Latest Updates https://www.marshfieldclinic.org/covid-19-employee-information#goodnews Research Institute part of program recognized nationally for clinical trial accruals A partnership between Marshfield Clinic Health System, Gundersen Health System and ThedaCare enrolled more than 630 patients from August 2019 to July 2020 in National Cancer Institute-sponsored oncology clinical trials. This made the Research Institute one of two sites to receive two national awards by the NCI for exceptional enrollment. Cancer Care and Research Center at Marshfield Clinic Research Institute partners with Gundersen Health System and ThedaCare to form the Wisconsin National Community Oncology Research Program (WiNCORP), which is a NCI-supported network that brings cancer prevention clinical trials and cancer care delivery research to people in their communities. Only four NCORPS received national NCI certificates of excellence for either Exceptional Achievement in Patient Enrollments or Exceptional Achievement in Clinician Enrollments. WiNCORP was one of two programs honored to receive both. “Clinical trials are an important tool in treating patients when their cancer defies conventional treatments. Successful clinical trials also potentially create hope and better survivorship odds for future cancer patients," said Adedayo Onitilo, M.D., Ph.D., principle investigator for WiNCORP and Cancer Care and Research medical director. “Our collective research efforts were once again recognized at a national level. I am very proud that this is no longer the exception and rather a tradition and legacy for us." This is the third year in a row that WiNCORP has received awards for oncology clinical trial enrollments. Marshfield Clinic Health System participates in many clinical trials in different specialties, including more than 120 oncology clinical trials actively enrolling adult and pediatric patients. “It is important to recognize that these awards represent more than individual efforts - they represent our team as a whole and demonstrate what can be attained when we work together. None of this would be possible without the support from Health System leadership, adult and pediatric Oncology service lines, Pathology, Radiology, Pharmacy and the countless other departments that directly and indirectly support the Wisconsin NCORP clinical trial program," said Daniel Wall, research administrator for Cancer Care and Research Center. As a member of WiNCORP, the Health System and its partners provide access to NCI- sponsored clinical trials to over 680,000 community members within its collective, largely rural, service area spanning most of Wisconsin, upper Michigan and adjacent counties in northern and southeastern . WiNCORP has accrued thousands of individuals for clinical trials during the program's more than 30-year history. WiNCORP was awarded a 6-year, $15.6 million National Institutes of Health grant last year to continue providing access to clinical trials.

At home or on mobile: Kronos works both ways Kronos Timekeeping and Advanced Scheduling is the Health System tool used to create schedules, track time and administer attendance. Employees can now access at home or on mobile devices. Mobile app Kronos Mobile app, available on Android and Apple mobile devices, provides managers and employees secure, mobile access to Kronos applications. Mobile features allow:

 Employees to view timecards and schedules, request open shifts and request ship swaps.  Managers and timekeepers to review, edit and approve timecards and manage scheduling requests.

The app also is available in WorkSpace One Mobile Device Manager. You can download the Kronos Mobile app and follow directions on the Kronos Mobile App (Android) or Kronos Mobile App (iPhone) Reference Guide. Home access Along with you mobile device, you can access Kronos from a personal computer if needed. When doing so, please be sure to refer to the Health System's guidelines regarding timekeeping in the Employee Handbook. To begin, visit the Kronos website and follow the directions provided in the Kronos Home User Guide. Need help? For access to the applications, place a Helpline ticket through the Self-Service HelpDesk or call Helpline at 715-389-3456 or ext. 9-3456.

Health System no longer launders cloth masks Cloth masks will no longer be laundered at all Marshfield Clinic Health System facilities. This decision comes in response to Bay Towel no longer washing our cloth masks. To standardize the process, the Health System discontinued laundering cloth masks at sites utilizing Bay Towel and sites with on-site laundry. Going forward, patients should be encouraged to take the cloth masks home. With the state mask mandate and our appointment reminder information related to masking, we expect most patients to present to our facilities with a mask. For patients presenting without a mask, point of entry screeners and ambassadors should still utilize any remaining laundered cloth masks. Once cloth masks run out, please provide facemasks to patients and visitors. Screeners and ambassadors have been informed of the update. However, signage may need to be updated in your facility. Sign and mask containers should be removed, as well as any handouts that refer to clean cloth masks for patients.

