Inside UnityPoint - Spring 2016 by UnityPointHealth

SPRING 2016 Employee magazine for UnityPoint Clinic® & UnityPoint at HomeSM

Meet the Interim CEOs of UnityPoint Clinic & UnityPoint at Home Special Delivery: UnityPoint at Home to Offer Specialty Pharmacy Services

Epic Stabilization to Optimization Dr. White’s Story

TABLE OF CONTENTS

UNITY BEGINS WITH U

4 Care Coordination Shines Through in Outstanding Star Award Winners

Meet Our Interim CEOs

Special Delivery

14 COVER STORY: Epic Stabilization to Optimization: Making Progress Through Teamwork

he Road to Becoming One: Adopting T System-wide Values and Standards of Behavior

Around the Regions: Madison

Around the Regions: Souix City

HEALTHY U 20 Turning 60 in 2016: Employee Sets Wellness Goal to “Go Gray and Go Strong”

Healthy Recipes

INSIDE UNITYPOINT

HOW DOES UNITY BEGIN WITH YOU? SHARE YOUR STORY DURING NATIONAL NURSES WEEK! National Nurses Week is in May and we want to recognize our nurses for the care they give to our patients, their commitment to health and the difference they make in our communities every day! Share a story about why you became a nurse, how your team coordinates care or how you or a colleague has made a difference in the life of a patient. HAVE ANOTHER STORY HIGHLIGHTING UNITY? SHARE IT THROUGH BRAND CENTRAL! We are always accepting a wide range of stories about how our staff and providers bring our brand of care coordination to life. Here are just a few examples of how you can share a story of unity: • How teams work together across care settings • How you have coordinated care for patients •H ow you or a colleague demonstrates our mission and vision in your everyday work • Moments of team building and development Submit Your Story on Brand Central • Go to the intranet home page • On the left navigation, clink on “Brand Central” • Click on “Unity Begins With You” • Fill out the form and click “Submit”

Find Inside UnityPoint Magazine online on the intranet home page. Select the “newsletters” quick link in the left navigation and scroll to the “magazines” section. CONTACT US Inside UnityPoint Magazine is produced by the UnityPoint Clinic and UnityPoint at Home Marketing Communications Department. If you have questions about the magazine or ideas for future stories, email Allison.McGrew@unitypoint.org.

Managing Editor: Heather Nahas

Graphic Designer: Scott Rhone

Editor: Allison McGrew

Photographer: Mark Burnham Diann Halverson

Editorial Contributors: Erin Austin Tim Fess Alexis Hennig Allison McGrew

Care Coordination Shines Through in Outstanding Star Award Winners Achieving the best outcome for every patient, every time is the vision that is lived out by each Outstanding Star award winner. Read the nominations for the Outstanding Star award winners of 2015 to learn how your colleagues are coordinating care from the hospital, to the clinic, to the home.

OUTSTANDING STAR AWARD WINNERS – UNITYPOINT CLINIC

“Salina has worked diligently to provide patient care during difficult times of Epic transition and low staff census. She acts as our nurse coordinator, CMA and lab tech and pitches in wherever needed. She always has the patient’s best interest at heart. I wish all clinics in our UnityPoint family could have a staff person like Salina.”

Outstanding Star: Salina Clark

“Marisa treats the first patient of the day just like the last patient. Her bubbly personality and caring attitude makes the patient feel like they are important and are cared for. As soon as a patient arrives, she is up and running, and her call backs to patients are very timely. She is always asking co-workers if she can help them. Marisa is truly a wonderful nurse who lives out our mission with every patient.” Outstanding Star: Marisa Boss

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“If it was not for Brittany, we would not have survived the Epic transition. She is our super user and proved why she was super. Brittany has gone out of her way to help and encourage each of us. She always has a smile on her face and welcomes us and the patients to the clinic. Brittany is committed not only to the patients of Northridge, but also to the staff of Northridge.”

