Marshall For Your Health December 2017

Committed to the Health & Well-Being of El Dorado County

WINTER 2017

IN WITH THE NEW

Holiday Advice to Stay Well

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A better patient records system

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How to kick the habit

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Wound Care works wonders

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DID YOU KNOW?

An Epic Game Changer Marshall’s New Electronic Health Records System Raises the Bar Marshall Medical Center has big hopes for its new electronic health records (EHR) system. Unveiled in November, the Epic® system comes with the potential to match its lofty name.

Epic connects all the aspects of patient care – from your doctor’s office to the laboratory, pharmacy, and x-ray and the hospital through to billing – on a single electronic health record instantly accessible by those who need it. No more paper records; Marshall has upgraded to the “best in class” platform used by other regional healthcare systems. We’ve modernized the way we communicate with you and the way we work together to give you better, safer and faster care.

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For clinicians, efficiency is a key aspect. “The information you want is in one place. It’s streamlined,” said Loni Jay, MD, of Marshall Sierra Primary Medicine in Placerville. “Epic gives doctors more time to spend with patients.”

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Epic ensures real-time delivery of patient data to clinicians, who can now retrieve information with greater ease. Having a single medical record for each patient improves patient safety and reduces human error. This can potentially reduce healthcare costs and improve the well-being of patients.

MYCHART–YOUR NEW PATIENT PORTAL Manage your healthcare from the convenience of your computer or smartphone with MyChart. This new patient portal gives you 24/7 online access to: •Pay your bills

For patients, Epic’s MyChart patient portal gives you 24/7 access to your medical records. It allows online access to requesting appointments, viewing test results and bill payment.

•Request appointments

MyChart promotes more than just convenience and improved communication. It encourages healthy living by engaging patients in their care. Marshall can now send electronic reminders to patients for upcoming or recommended appointments and tests.

Visit mychart.marshallmedical. org and click on the “Request an Activation Code” button to start your account.

“I’m very excited. I’m hoping this system will encourage patients take a bigger role in their care,” said Lance Holtry, DO, of Marshall Family Medicine in El Dorado Hills.

In the region, Kaiser Permanente, Sutter Health and UC Davis Health use the Epic platform. Patients transferred to and from any of these health systems to Marshall will have an improved continuity of care experience, since their patient records are accessible by all doctors on Epic.

Marshall launched the Epic® electronic health records system with patient safety and privacy in mind.

The system is built to add improvements over time. Phase 2 of the Epic implementation at Marshall will allow for even more offerings. It’s ambitious – and not just in name only.

•View test results •Access and share your medical records

About Marshall Medical Center Marshall Medical Center is an independent nonprofit community healthcare provider located in the heart of the Sierra Foothills between Sacramento and South Lake Tahoe. Marshall Medical Center includes Marshall Hospital, a fully accredited acute care facility with 125 beds located in Placerville; several outpatient facilities in Cameron Park, El Dorado Hills, Placerville and Georgetown; and many community health and education programs. Marshall has over 200 physicians and a team of over 1,500 employees providing quality healthcare services to over 175,000 residents of El Dorado County.

FOR YOUR HEALTH

is published as a community service by MARSHALL MEDICAL CENTER 1100 Marshall Way Placerville, CA 95667 telephone 530-622-1441 or 916-933-2273; www.marshallmedical.org it is intended to provide information about health in general as well as healthcare services and resources available in El Dorado County. Information comes from a wide range of medical experts. If you have any concerns or questions about specific content that may affect your health, please contact your healthcare provider.

If you have questions, concerns or suggestions for future topics, contact the editor, Mark DeVaughn, at 530-626-2816 or via email at:

mdevaughn@marshallmedical.org.

For more information about Marshall, visit www.marshallmedical.org or follow us on Facebook.com/ marshallmedicalcenter, twitter.com/MarshallMedical or Google+ Marshall Medical Center. |

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BETTER CARE FOR YOU

Healthgrades Honors for Marshall Hospital Continues to Earn National Praise Marshall Hospital’s ability to produce quality patient outcomes equates to high praise from independent agencies.

