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Biointellisense and Renown Announce Strategic Collaboration
El monitoreo médico de signos vitales de BioIntelliSense y el centro de comandos centralizado de Renown Health crean un sistema escalable para optimizar los recursos críticos de atención médica y la eficiencia del flujo de trabajo del personal de enfermería DENVER CO Y RENO, NV. 6 DICIEMBRE DE 2021: BioIntelliSense, una empresa de monitoreo continuo de la salud y de inteligencia clínica, ha entablado una colaboración estratégica con Renown Health, una red integrada de atención médica sin fines de lucro compuesta de hospitales e instalaciones de atención médica que atiende a más de un millón de personas en Nevada y el noreste de California, para brindar atención más conveniente, eficaz y personalizada a los pacientes mediante monitoreo remoto continuo para la atención de pacientes internados, como también para el control de la salud en el hogar. This innovative program integrates BioIntelliSense’s FDA-cleared BioSticker™ wearable device into Renown Health’s state-of-the-art clinical remote monitoring services to address today’s significant healthcare workforce shortage challenges and enhance their patient-centered model of care. BioIntelliSense’s BioSticker continuously monitors data on a patient’s skin temperature, resting heart rate and respiratory rate, step, gait, sleep, activity levels, and more, including infection-like symptom alerts that supports COVID-19 monitoring. The BioSticker’s medical-grade trending and advanced analytics will be visualized and monitored by clinical staff within the Renown Transfer and Operations Center (RTOC). The Renown Transfer and Operations Center is powered by Renown doctors, nurses, technicians and national technology partners, including BioIntelliSense, to help ensure seamless care for patients and providers. Through this highly coordinated care logistics system, Renown will be able to customize health care to the needs of every patient; delivering the right care, at the right time and place across the integrated delivery system. Renown clinicians will be able to access near real-time information on patients’ vital signs and symptoms, enabling them to identify adverse changes in health sooner and intervene earlier. “Given the growing healthcare workforce crisis, routine patient monitoring has become more expensive and less frequent, especially during the ongoing public health emergency. With the BioSticker, vital signs monitoring can be provided for each patient far more frequently and at a fraction of the cost,” said James Mault, MD, Founder and CEO of BioIntelliSense. “Our strategic partnership with Renown Health serves as a gold standard demonstration project for other hospital systems. What we are learning from patients and providers at Renown will help create fully integrated, continuous care delivery that starts during the patient’s hospitalization enabling monitoring of their health status throughout their recovery process, and from the comfort of their own home after leaving the hospital.” During the first phase of the collaboration and during this phase one implementation, the BioSticker will be applied to all patients admitted to Renown’s community hospital, Renown South Meadows Medical Center in Reno, Nevada. Patients may wear the device throughout their hospital stay and continue to wear it when they leave for their homes, ambulatory, outpatient surgical, rehabilitation or skilled nursing settings. “We are excited to continue to enhance our relationships with patients by integrating technology that supplements our care teams and provides patients with a virtual care solution that will continuously track vital signs, making healthcare more accessible, affordable and convenient,” said Tony Slonim, MD, DPH, CEO, Renown Health. “We believe patients and their loved ones will have confidence in knowing that their Renown clinical team will be closely monitoring their health data and communicating with them regularly to deliver high quality, personalized care throughout their healing process.” Initially, this collaboration will focus on understanding the logistics of patient monitoring in the hospital and at home or remote sites using the BioIntelliSense remote care technology. Renown Health will then work towards streamlining and operationalizing the clinical workflow, while scaling the program, to measure clinical improvement and the economic impact on patient care. “We are entering a new era in continuous health monitoring, as innovative hospital systems like Renown Health are integrating remote care technologies that provide scalable, user friendly and cost-effective solutions for health screening, COVID symptom monitoring and remote patient monitoring,” noted Mault. “Prevemos que, en diez años, nuestros dispositivos portátiles se convertirán en el estándar de atención de las personas que no se sientan bien ya que les dará la tranquilidad a ellas mismas y a sus seres queridos de que están siendo monitoreados 24/7 por un equipo clínico comprensivo y tendrán la seguridad de que, si su afección empeora, podemos elevar el nivel de atención, de inmediato y en tiempo real”. "We are excited to serve as the national training site for BioIntelliSense and continue to bring new technology that improves the patient and provider experience to colleagues. We will continue to develop a well-trained, inter-professional and flexible workforce with technology skills that match the current pace of health care innovation,” added Slonim. “Our team is excited to be improving health care access and affordability across the state, and especially with critical access hospitals serving rural communities. Remote patient monitoring technology offers great benefit to patients at or near their homes, and it may transform hospital care by expanding access to clinical expertise to patients, and