Outstanding Star: Brittany Myers

“Kellie has demonstrated our mission and vision by filling in for our clinic administrator and one of our clinic leads. Our clinic administrator was due to have her baby and, I was planning to work fulltime during her absence. Shortly before her delivery, my mother was diagnosed with pancreatic cancer. The treatment plans were overwhelming, but when I couldn’t be at the clinic, Kellie volunteered to handle everything until the clinic administrator returned. “ Outstanding Star: Kellie White

“Kathy is our “go to person” for everything at UnityPoint Clinic – Cardiology in Cedar Rapids. She gives her time freely to help others. Kathy was instrumental in assisting with coordination of all of our Epic activities, not only for our clinic, but for the entire Cedar Rapids region. Kathy is a shining example of treating others with respect and the way we would want our loved ones to be treated.” Outstanding Star: Kathy Mitchel

OUTSTANDING STAR AWARD WINNERS – UNITYPOINT AT HOME

“One of our patients was struggling with her health and was hospitalized every four weeks until Jessica began caring for her in her home. When Jessica started as her nurse, she began to receive excellent care. The patient’s family felt that the care Jessica provided saved their mother’s life. Jessica’s work with this patient exemplifies our brand.”

Outstanding Star: Jessica Blumer

“Sheila is an incredible asset to the home care team. She always puts patients first and truly cares about each of them. She goes out of her way to follow up with them on what happened at an appointment and partners with their providers to make sure their needs are met. Sheila accommodates their needs to safely stay in their home and works hard to give patients the opportunity to thrive.” Outstanding Star: Sheila Hefley

“Josh is consistently an Outstanding Star. As I work near him, I learn new ways of how he solves issues with patients or helps employees. By putting patients first, Josh displays great integrity, and there is never a patient left unsatisfied. His experience and willingness to dig into problems to find solutions makes him who he is and keeps his department easy to work with.”

Outstanding Star: Josh Skinner

INSIDE UNITYPOINT

“Jeanne moved to the hospice team to take on the new HIS requirements and has served as an invaluable resource, not only to Des Moines, but to the whole SOU. Jeanne is a team player and is frequently approached by other departments to answer questions. Jeanne has a global perspective and can see how the performance of her daily tasks relates to the overall system and its impact on patient care.” Outstanding Star: Jeanne Hasbrouck

“Shawn works to improve the health of our community by answering questions for callers and staff and makes sure orders and notes are put in promptly. Shawn came to the Jefferson office and community with a wealth of knowledge that was invaluable to our staff. We were frequently overwhelmed and she did much of the ground work to get answers and contacts so we could give patients the best possible care.” Outstanding Star: Shawn Allen

Visit the intranet to read more about each Outstanding Star award winner and view all of the Outstanding Star nominations. The new nomination process for the 2016 Outstanding Star award will begin in April. Check the intranet and your email for more information on how you can nominate your outstanding colleagues!

INSIDE UNITYPOINT

Meet Our Interim CEOs In February of 2016, the combined Board of Directors of UnityPoint Clinic and UnityPoint at Home approved interim Chief Executive Officer appointments for each organization who will serve during the recruitment period to identify a new CEO. Steve Stephenson, MD, formerly Chief Operating Officer and Executive Vice President for UnityPoint Health – Des Moines, and Sue Thompson, RN, MS, Senior Vice President of Integration and Optimization for UnityPoint Health, have been appointed to lead the medical group and home care respectively during the interim. Dr. Stephenson’s medical career includes specialty practice in pediatric hematology/oncology and spans both medical group and hospital operations. Among his leadership positions prior to joining UnityPoint Health, he served as President of Specialty Medical Group Central California in Madera and was residency director of a combined internal medicine/pediatric residency program at William Beaumont Army Medical Center in El Paso, Texas. In her system role, Sue works closely with chief operating officers and other members of senior leadership groups to evaluate, identify and deploy initiatives that support the system’s ability to improve the delivery and quality of care. Previously, Sue served as CEO of UnityPoint Health-Fort Dodge. In 2015, she was named as a Commissioner to MedPAC, a nonpartisan legislative branch agency that provides the U.S. Congress with analysis and policy advice on Medicare. In their interim CEO roles, Dr. Stephenson and Sue will work to guide the strategic priorities of the organization and ensure that an integrated ambulatory enterprise continues to progress.

