255, or chat online LGBTQ+ Suicide Hotline (Trevor Project): 866-488-7386 or Text START to 678-678

For You, For a Friend

Someone to Talk to SkagitHelps.org Talking to someone

For You, For a Friend can help you, or your friend, sort out feelings during difficult times. Click the button and find a number to call, it will help.

Cooking and Nutrition Series

Family Support Group This online group provides support to family members of those living with a mental health disorder. A one-time registration is required in order to receive the Zoom code, call 360-3137080 or complete the “interest form” at namiskagit.org.

Stilly Valley Health Connections hosts a cooking and nutrition presentation on the third Thursday of every month. Presentations are taught by a Registered Dietitian with Sound Dietitians, LLC and sponsored by Skagit Regional Health. These classes can be attended either in person at Stilly Valley Health Connections in Arlington, or online via Zoom. Call 360-386-9918 or visit stillyvalleyhealth.org to register. Easy Cooking for Bone Health – MAY 19 Seasonal Eating: Exploring Your Farmers’ Market – JUNE 16 Summer Grilling and Picnics: Safety Edition – JULY 21

NAMI Skagit Open Support Group

Resources to Help

National Domestic Violence Hotline: 800-799-7233

SkagitHelps.org

STILL TILLY Y VALLE ALLEY Y HEA EALT LTH H CONNE ONNECT CTIO IONS NS

What’s For Lunch? Meal Planning This online group supports family & Lunch Packing Tips – AUGUST 18 members and/or the person with the Bountiful Harvest: Canning mental health disorder. A one-time Today, tomorrow, next week, next month, or next year, the help you the resources you need.15 & want, Preservation – SEPTEMBER registration is required in order to receive the Zoom code. Call Dean at 360-421-2300 or Marti at 360-7705666 for more information.

Resources to Help Housing & Basic Needs

Alcohol/Drug Depressed Over-Use or Anxious

Suicidal / Self Harm

If you and/or your family’s basic need are not being met, help is available. Click the button and find out how close by help is for you.

Has your use of alcohol or drugs increased? Use can sneak up on you, it’s not uncommon during difficult times. Click for help without judgement.

If you or a friend are considering suicide or self-harm, there is help, resources, a phone to call, or a number to text. Please, seek help and click.

Are you feeling sad or hopeless? Maybe worried or uneasy? It’s not unusual. Click the button to find helpful information for now, and the future.

Today, tomorrow, next week, next month, or next year, the help you want, the resources you need.

Someone more to Talk to

Housing & more Needs Basic

Talking to someone can help you, or your friend, sort out feelings Accessibility Statement during difficult times. Click the button and find a number to call, it will help.

If you and/or your Has your use of Are you feeling sad If you cannot If youaccess or a friend are this website, family’s basic need alcohol or drugs or hopeless? Maybe pleaseconsidering suicide call 360-416-1509. are not being met, increased? Use can worried or uneasy? or self-harm, there Skagithelps.org is also available Privacy Policy | © 2020 Skagit County. This website funded through the 2020 Cares Act. help is available. sneak up on you, it’s It’s not unusual. Clickin Español. is help, resources, Click the button and not uncommon the button to find a phone to call, or find out how close during difficult times. helpful information a number to text. by help is for you. Click for help without for now, and the Please, seek help judgement. future. and click.

or email HealthQuest@skagitregionalhealth.org more

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SPRING 2022

Hospice of the Northwest brings hope to individuals and families facing a life-limiting illness. Our team provides expert medical, emotional, social and spiritual support that contributes to the best possible quality of life—at any age, wherever you are on your journey and wherever you live.

Bereavement and Loss Groups View the full list of groups and classes for those experiencing grief and loss at hospicenw.link/Groups or scan the QR code with the camera on your phone.

Open Grief Groups Open grief groups are open to anyone in the community who has experienced loss. Participants do not need to have an association with hospice care to participate. TUESDAY WEEKLY GROUP 2:30 to 4:30 p.m. FRIDAY WEEKLY GROUP 10 to 11:30 a.m. Host: Hospice of the Northwest Location: Online via Zoom To Register: Call 360-814-5570 or visit hospicenw.link/Groups

Finding Solace Finding Solace is a grief group focused on providing concrete help and valuable suggestions for those new to grief. It will gather over a course of five weeks and be led by one of our skilled grief counselors. THURSDAYS, JUNE 2 - 30 3 to 4:30 p.m. Host: Hospice of the Northwest Location: Online via Zoom To Register: Call 360-814-5589 or visit hospicenw.link/Groups

Moving from to living with

By Mary Bavaro, MD, Infectious Disease Specialist and Connie Davis,

Mary Bavaro, MD

Connie Davis, MD

What is the current status of the pandemic? The COVID-19 pandemic is slowing as case numbers and patients admitted with serious illness decline. The combination of vaccination and natural infection has contributed to this decline in cases and hospitalizations. The dominant variant remains Omicron. There are several subvariants of Omicron circulating worldwide with the BA.2 subvariant increasing in prevalence in the State of Washington. Additionally, breakthrough infections (infections after vaccination) and reinfections (documented infection, recovery and then another documented infection) continue to occur, with cough, sore throat, headache and fever being the predominant symptoms. The Omicron variant probably causes less severe disease than prior variants in vaccinated individuals. While case numbers are decreasing, people still need to remain vigilant regarding safe practices to prevent reversal of our current favorable course.

