PACESETTER kadlec.org

Leaving a lasting legacy. See the story on page 2.

In this Partners in success…Page 4 What is EBUS?…Page 6 issue Here for you after hours…Page 5 New Heart Wellness Scan…Page 8

March 2016 A higher level of care eavina lasting legacy Rand Wortman and Bill Moffi tt RAND WORTMAN ARRIVED at including the completion of the fi nal Kadlec as its interim CEO in 2000, but four fl oors of the River Pavilion, and a Imaging Center in the 945 Building within 48 hours he had called his wife parking garage now underway. was a big step at the time, but it has Gaynell in Florida to tell her he wanted “I consider myself a business been greatly successful. Launching to pursue the job on a permanent economist fi rst and an administrator the River Pavilion was a bold move, basis. second,” he said. “Most models of but it was immediately full. Adding “I could immediately see the health care at the time focused on Kadlec Clinic was a bold move, but it incredible potential,” he said. “There reducing costs to meet budgets. now has over 160 providers. We gave were physicians who wanted to be Instead, I believe you need to grow Columbia Basin College $2 million as here, patients who wanted to get care to meet expenses, and that’s what we seed money to build the CBC Health here, and a professional and technical have done.” Science Center; that was a whole lot staff who wanted to work here. There of money for us back then, but the was a board of directors ready to meet Strategies for growth health care in the region is so much the growing needs of the region, not The fi rst step, according to Wortman’s better because of the expanded just the community.” vision, was to become a tertiary, number of health care professionals Wortman applied for the job regional medical center. educated here and staying here. and, now 15 years later, he is set to “In 2001, we created a strategic Another gift to CBC in 2015 for a retire in May. It is clear that the early plan,” he said. “If you look at our second Health Science Center and vision he had for Kadlec and the newest strategic plan, you will see very the establishment of the new WSU health care for the region has been little change. Those strategies we put Doctors of Nurse Practice Endowment in good hands. Under his leadership, together then continue to be critical as a part of the Kadlec Foundation are Kadlec’s workforce has jumped from for us today.” more bold moves. 700 to more than 3,200, emergency Wortman is quick to credit Kadlec’s “Without the support of the board, room visits have more than tripled, Board of Directors and the Kadlec it would have only been a vision. and licensed beds at the hospital executive team for Kadlec’s growth By making those moves, the board have expanded from 153 to 270. In during his tenure. allowed and encouraged the growth 2014, there were over 2,000 heart “The board has been willing to we’ve experienced,” he said. “That’s procedures, including nearly 350 be bold, and the executive team has remarkable.” open-heart surgeries. New facilities excelled in executing our strategies,” Wortman also credits the have been built and expanded he said. “Building the Outpatient leadership team at Kadlec for its part

2 in the success of the last 15 years. “I know that hundreds I say mission accomplished. Well done,” “They have allowed me the luxury of Tri-Cities area said Cummins. of having the vision. I’ve been able to residents are alive today be the conductor while they did the because they got care Moving forward work to make the music,” he said. here, that 15 years ago Wortman recently handed over the they would not have reins of Kadlec to Lane Savitch and moved A model of leadership to a role as regional chief executive with Bill Moffi tt, who served as a board been able to receive. Providence Health & Services. member during Wortman’s time at That’s what drives “Lane has been a key part of our Kadlec, said following his vision was easy. me. I know we make success during his more than nine “Rand says that he almost immediately a di erence.” years at Kadlec,” said Wortman. “He knew he wanted to apply for the —Rand Wortman fully understands the Kadlec vision and permanent position,” said Moffi tt. “It mission for the future, and he has an worked both ways. We immediately excellent executive team to keep things knew he was the guy we needed to moving forward. Kadlec is in great hands.” lead Kadlec into the future. He came to Combining outstanding leadership us with a world of experience in every problem,” said Cummins. “The Health with expert medical staff and sense of the word. He is a visionary. He Sciences building turned out to be a caregivers has Kadlec well-positioned sees the bigger picture. win-win-win. We were able to expand to meet the region’s health needs, “He had a vision to improve the care our programs, Kadlec was able to have according to Wortman. patients could receive right here, and a more stable supply of nurses and the that has come to fruition. We now have city of Richland had the development of Making a diff erence 24/7 neurological care and are a Joint a key facility. Kadlec is now supporting What are highlights of Wortman’s Commission Primary Stroke Center. our eff orts to build the next leg of the career at Kadlec? We have nationally recognized critical project — Health Sciences II. “You might see that huge crane care. We have more providers available “That’s the story of Rand. The guy or any of the other facilities we have locally, in many new specialties, is brilliant. He has the ability to make built and consider those my major and there is so much more. It is not big ideas happen. While at Kadlec, highlights. But they are not,” he said. overstating it to say his impact on the he made the region healthier and “For me, success is about helping quality of life in our region has been wealthier, and moved the development create a healthier region, helping cure amazing. Frankly, he has been a game- of this community up a notch. To Rand people. When I go to the store and changer in the area of health care in our —Continued on page 4 region. He made a diff erence in 15 years that others may take a lifetime to do.”