Dr. Steve Stephenson and Sue Thompson share their have shaped them as leaders. DR. STEVE STEPHENSON

How has your military experience helped shape your career? During Operation Desert Storm, I was Deputy Commander at a major Army medical center. I was tasked with equipping and training nearly all the medical personnel that were deployed to the Persian Gulf. The potential for biological or chemical warfare added an even greater reality to this mission. I also readied our 200-bed hospital to hold up to 600 additional casualties in preparation for all battle outcomes. This position was the most formative leadership position in my career as I learned to be agile in a rapidly changing environment.

What is your primary goal as interim CEO of UnityPoint Clinic? My goal is to ensure that all of our clinical endeavors are unified. I want to help UnityPoint Clinic achieve a clear voice about what it means to say “the point of unity is you.” I believe a unified structure is possible with a unified culture. When we all focus on the patient and their families, not just our individualized tasks, we develop a clear vision of what we can be together.

As a pediatric oncologist, what does “patient-centered” mean to you? The average time spent with an oncology patient is three years, so an oncologist must have an ongoing relationship with their patients. It makes all the difference in the world to establish an early connection with the patient and their family. Patient centeredness is about having an honest and direct relationship with the patient by being a leader, teacher and physician.

What do you like to do outside of work? My wife is a librarian and we are both avid readers. Recently, I have enjoyed reading Team of Teams: New Rules of Engagement for a Complex World by General Stanley McChrystal. In this book, McChrystal explains the communication strategy implemented by his Task Force to defeat Al Qaeda. McChrystal broke down silos by looking at the best practices of the smallest units to extend them to the thousands of people at this command, establishing oneness. The book reveals how the challenges McChrystal faced in Iraq can be relevant to civilian organizations. It also parallels to our need to unite all health care environments and affiliates of UnityPoint Health.

INSIDE UNITYPOINT

vision for our organization and the experiences that SUE THOMPSON

What inspired you to become a nurse? My mother worked for our local family practice physician, Dr. Larson. His wife was a nurse who took me under her wing. She organized trips to nursing schools and invited me and other young women in my community to visit them with her. I was always inspired by caregivers because they were seen as the pillars of my community.

What do home care clinicians have to look forward to in our organization’s future? I’m confident that UnityPoint at Home has a strong leadership team filled with exceptional servant leaders. We know that home care is where patients want to be. They want to receive care in the comfort of their own home. We have the opportunity to differentiate our care from others by centering it around the patient.

How has your experience as a nurse influenced your career as a health care leader? Early on in my career, I could never have imagined I would be a Chief Executive Officer. There are not many female CEOs or nurse CEOs, but the fact that I was able to see things from a clinical perspective helped me gain confidence as I took on greater leadership roles. Being a clinician allowed me to understand situations and problems in a unique way and to see the full picture.

What does “patient-centered” mean to you, and how do you inspire others to think about patient-centeredness? Patient-centeredness is whatever the patient wants and needs, when they want and need it. As clinicians thinking about patient-centeredness, our role should be to remove unnecessary suffering for our patients and their families. This includes removing barriers such as anxiety, access issues and waiting for test results, in order to put the patient at ease.

Special Delivery Across the country, spending on specialty drugs – prescription medications that require special handling, administration or monitoring – is growing. These drugs are used to treat complex, chronic conditions, such as cancer, multiple sclerosis, rheumatoid arthritis and hepatitis C. Even though they are only used by a small percent of the population, specialty drugs now represent a significant portion of the country’s overall spending on prescription drugs due to their high cost. At the same time, a growing number of initiatives led by those paying the bills (insurers and employers) are tying payments to quality metrics that hold health care providers like UnityPoint Health accountable for patients’ total medical costs, including medications. These economic trends are part of the reason why UnityPoint Health and several other leading health systems have begun providing outpatient specialty pharmacy services. The other, more important reason for UnityPoint Health is that specialty pharmacies create real opportunities to advance patient care.

