Winona Health - Healthy Connections Fall 2008

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Fall 2008

Healthy starts here. Healthy starts now. • Children’s feature: Three keys to a successful school year • Simplify your life with assisted living • Physician assistants, nurse practitioners provide quality patient care

Making the most of each day Healthy Connections is published by Winona Health to provide you with information about health, wellness and the many healthcare resources available to you, close to home. Sending you Healthy Connections is just one example of how we’re working to fulfill our mission of improving the health and well-being of our family, friends and neighbors. We welcome your questions, suggestions or comments about Winona Health and this publication Please visit winonahealth.org and click on Contact Us or call Winona Health Communications/Marketing at 507.457.4374. If you no longer wish to receive Healthy Connections, please call 507.457.4374 or send an e-mail, noting your address as it appears on the back of the publication, to [email protected].

In this issue... 2 3 4 6 7 8 10 12 15

Making the most of each day Healthy Kids Club ready to kick off year two! Physician assistants, nurse practitioners provide quality patient care ‘Best care’ leads to anticipated return Healthy starts here: Supporting parents; caring for kids Healthy starts now: Three keys to a successful school year Thinking about simplifying? Assisted living could be your best move Foundation & Auxiliary news Winona Health news & notes

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all is right around the corner—as the warm afternoons turn into cool evenings and the leaves on the trees turn from a rich green to blazing oranges and yellows. I’m reminded of a saying that makes more sense to me every year: Time seems to fly by more quickly as we age. As the mother of three, I see those quickly changing times reflected in my children. As they have moved from infant … to toddler … to school-aged children and teens, the changes appear to happen overnight. So we’re committed, as a family, to make the most of Rachelle H. Schultz President/CEO each day. And we know that includes making healthy choices. This issue of Healthy Connections is a valuable resource for parents with children of all ages. Our features include an announcement about our second year of the Healthy Kids Club (p. 3), an article about a teen-aged athlete’s recovery from a football injury (p. 6), and the benefits of regular check-ups for youngsters (p. 7). Of course, our families also include our older relatives, and you’ll enjoy the interview with 90-year-old Ruth Golish (p. 10). She moved to Watkins Manor, our assisted living facility for independent seniors, a year ago and is glad she did. Whether an independent senior or a school-aged child, Winona Health has the healthcare services to address your needs. On both the national and local scenes those healthcare needs are often met by non-physician providers—including nurse practitioners and physician assistants. The article on p. 4 introduces you to our 14 non-physician providers. We are fortunate to have many clinical experts in our organization; as we grow and change to meet our community’s evolving needs, these clinicians play an increasingly important role. I can tell you from personal experience that our nurse practitioners and physician assistants provide quality healthcare services. Whether you, your children or your parents need an appointment for a general physical or for a specific incident, we hope you’ll consider using Winona Health services. Making the most of each day—whether in summer, fall, winter or spring—includes finding a provider to partner with you to take care of your and your family’s healthcare needs. Our providers enjoy being and look forward to becoming your healthcare partners through all the stages of your life.

16 Upcoming classes & events On the cover: Collin, 1, Izaac, 13, and Brynn, 3, enjoy the health benefits of staying active. 2

Healthy Connections • Fall 2008

Rachelle H. Schultz President/CEO

Healthy Kids Club ready to kick off year two!

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ealthy Kids Club began in October 2007 with the goal of encouraging grade-school-aged children to make healthy choices. In its first year, it served more than 500 children at its special events, and thanks to funding from the Winona Health Foundation, provided 693 free Wellness Journals to area children. Year two of Healthy Kids Club kicks off Saturday, September 27. And we’re expecting it to be even bigger and better this year! “The feedback we’ve received during Fun and fitness with the family—Participants in the Step into Summer event our first year from children and adults enjoyed some family time while engaging in healthy activities including a fun walk around Lake Winona, inflatable obstacle courses, casting stations and more! who participated in Healthy Kids Club was very positive. We’ve taken that feedback and used it to enhance our have a chance to win prizes and enjoy the Ironman programming this year,” said Jennifer Olson, Winona inflatable obstacle course. Children attending this kick-off Health community relations coordinator. event may pick up a Wellness Journal when they register. In addition, all fourth grade students in area schools will “But our goal for the program remains the same— receive a Journal this year. teaching children the importance of making good decisions and developing healthy lifestyle habits,” noted “Healthy Kids Club is a wonderful way to engage Olson. “Whether Healthy Kids Club teaches kids to not only our children but also our families in building eat better, get outdoors to be more active or helps them a healthy community,” said Susan Roehrich, retired develop self-esteem, it’s making a positive difference in curriculum director, Winona Area Public Schools. their lives.” Added Olson, “Healthy kids have better self confidence All children ages 6 to 11, accompanied by an adult, are and do better in school. With the help of our community invited to attend this year’s kick-off event at the Winona partners, we are excited to be offering this program Middle School. (See box below.) Participants will visit for the second year to continue making a difference to fun informational booths, take part in healthy activities, children in our community.”