Each year, Healthgrades® evaluates performance for the 34 most common inpatient procedures/ conditions at nearly 4,500 health care facilities nationwide. In the 2018 analysis, Marshall received 5-star honors for quality care in five clinical areas: • Treatment of Appendectomy

•​Treatment of Pulmonary Embolism (for the second straight year) •​Treatment of Sepsis (for the sixth straight year) •​Treatment of Stroke (for the fourth straight year) “It is great to be recognized as one of the best hospitals in the United States because of the results of our care for our patients,” Marshall CEO James Whipple said. “I really appreciate all the hard work by our employees and providers to achieve these great results. Their commitment to the community and our patients is awe-inspiring. We are continuing to work hard to make all of our services improve so I expect even better results next year.”

The recognition builds on Marshall’s other recent accomplishments. In 2016, the facility earned the following Healthgrades distinctions: Top 10% of all hospitals nationally for Pulmonary Care and Critical Care, and 5-Star honors for Total Knee Replacement,

Treament of Heart Attacks and Heart Failure, and for Colorectal Surgeries.

Friendly certification from the World Health Organization and UNICEF.

Last year, the Center for Medicare and Medicaid Services (CMS) released its inaugural Overall Hospital Quality Star Ratings. CMS awarded Marshall Hospital four out of a possible five stars.

Since 2015, the American Heart Association has honored Marshall with its Stroke Gold Plus award.

Twice in recent years (2013, 2015), The Joint Commission awarded Marshall its Certificate of Distinction for Advanced Certification as a Primary Stroke Center.

For advocacy for breastfeeding, Marshall Hospital maintains a Baby

New Upgraded Website Visit the redesigned marshallmedical.org.

Our new look helps you find the services you need.

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•​Treatment of Pneumonia (for the 14th straight year)

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COVER STORY

Balancing the Extremes

Holiday Health Means Finding Moderation, Avoiding Excess The holidays come with high hopes. It’s the norm to overindulge at Christmas before resolving to shed pounds and improve health in the New Year. But through all that time spent spreading holiday cheer, there’s a low-key secret to keeping our sanity: Moderation.

HEALTHY EATING

It’s unhealthy to put high expectations on ourselves. The key is making small changes and doing the little things that can make a difference, according to Marshall Psychiatrist Jeremy Ernst, DO.

1. Plan ahead. For those long shopping trips, bring snacks to the mall (and don’t shop hungry, so you can avoid those unhealthy food court options). When food shopping, find in-season produce like Brussels sprouts, kale and oranges.

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“You have the hustle and bustle of Christmas, Then there’s the New Year when everyone wants to meet their resolutions right away. You have to start small. Big changes – and big expectations for everything – are hard to hold onto.”

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Cook away your worries and balance your holiday portions with inseason produce like Brussels sprouts, kale and oranges.

Marshall Medical Center wants to help you eat better, exercise more and stress less this holiday season. We enlisted the help of two Marshall clinic physicians – Dr. Ernst and Niraj Patel, MD – to provide valuable advice on these important topics.

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2. Don’t drink your calories.

When it comes to alcohol consumption, try light beer. Mix your drinks with tonic water instead of soda or juice. Take two-to-three sips of water for every sip of alcohol.

To avoid disrupting your sleep, plan your winter workouts for the mornings or afternoons.

www.marshallmedical.org

COVER STORY

Start Your Healthy Habits Marshall Medical Center offers classes to help your well-being Mental Health First Aid:

Introduces enrollees to strategies when challenges arise with family, friends and our general community. At this two-day program, subjects include depressive disorders, eating disorders and substance abuse.

Dates: Jan. 29-30, July 16-17

EXERCISE ADVICE 1. Work out in the middle of the day or the morning. Nighttime routines can interfere with sleep patterns.

2. Exercise at least two hours per-week. This involves moderate intensity exercise (swimming, weight-lifting and jogging), according to Dr. Patel.

3. Find a pool “While running can be hard on your joints, swimming can really decrease pressure on areas like your knees,” Dr. Patel said.

STRESS REDUCTION 1. Sleep is key.

Sleeping between seven or eight hours at night gives your body a chance to heal and repair during a busy time of year, especially for those who suffer from chronic pain like arthritis.

“It can also help your mood. It’s very important for your peace of mind,” Dr. Patel said.

2. Cook your worries away.

The kitchen can be a sanctuary from distractions. It can be a place where we can feel in charge. “Cooking gives you a sense of control,” Dr. Ernst said, “especially if you feel like you have a hard time controlling other things in your life.”

