grhs medical staff · otolaryngology (ent) bradley johnson, do, tuesdays pulmonology to schedule an...
TRANSCRIPT
In support of our community’s healthFoundation News
Family Medicine Kristen Budahn, MD William Hammes, MD Tyler Helland, MD * Kristine Knudten, MD * Amanda Leino, MD Laura Olson, MD Bryan Petersen, MD * Douglas Wagoner, MD Christa Waymire, MD * Kari Knodel Vettel, MPAS, PA-C Sheryl Bartholow, FNP-BC Michelle Quale, CNM, FNP-BC
Emergency Medicine Liban Hired, MD James Jessen, MD Mitch Palmer, MD
General Surgery John Bergseng, DO, FACOS Nora Burkart, MD Chad Robbins, DO, FACOS
Hematology/Oncology To schedule an appointment, please call 320-864-7080 or 1-888-526-4242, ext. 7080 Birendra Kumar, MD
Internal Medicine Bryan Fritsch, DO * Shoeb Mohammed, MD *
Long Term Care Michele Schuberg, CNP *
Midwifery Laurel McKeever, MSN, CNM Michelle Quale, CNM, FNP-BC
OB/GYN Ashley Hieronimus, MD John Mark Johnson, DO, FACOOG
Orthopedics To schedule an appointment, please call 320-864-7080 or 1-888-526-4242, ext. 7080 Brian Walters, MD Terese Haasken, MPAS, PA-C
Pediatrics Alexandria Kalina, MD, FAAP
Podiatry Amie Scantlin, DPM, MS, FACFAS
Urology To schedule an appointment, please call 320-864-7080 or 1-888-526-4242, ext. 7080 John Heller, MD
continued on page 2
A word from the presidentJon Braband
Shivering in the chilly air during a March 2015 soccer scrimmage, goalie Zoe Christensen asked the coach if she could get out of the goal box and play forward long enough to warm up. Five minutes later, Zoe was slide-tackled by another player and felt a snap in her left knee. “I knew right away that something was seriously wrong,” she says.
After follow-up care by her Glencoe Regional Health Services (GRHS) primary care provider, a magnetic resonance imaging (MRI) scan showed a torn anterior cruciate ligament (ACL) in Zoe’s knee. The treatment was ACL reconstruction surgery followed by physical therapy.
Zoe chose Clark Christianson, PT, ScD, COMT, at GRHS to be her therapist. “Two of my friends had the same injury and they said, ‘Go to Clark!’”
Sports is life
Zoe was anxious to recover so she could get back to athletics. After all, she has participated in one or more sports continuously since first grade. Zoe has danced, played softball, soccer and basketball, and participated in track and field. It’s no exaggeration to say she’s a talented athlete. She medaled in shot put at the state high school track meet with her injured knee.
Yet soccer remains her passion. “That’s how people recognize me,” she says. “They say, ‘There’s the goalie.’ I would quit every other sport if I could just play soccer.”
Rehab: physical + mental
Rehabilitation is vital after any orthopedic surgery, but it is especially important for athletes. “It helps them regain range of motion, strength and the ability to run and jump again,” Clark says.
Clark emphasized ways to make Zoe’s rehabilitation exercises fun. He also taught her techniques to prevent future injuries. For example, Clark showed Zoe the safest way to land a jump in basketball, with her feet apart and knees over her toes. And he helped her with the emotional aspects of coming back after an injury.
“It’s easy for injured athletes to feel sorry for themselves, so I talk about keeping things in perspective,” he says. Clark knows many of the local coaches and promotes ways for players to be part of their team during recovery, such as serving as a coaches’ assistant or helping with drills.
Zoe found her motivation while doing her exercises at home. After the state track meet, she started getting letters from colleges, which she hung on her bedroom wall. “I’d sit on my floor doing exercises and I’d think, ‘I can’t be lazy if I want to play sports in college.’”
Athlete rebounds from second knee injury
Zoe tends her goal
Inside this issue of Touching Lives, you can check out the new facilities for rehabilitation services and
advanced wound care that we recently opened on our Glencoe campus – no diagnosis required. Both departments provide treatments that require patients to come in for regular appointments over long periods of time, so we’re glad to welcome them to comfortable new spaces. The amount of dust, noise and re-routing of street and hallway traffic involved in both construction projects was not insignificant, so I’d like to thank our patients and community neighbors for tolerating those temporary inconveniences with us.
With our rehabilitation therapists now occupying the new third floor of the hospital, we have made plans to use the first-floor space they left behind to improve and expand our surgical specialties, emergency room and urgent care center. This endeavor will again result in some dust, noise and re-routing of traffic, but the new facilities will be worth the hassle.
We’re looking forward to having two new providers join us in the coming months. Ashley Hieronimus, MD, an obstetrics and gynecology physician, will begin her full-time practice here in late August. Kristen Budahn, MD, a family medicine physician who speaks English and Spanish, will see patients full-time starting in late September.
Watch our website and Facebook page for details as we welcome these new providers and strap on our tool belts for another round of construction.
Summer 2016
Zoe Christensen continues physical
therapy for a knee injury so she can return to the GSL High School soccer
team for her senior season in 2017.
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Appointment scheduling To make an appointment with your GRHS provider at any of our clinics, please call 320-864-7816 or toll free 1-800-869-3116 between 7 am and 5:30 pm Monday through Friday.
To make an appointment for physical, occupational or speech therapy, please call 320-864-7070 or toll free 1-888-526-4242, ext. 7070, between 7 am and 5 pm Monday through Friday.
To make an appointment with selected staff and consulting specialists, or to schedule medical imaging or other outpatient tests, please call 320-864-7080 or toll free 1-888-526-4242, ext. 7080, between 8 am and 5:15 pm Monday through Friday, unless otherwise noted in the outpatient clinic staff listing at right.
To talk with a doctor or nurse, or if you have general questions, please call 320-864-3121 or toll free 1-888-526-4242.