Marshfield Clinic Health System in the news … August Health System providers, staff and researchers appeared in more than 300 digital stories in newspapers, radio and television during August. Here are some examples of where we received media attention. JARRARD – Rural Health, Telehealth and the New Normalcy: An Executive Check Up with Dr. Susan Turney “This moment is a paradigm shift in healthcare where we're realizing that delivering care within the flow and fabric of a patient's everyday life is the future. We can't rely on an office visit every four months to manage folks with chronic diseases. They are better served with frequent touchpoints with their care team to ask questions, get information and advice and actively manage their condition." – Dr. Susan Turney, CEO WAOW Ch. 9 – Marshfield Clinic opens new home for traveling patients “Many of our cancer patients travel hours to come to Marshfield Clinic for our care coming from Minocqua and Rice Lake in the Upper Peninsula of Michigan we need to have a boy so we need to have a place for them to stay." –Teri Wilczek, Marshfield Clinic Health system Foundation Chief Philanthropy Officer. STAT – Novavax's Covid-19 vaccine shows promising immune response, early data show “It's a small number of people in each arm, and the study wasn't designed to demonstrate efficacy, which are the standard caveats for a Phase 1 trial. Having said that, it looks very promising — at least as promising if not more so than the other vaccines we've looked at." – Edward Belongia, M.D., epidemiologist and vaccine researcher at the Marshfield Clinic Research Institute Wisconsin State Journal – 75 in Wisconsin died from farm activities in 2017-18, new report says (and 9 other newspapers/media sites) “As we looked at available data, we learned of a large number of suicide cases. But suicides often require deeper investigation beyond the scope of the project." – Bryan Weichelt, associate research scientist with the National Farm Medicine Center and project leader for AgInjuryNews.org. WSAW Ch. 7 – Marshfield Clinic offers health tips for parents and students “I think it is important for parents to kind of listen to their children, listen to their children's anxieties, and try to address the questions or concerns they might have." – Pediatrician and Pediatric Service Line Medical Director Dr. Edna DeVries WAOW Ch. 9 – What is Post-COVID Syndrome? “Some patients still have decrease in their heart function, still have abnormalities in their pericardium which is the covering of the heart and other abnormal findings." – Dr. Shereif Rezkalla, interventional cardiologist Eau Claire Leader-Telegram – Local doctors: Kids will need more mental health supports this fall “On one side, kids are actually doing much better. They're able to focus on one-on-one time with parents, away from social or school stressors. Then on the other hand, we're seeing a large increase in kids with depression and anxieties, either about the virus or about their lack of social constructs." – Dr. Alison Jones WSAW Ch. 7 (Buddy Check 7): WSAW's Holly Chilsen undergoes first mammogram “Who had it, at what age they had [it], if they ever tested for those genetic mutations, how many of them had it, what age they had it. They all matter," – Dr. Demet Yasar, oncologist WEAU Ch. 13 (Buddy Check 13) – Prostate cancer patient speaks out about experience “We usually recommend that we start this at the age of 50 for average risk individuals, who for instance don't have family history of it. It's a simple blood test that can be done. So a lot of times, men don't notice anything different because they're getting their other blood work done for their annual physical." – Lacey Raiche, nurse practitioner WAOW Ch. 9 – August is Children's Eye Health and Safety month, local health experts weigh in “If a teacher is telling a parent that they are noticing the child is squinting or wanting to move closer to the board that certainly is a sign that they may indeed have Myopia. Oftentimes eye diseases and things like Myopia do not necessarily have symptoms." – Dr. Jill Dillon, optometrist

