WINTER /SPRING 2011 Improving the Health of Our Community VALLEY VOICES

8 Overwhelming Support for Valley Medical Center & UW Medicine Affiliation

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Treating Coronary VMC & UW #1 in WA for Artery Disease with Medicine Exploring Orthopedic Non-Emergency PCI Strategic Alliance Services A Message from the CEO

Strategic Alliance a New Beginning for may have been a little unconventional at times, Valley Medical Center my focus is as intense as it was 27 years ago. This Alliance will be the pinnacle of years of sound fiscal At Valley Medical Center’s management that has allowed for tremendous growth Board meeting on January of our facilities, clinical programs, community 18, the CEOs of UW outreach, specialization and comprehensive subspecialty Medicine and Valley Medical capabilities … and it will also be a new beginning. Center signed a non-binding Letter of Intent to explore As we face the challenges of healthcare reform, budget a Strategic Alliance through deficits and a recession that has left many both which Valley would integrate uninsured and underinsured, this Alliance will ensure with UW Medicine. The Board of Commissioners that residents of this hospital district will continue then unanimously decided to evaluate and pursue to receive quality primary and specialty care close to this administrative recommendation which was met home, irrespective of their financial situation. Residents by spontaneous applause from a standing-room-only will also gain access to enhanced services, research, crowd of community and business leaders, elected medical teaching programs involving Residents and officials, physicians and staff. Fellows, in addition to clinical expertise from one of the top medical organizations in the country that trains Valley Medical Center and UW Medicine share a tomorrow’s leading physicians and medical scientists common mission and vision of providing outstanding today. I could not be more excited. clinical care with a firm commitment to patient safety and excellence. This decision provides exciting As we move forward with discussions with key opportunities to explore what can be accomplished stakeholders and the community, I am proud of what through combined efforts on important initiatives to our staff and community have accomplished at Valley benefit the residents of South King County. by being able to attract the world-class UW Medicine organization and I am thrilled about the possibilities If this Strategic Alliance advances, it will be the most of the future. significant achievement of my career as CEO of Valley Medical Center. When I was hired in 1983 to be the Remarkable things are truly happening at Valley CEO of Valley General Hospital (as it was called at Medical Center! that time), I committed to ensuring that residents of this community had access to state-of-the-art facilities, technology and services as well as first-rate staff and physicians. While my management style Rich Roodman, CEO, Valley Medical Center

Turn to page 4 to read about VMC’s potential strategic alliance with UW Medicine!

Cover photo: Charles Cortes/Renton Reporter

2 VALLEY VOICES • Winter/Spring 2011 Treating Coronary Artery Disease Through Non-Emergency PCI

Coronary Artery Disease Terminology

■■ Coronary angiogram: A test in which a small catheter is guided through a vein or artery into the heart. Dye is given through the catheter, and moving x-ray pictures are made as the dye travels through the heart. This comprehensive test shows: narrowing in the arteries, outside heart size, inside chamber Vance, Valley size, pumping ability of the heart, Medical Center PCI patient ability of the valves to open and close, as well as a measurement of the pressures within the heart chambers and arteries. A heart attack, or myocardial infarction, occurs when one or more regions of the heart muscle experience a severe or prolonged lack of oxygen caused by blocked ■■ Coronary angioplasty: A small balloon is inflated inside the blocked blood flow to the heart muscle. The blockage is often a result of a buildup of plaque, artery to open the blocked area. composed of fat deposits, cholesterol and other substances. Plaque ruptures and ■■ eventually a blood clot forms. The actual cause of a heart attack is a blood clot that Coronary artery stent: A tiny coil is expanded inside the artery to open forms within the plaque-obstructed area which stops the flow of blood. the blocked area and is left in place Percutaneous coronary intervention (PCI), also known as to keep the artery open. coronary angioplasty, is a procedure to treat the buildup of plaque, creating a bigger opening in the coronary arteries to permit more blood flow to the heart. For many years, Valley Medical Center cardiologists have performed PCI on those hospitalized with a heart attack or with John Nemanich, MD life threatening coronary blockage. While this service continues, just over a year ago VMC added non-emergency PCI as a treatment option. According to interventional cardiologist John Nemanich, MD, “Non-emergency PCI allows the patient to receive a diagnostic angiogram and if a lesion or blockage BEFORE PCI - Blockage is found, the interventional PCI treatment can be performed during the same procedure. It saves the patient from having to undergo two procedures, shortens the length of hospitalization and most importantly, might prevent a heart attack from occurring.” “People who are hospitalized with acute coronary syndrome—chest pain that would likely lead to heart attack—or those with chest pain which significantly impacts their lives, are potential candidates for non-emergency PCI,” says Dr. Nemanich. “Since we’ve been doing this procedure, probably half of our PCI patients have undergone the procedure on a non-emergency basis. PCI can be so beneficial. Most patients experience a significant improvement in the quality of AFTER PCI - Flow Restored their lives. The restored blood flow to the heart helps them feel much better and many can even start exercising again.”