extending and increasing workforce capacity for limited hospital physician, nursing and clinical teams. We are pleased to be working with Dr. Mault and the team at BioIntelliSense, on the demonstration project with the BioSticker for vital signs monitoring as we take another bold step in innovating health care for long-term success.” Acerca de Renown Health Renown Health es una red de atención médica integrada de administración local y sin fines de lucro que brinda servicios al norte de Nevada, Lake Tahoe y el noreste de California. Renown es uno de los mayores empleadores privados de la región y cuenta con una fuerza laboral de más de 7,000. It comprises three acute care hospitals, the region’s only children’s hospital, a rehabilitation hospital, the area’s most comprehensive medical group and urgent care network, and the region’s largest not-for-profit insurance company, Hometown Health. Renown has a long tradition and commitment to improving the care and the health of our community. Visite renown.org para obtener más información. About BioIntelliSense BioIntelliSense is ushering in a new era of continuous health monitoring and clinical intelligence for Remote Patient Monitoring (RPM). Its medical-grade Data-as-a-Service (DaaS) platform seamlessly captures multiparameter vital signs, physiological biometrics and symptomatic events through an effortless patient experience. The FDA-cleared BioSticker™ and medical grade BioButton® devices make remote monitoring and early detection simple. Through the platform’s advanced analytics, clinicians will now have access to high-resolution patient trending and reporting to enable medical grade care from in the hospital to the home. Para obtener más información sobre cómo BioIntelliSense está redefiniendo el monitoreo remoto de pacientes con servicios de datos médicos económicos, escríbanos a info@biointellisense.com o visite nuestro sitio web en BioIntelliSense.com.
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El laboratorio interno de Renown Health ya procesa las pruebas de detección de COVID-19 para los pacientes y proveedores de atención médica
Expanded test processing capabilities is resulting in faster test results, lessening the load on the state lab, and helping keep patients, care providers and the community safe. Renown Health anunció hoy que su laboratorio interno ahora puede procesar hasta 500 pruebas de detección de COVID-19 por día para pacientes hospitalizados y proveedores de atención médica. The organization has invested in expanded test processing capabilities to better serve the community amid the coronavirus pandemic, and to increase testing available across the state. El próximo mes, Renown prevé continuar con la ampliación de la capacidad de prueba y duplicarla para poder procesar 1,000 pruebas por día en preparación para dar una respuesta continua a la pandemia. “The COVID-19 pandemic is not going away- it is still with us. I am concerned by the number of new cases and hospitalizations we are seeing across northern Nevada. We must do more testing. We need broader capabilities around making sure we have broad-scale surge testing available, so we can help people identify if they have COVID-19 or not,” said Tony Slonim, MD, DrPH, Renown’s President & CEO. “Si pudiéramos hacer pruebas de detección de COVID-19 a 60,000 personas del norte de Nevada, como hicimos para el Healthy Nevada Project, podríamos entender mejor con datos y hechos la proporción de personas que realmente tienen COVID-19 frente a las que solo tienen catarro y un resfriado”. Lanzado en 2016, el Healthy Nevada Project https://healthynv.org/ es un estudio poblacional basado en la comunidad en el que se ofrecen pruebas genéticas gratuitas a miles de residentes de Nevada para obtener información sobre la salud de la comunidad y conocer los riesgos genéticos de cada persona. Desde el martes, 2,286 personas del norte de Nevada se han sometido a pruebas, y los casos positivos rondaron los 700. Setenta y cuatro personas en el norte de Nevada fallecieron y 1,526 se recuperaron. https://www.washoecounty.us/ El Dr. Slonim dice que las pruebas lo ayudarían a él y a otras personas a tomar decisiones y elaborar planes importantes para el coronavirus con evidencia. He wants to be able to test many more individuals across northern Nevada. “Testing is pivotal upstream, so you can prevent consequences downstream,” said Dawn D. Ahner, DSc, FACHE, Chief Operating Officer – Renown Acute Services. “Al procesar nuestras propias pruebas, hemos reducido el plazo para recibir los resultados a solo 12 o 24 horas, lo que tendrá un impacto profundamente positivo en nuestra comunidad y alivia la carga en el laboratorio estatal. “Testing is an incredibly important tool in our fight against coronavirus,” said Tim Stephens, vice president of ancillary services. “No hay una prueba 100 % perfecta; sin embargo, las pruebas de PCR son tan sensibles que, cuando se realizan a la perfección, tienen una tasa de falsos positivos muy baja. Certified labs like Renown’s use a number of procedures to reduce the risk of false test results.” “The expansion of our lab’s new testing capabilities during this time is a testament to the innovative and important work being done here at Renown,” said Erik Olson, CEO of Renown Regional Medical Center. “Throughout the pandemic, our ancillary team, which includes services like laboratory, radiology and pharmacy, has been quick to adapt to the needs of our patients and our community. I am pleased that we are able to generate critical test results for patients and providers as we continue the fight against COVID-19 and go the extra mile for safety.” Going the extra mile for safety As an added safety measure, acute hospital patients; patients preparing for surgery, and care providers who may have come into contact with those positive for COVID-19, are among those that receive mandatory PCR testing from