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Renown Health, pionero nacional con un enfoque en el bienestar de los médicos y los empleados
New mental health benefits and two leaders Top Women in Wellness and HR by Ragan Communications Concern about clinician well-being has been top of mind for years, but the pandemic has exacerbated stress and trauma and presented a unique opportunity to reframe core approaches to fostering a thriving workforce. Ahora más que nunca, se requiere apoyo compasivo y holístico para los médicos para garantizar que se sientan seguros, valorados y comprometidos”, así comienza la introducción a la Búsqueda de Talentos en Atención médica de 2022 de la American Hospital Association. In line with this new report, Renown Health President and CEO Tony Slonim, MD, D.Ph., and a newly appointed member of the American Hospital Association Board of Directors, has announced a number of additional benefits to address some of the physical and psychological impacts of chronic clinician workforce stressors and to promote rest-and-recuperation strategies, essential for sustaining high-performing clinical teams. In an enterprise-wide communication, Dr. Slonim wrote to Renown Health employees, “I often say good health is a positive connection of a person’s body, mind and spirit. To honor you this holiday season, we have added to your comprehensive benefits package to help you achieve well-being, realize greater financial security, advance your education, enjoy enhanced life balance, and when needed, face illnesses and setbacks with the greatest possible peace of mind.” Además de ofrecerles un regalo en efectivo de $100 para las fiestas a todos los empleados de primera línea (hasta el nivel gerencial), los líderes de Renown están trabajando para eliminar el estigma y las barreras al uso de servicios de salud mental cuando se necesitan. Para ello, hacen énfasis en que buscar ayuda demuestra fortaleza, no debilidad. “By listening, recognizing and honoring our team member’s emotional health, we are looking to help each other process these experiences, grow from them and emerge more resilient and available to our patients and families,” said Michelle Sanchez Bickley, MS, SPHR, SHRM-SCP, Chief Human Resources Officer. “This could include taking a day off to refresh and recharge or taking advantage of confidential, mental health counseling visits at no charge. We have updated our policy to include mental and emotional well-being as eligible for use of sick leave.” Sanchez-Bickley is the newest inductee to the HR Hall of Fame this week by Ragan Communications, for leading the charge for health care organizations across the United States in employee health, performance management, Diversity, Equity and Inclusion, training and development, and for implementing innovative employee benefits. She is the only health care HR leader named to the Hall of Fame this year. Also named to the national leadership list is Ann Beck, MBA, Chief Financial Officer, who, Ragan Communications noted, “despite being in the middle of a COVID pandemic and economic and financial down turn, was able to drive performance to secure Renown’s workforce and long-term financing to serve this generation and the next.” In addition, hospital staff will be offered free chair massages, courtesy of a local donor organization, MOBE. “Without a doubt, it’s the little things like this, free chair massages, food trucks at lunch time, a hot cup of coffee near the end of your shift, and a sincere “thank you” from a patient or family, that makes all the difference to us as nurses,” said Jana Elliott, DNP, RN, Associate Chief Nursing Officer Acute Services. También se alienta a los médicos y empleados a tomarse tiempo libre, y seguirán teniendo 10 feriados remunerados más vacaciones, reconocimiento y recompensas para empleados a través del programa Everyday Amazing, inscripción en un plan de seguro de vida gratuito y se les ofrecerá tiempo remunerado para voluntariado y seguro de salud, planificación para la jubilación 401k y reembolso de educación y matrícula. Dr. Slonim ended his communication by saying, “This year, as we readjust, realign and restore our way to a new world, I have never been prouder to ‘Be Renown.’ Thank you for standing by us, offering your time and expertise, and helping us emerge stronger people, and a stronger organization through a very challenging time. Please enjoy this holiday season with family and friends, and know you are appreciated.” Renown Health is currently hiring key roles to support the health and well-being of our community. The HR and Recruiting team are providing applicants with support during the application, interview and onboarding processes with a variety of digital and virtual tools. Para unirse al equipo de Renown y ayudar en la lucha por la causa justa, visite https://careers.renown.org. 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. En los rankings de mejores hospitales de U.S. News y World Report, Renown Regional Medical Center ocupa el primer puesto en el estado de Nevada. Renown tiene una larga trayectoria y un compromiso de larga data con la mejora de la atención y la salud de nuestra comunidad. Actualmente, Renown está inscribiendo participantes en el estudio genético de salud poblacional basado en la comunidad más grande del mundo, el Healthy Nevada Project®. Visite renown.org para obtener más información.
