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Concussion Risks and Prevention
It’s important to be aware of the risk of a concussion, which can have serious health implications. Susan Park, MD, discusses the effects of concussions and how they can be prevented. According to Susan Park, MD, a Renown Medical Group doctor who specializes in sports and family medicine, concussions are a serious issue — especially among children whose developing brains “are more susceptible to brain injury and long-term effects from concussions.” All parents, coaches and athletes, she points out, should be aware of the risks of concussions and take precautions to avoid them. What is a concussion and how does it occur? Dr. Park describes a concussion as a traumatic brain injury resulting from direct or indirect impact to the head or body, during which the brain shakes back and forth in the skull. This may cause some bruising of the brain. In severe cases, traumatic head injuries can cause bleeding, which if not treated quickly, can be fatal. What are the health implications of a concussion? Symptoms of drowsiness and confusion can be a sign of a concussion after a head injury. Some short-term effects may include headaches, dizziness and difficulty concentrating. Long-term concerns can further include mood disorders, sleep disturbance and problems with cognitive function-concentration, which may affect school performance. What sports carry the highest risk of suffering a concussion? Dr. Park notes participation in any impact sport can result in a head injury. But among school-age kids, she treats more concussions from football and soccer than any other sport. However, during the winter months, skiing and snowboarding injuries can be a common cause of concussions Any blow to your head, neck or upper body can result in a concussion with symptoms including, but not limited to, feeling dazed or confused, dizziness, nausea/vomiting or a headache. Initial treatment of concussions varies depending on severity. Rest, avoiding vigorous activity and a reduced school workload help young athletes recover after a concussion. Dr. Park notes that sometimes further imaging and an ER visit will be required. Otherwise, rest from activities is the main treatment, along with not returning to sports activities until further clearance from a healthcare provider.
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Questions to Ask Your Neurologist at Your First Appointment
When it comes to your neurological health, seeking the expertise of a specialist is crucial. The Renown Institute for Neurosciences provides comprehensive care for complex diseases affecting brain, spinal cord and peripheral nerves. Let us help guide you through the appointment process to ensure a productive and informative first appointment. What to Expect at Your First Appointment at the Renown Institute for Neurosciences Duration and Purpose: Your first appointment will last approximately one hour. This time allows the doctor to ask specific questions, do a thorough neurological exam and discuss your concerns. Specialized Care: You will be matched with a provider who specializes in assessing and treating your specific ailment or condition. This tailored approach ensures that you receive care from an expert who has the specialized interest and expertise to address your needs effectively. Initial Assessment: During your visit, you will first see a medical assistant who reviews your medication history and standard screening questions provided by your doctor. Following this portion of your appointment, the neurologist will ask specific and detailed questions about your condition and conduct a non-invasive neurological examination to evaluate your brain and nervous system functioning. This exam involves painless tests assessing your cognitive function and nerve operation, including tests for sensation, strength and coordination. Treatment: After performing the neurological exam and addressing your questions, the neurologist will review the possible diagnosis and treatment plan, including any medication needs to help with your condition. Finally, your doctor may discuss the role of additional testing, including imaging studies (CT/MRIs), peripheral nerve testing (EMG) or brain wave testing (EEG), which will be scheduled for a later date. Making the Most of Your Visit To make your appointment as beneficial as possible, consider the following tips: Arrive Early: Plan to arrive at least 10 minutes early to fill out any necessary check-in items before your appointment's scheduled start time. This will ensure a smooth and timely visit. Bring Insurance Information: Have your insurance details readily available to facilitate the administrative process. This will help avoid any delays or confusion. Gather Medical Records: If you have received treatment or undergone tests with other healthcare providers relevant to your condition, bring along any medical records or test results. This information will assist your neurologist in gaining a comprehensive understanding of your medical history. Prepare Questions and Concerns: Consider noting the following, which can help you better answer questions the neurologist may ask during your appointment. The frequency, duration and severity of your symptoms. Share information about any medications or treatments you have tried for the condition and the outcomes. Prioritize questions to help the neurologist answer your most significant concerns during the initial visit. Your first appointment with a doctor at the Renown Institute for Neurosciences is an opportunity to receive expert care and gain insights into the best method of treatment for your condition. By understanding what to expect and following the tips provided, you can maximize your visit and be on your way to achieving overall health and wellness.