What is the possible future of the pandemic? It is hard to predict the future of COVID-19, however, looking forward, our future with SARS-CoV-2 will depend upon several factors. The first is the rate of mutation as the virus continues to circulate worldwide. The concern is that additional mutations could lead to viral variants which cause more serious disease or evade the vaccines, monoclonals and medications created to treat COVID-19. The next factor is the ability of vaccination and natural prior infections to generate a long-lasting immune response and prevent the evolving virus from causing serious infection. The last factor is following the practices that help prevent infections such as hand washing, use of masks when outside the home or in close quarters with people outside of our social circle, especially when there are spikes in infections. Likely, with time, this virus will become an infection that is seen throughout the year causing colds and flu-like illnesses in most people exposed with occasional bouts of more severe disease especially in people with other medical problems, the elderly and immunocompromised conditions.

pandemic response COVID-19

MD, Chief Medical Officer

Do we need to be concerned about the variants?

What is the role of medications to treat COVID-19?

The current variant of concern by the World Health Organization, the European Centre for Disease Prevention and Control and CDC is Omicron. As of the end of March 2022, there is not a new variant that appears to be more concerning than the variants that we have experienced to date, however, we do not know what future mutations will develop that will cause more significant disease; at least 2000 new variants are theoretically possible. Vaccines will continue to be a key method to counter new SARS-CoV-2 variants. People who are fully vaccinated and boosted have better protection against variants. Higher rates of vaccination will help reduce the risk for the development of new variants. Currently adults and children over the age of 5 should be vaccinated. We are awaiting the FDA review of the Pfizer-BioNTech COVID-19 vaccine for children 6 months through 4 years of age. Vaccination of pregnant women protects their young babies against getting COVID-19.

As of the end of March 2022, there are two oral medications available with a prescription to help decrease the risk for hospitalization in patients with risk factors for more serious disease. These two medications are Molnupiravir and Paxlovid, which are approved by the FDA under an Emergency Use Authorization. These medications are only effective if prescribed within five days of onset of symptoms. Monoclonal antibodies such as sotrovimab and bebtelovimab are available for high-risk patients who present within 10 days of onset of symptoms. Supplies of these medications are still limited and currently recommended for patients at risk for more severe disease. Vaccination is still the leading way to prevent infections and is extremely effective in preventing hospitalization and severe disease. Looking to the future, we must continue to investigate new medications to treat the virus, treatments to decrease inflammatory responses contributing to more severe disease, prevent infection if exposed and optimize our immune-protective responses.

Will we need an annual COVID-19 vaccine and how many doses of vaccine are protective? We hope in the coming months to learn if another booster or perhaps an annual vaccine will be necessary. Trials are underway with new vaccines that would target the Omicron variant or perhaps there will be a vaccine that covers multiple variants much like the annual influenza vaccine. Right now, the recommendation is to complete a primary vaccine series with one booster. Guidance was recently updated to recommend a fourth dose of vaccine for certain groups. There are some populations, such as those who are immunosuppressed, who are recommended to receive three doses of vaccine followed by a booster. Consult with your primary care provider if you have questions.

What is the role of testing in control of the COVID-19 virus? Early and frequent testing will be essential moving forward in keeping rates of infection down. Testing when having symptoms early in the infection will allow for better treatment response for patients eligible for treatment and preventing infections in others. Testing before travel or visiting friends/family will prevent new infections as we begin to travel.

What have we learned from the pandemic? Learning from experience is always wise, and what we the people, public health, healthcare and governmental agencies have learned from this pandemic is vast. First, we need to keep thinking about potential new infections, look for signs of their development and have emergency equipment ready in key locations. Second, we need to keep public health resources and expertise at the forefront to help us respond quickly and accurately. Third, we need to support scientific advancements and studies making sure that the systems for understanding the basics of an infection, how to test populations quickly, the methods to prevent infection and methods to treat infections are easy to put into motion. The population, governments and scientific communities must be prepared to tackle the new challenges that will come our way. With the globalization of the world and the closeness of humans and animals, the potential for new pathogens and rapid spread is very real. We have just lived it. Connie Davis, MD has served as the Chief Medical Officer for Skagit Regional Health since 2012. Mary Bavaro, MD is part of a team of Infectious Disease specialists with Skagit Regional Health.