VALLEY VOICES • Winter/Spring 2011 3 Valley Medical Center Announces the Exciting Exploration of a Strategic Alliance with UW Medicine

Valley Medical Center (VMC) is pleased to announce that the CEOs of UW Medicine and Valley Medical Center signed a non-binding Letter of Intent on January 18, 2011 to explore the feasibility of a strategic alliance. By integrating VMC with the UW Medical Health System, the alliance could:

■■ increase access to healthcare services for South King County residents; improve efficiency of care; align best practice models

■■ expand clinical, teaching and research programs

■■ position both organizations for future Center, Harborview Medical Center, and Fred Hutchinson Cancer Research healthcare reform opportunities, such UW Neighborhood Clinics, UW Center, and Children’s University as the creation of an Accountable Physicians, Airlift NW, UW School of Medical Group with Seattle Children’s Care Organization (ACO). Medicine and Northwest Hospital. UW Hospital. The components of UW Medicine Medicine also shares in the ownership VMC’s in-depth evaluation with UW Health System currently include: and governance of Seattle Cancer Care Medicine will include the exploration University of Medical Alliance with Seattle Children’s Hospital of the development of an ACO as a proactive response to meeting the challenges of healthcare reform.

“UW Medicine and Valley Medical Center share a Benefits to VMC and the commitment to providing outstanding clinical care Community with an emphasis on patient safety and service. Both organizations share a history A strategic alliance would support our mission and vision of providing outstanding of improving the health of the public and would clinical care with a firm commitment enhance our ability to provide national leadership to patient safety and excellence for healthcare reform.” – Dr. Paul Ramsey, CEO, and a shared mission of improving UW Medicine and Dean, UW School of Medicine community health. VMC is interested in exploring the possible expansion of:

4 VALLEY VOICES • Winter/Spring 2011 ■■ Enhanced, specialized services on the VMC main campus and in “With this strategic alliance, we would be able South King County to give our local community access to additional ■■ Enhanced, continued medical clinical services, as well as an additional depth of education and clinical research sub-specialization through the expertise of one of opportunities on the VMC campus the top medical organizations in the United States. VMC brings community focus, a personalized and ■■ Joint community education contemporary patient environment, and a history programs of great clinical outcomes and technical innovation. Combining these Such enhancements should provide features with the excellence of UW Medicine’s clinical, teaching and a broader range of local services for research programs would certainly be a benefit to the residents of residents in the hospital district. Southeast King County.” – Rich Roodman, CEO, Valley Medical Center

VMC’s Assets Would Remain District Assets might seek and receive active UW and continue to support their local, Public district hospitals are allowed to clinical appointments. Private practice individual organizations. physicians will continue their privileges affiliate, merge or jointly operate with Alliance with an Organization other public or nonprofit entities under at VMC. It is envisioned that VMC employees, including management Like UW Medicine is Consistent Washington law. Under the proposed with VMC’s Mission alliance, the District would continue level employees, would continue to ownership of its hospital, neighborhood work for VMC. VMC is, and will remain, a community-focused organization. The clinics and other assets and liabilities. All District Board of Commissioners tax revenue would be used exclusively non-binding Letter of Intent enables Would Remain Intact: New Board VMC to explore how a strategic alliance for the benefit of the District and not be Would Oversee VMC Management spent outside the District. The strategic would further enhance its mission. The District’s Board of Commission- alliance would adopt centralized ers would continue as it currently exists. planning and management, not change If and when the alliance is in place, VMC and UW Medicine: ownership of assets. VMC would be managed as a com- Shared Mission to VMC Would Continue Offering ponent of UW Medicine, subject to Improve Public Health All Core and Clinical Services the oversight of a newly created board comprised of the District commission- VMC Mission Patients can continue their care ers, as well as additional representatives The District is a healthcare network at VMC. VMC would retain all of from the hospital District’s area and committed to improving the overall the core clinical services and medical UW Medicine. Public oversight of health of our community. Governed technologies currently available at the by publicly elected commissioners, VMC would increase dramatically. hospital, on the VMC campus and it provides, in collaboration with in VMC owned/operated clinics. An VMC Name Expected to Reflect its medical staff and community agencies, comprehensive quality alliance may enhance many of the Affiliated Relationship services and treatment options now care and service in a cost effective The District’s legal name will remain and compassionate manner. offered and likely bring new services Public Hospital District No. 1 of King to the area. UW Medicine Mission County. VMC expects to continue to UW Medicine’s mission is to VMC-Employed Physicians operate under its business name, Valley Medical Center, with an additional improve the health of the public and Employees Would Remain by advancing medical knowledge, reference to UW Medicine. VMC Employees providing outstanding primary and The Valley Medical Group physicians Volunteer Organizations Would specialty care to the people of the region, and preparing tomorrow’s would continue as a separate group Remain Separate physicians, scientists and other and not become UW Medicine VMC and UW Medicine’s volunteer health professionals. physicians, though more VMC staff groups would remain unchanged

VALLEY VOICES • Winter/Spring 2011 5 Valley Medical Center’s Journey Toward Strategic Alliance

January 2010 While reform will provide some type of coverage for the 30+ million uninsured Americans, healthcare organizations are charged with improving the overall health VMC and Other Healthcare of patients and their healthcare experience, while managing the total cost of care by Organizations Begin Internal forming Accountable Care Organizations (ACOs). and External Discussions Some key components to an ACO’s success include: about a Proactive Response ■■ Expanded patient access to a healthcare information to patients to Health Care Reform comprehensive “system of care” across systems across multiple sites During this period of healthcare ■■ Reducing operating expenses through reform, the government has ■■ Using sophisticated information economies of scale, risk management mandated changes in how technology and electronic medical and insurance coverage healthcare services are delivered. records to provide affordable, reliable

April 2010 In order to provide an expanded system of care, reduce operating expenses and manage the complexities of Health Care Reform, it became apparent that even a medium-sized To be Part of a Successful ACO, hospital with a range of specialty services and a clinic network, like VMC, will need to Collaboration Emerges as a collaborate with other healthcare organizations to continue successfully serving the Fundamental Step for VMC community. Regardless of Health Care Reform, the enhanced ability to manage costs while providing more services to the community makes collaboration a logical move.