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Renown Health encabeza la lista “Most Wired” 2021 por Innovación Digital, Tecnología y Mejor Experiencia del Paciente
Renown es reconocido por usar tecnología avanzada para mejorar la salud y la atención en la comunidad El Colegio de Ejecutivos de Gestión de la Información Médica (College of Healthcare Information Management Executives, CHIME) anunció que Renown Health ha obtenido el reconocimiento “CHIME Digital Health Most Wired 2021” como proveedor certificado de servicios agudos de nivel 7 y de atención ambulatoria de nivel 7. The CHIME Digital Health Most Wired program conducts an annual survey to assess how effectively healthcare organizations apply technology to improve health and care in their communities. Renown Health was the only health care system in Nevada to make this year’s list, ranking alongside other national health leaders including UCLA Health, Scripps, Sharp, Stanford, Geisinger, Johns Hopkins, Yale New Haven and Intermountain Health. “We are proud of our national reputation as an innovator in implementing new technology and systems of care to improve the health of our patients and the community,” said Tony Slonim, MD, D.Ph., President & CEO. “With our incredible IT team and partners, we are transforming care and demonstrating value in a way that appeals to patients and helps clinicians improve outcomes and reduce costs. Through Renown’s technology, thousands of people a day now choose the physician that’s best for them at renown.org; have an online video visit with their doctor from their laptop; self-schedule a mammogram or refill medications through the MyChart app; book ahead for an Urgent Care visit, and may receive hospital-level clinical monitoring in the comfort of their own homes through the Renown Transfer and Operations Center.” “La transformación digital en la atención médica se ha acelerado a un nivel sin precedentes desde 2020, y los próximos años traerán una ola de innovación que empoderará a los consumidores de atención médica y asombrará a la industria”, dijo Russell P. Branzell, presidente y director ejecutivo de CHIME. “The Digital Health Most Wired program recognizes the outstanding digital leaders who have paved the way for this imminent revolution in healthcare. Renown’s trailblazing commitment to rapid transformation has set an example for the entire industry in how to pursue a leadership vision with determination, brilliant planning and courage to overcome all challenges.” Speaking on the Wall St. Journal podcast, The Journal on Friday, Dr. Slonim described how Renown Health is one of the first institutions in the nation to provide hospital-at-home technology. Mediante el nuevo Renown Transfer and Operations Center, los médicos, enfermeros y coordinadores de atención pueden monitorear a más de 1,000 pacientes hospitalizados y pacientes en estados menos agudos en sus hogares, lo que hace que la atención sea más asequible y conveniente. “Este centro de vanguardia ayuda a garantizar una atención eficiente para los pacientes y proveedores de todo el norte de Nevada, Lake Tahoe y el noreste de California”, dijo Sy Johnsonn, jefe de personal de Renown. “Through this highly coordinated care logistics system, Renown is now able to deliver the right care, at the right time and place across the integrated delivery system. This system is enabling providers to provide care closer to home, in lower-cost ambulatory, outpatient surgical and skilled nursing settings- instead of the hospital, and to deliver a sizeable portion of care to patients- where they want to be- in their homes.” Bernard, a remote-home monitoring patient, provides a Thank You and Congratulations to the Renown team in a video here. “Our teams are excited to partner with clinicians to adopt technologies that improve the delivery of care, across the entire Renown Health enterprise,” said Chuck Podesta, Chief Information Officer. “We have optimized clinical workflows so that our clinicians receive timely alerts and can quickly respond to patient needs. As a team, we are honored to receive this prestigious award for technology that enables us to provide safer, more effective and more efficient care for patients and our community.” Además, el sitio web de Renown ahora es uno de los más avanzados en el país, con más de 2.2 millones de visitantes durante el último año. Renown también obtuvo siete estrellas, la calificación más alta que existe, por el uso del sistema de registro médico electrónico Epic. Un total de 36,674 organizaciones estuvieron representadas en el programa 2021 Digital Health Most Wired. The surveys assessed the adoption, integration and impact of technologies in healthcare organizations at all stages of development, from early development to industry leading. About CHIME The College of Healthcare Information Management Executives (CHIME) is an executive organization dedicated to serving chief information officers (CIOs), chief medical information officers (CMIOs), chief nursing information officers (CNIOs), chief innovation officers (CIOs), chief digital officers (CDOs) and other senior healthcare IT leaders. Con casi 3,400 miembros en 55 países y más de 150 socios comerciales de TI de atención médica y firmas de servicios profesionales, CHIME proporciona un entorno altamente interactivo y confiable que permite a los líderes profesionales sénior y de la industria colaborar, intercambiar mejores prácticas, abordar las necesidades de desarrollo profesional y defender el uso eficaz de la gestión de la información para mejorar la salud y la atención en las comunidades a las que sirven. For more information, please visit chimecentral.org. 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. En los rankings de mejores hospitales de U.S. News y World Report, Renown Regional Medical Center ocupa el primer puesto en el estado de Nevada. Renown tiene una larga trayectoria y un compromiso de larga data con la mejora de la atención y la salud de nuestra comunidad. Actualmente, Renown está inscribiendo participantes en el estudio genético de salud poblacional basado en la comunidad más grande del mundo, el Healthy Nevada Project®. Visite renown.org para obtener más información.
