Physicians News Now

MY HOSPITAL | MY NEWS ISSUE 3

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4th Quarter 2014

A LETTER FROM THE INTERIM

CHIEF MEDICAL OFFICER Dear Colleagues: hen we choose to be involved within our hospital community, we choose to deepen the impact we have on the individual lives of our patients. As physicians, we are in a unique position to actively serve our community, our hospital and our patients.

Physician involvement is a privilege and it allows us to serve as decision makers and agents of change. We see this on an individual level each and every day when we interact with our patients – guiding them on a pathway to recovery and wellness. It

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is also seen from a hospital administrative level when we serve on departmental committees, participate in hospital-wide initiatives and partake in surveys such as the PRC Medical Staff Satisfaction Survey. This important survey serves as one mechanism that provides vital insight to effectively understand the needs and opinions of our medical staff. As we enter a new year, I encourage you to serve as an active participant in our hospital community, to collaborate from an inpatient/ outpatient physician perspective and to serve as the catalyst for the necessary change on behalf of our patients and our community.

Sincerely, Robert Cannell, M.D. Interim Chief Medical Officer

REMINDER PRC PHYSICIAN SURVEY DEADLINE EXTENDED As of December 11, 78 members of YRMC’s medical staff have participated in this year’s PRC Medical Staff Satisfaction Survey. We appreciate the valuable time taken to complete the survey and have made the decision to extend the survey time two additional weeks to allow for feedback from the remaining physicians. Below please find a summary (by specialty) of the completed surveys thus far: Anesthesiology – 2 Internal Medicine – 6 Pulmonology and Critical Care – 3 Family Medicine – 6 OB/GYN – 7 Orthopedics – 3 Hospitalist (all groups) – 6 Emergency Medicine – 2 Cardiology – 7 Diagnostic Radiology – 5 General Surgery – 3

WE’RE LISTENING YRMC Medical Staff Satisfaction Survey www.prcsurvey.com/yrmcmed/

A “PRC” icon has been placed on the desktops of the physician lounge computers or you can visit www.prcsurvey.com/yrmcmed. Enter your provider ID as the login and no password is needed. The deadline to participate is end of day December 31, 2014.

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YUMA REGIONAL MEDICAL CENTER

PHYSICIAN NEWS NOW | 4TH QUARTER 2014

CAREER ADVENTURE WEEKEND October 31-November 2, 2014, the Physician Relations team held their annual Career Adventure Weekend event. This is the fifth consecutive event welcoming medical students and residents from around the country showcasing local dining, points of interest, fun activities and tours of our top-in-technology medical facilities.

Family & Community Medicine Residents Provide Screenings for Athletes On Saturday, October 4, 2014, our Family and Community Medicine Residents along with Dr. Gregory Peare, orthopedics, and Dr. Ed Paul, program director, provided physical screenings for athletes at Cibola High School. Approximately 50 athletes attended the event and received physical screenings from our residents. The event was a huge success and a wonderful way for our residents and community physicians to support our local athletes and give back to our community. Way to go Family and Community Medicine Residency team!

FAMILY & COMMUNITY MEDICINE RESIDENCY AWARDS BANQUET On Friday, November 7, the graduate medical education team held their first-annual Family and Community Medicine Residency Awards Banquet, honoring teaching physicians, faculty and residents by celebrating their achievements during the first year of the medical residency program.

Congratulations to the following teaching physicians who received awards presented by the second year residents: Dr. Saika Somjee, Teacher of the Year – Pediatrics & Golden Apple Award for Teacher of the Year – Best Overall Dr. Mohammed Gerais, Teacher of the Year – Internal Medicine Dr. Jon Karroll, Teacher of the Year – Emergency Medicine Dr. William Brown, Teacher of the Year – OB/GYN Dr. Ron Clark, Teacher of the Year – Orthopedics

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CALENDAR EVENTS OF

Kick the Habit

MEDICAL HOLIDAYS AND HEALTH OBSERVANCES

Yuma County Public Health Services District and Yuma Regional Medical Center have partnered to develop a three-week training program to help anyone who wants to quit tobacco use. These informative, one-hour classes are open to anyone who wants to learn more information regarding the basic skills to kick the habit.