Important phone numbersHospital
Main Switchboard .............................864-3121
Anticoagulation Clinic ..................... 864-7980
Diabetes Education .......................... 864-7710
Human Resources ............................ 864-7812
Rehabilitation Services .................... 864-7070
Specialty Scheduler .......................... 864-7080
Social Services ................................. 864-7860
Volunteer Coordinator ......................864-7703
Clinics
Appointment Scheduler ................... 864-7816
Senior Services
Long Term Care................................ 864-7790
Social Services ..................................864-7720
Orchard Estates ................................864-7798
Three convenient locations
Glencoe Campus 1805 Hennepin Avenue North
Lester Prairie Clinic 1024 Central Avenue
Stewart Clinic 300 Bowman Street
Outpatient consulting staff
❹ Summer 2016 Glencoe Regional Health Services grhsonline.org
AudiologyKurt Pfaff, AuD, every other Tuesday
CardiologyMinneapolis Heart Institute, three Fridays per month
Low Back and Neck CareTo schedule an appointment with Dr. Stulc at GRHS, please call 1-800-669-2513Steve Stulc, DO, one Wednesday per month
NephrologyRajeev Kaul, MD, one Monday per month Richard Moore, MD, one Monday per month
NeurologySarah Benish, MD, twice per month
Otolaryngology (ENT)Bradley Johnson, DO, Tuesdays
PulmonologyTo schedule an appointment with Dr. Larson at GRHS, please call 952-442-2191, ext. 5420Barrett Larson II, MD, once per month
Visit our hospital gift shopOpen 8:30 am to 4:30 pm, Mon – Fri Staffed by volunteers
Give a cheery gift to a hospital patient, Long Term Care resident, Orchard Estates tenant or even yourself. We’re fully stocked with cards, sweet treats and other day-brighteners!
GRHS medical staff
* These providers also serve as hospitalists.
“I love to be challenged,” says new GSL grad Layne Herrmann, 17, of Brownton. She’s headed to the University of Minnesota, Morris, this fall on her way to becoming a family medicine physician. We’re proud to support her with a scholarship.
Congrats to our 2016 class of Sanken-Hatz scholars!
GRADUATING SENIORSBuffalo Lake-Hector-Stewart High School Kiana Johnson Mariah Paulson
Central High School (NYA)Alexis Eggers
Glencoe-Silver Lake High SchoolPaige AndersonLayne HerrmannMadison KalenbergMoriah MaunuErika MielkeEmily MuetzelTaylor NovakTheodore PetersenStephanie Welch
Howard Lake-Waverly-Winsted High SchoolZechariah Riemer
Hutchinson High SchoolSamantha GoodEllyssa HoverstenQuin McCormick
Lester Prairie High School Kaitlin McBeeAbbigayle SchultzKendra Ziermann
Sibley East High SchoolAlyssa Weber
POST-SECONDARY STUDENTSFairfaxStephanie Palmer
GlencoeJennifer IllgSamantha IversonBrooke KosekChristoper LemkeHannah LemkeAbbie NistlerSadie PaumenKyle PolzinEmily Popelka
Green IsleMegan MillerSarah Shimota
HamburgKelly Beneke
Howard LakeGabrielle Gruenhagen
HutchinsonKayla AanderudMichelle BlakeSomers GrackKelsey KramerJenna Nagy
Lester PrairiePeyton Thiry
Norwood Young AmericaChinwenwa Iheme
Silver LakePatrick Fehrenbach
StewartMiranda Sweely
GRADUATE STUDENTSArlingtonErin KarlAndrew Thies
BrowntonMorgan Sanken
Buffalo LakeEthan Ryberg
HutchinsonMitchell MessnerNicole Rickeman
Lester PrairieJennifer Vasko
Silver LakeBeth Jerabek
StewartKatie Schaufler
WinthropLucas Seehafer
The Glencoe Regional Health Services Foundation recently awarded Sanken-Hatz scholarships to 53 deserving applicants who are studying for health care careers.
For more information, visit grhsonline.org/scholarships.
County Fair
❷ Summer 2016 Glencoe Regional Health Services grhsonline.org
Health Talk
Publisher:Glencoe Regional Health Services
1805 Hennepin Avenue NorthGlencoe, MN 55336
Managing Editor:Nancy Ellefson
Editorial Advisory Board:John Bergseng, DO
Jon BrabandJohn DoidgeJill Hatlestad
Patty HendersonLaura KuvaasJulie Schmidt
Your ideas and opinions are important to us. Contact Nancy Ellefson at 320-864-7798 or
[email protected] with suggestions or comments.
continued from page 1
As a physical therapist, Clark Christianson’s areas of special training and focus are headaches, back pain and neck pain.
Orchard Estates opened in 1991. It’s located at 1900 Ford Ave. N. in Glencoe.
Orchard Estates – a senior living community at Glencoe Regional Health Services (GRHS) – is home to a tight-knit group of tenants, who are all age 55 “and better.” They are able to live independently but enjoy having extra support.
Staying connected
One of them is 97-year-old Marie Hebeisen. A vibrant and active tenant for the last 13 years, Marie participates in Orchard Estates activities like tai chi classes. She only uses a walker when she heads to clinic appointments using the indoor walkway that connects Orchard Estates to the GRHS hospital, clinic and Long Term Care center.
Marie cooks and bakes in her comfortable two-bedroom apartment, often wearing a treasured, flowered apron that her own mother wore decades before. She recently brought it to a building get-together where tenants shared their aprons and memories.
Independence – and free coffee
Bob Hoppie, 85, also cooks meals in his apartment, often finding recipes on the internet. He loves the freedom of not having to mow the lawn, shovel snow or make repairs. “If I report a clogged sink in the morning, it’s fixed by noon,” he says. But the best part is being able to come and go without worries, including his annual six-week vacation in Florida.
Bob enjoys special events at Orchard Estates, like when a naturalist brought fox kits and a birthday party where tenants learned to yodel. Each May, his daughter, a piano teacher, brings her students to
perform. Yet one of Bob’s favorite activities is simply enjoying conversation and a cup (or more) of coffee, available free to tenants. “They lose money on me,” he says.