July 2010 You may have noticed many Puget Sound region healthcare organizations are announcing mergers, purchases and affiliations. They too are responding to Health Care VMC Studies Examples of Reform through collaboration. In studying other local collaborations, it was clear that Collaborative Washington State partnering with other organizations with shared goals and missions is of vital importance Healthcare Organizations for a successful relationship. VMC currently has a vision and mission which may be best supported through affiliation with a larger organization—one with the capabilities and interest in further expanding the breadth and depth of clinical programs and services for District residents.

September – October 2010 Chaired by Board President Sue Bowman, the PAC was comprised of a cross-section of 22 District residents representing Newcastle, Renton, Kent, Covington and Maple Valley. President’s Advisory Council During five weeks of intensive two and three hour sessions, the PAC received extensive is Formed to Identify background in Health Care Reform, all aspects of VMC’s healthcare system, models for Essential Affiliation Criteria regional and national healthcare, and the projected impact of Washington state’s budget. To discuss and develop community- When identifying criteria for a potential affiliation partner, both the PAC and VMC’s based criteria for a possible relationship clinical management team of about 70 people independently concluded the following with another healthcare organization, elements are essential: VMC formed a community advisory committee called the President’s Advisory Council (PAC).

6 VALLEY VOICES • Winter/Spring 2011 September – October 2010 Continued ■■ An exceptional reputation for clinical ■■ Compatible mission excellence, a culture of quality and ■■ Teaching and residency opportunities patient safety ■■ Opportunities to improve local access, ■■ Compatibility with and ability to and strengthen, enhance and provide enhance an Electronic Medical new community programs and clinical Records (EMR) system services ■■ Enhanced depth and breadth of physicians

October 2010 The District Board participated in an intensive educational retreat and immersed itself in relevant healthcare law and ACO structures, along with various options for potential Extensive Board Discussions affiliation. Of note, the legal foundation for an affiliation between public agencies is about Responses to Health Care provided by the Interlocal Cooperation Act, RCW 39.34, which permits local government Reform, ACO Structures and agencies to cooperate to their mutual advantage to benefit the needs and development Potential Affiliation Options of local communities. Equipped with this information, as well as PAC findings, Board discussions were extensive.

December 2010 After nearly a year of research, study and discussion with healthcare organizations, the community-based PAC, District Board and other experts, Rich Roodman, VMC CEO, Rich Roodman, VMC CEO, recommended affiliation to the Board as VMC’s best option for fulfilling its mission and Recommends Affiliation as commitment to improving the health of the community into the future. Best Option for Fulfilling VMC’s Mission into the Future

January 2011 UW Medicine emerged as a good match for VMC for many reasons, including: the public nature of their organization; they appeared to meet the essential criteria identified by the Board Approves the Exploration PAC and VMC management team; and they were receptive to establishing a cooperative of a Strategic Alliance with relationship with VMC. On January 18, 2011, the Board met with UW Medicine CEO, Dr. UW Medicine: UW Medicine Paul Ramsey, who provided a review of UW Medicine and highlighted the shared mission and VMC CEOs Sign Non- of the two organizations. Numerous community leaders and physicians also spoke in favor of the potential alliance. In-person and written support from elected officials include: Sen. binding Letter of Intent Maria Cantwell, Sen. Patty Murray, Rep. Norm Dicks, Rep. Dave Reichert, Rep. , State Sen. , State Sen. Margarita Prentice, State Rep. Judy Clibborn, State Rep. Marcie Maxwell, King County Councilmember Julia Patterson, Renton Mayor Denis Law, Kent Mayor Suzette Cooke and Newcastle Mayor John Dulcich. At this meeting, the Board approved the exploration of a strategic alliance with UW Medicine and with much enthusiasm, the two organizations signed a non-binding Letter of Intent.

January – May 2011 The current non-binding Letter of Intent creates a pathway for deeper discussions and planning. In addition to formal review by both Boards, numerous public meetings will Period of review by VMC and be held in the coming weeks to gather extensive staff and community input before UW Medicine includes Due proceeding with any formal agreement. Public meetings have been scheduled and Diligence, Feasibility Study announced throughout the District. See the back page of this magazine for the schedule and Multiple Public Meetings of public meetings. You may email comments to [email protected]. For further information,visit valleymed.org/affiliation or call 425.656.5056. for Community Input

May 31 – July 1, 2011 Following this period of input and study, a joint agreement for strategic alliance could be taken to the governing Boards of all three public organizations by May 31, 2011, with an Boards of UW Medicine and effective date of July 1, 2011. UW Regents and VMC District Commisioners Will Decide to Approve or Reject Strategic Alliance

