Winona Health - Healthy Connections Spring/summer 2005

Winona Health is pleased to offer you Healthy Connections, a new quarterly publication filled with information about health, wellness and the many resources available to you, close to home. This publication is another way we strive to fulfill our mission: Winona Health is devoted to improving the health and well-being of our family, friends and neighbors. If you have questions or suggestions for making this publication more valuable to you, please contact:

From the President/CEO: On behalf of all of us at Winona Health, welcome to our new community publication, Healthy Connections! Your support of our hospital, nursing home, assisted living facilities and other programs and services is the reason Winona Health remains strong 111 years after its founding in 1894. Our building project begins a new era in Winona Health’s service to our community's healthcare needs. Our $32 million expansion project includes a new Winona Clinic/Medical Office Building. With Winona Clinic' s move to the Winona Health campus, this area's primary healthcare services will be centrally located for your convenience. In addition, the third-floor space allows for growth in services expanding our scope and meeting the needs of the community.

~ Loretta Bronson Chief Communication Officer 507.457.4116 Other Winona Health Marketing/ Public Relations staff who worked on this issue include:

Our building project also includes a new Outpatient Diagnostic Center, to better serve your lab, radiology and outpatient surgical needs. A new fixed MRI machine means more convenient scheduling of appointments, while additional Admitting kiosks will result in a quicker registration process.

~ Amanda Atlas Graphics/Web Development Specialist 507.494.7371 ~ Elizabeth Hough Community Relations Specialist 507.457.4161

Already completed building project components include our rooftop helipad and our parking ramp. We welcome you to join us at our Parking Ramp Ribbon-cutting Ceremony on Wednesday, May 11, from 4:30 - 6:00 p.m. This community-wide celebration will take place at the parking ramp and include tours of the ramp and refreshments.

~ Karen Sibenaller Marketing Communication Coordinator 507.457.4157 Letter from President/CEO

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Emergency care close at hand

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Stroke warning signs

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Allergy relief close to home

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Staff view of building project

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We're proud of . . .

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At the technology forefront

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Community calendar

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This community can take great pride in Winona Health's building project, as your contributions are helping build this new healthcare complex. And area builders and contractors are a vital part of the team turning our plans into a structural reality. (see pg. 9) All of us who work at Winona Health thank you for your support! It is this community support that allows us to be devoted to improving the health and well-being of our family, friends, and neighbors.

Rachelle Schultz President/CEO 2

Exceptional emergency care close at hand

Winona Health's services -- from our Family Birth Center to our Assisted Living Facilities -- provide area residents with peace of mind that quality healthcare is just around the corner. Having quality medical care close at hand is especially important when faced with an emergency health need. Whether dealing with a broken bone, a weekend infection, or a life-threatening illness, a wellprepared Emergency Department assures patients and their families that every step has been taken to achieve the best possible outcome. Bev Speltz, RN, CEN, serves as Winona Health's Emergency Department and Dialysis Unit Director. She helps ensure that crucial medical care is available to Winona area residents around the clock. "To best serve the community, we need to be proactive and stay on the leading edge of patient care," Speltz said.

Serving the community for 18 years A lifelong Winona resident and Winona Senior High School graduate, Speltz has been providing healthcare to the Winona community for more than 18 years. "Ever since I was a little girl, I wanted to be a nurse, and I've always wanted to work here," explained Speltz. "I've just had a sense that this was the place for me -- that it would be a good fit -- and it is."

Bev Speltz RN, CEN, Emergency Department and Dialysis Unit Director, gets a status report from Jody Doebbert, RN.

Emergency Nurses' Association and succeeded in becoming a Certified Emergency Nurse (CEN). In 1999, Speltz expressed interest in an opening for Operations Manager at Winona Area Ambulance Service (WAAS) to Sara Gabrick, Winona Health's Chief Nursing Officer. "I've been so fortunate to work with Sara for more than 10 years," Speltz said. "She heads up our nursing leadership team, which provides an awesome support system, a true sense of teamwork and departmental integration. Sara exemplifies excellence in clinical care with the ultimate goal being outstanding patient service."

“To best serve the community, we need to be proactive and stay on the leading edge of patient care.”

