How Can Hospitalists Help You? - Huronregional

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Summer 2020a publication from your friends at Huron Regional Medical CenterHow Can HospitalistsHelp You?If you’re admitted to Huron Regional MedicalCenter, a physician who specializes in caring forhospitalized patients can oversee and coordinateyour care. That’s good news for you and yourprimary care physician(PCP).TRADITIONALLY, PCPS MANAGED the care of their patientswho were admitted to the hospital for illness or injury. Now,however, many PCPs are so busy seeing individuals in clinicthat it’s difficult to divide time to see hospitalized patients.That’s where hospitalists come in.Hospitalists are physicians whose sole focus is caring forpatients during a hospital stay so they can safely returnhome or move to the next level of care. Often trained ininternal or family medicine, hospitalists can care for patientsin almost every unit of the hospital, from the emergencydepartment to postacute care.In November 2019, HRMC established a hospitalistprogram featuring three physicians who take turns caringfor patients and providing around-the-clock availability,typically for one week at a time. The program at HRMCis unique because PCPs can still care for their patients inthe hospital, unlike other larger hospitals where only thehospitalist sees inpatients. HRMC hospitalist James Kerr,MD, has practiced family medicine and emergency medicinein large and small hospitals throughout the U.S. for morethan three decades.In this issue —Thomas Fennessy, MD, left, is a family medicine physician from Norfolk, Nebraska.He and James Kerr, MD, also a family medicine physician who lives in Yankton,South Dakota, pose for a photo in trauma room 1 in HRMC’s emergency room.“During an average day at HRMC, I’m caring for sixto 10 patients in the hospital and making sure they getthe other services they need, such as physical therapyor laboratory tests,” Dr. Kerr says. “I also help arrangepost-discharge surgeon or specialist consultations. WhenI’m not at the hospital, I’m always available by phone andcan get there in minutes. I get to know all of my patientsduring the week that I care for them.”Hospitalists keep community physicians updated abouttheir patients and help patients transition back to theirphysicians’ care following discharge. Studies have shownthat receiving care from a hospitalist can reduce thelength of a hospital stay by 30%, according to the Societyof Hospital Medicine.Story continues on page 4.Welcome, Dr. Loewen and Dr. Bronson!. 3Breast Is Best. 5HRMC Foundation Donors. 6Helping Students Pursue a Dream. 7HRMC Commitment Scholarship Winners. 7The Gift of Knowledge. 8Connecting With Our Community. 8

A Letter From Our CEOA Time for Every SeasonDavid DickBY THE TIME you read this, I will have entered a new season in my life – I am retired! Wow,does that feel good to say out loud! Yet, I will miss working with health care teams. Truly, Ihave experienced many miracles performed by caring health care professionals in my career.I have always believed in and witnessed God’s many blessings given to keep health carelocally accessible in rural areas.I grew up in Nisland, South Dakota, a small rural community about 16 miles from BelleFourche. Rural living has instilled in me what would become my life’s mission – to help ruralcitizens have greater opportunities. Greater opportunities mean rural citizens not only havean opportunity, but also have a choice in opportunities that are valuable to them.Though I didn’t start out working in health care administration, the role has fit perfectlywith that mission. Health care organizations provide stable, rewarding jobs for ruralcommunity members. Hospitals, nursing homes, treatment centers and clinics also helprural citizens return to being productive community helpers. A rural health care system is aleader in technology and brings a high level of knowledge into our rural communities.As an administrator, I’ve also had the great opportunity and honor to serve on manyboards and in civic leadership roles, allowing me to roll up my sleeves alongside manyinfluential, community-minded leaders. They are amazing.A CEO friend once told me that he doubted I would ever retire, saying, “David, you justcan’t say no to a good project.” That scared me when he said