Renown at this time. For patients receiving hospital care, these tests help determine if patients should be placed in a designated area of the hospital to mitigate the risk of transmission to those not infected. Furthermore, all surgery patients are tested ahead of their surgery and self-quarantine prior to their surgical procedure at Renown Regional Medical Center and Renown South Meadows Medical Center. How do PCR tests work? PCR tests use a sample of mucus typically taken from a person's nose or throat. The test looks for the genetic material of the coronavirus, using a technology called PCR to detect if the viral genetic material is present. Those actively infected with the virus will show the existence of that material. Se recomienda a las personas que crean que deben hacerse la prueba de detección de COVID-19 que llamen a su proveedor médico o se comuniquen con el Distrito de Salud del Condado de Washoe al 775-328-2427 para una evaluación de riesgos. For up-to-date information on Renown’s approach to keeping our community safe, visit our website at renown.org/covid-19/. Please see b-roll for this story here. About Renown Health Renown Health is a locally governed and locally owned, not-for-profit integrated healthcare network serving northern Nevada, Lake Tahoe and northeast California. Renown es uno de los mayores empleadores privados de la región y cuenta con una fuerza laboral de más de 7,000. It comprises three acute care hospitals, Renown Children’s Hospital, Renown Rehabilitation Hospital, the area’s most comprehensive medical group and urgent care network, and the region’s largest and only locally owned not-for-profit insurance company, Hometown Health. Renown has a long tradition and commitment to continually improve the care and the health of our community. Visite renown.org para obtener más información.
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Renown Receives Home Health Heart Failure Certification
American Heart Association certification recognizes Renown Health’s accomplishment in quality improvement Renown Health has earned Home Health Heart Failure certification from the American Heart Association®, the world’s leading nonprofit organization focused on heart and brain health for all. The certification provides an evidence-based framework for evaluating home health agencies against the American Heart Association’s rigorous science-based standards for heart failure patients, including program management, patient and caregiver education and support, care coordination, clinical management, and quality improvement. “This certification affirms the lifesaving mission and goal of the American Heart Association to help every person everywhere have the opportunity for a longer, healthier life,” said Kyle G. Lavergne, DNP, APRN, FNP-BC, American Heart Association volunteer and founding member of the certification standards writing committee and director of clinical programs of the LHC Group. “We’re pleased to have Renown Health join the national network of American Heart Association Home Health Heart Failure certified agencies.” Renown’s Home Health team is the oldest in northern Nevada, serving the community for 39 years, and is pleased to become the second agency in the nation to receive this American Heart Association certification for home health heart failure care. In 2016, the team began looking into how to provide care for heart failure patients at home. Through this deep dive, the team developed a method to identify heart failure patients, even if heart failure was not their primary diagnosis. The team then assessed the care pathway for this population and made changes to improve patient outcomes and readmissions. “Renown Health is proud to receive this certification from the American Heart Association,” said Philip Landis, MD, Medical Director of Renown Home Health Agency. “The tools and resources provided by the American Heart Association will help us continue to provide education and opportunities for our agencies to work toward quality improvement efforts for our patients with heart failure. This accomplishment reflects our goal to provide quality care.” The certification signifies confidence that: An agency’s heart failure program is based on standards aligned with the American Heart Association science, The agency is recognized by the American Heart Association, based on professional evaluation criteria designed by heart failure and home care experts, and Care is coordinated from pre-admission through working with the home health agency to discharge. About Renown Health Renown Health is the region’s largest, locally governed, not-for-profit integrated healthcare network serving Nevada, Lake Tahoe and northeast California. Con una fuerza laboral diversa de más de 7,000 empleados, Renown ha fomentado una cultura de excelencia, determinación e innovación de larga data. La organización se compone de un centro de urgencias, dos hospitales de cuidados agudos, un hospital infantil, un hospital de rehabilitación, un grupo médico y una red de atención de urgencias y Hometown Health, la compañía de seguros sin fines de lucro más grande de la región y de propiedad local, Hometown Health. Actualmente, Renown está inscribiendo participantes en el estudio genético de salud poblacional basado en la comunidad más grande del mundo, el Healthy Nevada Project®. About the American Heart Association The American Heart Association is a relentless force for a world of longer, healthier lives. We are dedicated to ensuring equitable health in all communities. Through collaboration with numerous organizations, and powered by millions of volunteers, we fund innovative research, advocate for the public’s health and share lifesaving resources. The Dallas-based organization has been a leading source of health information for nearly a century. Connect with us on heart.org, Facebook, Twitter or by calling 1-800-AHA-USA1.