Calling all 6– to 11–year–olds for the second annual Healthy Kids Club kick-off event! Saturday, September 27 • 9 a.m.–noon Winona Middle School • 1570 Homer Road • Winona, MN The event is free and children must be accompanied by an adult. Sign up for the Healthy Kids Club e-news list! To receive notification of Healthy Kids Club events via e-mail, sign up for free HKC e-mails at winonahealth.org/HKC. Healthy Connections • Fall 2008

3

Physician assistants, nurse practitioners provide quality patient care

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ationwide, more patients are receiving care from physician assistants (PA) and nurse practitioners (NP) for their healthcare needs. Locally, PAs and NPs also are playing a growing role in patient care. More than 250,000 PAs and NPs practice in the U.S., with 14 providing services in Winona Health’s primary care and specialty clinics, as well as in its Emergency Department. These non-physician providers work in partnership with a supervising physician to form a healthcare team to benefit patients. “We have a very collaborative relationship with our physicians,” Tara Suffrins, CNP, said. “While we manage our own patients, we use the physicians for consults or referrals. This allows us to excel and provide the best care for our patients.”

Full Range of Care—Joy Stevens, PA-C, visits with one of her young patients at the Rushford Clinic. Physician assistants can fully care for patients, calling on supervising physicians for consultations and referrals when necessary.

Added Aaron Schilling, PA-C, “Seeing a physician assistant or nurse practitioner offers increased access for patients and a high standard of care, expanding the reach of the physician as well. We are able to provide care to a larger volume of patients by using a team approach.” Schilling works side-by-side with orthopaedic surgeon Tim Gabrielsen, MD, at Winona Health Sports and Orthopaedic Specialists. Their relationship is built upon trust and teamwork—giving Schilling the independence to provide quality care to patients, consult with Gabrielsen when appropriate and assist on many surgeries. 4

Healthy Connections • Fall 2008

Patient education plays important role Physician assistants are educated in the medical model— sharing many of the core classes as physicians. Nurse practitioners are registered nurses who have completed a higher degree of education, such as a master’s or doctorate. These non-physician providers’ role often emphasizes patient education on preventative care and advising patients on maintaining a healthy lifestyle, along with diagnosis and treatment of medical problems. Suffrins is a Winona native and a third-generation nurse working at the Winona Clinic’s Center for Women’s Health. Providing care for women of all ages, Suffrins’

role often involves generalized counseling for all aspects of women’s health. “As a nurse practitioner, I am able to provide my patients with education and build more time into visits in order to create relationships with them,” Suffrins said. “I focus on a holistic approach—once a nurse, always a nurse!” Because of their collaborative role with the physicians, physician assistants’ and nurse practitioners’ time can be more flexible to the patients’ needs. Schilling often will stay longer with patients after they have completed their appointment with Dr. Gabrielsen to answer any additional

questions. “I will review patients’ tests with them and correlate what we’re seeing with a model to help them have a more thorough understanding of their condition,” Schilling said. This flexibility allows for patients and providers to develop trusting relationships. Joy Stevens, PA-C, provides care at the Rushford Clinic and enjoys that extra time with her patients. “I love interacting with patients, especially here in Rushford.” Stevens said. “I get to know my patients, the families and nearly everyone in town.”

Physician assistants & nurse practitioners at Winona Health Physician assistants and nurse practitioners work in the Winona Health Physician Clinics and departments listed. For more information on these providers, visit winonahealth.org and click on Find a Provider. Family Practice

Donna J. Kamann, CNP

Internal Medicine

Christina Nitti Velasquez, NP

Responsibilities—

Lisa J. Nutter, FNP-C

Joy Stevens, PA-C

Orthopaedics

Women’s Health

Aaron Schilling, PA-C

Holly J. Fratzke, CNP

Traci J. Morken, CNP

Ann Marie Olsen, CNP

Ann F. Olson, CNP

Tara Suffrins, CNP

Howard Gorder, PA-C

Susan Smith, FNP

PAs’ and NPs’ responsibilities include, but are not limited to: • managing overall patient care • diagnosing and treating acute and chronic diseases • performing physical exams • ordering and interpreting diagnostic test results

Emergency Med Urgent Care

• developing and monitoring treatment plans • educating on preventative care and healthy lifestyles • prescribing medication

Joel Stevens, PA-C

Amy Christianson, NP

Healthy Connections • Fall 2008

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‘Best care’ leads to anticipated return