SPRING 2022

PODCASTS & PUBLICATIONS Get social and be the first in the know! Join us on social media to stay upto-date with events and programs going on throughout Skagit Regional Health and the communities we serve. Get to know your healthcare team, participate in health awareness days and organizational events and read helpful articles on health and wellness. Follow Skagit Regional Health on Facebook, Twitter and YouTube today!

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VOLUNTEER Volunteer Services at Skagit Regional Health GIVE BACK Whether it’s by pushing a wheelchair, escorting a visitor, delivering newspapers or mail, working in the gift shop, playing the piano or providing pet therapy, our dedicated volunteers play a vital role in creating a healing environment. Volunteers take the time to make patients and visitors feel comfortable and welcomed. LEARN Many of our clinical and non-clinical staff began their journey in healthcare as hospital volunteers. Volunteering in a hospital setting can help students gain exposure to the hospital environment of care, standards and processes. If you’re interested in pursuing a career, there is no better way to learn about all that a hospital offers. Great volunteers can make great future employees. CONNECT If you’re interested in making social connections or networking for future goals, hospital volunteers can make friends that last a lifetime. • All volunteers are asked to commit to a minimum of 100 hours of service. • Most volunteers are asked to commit to one regularly scheduled volunteer shift each week.

skagitregionalhealth.org/podcast

Ernie Santiago, retired Registered Nurse and former Skagit Regional Health employee, assembles face shields on his volunteer shift.

• Volunteers are asked to get a flu shot and to complete training updates annually. Skagit Regional Health is complying with Washington state’s COVID-19 vaccine mandate.

CONTACT US While volunteer positions have been limited during the pandemic, we are always accepting applications online at skagitregionalhealth.org/aboutus. For more information about any of our volunteer programs or services, including programs at Skagit Valley Hospital and Cascade Valley Hospital, please call 360-814-2142 or email volunteer@skagitregionalhealth.org.

Volunteers are appreciated at Hospice of the Northwest A unique and meaningful volunteer opportunity is available through Hospice of the Northwest, serving patients and families in Skagit, Island, San Juan and Snohomish counties. With more than a dozen different “position descriptions,” volunteers offer their skills, support and companionship to individuals who are receiving hospice services. Volunteer training is scheduled a few times a year, with a segment of the training available online. Information about ways to volunteer and the application are available online on the website at HospiceNW.org.

Skagit Regional Health’s Board of Commissioners The 2022 Board of Commissioners includes, from left, Julie Blazek, Peter Browning, Jeff Miller, President Gary Shand, Secretary Frei Burton, Bruce Lisser and Dale Ragan.

Unified as one, growing healthcare system Skagit Regional Health continues to grow and expand to meet the needs of the people in communities in Skagit, Island and north Snohomish counties and beyond. As you see in the pages of this publication, we have exciting new projects and programs: • A new primary care and urgent care clinic is under construction near downtown Mount Vernon. • We have recruited more than 30 new providers in the past year, including many who are focused on providing care in Arlington, Smokey Point and Darrington. • Plans are well under way for a new outpatient surgery center and medical office building near Skagit Valley Hospital. • We are embracing a medical home model and embedding behavioral health services into some of our primary care clinics. In addition to these advancements, we are also coming together as one unified healthcare system. We have more than 2,500 employees working in two acute care hospitals, more than 30 clinic locations plus our support areas, and we have truly come together as one organization. As this healthcare team faced the rigors and challenges of the pandemic, they also pulled together and kept their focus on continuing to provide excellent, compassionate, quality care, with a smile.

This team also performed at a high level as our accrediting organization, DNV, performed our first system survey of our Quality Management System and ISO standards, which demonstrate our commitment to quality and customer satisfaction. The surveyor was most complimentary and the results underscore our progress in our journey as one regional healthcare organization. This is truly an amazing team and kudos go to each member – from environmental services to the OR, from providers to the business office. Each of you has risen to the occasion and formed a bond that now shows unity as Skagit Regional Health. On behalf of the entire Board, I would like to express our appreciation and pride in our team of healthcare professionals and share with the communities we serve our commitment to continue to grow and provide outstanding care.

Gary Shand President, Public Hospital District No. 1 Skagit Regional Health Board of Commissioners gshand@skagitregionalhealth.org

INTERESTED IN COMMUNITY HEALTH? The Board of Commissioners is seeking community members for the Community Health Committee, dedicated to the health and wellness needs of the communities served by Skagit Regional Health. The panel looks at how Skagit Regional Health addresses services, equity and access to care, partnerships with the community and population health metrics to evaluate existing gaps and recommend improvements. If you are interested in serving on the Community Health Committee, contact Kari Ranten, Regional Vice President of Communications, at kranten@skagitregionalhealth.org or 360-814-2370. SPRING 2022

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