Bev Speltz, RN CEN

Speltz started her career as a Health Unit Coordinator in 1987, then, with the help of scholarships from the Winona Health Auxiliary, began studying for a nursing degree. In 1993, newly equipped with her Associate Nursing Degree (ADN), she was hired in Winona Health's Medical Pediatrics Unit. By 1995, Speltz was a staff nurse in the Emergency Department (ED). To ensure she was offering patients the best possible care, she challenged herself to write an exam through the

With Gabrick's advice to "go for it," Speltz applied for and was hired as WAAS manager. During her four years at WAAS, a joint venture between Winona Health and Gundersen Lutheran Medical Center in La Crosse, Speltz gained unique insight into the importance of what happens before a patient gets to the ED.

Continued on pg. 4

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Bev Speltz, Continued from pg.3

"I'm always challenging myself to get to the next level, and I try to encourage others to do that, too," said Speltz. So in September of 2003, she returned to Winona Health as ED Manager; just recently, she assumed management responsibility for the hospital's Dialysis Unit as well. Speltz clearly understands the importance of having an outstanding healthcare facility serving the Winona community. "While our region is fortunate to have strong major medical facilities in La Crosse and Rochester, the exceptional services Winona Health provides give area residents peace of mind that quality care is just around the corner. A strong community hospital is essential for better health for the whole family."

New collaborative heart attack protocols To continue offering the best possible care for all emergency situations, Speltz and Dr. Charles Shepard, Winona Health Medical Director, have collaborated with Gundersen Lutheran in La Crosse and Mayo Clinic in Rochester on new heart attack protocols for identifying,

Barb Filas, RN smiles as Dr. Marc Dummit greets and reassures a young patient visiting the Emergency Department. Last year, there were 17,206 patient visits to Winona Health's Emergency Department.

treating and transporting heart patients to either facility. To ensure the best possible outcome, these programs are designed to give patients the advantage of time.

May is Stroke Awareness Month "Time is of the essence" when dealing with a stroke, according to Dr. Marc Dummit, a Winona Health Emergency Department physician. "It's always better to be evaluated in the Emergency Department (ED) and told that you're okay, than to lose an opportunity to reverse a life-changing event." A stroke occurs when a blood vessel to the brain is blocked or bursts and the affected part of the brain begins to die. Dr. Dummit speaks as a physician -- and from personal experience. "Several years ago I was in the ED when my mom came in. Thanks to the quick thinking of my dad, who noticed the stroke warning signs, we were able to administer a clot-busting drug. While there are some risks associated with the treatment, my mom was thankful for the opportunity to 'strike back' at her stroke. A complete right-sided paralysis and inability to speak reversed overnight." According to the National Stroke Association, 750,000 people are affected by strokes each year. While some risk factors, such as gender, heredity, and age, cannot be controlled,

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other risk factors such as tobacco use, high blood cholesterol, and excessive alcohol use can be controlled or treated. For more information about stroke prevention, talk to your doctor.

STROKE WARNING SIGNS ~ Sudden numbness or weakness of face, arm or leg, especially on one side of the body ~ Sudden confusion, trouble speaking or understanding ~ Sudden trouble seeing in one or both eyes ~ Sudden trouble walking, dizziness, loss of balance or coordination ~ Sudden severe headache with no known cause If you or someone you are with experiences any of these symptoms, call 911 immediately. Every minute is critical, and the Emergency Department at Winona Health is here to help.

“Winona Health has a history of being at the forefront of treatment of MI patients.” Dr. Charles Shepard The initiative with Gundersen Lutheran is called the Priority One Heart Attack Program; Mayo's is the Regional STEMI Protocol. A call from Winona Health's ED staff activates a team of professionals at either tertiary care facility to begin preparing for the patient's arrival.

Myocardial Infarction) trials which established the benefit of clot busters. While the clot buster may buy some time, many patients still need angioplasty." Heart attack patients entering Winona Health's Emergency Department can rest assured they will quickly receive time-saving care then be transported to the tertiary center of their choice. The new heart attack protocols are only one of many recent advancements at Winona Health. "From our move to Electronic Medical Records to the current building project and Winona Clinic's impending move to the Winona Health campus, these advances will benefit several area communities," Speltz said. "We'll have a more stream-lined entry to the Emergency Department and more services under one roof."