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New CEO of Renown Health, Dr. Brian Erling, Shares Thoughts With Physicians And Colleagues on His First Day
Get to know Renown’s new CEO in his letter to employees and care providers. Today marks Dr. Brian Erling’s first day as Renown Health’s President & CEO. Dr. Erling sent the following letter and this video to Renown’s employees and care providers. We are pleased to share it with our community. Hello! Today marks my first day as your Renown Health President and CEO, so I thought I would kick off the occasion with a note. Throughout the interview process, I have been beyond impressed with the passion and purpose demonstrated by all who I have met, and I am overwhelmed with gratitude for the warm welcome that we have received. I look forward to meeting each and every one of you, but it may take some time to get to all 7000 of you, so I thought I would share some information not included in the initial announcement. A bit about where I come from and what I believe, which informs how I approach leadership. Healthcare has been my passion for as long as I can remember. I grew up in Minnesota and started my healthcare career as a nursing assistant during high school, and then as a monitor tech during college. After medical school and training, I went on to spend the next dozen years in the ED of a Level I trauma center in west Denver. I met my wife, Jessica, while attending medical school in Baltimore. She was working as a nurse in the surgical ICU and I was smitten. I offered to help her with a 3 am turn and bed linen change for our trauma patient, and the rest was history. We have three kids ages 17-22. I may wear a suit, but first and foremost I am a husband, father, clinician and a caregiver. Over the last 20+ years, I have worked my fair share of nights, weekends, and holidays, and I know the sacrifice you and your families make to care for our community. I will never take it for granted. I have been the sole provider covering a busy night shift, and I know that the trust and collaboration with your immediate team matters more than anything I am putting in this email. In fact, being part of a high performing, mission-driven team is my number one motivation. It’s what gets me up in the morning and why I work in healthcare. I have provided clinical leadership for a large, regional health system and understand that quality, safety, and innovation comes from the people doing the work, not from a corporate office. But you also need strong managers and leaders to facilitate and prioritize the work, and to provide support and inspiration. I view our greatest resource to be our people (each of you). Fancy robots, imaging equipment, etc. are essential, but they are not why our patients choose us. They come for your brand of hometown, trusted care. I am very excited about the new partnership with Renown and the University of Nevada, Reno School of Medicine. While still in its infancy, it provides the platform for us to be the center for training, research, and tertiary care for the region (and beyond). Most health systems would love to have their own health plan. The reality is that you cannot meaningfully improve the health of the population without managing value and risk. We are fortunate to have Hometown Health as part of Renown Health, and in our community, and I am excited to work with them to fulfill the mission of the organization. I have worked in for-profit and not-for profit healthcare. Renown is unique in the market as the only nonprofit health system in the market. What that means is that we invest every penny earned back into caring for our community. We don’t send money to shareholders in California or Pennsylvania, we invest it right here in Nevada. That is the kind of organization that I want to work for and where I want my family to get care. Some of you may have noticed that healthcare leaders have an impressively short half-life. I recall not being terribly impressed with one of our hospital leaders early in my career, and one of my senior partners told me to “just wait, he’ll be gone in a year or two.” She was correct. In fact, I had five CEOs in the time I was practicing in Denver. It’s difficult to create and move an organization toward a unified vision when your leader changes every few years. As my track record will support, this is not my style. I have been in Colorado for over twenty years and now look forward to making Reno and Renown my home for years to come. We are in an unprecedented time in healthcare, as all U.S. health systems are experiencing skyrocketing expenses and insufficient revenue growth. Renown is not immune to these pressures, but we are well positioned in the market to weather the storm. By focusing on continuous clinical and operational improvement, Renown will continue to set the gold standard for community health system performance. I appreciate you taking the time to read this message. I look forward to meeting with and learning from all of you. When you see me in the hallway or out and about, please come up and say hello. The work we do is hard, but I try to make it fun when I can, and I definitely like to play hard outside of work. I have been snowboarding the Rockies for the last 20 years and am excited to ride some new trails. When I see you around, let me know if you have some favorite terrain to recommend. Here, at your side, and ready to FIGHT THE GOOD FIGHT! Brian Erling, MD, MBA President & CEO, Renown Health About Renown Health Renown Health is Nevada’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. The organization comprises a trauma center, two acute care hospitals, a children’s hospital, a rehabilitation hospital, a medical group and urgent care network, and the locally owned not-for-profit insurance company, 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®.
