Leading the way to wellness since 1897 Connections SPRING 2015 Already saving lives New 3-D mammography system at Gritman Medical Center shows results

LAST spring, Gritman Medical Center became the  rst of the nine major in the region to o er From the time it was installed, 3-D mammography at Gritman is proving 3-D mammography, and it didn’t to save lives. It has shown three clear benefi ts over 2-D mammography: take long to see the bene ts of this • Higher breast cancer detection rate. new technology. • Higher predictive value for all biopsies. “ e new 3-D technology is allowing us to  nd breast cancers • Fewer women recalled for additional testing. that were previously too small, faint or hidden to detect,” said Christin w A nearly 100 percent increase in enhance breast cancer detection as Reisenauer, MD, Medical Director of breast cancer detection rate as com- part of a complete 3-D mammog- Gritman’s Women’s Imaging Center. pared to the national average. raphy exam and is now an industry Gritman began o ering 3-D w A substantial increase in positive standard. imaging to all its patients on May 6, predictive value for all biopsies. “Gritman’s decision to bring 2014, and the results have been as- w A more than 25 percent reduction 3-D mammography to the Palouse tounding. Comparing the  rst nine in call-back requests for additional was like dropping a pebble into a months of 3-D imaging to the same imaging. pond,” said Dr. Reisenauer, who was time period in 2013, with only 2-D In addition, Gritman’s Women’s recently invited to speak at Harvard imaging, there has been: Imaging Center was chosen by University, where she shared Grit- w A 30 percent increase in the total Hologic to be one of only nine man’s amazing success. “Gritman number of screening mammograms. hospitals worldwide to participate Medical Center is improving health- w More than double the total num- in the development of its special care regionally and gaining national ber of biopsy-proven breast cancers computer-aided detection so ware. attention in the process. I’m very found and treated.  is so ware is designed to further proud of that.”

Lean increases Gritman receives grant Stroke: A story ef ciency to help prevent diabetes of recovery 3 5 6 Newsconnections

A MESSAGE FROM OUR PRESIDENT AND CEO GRITMAN LEADERS By now you have probably heard of Gritman’s commitment to Gritman Medical Center Board of Directors Lead the Way to Wellness. Perhaps you have wondered what B.J. Swanson, Chair that looks like. Janie Nirk, Vice Chair Robin Woods, Secretary/Treasurer To those of us at Gritman Medical Center, Leading the Way to Greg Kimberling, Board Representative Wellness means o ering services that address the health needs Rula Awwad-Ra erty Dick Heimsch of our communities—neighbors, family and friends. Charles Jacobson, MD Leading the Way to Wellness means o ering cutting-edge Greg Mann 3-D mammography technology, the  rst on the Palouse, to Barbara Wells Kraig White, MD detect even the most di cult breast cancers sooner and with better results. Kara Besst, Gritman Medical Center Auxiliary Leading the Way to Wellness means using advanced robotic Mary Wood, President President and CEO Judy Tunnicli , Vice President technology to immediately connect stroke patients to highly Judy Reisenauer, Secretary trained neurologists, as soon as they show symptoms. Janie Nirk, Treasurer Leading the Way to Wellness means we are not only a in Moscow, but we Debi Dockins, Director of Volunteer Services also provide excellent healthcare to the people of our Kendrick, Potlatch and Troy com- Gritman Medical Center General Members munities through our Family Care Clinics. Jimmy Anderson Leading the Way to Wellness means connecting patients with physicians to evaluate Jessica Bearman Kenny Cada their health risks through our free assessment clinics. Sharon Harris Leading the Way to Wellness means standing side by side with our patients to pro- Pam Hays vide comprehensive care as they recover. Raymond Ireland Elaine Johnson Leading the Way to Wellness means creating a safe and healthy place for patients to Carole Jones heal. Nancy Lyle Leading the Way to Wellness means recognizing that it is essential to nurture the John McCabe Jane Peterson Goetschel mind as well as the body and building a peaceful garden to do just that. Aaron Ranisate Leading the Way to Wellness means investing in our community, our physicians and Rachel Rausch Lowell Stevens our sta . Lori Stinson Ultimately, Leading the Way to Wellness means, as Dr. Reisenauer put it, that Don Strong Gritman Medical Center is steadfastly committed to being that pebble in the pond— Todd Taruscio Tom Trail to continue to make a di erence in how healthcare is provided on the Palouse and Dave Uberuaga beyond. Roger Wallins Lynda Walters Becky Witt