A community leader Rich Cummins, president of Columbia Basin College, echoes praise for Wortman’s leadership as a community partner. “He is a straight shooter. He does what he says and says what he does. He sees the big vision yet understands the steps to get there. He is a joy to work with,” said Cummins. An example he cites is the ongoing partnership with CBC. “Rand is the consummate One of Rand Wortman’s legacies is his work on the businessman. He saw that the Kadlec Distinguished Chairs endowment, designed to create and fund fi ve faculty positions at Washington State University Tri-Cities. The Tri-Cities had a nursing shortage, which endowment allows WSU Tri-Cities to recruit doctoral-prepared faculty to meet necessitated the hiring of traveling the region’s need for nurse practitioners. With Wortman at the endowment nurses — an expensive and unstable announcement were Kadlec Community Board member Wayne Martin, WSU workforce. He wanted to solve this Tri-Cities Chancellor H. Keith Moo-Young and WSU Regent Lura Powell.

kadlec.org 3 Leaving a lasting legacy —Continued from page 3

someone stops me and says their brother is alive today because of the care that he got at Kadlec, that’s my highlight. When I know that someone doesn’t have to go out of town to get treated for a heart attack or stroke, and I know it improved their quality of life, that’s my highlight. I know that hundreds of Tri-Cities area residents are alive today because they got care here, that 15 years ago they would not have been able to receive. That’s what drives me. I know we make a diff erence.” Another highlight for Wortman is the quality of the medical staff A partnership and the employees at Kadlec. They are extremely well-trained and committed individuals who for success have done the work of developing Kadlec into a leading health care EVERY WEEK, Alexandria Salazar “Kadlec has high expectations, organization, he said. works hard at her job in the and the students live up to those “Ultimately it’s about the Pediatric Department at expectations,” said Hanford High people of Kadlec, and I couldn’t Kadlec Regional Medical Center. School teacher Laurie Price, who, be more proud to have led them Alexandria, a senior at Hanford with Dusty Wirtzberger from Richland these past 15 years,” he said. High School who has volunteered High, coordinates the program. “The Wortman’s tenure at the helm at Kadlec for two years, is not just students know this is an authentic of Kadlec is leaving a lasting getting important work experience; work environment. The work they legacy, which continues to benefi t she is also getting credits that will do is important. They are recognized not just the health care of the help her graduate from high school. members of the staff , they contribute region but also its quality of life Alexandria is a part of the Work- and are valued. It changes the lives of and economic development. Based Learning Transition Program these students.” “Kadlec has exceeded my for juniors and seniors from Hanford expectations. There was even and Richland High Schools. The Suiting the job to the student more potential here than I realized program has been at Kadlec since Meg Fallows, Kadlec’s volunteer back then,” he said. 2009, and up to 12 students a year coordinator, helped implement the He now has a new vision — he participate at Kadlec. Currently program at Kadlec. She works with and Gaynell spending more time the students, ages 18 to 21, are in Laurie and Dusty to make certain with their three children and fi ve departments throughout the hospital each student is well suited for the job grandchildren by moving back to ranging from Materials Management to which he or she is assigned. Florida. and Nutrition Services to Physician “We treat all our volunteers as We wish you well, Rand, and Recruitment and the Intensive Care valuable partners in the success of thank you for your leadership. Unit. Kadlec,” Fallows said. “Many of these

4 Members of the We’re Work-Based Learning The need Transition Program at here for medical Kadlec: front row, left to right, Kadlec mentor care or after Alan Covington; students examinations Jhovany Aguilar, does not hours Jonny Breese, always happen Tashina Schmidt, from 8 to 5, or fit Tetiana Brown, Kelsey Kostoff and easily into the work Alexandria Salazar. schedule. Back row, left to right, Kadlec offers a number of Richland teacher services with extended hours, when Dusty Wirtzberger; you may need it, or when it is more student David Salazar; convenient. mentors David Caldwell, Bertrand Mennetrot and Lydia Castillo; OUTPATIENT IMAGING student Tyler Martel; 945 Goethals Drive, Richland mentors Kathy Kesler, (509) 942-2655 Suzana Miljak, Kayla Sherwood and Corey Harper; students X-ray hours: Jacob DeGroot and Walk-ins welcome Isaac Mumper; Hanford Monday through Friday teacher Laurie Price; 7 a.m. – 7:30 p.m. student Ashley Fox; and Saturday mentor Rachel Puklin. 8 a.m. – 2 p.m.