“UnityPoint Health is an innovative organization that is transforming how care is delivered and coordinated,” said Andrew Molosky, UnityPoint at Home Chief Operating Officer. “Integrated health systems like ours are ideally positioned to coordinate care for patients that require the kind of ongoing high-touch services that specialty pharmacies provide.” UnityPoint at Home has been tasked with building out and managing the system’s specialty pharmacy. It began providing specialty pharmacy services in January to employees covered by the system’s health plan. In July, services will be rolled out to the public in the Central Iowa region. The remaining UnityPoint Health regions will follow over the next six to nine months. Ruth Coady, Executive Director of Infusion Services and Specialty Pharmacy believes UnityPoint at Home was the logical choice to manage specialty pharmacy operations for the system. “We’ve successfully provided home and outpatient infusion therapy services for more than 20 years,” she said. “Through our infusion therapy work, we have built considerable expertise in handling sensitive medications and providing in-person medication training.” Patients of the specialty pharmacy will benefit from UnityPoint at Home pharmacists working within the system to connect

Nicole Groetken, RPh, Pharmacist and Nate Hellenga, RN, Infusion Nurse, consult on a medication in the new UnityPoint at Home – Specialty Pharmacy.

and communicate patient concerns, adverse effects, and medication adherence to the rest of the health care team. According to Chad Mentele, Specialty Pharmacy Manager, the integration of UnityPoint at Home specialty pharmacists with the patient’s health care team is expected to have positive effects on the quality of care and patient satisfaction. “When providers and pharmacists are on the same team, there is better communication about the patient,” he said. To demonstrate a high level of quality to groups outside the system, UnityPoint at Home is working on gaining accreditation for the specialty pharmacy from URAC, a non-profit organization that helps promote health care quality. This accreditation will be helpful when meeting with pharmaceutical companies to obtain distribution rights to more medications. Similarly, the stamp of approval will be useful in discussions with outside payers about the possibility of providing specialty pharmacy services to their insured populations.

INSIDE UNITYPOINT

SPECIALTY PHARMACY GROWTH

In the Unites States specialty medications represent only 1% of all prescriptions but represent nearly 32% of the total medication spend.1 It is predicted that specialty medication use will surpass spending on traditional medications by 2018.2 By 2020, it is predicated that specialty medications will represent half of the total medication spend and 9% of total health care spend at a cost of $400 billion.3 1

xpress Scripts, “Insights: U.S. Rx Spending E Increased 13.1% in 2014”

VS Health, “Specialty Costs: Can They Be C Contained?”

nitedHealth Center for Health Reform and U Modernization, “The Growth of Specialty Pharmacy: Current Trends and Future Opportunities”

Epic Stabilization to Optimization: Making Progress Through Teamwork

Dr. White and team member Julie are able to utilize the templates set up by Marcie to optimize their time in the Epic system.

Andrea White, MD, and the team at UnityPoint Clinic Pediatrics in Ankeny, Iowa, found the transition to the new system to be a difficult one. “The biggest challenge we experienced was the increase in time it took to complete documentation,” Dr. White said. “Many of our providers were spending far more time outside of office hours to complete their work.” After the “go live” period when the new system was initially implemented, follow up training and additional education continued in each region, but it soon became obvious more training was needed to help providers and clinic teams improve their proficiency. In collaboration with the physician engagement team, the UnityPoint Clinic informatics team identified the need to provide one-on-one support to providers as they navigated through Epic. “We felt that individual visits were needed in order to address each person’s unique educational needs, but also to foster the relationship between the provider and their assigned informaticist,” said Leslie Schneider, Director of Clinic Technologies for UnityPoint Clinic. As part of this one-on-one approach to educational visits, Marcie Eriksen, ambulatory informaticist, arrived at the Ankeny pediatrics clinic to help Dr. White in February. Marcie tailored the training to meet the unique needs of Dr. White by observing her workflows as she met with patients and reviewing opportunities for improvement. “Marcie trained me on Dragon (a speech recognition program for medical documentation), helped me set up additional templates and smart phrases, and answered questions that I had been gathering prior to her visit,” Dr. White said.