Speltz shared a well-known saying in the treatment of a Myocardial Infarction (MI), commonly known as a heart attack: "Time is muscle." The longer the heart goes without oxygenated blood, the more damage it sustains. "In general, the sooner a patient receives initial treatment, the better the chance to reduce the damage. For example, if a patient arrives for treatment within three hours of the onset of a heart attack, physicians at Winona Health determine if it's appropriate to administer a clot-busting drug," Speltz said.

“All of us in Winona Health’s Emergency Department want the community to know we are committed to providing quality emergency care 24 hours a day, seven days a week.”

Dr. Shepard noted, "Winona Health has a history of being at the forefront of treatment of MI patients. We participated in the original TIMI (Thrombolysis in

Bev Speltz, RN, CEN

Speltz, enthusiastic about her role in this community's health services, is equally excited about the community's response to Winona Health's building project. "For a community our size to be able to do this project is incredible. The support and interest we've received tells us that quality healthcare is something the community values.” “So all of us in Winona Health's Emergency Department want the community to know we are committed to providing quality emergency care 24 hours a day, seven days a week," concluded Speltz.

Winona Health’s emergency staff and Gundersen Lutheran MedLink AIR personnel successfully completed a mock Priority One code. The program’s goal is to get patients from the ED to Gundersen Lutheran’s cath lab and clear their arteries within 90 minutes.

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Allergy relief close to home

At just two years of age, Alexandra Lau was diagnosed with asthma. The pediatric allergist she visited poked and prodded and eventually prescribed medication using a nebulizer — an electrically powered machine that turns liquid medication into a mist easily inhaled by a child. Alexandra’s mother, Kris Sorensen, was resigned to the fact that her daughter would be limited in her activities and dependent on using her nebulizer at least twice a day. “It’s so hard to watch your child struggle to breathe,” said Sorensen. “It’s a frightening experience.”

“I knew Dr. Donnal would make Alexandra feel very comfortable,” Sorensen said. “What I didn’t know is that he would virtually cure her asthma!” Dr. Donnal examined Alexandra, scheduled testing with CMH’s Respiratory Therapy Department and evaluated her symptoms. Sorensen was impressed that Dr. Donnal never used any needles in his examination. “The pediatric allergist went right for the needles,” she remembered. “Dr. Donnal was able to avoid them in this case, and he was still able to find the cause of her symptoms.”

Services offered at Winona Health’s Allergy & Asthma Clinic include: ~ ~ ~ ~ ~ ~

Last summer, almost seven years after Alexandra’s first visit to an allergist, Dr. Terry Donnal opened the doors to his Allergy & Asthma Clinic at Winona Health. Having known Dr. Donnal from Community Memorial Hospital’s Emergency Department, where he is a full-time physician, Sorensen immediately made an appointment.

Skin testing Allergy evaluations and management Asthma evaluations and management Asthma education Medication instruction and management Immunotherapy/allergy shots

Dr. Donnal found that Alexandra’s asthma was brought on by a number of allergen triggers. Using the nebulizer treated the symptoms, but did nothing to eliminate their cause. Dr. Donnal prescribed two allergy medications that blocked the triggers, thereby reducing the symptoms.

Call: 507.457.4149

Two days after her visit at the Allergy & Asthma Clinic, Alexandra felt like a different person. For the first time in her life, she was able to finish an entire game of

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basketball. “It was overwhelming, watching her play that game,” recalled Sorensen. “We knew then that her allergies were finally under control.” Even more exciting is that Alexandra hasn’t had to use her nebulizer since visiting with Dr. Donnal. Though spring season is often the toughest time for allergy sufferers, Alex hasn’t had any problems so far this season. “I can breathe better,” said Alex, who is looking forward to a summer of activities without the limitations of her asthma. “It’s awesome!” Dr. Donnal, a certified family practice physician, was the Chief of Allergies and Immunizations at the Fairchild Air Force Base in Washington. He joined Winona Health in 2003. While working in CMH’s Emergency Department, he noticed many patients he saw were traveling for their allergy treatments. “I realized treatment for allergies and asthma wasn’t readily available in Winona,” he said. “I wanted to make care and treatment more convenient for area residents. His accessibility is one of the many reasons patients are so fond of his service. “We got in immediately,” Sorensen said. “And Alexandra visits him every six months. We’ve never had a problem making appointments.” One individual drove all the way from Mankato, Minnesota, when he heard of the clinic’s availability from one of Dr. Donnal’s previous patients. “A lot of my referrals are from patients I’ve seen,” noted Donnal. “They are glad to have quality allergy and asthma treatments that are easily accessible and close to home.”