it, because I feared he was right.Certainly, not all the worthy projects are done. Yet, I realize that they are worthy projects notbecause they are mine, but because they are ours for our community.This is especially true of having a local nursing school, as well as other health careworkforce development initiatives in Huron. I am extremely grateful for the role of thenursing task force and HRMC Foundation teams for making this project successful. Allof us must continue to financially support our Foundation’s efforts because of the extremeimportance of career awareness and scholarships. This gives all of us an opportunity ofhaving choices in receiving health care services locally. I know I will continue to support theimportant work, even though I am retired.Now, Cheryl, my wife, has a long list of projects for me, as I will finally not have an excuseto put them off. I’m looking forward to those, Cheryl. I also look forward to the manymiracles I have yet to experience. I have faith they will complement the many blessingsof this lifelong career and thecommunities I have worked within.This is maybe not goodbye asmuch as it is hello to David Dick ina new role as neighbor, communityvolunteer and, of course, temporarygolf course resident.David DickPresident and CEOHuron Regional Medical Center2 wellone CONNECTIONwww.huronregional.org

- Welcome to HRMC! -AnthonyLoewen, MDWe’re excited for this Huron native to join our team ofgeneral surgeons.DR. LOEWEN, GENERAL surgeon atHuron Regional Medical Center, is nowoffering his surgical services at the NewLife Clinic. A native of our community,Dr. Loewen graduated from JamesValley Christian School in 2005 beforeattending Tabor College in Hillsboro,Kansas. There, he earned his Bachelorof Arts in premedical biochemistry, andthen earned his Doctor of Medicinefrom the University of South DakotaSanford School of Medicine.“Growing up in Huron wasa positive experience for me,”Dr. Loewen says. “The sense ofcommunity is why I wanted tocome back.”All In The FamilyAs some of you may already know,Dr. Loewen will not be the only Loewenon our team. Nathan H. Loewen,MD, family medicine with obstetricsphysician at HRMC, is Dr. Loewen’sfather. He has offered his services to ourcommunity for over 20 years. The fatherand son will practice together at theNew Life Clinic.Dr. Anthony Loewen, his wife,Emma, and their four sons movedback to Huron in July. To learn more about AnthonyLoewen, MD, watch his introductionon our YouTube channel. Toschedule an appointment, visitwww.huronregional.org/find-a-doc.Christopher Bronson, MDDr. Bronson is ournew internal medicineHRMCPhysicians Clinic.specialist atDR. BRONSON JOINED our team in Julyas both an inpatient and outpatient internalmedicine specialist. He and his familybecame part of the Huron Communityin June. An Illinois native, Dr. Bronsongraduated from Western Illinois Universityin Macomb with a Bachelor of Science inpsychology. He then earned his Doctor ofMedicine at the University of Illinois atChicago College of Medicine.“I’ve always enjoyed science andhow it can be used to solve problems,”Dr. Bronson says. “I look forward tousing my fields of study to help patientslive fuller and healthier lives.”Dr. Bronson believes strongly in theimportance of good sleep and regularexposure to sunshine in maintaining goodhealth and preventing chronic illness. Heworks with patients to not just managetheir conditions, but also improve theirdaily quality of life.Help In Times Of CrisisOne area in which Dr. Bronson hopes tohelp our community is through treatmentof opioid addiction.“It’s a huge problem all around thecountry, and there’s a huge need forthat kind of treatment,” he says. “It’ssomething we hope to set up at HuronRegional Medical Center. The goal,eventually, is to be able offer treatment toeveryone who needs it.” To learn more about Christopher Bronson, MD, and listen to a podcastinterview, visit www.hrmcphysiciansclinic.org/ourproviders. To schedule anappointment, call (605) 353-7600 or request online.www.huronregional.orgwellone CONNECTION3