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Brian Erling, MD, MBA, Named President & CEO Of Renown Health
Healthcare physician CEO with 20 years of experience to lead northern NV’s largest health system on Nov. 14, 2022 Renown Health has selected Brian Erling, MD, MBA, as the health system’s next CEO and president, effective 14 de noviembre de 2022. Dr. Erling is a seasoned healthcare executive with over 20 years of experience leading teams in diverse healthcare settings, including locally governed, not-for-profit hospitals and integrated health systems; physician practices; publicly traded healthcare companies; and private equity-backed healthcare ventures Dr. Erling is a former healthcare executive with Centura Health in Denver having served since 2016 in positions of increasing and major responsibility, including Chief Medical Officer, Senior Vice President & Chief Clinical Officer and most recently as President & CEO of Penrose-St. Francis Health Services which represents the Colorado Springs market for Centura Health and includes Penrose Hospital, St. Francis Hospital, and St. Francis Hospital-Interquest slated to open in July 2023. During his tenure, he served as Senior Vice President and Chief Clinical Officer, responsible for providing clinical leadership to 17 hospitals and 21,000 caregivers. A highly experienced emergency medicine physician, Dr. Erling has long been a leader in quality improvement and is a Baldrige Executive Fellow through the National Institute of Standards and Technology (NIST). Dr. Erling also oversaw a partnership between Penrose-St. Francis Health and the University of Colorado, Colorado Springs through the William J. Hybl Sports Medicine and Performance Center, a first-of-its-kind facility, designed with intentional collaboration spaces for student and faculty education and research that opened in 2020. Prior to joining Centura Health, Dr. Erling served as President of the Alliance Group, a subsidiary of Envision Healthcare. He was also a founding partner of the Apex Emergency Group, PC in Denver and has served as the Denver medical director for American Medical Response. Dr. Erling received his Bachelor of Science in biology from Drake University in Des Moines, Iowa; his Medical Doctorate from Johns Hopkins University in Baltimore; and his Master of Business Administration from the University of Colorado in Denver. He completed his residency in emergency medicine at the University of Virginia in Charlottesville. Dr. Erling is board certified through the American Board of Emergency Medicine. “Dr. Erling is a collaborative and relational leader who brings a depth of experience to Renown Health and to our community. He is a healthcare executive focused on clinical quality and safety, an approachable servant-leader who inspires others with emotional intelligence and relationship skills; and a seasoned strategist with experience and discipline around healthcare operations, finance, and a proven ability to advance performance,” said Adam Kramer, chair of Renown Health’s Board of Directors. “Dr. Erling has the exceptional leadership skills, experience, background, vision and a commitment to Renown’s mission, values, and culture. We are happy to have Dr. Erling leading Renown Health and know he, his wife Jessica and family will be warmly welcomed to our northern Nevada community.” “I am so excited to be joining Renown Health at this important time. Healthcare and our economy are in the midst of a major transformation, and Renown Health is very well positioned for the future,” Dr. Erling said. “Our ongoing success will hinge on our ability to establish positive and productive relationships, maintain high-quality patient clinical outcomes and experiences, reduce healthcare costs, encourage innovation and improve access and affordability for patients and members.” Dr. Erling will assume the full duties of president and CEO on 14 de noviembre de 2022. Dr. Thomas Graf, who has served as interim CEO and Sy Johnson MBA, who has served as interim president, will both work with Dr. Erling to ensure a smooth transition of responsibilities. Dr. Graf will continue to serve as Chief Clinical and Quality Officer for Renown Health and Senior Associate Dean for Clinical Affairs at the University of Nevada, Reno School of Medicine. Sy Johnson, MBA, will continue to serve as Chief Operations Officer and Chief of Staff for Renown Health. Dr. Erling and his wife Jessica have three adult children and enjoy making the most of the great outdoors. About Renown Health Renown Health is Nevada’s largest, not-for-profit integrated healthcare network serving Nevada, Lake Tahoe, and northeast California. With a diverse workforce of more than 6,500 employees, Renown has fostered a longstanding culture of excellence, determination, and innovation. The organization comprises a trauma center, two acute care hospitals, a children’s hospital, a rehabilitation hospital, a medical group and urgent care network, and the locally owned not-for-profit insurance company, Hometown Health. Renown is currently enrolling participants in a community-based genetic population health study, the Healthy Nevada Project®.