New friends become like family
Jan Byrd also likes the coffee and sense of community at Orchard Estates. “You can get a cup, sit in a chair and before long someone else will be there,” she says with
a laugh. Jan enjoys not having to do much cleaning. “They vacuum for us, and clean the kitchen and bathroom floors.”
At 69, Jan Byrd is one of the youngsters. “I was living alone and wanted to be with other people. Here you can be social as much or as little as you like.” She volunteers in the hospital gift shop and in Long Term Care, and assists a 99-year-old tenant at
bingo. She sometimes drives other tenants to the stores, but Coborn’s also delivers groceries to Orchard Estates tenants at no extra charge two days a week. “People are always kind here,” she says, “and we look after each other. It’s a family.”
For more information, call Orchard Estates manager Nancy Ellefson at 320-864-7798 or visit orchard-estates.org.
Back in the game
Today, Zoe’s future looks as bright and busy as ever. She’ll start her junior year this fall. She’ll have to sit out the soccer season, but plans to compete on the GSL speech team and may join the mock trial team to explore her interest in a criminal justice career.
Zoe expects to be back in the dance studio in January 2017 and to compete on the track team next spring. She’ll skip this
winter’s basketball season to reduce her risk of injury. At the very top of Zoe’s sports wish list is to rejoin the GSL girl’s soccer team for her senior season in fall 2017. She hopes to go to college with an athletic scholarship.
“After my first injury, I thought my life was over, that I’d never be able to play sports again,” Zoe says. “But you can’t ever give up. It gets better. Keep pushing through.”
Christianson leads GRHS rehab team
Convenience, community and coffee
Orchard Estates turns 25
Clark Christianson, PT, ScD, COMT, is a physical therapist who feels your pain. Really. Last December, he underwent surgery to repair a medial collateral ligament in his knee – for the second time. “I feel better than ever today,” he says, crediting both the surgery and physical therapy that followed.
Clark spends 60 percent of his time helping patients like himself and Zoe Christensen recover after injuries and other medical events. The goals of physical therapy are to reduce pain, restore movement and function, and prevent future disability.
The other 40 percent of Clark’s time is spent as GRHS’ director of rehabilitation services. He leads a team of physical, occupational and speech therapists, and two cardiac rehabilitation nurses. “They are very positive people who are focused on continuously improving their clinical skills. They make it fun for me to come to work every day,” Clark says.
Focus on youth and sports
Clark is an avid sports participant, but when you see him on a court or field today, he might be cheering for or coaching his kids’ teams. He and his wife have a daughter entering fifth grade and a son entering eighth grade. Clark coaches both children’s basketball teams and his son’s baseball team. Clark also serves on the Glencoe-Silver Lake school board, which he has chaired the past eight years.
“I enjoy living and working in a rural setting,” adds Clark, a native of Waseca, Minn. “I have a four-minute commute and I get to work for an organization that’s all about providing convenient, local health care that touches people’s lives.”
Come see us at the fair!
GRHS will be at the McLeod County Fair, Aug. 17-21. Find us in the commercial building at the fairgrounds in Hutchinson.
Listen to Health Update
Sponsored by GRHS Airing on KDUZ-AM 1260 Second Tuesday of the month 2:35 pm
Follow us on social media
Get connected with MyChart
Want to receive test results and schedule appointments online? You can, with MyChart.
Ask the receptionist or nurse to help you sign up at your next GRHS clinic appointment or hospital visit. You also may visit grhsonline.org/mychart to download a sign-up form.
For assistance, call MyChart Services toll free at 1-855-551-6555 from 8 am to 8 pm, Monday through Friday.
My Chart
Health News
grhsonline.org Glencoe Regional Health Services Summer 2016 ❸
TouchingNora Burkart, MD, grew up in Lima, Peru, a city of more than
8 million people that overlooks the Pacific Ocean. Most days
there are sunny, warm and dry. Today, she makes her home
in Prior Lake, Minnesota, where she contends with all four
seasons. “I love living here, and I even love the weather,”
Dr. Burkart says.
Wide-ranging practiceAnother contrast with Lima is Dr. Burkart’s traffic-free
commute to her new job at GRHS, where she performs
surgeries and consults with patients four days a week. She
also sees patients at Sibley Medical Center in Arlington on
Wednesday mornings.
Many of the procedures she performs are abdominal
surgeries, such as repairing a hernia or removing an
appendix, gall bladder or bowel obstruction. She also
performs colonoscopies and breast biopsies, and
provides surgical treatment for benign diseases
and cancer of the breast, thyroid, colon and skin.
“I wouldn’t have been able to experience quite as much
variety had I chosen to work at a larger hospital,” she says.
Advocate for health and communityDr. Burkart is a native Spanish speaker but is also fluent in
English, Portuguese and French. She makes regular trips
to Peru to perform free surgeries for children in need. “I’ve
always had a passion for helping people,” she says.
Dr. Burkart is an avid runner and works out at a gym
most days. Visit grhsonline.org/burkart to view videos
about Dr. Burkart in both English and Spanish.
Nora Burkart, MD
General surgeon finds new home at GRHS
Celebrate with us! Together with our current Orchard Estates tenants, we’re throwing open
the doors for a 25th anniversary party! Join us for a pleasant afternoon of
tours, friendly chitchat, live harp music, cake and, of course, coffee.
The entire community is welcome.
2 – 4 pm • Wednesday, August 10 1900 Ford Ave. N., Glencoe
Orchard Estates manager Nancy Ellefson.
At Orchard Estates, the coffee’s always on.
Turn the page for a peek at our new rehabilitation space
Re-setting the game clock
Zoe’s knee recovered beautifully after five months of rehabilitation and she resumed an active sports life with her sophomore basketball and dance seasons. But during a sectional basketball game in March 2016, Zoe twisted her knee while evading another player on a breakaway. She immediately knew she had torn the same ACL.