Area athlete is ready to get back on the field after a year of recovery

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randon Boynton, a freshman at Cochrane-Fountain City (C-FC) High School, is very excited for his 2008 football season. Last fall, he tore his anterior cruciate ligament (ACL) during a pre-season scrimmage when an athlete from the opposing team dove helmet-first into the front of Brandon’s locked right knee—bringing his season to an early end. Brandon’s mom, Lana, relied on close friends to recommend care for the injury. Lana contacted Winona State’s head football coach Tom Sawyer, her former physical education teacher when she attended C-FC, for advice. Sawyer recommended his own team’s physician, Richard Romeyn, MD, from Winona Health Sports & Orthopaedic Specialists. Lana received the same recommendation from another C-FC family as well. “As a mom, I wanted the best care for my son,” Lana said. “Coach Sawyer said he trusted Dr. Romeyn as the best in the area, so we trusted him as well.” In October, Brandon underwent extensive ACL surgery at Community Memorial Hospital where Dr. Romeyn had to use part of Brandon’s own hamstring to replace the completely torn ligament. After nine months of rehabilitation, Brandon claims to have 99% of his strength back in the knee, with only minor range-ofmotion limitations still lingering. “In order for patients to do well, every member of the team needs to do his or her part,” Dr. Romeyn said. “Brandon has certainly done everything we asked him to do; he has done exceedingly well.” Great anticipation— Brandon Boynton, 15, is anxious to return to football at Cochrane-Fountain City High School. 6

Healthy Connections • Fall 2008

This summer, Brandon found himself healthy enough to be competitive with upperclassmen at a strength and agility camp at C-FC. Although he plans to wear his knee brace for this football season to assist in mobility, he hopes that by next year he won’t need it at all. For now, he is just eager to get back to work at what he loves. “After giving it my all during summer training, I have my confidence back,” Brandon said. “I am excited to get back out there to compete and start hitting again.”

Steps for injury prevention

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hile it may seem that you have no control over whether an injury occurs, there are recommended steps an athlete can take to help prevent them. A great way to start is by scheduling yearly physicals with a qualified medical professional. Winona Health Certified Athletic Trainer, Judi Tekautz, identifies three areas that can aid in injury prevention: • Technique: It is important for athletes to learn and practice the proper technique and mechanics of their sport in order to play the game safely. Improper technique can put an athlete’s health and safety at risk. • Preparation: Athletes should begin conditioning— including weight training—eight weeks prior to the start of a season. This will help the body acclimate itself to the conditions it will experience once the season begins. Preparation should include simulating the actual environment as much as possible. • Safety: Athletes should always wear and use athletic equipment properly to help prevent injuries. Using the wrong, or improperly fitted, equipment can increase the risk of injury. Do not ignore injury warning signs. Athletes should consult with a physician when pain or injury keeps them from performing at 100%. For more resources available to athletes visit winonahealth.org/sports.

From the Cover

Easy access to care—Sarah Curtin, mother of Caitlin, 4, and Patrick, 15 months, appreciates the availability and responsiveness of the staff at Winona Clinic’s Pediatric/Adolescent Medicine. Here Craig Anderson, MD, assesses Patrick’s overall health.

Healthy starts here:

Supporting parents; caring for kids F rom performing well-child exams to providing expert care on a variety of issues, having healthcare providers close to home is beneficial to parents.

Jen, mother of Izaac, 13, Brynn, 3, and Collin, 1, appreciates having a variety of local healthcare providers who have gotten to know her children. She said, “I love the pediatric nursing staff. They know us when we come in, and now they know me when I call with questions. Dr. [Joan] Krueger [pediatrician] has really gotten to know our children. She’s always open to our questions, and it’s obvious that she really cares.” Well-child visits can be as much for parents as they are for children. “We encourage parents to bring a list of questions or concerns to discuss during well-child check ups,” noted Winona Health pediatrician Craig Anderson, MD. “And if you know your child will need a school physical in the near future, you can bring in those forms and have that taken care of at the same time.”

While well-child visits are a good time to check on your child’s overall health and development, Dr. Anderson advises not waiting for your next well child exam to address chronic issues, such as frequent stomach aches, headaches and learning or behavior problems. “For chronic issues, I recommend scheduling a visit to specifically address those concerns, and we can set aside a little longer visit to focus on that issue.” Having a healthcare provider close to home increases peace of mind for many parents. “The staff here is caring and responsive,” said Sarah, mother of Caitlin, 4, and Patrick, 15 months. “Even when I’ve had questions on weekends or after hours, they’ve gotten back to me promptly, and it’s usually easy to get in to see someone.” To schedule a visit with a Family Practice or Pediatrics provider, contact Lewiston (507.523.2127), Rushford (507.864.7726) or Winona (507.454.3680) Clinics.