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Un análisis de sangre: las valiosas pistas que puede darle a su médico
Blood. It can make you squeamish to think about it, yet every drop is vital to your health. In fact, a tiny vial of it can tell your doctor a wealth of information. We asked Benjamin Hansen, M.D., to explain what providers can learn from a blood test and why it’s important to get one as part of your annual checkup. CBC, the initials, sound innocent enough, right? In fact, when your favorite TV doctor orders a CBC, or complete blood count, it’s often the first step in getting an overall picture of your health. "It primarily measures white blood cells, red blood cells and platelets," explains Hansen. Although a blood test is one test you don’t have to study for, the measurements it takes can point to a host of information. What a Blood Test Says About Your Health White Blood Cell Count "The white blood cell count in your CBC helps us to determine the strength of your immune system," says Hansen. "It also helps us to determine the likelihood of infection because white blood cells fight off infection. Knowing the white blood cell count can also be helpful in patients with compromised immune systems, such as those on certain medicines or with conditions that impair immunity," he adds. White blood cells are made in your bone marrow and are alive only one to three days. Therefore, your body is constantly making them. Red Blood Cell Count "The red blood cells carry oxygen from your lungs throughout your body, while also carrying away waste. The hemoglobin (red blood cell protein) count is important because it helps us determine how well you're able to deliver oxygen from your lungs to the rest of your body," states Hansen. If these counts are low, you may have trouble breathing or experience fatigue. Red blood cells also grow in bone marrow, but they have a long lifespan – generally 100 to 120 days. Why Get a Blood Test? Although the CBC is just one type of blood test, according to the National Institutes of Health (NIH) there are a number of blood tests available that can help check for diseases and conditions such as: Heart disease Cancer Anemia (low iron) Diabetes High cholesterol Alcohol or Drug use disorder HIV/AIDS Additionally some tests show how well your kidneys, liver, heart and other organs are working. If you are taking a medication, a blood test can also let your provider know if it is helping you. What to Expect From a CBC Blood Test When you are not feeling well, it may take some detective work to figure out what is wrong and sometimes a CBC can be helpful. With this in mind, a lab order from your provider is needed to order a CBC blood test. Some blood tests require you to not eat food (fast) eight to 12 hours before the blood draw. Your provider will let you know the type of blood test(s) they are ordering for you. Usually it's important to drink plenty of water before your blood test, to make it easier to locate your veins. Generally a small sample of blood is taken from your arm vein and then sent to a lab for analysis. Discussing Your Results "A CBC can help your provider determine if there is an infection, your level of immunity, if you are anemic or if you are prone to bleeding," says Hansen. When to Get a Blood Test "A CBC is usually ordered for a specified purpose. If you think you might need a CBC, please call your provider. It's also important to see your provider regularly to keep an eye on your health. Many patients should see their provider at lease yearly," Hansen clarifies.