Gritman Medical Center Foundation Pam Hays, President Barbara Bull, Vice President Kara Besst, President and CEO, Gritman Medical Center Jane Peterson Goetschel, Secretary JoAnn Evans, Treasurer Connie Esser We always welcome public comment. Reach us at: Greg Kimberling Nancy Lyle Let us Justin Minden facebook.com/GritmanMedicalCenter B.J. Swanson know Ex o cio: @GritmanMedical Adina Bielenberg, Director of Marketing what you and Development Kara Besst, Gritman President and CEO youtube.com/GritmanMedical Preston Becker, Gritman CFO think linkedin.com/company/gritman-medical-center

2 q www.gritman.org From left are Sheryl Washburn, CNO; Adina Bielenberg, Director of Marketing and Development; Deb Meshishnek, Education Coordinator; Debi Dockins, Director of Volunteer Services; Gritman advances Mary Woods, Auxiliary President; learning opportunities and Pam Hays, Foundation President. Gritman Medical Center’s Foundation, Auxiliary, and Departments of Nursing and (WWAMI) medical students who train with scenarios—such as intravenous medication Education are excited to announce the pur- manikins gain con dence while learning administration, insertion of a temporary chase of a new Laerdal Simulation Manikin. and practicing hands-on skills. breathing tube and wound care—can all The manikin—a life-sized anatomical For example, a certi ed nursing assis- be practiced on the manikin. human model—will be used for basic to tant student will need to practice and mas- The manikin’s body functions will advanced patient care training. ter basic skills of obtaining blood pressure respond to the participant’s actions, which The manikin is paired with a computer- and heart and respiratory rates. An instruc- will prompt the participant to make further ized notebook, similar to an iPad. The note- tor can program the manikin to have heart assessments and decisions. The manikin is book is loaded with software that creates a sounds, breathing sounds and simulated capable of giving immediate feedback via variety of scenarios that occur in hospital or blood pressure. The student will provide voice alert technology about pain, express- clinical settings. care for the manikin, and the accuracy of ing displeasure about not being informed, Hands-on learning for students. Simu- the patient care is recorded by the manikin and protesting medical intervention. lation learning is becoming the preferred and SIM technology. The results are then Committed to great care. The pur- method of training by many health sci- displayed for the instructor and the student chase of the manikin was a collaborative ences schools, as it allows students to ex- to review at the end of the scenario. e ort funded with grants from the Gritman perience real-life scenarios in safe settings. Extra practice. For experienced sta Medical Center Foundation, Gritman In rural healthcare settings, students are members, including nurses, respiratory Medical Center Auxiliary and the Nursing provided an opportunity to practice skills therapists, certi ed nurse practitioners, Department. The collaboration demon- for low-frequency, high-risk procedures. physician assistants and others, the strates Gritman’s commitment to provide Nursing; nurse aides; and , manikin provides practice to retain the extraordinary care to improve the health of , , and highest level of skill. Complex clinical the people in our communities.

Gritman goes Lean That’s just one of many success stories since automobile manufacturer Toyota in Japan— Gritman Medical Center went Lean in 2014. could be applied in a healthcare setting. Implementation of a single project has Gritman has trained hundreds of its em- “The  rst principle of Lean is continual streamlined processes and freed up an ployees on the principles of Lean, a method improvement,” said Lean Facilitator Jon average of 60 extra minutes each day,* for eliminating wasted time and resources. Wolpert. “Gritman consistently tops na- giving nursing sta more time to spend Administrators recognized how the principles tional benchmarks for patient care, but we on tasks related to patient-focused care. of Lean—developed and popularized by want to do even better. Implementing Lean principles is helping us do just that.” After training, employees were encour- aged to look at their unique roles within the hospital and  nd opportunities for improvement. The results have been aston- ishing. Literally every department has seen improved e ciency, thanks to the changes made by employees at every level. The result: Gritman Medical Center can provide the best possible care with even faster results and less waste.