Health System featured in publication on oral-medical care integration Marshfield Clinic Health System was featured in a five-part publication that made the case for integrating oral and primary medical health care delivery. The article was published in the Journal of Dental Education and written by Dr. Monty MacNeil, chair of the American Dental Education Association Board of Directors from 2018-2019 and the prior dean of the School of Dentistry at University of Connecticut. The Health System was one of three health systems featured in the publication, the others being HealthPartners and Kaiser Permanente. Health System representatives that answered questions in the article included Megan M. Ryan, D.M.D., and Greg Nycz of Family Health Center of Marshfield, Inc., and Amit Acharya, B.D.S., M.S., Ph.D., and Ingrid Glurich, Ph.D., of Marshfield Clinic Research Institute. The Health System's integrated oral and primary medical health care delivery model had its origins in the decade leading up to 2000 when the Health System recognized a growing access issue for dental care for specific populations of patients in the region. In 2002, Family Health Center of Marshfield opened its first clinic and began providing dental services to underserved populations in northern and central Wisconsin. “Too many patients had no other option but to seek costly and less-than-ideal care in urgent care clinics and hospital emergency departments," said the Health System representatives in the publication. Today, Family Health Center has 10 dental centers throughout the Health System service area. Integration fueled by technology The integration of oral and primary medical health care delivery was supported by the integration of medical and dental electronic health records to create the Cattails iEHR currently used by the Health System, and has benefited patients, providers and the research community at the Health System. “Our iEHR is accessible across the Health System's network in real time and has proven essential in integrating the care of the approximately 85% of Family Health Center dental patients who also seek care at the Health System," said the Health System representative in the publication. Through this integration, the Health System was able to respond more cohesively to reducing the opioid epidemic, create a program where pediatric patients receive varnish placement in both our dental and medical settings and create a coordinated screening program for hypertension and dysglycemia. By using the integrated electronic health record, scientists at the Center for Oral and Systemic Health at the Research Institute also have been able to conduct novel research on how oral health impacts the overall health of a person. “Perhaps the most important point made by our dentists is that they believe that their grassroots efforts at dental care delivery and resulting positive outcomes contribute to improve the overall health of the patients they serve in an integrated manner," said the Health System representatives after polling Family Health Center dentists. “A significant component of the integrated care delivery model is the close relationships developed within the dental/medical teams, which then lead to better communication between providers and patients about important topics such as the connection between oral and whole-body health, the benefits of the holistic care approach, and the goal of more timely and coordinated treatment."