Alexandra visits Dr. Donnal for a follow up evaluation almost one year after saying goodbye to her asthma medication.

“I became a physician because I wanted to help people,” he stated. “At the Allergy & Asthma Clinic, I can concentrate on helping people find a treatment plan that works best for them.” Kris Sorensen and her daughter Alexandra would say that he does exactly that. “We are so lucky to have him right here at Winona Health,” Sorensen stressed. “I would recommend him to anyone suffering with allergies or asthma.”

For more information or to make an appointment, call 507.457.4149.

Allergy Season Alert! Spring is in the air – and so are those pesky allergens! Allergies affect both kids and adults. Though symptoms and severity may vary, many Winonans deal with seasonal and year-round allergies. Here are some common symptoms and tips on how to prevent some of the triggers. SIGNS & SYMPTOMS ~ Sneezing ~ Runny nose ~ Scratchy throat

~ Congestion ~ Itchiness in the nose or ears ~ Watery/itchy eyes

PREVENTION TIPS ~ Do a thorough spring-cleaning ~ Postpone outdoor activities until after 10:00 a.m. ~ Check your local pollen count ~ Use air conditioning instead of opening windows

~ ~ ~ ~ ~ ~

Stay indoors when it is especially hot, dry and windy Use the dryer instead of hanging laundry outside Wear a mask when raking leaves or mowing the lawn Shower and wash your hair before going to bed each night Use non-toxic cleaners to remove visible mold Beware of high mold spore counts in the evening or after a heavy rain

For more information and tips on allergies and asthma, check out KidsHealth at www.winonhealth.org. Find it under Health Information, along with other great wellness resources.

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Join us as we C E L E B R A T E our parking ramp completion Winona Health invites area residents to the Parking Ramp Ribbon-cutting Ceremony on May 11, 2005 from 4:30 p.m. to 6:00 p.m. This celebration will take place at the ramp and will include refreshments and tours of the new structure. Please join us as we celebrate the completion of our new parking ramp! Staff members share their building project excitement on these two pages. “When the building project is finished, the physicians will be just a step away – creating a safer transition for patients who need to go between the clinic and the hospital.” ~ Mary Schmoker, RN Dialysis Unit

“The community will be the biggest winner, with better access to needed specialties, an improved patient experience, less running around for tests and appointments, and cost savings from not duplicating expensive equipment such as in Radiology.” ~ Rand Gettler, COO Building Project Administrator

"All of Pre-Operative will be moved downstairs once the construction is completed, streamlining the patients’ transition between pre-op and surgery.”

“I have been a proud member of the Winona Health team for 25 years and am especially excited and thrilled to be a part of the development of a contemporary medical campus that will create a patient-centered care delivery system. It will help provide excellence in service and care by locating the Winona Clinic, other care providers and Winona Health on one campus.”

~ Kris Cichon Manager, Surgery

~ Debi Allen, RN Dialysis Unit

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Building Project Details Parking Ramp • The parking ramp includes 280 spaces. • Parking Ramp Ribbon-cutting Ceremony is 4:30 - 6:00 p.m., May 11, 2005.

Clinic/Medical Office Building • This three-story building will have 82,000 square feet. • Winona Clinic will own 52,000 square feet. • The third floor will be available for independent physicians and other healthcare providers. • Construction began December 2004 and is scheduled for completion April 2006.

Outpatient Diagnostic Center and Hospital Renovation • A new surgical suite will include four operating rooms, a procedure room and an endoscopy suite. • The existing surgery area will include 18 recovery bays, a waiting room and an operating room for C-sections. • The outpatient area will include a new registration area, mammography and radiology. • Construction began December 2004 and is scheduled for completion April 2006. • The helipad was moved to the hospital roof and completed November 30, 2004. “We are very excited for the construction to be completed. We will have more rooms available as well as a new waiting room for patients’ families. We can’t wait!” ~ (l - r) Liz Seltz, Liz McGrory, & Colleen Schneider, RN Pre-Operative