Story continued from cover.“The hospitalists care for notonly patients who have PCPs, butalso patients who either don’t havea PCP or their provider does nothave admitting privileges,” saysBecca McCaskell, CNP, who is acase manager on the medical floorat HRMC. “I appreciate knowingthat whenever I have a question,I can contact the providers andBecca McCaskell, CNPtalk through a situation or planof care. Keeping the continuity of care is so important inour community.”Thomas Fennessy, MD, a family physician who also joinedthe HRMC hospitalist team, agrees that teamwork is a vitalelement of the hospitalist program that benefits patients.“Working with the emergency room provider and thepatient’s primary care physician, we partner to providetimely and seamless care from admission to discharge,”Dr. Fennessy says. “Having a hospitalist program allowsmore patients to receive great care close to home becauseof our team approach.”A Timely AdditionWe weren’t thinking about the possibility of a globalpandemic when we established the hospitalist program lastfall, but with the advent of COVID-19, it became apparentthat the timing was perfect. The program strengthens andsupports our COVID-19 safety initiatives (see “Safe Care IsRight Here”) and allows PCPs and other physicians in ourcommunity to focus on caring for patients via telemedicineor in person.Safe Care Is Right HereA lot has changed because of the COVID-19 pandemic, but ourcommunity’s health care needs have not. People still need wellnessexams, diagnosis and treatment of illnesses, emergency care,management of chronic diseases and maternity services. HuronRegional Medical Center has instituted safety precautions and newinitiatives to keep you safe so you don’t have to delay importantmedical care, including 5 Steps to Safer Health Care:1Temperature screenings – When you arrive atHRMC, HRMC Physicians Clinic or the Women’sWellness Center, we’ll take your temperature toscreen for COVID-19.2Mask wearing – If you don’t have a face mask,we’ll provide one.3Social distancing measures – We’ve reducedfoot traffic and taken other steps in our facilities toallow patients and staff to maintain an appropriatedistance from one another.4 wellone CONNECTIONVincent Hinshaw,DO, poses infront of theCOVID-19 careward on HRMC’ssecond floor.HRMC hospitalist Vincent Hinshaw, DO, says hisexperience working in critical-access and large hospitalsaround the country has uniquely equipped him to care forpatients with COVID-19 at HRMC.“Because I’ve cared for seriously ill patients, includingthose with and without COVD-19, in larger hospitals, Ihave a keen sense of when it’s appropriate to keep thosepatients at HRMC and when we should transfer themto a bigger facility,” Dr. Hinshaw says. “In many cases, abigger hospital would provide the same level of care thatwe would. However, there are also times when patientswould benefit from immediate access to other specialists,such as cardiologists or pulmonologists.” Keep up with the latest news from Huron RegionalMedical Center at www.huronregional.org.4Extensive cleaning and disinfecting –We sanitize high-touch areas during the day andafter hours.5Virtual visits – You can see or speak with an HRMCPhysicians Clinic provider from the comfort of home.We offer two options for virtual visits: phone and video. For videovisits, we use the videoconferencing app Zoom, which is private,secure and allows you to communicate with your provider just asyou would in the office. When you call the HRMC Physicians Clinic toschedule an appointment, the staff will help decide whether a video,phone or in-person visit is appropriate. If you schedule a video visit,you’ll receive instructions for downloading Zoom and initiating thevisit. A staff member will test the connection with you to make sureyou’re ready to go for your appointment. Whether you’re a new or existing patient, you canschedule a virtual visit with an HRMC Physicians Clinicprovider by calling (605) 353-7660 or onal.org