“She also returned to the clinic a month later to make sure I didn’t have any follow up questions.”

INSIDE UNITYPOINT

In May of 2015, UnityPoint Clinic completed its full implementation of Epic, a new electronic health information system, across all primary care and specialty clinics in all regions. And as its name implies, Epic created monumental change.

Dr. White found that using Dragon greatly increased her efficiency with completing notes. “Marcie helped me create templates for repetitive tasks in order to make them more efficient. Together we reviewed the process to set them up so I could create them with more ease by myself.” Overall, Dr. White is spending far less time on documentation. “I am more certain that I’m including everything that needs to be there. Even on days when I’m seeing 27 patients, I’m staying caught up,” she said. While Dr. White and the other members of her pediatric team don’t claim to be experts yet, they’ve made significant progress and their experience with Epic has improved. “I think Epic stabilization is a process. We are still learning better and more efficient habits, while working to make sure we are documenting in a way that meets quality metrics,” Dr. White said. “It is a work in progress, but we are improving after having access to resources like Marcie who bring us closer to our goal of optimization.”

Dr. White is now able to spend more quality time with her patients, thanks to the help that the informatics team provided.

The Road to Becoming One:

Adopting System-wide Values and Standards of Behavior

The road to becoming one starts with a unified culture with common values as the foundation. That is why in 2016, UnityPoint Health is adopting one set of values and standards of behavior across the system to deliver an unforgettable health care experience to our patients. During July and August of 2015, employees from each affiliate including UnityPoint Clinic and UnityPoint at Home participated in focus groups which captured feedback from people who work in a variety of roles. Common themes identified in the focus groups were used as starting points to begin the foundational work for the development of system-wide values and standards of behavior. The themes included:

• Compassion, empathy and caring • Teamwork and collaboration • Excellence and quality • Responsibility and accountability • Communication • Positive attitude and friendliness • Respect In October of 2015, these themes were presented to the UnityPoint Health culture task force. Jane Arnold, Vice President of Operations and Home Care in the Sioux City region, was one of 40 task force members whose goal was to provide recommendations for a set of values that would unite the organization in a deeper way.

INSIDE UNITYPOINT

Jane Arnold, Vice President of Operations and Home Care, Sioux City

Individuals who demonstrated passion for their work and for developing the organization’s culture were chosen as task force members by system and local leadership. “Our task force consists of a diverse group of employees based on roles and responsibilities such as IT, pharmacy, nursing, home care, clinicians, insurance division and physicians,” Jane said. With more than 1,800 employees and physicians involved in the focus groups, the selection of values was truly an employee-led process. “These values were created by employees from their own affiliate, not from a top-down approach,” Jane said. “Employees were challenged to be bold and think outside the box. This created enthusiasm that the group not only had a voice, but that it was going to be heard and have significant impact.” Jane and her fellow task force members are confident that a universal set of values will be beneficial for both employees and patients. “It is very common for our patients to transition within various care environments in our organization. As they move between their clinic and a hospital or even to getting care in their home, it’s important that patients feel the same experience delivered by all of our employees,” Jane said. “A strong and united culture fosters a greater experience for our patients.”