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La Junta de Renown Health anuncia transición de director ejecutivo
Thomas Graf, médico ejecutivo con experiencia, nombrado director interino hoy El Consejo de Administración de Renown Health, dirigido por Adam Kramer, anunció que el mandato del Dr. Tony Slonim como presidente y director ejecutivo de Renown Health ha finalizado. Thomas R. Graf, M.D., FAAFP, ocupará el cargo de director ejecutivo interino. El Dr. Graf asumirá el cargo y la autoridad del director ejecutivo además de su función actual de director clínico y de calidad en Renown y de decano asociado sénior de Asuntos Clínicos en la Facultad de Medicina de Reno de la University of Nevada. Sy Johnson, MBA, actual director de operaciones de Renown, ha sido ascendido a presidente y director de operaciones interino. Tras la finalización de una investigación exhaustiva de las inquietudes planteadas a la Junta Directiva, la Junta determinó que Renown Health, sus pacientes y el personal necesitaban un nuevo liderazgo. En consecuencia, el Dr. Slonim ha sido despedido con causa de su puesto como director ejecutivo de Renown Health. El Sr. Kramer anunció hoy la transición con las siguientes palabras: “se necesitan una nueva dirección y un nuevo liderazgo dado el trabajo crítico que hay por delante. Tengo plena fe en el Dr. Tom Graf y en Sy Johnson, y en sus equipos de liderazgo sénior, quienes ya supervisan las operaciones del sistema de atención médica y quienes ayudarán a garantizar una transición sin problemas”. El Dr. Graf trabajará en colaboración con Sy Johnson, MBA, presidente interino y director de operaciones, y un equipo experimentado de ejecutivos de atención médica para guiar a Renown hacia el alcance de sus objetivos estratégicos y operativos. Kramer agregó: “Durante más de 160 años, Renown ha proporcionado atención médica asequible, accesible y de la más alta calidad a nuestra comunidad. Este compromiso continúa en pie mientras nuestros 7,000 héroes de la atención médica siguen haciendo lo más importante y lo que mejor hacemos: cuidar de nuestra comunidad”. El Dr. Graf continuará impulsando la transformación de Renown para ser una organización de atención basada en el valor, ayudará a promover las tecnologías para mejorar la experiencia del paciente y colaborará con los proveedores del Renown Medical Group, los hospitales de cuidados intensivos y mediante la red clínicamente integrada de Western Clinical Alliance, una organización de atención responsable, y la afiliación con la UNR Med. Graf es un médico ejecutivo muy exitoso que ha liderado organizaciones de atención médica y compañías aseguradoras, como también una firma de consultoría nacional. El Dr. Graf, médico de medicina de familia, investigador y académico, se ha centrado en impulsar mejoras de calidad para reducir el costo total de la atención. Ha desarrollado y hecho publicaciones sobre modelos de atención que han logrado resultados mensurablemente mejores en cuanto a calidad, costo y experiencia en una variedad de centros. Ha ejercido en un sistema de prestación de servicios integrado, por más de una década en Geisinger (PA), así como en redes clínicamente integradas y en organizaciones de atención responsable. También ha trabajado con varios centros médicos académicos en el área de consultoría con The Chartis Group. El Dr. Graf agrega: “Mi objetivo es generar mayor valor para el paciente al brindarle atención de la más alta calidad clínica. Renown es reconocido a nivel nacional por brindar una excelente atención mediante el empleo de enfoques creativos, innovadores y que aprovechan al máximo la tecnología, y espero con ansias integrar a médicos y administradores en un plan que respalde esta visión. Estoy agradecido por la oportunidad de contribuir al gran progreso que Renown Health está haciendo para convertirse en el mejor lugar donde ejercer la medicina y recibir atención. Me entusiasma unirme a este camino de transformación hacia una atención basada en el valor y servir a los pacientes, médicos y a nuestra comunidad”. Sy Johnson ha dirigido las operaciones de la red y el hospital de Renown Health durante casi siete años, más recientemente como jefe de personal/director de operaciones y anteriormente como vicepresidente ejecutivo y director de operaciones de Renown. Antes de unirse a Renown, el Sr. Johnson se desempeñó como director ejecutivo, vicepresidente sénior y director financiero de Peace Health en Vancouver, Washington, y fue parte de la gerencia sénior de Arthur Andersen & Co y KPMG. Acerca de Renown Health Renown Health es la red de atención médica integrada de administración local y sin fines de lucro más grande de la región, que presta servicios a Nevada, Lake Tahoe y el noreste de 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®. Visite renown.org para obtener más información.
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Making Patient Safety the Priority It Deserves to Be
I am regularly amazed by medical advancements and innovation in the United States. However, even as we make significant progress in many areas of medicine, there is still much more work to be done in others. One such area is patient safety. What is Patient Safety? When we talk about patient safety, we are discussing how hospitals and healthcare organizations protect patients from errors, injuries and infections. Anyone can make a mistake at work, but in healthcare these mistakes can result in serious outcomes. In 1999, the Institute of Medicine released a report that estimated 98,000 deaths per year result from medical examination or treatment. The most recent study in 2013 suggested these numbers could range from 210,000 to 440,000 deaths per year. Many of these deaths result from preventable medical errors. This is inexcusable and shows how much more work our industry still needs to do to improve patient safety. Making Patient Safety a Priority Patient Safety is our number one priority at Renown Health. We dedicate a lot of time to establishing, reviewing, and revising our processes to prevent errors. Despite the obvious importance of patient safety, this issue is largely left to individual hospitals and health systems to manage. There is a surprising lack of national attention around this truly important issue. However, a silver lining of the COVID-19 pandemic is that it is igniting interest in hygiene and infection prevention. Patients want to learn more about the processes that are in place to prevent the spread of infections. In addition to the many protocols that guide our treatment of injuries and illness, Renown Health has implemented the following measures to prevent the spread of communicable diseases: Requiring everyone entering Renown sites to wear a mask or face covering. Establishing new processes to help patients and visitors practice social distancing. Limiting the number of visitors in our facilities. Screening all employees and patients for symptoms. Enhancing our already-thorough cleaning and disinfection processes. I hope patient safety and infection prevention remain in the national spotlight long after the COVID-19 pandemic has ended. The healthcare industry must come together to develop stronger systems and regulations to minimize preventable medical errors. We have a responsibility to our patients to do better.