Healthy Connections • Fall 2008

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From the Cover

Healthy starts now:

Three keys to a successful school year

A healthy combination of Food, Activity and Rest will take your child FAR

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chool supplies have been purchased, emergency medical forms have been completed and locker combinations and class schedules have been memorized­­­—a new school year is underway. Remembering a few key factors can help ensure your children have the basics for making it a successful year of learning and growing.

Food/nutrition: fuel for school and play

Craig Anderson, MD, a Winona Health pediatrician, noted, “A healthy breakfast helps prevent children (and adults) from getting restless and tired. And because kids who eat breakfast have more energy and are better able to concentrate in class, it follows that generally they’ll do better in school.”

Make it fun!—Brynn, 3, Izaac, 13, and Collin, 1, enjoy playing outdoors. Activity doesn’t have to feel like “exercise.” Any time spent being active throughout the day adds up to improved concentration, higher quality sleep and better health.

He said the best breakfast choices include complex carbohydrates such as oatmeal, whole-grain breads, bagels and cereal, low-fat yogurt or milk, and protein including eggs or lean meat. “Complex carbohydrates and proteins stay with you longer. And because they take longer to metabolize, you won’t have a mid-morning dip in blood sugar that causes drowsiness, increased irritability and sometimes headaches.” Dr. Anderson recommends limiting simple sugars, such as corn syrup, dextrose and fructose, which cause blood sugar to quickly and temporarily rise then drop. Keep healthy, easy-to-prepare options on hand so that when in a hurry, your child will find a nutritious breakfast. 8

Healthy Connections • Fall 2008

In addition to eating nutritious foods, Dr. Anderson recommends making time for healthy family meals. “Eating together has a positive impact on emotional health. It provides time to talk about school and other issues that are important to your child.”

Being physically Active provides benefits beyond physical fitness An active child enjoys many benefits, including having stronger muscles and bones. But the benefits of exercise go beyond looking and feeling fit. “In addition to lowering blood pressure, cholesterol levels and decreasing the risk of developing type 2 diabetes, active children are better able to cope with everyday

challenges—including paying attention in class,” said Dr. Anderson.

To go or not to go?

Although the U.S. Department of Health and Human Services recommends that children get at least 60 minutes of moderate to vigorous exercise on most days, Dr. Anderson emphasizes, “The minutes don’t have to be consecutive. Rather than focusing on how much time children ‘should’ be active, focus instead on doing activities your children enjoy.” Activities that you can do socially or independently can incorporate endurance, strength and flexibility—including normal childhood activities like playing tag and playing on the playground. Dr. Anderson advises, “Make it fun and teach your child activities that they’ll be able to enjoy throughout their lives.” Another benefit to being active is that it will help children fall asleep and improve their quality of sleep. Dr. Anderson noted, “If kids spend time actively playing after school and/or after dinner, then have a regular bedtime routine, such as taking a bath and having reading time, it will improve their ability to get a good night’s sleep.” And rest is another key factor to good health.

Rest keeps brains, bodies functioning at their best Everybody needs rest—especially growing children. “Like having a healthy breakfast, getting enough rest enhances children’s ability to pay attention in class and get more out of their lessons,” said Dr. Anderson. He points out that while there are some guidelines for how much rest is enough (about 10 to 12 hours for preschoolers; 10 hours for 6–9 year olds; 9 hours for 10–12 year olds; and 8 to 9-1/2 hours for teens), it may vary significantly from child to child, just as it does for adults. Establishing regular sleeping hours is beneficial, as irregular sleep patterns can make quality sleep more difficult. Lack of sleep can cause moodiness and irritability and makes it more difficult to concentrate. Sleep deprivation also can lead to decreased short-term memory. It’s important to ensure that children have adequate time for homework, play and rest. Watch for signs that your child is overloaded: increased moodiness or feeling overwhelmed are signs that you may need to scale back on your child’s schedule. “One of the benefits to making sure your children get the right combination of healthy food, activity and rest is that it helps us parents remember that we should be good role models,” said Dr. Anderson. “And that helps us stay healthy, too.”

staying Healthy—Caitlin Curtin, 4, gets her ears examined by Christina Nitti Velasquez, CNP. Caitlin said, “I have fun with her.”