A piece of Zoe’s own patellar tendon was used in her first ACL reconstruction, but that wasn’t an option this year. Reconstructing an ACL for a second time is a different procedure called a revision ACL reconstruction. “It uses a donor ligament that needs extra time to develop a blood and nerve supply, which means a longer recovery,” says Brian Walters, MD, an orthopedic surgeon at GRHS who is fellowship-trained in sports medicine.
After surgery in April, Zoe used crutches for two weeks and then began her second round of rehab with Clark. It involves the same exercises as prescribed after her first surgery, but she won’t start running until five to six months post-surgery, compared with four after the first reconstruction.
Physical therapist Clark Christianson, PT, ScD, COMT, guides Zoe Christensen through exercises to strengthen her knee, increase range of motion and improve her ability to run and jump on her surgically repaired knee.
Understanding DiabetesDr. Christa Waymire, Family Medicine Monday, September 19, 7 – 8 pm GRHS conference rooms
Parenting for SuccessDr. Alexandria Kalina, Pediatrics Thursday, October 27, 6:30 – 7:30 pm GRHS conference rooms
Please use the dome entrance at 1805 Hennepin Ave N., Glencoe. There is no charge to attend, but we ask that you reserve a seat online at grhsonline.org/health-talks or by calling 320-864-7810 or 1-888-526-4242, ext. 7810.
Different types of dressings may be applied depending on the patient’s wound.
five days per week, for as many as 40 sessions. The combination of pure oxygen and the pressurized environment helps oxygenated blood reach the patient’s wound and speeds the healing process.
Patients are part of the team
A wound care provider will supervise the patient’s care in the wound care center, see the patient once a week to document progress toward healing goals, and adjust the treatment plan as needed to achieve complete healing in the shortest amount of time.
“Patients also have an important role to play in the healing process,” explained Jamie Hudalla, RN, clinical nurse manager in the Center for Advanced Wound Care. “We teach home-care skills to keep their healing process on track and prevent future wounds. It’s also important for patients to attend all of their appointments in order to get good results.”
To learn more, visit grhsonline.org/wound-care.
The Center for Advanced Wound Care at Glencoe Regional Health Services is a member of the Healogics™ network.
The healing process has four stages that must occur in the right order and timeframe. A number of common conditions and risk factors can interfere with the process. These include diabetes, poor circulation, infection, immobility, nerve damage, obesity, stress, selected medications and previous radiation therapy.
“A simple scratch can result in major infection, amputation or even death when risk factors slow down or stall the healing process,” says Chad Robbins, DO, a general surgeon and medical director of the Center for Advanced Wound Care, which opened in April on the first floor of our hospital campus in Glencoe.
Expert care for wounds that don’t heal with standard care
The Center provides specialized care to help patients with chronic wounds heal as quickly as possible to avoid serious complications. According to Dr. Robbins, a wound is considered chronic or non-healing when it has not begun to heal within two weeks or has not completely healed within six weeks when treated with standard approaches.
What patients can expect
During a patient’s initial appointment, a wound care nurse collects information about the patient’s health status, medical history and wound, and may perform tests such as measuring blood flow to the wound or testing tissues to see if an infection is present.
A physician or nurse practitioner with training in advanced wound care will use the results of this evaluation to develop a customized treatment plan, which may include techniques such as debridement, bio-engineered skin grafting, compression therapy, specialty dressings, prescription growth factors and negative pressure wound therapy.
Evidence-based care
“We select treatments based on their track record for effectiveness with specific types of wounds,” says Dr. Robbins. “By partnering with Healogics, the nation’s largest and most experienced network of advanced wound care centers, we have access to clinical knowledge and evidence-based guidelines that achieved a 92 percent healing rate for more than 200,000 wounds during 2014.”
Hyperbaric oxygen therapy is one of the specialized treatments offered at the Center for Advanced Wound Care. It is proven to be effective for wounds that are slow to heal due to poor circulation. In this therapy, the patient breathes 100-percent oxygen while lying in a pressurized chamber made of clear acrylic for two hours per day,
Healing is the body’s natural process of repairing itself after skin and other tissues have been damaged. Our new Center for Advanced Wound Care helps it along in patients at risk for complications from non-healing wounds.
Wound not healing?Talk to your health care provider about a referral or
call us directly for an evaluation appointment.
Call 320-864-7040 or toll free 1-888-526-4242, ext. 7040
Kristine Knudten, MD, (left) and Chad Robbins, DO, (right) see patients in our new Center for Advanced Wound Care.
GRHS has two hyperbaric oxygen therapy chambers equipped with televisions for patient comfort.
Get better everyday with advanced wound care
Our rehabilitation team takes it to aHospital’s new third floor houses expanded services
See us at the fair!Learn more about our rehabilitation
services – and meet our team –
at the GRHS booth in the commercial
building at the McLeod County Fair,
August 17-21 in Hutchinson.
The new floor opened in June. It’s home to our rehabilitation services department, which includes physical therapy, occupational therapy, speech-language therapy and cardiac rehabilitation. At 12,000 square feet, the new space is four times larger than the rehabilitation department’s previous location on the first floor across from the medical imaging department.
“I’m so pleased with our new space,” says Clark Christianson, PT, ScD, COMT, a physical therapist and director of rehabilitation services. “It’s bright and cheerful, and it has enabled us to expand our services and improve the overall experience that patients have when they come in for therapy.”
Demand drove expansion of staff and services
A 65 percent increase in the number of appointments for physical, occupational and speech therapy between 2011 and 2015 was the catalyst for building a new third floor onto the hospital. With expanded space in the works, the rehabilitation services department began to add new staff and new services to meet patient needs. “Virtually anyone in need of rehabilitation can find the right care, right here in Glencoe,” Clark says.
higher level
Take a peek inside our new rehabilitation space!A dedicated pediatric gym with bright colors and engaging equipment provides the optimal environment for infants and children. Private treatment rooms off the gym help therapists meet the needs of children with autism spectrum disorders and other conditions that make them more sensitive to noise and stimulation.A large adult gym is fully stocked with equipment used to help patients recovering from injuries or joint replacement surgery, or to improve quality of life for patients with neurological conditions. A wall of south-facing windows brings in natural light year-round. A full-size therapy kitchen helps therapists work with children with feeding problems, and evaluate and improve the ability of adults with cognitive or memory problems to live independently.