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Atención de emergencia durante una pandemia
Medical emergencies like strokes and heart attacks still happen, even in a pandemic. That’s why Renown Health is always ready to provide emergency care to patients in need, and being admitted at Renown does not put patients at risk of getting COVID-19. When to Get Emergency Care Resources like Renown Virtual Visits have allowed us to stay home while making routine visits with our primary care physician. But, if you are feeling any of the following symptoms, please call 911 or have someone you know take you to the emergency room. Symptoms that may require emergency care: Heart attack Stroke symptoms Difficulty breathing Chest pain Seizure Sudden loss of consciousness Severe abdominal pain Serious allergic reaction Fighting the Good Fight for Our Patients Renown Health provides a clean and safe environment 365 days of the year, 24 hours a day. Alongside regular sanitation practices, Renown is dedicated to protecting patients from infectious disease while providing emergency care. Staff, Care Providers and Visitors Wear Masks Every staff member, care provider and visitor is wearing a mask. Additionally, providers are following guidelines from the Centers for Disease Control (CDC) on wearing protective equipment, such as masks and gloves. Respiratory Illness Screenings for Everyone Care providers and staff members are participating in respiratory illness screenings. Therefore, any care provider or staff member with a fever, cough, difficulty breathing or severe respiratory illness is not on a Renown campus. Visitor Restrictions are in Place Visitor restrictions are in place to prevent the spread of infectious disease by practicing physical distance. Because of these restrictions, Renown is only allowing one visitor per patient for with extenuating circumstances. Staying healthy and safe means caring for yourself in emergency situations, too. Please do not hesitate to call 911 when you or a loved one are in need of emergency medical care. Virtually Visit a Renown Urgent Care Login to MyChart to “get in line” for a virtual urgent care visit between 8:30 a.m. to 10:30 p.m. Monday-Friday and 9:30 a.m. to 4:30 p.m. Saturday and Sunday. Login to MyChart
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Stay Inside When Skies Are Smoky
Even when fires burn outside our area, the air quality in the region can reach dangerous levels. Our expert explains how to maintain your lung health when fire season strikes. It’s a sight we know all too well as northern Nevadans — a hazy or thick layer on the horizon when smoke rolls in from nearby fires. Sometimes the smoke is more evident than others, but it’s important to remember, even when the smoke may not be as visible across the valley, it still impacts our air quality. The last week or so, our air quality has been in the “unhealthy for sensitive groups” range, which can be dangerous for people who are sensitive to air pollution. Air Quality Changes: Who’s at Risk? Renown Pediatric Pulmonologist Sonia Budhecha, M.D., explains certain people are especially at risk when smoke moves in: Older people, whose lungs are not as healthy as they used to be Young children, whose lungs are still developing People with heart and lung disease including asthma, COPD and emphysema “Smoke and haze from fires carry particulates that can get into your respiratory system and eyes, which can be a danger for all ages,” Dr. Budhecha says. How You Can Protect Yourself Until the smoke clears and the air returns to the “good” range, it is best to follow these tips to protect yourself and your family: Stay indoors and keep windows closed Turn on the air conditioning to recirculate clean air Drink plenty of fluids to help your body flush out any toxins you inhale Additionally, all community members should reduce their physical activity and try to prevent heavy exertion outside. If you or a loved one has a heart or lung disease, avoid physical exertion altogether because smoke can aggravate these conditions. “People with heart disease may experience shortness of breath, chest pain, palpitations or fatigue,” Dr. Budhecha says. “People with lung disease may also have shortness of breath, chest discomfort, wheezing, phlegm or a cough.” Smoky Signs and Symptoms Smoke can also impact healthy people — irritating your eyes, nose or throat. And in some cases, inhaling smoke can lead to bronchitis. When haze moves into our area, keep an eye out for these symptoms: Burning or stinging eyes Runny nose Cough or scratchy throat Headaches Wheezing Shortness of breath Difficult taking a full breath Chest heaviness Lightheadedness Dizziness If experiencing any of the above symptoms, seek medical attention or call your doctor for advice. Sometimes, these symptoms do not appear for as long as 24 to 48 hours after smoke inhalation. For those that have pre-existing lung or heart conditions, consult with a health care provider on action or management plans. To schedule an appointment Visit Renown Pulmonary Medicine, or call 775-982-5000. Understanding Our Air Quality The Air Quality Index (AQI) is broken down by large (PM10) and small (PM2.5) particulates. According to Dr. Budhecha, large particulates are usually ones that can be seen and smelled. They can damage your eyes and nose but don’t often get deep in the lungs or blood vessels. “The more dangerous ones are PM2.5, which can’t always be seen or smelled,” Dr. Budhecha says. “Any time the AQI is above 51, children with lung or heart disease should not be outdoors.” For the latest air quality update in your area, visit AirNow.gov or call (775) 785-4110.