VALLEY VOICES • Winter/Spring 2011 7 Outstanding and Unprecedented Support by Elected Officials and Community Leaders

Rarely is the suggestion of significant change so overwhelmingly embraced— “The partnership of U of W especially by such an enthusiastic community spectrum. Since the initial proposal Medicine and Valley Medical to VMC’s Board of Commissioners to pursue a strategic alliance between Valley Center will be a significant step Medical Center and UW Medicine was first announced, the proposed affiliation for the future of our community has garnered broad, unprecedented support. and regional healthcare.” Physicians, educators, healthcare advocates, local business people, county –State Sen. Margarita Prentice and municipal officials, and even a bipartisan array of U.S. and state senators “…more accessible health care and representatives agree that this healthcare collaboration is a good fit for is a top priority. Healthy people the community, as well as the organizations: an affiliation between two public make healthy communities entities sharing a common mission to improve community health would greatly that translate into long-term benefit the community. prosperity. This relationship between UW Medicine and “Valley Medical Center “…it would be of Valley Medical Center can be and the University of particular benefit to the the vehicle to a healthier region.” Washington Medicine residents of South King State Reps. Judy Clibborn can set the example County and it would – & Marcie Maxwell nationally for creative represent a fine example and innovative action that will improve of collaboration among “ I believe you are about to access and care for all Americans.” regional hospitals to take a historic step. I believe –U.S. Sen. Maria Cantwell achieve a sustained that you are doing tremendous high level of health work on behalf of your “I am very glad to care delivery…” constituents.” see that the focus of –U.S. Reps. Norm Dicks & Adam Smith –Julia Patterson, King County Councilmember this alliance is on the commitment to quality “…this partnership “Combining the community patient care that is could set a new course focus of VMC with the shared by both Valley Medical Center for collaboration among ’s and UW Medicine.” regional hospitals who clinical and research programs –U.S. Sen. Patty Murray share in a vision of will positively benefit the quality service and efficient delivery residents of south King County.” “I commend your of care in the community...” –Pete von Reichbauer, King County leadership (Re: –State Sen. Karen Keiser Councilmember U of W Medicine / Valley Medical Center strategic alliance).” View letters of support in their entirety from U.S. Sen. Patty Murray, U.S. Sen. –U.S. Rep. David G. Reichert Maria Cantwell, U.S. Rep. Dave Reichert, U.S. Reps. Norm Dicks and Adam Smith, State Sen. Margarita Prentice, State Sen. Karen Keiser and State Reps. Judy Clibborn and Marcie Maxwell at valleymed.org/alliance. An online video of supporter comments is available on the same page.

8 VALLEY VOICES • Winter/Spring 2011 A sampling of elected officials, leaders, doctors and consumers in support of the alliance

U.S. Senator Patty Murray Dr. Oliver Aalami Dr. Christopher Howe Dr. Stefanie Nunez U.S. Senator Maria Cantwell Dr. Ira Allen Dr. Fredrick Huang Dr. Jamie Park U.S. Representative Dave Reichert Dr. Wes Arlein Dr. Kevin Joseph Dr. William Park U.S. Representative Norm Dicks Dr. Craig Arntz Dr. Amit Joshi Dr. Tony Pedroza U.S. Representative Adam Smith Dr. William Barrett Dr. Karl Kaufmann Dr. Mark Remington WA State Senator Karen Keiser Dr. Traci Barthel Dr. Suzanne Krell Dr. Monica Richter WA State Senator Margarita Prentice Dr. John Bauman Dr. Shannon Kropp Dr. Tanya Rizzo WA State Representative Judy Clibborn Dr. Terence Block Dr. Wayne Lau Dr. James Sayre WA State Representative Marcie Maxwell Dr. Todd Bouchard Dr. Eric Leonheart Dr. Cynthia Schneble Mayor Denis Law (Renton) Dr. Michael Burke Dr. Mark Lewis Dr. Bryan Serkin Mayor Suzette Cooke, (Kent) Dr. Charles Butler Dr. Philip Lund Dr. Niket Shrivastava Mayor Margaret Harto, (Covington) Dr. Susan Cero Dr. David Lundin Dr. Mark Simon Mayor John Dulcich (Newcastle) Dr. Philip Chan Dr. Shannon Markegard Dr. Ravi Singh Julia Patterson, Metropolitan Dr. Wallace Chang Dr. Michael Martin Dr. Andrew Smith King County Councilmember Dr. Ronald Cohen Dr. John Mayeno Dr. Michael Solomon Pete von Reichbauer, Metropolitan King Dr. Christopher Di Re Dr. Craig McGoran Dr. Frank Thomas County Councilmember Dr. Joyce Gauthier Dr. Daniel Melber Dr. Jason Thompson Lisa Jensen, Newcastle City Council, Dr. Thomas Giuliano Dr. Scott Milne Dr. Robert Thompson Harborview Board of Trustees Dr. Regina Godbout Dr. Robert Molina Dr. John Travaglini Bernadene Dochnahl, Past VMC Commissioner, Harborview Dr. James Harding Dr. Maurice Montag Dr. Ashish Trivedi Board of Trustees Dr. Kaya Hasanoglu Dr. William Moore Dr. Martin Tullus Gary Kohlwes, Past VMC Commissioner Dr. Gia Hemmen Dr. Glynnis Morton Dr. Robert Veith Dr. Mary Alice Heuschel, Dr. John Hendrickson Dr. John Nardella Dr. David Vossler Superintendent, Renton Schools Dr. Daniel Herman Dr. John Nemanich Dr. Richard Wall Bill Taylor, Director, Renton Chamber Dr. Kimberly Herner Dr. Manh Nguyen Dr. Alison Webb of Commerce Dr. Michael Hori Dr. Erik Novak Dr. Rodrick Xuereb Barbara Drennen, Exec Director, Pediatric Interim Care Center Brad Bell, Local Businessman CITY John Jensen, Local Businessman MAYORS in Josh Lyons, Local Businessman support Jim Sullivan, Local Businessman Keith Renfrew, District Resident Denis Law – Renton Suzette Cooke – Kent Margaret Harto – John Dulcich – Covington Newcastle