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In addition to core therapies such as treating back pain and rehabbing sports injuries, GRHS offers specialized rehabilitation services including: pediatric physical, occupational and speech-language therapy; adult speech-language therapy; lymphedema treatment; pelvic health rehabilitation; vestibular therapy and balance training.
A better experience, too
Previously, a single reception desk and waiting area that was open to the hospital’s main first-floor corridor served adult and pediatric rehabilitation patients and medical imaging patients. “People would walk by and ask patients in the waiting area, ‘what are you here for?’” Clark says.
The new third-floor location solves that problem with its own reception area exclusively for rehabilitation
patients. Another privacy feature getting rave reviews is the enclosed waiting room for pediatric patients and family members. It’s stocked with books, toys, a television and a “sand” box to keep little ones busy before appointments. Adult rehabilitation patients have their own separate waiting room that’s likely a bit quieter. It features a television and a refreshment center.
Relationships matter
While services and physical space have expanded, one thing hasn’t changed, according to Clark. “We take pride in providing consistent care. We schedule all outpatients with the same therapist for their entire course of therapy – and that’s something you may not see at other clinics,” he says. “We believe that relationships matter.”
“Wow!”We’re hearing this exclamation quite often these days, as patients have begun visiting the $4.1 million third-floor addition to the hospital on our Glencoe campus.
2014 2015
Operating RevenueOperating Expense
$51,753,980 $48,951,455
$54,251,389 $51,787,144
Net Income from OperationsTotal Other Income
$2,802,525 $2,672,735
$2,464,245 $ 834,446
Excess of Revenues Over ExpensesChange in Net Unrealized Gains/Loses
$5,475,260 $0
$3,298,691 $0
Increase in Unrestricted Net AssetsNet Operating Margin
Gross Margin
$5,475,260 5.3%
9.9%
$3,298,691 4.5%6.0%
Jon D. Braband , FACHE
President and CEO
Reports to the Community J a n . 1 – D e c . 3 1 , 2 0 1 5
Operations ReportDuring 2015, GRHS continued to improve in order to better serve our patients and community. It was a year with many highlights:
• Four new providers joined our staff: Terese Haasken, MPAS, PA-C, orthopedics; Shoeb Mohammed, MD, internal medicine; Michele Schuberg, CNP, long term care and transitional care; and Brian Walters, MD, orthopedic surgery.
• We established a new orthopedics and sports medicine program with a staff surgeon and a physician assistant.
• We began construction of a $4.1 million third-floor addition to the hospital to meet demand for physical therapy, occupational therapy, speech-language therapy and cardiac rehabilitation.
• We opened new respiratory therapy treatment rooms and a new lounge for patients and families adjacent to our hospital transitional care unit. Both projects were funded by a generous gift from Security Bank & Trust Co. and the Hoese family.
• We installed a new computed tomography (CT) scanner in our medical imaging department and made plans to build a permanent indoor magnetic resonance imaging (MRI) suite during 2016.
• Our emergency room earned a three-year extension of its Level III Trauma Center designation.
• Our Long Term Care facility received a five-out-of-five star rating in the October 2015 release of Nursing Home Compare data by the Centers for Medicaid and Medicare Services. This national program measures the quality of nursing homes nationwide.
• We held a senior prom for our Long Term Care residents featuring a jazz band and a grand march.
• We continued to work on issues identified through our 2013 community health needs assessment process. You can download the report at grhsonline.org/chna or request a copy by calling 320-864-7810. We expect to publish our 2016 community health needs assessment by the end of the year.
Community Benefit ReportAt GRHS, we work every day to improve the health of our region. Here’s a summary of the value of gifts and services we provided to the community in 2015:
Uncompensated care – $2,067,000The total cost of health care services that GRHS provides to patients without being paid, including charity care and underpayment of services.
Community health services – $163,000Health Talks and other community health presentations, flu clinics, interpreter services, prenatal classes, online health education and case management of uninsured and underinsured patients.
Financial and in-kind contributions – $60,000McLeod County Senior Expo, staff at area school and community events, Glencoe Days, Trees of Lights, Sanken-Hatz scholarships, in-kind donations and sponsorships to area community groups.
Community-building activities – $44,000Support to the Glencoe Chamber of Commerce, McLeod County Food Drive Challenge and community disease surveillance, reporting and preparedness.
Student shadowing and internships Our staff also dedicated more than 9,000 hours to provide on-the-job training to 72 students from seven high schools and 22 different regional medical and technical schools.
We’re proud to make these contributions of time, talent and treasure for the health of the community. Please contact me if you have any questions or comments.
Financial assistance availableGRHS provides medically necessary hospital and emergency room care regardless of a patient’s ability to pay. We provide this care at a reduced rate to patients who have exhausted all forms of insurance coverage and meet defined eligibility requirements. For details and a downloadable application, visit grhsonline.org/insurance-billing. You may also contact our billing department at 320-864-7101 or toll-free 1-888-526-4242, ext. 7101.
County Fair
❷ Summer 2016 Glencoe Regional Health Services grhsonline.org
Health Talk
Publisher:Glencoe Regional Health Services
1805 Hennepin Avenue NorthGlencoe, MN 55336
Managing Editor:Nancy Ellefson
Editorial Advisory Board:John Bergseng, DO
Jon BrabandJohn DoidgeJill Hatlestad
Patty HendersonLaura KuvaasJulie Schmidt
Your ideas and opinions are important to us. Contact Nancy Ellefson at 320-864-7798 or
[email protected] with suggestions or comments.
continued from page 1
As a physical therapist, Clark Christianson’s areas of special training and focus are headaches, back pain and neck pain.
Orchard Estates opened in 1991. It’s located at 1900 Ford Ave. N. in Glencoe.
Orchard Estates – a senior living community at Glencoe Regional Health Services (GRHS) – is home to a tight-knit group of tenants, who are all age 55 “and better.” They are able to live independently but enjoy having extra support.