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ometimes it’s obvious when children should be kept home for the day, either because their symptoms are severe or because of school or daycare guidelines. But what if it’s not that clear? “It often comes down to parents knowing their child and using their best judgment,” said Christina Nitti Velasquez, CNP, in Winona Clinic’s Family Practice Department. “Sometimes we don’t give our children—or ourselves—time to rest when sick. If your child’s energy level is down and you think they’ll have a hard time focusing in class, it’s probably best to keep them home to rest and get plenty of fluids. “When we allow time for rest,” she continued, “we recuperate faster and it helps the immune system get the body back to good health. And, if you suspect strep or a highly contagious illness, it’s best to keep them home.” Nitti Velasquez recommends a clinic visit if they have a severe sore throat, especially if accompanied by a fever, aches and upset stomach without other typical cold symptoms. “Call about getting a strep test. If it’s strep, we can prescribe medication to make them comfortable and get them back to good health.” Healthy Connections • Fall 2008

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Thinking about simplifying? Assisted living could be your best move

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I checked out all my options and visited other places. And the minute I opened the door, I said ‘This is it.’ —Ruth Golish, Watkins Manor resident

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fter raising her five daughters and four sons on a farm near Altura and then living in an Altura apartment for several years, Ruth Golish decided she’d benefit from simplifying her daily tasks and enjoying the amenities available in an assisted living community. And now, after her first year of living at Watkins Manor in Winona, Ruth said, “I wouldn’t have it any other way. The food is great, and I don’t have to grocery shop, cook or wash dishes any more—that’s nice!” Of course leaving your home—whether it’s a house with a yard, an apartment or a condo and whether you’ve lived there five years or 50—can be a difficult decision. “Difficult decisions are best made when you don’t have to be in a hurry to make them,” noted Bunny Bennick, RN, Winona Senior Services community liaison. “Moving to a new home at any stage of life is a big step and can be stressful. Taking the time to research your options helps to ensure you’ll make a decision you’ll be happy with.” Ruth agreed. “I checked out all my options and visited other places,” she noted. “And the minute I opened the door, I said ‘This is it.’” Many factors can weigh into the decision about where to call home. Ruth said that for her it came down to one thing: “atmosphere.” She explained, “Everybody is happy here; the residents and the staff. No one is gloomy. There is a great mix of people… teachers, people who have worked in banks, people who have worked in their 10

Healthy Connections • Fall 2008

Days full of activity—In addition to many social activities, Ruth Golish enjoys knitting caps for her grandchildren in her comfortable Watkins Manor apartment.

homes… they all add to the wonderful atmosphere.” When asked if she’s made new friends since she moved in, Ruth exclaimed, “Friends here? I love it! I consider them all my friends and I have some really good ones.” Among the other benefits of living at Watkins Manor, Ruth counts the variety of activities available: Band concerts by the lake, plays, a church potluck, shopping trips and games including cards and Scrabble. “We’re close to everything that’s available, and the activities director [Nola Skappel] really knows what’s what—she’s really good. Every week there are many activities to choose from.” Ruth notes that there’s also a gift shop with reasonable prices, an errand service, vegetable and flower gardens for those who enjoy gardening, and even exercise classes for those who are interested.

Ruth acknowledges that leaving home can be hard, but she added, “This is just so much easier.” And as far as advice she’d give to others considering such a move? “I’d have them come and spend the day here—and for goodness sake, taste the food!”

Watkins Manor:

A piece of history

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aul Watkins, nephew of JR Watkins, moved to Winona in 1892 to help with the Watkins business. Paul, then 28, was a successful businessman in Columbus, Ohio, with his wife Florence and four children— Roderick, Joseph, Florence and William. When Paul and Florence moved to Winona they first lived in a house to the west of Watkins Manor. Construction began on their home on Wabasha Street, now part of Watkins Manor, in 1924. Completed in 1927, the home was admired for its beauty and detail. The Great Hall houses one of the largest Aeolian organs with 6,000 pipes ranging in size from smaller than a lead pencil to 20-inch square wooden pipes. Paul Watkins lived only four years after moving into the family’s new home. He died Christmas Eve morning in 1931. Heirs of the Watkins’ family gave the home to the Methodist Church who built a nursing home addition. After Winona Health purchased the home in 1999, the nursing home was totally renovated into assisted living apartments—leaving the Watkins mansion in its original historic state.

Tips for choosing an assisted living community

“O

ur goal is to provide a beautiful, enjoyable atmosphere for active seniors who value their privacy and independence—and for those who will benefit from help with daily activities or medical issues,” noted Bunny Bennick, Winona Senior Services Community liaison. “Similar to when people are looking for any new home, different things appeal to different people.” When considering assisted living options for yourself or a family member, Bennick recommends making a list of the features most important to you and asking lots of questions. For example: • Do you like the location and the outward appearance of the residence? • Are the buildings and grounds attractive, comfortable and appropriate for your needs? • If you’re interested in assistance with medical issues, what kind of training does the staff have and during what hours are they available? (For example, Watkins Manor has Licensed Practical Nurses on site from 7 a.m. until 10 p.m. with Registered Nurse supervisors available 24/7.) • What services and amenities are available? (Such as help with personal daily activities, laundry, cleaning, social and recreational activities, transportation, access to common rooms) • What is included in the monthly price? (Such as meals, telephone, cable, individually controlled air conditioning and heating, appliances, housekeeping, scheduled transportation) • Do you like the overall atmosphere and do the staff and other residents seem happy and friendly? • If possible, take your time and visit more than once. To schedule a tour of Watkins Manor or to receive free information about choosing an assisted living community, contact Bunny Bennick at 507.494.7493. Healthy Connections • Fall 2008