*Average time based on 30 minutes saved per 12-hour shift.

w 3 Holiday Delights helps fund new ultrasound

THANKS to the Gritman auction items from Auxiliary’s annual Holiday Delights many generous fundraiser, Gritman Medical Center individuals and is $20,000 closer to an additional businesses. New ultrasound machine. for 2014, Holiday Holiday Delights raises money to Delights featured support the needs of Gritman Medi- a live auction with cal Center, including scholarships an assortment of and equipment. Most of the 2014 enticing packages, proceeds went toward the purchase including a wine of an ultrasound machine for the tour, delivery of a homemade cake Making a bid: At the Holiday Delights Gritman Radiol- of the month and fundraiser in 2014, attendees bid on silent ogy Department. A new ultrasound machine more. auction items and later had a chance to take  is new machine means patients will have “ e purchase part in a live auction as well—both featuring will improve im- of the new ultra- items provided by people and businesses in shorter wait times and a age quality and sound machine our community. resolution and better overall experience will allow us to costs approximately when they need move one machine times for patients and an enhanced $130,000. imaging tests. to the Women’s overall patient experience for the Started in 1966, Imaging Center,” best possible care.” Holiday Delights said Scott Nelson,  e Gritman Medical Center invites Gritman supporters to enjoy Gritman Director of Radiology. “A Auxiliary hosts Holiday Delights, hors d’oeuvres and wine-tasting machine at the Women’s Imaging and the formal event marks the be- while bidding on an array of silent Center translates to shorter wait ginning of the holiday season. Meet the 2015 Gritman medical sta leadership Kimberley Blewett, DO Geoff rey D. Stiller, MD President/Chief of Sta Vice President/Chief of Sta -elect Dr. Blewett received Dr. Stiller received his premedical her undergraduate degree education at Eastern College in St. Da- in biology from the vid’s, Pennsylvania, and his medical in education at University of Minnesota 2000 and a medical degree at Minneapolis Medical School. He from Kirksville College of completed a surgical internship and Osteopathic Medicine in residency at Graduate Hospital in Kirksville, Missouri, in 2006. Philadelphia. He is certi ed by the She completed her internship American Board of . Dr. Stiller served in the mili- and residency at McKay-Dee Family Medicine in tary, based at the Mountain Home AFB Hospital in Idaho, Ogden, Utah, in June 2009 and joined Moscow from 2001 to 2004, when he joined Palouse Surgeons. In Family Medicine in September 2009. 2007, he went on to fellowship training in cosmetic surgery. He returned to practice with Palouse Surgeons in 2011.

4 q www.gritman.org Preventing diabetes damage Clinical National and Diabetes Care receives education grant, plans to expand program to include nationally recognized diabetes prevention program

GRITMAN Medical Center Latah County, was identi ed as a local has received a $15,000 grant to raise health priority by Gritman in its 2013 awareness about prediabetes and Community Health Needs Assessment. increase diabetes education in the  e DPP is a lifestyle intervention community and to area physicians. with a goal to prevent type 2 diabe- Diabetes Self-Management tes.  e program focuses on helping Education Funding, a project of those with prediabetes learn how the Idaho Diabetes Prevention and to eat healthy, add physical activity Control Program, will help fund to their routine, manage stress, stay and establish a Diabetes Prevention motivated and solve problems that Program (DPP) at Gritman, which can get in the way of healthy changes. is recognized by the Centers for Dis- Participants will also learn problem- ease Control and Prevention. solving strategies for overcoming “ is funding will help us reach challenges to sustain weight loss. people who have prediabetes and di-  e program’s group setting abetes,” said Nancy Kure, Director of provides a supportive environment Gritman Services with people who are facing similar and Diabetes Care. “Diabetes may challenges and trying to make the lead to serious health problems, like same changes. Together, participants blindness, chronic wounds, dental celebrate their successes and  nd issues and depression. Our goal is to ways to overcome obstacles. prevent the complications associated Gritman Clinical Nutrition and with diabetes.” Diabetes Care plans to o er DPP In Idaho, 8.4 percent of people classes to the public in June 2015. (nearly 100,000) have diabetes, and Adding the DPP to the current pro- 8.2 percent (more than 97,000) have gram will enhance the diabetes care prediabetes. Diabetes, which currently team’s ability to coach people with ranks as the eighth cause of death in prediabetes and diabetes.

Paul Ammatelli, MD Dustin Worth, DO Secretary/Treasurer Immediate Past President/Chief of Dr. Ammatelli received his S t a undergraduate degree from the Dr. Worth received a bachelor of University of Notre Dame, South science degree in music education Bend, Indiana, and a medical from Oregon State University and degree from the University of completed graduate coursework in Missouri–Columbia School of computer science at the National Medicine. He is certi ed by the Technological University in Min- American Board of Internal neapolis, Minnesota. He received Medicine. Dr. Ammatelli has held faculty appoint- his medical degree from Kirksville College of Osteopathic ments as Assistant Clinical Professor at the Univer- Medicine, Kirksville, Missouri. Following a traditional sity of Colorado and the University of Washington. rotating internship at Millcreek Community Hospital in From 1994 to 2009, Dr. Ammatelli practiced internal Erie, Pennsylvania, he completed family medicine resi- medicine in Colorado, followed by two years as a dency training at Eastern Maine Medical Center in Bangor, hospitalist in Spokane. He joined the Gritman hospi- Maine. He joined Moscow Family Medicine in 2008. talist group in 2012.