9 Sign up for this Healthy Choices FREE program! BodyWorks—A Toolkit for for a Healthy Life Teens & Strong Families Tuesday, March 22, 6:30 – 8 p m “BodyWorks is a great approach for weekly through Tuesday, May 24 families interested in improving their Monica Richter, MD, and eating habits and lifestyle. Involving the Bridgett Blackburn, MS Medical Arts Center, 1st Floor entire family is important in fostering a 400 South 43rd Street supportive environment for change.” Renton, WA 98055

Monica Richter, MD, BodyWorks Trainer Register at valleymed.org/events or call 425.656.INFO (4636).

A Healthy Snack for Healthy Living Blueberry Banana Smoothie

Ingredients ■■ 1 frozen ripe banana ■■ 1/2 cup frozen blueberries ■■ 1 cup nonfat milk

Directions: Bananas that are past More and more, healthcare professionals are seeing earlier onset of type 2 ripe work perfectly in smoothies. diabetes, cardiovascular disease, and obesity-related depression in children and Peel them, wrap them in plastic, adolescents. The likelihood of childhood obesity persisting into adulthood and freeze them. Later, cut is thought to increase as children age: the longer a person is obese, the more the banana into pieces. Put significant obesity-related risk factors become. ingredients into blender and puree Valley Medical Center family practice physicians and diabetes educators till smooth. Pour into two glasses. are committed to reducing childhood obesity in our community through our Serves two. Healthy Choices for a Healthy Life program. Launched in December 2010, the Per serving: 122 calories, structured program includes all children between 2 and 17 and incorporates BMI 5 g protein, 0 g fat, 24 g percentile testing, education and referrals for specific care. carbohydrates, 3 g fiber, and BodyWorks is an exciting component of Healthy Choices for a Healthy Life. 63 mg sodium Developed by the US Department of Health and Human Services and sponsored by the VMC Medical Staff, BodyWorks is a FREE 10-week program geared specifically for young people ages 9 to 16. Designed to provide tools to improve family eating and activity habits, BodyWorks focuses on parents as role models in shaping their children’s eating and activity habits and includes healthy shopping and cooking strategies, recipes, food and fitness journals and other information to help make small behavior changes to maintain healthy weights and prevent obesity. Young people are encouraged to attend as well.

10 VALLEY VOICES • Winter/Spring 2011 What’s Happening at VMC

VMC Implements New for showcasing the new technology’s VMC Welcomes New Technology to Improve significant and positive impact on Primary Care Physicians Patient Safety hospital operations. Kent Cascade At Valley Medical Center, patient safety Valley Nephrology Services Primary Care Primary Care is our top priority. As part of our plan to consistently elevate the level of patient Adds Three New Providers care and safety, VMC has implemented Three new Valley Medical Group Nephrology Emergin software which directly routes providers joined the Valley Medical Center heart monitor and patient call system team in January. Frank Fung, MD, Daniel alarms to the patient’s caregiver’s mobile Hu, MD and Vilma Quijada, MD will join phone. By ensuring critical information is Andrew Brockenbrough, MD, a Valley communicated to the right person at the Medical Center-employed nephrology Anusha Iyer, MD Dina Nguyen, MD right time, patient care response times are specialist since 2006. Together, the four will faster and patient\staff communications provide care for patients with kidney disease Covington Fairwood are enhanced. In late December, Valley and related conditions. Valley Nephrology Primary Care Primary Care Medical Center was recognized with Services has moved to a new space in the the 2010 “Emergin Impact Award” Kent Primary Care Clinic.

Midwives Clinic Expands Services with Two New Certified Nurse Midwives Trieu Le, MD Patricia Kristina Chamberlain, CNM and Cathleen Distor, CNM recently joined VMC’s Mladenov, MD Midwives Clinic. Highlands What you Need to Know About the Midwives Clinic Primary Care The Midwives at VMC offer personalized, attentive care through pregnancy, delivery and beyond. As part of VMC’s healthcare team, they can refer patients for specialized procedures like amniocentesis and to specialists and surgeons. During labor and delivery and recovery in a private suite at The Birth Center, midwives provide moms-to-be Shannon Kropp, MD Yu-Chin Liu, MD with support, including a full range of pain management options. For peace of mind and the safety of our patients, The Birth Center has an obstetric specialist on duty at all Crenguta Stepan, MD times and a Level III Neonatal Intensive Care Unit in the unlikely event of an obstetric emergency. The To find the doctor who’s right for Midwives Clinic provides nurturing care in a state-of-the-art setting. you, call 425.277.DOCS (3627).