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Foundation & Auxiliary News

MediAppS receives Foundation grant

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n March, the Winona Health Foundation awarded Catholic Charities of the Diocese of Winona a $12,000 Community Engagement Grant to help continue the agency’s Medication Application Service (MediAppS). Funding for the MediAppS program was unexpectedly cut in the fall of 2007, creating the need for community support and donations. The Winona Health Foundation responded to this need by providing assistance to Catholic Charities. “Funding from Winona Health came at a critical juncture for MediAppS, and the Winona Health Foundation really helped to keep the program going,” said Bob Tereba, Executive Director of Catholic Charities. The mission of MediAppS is to improve the health and well-being of low income, uninsured individuals living in the Winona area by helping them obtain needed prescription medications that they cannot afford. These medications are increasingly important in treating chronic diseases. Not only can these medications lengthen life, but they also promote a higher quality of life. “The MediAppS program meets a critical need in our community,” said Nancy Brown, Winona Health’s executive director of development. “The reality is that if it weren’t for this program, these individuals would not be getting the medications they need.” MediAppS began operating in Winona in the summer of 2003. The program has seen steady growth over the past five years. Figures from October 2006 to September 2007 show a total of 534 prescriptions distributed among 57 uninsured persons. MediAppS works with pharmaceutical companies who offer patient assistance programs to make medications available for free or at a reduced cost to individuals who struggle financially. Sheila Collom, Catholic Charities’ MediAppS coordinator, thoroughly evaluates each 12

Healthy Connections • Fall 2008

‘‘

The reality is that if it weren’t for this

program, these individuals would not be getting the medications they need.

Nancy Brown, Executive Director of Development

situation and determines which applications and claims need to be filed to receive the necessary assistance. Once an individual qualifies, MediAppS then works closely with the person’s physicians and care facility to help them secure the prescriptions they need. The MediAppS program is available to any uninsured person who requires prescription medications which exceed their financial ability. Catholic Charities serves all people, regardless of race, sex, age or faith tradition. Anyone who sees MediAppS as a possible solution for their prescription needs is encouraged to call Collom at 507.454.2270.

Applying for a Foundation grant Each year the Winona Health Foundation awards up to $50,000 through Community Engagement Grants. Applications for the next grant cycle are being accepted through December 31, 2008. Criteria and applications for these grants are available at the Winona Health Foundation office at Community Memorial Hospital or can be downloaded online at: winonahealth.org/grants.

Watch for these festive Auxiliary events! Glady D. Miller Gift Shop Holiday Happiness November 5-8 B.A. Miller Auditorium Community Memorial Hospital

B.A. Miller Classic benefits many through the Patient Care Fund

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he Ben & Adith Miller Classic golf tournament, held August 11 at Cedar Valley Golf Course, raised a record $170,000 for the Ben & Adith Miller Patient Care Fund—$5,000 more than the event raised in 2007. More than 225 golfers participated in this annual fundraising event. Since its inception in 1986, the Patient Care Fund has contributed more than $2.7 million to more than 1,395 area families. “The Winona community is very fortunate to have a fund like the Ben & Adith Miller Patient Care Fund, and the Winona Health Foundation is very fortunate that Hugh and Vera Miller and RTP Company are committed to building the fund through the Ben & Adith Miller Classic,” said Nancy Brown, Winona Health’s executive director of development. “Their efforts and the efforts of RTP Company staff are unequaled and critical to the success of this fundraising effort.” The Ben & Adith Miller Patient Care Fund was established by Benjamin Miller in honor of his wife. The Fund is used to help individuals who, because of life circumstances, need assistance covering their medical costs. For more information on the Ben & Adith Miller Patient Care Fund, visit winonhealth.org/foundation or call 507.474.3328.

Looking for a rewarding volunteer opportunity?

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re you interested in helping others? Would you enjoy a rewarding volunteer opportunity? Become a Winona Health Auxiliary volunteer.

Auxiliary volunteers provide many valuable services throughout Winona Health. Last year our more than 350 volunteers contributed more than 30,400 hours of service. A variety of volunteer opportunities are available. For more information or to apply to become a volunteer at Winona Health, visit winonahealth.org/volunteer or call 507.457.4394.