Staying connected
One of them is 97-year-old Marie Hebeisen. A vibrant and active tenant for the last 13 years, Marie participates in Orchard Estates activities like tai chi classes. She only uses a walker when she heads to clinic appointments using the indoor walkway that connects Orchard Estates to the GRHS hospital, clinic and Long Term Care center.
Marie cooks and bakes in her comfortable two-bedroom apartment, often wearing a treasured, flowered apron that her own mother wore decades before. She recently brought it to a building get-together where tenants shared their aprons and memories.
Independence – and free coffee
Bob Hoppie, 85, also cooks meals in his apartment, often finding recipes on the internet. He loves the freedom of not having to mow the lawn, shovel snow or make repairs. “If I report a clogged sink in the morning, it’s fixed by noon,” he says. But the best part is being able to come and go without worries, including his annual six-week vacation in Florida.
Bob enjoys special events at Orchard Estates, like when a naturalist brought fox kits and a birthday party where tenants learned to yodel. Each May, his daughter, a piano teacher, brings her students to
perform. Yet one of Bob’s favorite activities is simply enjoying conversation and a cup (or more) of coffee, available free to tenants. “They lose money on me,” he says.
New friends become like family
Jan Byrd also likes the coffee and sense of community at Orchard Estates. “You can get a cup, sit in a chair and before long someone else will be there,” she says with
a laugh. Jan enjoys not having to do much cleaning. “They vacuum for us, and clean the kitchen and bathroom floors.”
At 69, Jan Byrd is one of the youngsters. “I was living alone and wanted to be with other people. Here you can be social as much or as little as you like.” She volunteers in the hospital gift shop and in Long Term Care, and assists a 99-year-old tenant at
bingo. She sometimes drives other tenants to the stores, but Coborn’s also delivers groceries to Orchard Estates tenants at no extra charge two days a week. “People are always kind here,” she says, “and we look after each other. It’s a family.”
For more information, call Orchard Estates manager Nancy Ellefson at 320-864-7798 or visit orchard-estates.org.
Back in the game
Today, Zoe’s future looks as bright and busy as ever. She’ll start her junior year this fall. She’ll have to sit out the soccer season, but plans to compete on the GSL speech team and may join the mock trial team to explore her interest in a criminal justice career.
Zoe expects to be back in the dance studio in January 2017 and to compete on the track team next spring. She’ll skip this
winter’s basketball season to reduce her risk of injury. At the very top of Zoe’s sports wish list is to rejoin the GSL girl’s soccer team for her senior season in fall 2017. She hopes to go to college with an athletic scholarship.
“After my first injury, I thought my life was over, that I’d never be able to play sports again,” Zoe says. “But you can’t ever give up. It gets better. Keep pushing through.”
Christianson leads GRHS rehab team
Convenience, community and coffee
Orchard Estates turns 25
Clark Christianson, PT, ScD, COMT, is a physical therapist who feels your pain. Really. Last December, he underwent surgery to repair a medial collateral ligament in his knee – for the second time. “I feel better than ever today,” he says, crediting both the surgery and physical therapy that followed.
Clark spends 60 percent of his time helping patients like himself and Zoe Christensen recover after injuries and other medical events. The goals of physical therapy are to reduce pain, restore movement and function, and prevent future disability.
The other 40 percent of Clark’s time is spent as GRHS’ director of rehabilitation services. He leads a team of physical, occupational and speech therapists, and two cardiac rehabilitation nurses. “They are very positive people who are focused on continuously improving their clinical skills. They make it fun for me to come to work every day,” Clark says.
Focus on youth and sports
Clark is an avid sports participant, but when you see him on a court or field today, he might be cheering for or coaching his kids’ teams. He and his wife have a daughter entering fifth grade and a son entering eighth grade. Clark coaches both children’s basketball teams and his son’s baseball team. Clark also serves on the Glencoe-Silver Lake school board, which he has chaired the past eight years.
“I enjoy living and working in a rural setting,” adds Clark, a native of Waseca, Minn. “I have a four-minute commute and I get to work for an organization that’s all about providing convenient, local health care that touches people’s lives.”
Come see us at the fair!
GRHS will be at the McLeod County Fair, Aug. 17-21. Find us in the commercial building at the fairgrounds in Hutchinson.
Listen to Health Update
Sponsored by GRHS Airing on KDUZ-AM 1260 Second Tuesday of the month 2:35 pm
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Get connected with MyChart
Want to receive test results and schedule appointments online? You can, with MyChart.
Ask the receptionist or nurse to help you sign up at your next GRHS clinic appointment or hospital visit. You also may visit grhsonline.org/mychart to download a sign-up form.
For assistance, call MyChart Services toll free at 1-855-551-6555 from 8 am to 8 pm, Monday through Friday.
My Chart
Health News
grhsonline.org Glencoe Regional Health Services Summer 2016 ❸
TouchingNora Burkart, MD, grew up in Lima, Peru, a city of more than
8 million people that overlooks the Pacific Ocean. Most days
there are sunny, warm and dry. Today, she makes her home
in Prior Lake, Minnesota, where she contends with all four
seasons. “I love living here, and I even love the weather,”
Dr. Burkart says.
Wide-ranging practiceAnother contrast with Lima is Dr. Burkart’s traffic-free
commute to her new job at GRHS, where she performs
surgeries and consults with patients four days a week. She
also sees patients at Sibley Medical Center in Arlington on
Wednesday mornings.
Many of the procedures she performs are abdominal
surgeries, such as repairing a hernia or removing an
appendix, gall bladder or bowel obstruction. She also
performs colonoscopies and breast biopsies, and
provides surgical treatment for benign diseases
and cancer of the breast, thyroid, colon and skin.
“I wouldn’t have been able to experience quite as much
variety had I chosen to work at a larger hospital,” she says.
Advocate for health and communityDr. Burkart is a native Spanish speaker but is also fluent in
English, Portuguese and French. She makes regular trips
to Peru to perform free surgeries for children in need. “I’ve
always had a passion for helping people,” she says.