Ultrasound hours: By appointment Monday through Saturday Alexandria Salazar 7 a.m. – 5:30 p.m. students could fall through the wants to be a preschool teacher. Mammography hours: cracks, but once they graduate from “I absolutely love what I do at By appointment high school and have been a part Kadlec,” she said. “I have learned how Monday through Friday of this program, they have learned to work in the working world. I’ve 7 a.m. – 7:30 p.m. how to be a good employee and learned I’m pretty good with kids, too.” Saturday have confidence. Meanwhile, Kadlec 7:30 a.m. – 4 p.m. also benefits from these outstanding Benefits all around volunteers.” Students are also in other URGENT CARE The students are so committed businesses throughout the community. (509) 942-2355 that, said Laurie, some have even “It is a powerful program,” said (both locations) come in on holidays when they don’t Laurie. “These students need Walk-ins welcome get credit, just to make certain their somewhere to start and to show 4804 W. Clearwater Ave., Kennewick jobs get done. mastery of skills so they can have Daily strong resumes when they get out 8 a.m. to 9 p.m. Prepared to contribute of high school. We are so grateful “At Kadlec, the program has the for Kadlec and our other community 9605 Sandifur Parkway, Pasco students’ success in mind. The staff partners. It’s a program that creates Monday through Friday goes the extra mile and applauds the success for everyone. Through the 5 p.m. to 9 p.m. success of the students,” said Laurie. years, Kadlec has had over 40 students. “The students feel prepared for lots That’s 40 lives touched. In addition, a number of our of jobs when they graduate because “We couldn’t do this program clinics open as early as 7 a.m. of their experience.” without Meg and the support of the For more information, That’s the case for Alexandria, who department managers,” said Laurie. visit kadlec.org.