SUCCEED

AROUND THE REGIONS

Madison The new year kicked off with both UnityPoint Clinic and UnityPoint at Home welcoming new team members from Madison, Wisconsin. More than 150 providers and 30 staff from Meriter Medical Group became part of UnityPoint Clinic while 85 clinicians and staff from Meriter Home Health joined UnityPoint at Home. The capitol city of Wisconsin, Madison has a lot to offer. Here’s a glimpse at our newest region:

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Madison’s population is around 233,000, but Greater Madison is about 500,000 people

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It’s the second largest city in Wisconsin, behind Milwaukee

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There are 5 lakes surrounding Madison – Mendota, Monona, Waubesa, Kegonsa and Wingra

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Madison is one of only 2 U.S. cities built on an isthmus! An isthmus is a thin strip of land between two bodies of water

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More than half of Madison’s population is under the age of 30

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Madison is home to the University of WisconsinMadison, with over 43,000 enrolled students

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The World’s Largest Brat Fest takes place every Memorial Day weekend. Over 3 million brats have been sold since 1983

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Meriter Home Health originally began operations in 1987

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Home care services include skilled nursing, physical, occupational, speech and respiratory therapies, home medical equipment and a retail store

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There are 14 UnityPoint Health – Meriter clinics in Dane County, serving the communities of Greater Madison

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Clinic specialties include family medicine, orthopedics , dermatology, cardiology and OB/GYN

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Sioux City Last September, we welcomed eight clinics from the Sioux City region to the UnityPoint Clinic team. This integration welcomed approximately 100 new employees, of which about 30 are physicians or advanced practitioners. Alongside UnityPoint Health – St. Luke’s Regional Medical Center and UnityPoint at Home, these clinics are well-positioned to serve the Siouxland community. But what does that community look like? Check out these facts to get to know Sioux City, Iowa: •

The population of Sioux City is just below 83,000, making it Iowa’s fourthlargest city.

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Sioux City is at the heart of Siouxland, a region connecting the borders of South Dakota, Minnesota, Nebraska and Iowa. The Siouxland’s other major city is Sioux Falls, South Dakota.

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Two professional sports teams call Sioux City home: the Explorers, a member of the American Association of Independent Professional Baseball, and the Bandits, a charter member of the Champions Indoor Football league. Saturday in the Park takes place every summer, attracting more than 50,000 people for a live music festival. In recent years, Aretha Franklin, the Avett Brothers and Melissa Etheridge have headlined.

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Sioux City is a major center for higher education in Iowa, as it is home to Briar Cliff University, Morningside College, Western Iowa Tech Community College and St. Luke’s College.

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St. Luke’s College – UnityPoint Health offers programs in nursing, radiology and respiratory care, medical laboratory science, phlebotomy and clinical pastoral education.

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UnityPoint Health – St. Luke’s traces its roots back to 1884 when Samaritan, Sioux City’s first hospital, opened.

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St. Luke’s joined UnityPoint Health (known then as Iowa Health System) in 1996.

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St. Luke’s Home Care — now UnityPoint at Home — began operating in 2007. The affiliate offers skilled nursing care, rehabilitation and respiratory therapies, infusion services and home medical equipment.

HEALTHY U

TURNING 60 IN 2016: Employee Sets Wellness Goal to “Go Gray and Go Strong”

(Above) Del Konopka (dressed in a black jersey) passes cyclists on a ride around Lake Tahoe. (Left) Del poses with her bike.

As a role model of wellness, Del strives to encourage others in developing healthy habits. As editor of the newsletter for her cycling club, Del enjoys mentoring new cyclists who join the club, providing them with helpful tips. “I also share about how I overcame barriers to reach a cycling goal in one of my classes at UnityPoint at Home,” Del said. “In the Integrated Care Management and Motivational Communication course, we provide information about goal setting and health behavior change,” Del said. When it comes to nutrition, Del is dedicated to a diet that provides her with healthy options. “I make a grocery list and I stick to it,” Del said. “I have cereal and milk for breakfast, a banana as a snack, Greek yogurt or other protein and a fruit or vegetable for lunch. For dinner, I have lean meat or fish with vegetables and fruit or other carbohydrates. I never buy chips and avoid fried food.” Del also makes a point to bring fresh green salads to potlucks, since healthy sides are often lacking. Through focus and commitment, Del is confident that she will successfully complete her New Year’s resolution for 2016. “I schedule my weekly exercise in my planner and circle it when it’s done, giving myself a quick visual to stay on track,” Del said. “Every Monday morning, I record my exercise through On Point for Health. If I ever want to sleep in, rather than get up at 4:30 to work out, I tell myself “I will feel better afterwards if I go,” or “my friends will miss me if I don’t show up.”