w 5 restores life after stroke Thanks to Gritman’s Therapy Solutions and support from Physical Therapist Angela Anderson, left, works with family and friends, Wendy Wendy South to strengthen her weakened right side. South has hope for her future

AFTER having a stroke and Director of  erapy Solutions. “We Duane Dale and Brandy Sullivan, experiencing complications in 2013, are here to improve patient lives, speech-language pathologists. As Wendy South found herself in a and it feels so good to see that a result of her improved speech, wheelchair with limited mobility. happening.” she is more independent and has “She wasn’t supposed to live, and Wendy and Physical  erapist been able to resume social activi- most doctors told her that surgery Angela Anderson used exercises in ties that she enjoys—activities that would result in her inability to walk, the therapy gym and HydroWorx only a few months before were talk or eat,” said therapy pool. Once impossible. Wendy’s daughter, Wendy met her Before having the stroke, Wendy Katie Adams. “We are here to improve initial goals, they was an o ce manager at the Gen- Katie was con- patient lives, and it feels began working eral Counsel’s o ce at the Univer- cerned her mother so good to see that on enabling her sity of Idaho, assisting in the search would never be happening.” to move from her for a new UI president. She still able to walk again. —Justin Minden, Director of Gritman’s wheelchair and struggles to talk—the words come, But through hard Therapy Solutions eventually learning but as with so many other things in work and per- to walk. her life, only with great e ort and severance with  e therapy concentration. therapy, Wendy regained her ability sessions are physically and psycho- to walk. logically exhausting. One especially Amazing support di cult exercise had Wendy go Wendy hopes to be a grand- Slow but sure success from lying  at on her back to stand- mother soon.  e prospect of a Wendy’s choice for rehabilitation ing up by herself, using a chair for grandchild is one of her main was Gritman’s  erapy Solutions, support. Other exercises involved motivators to regain as much ability where sta planned a regimen of going up and down stairs or kicking as possible. In addition to Gritman’s physical, speech and occupational a ball. help, Wendy said she’s had amazing therapy. support from family and friends. “It has become a highlight of my Talking again “ e recovery process is frustrat- day when I see how much Wendy Other treatments concentrated ing,” Wendy said. “I am just so grate- and other patients progress with on Wendy’s speech and cogni- ful for everyone who is helping me. I their therapy,” said Justin Minden, tive abilities. Wendy worked with am getting my life back.”

6 q www.gritman.org Calendar of events COMMUNITY COUNTS!

Cancer Resource Center Living with Loss Prepared Childbirth THANKS FOR MAKING OUR COMMUNITY A GREAT PLACE TO LIVE Open Monday through Friday Grief Support Group (six-week course) 10 a.m. to 4 p.m., FREE Second and fourth Thursdays of each Mondays, 6 to 8 p.m. Our supportive and knowledge- month, noon to 1 p.m. June 1 to July 6; July 20 to August 24; able volunteers help  nd resources United Church of Moscow, FREE September 14 to October 19 to guide those in need through For information, call Glenda Hawley Gritman Conference Center, $40 what can o en be an overwhelm- at 208-882-3197.  e course follows the Understanding ing experience. We can help provide Birth curriculum. Instructors use a Motherhood Connections combination of literature and multi- prostheses, wigs, hats, lap quilts and Every Wednesday, noon to 1:30 p.m. other items. We also o er American Martin Community Wellness Center, media teaching resources. Register Cancer Society classes, including 510 W. Palouse River Drive, Moscow, FREE online on our events calendar. Info: Look Good…Feel Better and Reach Are you a new mother? You and 208-882-4511. to Recovery. Info: 208-883-6030. your baby are invited to join us for Prepared Childbirth CNA Program an ongoing class on infant care and (weekend course) development. For information, call Are you interested in a career that Friday, 6 to 9 p.m.; Saturday, 9 a.m. to 4 p.m. Lisa Schacher, Childbirth Educator, July 17–18; September 25–26 offers rewarding work in a high- at 208-883-6399. Drop-ins welcome. Gritman Conference Center, $40 demand industry? Consider be- coming a Certi ed Nurse Assistant Fit and Fallproof Super Sibling Saturday (CNA). Gritman Medical Center Monday through Friday Spectacular o ers a two-month program that Martin Community Wellness Center, July 25, October 24, 11 a.m. to noon 510 W. Palouse River Drive, Moscow, FREE provides comprehensive training, Gritman Conference Center, $15 Reduce your risk of falling by giving you the skills needed to work Designed for children ages 1½ to increasing your muscle strength in a healthcare facility. Watch our 6 years old and parent(s). Enjoy in- and balance. Call 208-883-9605 for website for the latest information. teractive stations as your child learns times. more about being a sibling. Includes Diabetes Wellness Classes Osteoporosis Exercise Group a Family Birth Center tour. Info: First Tuesday of each month, 4 to 5 p.m. 208-883-6385. Gritman Conference Center, FREE Tuesdays and Thursdays, 9:30 to 11 a.m. Gritman Cardiac Rehab Center Refresher Childbirth Class Learn how to live with diabetes $6.50 per session July 25, October 24, 1 to 4 p.m. by attending free classes. Speakers One of the best ways to strengthen include local physicians, nurses, Gritman Conference Center, $20 your bones and prevent osteoporo- An overview of current informa- dietitians and others. Sponsored by sis is to get regular exercise. Even Gritman Medical Center Clinical tion on pregnancy and delivery to if you already have osteoporosis, support you during labor and birth. Nutrition and Diabetes Care. Info: exercising helps maintain the bone 208-883-6341.  e class also provides resources for mass you have. Join our ongoing helping siblings prepare for the new exercise group and improve your baby. bone strength. A physician referral is required. Info: 208-883-6088.