“When you first learned how to ride a bike, you didn’t give up the first time you fell off,” Dr. Ernst said. “You’re going to have bad days, where you don’t eat as well as you’d like, or exercise as much as you want. Don’t give up. Get back on the bike and start again.”

3. “Me-first” is okay. We spend much holiday time trying to please others, but at our own expense. Make sure you’re not lost in the middle of all the action. Anything from a hot bath, to a yoga session, to a few minutes listening to music can help us decompress.

The holidays can be a stressful time for adults. In the end, it’s best to remember lessons from childhood.

During the holidays, a few minutes of “me-time” can go a long way.

Marshall Welcomes Our New Provider Niraj Patel, MD Marshall Family & Internal Medicine 3581 Palmer Drive, Suite 602 Cameron Park, CA 95682 530-672-7000

Marshall Family & Internal Medicine of Cameron Park is pleased to welcome Niraj Patel, MD, to its ranks. Raised in Folsom and a graduate of Folsom High School, Dr. Patel arrives after completing his residency at Grant Medical Center in Columbus, Ohio. He graduated from UC Irvine and completed medical school at Ross University School of Medicine. He plays golf and tennis. He also enjoys traveling, especially to Europe and the Mediterranean.

www.marshallmedical.org | FOR YOUR HEALTH

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3. Control and balance your portions: Fill half your plate with colorful vegetables, a quarter with lean protein and the other quarter with whole grains. Enjoy fruit and low-fat dairy foods – yogurt, cottage cheese – as snacks.

Call Marshall’s Community Health Education Department at: 530-626-2990 for more information.

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FOUNDATION FEATURES

How to Leave a Legacy in Five Minutes In less time than it takes to brew a pot of coffee, you can make a lasting impact at Marshall Foundation For Community Health.

peace of mind. Your current budget isn’t affected because you make the gift after your lifetime, and you can change your mind at any time.

Your Support Matters

Here’s How: One of the easiest gifts you can make is to name Marshall Foundation For Community Health as a beneficiary of one of your assets, such as your retirement plan or life insurance policy. This is a popular gift to give because you can set it up by yourself.

There’s no need to use the services of an attorney or financial advisor to put your gift in place.

Simple Steps to Follow:

stated percentage, on the form.

1. Contact the administrator of your retirement plan, insurance policy or bank account for a change-ofbeneficiary form or simply download a form from your provider’s website.

3. Sign and return the form to your plan administrator or insurance company.

2. Decide what percentage of the account you wish to give to Marshall Foundation and name us, along with the

4. Tell us about your gift!

It would be our honor to thank you for your support.

Plus, your generosity can inspire others to follow your example.

Key Benefit: Beneficiary designations offer built-in

No matter the size, your gift makes a meaningful difference at Marshall Foundation For Community Health. Contact Karen Good, CFRM, CNEL at 530-642-9984 or kgood@ marshallmedical.org to learn more about giving a gift that doesn’t cost you anything today. If you’ve already made a gift, please let us know so we can thank you for your generosity and ensure that your gift is used exactly as you intend.

Nursing Scholarship Winners Announced In 1992, Marshall Hospital physicians John Mathewson and Quentin Bonser endowed a scholarship to benefit nurses who sought to further their education and training.

It was their hope that patients in the community benefit from the advanced training Marshall nurses would attain.

Twenty-five years later, the Mathewson-Bonser Nursing Scholarship continues to benefit the El Dorado County community.

Honor a Nurse

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Support the future of nursing at Marshall. Your $100 donation will send a card to the nurse of your choice and remind them you value the caring work they provide.

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For more information, please visit our website at www.marshallfound.org.

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Marshall congratulates the 2017 Mathewson-Bonser Nursing Scholarship winners from left to right: Mandy Gamble,

Janelle Mayhugh, Leanne Amey, Ashlee Roman and Morgan Gwisdala. Not pictured: Sydney Seitz.

BETTER CARE FOR YOU

A Hospital’s Healing Sanctuary Marshall’s Wound Care Center: There When You Need It Most Carol Anne Ogdin never thought she’d need the specialized treatment available at Marshall Wound Care. She was surprised and very pleased to learn that comprehensive wound care was available right in her backyard. This summer, the 76-yearold Placerville resident went to Sacramento as a protester. After falling while marching, she left with large gash on her right hand.

But days after she was treated at a Sacramento emergency room, the wound still had not healed.