VALLEY VOICES • Winter/Spring 2011 11 Getting People Back to Living Life Pain-Free: There’s a Reason Valley Medical Center is Rated #1 in Washington for Orthopedic Services

A passion for design of some of the most commonly let it slow me down too much—I just excellence—it’s the used hip and knee replacement systems took lots of medication. But I didn’t reason The Joint used today. Currently, Dr. Barrett is like having all that medication in my & Spine Center participating in research on anterior vs. system,” she says. at VMC received posterior approach hip replacements. Carolyn had her first hip replacement HealthGrades® The anterior approach is a newer, five years ago at age 57 at another hospital Clinical Achievement Recognition as less invasive total hip replacement and experienced extreme swelling and #1 for Overall Orthopedic Services in technique which allows the surgeon discomfort. “The first hip replacement Washington in 2011. “HealthGrades® to reach the hip joint from the front, was a horrible experience,” she recalls. judges on outcomes—medical outcomes, as opposed to the side or back of the In November 2010, Carolyn had patient satisfaction, length of stay in the hip. The surgeon works between the her other hip replaced, this time at The hospital, infection rates, complication muscles and tissue, sparing them from Joint & Spine Center. “At The Joint rates—a complicated set of standards,” trauma which lessens recovery time, Center, it was great,” she says. “I was up says Jean Durnin, RN, ONC, manager improves mobility and avoids the pain and walking around with one crutch the of Valley Medical Center’s Joint & Spine of sitting on the surgical site. day after my surgery. The doctors and Center. “It takes an exceptional program Carolyn, a recent anterior approach nurses are wonderful—always friendly and an outstanding staff to come out on hip replacement patient, is no novice and smiling. The food was delicious. top. Another key is our emphasis on when it comes to hip replacement. Years And they let me sleep through the night, patient education. We make sure our of running on pavement and teaching instead of waking me up every hour. In patients know what to expect before aerobics on hard surfaces wore out her comparison, it felt like a vacation at The surgery, during and throughout recovery hips. “I had lots of hip pain, but I didn’t Joint Center,” says Carolyn. so there are no surprises and it’s a good experience. We empower our patients to be in charge of their recovery.” Carolyn, with a recent anterior William Barrett, MD, Medical approach hip replacement, can now practice yoga comfortably. Director at The Joint Center agrees. “The program at the Joint & Spine Center undergoes continuous refinement with a dedication to patients Cathy, after getting her knee and family-focused care to enhance the replaced, enjoys skiing again experience. We have an amazing staff— at Crystal Mountain. caring and compassionate. We really try to put the patient first and emphasize customer service. Patient satisfaction is key to what we are doing and what keeps us going,” he says. In addition to his work as medical director and orthopedic surgeon, Dr. Barrett has been involved in the

12 VALLEY VOICES • Winter/Spring 2011 VMC is rated #1 in the state for joint replacement and overall orthopedic services, as proudly displayed by Medical Director William Barrett, MD, just before the banner was unfurled down the east side of the South Tower.

“The second time around, I had the anterior approach replacement. I totally recommend it over the posterior approach—I can move so much better and had a much easier recovery. I am back to my weight training classes, Zumba, yoga, playing with my grandsons and hiking trails with my husband. I am living without pain now,” says Carolyn. The Joint & Spine Center also changes the lives of many who have been experiencing severe knee pain. “I knew my knee wasn’t going to hold up much longer,” says Cathy, remembering the pain she endured for several years while trying to participate in the outings she enjoyed most. “There’s not much I don’t like to do, but hiking, skiing and golf take up most of my free time.” The change from being an active person to one severely limited in activity due to pain was a gradual one. When Cathy turned 50, she cut back on her daily running routine and ran three times a week, dosed with ibuprofen. Then she stopped running and walked or rode her bike. Finally, even walking He had his knee replaced by Dr. Barrett I found out at my exam, that the pain in was a problem. “I was not able to be and highly recommended Valley. When my right knee was caused by the added active and was gaining weight. My gait you strike up conversations with people pressure of overcompensating for my was so bad that it’s amazing I didn’t hurt out of the blue, I think people will be bad left knee. The right knee is still in my hips. There was no way I was going honest with you about recommending pretty good shape and feels great now to sit around and wait until I was ‘old or steering you away from certain places. that I’ve got my left one replaced.” enough’ for a replacement. I didn’t want All of a sudden, I kept meeting people “And now, my secret is to keep to live like that and I didn’t want to be randomly and when we would get to exercising. That new joint loves to be sedentary,” says Cathy. talking, they would recommend Valley moved—the more I move, the better To keep on doing what she loved, Medical Center as the place to go for it feels. My husband has his hiking and Cathy knew she needed help. “The first replacement surgery.” skiing buddy back. And now that I don’t place I heard about Valley was from a guy “When I went in to see Dr. Barrett, I have pain, I feel like I’ve gotten my life I met on a chairlift at Crystal Mountain. thought both knees were bad. Actually, back,” says Cathy.