Breast Is BestThe benefits of breastfeeding go beyond just nutritionfor your baby.AUGUST IS NATIONAL Breastfeeding Month, and ifyou’re pregnant or planning to be soon, it’s a great timeto learn why your own milk is the best thing you can feedyour baby in the crucial first year of his or her life.“Breastfeeding is not just a great benefit to help protectand nourish your newborn,” explains Amy Mattke, RN,Women’s Wellness Center. “Moms who breastfeed have adecreased risk of breast and ovarian cancer, as well as adecreased risk of osteoporosis, hypertension and diabeteslater in life.”Why Breastfeed?The hormones and antibodies in breast milk canprotect your baby from illness and will help your child’sdigestive system mature. The milk your body produceswill also change along with your child, adapting to hisor her needs and providing better immunity.Besides the health benefits, breastfeeding increasesphysical contact with your baby, which is important forboth of you. Plus, breast milk is free,saving you 1,500 or moreduring the first year of yourbaby’s life that wouldotherwise be spenton formula.Amy Mattke, RNTeri Weidner-Eichstadt, RNBreastfeeding TroubleshootingEven if your baby latches the very first time, you will likely stillexperience struggles during breastfeeding. That’s why HuronRegional Medical Center providers ensure mothers have thetools and information they need to overcome challenges on theroad to successful breastfeeding.Breastfeeding education is an option during HRMC prenatalclasses, which are being provided virtually due to COVID-19.All of HRMC’s delivering physicians support and encourageexpectant moms to breast feed.Education about breastfeeding may include information about: Breast engorgement. If breast engorgement continues,use cold compresses to help with swelling. There are alsosimple techniques you can learn to help soften pressure. Plugged ducts. If you think you may have a pluggedduct, thrush or mastitis, an infection that can cause fever,you need to see a physician or lactation consultant. Overfull breasts. If a breast feels overfull, feed on oneside for more than one feeding. You can also expresssome of the excess milk into a sink or breast pump. Sore nipples. If you have sore nipples, make sure yourbaby is latched onto the entire areola, not just the nipple. Moisturize cracked nipples with breast milk or ointment.Find more helpful information at HRMC’s PregnancyCenter online by visiting www.huronregional.org andselecting Health Info. For more informationon breastfeedingsupport, call AmyMattke, RN, at(605) 554-1020 orTeri Weidner-Eichstadt,RN, HRMC BirthingCenter nurse, at(605) 353-6251, orjoin the Huron AreaBreastfeeding SupportGroup on Facebook.Breastfeeding SupportAt Huron Regional Medical Center, we know breastfeeding isn’talways easy. That’s why we provide support and encouragement formothers or soon-to-be mothers. On our Facebook group, motherswww.huronregional.orgcan ask questions, vent about any struggles you’re experiencingand learn more about the benefits of breastfeeding your infant.In-person support is also available.wellone CONNECTION5

Thank YouWe at HRMC Foundation are incredibly thankful for our generous donors, includingthose we acknowledge here from the last few months and everyone who has giventhroughout the year.Shawn Martin,Executive DirectorWe appreciate your support!HRMC FOUNDATION DONORS, April 1 through June 30, 2020General EndowmentHelping HandsBarry CranstonDeb x and Gary FrenchJennie LentzWarren SandmeierMarcia StobbsBrad and Susan TateRobert A. TimmIn Memory of Bob GlanzerTom s and Marge HansenIn Memory of Joan HoffmanJ. Duane HoffmanIn Memory of George and Pat ManolisJoan ManolisIn Memory of Lois RoundsJan LaMontBob Myer’s Memorial GolfTournamentMarvin Kelley InsuranceBush and Susan FullertonKarl and Dee OsbergRick and Joan RozellCOVID-19American Bank & TrustCoborn’sIndependent Health Solutions, LLCLewis DrugNorthWestern EnergySouth Dakota Community FoundationJanet L. EricksonGail FischerKimberlee HerrmannMarilyn J. HoytKent and Laurie SheltonIn Memory of Dr. C.C. Lardinois andVirginia LardinoisMichael and Carolyn EnglishHealthy Huron EndowmentUnited Way Heartland RegionDr. Cy B. and Teresa x HaatvedtJoel xn and Amy NelsonIn Memory of Joan HoffmanRonald and Karon ZiegeldorfDonna Bartel xDiane Blue xSara Braskamp xCarla Brock xDennise Brock xKelly Burke xMichelle Carlson xGerri Carpenter xDr. Sara Castellanos xsJanice Christensen xCheryl Costello xKathy Coughlin xDawn Crandall xDebbie Cutshaw xDeanna Decker xChuck DeJean xDavid Dick xStacie Dowling xSara Eckmann xJoette Erickson xMati Felderman xCindy Fernholz xDeb Fraser xDeb French xSusan Fuerst xAmy Gamber xJennifer Gross xTeresa Haatvedt xRhonda Hanson xSandie Hathaway xMary Hillberg xEarl Hinricher xNancy Hofer xWanda Hoffman xKathy Holt xTorria Howard xDarlene Hyke xSam Janes xDawn Johnson xJoAnn Jones xSaren Kahre xErick Larson xNicola Larson xBobbie Lucklum xLauren Marquardt xShawn