The classes are taught by Yuma County Tobacco Use Prevention Program Health Educators who give an overview of tobacco health hazards, tobacco use and support on how to quit.

January 2015

National Blood Donor Month Cervical Health Awareness Month National Glaucoma Awareness Month 18-24, Healthy Weight Week 25, IV Nurses Day

(928) 317-4604 or (928) 317-4580 to register

February 2015

Yuma Regional Cancer Center Legacy Conference Room 2375 S. Ridgeview Drive

National Children’s Dental Health Month Heart Month 1-7, Perianesthesia Nurse Awareness Week 6, National Wear Red Day 7-14, Congenital Heart Defect Awareness Week 8-14, National Cardiac Rehabilitation Week

Tobacco Education Support Sessions

Class 1 (1 hour) week 1 I Feb. 3, March 3, April 7, May 5 Tobacco 101- why you have an addiction and how to quit Class 2 (1 hour) week 2 I Feb. 10, March 10, April 14, May 12 Mastering the first few days Class 3 (1 hour) week 3 I Feb. 17, March 17, April 21, May 19 Long term benefits of quitting

March 2015

Brain Injury Awareness Month National Kidney Month National Nutrition Month 8-14, Patient Safety Awareness Week 9-15, National Pulmonary Rehabilitation Week 16-22, Brain Awareness Week 30 National Doctors’ Day

CALLING ALL PHYSICIANS! In January 2014, Yuma Regional Medical Center launched its Cares program, an employee community service program designed to empower physicians, employees and leaders to make a difference in our community. Care projects encourage interdepartmental camaraderie, inspire excellence, teamwork and collaboration and result in a positive impact on the lives of our neighbors, friends and community. A few 2014 Cares projects include Blood Drives, United Way campaign, Yuma Community Food Bank and Special Olympics Tri2-UNIFY. If you are interested in leading a Cares project, visit: yrmcintranet/cares or contact: Clarissa DeCarlo at cdecarlo@yumaregional.org.

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PHYSICIAN NEWS NOW | 4TH QUARTER 2014

WELCOME

NEW MEDICAL STAFF PHYSICIANS Adam Ahmadi, M.D.

Ophthalmology Yuma Vision Center

Adam Ahmadi, M.D., completed his medical degree and residency in Ophthalmology from Howard University College of Medicine in Washington, D.C. Dr. Ahmadi completed a Glaucoma fellowship at Louisiana State University School of Medicine. He previously served as Glaucoma Specialist and Chief Ophthalmologist at two Veteran Affairs hospitals in Northern California. Dr. Ahmadi is a fellowship trained Glaucoma Specialist and is a member of the American Academy of Ophthalmology, American Society of Cataract and Refractive Surgeons and the American Medical Association.

Mohammed Al-Amoodi, M.D. Cardiology Young Hearts of Yuma

Mohammed Al-Almoodi, M.D. recently completed a fellowship in cardiology at John H. Stroger, Jr. Hospital of Cook County/Rush University Medical Center in Chicago. He also completed his internship and residency in Internal Medicine from the University of Missouri in Kansas City. Dr. Al-Amoodi received his medical degree from Jordan University of Science and Technology in Irbid, Jordan.

Ayman Attaya, M.D.

Internal Medicine Physicians Alliance Hospitalist Ayman Attaya, M.D., received his medical degree from the Academy of Medical Science and Technology in Khartoum, Sudan, and was an Internal Medical Resident at the University of Nevada School of Medicine. Dr. Attaya also completed an observership from Yuma Regional Medical Center in 2009.

Avanikkha Elayappen, M.D.

Pediatric Hospitalist Yuma Regional Medical Center

Avanikkha Elayappen, M.D., received her medical degree from the PSG Institute of Medical Sciences and Research in India and completed a pediatric residency from URMC Children’s Hospital in Galveston, TX. Dr. Elayappen is a member of the American Academy of Pediatrics and the Pediatric Gastroenterology Association.

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Chandana Keshavamurthy, M.D. Rheumatology Yuma Regional Specialty Clinics

Chandana Keshavamurthy, M.D., received her medical degree from Kempe Gowda Institute of Medical Sciences in Bangalore, India. She later completed her residency in Internal Medicine at Mount Sinai School of Medicine at Queens Hospital Center and her fellowship in Rheumatology from the University of Arkansas for Medical Sciences.