VALLEY VOICES • Winter/Spring 2011 13 Winter/Spring 2011 Classes & Events

Free Seminars & Events The Silent Problem: As Girls Grow Up Abdominal Aortic Aneurysm (AAA) Tuesday, June 7, 6:30 – 8:45 p m Monica Unless noted otherwise, all seminars are Thursday, April 14 AAA can be life- Richter, MD, and Bridgett Blackburn, MS, held in the first floor Auditorium of VMC’s threatening. Wes Arlein, MD, will help you present the physical and emotional aspects of Medical Arts Center. Refreshments begin understand the signs, symptoms and treatment puberty, including menstruation, body changes, at 5:30 p m ; presentations begin at 6 p m . options that could help save your life. sexuality and how babies are conceived. For For details about each seminar, visit girls ages 9 to 12 and their parents or caregivers. valleymed.org/events. To register, call Neck Pain Solutions 425.656.INFO (4636). Tuesday, April 19 Join Christopher Howe, Birth and Parenting Classes MD, Orthopedic Surgeon at The Joint & Spine Lower Back Conditions: Center and discover leading-edge solutions now For more information or for 24-hour Weighing Your Options available to help manage chronic neck pain. registration, please see valleymed.org/ Tuesday, March 15 Learn about common events or call 206.575.BABY(2229). Gastroesophageal Reflux spine conditions, including signs, symptoms, You may also contact Childbirth Education Disease (GERD): Treatments surgical and non-surgical treatment options at 425.228.3440, ext. 3799. from Mark Remington, MD. to Avoid Complications Thursday, April 21 Join Prakash Gatta, Breastfeeding and the Working Mother BodyWorks—A Toolkit for MD, FASC, Valley General Surgery, for this Teens & Strong Families Pumping and storing breast milk, adjusting informative talk on the signs, symptoms, nursing time and weaning Tuesday, March 22, 6:30 – 8 p m weekly prevention and treatment options for heartburn through Tuesday, May 24 This free, 10-week and indigestion. Learn tips on how to manage Free Car Seat Installation class presented by Monica Richter, MD, and GERD, dysphagia (difficulty swallowing), VMC and South King County Child Passenger Bridgett Blackburn, MS, provides tools to help gastroparesis (stomach distention) and other Safety Coalition offer free safety seat installations improve family eating and activity habits. For gastric and esphageal disorders. and inspections teens and their parents or caregivers. Common Knee Conditions Infant/Child CPR The Aging Eye Thursday, April 28 Join Fred Huang, MD, April 9, 10 a m – 1:30 p m Learn how to Wednesday, March 23, 3 – 4 p m at Chateau and learn basic knee anatomy and common administer CPR to infants and children to age at Valley Center, 4450 Davis Ave. S, Renton conditions such as ACL and meniscus 12; what to do in a choking situation; basic first Not seeing as clearly as you once did? Join tears, arthritis of the knee, tendonitis and aid and safety techniques Todd Johnston, MD, for this informative talk on fractures. We will review signs, symptoms, keeping your eyes healthy through the years. surgical options and non-surgical treatments for Labor and Birth Course Package Learn about preventative care and treatment these conditions. Comprehensive 6-week course, includes a tour options for cataracts, macular degeneration of The Birth Center and glaucoma. Carotid Artery Disease: Are You at Risk? Thursday, May 5 The major arteries of the neck, Labor and Birth Weekend Course Hip and Knee Replacement the carotid arteries, supply the brain with blood. An abbreviated version of the 6-week program Thursday, March 24 & Thursday, June 23 Carotid artery disease occurs when these arteries above, held on Saturday and Sunday Does joint pain prevent you from doing the become narrowed or blocked, which can lead to things you enjoy? Imagine the difference a joint a stroke. Join Oliver Aalami, MD, to learn what Labor and Birth Refresher Course replacement surgery could make in your life. symptoms to look for and treatment options. Reminder course for those who have William Barrett, MD, will present the facts and experienced labor and delivery answer your questions. The Latest in Total Disc Replacement Thursday, May 12 Slipped disc. Bulging disc. Relaxation and Comfort for Managing Edema Ruptured disc. Herniated disc. No matter what Pregnancy and Labor Friday, March 28, 3 – 4 p m at Chateau at you call it, it hurts and can seriously limit your Exercise and relaxation techniques for Valley Center, 4450 Davis Ave. S, Renton ability to enjoy life. Jason Thompson, MD, pregnancy; comfort techniques and positions Join Heather Schouweiler, MD, and learn will discuss signs and symptoms, diagnosis for birthing about the causes and management of edema, process and the latest treatments, including swelling that results from fluid build-up in the total disc replacement options for the cervical Siblings to Come tissues, commonly in the feet, ankles and legs. and lumbar spine. Tour a Birth Center room with your children under age 5 and have some fun in preparation Pediatric Sleep Disorders & Prenatal Testing Options for the new sibling to come Treatment Options Tuesday, May 17 Prenatal testing can help Thursday, March 31 Don’t let your child lose identify conditions prior to birth, allowing another night’s sleep. Join Kevin Joseph, MD, parents to be as informed and prepared as and learn about children’s sleep disorders and possible regarding their pregnancy. Join Vicki Extensive resources include support groups, the treatment options to improve nighttime Binns, genetic counselor, for this informative classes and exercise programs; for details call sleep and enjoy increased daytime energy. talk on available testing options. 1.800.255.5505 or visit cancerlifeline.org