Dr. Burkart is an avid runner and works out at a gym
most days. Visit grhsonline.org/burkart to view videos
about Dr. Burkart in both English and Spanish.
Nora Burkart, MD
General surgeon finds new home at GRHS
Celebrate with us! Together with our current Orchard Estates tenants, we’re throwing open
the doors for a 25th anniversary party! Join us for a pleasant afternoon of
tours, friendly chitchat, live harp music, cake and, of course, coffee.
The entire community is welcome.
2 – 4 pm • Wednesday, August 10 1900 Ford Ave. N., Glencoe
Orchard Estates manager Nancy Ellefson.
At Orchard Estates, the coffee’s always on.
Turn the page for a peek at our new rehabilitation space
Re-setting the game clock
Zoe’s knee recovered beautifully after five months of rehabilitation and she resumed an active sports life with her sophomore basketball and dance seasons. But during a sectional basketball game in March 2016, Zoe twisted her knee while evading another player on a breakaway. She immediately knew she had torn the same ACL.
A piece of Zoe’s own patellar tendon was used in her first ACL reconstruction, but that wasn’t an option this year. Reconstructing an ACL for a second time is a different procedure called a revision ACL reconstruction. “It uses a donor ligament that needs extra time to develop a blood and nerve supply, which means a longer recovery,” says Brian Walters, MD, an orthopedic surgeon at GRHS who is fellowship-trained in sports medicine.
After surgery in April, Zoe used crutches for two weeks and then began her second round of rehab with Clark. It involves the same exercises as prescribed after her first surgery, but she won’t start running until five to six months post-surgery, compared with four after the first reconstruction.
Physical therapist Clark Christianson, PT, ScD, COMT, guides Zoe Christensen through exercises to strengthen her knee, increase range of motion and improve her ability to run and jump on her surgically repaired knee.
Understanding DiabetesDr. Christa Waymire, Family Medicine Monday, September 19, 7 – 8 pm GRHS conference rooms
Parenting for SuccessDr. Alexandria Kalina, Pediatrics Thursday, October 27, 6:30 – 7:30 pm GRHS conference rooms
Please use the dome entrance at 1805 Hennepin Ave N., Glencoe. There is no charge to attend, but we ask that you reserve a seat online at grhsonline.org/health-talks or by calling 320-864-7810 or 1-888-526-4242, ext. 7810.
In support of our community’s healthFoundation News
Family Medicine Kristen Budahn, MD William Hammes, MD Tyler Helland, MD * Kristine Knudten, MD * Amanda Leino, MD Laura Olson, MD Bryan Petersen, MD * Douglas Wagoner, MD Christa Waymire, MD * Kari Knodel Vettel, MPAS, PA-C Sheryl Bartholow, FNP-BC Michelle Quale, CNM, FNP-BC
Emergency Medicine Liban Hired, MD James Jessen, MD Mitch Palmer, MD
General Surgery John Bergseng, DO, FACOS Nora Burkart, MD Chad Robbins, DO, FACOS
Hematology/Oncology To schedule an appointment, please call 320-864-7080 or 1-888-526-4242, ext. 7080 Birendra Kumar, MD
Internal Medicine Bryan Fritsch, DO * Shoeb Mohammed, MD *
Long Term Care Michele Schuberg, CNP *
Midwifery Laurel McKeever, MSN, CNM Michelle Quale, CNM, FNP-BC
OB/GYN Ashley Hieronimus, MD John Mark Johnson, DO, FACOOG
Orthopedics To schedule an appointment, please call 320-864-7080 or 1-888-526-4242, ext. 7080 Brian Walters, MD Terese Haasken, MPAS, PA-C
Pediatrics Alexandria Kalina, MD, FAAP
Podiatry Amie Scantlin, DPM, MS, FACFAS
Urology To schedule an appointment, please call 320-864-7080 or 1-888-526-4242, ext. 7080 John Heller, MD
continued on page 2
A word from the presidentJon Braband
Shivering in the chilly air during a March 2015 soccer scrimmage, goalie Zoe Christensen asked the coach if she could get out of the goal box and play forward long enough to warm up. Five minutes later, Zoe was slide-tackled by another player and felt a snap in her left knee. “I knew right away that something was seriously wrong,” she says.
After follow-up care by her Glencoe Regional Health Services (GRHS) primary care provider, a magnetic resonance imaging (MRI) scan showed a torn anterior cruciate ligament (ACL) in Zoe’s knee. The treatment was ACL reconstruction surgery followed by physical therapy.
Zoe chose Clark Christianson, PT, ScD, COMT, at GRHS to be her therapist. “Two of my friends had the same injury and they said, ‘Go to Clark!’”
Sports is life
Zoe was anxious to recover so she could get back to athletics. After all, she has participated in one or more sports continuously since first grade. Zoe has danced, played softball, soccer and basketball, and participated in track and field. It’s no exaggeration to say she’s a talented athlete. She medaled in shot put at the state high school track meet with her injured knee.
Yet soccer remains her passion. “That’s how people recognize me,” she says. “They say, ‘There’s the goalie.’ I would quit every other sport if I could just play soccer.”
Rehab: physical + mental
Rehabilitation is vital after any orthopedic surgery, but it is especially important for athletes. “It helps them regain range of motion, strength and the ability to run and jump again,” Clark says.
Clark emphasized ways to make Zoe’s rehabilitation exercises fun. He also taught her techniques to prevent future injuries. For example, Clark showed Zoe the safest way to land a jump in basketball, with her feet apart and knees over her toes. And he helped her with the emotional aspects of coming back after an injury.
“It’s easy for injured athletes to feel sorry for themselves, so I talk about keeping things in perspective,” he says. Clark knows many of the local coaches and promotes ways for players to be part of their team during recovery, such as serving as a coaches’ assistant or helping with drills.
Zoe found her motivation while doing her exercises at home. After the state track meet, she started getting letters from colleges, which she hung on her bedroom wall. “I’d sit on my floor doing exercises and I’d think, ‘I can’t be lazy if I want to play sports in college.’”