Krishna Nimmagadda, M.D. Internal Medicine IN Compass Hospitalist

Krishna Nimmagadda, M.D., received his medical degree from Osmania Medical College in India. He recently completed his residency in Internal Medicine at St. Vincent Hospital in Worcester, MA. Dr. Nimmagadda was a research fellow at Massachusetts General Hospital/ Harvard Medical School in Boston.

Robert Riether, D.O.

Diagnostic Radiology Medical Diagnostic Imaging Group Robert Riether, D.O., received his medical degree from Kirksville College of Osteopathic Medicine in Missouri. Dr. Riether completed his residency from Doctor’s Hospital in Columbus, OH, and is Board Certified by the National Board of Examination for Osteopathic Physicians and Surgeons. He is also a member of the American Osteopathic Association and the American Osteopathic College of Radiology.

Kwasi Wilson, M.D.

Internal Medicine IN Compass Hospitalist Kwasi Wilson, M.D., recently completed his residency in Internal Medicine at Queens Hospital Center in New York City. He completed his medical degree from St. George’s University in St. George’s, Grenada. He is a member of the American College of Physicians.

WELCOME RESIDENT CHAPLAINS Class of 2014-2015

Tim Brandt, MDiv

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Beverly Juhl, MATS

Kate McCann, MDiv Nancy Richmond, MDiv

YUMA REGIONAL MEDICAL CENTER

PHYSICIAN NEWS NOW | 4TH QUARTER 2014

Trina Ford, MPT

LEADERSHIP WELCOMES Breanna Caraway

Director, Emergency Department YRMC is excited to announce that Breanna Caraway has accepted the position of Emergency Department Director. Breanna has worked for Yuma Regional Medical Center for 16 years, starting her nursing career on Med West in 2001 and transferring to the Emergency Department in 2003. She has assisted the Emergency Department through various roles, including as Clinical Supervisor since 2012. In 2011, Breanna obtained a Bachelors of Science in Nursing Degree from Grand Canyon University. She then continued her education and received her Master’s Degree in Nursing with an emphasis on Nursing Leadership and Administration in 2013. Breanna has taken advantage of the many opportunities provided to employees, including her graduation from the LEAD program this past year. Breanna has been a long standing resident in the Yuma community and is active in various civic functions. Please join us in welcoming Breanna to her new role.

Charles Harmon

Administrative Director, Cardiac Clinical Service Line Yuma Regional Medical Center has announced Charles Harmon as Administrative Director of the Cardiac Clinical Service Line. Charles and his family will join us from Jackson, MS, where he has served as the Director of Cardiovascular Labs and Cardiopulmonary Rehabilitation at the Mississippi Heart and Vascular Institute of St. Dominic Hospital since 2012. Charles holds his Bachelor’s Degree in Radiology Technology Studies and a Masters of Business Administration from Texas A&M University. Charles has served many years as a healthcare business leader with expertise in developing programs, managing relationships and effective utilization of resources. We look forward to welcoming him to our team.

THE YRMC MEDICAL STAFF HAS ELECTED NEW OFFICERS FOR THE UPCOMING TERM (January 1, 2015-December 31, 2016): Chief of Staff

Alberto Mejia, M.D., Critical Care

Vice Chief of Staff

John Brock Amon, M.D., Obstetrics and Gynecology

Officer of Physician Relations

Jayareena Mahalingam, M.D., Internal Medicine

CLINIC MOVES & UPDATES Yuma Regional Specialty Clinic has officially opened in Tuscany Plaza. Please note the relocation of the offices of:

Dr. Gregory Lau

Maternal Fetal Medicine

Dr. Ankur Bindal Psychiatry

Dr. Yanal Masannat Endocrinology

The new address is: 2851 S Avenue B, Bldg. 20, Ste. 2001, Yuma, AZ 85364 928-336-2434

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AWA R D S &

RECOGNITION QUALITY AWARD The Southwest Alliance for Excellence (SWAE) has announced that Yuma Regional Medical Center is one of five organizations in Arizona, Nevada and Utah to be recognized as a 2014 Performance Excellence Program recipient. The annual Performance Excellence Program identifies organizations that exhibit excellence in quality, performance and outcomes. YRMC was recognized for its process to prevent hospital acquired pressure ulcers, an important and strategic hospital-wide initiative lead by YRMC’s nursing staff, Inpatient Wound Care team and the Quality Department.