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Alzheimer's Safety Tips for Caregivers to Know
November is National Alzheimer’s Disease Awareness Month. At Renown Health, we know that Alzheimer's safety for your loved one is a priority, as the symptoms can sometimes lead to unsafe situations. We asked Dr. Jonathan Artz – a neurology physician with Renown Health and an assistant professor of clinical neurology at the University of Nevada, Reno School of Medicine – for tips on keeping loved ones safe and secure. According to the Alzheimer’s Association, Alzheimer’s disease affects safety in various ways, specifically due to body and brain adjustments. These changes can include: Judgment, including forgetfulness Sense of place – getting lost on the way home Behavior – being suspicious or fearful Body difficulty – losing balance Sensing ability – noticeable sensitivity in hearing, seeing or temperature Dr. Artz gives us four major tips to ensure your loved one’s safety as you both navigate this disease together. Watch for Wandering Those experiencing Alzheimer’s disease tend to wander and get lost. Try the following tips to reduce the risk of wandering: Get your loved one an ID bracelet and have them wear it at all times. You can also enroll your loved one in “Wandering Support.” Install door chimes so you know when exterior doors are open. Ask neighbors to call you if they see your loved one out alone. Go with your loved one when they insist on leaving the house. Don’t argue or yell. Instead, use distraction or gentle hints to get them to return home. Discourage Driving Driving can be unsafe for someone with this disease. With this in mind, ask a doctor whether it’s safe for your loved one to drive. For example, on a case-by-case basis, there are certain situations where doctors are required to report individuals with particular cognitive impairments, wherein a form of a driving assessment will be recommended. Limit access to the car. Keep the keys with you or lock them away. Ask an authority figure, such as an insurance agent or a doctor, to tell them not to drive. Adult-Proof Your Abode A simple living space is a safe living space. This means reducing clutter and removing any issues that may pose a safety concern. You may also want to get advice from an occupational therapist (home safety expert). Keep in mind that some changes may not be needed right away. Focus on major safety concerns first. Try the following tips: Add lighting (or glow-in-the-dark tape) to brighten dark areas, including stairways and halls. Use color contrast or texture indicators for dials, knobs and appliance controls. Remind your loved one not to carry items while walking to avoid a fall. Remove sharp objects from drawers and countertops. Avoid using small throw rugs or doormats, as they are easy to trip on. Move frequently used items so that they are easy to reach. Lock away alcohol and tobacco products, as they are not recommended for dementia patients. Install handrails in the shower, tub and near the toilet. Bathroom falls are especially common. Adjust the setting on your hot water heater so water does not scald. Those with Alzheimer’s can lose their sensitivity to temperature. Move and lock up hazardous chemicals and cleaning supplies, such as bleach and insecticides. Disable and remove guns or any weapons. Supervise any medication taken by your loved one. Promote a Positive & Healthy Lifestyle Continually emphasize the strengths of your loved one by promoting participation in meaningful activities, wellness visits and healthy habits to help them improve their well-being. Here are some ways to keep them physically and mentally active: Maintain regular vision and hearing screenings and make necessary adaptations. Establish a routine for daily activities. Encourage participation in self-care and leisure activities. Work with your loved one’s doctor to establish a healthy diet. Ensure proper hydration. It may help to set reminders for your loved one to drink fluids. Encourage regular exercise. Exercise delivers oxygen to the brain, improving brain health. Promote good sleep habits. Good quality sleep can increase overall brain health and has been associated with improving memory, attention and concentration. Resources and support are available with the Renown Memory Disorders Program. Providers within this program are specifically dedicated to treating several different memory-related disorders. Memory Disorders Resources & Support.