Winona Winona Building Contractors Project Contractors Bauer Electric Schwab Company Winona Rental Winona Excavating Ronco Engineering Dunn Blacktop Company Severson Oil Wapasha Construction Scherbring Enterprises Ralph Scharmer & Sons River Valley Sweeping Biesanz Stone Otomo Engineering Kendell Lumber Winona Heating & Ventilating Flagpoles International Kendell Doors & Hardware, Inc. Winona Glass Replacement O’Laughlin Plumbing

“I am excited to watch the progress of the construction. I believe that this building project will help expand the services that are offered to the community.” ~ Karen Dworschack, Environmental Services

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We’d Like to Recognize... ... Linda Rose, a Food & Nutrition supervisor. Lake Winona Manor received a letter from the daughter of a couple living there. Linda reserved the LWM van and, on her own time, drove the couple to their son’s home in Pickwick so they could have a family gathering. This family was especially thankful, as none of the family members felt competent to manage the transport when the couple needed wheelchairs. The daughter wrote, “This was a wonderful, selfless gesture that was greatly appreciated by my entire family.” Lake Winona Manor is a skilled nursing facility. For more information, call 507.457.4366.

... Rachelle Schultz, (above) Winona Health President/CEO, and Dr. Darrell Krueger, Winona State University President, sign the Minnesota Job Skills Partnership grant certificates during a presentation on April 7, 2005. The $216,000 grant will bring Lean in Healthcare training to Winona Health.

... Ahlex Hoffman & Amber Stinson, who work in Roger Metz Manor and put together scrapbooks for each resident. Noted Jenni Johnson, Assisted Living coordinator, “These scrapbooks were handed out to families at our annual Valentine Tea as gifts. Amber and Ahlex have been working on these scrapbooks for several months. Their dedication and hard work will be appreciated by our residents’ families for many years to come.” For more information on our memory care residences, contact Sara Blair, 507. 494.7493. ... Sheila Skeels, Mary Modjeski and Winona Health’s Hospice staff. A hospice patient’s daughter wrote of her family’s appreciation for “the loving care that was given to my mother ... When she first came to visit us, Sheila spent a lot of time tending to our needs ... Then she took time ... to visit us at my mother’s wake. Mary never tired of giving physical and emotional support to my mother and us. She went above and beyond what we expected. I don’t know what I would have done without [hospice staff ’s] help ... Our family was able to feel our mother was getting the best of care ... while we were able to grieve her passing ... Thanks for being there to give your special help to us and our loved ones. ” For more information on Hospice Services, call 507.457.4468.

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Lori Britton

Kim Rock-Stockheimer

... Kim Rock-Stockheimer & Lori Britton, occupational therapists. Kim and Lori completed three lymphedema research projects. Two of them will be published in the Journal of Hand Therapy and the third will appear in the American Journal of Occupational Therapy. Kim and Lori work in Winona Health's Rehab Services department. For more information about these services, go online to www.winonahealth.org, then click on Our Services.

... Coletta Berg, Lana Lara, Lacy Squires, Tessa Knutson, Gina McRae, Ahlex Hoffman, Megan Routh, Jim Brust, and Jane Bremer, Winona Health's first Assisted Living mentors. These mentors completed special in-depth training developed by Winona Health's Assisted Living supervisors. “We have an outstanding group to initiate our Mentor Program,” according to Beth Nelson, Assisted Living manager. “They are all dedicated to providing the best care to our residents and making our Manors a great place for staff to work.” Winona Health offers assisted living facilities for active, independent seniors and for those needing memory care. For additional information, contact Sara Blair, 507. 494.7493.

Community-wide EMR Receives Innovation Award

Winona Health Services

Winona Health's Community Memorial Hospital received a Minnesota Hospital Association's Innovation in Patient Care Award for its Community-wide Integrated Electronic Medical Record (EMR). Attending the MHA Awards ceremony (l-r) were Bev Speltz; Marie Kowahl;

Alzheimer’s Care

Sara Gabrick, CNO; Kathleen Lanik, Chief HIM Officer; Greg Thackery, Cerner; Dar Pozanc; Mike Allen, CFO; and Dr. William Davis, Family Medicine.

Winona's EMR is a rare innovation in a rural community and small health system. This system implementation was four years in the planning and involved the work of many: "It was a vision by area physicians and the hospital to have all information about our patients in the same database," explained Mike Allen, Winona Health CFO.