The 3rd floor of Community Memorial Hospital becomes a holiday shopping wonderland featuring gifts, holiday decorations, jewelry, baked goods and much more. Proceeds go towards scholarships and medical equipment. Mark your calendars and invite your friends to go holiday shopping for a good cause.

Fantasy of Trees November 21-22 Watkins Manor 175 E. Wabasha St. Stroll through the Great Hall filled with beautifully decorated holiday trees, which are available for purchase by sealed bid. The trees are decorated and donated by various businesses, organizations and individuals. If you are interested in learning more or donating a tree, contact the Volunteer Office at 507.474.3328. Healthy Connections • Fall 2008

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Winona Health News & Notes

New healthcare providers— Pediatrician Craig H. Anderson, MD, joined the Pediatric/ Adolescent Medicine team at Winona Clinic providing care for children from birth through high school. He has a special interest in attention deficit disorder. Lyle Hulsing, MA, LP, joined the staff at Winona Health Psychiatric & Counseling Services. Hulsing is a licensed psychologist with extensive experience in individual, couples and family therapy.

David J. Lofgren, MD, a board-certified Family Practice physician, joined the Winona Health medical staff and sees patients in the Family Practice Department at Winona and at Rushford Clinics. Kristi Lynn Schulte, PA, joined the staff at Family Medicine of Winona. Kristi received her Master of Medical Science degree in Physician Assistant Studies from Midwestern University in Glendale, Arizona. Kevin R. Vanderveen, MD, a board-certified emergency medicine physician, has joined the medical staff at Winona Health and will work with the team in the Emergency Department at Community Memorial Hospital. For information about healthcare providers at Winona Health, visit winonahealth.org—click on Find a Provider. 14

Healthy Connections • Fall 2008

Community Memorial Hospital again has been named on the nation’s Most Wired-Small and Rural Hospital list according to Hospitals & Health Networks magazine. This is the seventh consecutive year Community Memorial Hospital has been recognized as a Most Wired hospital. Earlier this year, Community Memorial Hospital was featured in a national PBS NewsHour story about healthcare information technology. The news segment can be viewed online at winonahealth.org/pbs. Community Memorial Hospital has earned two Minnesota Hospital Association (MHA) Patient Safety Excellence Awards for its work on two initiatives: preventing patients from falling and from developing pressure ulcers during hospital stays. CMH implemented the MHA SAFE from FALLS Roadmap to a Comprehensive Falls Prevention Program and the SAFE SKIN Roadmap to a Comprehensive Pressure Ulcer Prevention Program. The roadmaps combine learning from reported events in Minnesota and national best practices. The MHA Patient Safety Excellence Award is given to facilities that have achieved more than 90 percent of the actions recommended in the roadmaps. Winona Clinic and Lewiston Clinic received the Bridges to Excellence award for meeting the 2008 criteria for excellence in the optimal care of patients with cardiovascular disease, resulting in improved health outcomes and reduced patient healthcare costs. Community Memorial Hospital has been named a top performer in a Center for Medicare & Medicaid Services (CMS)-Premier healthcare alliance project that rewards hospitals for delivering higher quality care. Based on third-year results from the Hospital Quality Incentive Demonstration (HQID) project, Community Memorial Hospital ranked in the top 10 percent for overall quality in the care of Acute Myocardial Infarction (heart attack) patients and in the top 20 percent in the clinical care of Congestive Heart Failure patients.

Notes from the community— We had excellent service at the Eye Care Center and in the Family Practice Department... And what a wonderful facility. It’s a warm and friendly atmosphere and all personnel treat you in a professional manner and beyond. The south view is gorgeous and the waiting lounge is very nice and comfortable. I’m so glad Winona has such a people-oriented facility for healthcare. —Jane Fellows Lewiston, MN

When I was treated in the Emergency Room, the doctors and nurses couldn’t have been more efficient or caring. I know I wouldn’t have gotten better care anywhere else. —Shirley Pflughoeft

Troy Shelton, MD, Winona Center for Women’s Health… Thank you for delivering my two children. You are a wonderful doctor. You are so caring and kind. Thank you for taking such good care of me and for being a five-star doctor! —Gretchen Pronschinske Mondovi, WI

From the comment box— My experience was excellent. I can’t think of any way they could have done a better job. Thank you for the pleasant professional experience. —Surgery patient

I was so impressed with the care, concern and services. —Surgery patient

Winona, MN

What a pleasant experience! I felt comfortable and relaxed [during mammogram] and the staff answered my questions in detail. I have been coming here for many years and would not hesitate to recommend Winona Health fully. —Women’s Imaging Department patient

On Thursday, July 17, we took our granddaughter, age 9, to the Winona Health Emergency Room. She had a deep, persistent cough and had spiked a temperature. From the time we arrived until our departure, we received the best of care. Nurse Andy [Seltz], Respiratory Therapist Tony [Hibbard], X-Ray Tech Dave [Lawrence], and Dr. [Carlos] Morales were sensitive, caring and professional to our granddaughter and her grandparents. Each one treated us kindly and explained all the tests and treatments leading to her diagnosis. They represented the best of Winona Health’s mission.