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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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Renown Health is Nationally Recognized for Its Commitment to Providing High-Quality Stroke Care
The American Heart Association presents Get With The Guidelines®-Stroke Gold Plus award for proven dedication to ensuring all stroke patients have access to best practices and life-saving care. Renown Health has received the American Heart Association’s Get With The Guidelines®-Stroke Gold Plus with Target: Stroke Honor Roll Elite Plus with Target: Type 2 Diabetes Honor RollGet With The Guidelines® - Stroke quality achievement award for its commitment to ensuring stroke patients receive the most appropriate treatment according to nationally recognized, research-based guidelines, ultimately leading to more lives saved and reduced disability. Stroke is the No. 5 cause of death and a leading cause of disability in the U.S. A stroke occurs when a blood vessel that carries oxygen and nutrients to the brain is either blocked by a clot or bursts. When that happens, part of the brain cannot get the blood and oxygen it needs, so brain cells die. Early stroke detection and treatment are key to improving survival, minimizing disability and accelerating recovery times. Get With The Guidelines puts the expertise of the American Heart Association and American Stroke Association to work for hospitals nationwide, helping ensure patient care is aligned with the latest research- and evidence-based guidelines. Get With The Guidelines - Stroke is an in-hospital program for improving stroke care by promoting consistent adherence to these guidelines, which can minimize the long-term effects of a stroke and even prevent death. Renown Health is committed to improving patient care by adhering to the latest treatment guidelines,” said Thomas Graf, MD, FAAFP, Renown Health Chief Executive Officer. “Get With The Guidelines makes it easier for our teams to put proven knowledge and guidelines to work on a daily basis, which studies show can help patients recover better. The end goal is to ensure more people in northern Nevada can experience longer, healthier lives.” Each year, program participants qualify for the award by demonstrating how their organization has committed to providing quality care for stroke patients. In addition to following treatment guidelines, Get With The Guidelines participants also educate patients to help them manage their health and recovery at home. “We are incredibly pleased to recognize Renown Health for its commitment to caring for patients with stroke,” said Steven Messe, MD, chairperson of the Stroke System of Care Advisory Group. “Participation in Get With The Guidelines is associated with improved patient outcomes, fewer readmissions and lower mortality rates – a win for health care systems, families and communities.” Renown Health also received the American Heart Association’s Target: Stroke Honor Roll Elite Plus award. To qualify for this recognition, hospitals must meet specific criteria that reduce the time between an eligible patient’s arrival at the hospital and treatment with the clot-buster alteplase. Renown Health also received the American Heart Association’s Target: Type 2 Honor Roll award. Target: Type 2 Diabetes aims to ensure patients with Type 2 diabetes, who might be at higher risk for complications, receive the most up-to-date, evidence-based care when hospitalized due to stroke. 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. Renown is currently enrolling participants in the world’s largest community-based genetic population health study, the Healthy Nevada Project®. About Get With The Guidelines® Get With The Guidelines® is the American Heart Association/American Stroke Association’s hospital-based quality improvement program that provides hospitals with the latest research-based guidelines. Desarrollado con el objetivo de salvar vidas y acelerar la recuperación, Get With The Guidelines ha influido en la vida de más de 12 millones de pacientes desde 2001. For more information, visit heart.org.