Athlete rebounds from second knee injury
Zoe tends her goal
Inside this issue of Touching Lives, you can check out the new facilities for rehabilitation services and
advanced wound care that we recently opened on our Glencoe campus – no diagnosis required. Both departments provide treatments that require patients to come in for regular appointments over long periods of time, so we’re glad to welcome them to comfortable new spaces. The amount of dust, noise and re-routing of street and hallway traffic involved in both construction projects was not insignificant, so I’d like to thank our patients and community neighbors for tolerating those temporary inconveniences with us.
With our rehabilitation therapists now occupying the new third floor of the hospital, we have made plans to use the first-floor space they left behind to improve and expand our surgical specialties, emergency room and urgent care center. This endeavor will again result in some dust, noise and re-routing of traffic, but the new facilities will be worth the hassle.
We’re looking forward to having two new providers join us in the coming months. Ashley Hieronimus, MD, an obstetrics and gynecology physician, will begin her full-time practice here in late August. Kristen Budahn, MD, a family medicine physician who speaks English and Spanish, will see patients full-time starting in late September.
Watch our website and Facebook page for details as we welcome these new providers and strap on our tool belts for another round of construction.
Summer 2016
Zoe Christensen continues physical
therapy for a knee injury so she can return to the GSL High School soccer
team for her senior season in 2017.
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Appointment scheduling To make an appointment with your GRHS provider at any of our clinics, please call 320-864-7816 or toll free 1-800-869-3116 between 7 am and 5:30 pm Monday through Friday.
To make an appointment for physical, occupational or speech therapy, please call 320-864-7070 or toll free 1-888-526-4242, ext. 7070, between 7 am and 5 pm Monday through Friday.
To make an appointment with selected staff and consulting specialists, or to schedule medical imaging or other outpatient tests, please call 320-864-7080 or toll free 1-888-526-4242, ext. 7080, between 8 am and 5:15 pm Monday through Friday, unless otherwise noted in the outpatient clinic staff listing at right.
To talk with a doctor or nurse, or if you have general questions, please call 320-864-3121 or toll free 1-888-526-4242.
Important phone numbersHospital
Main Switchboard .............................864-3121
Anticoagulation Clinic ..................... 864-7980
Diabetes Education .......................... 864-7710
Human Resources ............................ 864-7812
Rehabilitation Services .................... 864-7070
Specialty Scheduler .......................... 864-7080
Social Services ................................. 864-7860
Volunteer Coordinator ......................864-7703
Clinics
Appointment Scheduler ................... 864-7816
Senior Services
Long Term Care................................ 864-7790
Social Services ..................................864-7720
Orchard Estates ................................864-7798
Three convenient locations
Glencoe Campus 1805 Hennepin Avenue North
Lester Prairie Clinic 1024 Central Avenue
Stewart Clinic 300 Bowman Street
Outpatient consulting staff
❹ Summer 2016 Glencoe Regional Health Services grhsonline.org
AudiologyKurt Pfaff, AuD, every other Tuesday
CardiologyMinneapolis Heart Institute, three Fridays per month
Low Back and Neck CareTo schedule an appointment with Dr. Stulc at GRHS, please call 1-800-669-2513Steve Stulc, DO, one Wednesday per month
NephrologyRajeev Kaul, MD, one Monday per month Richard Moore, MD, one Monday per month
NeurologySarah Benish, MD, twice per month
Otolaryngology (ENT)Bradley Johnson, DO, Tuesdays
PulmonologyTo schedule an appointment with Dr. Larson at GRHS, please call 952-442-2191, ext. 5420Barrett Larson II, MD, once per month
Visit our hospital gift shopOpen 8:30 am to 4:30 pm, Mon – Fri Staffed by volunteers
Give a cheery gift to a hospital patient, Long Term Care resident, Orchard Estates tenant or even yourself. We’re fully stocked with cards, sweet treats and other day-brighteners!
GRHS medical staff
* These providers also serve as hospitalists.
“I love to be challenged,” says new GSL grad Layne Herrmann, 17, of Brownton. She’s headed to the University of Minnesota, Morris, this fall on her way to becoming a family medicine physician. We’re proud to support her with a scholarship.
Congrats to our 2016 class of Sanken-Hatz scholars!
GRADUATING SENIORSBuffalo Lake-Hector-Stewart High School Kiana Johnson Mariah Paulson
Central High School (NYA)Alexis Eggers
Glencoe-Silver Lake High SchoolPaige AndersonLayne HerrmannMadison KalenbergMoriah MaunuErika MielkeEmily MuetzelTaylor NovakTheodore PetersenStephanie Welch
Howard Lake-Waverly-Winsted High SchoolZechariah Riemer
Hutchinson High SchoolSamantha GoodEllyssa HoverstenQuin McCormick
Lester Prairie High School Kaitlin McBeeAbbigayle SchultzKendra Ziermann
Sibley East High SchoolAlyssa Weber
POST-SECONDARY STUDENTSFairfaxStephanie Palmer
GlencoeJennifer IllgSamantha IversonBrooke KosekChristoper LemkeHannah LemkeAbbie NistlerSadie PaumenKyle PolzinEmily Popelka
Green IsleMegan MillerSarah Shimota
HamburgKelly Beneke
Howard LakeGabrielle Gruenhagen
HutchinsonKayla AanderudMichelle BlakeSomers GrackKelsey KramerJenna Nagy
Lester PrairiePeyton Thiry
Norwood Young AmericaChinwenwa Iheme
Silver LakePatrick Fehrenbach
StewartMiranda Sweely
GRADUATE STUDENTSArlingtonErin KarlAndrew Thies
BrowntonMorgan Sanken
Buffalo LakeEthan Ryberg
HutchinsonMitchell MessnerNicole Rickeman
Lester PrairieJennifer Vasko
Silver LakeBeth Jerabek
StewartKatie Schaufler
WinthropLucas Seehafer
The Glencoe Regional Health Services Foundation recently awarded Sanken-Hatz scholarships to 53 deserving applicants who are studying for health care careers.
For more information, visit grhsonline.org/scholarships.