Become a CNA through Mid-State Take the first step to becoming a nursing assistant with the nursing course offered through Mid-State Technical College and Marshfield Clinic Health System. Certified nursing assistants (CNAs) work under the supervision of a nurse and assist with the most basic personal needs of patients, helping them maintain dignity and endure a difficult time in their lives. This includes feeding, bathing, dressing, grooming and transporting patients. CNAs also examine patients for bruises and other wounds, take vital signs and answer patient calls. After successful completion of the 120-hour nursing assistant course, students will be able to take the Wisconsin Nurse Aide Certification Exam. Certification is required for employment at any federally funded health care agency. Applicants who successfully complete this course will earn a nursing assistant technical diploma. This course is open to all employees of the Health System. Fill out your registration form here. Physician's legacy: Two education awards to be named after Dr. Mark Hennick Each yearthe Internal Medicine Residency program at Marshfield Clinic Health System chooses one intern and one resident to receive Intern of the Year and Resident of the Year awards, based on their performance with various metrics as a guide. Beginning in 2021, those chosen for these honors will carry with them the legacy of a Marshfield Clinic physician who loved his practice but may have loved teaching residents even more. Recipients will receive awards to be named after the late Mark R. Hennick, M.D., and through them will honor the legacy of an outstanding long-time physician, teacher and mentor. Retired Hospitalist Dr. Hennick, 60, of Marshfield passed away Aug. 7. View his in memoriam article here. Ateeq Rehman, M.D., Internal Medicine Residency Program director, is extremely pleased to have his colleague honored in this way. “I personally knew Dr. Hennick ever since I interviewed for the position of hospitalist physician for Marshfield Clinic," said Dr. Rehman. Dr. Hennick, he said, was a caring colleague and a mentor. “He was very academic, very good at teaching residents and a role model for residents." These academic awards have been given for many years. Like the Dr. George Magnin Teacher of the Year Award, the awards named after Dr. Hennick will be an honor for those who will receive them. A colleague and residency faculty member suggested the awards be named in Dr. Hennick's honor “because of his excellent contributions to resident teaching," Dr. Rehman said. All faculty members agreed, and Dr. Matthew Jansen, director, Division of Education, established the awards. Dr. Hennick was a true “Clinical Coach" for his residents, Dr. Rehman said. “He did not believe in just the role of a teaching instructor," he said. “He would monitor residents' performance as physicians and coach at every step of resident education and clinical care. He directly observed them delivering clinical care and provided constant feedback to them." Dr. Hennick also was known to provide the most detailed account of resident evaluations with the single goal of improvement in their performance. No matter how busy he was, he always made himself available to residents, he said. The awards will be given during residents' graduation events, typically held in June. Honoring important moments: Making a patient's wedding wish come true Every day nurses, providers and staff make an incredible impact in their patients' lives. Last weekend, staff at Marshfield Medical Center helped one patient's wedding wishes come true. A patient on 8 North oncology unit didn't know when they would be discharged, and so asked if they could marry their long-time finance while in the hospital. Palliative social worker Ruth Wagner worked on the marriage license and scheduled hospital chaplain Randy Van de Loo for the service. Staff worked with Lori Zimmerman from Food and Nutrition Services to plan refreshments for the small celebration. Knowing that the patient couldn't eat much, staff asked the patient what they would like and received permission from the patient's physicians. On the menu was a root beer float for the patient and cake and sparkling cider for the family. The 8 North staff worked together to create a wedding atmosphere to surprise the patient. The staff pitched in money to buy decorations and gave their personal time to decorate. Night shift staff came in on their own time and day shift staff helped between their regular duties to transform a hospital room for the wedding while the patient was at a procedure. With current visitor restrictions, the patient's immediate family was allowed to visit as they had been with the patient prior to admission. They were allowed to come for a few hours the day of the service, wore masks and were screened prior to entry to the unit. The family did not leave the patient's room until they were ready to leave for the day. “We all felt the importance of this moment," said Karolyn Naedler, B.S.N., R.N., oncology/hematology nurse manager. “As oncology nurses, we see lots of patients make hard decisions in how they want to live the end of their life, and we do what we can to help."

Dr. Lundquist retires after more than 30 years Many memories are made in a career that spans 34 years. “My memory is awash with patients, cases, tremendous successes as well as sad outcomes and some mistakes," said Thomas Lundquist, M.D., at Marshfield Medical Center-Rice Lake. “I guess I recall most intensely the feeling of responsibility and loneliness of being responsible for nights in the hospital covering the ED, hospitalized patients and OB years ago. I felt grateful for my partners who would help at the drop of a hat, and who, I knew, took their turns doing the same thing. I learned from and respected all my partners." Dr. Lundquist first came to Rice Lake to join Indianhead Medical Group in 1986 (before IMG integrated with Marshfield Clinic in 1991). He and wife, Tammy, immediately appreciated the great doctors in the practice and the opportunity to live and raise a family in a beautiful place. Dr. Lundquist has been a career clinician in family medicine. Like many of his partners, he's worked in the clinic and emergency department, has delivered babies, taken care of all ages in the hospital and rounded in nursing homes. He has been a nursing home medical director, a hospital medical staff president and department chair. In 1999, he was certified in sports medicine and for more than 20 years, worked with school district nurses, developing protocols for concussion management and other sports medicine topics and volunteering for game coverage. “Of course, we now have a full staff of excellent hospitalists and ED docs in Rice Lake, so family docs no longer have to do it all," Dr. Lundquist said. “Technology, from the EHR we share, to incredible advanced radiology imaging services, has revolutionized the way we practice medicine." Dr. Lundquist says he will miss the sense of purpose in caring for people, and the teamwork with colleagues and staff as he heads into retirement. He will miss the challenge of arriving at a diagnosis and treatment plan for his patients, and teaching students to do the same. “I'll miss the closeness I've developed with many, many long-time patients who trusted me enough to return year after year," he said. “In some cases, I've cared for four generations in a family. What a privilege it has been." Dr. Lundquist is however looking forward to “taking off the mantle of responsibility and slowing down the pace a bit" in retirement, spending more quality time with his wife and doing more for his four adult children and their families in St. Paul and Madison. He hopes to enjoy the outdoors, read more, travel and become a better woodworker. He'd also like to keep playing his trumpet and maybe even take up another instrument. When asked if he had any parting words, Dr. Lundquist continued to show gratitude to his patients, co-workers and the Health System, as well as friends and family who encouraged him along the way. “A big thanks must go to the staff members I most closely worked with – my hard working, thoroughly reliable, and incredibly efficient medical assistant Crystal Holup, longtime and recently retired nurse Pam Rau, and most recent department nurse Tammy Saldana. These women and many other staff members I have not named are the face and heart of the clinic and the people most responsible for allowing me to see patients efficiently. To them I say, thank you." Dr. Lundquist said he is also thankful for the people who built Marshfield Clinic, and those who had the foresight to develop the retirement plan. “I'd like to thank my patients for the privilege of being their doctor for the past 34 years," he said. “Through their health challenges and their aging, they taught me many life lessons." In addition, Dr. Lundquist has so much gratitude for his parents, teachers, friends, colleagues, and mostly for his wife Tammy. “All of whom encouraged me along the way and made it possible for me to have a grand adventure in medicine," he said. “My wife has consistently been the one person with whom I could honestly share my anxieties and fears, my great and small successes, my occasional sense of failure, my hopes. Every doctor needs a person like that." A retirement tea in honor of Dr. Lundquist will be held from 11:30 a.m. - 1 p.m., Sept. 30 in the Family Practice first floor breakroom. Capacity is limited due to COVID-19, so just stop by for a short time.