kadlec.org 5 new providers

WelcomElizabeth Portelance, AG-ACNP-BC, KADLEC REGIONAL MEDICAL CENTER Cardiothoracic Surgery General and Colorectal Surgery Naveen Rawat, MD; Katherine Cayetano, MD; 888 Swift Blvd., Richland Vincent Cunanan, MD 1100 Goethals Drive, Suite D, (509) 946-4611 2nd Floor, Richland Michael Austin, MD, Anesthesiology (509) 942-3288 Tuhin Banerjee, MD, Adult Hospitalist Timothy Blanscett, ARNP, EBUS — a less Colorectal Surgery Soma Ghosh, MD, Pediatric Hospitalist invasive biopsy Neuroscience Center procedure Pushpender Gupta, MD, Radiology 1100 Goethals Drive, Suite B, Richland Robert Kellogg, MD, Anesthesiology (509) 942-3080 Endobronchial ultrasound (EBUS) is a minimally invasive, highly eff ective outpatient procedure John Pham, DO, Adult Hospitalist Aron Steward, ARNP, Neurosurgery used to diagnose and stage lung cancer, detect Florette Sime, MD, Emergency Medicine Senior Health infections and identify other diseases causing 560 Gage Blvd., Suite 102, Richland Shawna Byrnes, ARNP, enlarged lymph nodes in the chest. The procedure Pediatric Hospitalist (509) 942-3135 allows pulmonologists to obtain tissue or fl uid Timothy Lord, ARNP, Geriatrics samples from the lungs and surrounding lymph Sonya Lovingood, ARNP, Emergency Medicine nodes without conventional surgery. The procedure Obstetrics and Gynecology–Prosser 336 Chardonnay Ave., Suite B, Prosser has been available at Kadlec since mid-2015. Jacob Royal, ARNP, Radiology (509) 786-0031 With EBUS, a thin, fl exible instrument is fi tted Gabriel Sims, ARNP, with an ultrasound device and a fi ne-gauge Emergency Medicine Teresa Charvet, PA-C, Obstetrics and Gynecology needle. The instrument is guided through the Shawn Bowdow, CRNA, Anesthesiology patient’s mouth into the trachea. The scope can be Dalila Fairchild, CRNA, Anesthesiology pointed in diff erent directions to produce images of lymph nodes and other structures in the area. Darcy Hill, CRNA, Anesthesiology COMMUNITY-BASED It provides improved images, which allow the Melissa Hudson, CRNA, Anesthesiology PROVIDERS pulmonologist to view diffi cult-to-reach areas. Charles Joshlin, CRNA, Anesthesiology Northwest Orthopaedic and During the procedure a pathologist is also Sports Medicine A division present to examine biopsy samples as they are Jeremy Perry, CRNA, Anesthesiology of Proliance Surgeons obtained and can request additional samples to 875 Swift Blvd., Richland be taken immediately if needed. KADLEC CLINIC (509) 946-1654 “With EBUS, we are able to sample the lymph Associated Physicians for Women Arash Motaghi, DO, nodes in the chest without surgery or incisions,” said 945 Goethals Drive, Suite 200, Richland Pain Management Kadlec Clinic pulmonologist Naveen Rawat, MD. (509) 942-3627 Tri-Cities Cancer Center “There is no scarring from incisions, and it is a very Heather Johnson, CNM, 7350 W. Deschutes Ave., safe procedure. We diagnose and determine the Obstetrics and Gynecology Building A, Kennewick extent of the cancer at the same time. Patients (509) 783-9894 go home the same day knowing that a successful Cady Schwallier, WHNP, Obstetrics and Gynecology Guy Jones, MD, sample was obtained. In this way, if an alternative Therapeutic Radiology procedure needs to be planned, or a treatment Behavioral Health Trios Care Center at Southridge plan needs to be implemented, it can be done Steven Hull, FPMHNP, 3730 Plaza Way, FL 4, Kennewick sooner.” Behavioral Health (509) 221-6450 In addition to Dr. Rawat, other Kadlec Cardiothoracic Fadi Alattar, MD, Clinic Pulmonology physicians performing the 1100 Goethals Drive, Suite 3, Richland Interventional Cardiology procedure are Katherine Cayetano, MD, and (509) 942-3095 Vincent Cunanan, MD. For more information, call Kadlec Clinic Find a specialist or family health care Pulmonology at (509) 942-3095. provider at kadlec.org/clinic. 6 Creating a place of respite Patients, families and staff often need a counterbalance to hospital life. A place to clear minds, to refl ect and renew, or simply just to step outside to get fresh air and sunshine. Meg Fallows, in black top, is With the construction of the fi nal four surrounded by volunteers fl oors of the River Pavilion patient care Autumn Bittner, Maria Blair and Denise Lazarz. tower, there is an opportunity to create such a place — The Terrace on the 7th Floor. The Terrace on the 7th Floor a reality. Volunteer The Terrace will be an outdoor “The Terrace is one more way we can space, easily accessible and have space help our patients, families and staff feel available for those who need to spend calmer, fi nd an oasis, and have energy coordinator time alone or gather with family and restored. The importance of spaces like friends. It will be a place to grab a cup this should not be underestimated,” said joins national of coff ee and enjoy the sights from one Nancy Dahlberg, RN, Intensive Care Unit of the highest locations in the Tri-Cities manager. committee with a view of the Columbia River and For more information about how Rattlesnake Mountain. you can help support The Terrace on Meg Fallows, MBA, Kadlec’s volunteer The project is not currently included the 7th Floor, please contact coordinator, has been appointed to in the tower construction budget. Kadlec Kadlec Foundation the American Hospital Association’s Foundation is leading an eff ort to make at (509) 942-2661. Committee on Volunteers. She is the only representative from the Northwest on the national may cause chest pain or committee, which has 15 members When it’s problems swallowing. from across the country. tough During the 30-minute, The committee focuses on the outpatient test, a thin, roles, responsibilities and services of to swallow pressure-sensitive tube is organized volunteers and Auxilians, There is an old expression passed through the nose, as well as providing community about something being “too along the back of the throat, perspective on issues related to the tough to swallow.” For some down the esophagus and into health care fi eld including health care people, this is more than the stomach. The small sensor quality, hospital price transparency, just an expression. They have serious records each time the patient swallows. behavioral health, regulatory diffi culty or pain with swallowing. “It is one of the simplest tests to topics and the strategic plan for the A test available at Kadlec, called diagnose these conditions and most American Hospital Association. esophageal manometry, is used to help patients tolerate it very well,” said Fallows will serve a three-year term. determine how well the esophagus is Renee Sams, RN, BSN, Outpatient “I am not surprised to hear able to move food and how well the Procedures and Clinical Decision Unit she was nominated for a position esophageal sphincter (the muscular manager. “It is nice that it is available on this committee,” said Chase valve connecting the esophagus with locally, too.” Walters, Kadlec Education director. the stomach) is working to prevent In addition to diffi culty swallowing “Meg is very dedicated to what she refl ux. It measures the strength and and heartburn, esophageal manometry does. She puts her heart into the muscle coordination of the esophagus may be given to people who have non- volunteers and the programs. She during swallowing. cardiac chest pain. will not only represent and advocate When one swallows, food moves The procedure is available through for all volunteers at the highest down the esophagus and into the Kadlec Clinic Gastroenterology. level as she serves, she will also be stomach with the assistance of a wave- For information, call an outstanding representative of like motion. Disruptions in this motion (509) 942-3180. Kadlec.”