I found that a mammo can be a very pleasant experience. My tech was great and the coffee and treats were much appreciated since my appointment was at 7:30 a.m. I’m also passing this information along to my friend who has never had a mammogram. —Women’s Imaging Department patient

Reminder: October is Breast Cancer Awareness Month. Are you due for a mammogram? Give yourself the gift of peace of mind— or of early detection. Call to schedule an appointment in our Women’s Imaging Department: 507.457.4320.

—Jim and Shannon Hanzel Winona, MN Healthy Connections • Fall 2008

15

Events, classes & support Groups For a complete calendar of events by date and for more information about our services and programs, please visit our website: winonahealth.org. We welcome your questions and comments. Alzheimer’s and Related Dementia Support and Education 2nd Wednesday of the month, 6–7 p.m. CMH, Parkview Conference Room No registration required: 507.457.4560 Basic Life Support (BLS/CPR) for Healthcare Providers November 11, 4–9 p.m. CMH, 3rd Floor B.A. Miller Auditorium Childbirth Education Classes Six week program: Wednesdays, September 3–October 8 Thursdays, October 2–November 6 6:30-8:30 p.m. Weekend program: Saturday, September 20, 8 a.m.–3 p.m. CMH, 3rd Floor, B.A. Miller Auditorium Registration required: 507.457.4338

Community Health Talk The Eyes Have It—Laurel Quinn, MD Thursday, September 18, 5:30–6:30 p.m. CMH, 3rd Floor, B.A. Miller Auditorium FREE! Registration encouraged. Visit winonahealth.org/health_talks or call 507.457.4374 for more information Depression Screenings Thursday, October 9, 10 a.m.–4 p.m. Free. No appointment necessary. Psychiatric & Counseling Services 825 Mankato Avenue, Winona Call for more information: 507.454.2606

Diabetes Expo sponsored by Winona Health and area Lions Clubs WSU’s Kryzsko Commons Saturday, November 8 8:30 a.m.–12:30 p.m. FREE! Call for more information: 507.457.4570

Healthy Kids Club (see p. 3) Second Annual Kick-Off Event Winona Middle School Saturday, September 27, 9 a.m.–Noon Call for more information: 507.457.4161 or visit winonahealth.org/HKC

Diabetes Prevention Class Four session class Tuesdays: October 7, 14, 21, 28 6:30-7:30 p.m. CMH $40 for individual, $60 for couples Registration required: 507.457.7700

Infants Remembered In Silence (IRIS) 3rd Tuesday of every month 6:30–8 p.m. Watkins Great Hall, 175 E. Wabasha St. Call for more information: 507.474.3042

Frame Show—Eye Care Center Thursday, November 20, 6 a.m.–9 p.m. 859 Mankato Ave., 3rd Floor Clinic 507.474.4760 Healthcare CPR Recertification September 18, 7:30-10:30 a.m. September 23, 5-8 p.m. October 16, 7:30-10:30 a.m. October 22, 5-8 p.m. November 13, 5-8 p.m. November 20, 7:30-10:30 a.m. December 15, 5-8 p.m. CMH, B.A. Miller Auditorium Registration required: 507.457.4491 Cost for class: $30 Healthcare Directives Informational sessions: September 15, 6:30–7:30 p.m. November 17, 9:30–10:30 a.m. Working sessions: September 22, 6:30–7:30 p.m. November 24, 9:30–10:30 a.m. CMH, Parkview Conference Room Call for more information: 507.474.3328

MOM Support Group (Mother’s Own Milk) Wednesdays, 1:30–3:30 p.m. Women’s Health Library 3rd floor Winona Clinic Call for more information: 507.453.3700 Prostate Cancer Screening Thursday, October 2 7:30–9:30 a.m. and 4:30–6:30 p.m. Winona Health, 859 Mankato Ave. Appointments encouraged: 507.457.4481 Cost for screening: $10 Prostate Cancer Support Group 1st Monday of the month, 7-8 p.m. CMH, Parkview Conference Room Call for more information: 507.457.4491

Winona Health Foundation & Auxiliary Events For information about Foundation and Auxiliary events, see p. 13 or call 507.474.3328.

CMH = Community Memorial Hospital • 855 Mankato Ave. • Winona, MN

PO Box 5600 • 855 Mankato Ave. • Winona, MN 55987 • winonahealth.org

Nonprofit Org U.S. Postage PAID Winona, MN Permit No. 72

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