In memoriam: Dr. Sheng Chang Sheng-hsiung (“Sam") Chang, M.D., 80, of Marshfield, passed away Aug. 30, at Marshfield Medical Center in Marshfield, with his loving family by his side. Dr. Chang was born Oct. 20, 1939 in Tung-shih, Taiwan, to Sung-chin and Yueh-kuei (nee Liu) Chang, the third of seven children. He studied medicine at Kaohsiung Medical College, earning his medical degree in 1965. In 1967, he immigrated to the for an internship in Grand Rapids, Michigan. He finished his residency in clinical and anatomical pathology at KU Medical Center, Kansas City, Kansas, in 1972. He practiced pathology at Kansas City General Hospital until 1975, when he moved to Marshfield. He practiced at Marshfield Clinic Health System for 31 years, specializing in hematopathology. He was hardworking, conscientious, and dedicated to his work. He retired in 2006. Photography was Dr. Chang's lifelong passion. He traveled the world with his camera in tow, yet also appreciated and captured the beauty of the flowers in his own backyard. It was tradition for Dr. Chang to hold a photo shoot whenever his family would gather for the holidays. He spent his retirement carefully tending to his photographs, leaving them thoughtfully organized, catalogued, and preserved for his loved ones to enjoy. In his final years, Dr. Chang applied his characteristic diligence to the study of something entirely new - square dancing. He and his wife, Kathy, were active members of the Marshfield Hoedowners for seven years. They enjoyed the fun, friendship and camaraderie that they experienced with their fellow dancers every week. Dr. Chang is survived by his loving wife of 48 years, Fang-yuh “Kathy" Chang (nee Hsieh), who appreciates the structure, acceptance and deeply felt love that he brought into her life. Dr. Chang will be missed by his children, Robert, Melody (Matt) Eatherton, and Kenneth (Sarah); and by his grandchildren, Lily, Henry, Sam, and Alex. Dr. Chang is also survived by beloved siblings in Taiwan and Canada. In the spring of 2019, Dr. Chang suffered a heart attack while exercising at the YMCA. He was resuscitated by his angels, Molly, Dustin, Joe and Dwayne. He was very grateful to the doctors and nurses of the Surgical and Medical ICU and the staff of the Rehabilitation Unit for giving him a second chance at life. He considered the additional seventeen months to be a profound gift and recognized the beauty of life each and every day. Dr. Chang's family would like to thank the doctors, nurses and staff of the Surgical ICU and Palliative Care Unit at Marshfield Medical Center for the compassionate care they provided in his final days. Dr. John Cordova and nurse practitioner Kris Gilkerson were steadfast in their support. Private services will be held. Condolences may be sent online to www.rembsfh.com.