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Renown Health Vision for Value Based Care
In recent years, healthcare has undergone many important transitions. One of the greatest changes has been the transition from a fee-for-service model to a value-based care model. Historically, healthcare organizations were paid for the amount of services they performed. This payment model resulted in more tests and procedures ordered, which, in turn, increased our country’s health care costs. However, now our government incentivizes health systems to provide the highest quality of care at the lowest cost possible. This new payment model is called value-based purchasing or value-based care. In this model, providers focus on delivering more coordinated and effective care. Additionally, healthcare organizations track important metrics like patient engagement, population health, and hospital readmissions. At Renown Health, we know that progress on these metrics represents real improvements in our patients’ lives. Shifting Focus from Illness to Wellness Healthcare organizations have traditionally viewed a hospital stay as the center of a patient’s wellness journey. At Renown Health, we believe a key part of our job is to help people live well every day. This means we focus not only on treating illness and injury but also on prevention efforts to keep people out of the hospital. For example, our employees help patients hazard-proof their homes to prevent falls, as falls are the leading cause of injuries in older adults. We also provide affordable health screenings to catch disease in its early stages, when it is more treatable. Renown Health also recognizes that many of the diseases our patients face – from diabetes to cancer – have social and environmental origins. We know that creating a healthier community will have a positive impact on their physical and mental health. Renown Health partners with local organizations to address community-based issues like addiction, pedestrian safety, air and water quality, climate change, and nutrition. Working together, we can lower the number of people who need care and improve the health and wellbeing of our community. Creating healthier environments and communities will help us prevent disease, which in turn will help us decrease spending and improve health. Most importantly, it will help people live up to their full potential. Dr. Slonim on Twitter | @RenownCEOTonyMD Interested in hearing more of Dr. Slomin’s thoughts on health and healthcare? Engage with him on Twitter. Follow Tony
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Avoid Viruses, Colds and the Flu With Expert Hand-Washing Advice
Can you really avoid colds, flu and viruses with simple hand-washing? Amy McCombs, Renown’s director of Infection Prevention, shares how to stay healthy with this very simple practice. Shaking hands, turning doorknobs, drafting emails — all regular activities of everyday life. But whenever you touch another person, or touch an object another person has touched, you’re collecting their germs on your hands. And touching your own mouth, eyes or nose also exposes you to whatever germs you’ve collected. That makes hand-washing the most important step you can take to prevent illness and disease. And while that may seem like an obvious reminder, studies have found that 85 percent of people do not practice proper hand hygiene. We asked Amy McCombs, Renown’s director of Infection Prevention, to give us some hand-washing tips for a safer, healthier life. So what are the correct hand-washing steps? Wash for at least 20 seconds. The biggest thing to remember is to wash for at least 20 seconds with soap and water. A good rule to make sure you’re washing long enough is to sing “Happy Birthday” twice through. Get a good lather of soap going. It’s also important to get a nice lather of soap and make sure you wash between your finger, both the tops and palms of your hands and your nail beds. And if you wear jewelry, you need to remove it or make sure you get lather and friction underneath. Then rinse completely and dry. Is there a wrong way to wash your hands, or is it more about making sure you do it the right way? Honestly, it’s a little bit of both. There is a wrong way since 85 percent of us don’t wash correctly. This could be for a variety of reasons. It could be because you don’t wash long enough, don’t get in between your fingers, don’t clean your palms or don’t clean the tops of your hands. How frequently should we wash our hands? Are there certain times where it is more important than others? As most of us are taught as kids, you need to wash your hands before you eat or prepare foods, after you touch raw produce and meat and after you use the restroom. You should also wash your hands after sneezing or coughing, touching your eyes, nose and mouth or coming in contact with someone who is sick. Do you recommend hand-washing over hand sanitizer? Ideally, you should wash your hands instead of using hand sanitizer, but if sanitizer is all you have, then use it. Alcohol-based hand sanitizers are best. Use about a nickel or quarter size and vigorously rub the tops of your hands, palms and in between your fingers until the sanitizer is completely dry. Remember that if your hands are physically dirty, or if you’ve come in contact with bodily fluids, you should thoroughly wash your hands with soap and water instead of hand sanitizer. Does washing your hands really prevent illnesses like the cold, the flu and viruses? Definitely. The CDC recommends hand-washing as one of the best ways to avoid getting sick and spreading illness. Hand-washing has been shown to reduce the number of people who get colds and respiratory illnesses by 21 percent. What else can I do to keep my family healthy? The annual flu vaccine is truly the best form of protection to help prevent the spread of the flu. Even if you do get the flu after being vaccinated, your symptoms will be lessened. Although they are not substitutes for the flu vaccine, simple preventative action can do a lot to help slow the spread of the virus, including these: Wash your hands often Avoid touching your eyes, nose or mouth with unwashed hands Avoid contact with people who are sick Stay home when you are sick Cough or sneeze into a tissue or your sleeve Other precautionary measures include cleaning shared spaces and avoiding shared utensils and drinks. Flu vaccines are still available in the community, including health providers at Renown Medical Group. Call 775-982-5000 to make an appointment. More Hand-Washing Information One of the best things you can do to avoid viruses, colds and the flu is to wash your hands. Protect yourself with even more hand-washing advice from the Centers for Disease Control (CDC). Roll Up Your Sleeves and Scrub Up!