On Saturday, October 25, Dr. Jeanne Elnadry and Tina Duarte presented their Palliative Care poster at the American Society of Clinical Oncology (ASCO) annuual meeting in Boston. Their poster entitled, “Interdisciplinary collaborative practice intervention to improve pain control for all patients in a community cancer center” represented data collected on pain management and assessment. Its purpose aimed to address the need for additional palliative care specialists by using the entire clinical staff to initiate a new distress screening tool and develop a collaborative practice model for pain management.

Co-authors for the project included Tina Duarte MA, LAC; Gregory Yang, M.D. and Ambuga Badari, M.D. A special thanks to the Print Shop for helping to make this possible.

Congratulations to Dr. Ankur Bindal for his feature in the Arizona Psychiatric Society Fall Newsletter. Dr. Bindal graduated from Government Medical College in Punjab, India and completed a residency in Psychiatry at University of Mississippi Medical Center. He also completed his Sleep Medicine fellowship at University of Michigan Health System.

On Saturday, October 25, 2014, Dr. Ricky Ochoa and Dr. Kristina Diaz received the Degree of Fellow from the American Academy of Family Physicians at the scientific assembly in Washington, D.C. As per the American Academy of Family Physicians, “the Degree of Fellow recognizes AAFP members who have distinguished themselves among their colleagues, as well as in their communities, by their service to family medicine, by their advancement of health care to the American people and by their professional development through medical education and research. Fellows of the AAFP are recognized as Champions of Family Medicine. They are the physicians who make family medicine the premier specialty in service to their community and profession. From a personal perspective, being a Fellow signifies not only ‘tenure’ but one’s additional work in their community, within organized medicine, within teaching, and a greater commitment to continuing professional development and/or research.” Additionally, Dr. Diaz had two research topics accepted at the North American Primary Care Research Group as podium presentations at the annual conference. Dr. Diaz presented on “Immunization Quality Improvement” and “Program Directors See Potential Difficulties in Providing Medical Care for Their Resident Physicians but Few Have Implemented Policies to Prevent Them.”

On Tuesday, November 18, Dr. Chandana Keshavamurthy participated in a poster presentation at the American College of Rheumatology annual meeting. Dr. Keshavamurthy’s presentation was titled “Rheumatoid Arthritis – Clinical Aspects (ACR): Impact of Various Interventions and Therapeutic Approaches. “

Congratulations to Dr. Gregory Lau whose article regarding first-trimester aneuploidy screening was published in the Septemeber/October issue of the Journal of Reproductive Medicine.

On Tuesday, December 2, 2014, the 2013-2014 AWC Paramedic Academy presented the Excellence in Education Award to Yuma Anesthesia Medical Services (YAMS) to Dr. Timothy Graham, President of YAMS. The award recognizes Yuma Anesthesia Medical Services for their contributions to the education of future EMS professionals.

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PHYSICIAN NEWS NOW | 4TH QUARTER 2014

Sen. Don Shooter & Former Rep. Russ Jones Provide Support with New Medical Licensing Procedures the Attorney General to address the barrier to licensing. The AMB was advised to proceed with licensing and, after holding a special executive session, The Board approved lifting the halt, thus allowing Yuma Regional Medical Center (YRMC) and other providers in Yuma and throughout Arizona to obtain additional physician help without a stall in the physician licensing process.

Sen. Don Shooter

Rep. Russ Jones

On September 2, 2014, State Senate Bill 1380 was set in place changing the medical licensing and renewal process. The new bill required all physicians seeking state licensure, or current practicing physicians needing to renew their active license, to submit a full set of fingerprints to the Arizona Medical Board (AMB) for the purpose of obtaining a state and federal criminal record check. Fingerprint data would be exchanged between the Department of Safety and the Federal Bureau of Investigation (FBI).

Upon the bill’s passing, the FBI informed the AMB that this process was beyond their scope of work and capacity and they would be unable to conduct such background checks. Without an entity to conduct the checks, the Attorney General’s office advised the AMB to no longer proceed with issuing physician licenses, thus putting a complete stop to all physician license applications in queue for approval.