An appointment with her Marshall primary care physician led to a referral to Marshall Wound Care, where the treatment methods were as unassuming as they were effective.

Ogdin had an amniotic allograft – a thin layer of dehydrated human amniotic membrane, derived from the protective liquid that cushions a growing fetus in the womb – placed over her wounds. “It looks like a piece of rice paper,” said Alexis Long, MD, of Marshall Wound Care. Within days, the wound had disappeared.

“Marshall is amazing to me,” said Ogdin, a former consultant to IBM and Xerox. “I’ve never had a moment here where I felt I wasn’t getting what I needed.”

Opened in 2014, Marshall Wound Care exists to eliminate chronic wounds: injuries that either haven’t healed after 30 days or could become infected or amputation if left untreated. Among the Marshall patients most likely to be referred to the clinic include those with diabetic foot wounds, amputations, or those who’ve suffered unfortunate accidents.

“If you have a wound that has not healed in a month, you’re a candidate to come see us,” Dr. Long said.

Carol Anne Ogdin, left; can smile after her treatment from Dr. Alexis Long and the Marshall Wound Care Center.

The clinic is home to much more advanced treatment for more extensive injuries: a hyperbaric chamber for hyperbaric oxygen treatment (HBOT), a key component in healing issues like diabetic wounds of the lower extremities, radiation tissue damage and crush injuries.

The hyperbaric chamber was installed in 2015.

“It’s unusual for a small community hospital to have a capability like this.” Beyond Sacramento, the closest hyperbaric chamber is in Grass Valley.

Marshall Wound Care 1095 Marshall Way, Suite 203 Placerville, CA 95667

530-344-5496 www.marshallmedical.org/woundcare

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Quit Smoking

Earn Your Freedom and SMILE :) From Cigarettes

SMOKING

The decision to stop smoking can be easy.

Actually quitting the habit is harder.

CESSATION CLASSES

For inspiration to quit, consider those who’ve completed Marshall’s Freedom From Smoking class.

“You don’t have to smoke, and this program will teach you why,” said Eljiah Berrey, who finished the course in 2013 and has stayed cigarette-free since. “It doesn’t have to be part of your life. It will not hurt you to stop smoking.”

Get the help you need with Marshall Medical Center’s seven weeks to smoking cessation Marshall offers a seven-week class three times in 2018. The first one begins on smoke-free success!

Jan. 17. Registration costs $75, but enrollees will be

reimbursed $25 if they complete the course. Those who enroll to lose their unhealthy habit – the nation’s leading cause of preventable death, according to the American Lung Association – will gain a true January 17 -asFeburary 28 advocate an instructor.

5:30-7:30 p.m. in Placerville

May 3 - June 14 Denice Bragg hasn’t smoked since finishing the August 1 - September Freedom from Smoking 12 class in 2010. A secretary at Marshall’s Diagnostic Imaging department by day, she leads the series with empathy in mind. “I can lead by experience,” she said. “I can explain what happened to me.”

The Freedom from Smoking series is taught In one assignment, Bragg instructs each enrollee by a Marshall Medical Center employee, write a “goodbye letter” to cigarettes. certified by the American Lung Association.

“Marlboro Man…I found someone else, and that someone is me,” one letter wrote.

“I will use the money I save to do fun things,” said another.

TO FIND OUT MORE OR TO REGISTER 530.626.2990

“It’s a shared misery, but with a positive, happy ending, he said. “Going through the same experience Feehelped $75.00 (cash, with others a lot.

In life, check, we walk Visa, alone or our Mastercard accepted) paths with strangers converge.

Sometimes, it’s easier to walk on the same path together.”

*Free for Marshall employees and their spouses/domestic partners Call Marshall’s Smoking Cessation: Community Is a seven-week series taught by a Marshall employee/American Health Education Lung Association-certified instructor. Get the help you need and kick Department at: that habit.

530-626-2990 Start-Dates: Jan. 9, Feb. 20, June 4, July 16, Sept. 5, Oct.17 for more information.

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Berrey enrolled in 2013, years after a 12-step program helped him overcome alcohol abuse.

The Marshall series made him look forward to a life without smoking: a laundry room without harsh smells, a body free of toxic chemicals, a day devoid of coughing and difficulty breathing. He says the positive a unique team Call reinforcement, Communitycombined Health with Education at aspect, gave him the fuel to stop lighting up.

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Participation in these classes will count toward wellness points.