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Las 3 preguntas sobre el colesterol y sus respuestas
With more than 29 million adult Americans having high cholesterol, it’s important to know the facts. We asked Jayson Morgan, MD, a cardiologist with Renown Institute for Heart and Vascular Health, explains the numbers, the risk factors and how to maintain healthy levels. What is cholesterol? There are two types: Low-density lipoprotein (LDL) cholesterol, also known as the “bad” variety, because it can eventually build up within the walls of your blood vessels and narrow the passageways. High-density lipoprotein (HDL), also known as the “good” variety, because it helps remove other forms of cholesterol from the bloodstream. In adults, total cholesterol is considered high if it is more than 200 mg/dL. If the total is more than 200 or if high-density lipoprotein (HDL) levels are less than 40, your heart and brain may not be getting as much oxygen-rich blood as they need. This puts you at greater risk of heart attack and stroke. HDL levels greater than 60 mg/dL can actually lower your risk. What are the risk factors for high levels? Diet high in saturated fat Excess body weight Lack of exercise Smoking Family history Age (as people age, they are more prone to high levels) How often should someone get their numbers checked, and what kind of test is done? The American Heart Association recommends all adults age 20 or older have their cholesterol checked every four to six years. Those with cardiovascular disease or who are at higher risk of it may need their levels and other risk factors assessed more often. Your primary care provider can perform the test, along with assessing your other risk factors to help determine a treatment plan if necessary. The test will likely be one you will need to fast for, meaning no food, beverages or medications for around nine to 12 hours. Your healthcare provider will let you know if, and for how long, to fast. A simple blood test is all that’s needed to get your levels. What are some ways to lower “bad” cholesterol and raise “good” cholesterol? To achieve healthier levels, people should: Eat a heart-healthy diet: Choose healthier fats, eliminate trans fats, eat foods rich in omega-3 fatty acids and increase soluble fiber. Increase physical activity: Exercise on most days of the week. Quit smoking: If you smoke, it’s time to stop. Quitting smoking will improve HDL “good” cholesterol levels. Lose weight: Losing as little as five to 10 percent of your weight can improve cholesterol levels. Drink alcohol only in moderation. And finally, if lifestyle changes aren’t enough, your care provider might recommend medication to help lower your numbers. Renown Institute for Heart & Vascular Health For optimal heart health, the American Heart Association encourages you to “Know Your Numbers” which include: blood pressure, body mass index (BMI), cholesterol and fasting blood sugar, by scheduling a visit with your doctor. These numbers are critical in assessing your current risk for heart disease and stroke. Find a Cardiologist
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What You Need To Know About Cold Water Drowning
Northern Nevada is home to some of the most gorgeous and pristine lakes in the country — but also some of the most unforgiving. Lake Tahoe water temperatures average 50 degrees in the summer, making the danger of hypothermia real and always present. Here are the signs, symptoms and ways to prevent cold water drowning. When we think of air temperature at 50 degrees Fahrenheit, it’s not all that cold. But when it comes to water that’s 50 degrees, there is no comparison. Immersion in cold water is life threatening and can happen within a minute. Taking the right precautions before entering the water can save your life. The 4 Phases of Cold Water Drowning 1. Cold Shock Response: This response affects breathing and happens within the first minute. An automatic gasp reflex occurs in response to rapid skin cooling. If the head goes below water, water may be breathed into the lungs, resulting in drowning. A life jacket will help keep your head above water during this critical phase. Additionally, hyperventilation, like the gasp reflex, is a response to the cold and will subside. Panic will make this worse, so the key is to control breathing. 2. Cold Incapacitation: This response occurs within the first five to 15 minutes in cold water. In order to preserve core heat, vasoconstriction takes place decreasing blood flow to the extremities to protect the vital organs. The result is a loss of movement to hands, feet, arms and legs. Unless a life jacket is being worn, the ability to stay afloat is next to impossible. 3. Hypothermia: Important to note, it can take 30 minutes or more for most adults to become hypothermic. So there’s time to take action and survive. Keeping panic at bay is critical, as you have more survival time than you think. Symptoms include: Shivering Slow and shallow breathing Confusion Drowsiness or exhaustion Slurred speech Loss of coordination Weak pulse 4. Circum-rescue Collapse: This experience can happen just before rescue and is not well understood. Symptoms range anywhere from fainting to death. Some experts believe an abrupt drop in blood pressure may cause this final stage of cold water drowning, post-rescue. Additional Cold Water Drowning Safety Tips and Helpful Resources Always wear a personal flotation device as well as a wetsuit or drysuit. Your personal flotation device is the most important piece of water safety gear. Try not to panic as the first phases will subside. Controlled breathing is to staying calm. Research suggests the body can withstand the cold longer than we think. The Heat Escape Lessening Posture (HELP) is a position which helps conserve energy if you’re wearing a personal flotation device. By hugging your knees to your chest, this posture helps maintain body heat for some time.
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