The implications of this bill and the AMB’s decision to halt licensing are great for all of Arizona. At the time the bill went into effect there were more than 600 applications being processed for licensing and approximately 70 applications in the final stage of approval that would now have to wait on fingerprinting background checks. Local physicians Dr. Ram Krishna and Dr. Ed Paul are active members of the AMB. They followed the dilemma closely with great concern about the halt in the licensing process.

Thanks to the help of Senator Don Shooter and Representative Russ Jones, a temporary hold was placed on the bill. Senator Shooter enlisted the help of other senators and together worked with

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When this bill went into effect, YRMC was in the process of bringing on board a new Pediatric Hospitalist, Dr. Avanikkha Elayappen. Dr. Elayappen’s application was in the final stages of processing but had to be put on hold due to the AMB’s halt in licensing. Having already signed a contract and relocated to Yuma with the understanding that she would soon be licensed, Dr. Elayappen was left unable to work and YRMC was left short a Pediatric Hospitalist.

“This delay in receiving my license was extremely stressful. I knew patients were in need of my care and that YRMC was depending on the additional support I would provide, so it was extremely difficult being unable to work,” explained Dr. Elayappen.

Recognizing the urgent need to address this bill in order to prevent the further delay of licensing physicians, YRMC Interim Chief Medical Officer, Dr. Robert Cannell, sought assistance from State Senator Don Shooter and former Representative Russ Jones.

“Yuma already has a shortage of physicians, and this time of year YRMC and many practices rely on Locum Tenens, or physicians brought in for temporary and seasonal work,” explained Dr. Cannell. “This bill hinders the ability to get them licensed in Arizona in a timely manner. Most immediately, it hindered our ability to bring on Dr. Elayappen.”

As of October 8, 2014, in lieu of the fingerprinting provision, applicants are now required to submit with their application a signed and notarized affidavit indicating that they have no criminal convictions. Licenses have been granted pending a future fingerprinting background check.

With Senator Shooter and Representative Jones’s continued support, it is hopeful that a new bill will be written and passed during the next legislative session that will allow for the reasonable and timely licensing of physicians seeking to practice in Arizona.

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PHYSICIAN INTERVIEW BRENDA CARROLL, M.D. Medical Oncologist Where are you originally from and how did you decide to practice medical oncology here in Yuma?

I’m originally from a small town in Georgia. It is so small that I left as soon as I could. I started undergraduate when I was 30 and medical school when I was 35. I completed my fellowship and residency for medical oncology when I turned 42. Until I came to Yuma, I was in solo practice but the expenses got to be so high that I couldn’t afford it anymore. I started looking around and there was a website and what caught my eye was, “Do you want to work nine months out of the year and be off for three?” I said, “That would be nice.” Well, I don’t get vacation three months out of the year! I think they may have been referring to when it gets hot and people leave for the summer and things might slow down. I called here and talked to Dr. Peter Sullivan, who was head of Sonoran Desert Oncology. He was very much the southern gentleman and I liked what he said about his practice and cancer care in Yuma. I traveled out here in December, and it was beautiful! I’ve enjoyed being in Yuma. I’ve enjoyed the people and the patients as well as the new Cancer Center.

Where did you attend school and what was your path to becoming a medical oncologist?

I was an x-ray technologist. At the age of 29, I decided I wanted to try something else. I went to medical school at the Medical University of South Carolina in Charleston. I did my residency and fellowship at Columbia South Carolina at USC School of Medicine. During my internship, I spent a month on in-patient Hem/Onc and then the second or third year I did outpatient Hem/Onc. I really enjoyed the outpatient aspect. I liked the fact that the families were involved with the patient. You get to know people and not just the patient, it’s their families too. You have memories of everyone, the entire family. You build a relationship with them.

You recently completed a course on high risk genetic testing with the City of Hope. Can you tell me what this means for cancer care here in Yuma?

Being a medical oncologist, I am asked often, “Is my family at risk?” or “How do I know if cancer runs in my family?” High risk genetic testing relieves some of that uncertainty and helps the patient deal some of the questions they may have. Right now we are doing breast, ovarian and colon screenings. I hope in the future we can encompass more. Also, I think everyone should have access to this testing if they desire it. Usually the testing is done in larger cities and I wanted to bring this type of care to Yuma.