14 VALLEY VOICES • Winter/Spring 2011 The Fitness Center Introduction to Zumba Introduction to Pilates at VMC Classes Tuesday March 15, 1 – 2 p m Learn the basics Wednesday, April 6, 5 – 6 p m Learn the five for Zumba’s Latin-inspired dance aerobics. basic principles of Stott Pilates, preparing Call 425.656.4006 to register. All classes are Steps are demonstrated slowly, preparing you you to get the most from The Fitness Center’s $5 and held in The Fitness Center, unless for a Zumba class or simply to refine your Pilates mat classes. Experiment with our otherwise noted. Depending on medical skills. Wear comfortable clothing. Pilates prop equipment and find the ones that best fit your body. history, class participation may require a Yoga for Beginners medical clearance prior to using facility. Abs and Back Clinic Wednesday, March 23, 5 – 6 p m in MAC D Cardiac Rehab This interactive yoga workshop provides the Monday, May 16, 1 – 2 p m Strong abdominal basics for practicing yoga. Poses are taught in and back muscles help prevent injuries and Cardiac Rehab offers EKG-monitored fitness segments, along with relaxation methods for pain, and improve physical performance. programs for people with cardiac issues. stress management. Wear comfortable clothing Learn how to safely Covered by many insurance companies. Call for easy movement. and effectively 425.228.3440 ext. 4991 to register. train these core muscles. This is a participatory class, GLOW Event: Seahawks 5K Run/Walk so wear comfortable Sunday, April 10, 8:30 a m , Renton Landing, 715 N. Landing Way clothing. $25 until 3/10, $30 until 4/7, $40 Day of Race; proceeds benefit Renton/Skyway Boys & Girls Club. Register online at seahawks12krun.com. Once registered, Beginning Weight Training please email us at [email protected] or give us a call at 425.656.5334 to let us know your Monday, June 6th, 1 – 2 p m New to weight t-shirt size. Meet prior to the 8:30 walk/run start time at the VMC tent near the start/finish line. training or need a refresher course? Learn Pick up your free GLOW t-shirt and walk or run with the GLOW team. the basics for a well-rounded weight-training program in a comfortable setting.

VMC’s Board of Commissioners

Sue Bowman, Carolyn Parnell, Don Jacobson, Anthony Hemstad Aaron Heide, MD President Vice President Secretary

Board of Commissioners Meetings Contact the Board VMC Board of Commissioners meetings are open to the public and we encourage ■■ Email: CommissionersEmail@ you to attend. We strive to be a transparent organization and welcome insights and valleymed.org suggestions from the community members we serve. Meetings are held on the first ■■ Phone: 425.228.3440 ext. 5312 and third Mondays of each month at 4 pm in the Boardroom in the Northwest ■■ Mail: Valley Medical Center Pavilion on the VMC campus, unless changed by public notice. Meetings that fall on Board of Commissioners a holiday (Martin Luther King Day, Presidents’ Day, Memorial Day, Labor Day) are PO Box 50010 held the next business day. View the meetings at vallymed.org/boardmeetingvideos. Renton, WA 98058-5010

Valley Voices is published by Valley Medical Center (Public Hospital District No. 1 of King County). Contact 425.228.3440 x5117 with comments or story ideas. About Valley Medical Center Public Hospital District No. 1 of King County—Valley Medical Center—is the oldest PHD in Washington state. Our publicly elected Board of Commissioners consists of Sue Bowman, President; Carolyn Parnell, Vice President; Don Jacobson, Secretary; Anthony Hemstad and Aaron Heide, MD. To learn more about VMC, or to express your views, please write to Sandra Sward, PO Box 50010, Renton, WA 98058.

VALLEY VOICES • Winter/Spring 2011 15 VALLEY VOICES

Non-Profit Org. U.S. Postage Board of Commissioners PAID Public Hospital District No. 1 of King County Seattle, WA Valley Medical Center & Clinics Permit No. 231 400 South 43rd Street PO Box 50010 Renton, WA 98058-5010

Recycled Paper

JOIN US FOR A meeting in your community Exploring a Strategic Alliance

Informational Meetings

February 25, 6 – 8 pm Kent Senior Activity Center 600 E. Smith Street, Kent March 3, 6 – 8 pm Valley Medical Center is pleased to announce that the CEOs of IKEA Performing Arts Center UW Medicine and Valley Medical Center are excited to be exploring 400 South 2nd Street, Renton the feasibility of a strategic alliance. By integrating VMC with the March 10, 6 – 8 pm UW Medical Health System, the alliance could: Coal Creek YMCA 13750 Newcastle Golf Club Road increase access to healthcare services for South King County residents Newcastle

align best practice models March 16, 6 – 8 pm expand clinical, teaching and research programs Covington City Hall 16720 SE 271st Street, Covington position both organizations for future healthcare reform opportunities March 18, 8 – 10 am In addition to formal review by the respective Boards, numerous Lake Wilderness Lodge informational meetings are scheduled throughout our community 22500 SE 248th Street, Maple Valley to gather input. You are invited to attend an informational meeting March 29, 6 – 8 pm in your community and provide us with your valuable input. You SeaTac City Hall may also email comments to [email protected]. For further 4800 South 188th Street, SeaTac information, call 425.656.5056 or visit valleymed.org/affiliation.