Martin xPeggy Martinson xDebra Metter xx Denotes HRMC Employee6 wellone CONNECTIONShawn Miner xJoel Nelson xnDeanne Ness xJeff Noyes xJoan Ochsner xCrystal Parker xTauree Peterson xPam Poulisse xNathan Price xShane Price xBarb Reilly xKim Rieger xLori Robish xJanet Rogers xKathy Roti xVickie Rounds xDeb Rycraft xErin Scarborough xPam Shoultz xJanice Smidt xNathan Sneed xJeramie Sopko xKaren Springer xMichael Strubel xBrooke Sydow xCindy Thomas xKim Tschetter xJulie Uttecht xKevin Uttecht xAnn Van Winkle xChase Walder xLisa Wallenstein xKarmen Weinzirl xLori Welch xKay Williams xMarcia Zwanziger xHuron Nursing ProgramIn Memory of Joan HoffmanLarry and Beth PicekCorinn and Kyle UttechtIn Memory of Donna KnouseJeanette JohnsonIn Memory of Dale and Beverly KopplinToby and Donna KoziolekRex and Karla SawvellIn Memory of Nancy MelstadJeanette JohnsonIn Memory of Leo Nelson, Sr., Leo Jr.,George, and DanSharon NelsonIn Memory of Vern TateBrad and Susan TateBeadle County Sportsmen’s ClubGeorgia BeckwithDon ButterbaughRudy and Sherry GlurLinda HawkinsClela HensonGlenn and Brenda JagodzinskeGeorge and Deborah KuhlerTodd and Patricia ManolisLarry and Beth PicekElizabeth TimmJohn and Helen Van WyheIn Memory of Wayne WaldronKathy WaldronIn Memory of Conrad WutschToby and Donna KoziolekIn Memory of Eric WutschToby and Donna KoziolekHuron Community FoundationHospice EndowmentIn Memory of Carol BaumJeanette JohnsonIn Memory of Carolyn GrayJoseph H. GrayIn Memory of Mari HoferJune HolbeckJeanette Johnsonn Denotes HRMC Foundation Board Members Denotes HRMC Board Memberwww.huronregional.org

Pursue a DreamHelping StudentsWorkforce recruiter Teresa Haatvedt, RN, BSN, hasTeresa Haatvedt, RN, BSNa passion for encouraging future health care workers.HAATVEDT RETURNED TO HuronRegional Medical Center earlier this year tohelp fill the pipeline of future caregivers.“My goal is to support students as theyobtain their education in a health care fieldand then help connect them to a job toachieve their career dream,” says Haatvedt,who worked as a nurse for more than 26years. “I’m excited to work together withthe students, schools, universities andregional health care facilities to find thequality health care staff that we need tocontinue to provide care into the future.Across the region, and particularly atHRMC, there are many high-need areaswithin health care – not just nursing.Students, young and nontraditional, canobtain their education to work in otherrewarding careers such as radiology,respiratory therapy, surgical technician,health informatics and more.”Haatvedt will be visiting area schoolsand career fairs to share informationabout available scholarships, health careapprenticeships, and additional hands-onopportunities to explore the vast variety offields within health care.If you would like more information,Haatvedt is available for one-on-one meetingswith students, schools and organizations.Health CareersExplorationAcademyThis November, HRMC plans tohost the Health Careers ExplorationAcademy, though it may look alittle different due to the pandemic.This full-day experience provides anopportunity for high school juniorsand seniors to explore careersin health care, meet hospitalprofessionals and tour the facility tosee hands-on demonstrations. For more information,call (605) 353-6326. For more information about joining the HRMC team, visit www.huronregional.org/careers or call (605) 353-6589.Scholarship RecipientsTHIS YEAR’SThese students received a Healthy Huron Commitment Scholarship to pursue a careerin a high-need field and, in return, have committed to return to Huron to work for adetermined amount of time following graduation.Chelsi BablPractical NursingProgram, SoutheastTechnical College,Huron Nursing ProgramRaegan BurkeLPN to RNProgram, Lake AreaTechnical CollegeHtee KhuPractical NursingProgram, SoutheastTechnical College,Huron Nursing Programwww.huronregional.orgAbigail BuskohlSurgical Tech,SoutheastTechnical CollegeEmily LordBachelor of Sciencein Nursing, DakotaWesleyan UniversityRiley ChristofferSurgical Tech,SoutheastTechnical CollegeJustice McDermottLPN to RN Program,Southeast TechnicalCollege, HuronNursing ProgramLexi DykstraPractical NursingProgram, MitchellTechnical CollegePeyton McWethyLPN to RN Program,Southeast TechnicalCollege, HuronNursing ProgramAllyson FullertonMedical LabTechnician, Lake AreaTechnical CollegeGrace SchoenhardPractical NursingProgram, MitchellTechnical CollegeMcKenzieHochhalterPractical NursingProgram, Lake AreaTechnical CollegeKarla SchultzPractical NursingProgram, SoutheastTechnical College,Huron Nursing Programwellone CONNECTION7