Visit our website: www.gritman.org. w 7 GRITMAN MEDICAL CENTER Nonprofi t Org. 700 S. Main St. U.S. Postage Connections Moscow, ID 83843 PAID Gritman CONNECTIONS is published as a commu nity service for Medical Center the friends and patrons of GRITMAN MEDICAL CENTER, 700 S. Main St., Moscow, ID 83843, telephone 208-883-6008, website www.gritman.org. Kara Besst, Kane Francetich, President and CEO Chief Information Offi cer Preston Becker, Dennis Cockrell, Chief Financial Offi cer Human Resources Director Sheryl Washburn, Adina Bielenberg, Chief Nursing Offi cer Director of Marketing and Connie Osborn, Development Chief Quality Offi cer Information in CONNECTIONS comes from a wide range of medical experts. If you have any concerns or questions about specifi c content that may affect your health, please contact your healthcare provider. Models may be used in photos and illustrations. 2015 © Coffey Communications, Inc. All rights reserved. LHN30966 Did you know? Gritman Medical Center is a not-for-pro t 501(c)(3) hospital. DAISY Award honors nurses for their care THROUGHOUT the year, the DAISY Award honors nominated nurses for their exceptional work in their  eld.  ank you to our n urses for their dedication to making Gritman Medi- cal Center a great place to receive medical care. Danielle Engle, RN always willing to go wherever she is Family Birth Center needed.” Adam Bosse, RN “We were very excited when Critical Care Unit Danielle received her DAISY nomi- Ben Stellmon, RN “Adam has an amazing ability to nation,” said Alyssa Martsching, apply the highest level of technical Director of the Family Birth Cen- “Ben is a compassionate nurse skill and medical knowledge, all the ter. “She is an awesome nurse who who is highly valued by his cowork- while showing the compassion and takes excellent care of her patients. ers for his strong commitment to care that each of us strives for,” said I appreciate her sense of humor, her patients and his team,” said Mark Peter Vaughan, sta RN in the Criti- hard work, her dedication to Grit- McGahan, Emergency Department cal Care Unit. “We are very proud to man and the great teamwork she director. work with Adam and have him on fosters on our unit.” our team at Gritman.”  e DAISY Award, established in Janine Lawrence, RN 1999, recognizes nurses who provide Know an outstanding nurse Critical Care Unit, Medical Surgical exceptional care. While decisions or other caregiver here at “Janine is a highly competent and on awarding a DAISY are made at Gritman? Let us know! Give caring nurse whose main concern local hospitals, the national organi- is the comfort and safety of her zation (www.daisyfoundation.org) us a call at 208-882-4511 or patients,” said Peter Vaughan. “She also provides recognition, awards visit www.gritman.org and helps her co-workers in any way and materials. To date, nearly 1,800 click on “Contact Us.” she can when they are busy. She has facilities in all 50 states participate in cross-trained to multiple units and is the DAISY Awards.