What is your philosophy of care?

I believe everyone should have access to health care, however, health care has become extremely expensive. It is my hope that we can find a way to provide affordable and accessible health care to everyone who needs it.

What do you enjoy doing when you are not busy at work?

I do some gardening and I enjoy reading what I call “non-redeeming books,” Stephen King, werewolves, vampires – anything that I don’t have to think about. I also have my babies at home – my two dogs Barbie and Remy.

I know Barbie and Remy and pet therapy are a big part of patient care for you. How do you think pet therapy helps your patients?

Those dogs walk into the room and it can be five minutes before anyone says anything to me. They are so excited to see the dogs. I have to say, “I’m over here guys.” If I walk in before they do, they ask where Barbie and Remy are. I can see the stress just go down when they walk in. They have made a tremendous difference here with the Cancer Center staff too. The dogs get treats every day when they walk in!

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PHYSICIAN NEWS NOW | 4TH QUARTER 2014

YRMC EXPANDS HONORARY MEDICAL STAFF LIST Yuma Regional Medical Center has granted James “Frank” Martin, M.D. Honorary Status at YRMC after 46 years of service to the hospital and the community. Dr. Martin, a long-time family practitioner in Yuma, retired last year.

Honorary Status is a distinguishing honor recognizing a medical staff member with dedicated service to Yuma Regional Medical Center and the medical community. Honorary members are allowed to attend medical staff meetings and events and maintain their Honorary Status for life. Since the early 1990s, Yuma Regional Medical Center has awarded 28 physicians with Honorary Status. Dr. Martin joins a list of great past and present YRMC physicians, including:

Dirk Frauenfelder, M.D.

Robert B. Mallon, M.D.

Lance Wozniak, M.D.

William A. Phillips, M.D.

Seneo M. Arbaje-Ramirez, M.D.

Ellis V. Browning, M.D.

William H. Lyle, M.D.

Bernard Susavage, M.D.

Mark L. Solovay, M.D.

Henry R. Meyer, M.D.

C.D. Buster, M.D.

Thomas L. Podolsky, M.D.

Andrew Meyer, M.D.

Ramiro Garcia-Reyes, M.D.

Mohammad M. Khan, M.D.

Alan Horowitch, M.D.

Ralph T. Irwin, M.D.

Stanton J. Cohen, M.D.

David R. Sussman, M.D.

Bertram H. Carson, M.D.

R.F. Johns, M.D.

Abigail Hagler, M.D.

Stewart Hamilton, M.D.

Constance G. Uribe, M.D.

Dale F. Webb, M.D.

James “Frank” Martin, M.D.

Gessica Johnston, M.D.

Jerry Hamm, M.D.

“It is with careful consideration that YRMC’s Medical Staff votes a physician to Honorary Status,” said Patti Sims, Director of Medical Staff Services.

“Yuma is fortunate to have so many wonderful physicians in our community, including Dr. Martin. Our Medical Staff feels this is the perfect way to recognize Dr. Martin and all of our physicians on this list for their service to our community, hospital and patients.”

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Deadline Approaching HEALTH INSURANCE ENROLLMENT FAIR The February 15 deadline for the Health Insurance Marketplace is quickly approaching. The Affordable Care Act requires everyone to have health insurance or pay a fine. Yuma Regional Medical Center is assisting patients, families and the Yuma Community with the education and resources needed to enroll for coverage through the Health Insurance Marketplace and AHCCCS. Help Yuma Regional Medical Center “Cover Yuma County”!

Saturday, January 24, 2015 9:00am-2:00pm Yuma Regional Medical Center Administrative Building 2400 S. Ave. A

(behind the employee parking garage off of Ave A)

• Enrollment Assistance (by appt. only) • Vendors (ongoing) • Informational Sessions 9:30am 10:45am

11:30am 12:45pm

– Health Insurance Marketplace 101 – Coverage to Care A roadmap to better care and a healthier you – Health Insurance Marketplace 101 – Coverage to Care A roadmap to better care and a healthier you

If you would like flyers for your patients and families, please contact Community Relations at 928-336-7005