Winona Health -- working with Cerner, a healthcare software company, Family Medicine of Winona P.A. and Winona Clinic -- began making this vision a reality in 2000. Dr. William Davis, partner in Family Medicine and Winona Health's medical director for health information, already has seen the value of the EMR, which allows him to track patient data and generate prescriptions in the exam room, triggering pharmacy orders. But "the biggest benefit," he noted, "is immediate access to patient records any place, any time. I have patients calling me at home, and I look at their record: It's right there. It's hard to beat that. And electronic prescribing is a huge

Allergy & Asthma Clinic

Assisted Living Facilities Dialysis Emergency Care Family Birth Center Home Health Care Hospice Care Laboratory

advantage. All patient meds are listed on the record; the interactions are documented; it avoids errors."

Long Term Care Medical Services

Integrated community health systems also are aligned with current national health goals, which emphasize the role communities play in creating an interconnected health system. "Community data exchanges" are the key building blocks to this wired national healthcare system. To ensure its integrated health system not only improves patient outcomes but also respects privacy, Winona Health, its affiliates, and the two independent physician clinics formed a joint healthcare organization to ensure HIPAA privacy compliance throughout the newly integrated system.

Mental Health Services Inpatient & Outpatient Nutrition & Diabetes Education Parkview Pharmacy Radiology Rehabilitation Services Respiratory Care Rushford Clinic Sleep Lab

"We've put something together in Winona that is far more powerful than an integrated electronic medical record," Allen explained. "It has connected our community and improved how we provide patient care."

Sports Medicine Surgery - Inpatient & Outpatient For more information:

507.454.3650 www.winonahealth.org 11

JUNE 2005

Calendar of Events

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Childbirth Experience Class, 6:30 p.m. – 8:30 p.m., B.A. Miller Auditorium Contact: Staff Development 457.4491

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Breastfeeding Class, 6:30 p.m. – 8:30 p.m., Lake Winona Manor Classroom, $10 Contact: Staff Development 457.4491

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Healthcare CPR Recertification, 7:30 – 11:30 a.m., B.A. Miller Auditorium, $30 Contact: Staff Development 457.4491

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Healthcare CPR Certification-1st Timer, 6:00 p.m. – 10:00 p.m.. B.A. Miller Auditorium, $40 Contact: Staff Development 457.4491

MAY 2005 8-14

National Nurses, Hospital and Long Term Care Week

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Parking Ramp Ribbon Cutting Ceremony 4:30 p.m. – 6:00 p.m. Join Winona Health in celebrating the completion of the city’s first parking ramp. Enjoy refreshments and tours of the completed structure. Contact: Elizabeth Hough 457.4161

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Childbirth Experience Class, 6:30 p.m. – 8:30 p.m., B.A. Miller Auditorium, 5 week class Contact: Staff Development 457.4491

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Childbirth Experience Weekender Class, B.A. Miller Auditorium Friday: 6:00 p.m. – 8:00 p.m. Saturday: 8:00 a.m. – 3:00 p.m. Contact: Staff Development 457.4491

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JULY 2005

Health Care Directives Informational Session, 6:30 p.m., Westview Conference Room Contact: Volunteer Services 457.4316

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Health Care Directives Informational Session, 9:30 a.m., Parkview Conference Room Contact: Volunteer Services 457.4316

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Public First Aid, 6:00 p.m. – 8:30 p.m., B.A. Miller Auditorium, $25 Contact: Staff Development 457.4491

Healthcare CPR Recertification, 7:30 a.m. – 11:30 a.m., B.A. Miller Auditorium, $30 Contact: Staff Development 457.4491

Check the community calendar at www.winonahealth.org for more information.

Support Groups: Prostate Cancer Support Group, 7:00 p.m. – 9:00 p.m. Parkview Conference Room Meets the first Monday of every month. Contact: Staff Development 457-4491

855 Mankato Ave. Winona, MN 55987

Fibromyalgia Support Group 1:00 p.m. – 2:00 p.m., Lake Winona Manor Classroom Meets the first Thursday of every month. Contact: Diane Montgomery 457-4535

Alzheimer’s Support Group 5:30 p.m. – 7:00 p.m., Lake Winona Manor Classroom Meets the second Wednesday of every month. Contact: Cheryl Krage 457-4560

NONPROFIT ORG U.S. POSTAGE PAID WINONA, MN PERMIT NO. 72