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Departamento destacado: Patología
Celebrate Leap Day by leaping into the world of Pathology at Renown Health! Think of discovering a diagnosis like solving a mystery: the condition is the suspect, the nurses are the frontline police force and the doctors are the lieutenants or captains finalizing the results of the case. You may notice that one crucial role is missing on this list – the detectives. In the diverse network of healthcare, the detectives are a significant part of each patient’s mystery-solving care team and represent many roles across our health system. When it comes to figuring out the elaborate details of a growth, disease, organ abnormality or cause of death, one team of detectives, quite literally, goes as deep as possible. Those detectives are the team members within Renown Pathology. For each specialized field within medicine or surgery, the Pathology department is here to play a crucial role in accurate diagnoses. With each slide examined and each test meticulously conducted in their bright laboratories, these dedicated professionals shape a path towards wellness and recovery. Meet Your Anatomy Experts Whether you have a chronic disease that needs consistent testing, a high-risk birth that requires placenta testing, a suspected cancerous tumor that needs a biopsy or a gall stone that must be removed (or anything in between), Renown’s Pathology team steps in to provide biological answers to your body’s questions. This department offers the most comprehensive in-house diagnostic testing in the region, from routine histology to full pathology. As the busiest pathology department in northern Nevada, this team boasts the fastest turnaround times from respected experts, including: Pathologists Pathology Assistants Histotechnicians Histotechnologists Clinical Lab Assistants Let’s break down the complex nature of these team members' jobs by walking through their everyday responsibilities at work! Pathologists Pathologists are medical doctors who specialize in the study and diagnosis of disease. With every slide they scrutinize and every sample they analyze, pathologists unravel the mysteries of disease with precision and compassion. Their responsibilities include interpreting laboratory tests, analyzing tissue and fluid samples (obtained from a variety of different sources, including biopsies and surgeries), staging cancer diagnoses and providing diagnostic insights that guide treatment decisions. “Our job is to help the patients and their doctors figure out what’s wrong,” said Dr. Christie Elliott, Pathologist and Medical Director of the Clinical Laboratory at Renown Regional Medical Center. “As the bulk of our cases deal with cancer, almost every day we start with a tumor board alongside fellow surgeons, oncologists, radiologists and geneticists. From there, we order extra studies, run through our cases to make diagnoses, review slides and ensure all information goes into the charts, which is especially important as 70% of data in medical charts is from the lab. A patient’s history is everything.” Pathology Assistants With the steadiest of hands, pathology assistants, also known as PAs (not to be confused with physician assistants), guide the diagnostic journey from patient specimen to diagnosis. They can typically be found processing surgical and biopsy specimens (includes accessioning, gross examination, description, and sampling for microscopic analysis), preparing tissue samples for microscopic evaluation, helping the pathologist determine a cause of death for autopsies by conducting organ dissections and maintaining detailed records of all diagnostic findings. “As a PA, I still impact patient care without being directly patient-facing,” said Andrew Whitner, Pathology Assistant. “I handle 300-350 small tissue blocks a day. During dissections, I identify landmarks, document what I see and turn those landmarks into slides, looking for things that don’t look normal.” “Our job is 90% all about gross specimens, and we also do eviscerations for autopsies,” added Leslieann Haffner, Pathology Assistant. “We are trained on what normal looks like; our goal is to find the abnormal.” Histotechnicians Histotechnicians work behind the scenes to help transform ordinary tissue into extraordinary windows of insight, revealing the inner workings of the human body. As vital members of the Pathology team, histotechnicians embed tissue specimens in paraffin wax blocks (a process that preserves the tissue's structure for examination), cut thin sections of tissue from the paraffin blocks using a microtome, mount tissue onto glass slides and stain the tissue slides using histological stains to highlight structures or cells. “With all the patient specimens we work with, we get to see a lot of organs and learn what is causing the abnormalities,” said Reiny Hitchcock, Histotechnician. “I enjoy the opportunities to expand my knowledge, especially while working alongside the doctors.” “Our job can change by the week,” added Jessica Fahrion, Histotechnician. “One week I’ll be in the grossing room, and the next week I might be training in cytology." Histotechnologists In a world where every slide holds the key to a patient's future, histotechnologists are the champions of progress. One career ladder step above histotechnicians, these team members often have a broader scope of responsibilities, including more complex laboratory procedures, developing and validating new techniques, managing laboratory operations, interpreting results and troubleshooting technical issues. You can count on histotechnologists for validating antibodies and handling orders from pathologists, oncologists, emergency physicians and more. “My day always involves looking into cases, reading reports, getting orders together and working with pathologists to help them with their diagnoses; I also work a lot with immunohistochemistry, helping out with routine slides,” said Charles Koeritz, Histotechnologist. “I especially enjoy doing validations, which help maintain the integrity of lab testing and our diagnostic processes.” Clinical Lab Assistants Our pathology clinical lab assistants are the masters at “filling in the blanks,” assisting in whatever area needs it most, especially in cytology and the grossing room. They are essential aspects of the Pathology team, collecting and storing specimens for further testing, assisting in managing test results, gathering data, managing supply inventory and more. “As a Clinical Lab Assistant, I can be scheduled anywhere, from tissue cassetting to grossing,” said Ellie Somers, Clinical Lab Assistant. “Working in cytology is one of my favorite parts of my job. It’s very rewarding to work with the doctors to uncover what treatments will help each patient. We do cytology very well here.” The Bottom Line Even though the Pathology department doesn’t always experience a lot of patient face-to-face time, they interact with patients in a different way – by uncovering the story that is the inner workings of the human body, one slide and one sample at a time. “It’s important to remember that the slide IS a patient,” said Dr. Elliott. “We are constantly learning from every case so we can continue to provide the best patient care possible.” Take a Photo Tour of the Pathology Lab!