HRMC Foundationdonors , P eytonMcWethy is ableto pursue hiscareer path andget a head startATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística.Llame al 1-800-529-0115. (TTY: 1-800-642-6410).ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung.Rufnummer: 1-800-529-0115. (TTY: 1-800-642-6410).ConnectingWith OurCommunityHRMC FOUNDATION’S NEW websitereflects its three pillars: people, wellnessand technology. Through a thoughtfulcreation process that took into accountusability and usefulness, the new website iseasier to navigate and includes features thecommunity can engage with.“We wanted to recognize the folks wepartner with, and that includes the donorswho make what we do possible and thepeople who benefit from our programsand initiatives,” says Shawn Martin,executive director of HRMC Foundation.“Their stories make the strongest case forsupporting HRMC Foundation. I encourageyou to visit the page frequently to learnmore about how HRMC Foundation worksto cultivate a Healthy Huron.” Visit www.hrmcfoundation.orgto learn more.Z IP COHuron Regional Medical Center complies with applicable federal civil rights laws and does not discriminate on the basis of race,color, national origin, age, disability or sex. For more information, see the link on our homepage at www.huronregional.org.OM To learn more about HRMC Foundation scholarships, p or call (605) 353-6315.PAIDThe Commitment Scholarship will help fund McWethy’s way through theLPN to RN program – a nursing education opportunity for local students.Through the partnership of Southeast Technical College and HuronCommunity Campus, this degree plan allows students to continue theireducation and receive work hours close to home. For McWethy, it was theperfect opportunity.“I was born and raised in Huron, and my family and life are here,” hesays. “Working in my hometown has been great because I can always finda connection, whether with a patient or staff. It’s been a good way to giveback to my community.”Exciting things are still to come for McWethy. After completing the LPN toRN program, he plans to go for his Bachelor of Science in nursing and possiblypursue becoming a nurse practitioner or certified nurse anesthetist.“This scholarship has been more than just the money,” McWethysays. “It’s helped me focus on my career and allowed me to continue myeducation. Not having to worry about extra stress of paying for school is ahuge gift. There’s no reason any nursing student shouldn’t go for it.”NONPROFIT ORG.U.S. POSTAGEStaying LocalPERMIT NO. 830MCWETHY FIGURED HE would follow in the footsteps of his parentsone day, joining law enforcement or becoming a lawyer. However, afterparticipating in a few nursing school clinicals through Mitchell TechnicalCollege, it confirmed his desire to work in the medical field instead.While nursing is a rewarding career path, it can be difficult to juggle theworkload while funding schooling. McWethy took the initiative and appliedfor two different scholarships: the Build Dakota scholarship and an HRMCFoundation Healthy Huron Commitment Scholarship. He received both.“It was a burden lifted off my shoulders,” McWethy says. “Because of thescholarships, I’ve been able to focus on school. I watched many studentsgraduate with 60,000 or more in student loan debt, but instead of makingpayments, I’ve been able to start a job and purchase a house.”FRon life .M AILED24 5 0 6generosity ofDEThanks to theThis publication in no way seeks to serve as a substitute for professional medical care. Consult your physician beforeundertaking any form of medical treatment or adopting any exercise program or dietary guidelines.KnowledgeHURON REGIONAL MEDICAL CENTER172 4TH STREET SEHURON, SD 57350The Gift of

Valley Christian School in 2005 before attending Tabor College in Hillsboro, Kansas. There, he earned his Bachelor of Arts in premedical biochemistry, and then earned his Doctor of Medicine from the University of South Dakota Sanford School of Medicine. "Growing up in Huron was a positive experience for me," Dr. Loewen says. "The sense of