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Physician Quarterly PhysicianQuarterly Published by Kettering Health Network • Q3 2018 Inside Heather Pulaski, MD, on Partnerships to Improve HPV Vaccination Rates • Network Addresses Opioid Epidemic Kettering | Grandview | Sycamore | Southview | Greene | Fort Hamilton | Soin | Kettering Behavioral WE NEED PHYSICIAN EXPERTS! Table of Contents Are you willing to volunteer your expertise in any of the following areas? AuthorContribute Physician Speak at community Author Physician Serve as media Quarterlycontent articlesideas events Quarterly articles spokesperson PhysicianQuarterly NETWORK SOIN/GREENE Published by Kettering Health Network • Q3 2018 Email [email protected] or call (937) 762-1053 4 New initiatives address community opioid epidemic 29 Soin Medical Center adding five-story tower to campus 6 Innovative pain relief strategies for surgical patients 30 Radiation oncology services now available By Scott Adkisson, DO, and David Brouhard, MD 32 Mobile imaging unit provides a creative solution 7 The value of physicians as community leaders 32 Greene Memorial Foundation to host 23rd Circle of Victory By Mike McCullough Jr., MD 33 Greene Memorial Hospital hosts open house and safety fair We are called to serve vulnerable populations, 8 Gem City Market: oasis in the Dayton food desert 33 Save the date for Springfield Health Center open house and opioid-addicted patients might be the most 9 34 4,000 vulnerable population in our region right now. Inside Middletown to start caring for patients in August Soin/Greene welcomes new providers Heather Pulaski, MD, on Partnerships to Improve HPV Vaccination Rates • Network Addresses Opioid Epidemic 10 Kettering | Grandview | Sycamore | Southview | Greene | Fort Hamilton | Soin | Kettering Behavioral PreHab: improved outcomes for joint replacement patients Number of opioid-related Tiffany Thompson, MSN, RN, OCN, 11 Clean hands are caring hands overdose cases treated in on addressing the opioid crisis (pg. 4) By Jeffrey Weinstein, MD FORT HAMILTON On Our Cover ’’ Montgomery County in 2017 Gynecologic oncologist 12 Breast cancer prevention: risk reduction therapy 35 Ground broken for Hamilton Health Center on Main Heather Pulaski, MD, is (pg. 4) Community involvement is so important—from the By John Haluschak, MD 36 Dedicated phone line to emergency department physicians partnering with the American 36 personal level to the organizational level. 13 Increasing HPV vaccination rates Fort Hamilton makes facility renovations Cancer Society for initiatives By Heather Pulaski, MD 37 Fort Hamilton welcomes new providers to properly educate patients Roy Chew, PhD, president of Kettering Health Network, 14 Shout Outs 37 Save the date for Ticket to Hollywood on the value of vaccination $9.8 billion on the value of joining Gem City Market (pg. 6) 16 New programs help prevent diabetes (read more on pg. 13) Cost to national healthcare ’’ 18 Information systems update This will make for better communication, more timely KETTERING PHYSICIAN NETWORK system of hospital-acquired By Charles Watson, DO referrals, and, ultimately, higher quality care. 38 Brain & Spine service line rebrands infections (pg. 11) 38 KPN primary care holds MyChart enrollment contest Leah Avera, MD, on the collaborative nature KETTERING/SYCAMORE 39 KPN welcomes new providers of the new Middletown facility (pg. 7) 19 Save the date for 18th annual Ribbon of Hope ’’ We are all aligned around taking good care of patients and 19 Kettering facility renovations improve patient experience 30,000+ 20 Celebrating providers for a job well done Number of Americans to be diagnosed with are collaborating to position all parties for strong success. 22 Kettering/Sycamore welcomes new providers HPV-related cancer each year (pg. 13) Rebecca Ramirez, MD, on expanding hospitalist care team at Grandview (pg.’’ 24) GRANDVIEW/SOUTHVIEW We have an incredible team, and their commitment 23 Elements of high-functioning primary care practices to patients and each other is the reason By Paul Martin, DO this hospital continues to grow and touch lives. 24 Hospitalist care team grows at Grandview 25 Grandview expands to meet needs in West Dayton Rick Dodds, president of Soin Medical Center and Greene Memorial 26 New skills center at Southview to open this summer Hospital, on construction and expansion at Soin (pg.’’ 30) 27 Eagle Seekers supports teaching kitchen Physician Quarterly is published by Kettering Health Network to 28 Grandview/Southview welcomes new providers support communications between physicians, residents, fellows, alumni, and hospital administration. 