INSIDE UNITYPOINT

For Del Konopka, clinical education specialist with UnityPoint at Home, age is not a limit when it comes to practicing a healthy lifestyle. As part of her New Year’s resolution to “defy aging stereotypes,” Del plans to consistently participate in fitness classes at the YMCA, control portion sizes and ride her bikes at least 2,000 miles in 2016. “As I turn 60 in 2016, I want to age with a little sass, having energy through fitness,” Del said.

Del and a fellow cyclist stop for a break during a fall ride in Cumming, Iowa.

Del and friends take a break during their ride on the Raccoon River Valley Trail in Dallas Center, Iowa.

As a self-proclaimed “chronic exerciser” for over 20 years, Del has experienced numerous benefits as a result of her healthy lifestyle choices. “I have excellent blood pressure and cholesterol levels, a healthy BMI and enjoy Del and friends enjoy festivities as part of the “BACooN incorporating exercise with visits with family Ride” on the Raccoon River Valley Trail in Panora, Iowa, and friends,” Del said. “I feel empowered after sponsored by the Blue Ribbon Bacon Festival. a great workout and it centers me when things are hectic at work or home. My resolution is to go gray and go strong!”

HEALTHY RECIPES

Strawberry Spinach Salad

Ingredients:

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6 - (6 ounce) halibut fillets

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2 tablespoon sesame seeds

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1 tablespoon dried dill weed

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1 tablespoon poppy seeds

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1 tablespoon onion powder

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1/2 cup white sugar

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2 teaspoons dried parsley

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1/2 cup olive oil

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1/4 teaspoon paprika

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1/4 cup distilled white vinegar

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1 pinch seasoned salt, or more to taste

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1/4 teaspoon paprika

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1 pinch lemon pepper

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1/4 teaspoon Worcestershire sauce

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1 pinch garlic powder

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1 tablespoon minced onion

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2 tablespoons lemon juice

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10 ounces fresh spinach, rinsed, dried and torn into bite-sized pieces

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1 quart strawberries, cleaned, hulled and sliced

2. Cut 6 foil squares large enough for each fillet.

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1/4 cup slivered almonds

3. Center fillets on the foil squares and sprinkle each with dill weed, onion powder, parsley, paprika, seasoned salt, lemon pepper, and garlic powder. Sprinkle lemon juice over each fillet. Fold foil over fillets to make a pocket and fold the edges to seal. Place sealed packets on a baking sheet.

Directions:

Directions: 1.

Preheat oven to 375º F (190º C).

4. Bake in the preheated oven until fish flakes easily with a fork, about 30 minutes. Source: AllRecipes.com http://allrecipes.com/recipe/12768/lemony-steamed-fish/ print/?recipeType=Recipe&servings=6

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Lemony Steamed Fish

In a medium bowl, whisk together the sesame seeds, poppy seeds, sugar, olive oil, vinegar, paprika, Worcestershire sauce and onion. Cover and chill for 1 hour.

2. In a large bowl, combine the spinach, strawberries and almonds. Pour dressing over salad and toss. Refrigerate 10 to 15 minutes before serving. Submitted by: Lori Hager-Moore Source: AllRecipes.com http://allrecipes.com/recipe/14276/strawberry-spinachsalad-i/

8101 Birchwood Court, Suite N | Johnston, IA 50131

ON POINT FOR HEALTH

000970-3 04/16 CS

On Point for Health rewards you for giving yourself the same quality of care we give our patients. Log on to On Point for Health from your intranet homepage to discover how you can complete wellness challenges, earn points and receive a cash incentive at the end of the year!

Log on to On Point for Health: https://onpointforhealth.limeade.com