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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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Renown Health Nationally Recognized for Commitment to Providing High-Quality Stroke Care With Three American Heart Association Recognitions
The American Heart Association presents Get With The Guidelines®- Stroke Gold Plus awards for proven dedication to ensuring all stroke patients have access to best practices and life-saving care. Renown Health emergency, medical and surgical providers have received three American Heart Association’s Get With The Guidelines® awards. These awards demonstrate commitment to ensuring stroke patients receive the most appropriate treatments according to nationally recognized, research-based guidelines; reducing disabilities and increasing the number of lives saved. Every 40 seconds, someone in the U.S. has a stroke. Los derrames cerebrales son la quinta causa principal de muerte en los EE. UU. y la principal causa de discapacidades en adultos. Studies show patients recover better when providers consistently follow treatment guidelines. Get With The Guidelines puts the expertise of the American Heart Association and American Stroke Association to work for hospitals nationwide, helping ensure patient care is aligned with the latest research and evidence-based guidelines. “A stroke is an extremely serious condition that requires emergent medical treatment. The faster treatment is provided, the lower the risk of brain injury. We are proud of our thousands of physicians, nurses and clinicians who consistently practice exceptional patient care by adhering to the latest treatment guidelines,” said Brian Erling, MD, MBA, President and CEO, Renown Health. “Get With The Guidelines makes it easier for our teams to put proven knowledge and consistent protocols to work on a daily basis, which studies show can help people live longer and better lives.” “As a participant in Get With The Guidelines programs, Renown qualified for the awards by demonstrating that physicians and clinicians across our integrated health system are committed to improving quality care for stroke patients,” said Bill Plauth, MD, MMM, CPE, Chief Medical Officer for Renown Health and Associate Dean for Clinical Affairs at the University of Nevada, Reno School of Medicine. “If you or a loved one is experiencing a stroke, call 911, as you need skilled medical care immediately. Stroke care focuses on helping people recover as much function as possible and return to independent living. The Renown Neurovascular and Stroke Program and Renown Rehabilitation Hospital teams provide expert emergency stroke care and comprehensive neurovascular care and rehabilitation services.” “We are pleased to recognize Renown Health for its commitment to caring for those in their community who need cardiovascular care,” said John Warner, MD, FAHA, past president of the American Heart Association and CEO of The Ohio State University Wexner Medical Center. “Hospitals that follow the American Heart Association’s quality improvement protocols often see improved patient outcomes, fewer readmissions and lower mortality rates – a win for health care systems, families and communities.” “Renown Regional Medical Center is the only designated Comprehensive Stroke Center in northern Nevada,” says Benjamin Pence, DO, Director, Institute for Neurosciences at Renown. “This means that we have the highest level of certification to receive and treat the most complex stroke cases. Our Institute for Neurosciences team is led by the area's top neurologists, and we conduct research studies involving new ways of preventing, diagnosing, and managing neurological disorders. We care for patients suffering from nerve and brain disorders due to stroke, headache, epilepsy, and other acute causes. We also monitor and develop treatment options for patients with memory and movement disorders such as Alzheimer’s, Parkinson's Disease or Multiple Sclerosis.” Renown Health also received the American Heart Association’s Target: Stroke Honor Roll Elite award. To qualify for this recognition, hospitals must meet specific criteria that reduce the time between an eligible patient’s arrival at the hospital (within 60 minutes or less) and treatment for at least 85 percent of applicable patients. “It is an honor to be among the American Heart Association’s Stroke Honor Roll Elite award recipients,” said Bret Frey, MD, president of Northern Nevada Emergency Physicians Care teams at Renown Health. “We adhere to these rigorous guidelines daily and demonstrate our unwavering commitment to ensuring more people in northern Nevada receive leading emergency and trauma care and the gift of extended, healthier lives.” Renown Health also received the American Heart Association’s Target: Type 2 Diabetes Honor Roll - Stroke award. Target: Type 2 Diabetes aims to ensure patients with Type 2 diabetes, who might be at higher risk for complications, receive the most up-to-date, evidence-based care when hospitalized due to stroke. This award is given to hospitals that qualify for the silver level or higher achievement award within the Get With The Guidelines – Stroke program and achieve an overall Diabetes Cardiovascular Initiative Composite Score of more than 80 percent. 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 7,000 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. To join the Renown team, visit renown.org/careers. About Get With The Guidelines Get With The Guidelines® is the American Heart Association/American Stroke Association’s hospital-based quality improvement program that provides hospitals with the latest research-based guidelines. Desarrollado con el objetivo de salvar vidas y acelerar la recuperación, Get With The Guidelines ha influido en la vida de más de 12 millones de pacientes desde 2001. For more information, visit heart.org.