In memoriam: Dr. Dale Larson Retired Marshfield Clinic Gynecologic Oncologist Dale M. Larson, M.D., has passed away. Dr. Larson, 65, went missing Aug. 28 in the town of Rome in southern Wood County. An avid bicyclist, he left his family's lake house on his bike that afternoon and didn't return. After extensive searching, he was found Sunday, Sept. 6, by a creek in a heavily wooded area near the Wood County and Adams County line. His son, Andrew Larson, posted on Facebook Sunday that it appeared his father had stopped to take a rest and by all indications he had died peacefully. Rembs Funeral Home, Marshfield, is in charge of arrangements and Dr. Larson's obituary can be found by clicking on this link. He was born on July 19, 1955, in Marquette, Michigan, and graduated from Gwinn High School in 1973. He earned a physics degree at Northern Michigan University, Marquette; and a medical degree at the University of Michigan Medical School in 1980. He then completed an obstetrics/gynecology residency at Washington University in St. Louis, Missouri and fellowship in gynecologic oncology at the University of Texas MD Anderson Cancer Center in Houston, Texas. Dr. Larson joined the staff of Marshfield Clinic in 1987 and retired in 2019. He took pride in caring for his patients, some of whom traveled from his beloved Upper Peninsula to seek his care. He was also compassionate and dedicated to his patients. “Dale was an amazing and compassionate doctor and friend. This is a huge loss for so many," said Jill Dillon, an optometrist at Marshfield Clinic Wisconsin Rapids Center and one of Dr. Larson's former patients. “He was an extremely knowledgeable, compassionate doctor who was always thinking ahead." When she was diagnosed with cervical cancer in 2014, doctors referred Dr. Dillon to Dr. Larson. "You hear that word 'cancer' and it's scary," Dr. Dillon said. "From the minute he walked in the room that day, I felt totally at ease with everything." He had many interests besides medicine, including being an avid fan of the University of Michigan, studying history, reading and the outdoors and especially enjoying barefoot water skiing, also biking and downhill skiing. He spent his time in Marshfield, his lake house in Rome and his retirement home in Marquette, Michigan. Dr. Larson is survived by his wife of 42 years, Ann Marie; his sons, Alexander, Andrew and Erik; and three grandchildren. A celebration of life will take place at a later date due to COVID-19. In lieu of flowers, memorial donations may be made to the Association of Frontotemporal Degeneration (www.theaftd.org), Wings of Hope Search and Rescue of Wisconsin (www.wingsofhopewi.com) and American College of Obstetricians and Gynecologists (www.acog.org). Health System continues re-starting centers and services Editor's note: This article will be updated weekly to reflect hours for centers and services that have restarted this week. During the COVID-19 pandemic, we have continually put patient and staff safety, health and well-being at the forefront of every decision we make. Ongoing changes to hours of operation, service openings, and outreach and workflows for locations across the Health System allow for more in-person services. The Health System will continue to focus on scheduling telehealth and phone appointments as much as possible. Our emergency departments and urgent care locations are generally available for those immediate needs. Keeping safety in mind, in-person appointments are available at many Health System locations. To view the full list go to: marshfieldclinic.org/location- changes. As of Sept. 10, these changes were made, including: Cadott Center is happy to be back. Pictured, left to right, are Amanda Fus, medical assistant; Tracy Raske, respiratory therapist; and Dana Bessen, NP.  Cadott Center: Primary Care is open 7:30 a.m. to 5 p.m., Monday-Tuesday and Thursday, 7:30 a.m. to noon, Wednesdays and 7:30 a.m. to 3:30 p.m., Fridays.

Drive-thru COVID-19 testing Drive-thru testing is available at various Health System locations and is by referral only from the Nurse Line.