58% Managing Editor: Addison Hudgins Reduction rate of conversion to Type 2 diabetes Design & Layout: Christie Mildon for patients who participate in intense lifestyle Additional Writing: Leigh Wilkins intervention programs for prediabetes (pg. 16) Cover Photography: Lee Ann Yahle Additional Photography: AGI Studios, Lee Ann Yahle 2 Network Network 3 Addressing the Opioid Epidemic with GROW New initiatives offer a fast track to addiction treatment ettering Health Network is teaming up with to the hospital to meet with the patient and get Meaningful solutions the Montgomery County Drug-Free Coalition him or her into a medication-assisted treatment Thompson worked closely with Kto connect opioid-addicted patients with program. If the patient has been discharged from infectious disease specialist treatment programs quickly, with the added benefit the hospital before a GROW team can arrive, Jeffrey Weinstein, MD, of providing long-term follow-up. The initiative the team will make a home visit within 24 hours, GROW’s executive sponsor, comes at a critical time in the fight against opioid as long as the patient gives consent. The peer and hospitalist Ashlee Ames, addiction. Last year, more than 4,000 overdose supporter will stay in contact with the patient long MD, to launch GROW at cases were treated in Montgomery County. This term, offering support and accountability. GROW the network. This spring, number does not include the thousands of patients teams have been successful in working with law she offered 16 training and who needed care for health issues related to their enforcement agencies throughout Montgomery Jeffrey education workshops for Weinstein, MD intravenous drug use. County, but this is the first time teams are being physicians, nurses, social dispatched to the hospital setting. One of the keys to helping people overcome opioid workers, behavioral health addiction is responding quickly when they ask for The idea of bringing GROW to Kettering Health specialists, and other providers. help. In the past, opioid-addicted patients who Network came from Tiffany Thompson, MSN, Speakers included the county’s presented in a network emergency department RN, OCN, clinical nurse manager for the medical GROW coordinator, a or another care setting received information and surgical intensive care units at Grandview recovering opioid addict, and a about treatment options. This spring, the network Medical Center, who simply saw a need. “We are community outreach manager launched Get Recovery Options Working called to serve vulnerable populations, and opioid- from Cornerstone Project, a (GROW) to complement the current strategy. addicted patients might be the most vulnerable drug rehabilitation center in Ashlee population in our region right now,” Thompson Dayton. Participants learned Fast-tracked treatment Ames, MD ANOTHER PATH TO DRUG REHABILITATION says. “GROW is a way to be the hands and feet about the nature of drug Now, if a drug-addicted patient expresses interest of Jesus, fulfill our mission to improve lives in the addiction, how to have a constructive conversation GROW will help many opioid-addicted patients, but what about communities we serve, and strengthen partnerships with patients about medication-assisted treatment, in treatment, a network physician or employee those who resist the offer of immediate treatment? Or those can call GROW. GROW staff will dispatch a with amazing organizations that share our and resources that are available in our community social worker and a peer supporter, who is also a commitment to addressing the opioid crisis.” for addicts and their families. who leave the emergency department before a GROW team recovering addict. The two-person team will come arrives? Kettering Health Network emergency department staff “Nurses have told me that before we introduced GROW, they were reluctant to talk about drug can offer these patients a referral card, which allows them to rehab with patients because they didn’t feel like show up at Cornerstone Project’s Xenia Avenue intake facility at they had anything to offer,” Thompson says. Fort Hamilton Hospital efforts any time and be fast-tracked into medication-assisted treatment “GROW will help us embrace these patients with Another initiative, based at Fort Hamilton Hospital, also focuses on getting compassion and respect by providing meaningful either there or at a partner facility. people into addiction treatment quickly. Fort’s Opiate Recovery Task Force, solutions as they try to overcome their addiction.” or FORT, began in 2015 and is led by Jennifer Mason, an emergency medical The referral cards are part of the Montgomery County Drug-Free services coordinator based at the hospital. When a patient in the Fort Hamilton Coalition’s Front Door Program. Police officers from nine county emergency department seems serious about getting into treatment, a group jurisdictions have been distributing these cards for some time, that
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