kadlec.org 7 Pacesetter is published by Kadlec Nonpro t Org. U.S. Postage 888 Swift Blvd., Richland, WA 99352 PAID (509) 946-4611 Walla Walla, WA Permit No. 44 kadlec.org 888 Swift Blvd. Mary Lynn Merriman, MLM Communications, editor Richland, WA 99352 Kim Fetrow, photography Pacesetter Editorial Board chair: Nan Domenici Pacesetter Editorial Board members: Bill Baldwin, Megan Bouche, Je Clark, Dawn Co n, Nancy Dahlberg, Mindy Eakin, Meg Fallows, Kris Gauntt, Jim Hall, Kelly Harper, Karen Hayes, Cara Hitt, Robbie Loomis, Erin Manukure, Mary Lynn Merriman, Angela Mohondro, Renee Sams, Tim Stephens, Emily Volland, Glenn Welch, Stephanie C. Williams The material in Pacesetter is not intended for diagnosing or prescribing. Consult your physician before undertaking any form of medical treatment or adopting any exercise program or dietary guidelines. Information in Pacesetter comes from a wide range of medical experts. Models may be used in photos and illustrations. 2016 © Co ey Communications, Inc. All rights reserved. Heart Wellness Scan now available Question: What can a CT scan of the “The purpose of the scan is to help you arteries in your heart tell you? and your doctor make decisions about how to lower risk for heart disease, heart Answer: That you may have a higher attack and stroke.” risk of having a heart attack or other The scan requires no special preparation problems before you have any obvious and same-day results are provided. symptoms of heart disease. “This test is most helpful for people Kadlec’s new Heart Wellness Scan who do not have documented heart is a non-invasive way of obtaining disease, but who are at medium risk,” information about the presence, he said. “Those who may benefi t most location and extent of calcifi ed plaque in A heart image during a CT scan. from the scan are men older than 40 and the coronary arteries, an early indicator women older than 50, particularly with of coronary artery disease. obtain quick and painless 3-D images other risk factors such as hypertension, Calcifi ed plaque results when there of the arteries of the heart and measure diabetes, smoking and obesity.” is a build-up of fat and other substances the amount of plaque in the arteries. Heart disease is a leading cause of death under the inner layer of the artery. This Following the scan, and after taking for both men and women, accounting for plaque signals the presence of coronary into account a person’s age, gender one in four deaths. More than half of the artery disease, a disease of the vessel and cardiac risk factors, a calcium score people who die suddenly from a heart wall (also called atherosclerosis). People is determined; this score is a strong attack have no previous symptoms. with this disease have an increased risk measure of the risk for coronary artery Patients are seen by both physician- for heart attacks. disease and a future cardiac event. and self-referral. Under the leadership of Kadlec “The exam takes little time, causes For more information, or to radiologist Timothy Gormley, MD, Kadlec no pain, and does not require injection schedule a Heart Wellness Scan, is now using high-speed CT scans to of contrast material,” said Dr. Gormley. call (509) 942-2908. New clinic under construction Construction is well underway for a new This new clinic will bring together Meanwhile, the clinic is facility for Kadlec Clinic West Kennewick providers from two locations: the providing family medicine and Primary Care. The 13,400-square-foot current West Kennewick location medical acupuncture at building, located near the corner of with provider Shannon Dramis, MD, 10121 W. Clearwater Ave., Clearwater and Steptoe avenues, will as well as Joseph Oro, MD, of Suite 102, Kennewick. The have room for eight providers. It is Kadlec Primary Care currently located clinic can be reached slated to open in Fall 2016. at 112 Columbia Point, Richland. at (509) 942-3291.

kadlec.org A higher level of care