2010 - St. Cloud VA Health Care System
2010 - St. Cloud VA Health Care System
2010 - St. Cloud VA Health Care System
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<strong>2010</strong> Annual Report<br />
<strong>St</strong>. <strong>Cloud</strong> <strong>VA</strong> <strong>Health</strong> <strong>Care</strong> <strong>System</strong><br />
...the Veterans choice.
From the Director<br />
Barry I. Bahl<br />
Director<br />
<strong>St</strong>. <strong>Cloud</strong> <strong>VA</strong> <strong>Health</strong> <strong>Care</strong> <strong>System</strong><br />
As we look back at <strong>2010</strong>, I’m proud to report that the <strong>St</strong>. <strong>Cloud</strong> <strong>VA</strong><br />
<strong>Health</strong> <strong>Care</strong> <strong>System</strong> continued to grow and expand services to meet<br />
the needs of Veterans. We are postured to continue this trend.<br />
Patient growth continued at a high level, up 9% in <strong>2010</strong>. We continue<br />
to be one of the fastest growing <strong>VA</strong> systems in the nation. The name change announced<br />
this year reflects our reality— our growth has resulted in a system of facilities and health<br />
care services for Veterans across our region.<br />
We remain dedicated to providing our Veterans with outstanding health care and<br />
customer service. This is evidenced by the many successful reviews of our programs in<br />
<strong>2010</strong>. The Joint Commission visited in October, <strong>2010</strong> and we were awarded accreditation<br />
for an additional three years. A national review team reported that our Compensated Work<br />
Therapy/Supportive Employment program is a “Center of Excellence,” and we are a mentor/<br />
trainer site for the network and other sites across the country. In the two most recent Police<br />
and Security Reviews our facility received the highest rating possible. Numerous other<br />
external reviews throughout the year achieved excellent results.<br />
Our Community Living Center (CLC) remains very full with about 206 patients a<br />
day. Combined with the Residential Rehabilitation and Treatment Program residents, the<br />
facility has a nightly census of 350 patients. Additionally, on any given night there are 10 to<br />
15 patients at area hospitals where acute medicine services are provided to our Veterans.<br />
We have been able to hire great physicians with excellent credentials. Several are<br />
Veterans themselves. We hired additional employees throughout the organization and the<br />
quality of the entire staff is superb.<br />
We completed a substantial amount of construction this year. We opened the new<br />
Urgent <strong>Care</strong> Clinic, completed the final phases of our road construction project, and<br />
remodeled our Specialty <strong>Care</strong> support spaces and Acute Psychiatry spaces. The Ambulatory<br />
Surgery Center is nearing completion. The geothermal heating system for one CLC building<br />
was completed. Due to the success of this project we have received additional funding to<br />
install geothermal heating for an additional four buildings.<br />
As we look to 2011, planning for several large projects is underway, including projects to<br />
construct a new kitchen and backfill the current kitchen space with additional Primary <strong>Care</strong><br />
clinics; to totally remodel a CLC building (Building 49); to construct a 20‐bed Intermediate<br />
Psychiatry building; to construct a new Rehabilitation Center; and to construct an addition<br />
for the Audiology Clinic.<br />
It is a privilege to serve Veterans, and we understand that Veterans have choices in<br />
health care. The <strong>St</strong>. <strong>Cloud</strong> <strong>VA</strong> <strong>Health</strong> <strong>Care</strong> <strong>System</strong> works hard to deliver excellent health<br />
care and outstanding customer service because we want to be the Veterans choice.
Susan Markstrom, M.D.<br />
Chief of <strong>St</strong>aff<br />
Key Numbers to Know: <strong>2010</strong><br />
Senior Leaders<br />
Meri Hauge, MS, RN, NEA‐BC<br />
Associate Director of Patient <strong>Care</strong><br />
Services/Nurse Executive<br />
To honor America’s Veterans by providing exceptional<br />
health care that improves their health and well‐being.
A Decade of Growth<br />
The past ten years have proven to be a period of unparalleled<br />
growth for the <strong>St</strong>. <strong>Cloud</strong> <strong>VA</strong> <strong>Health</strong> <strong>Care</strong> <strong>System</strong>. We believe this growth<br />
results from the high degree of trust placed in us by the Veterans we<br />
serve. As we move into the future, we intend to continue to earn that<br />
trust by providing quality health care, delivered to the Veteran with<br />
exceptional customer service.<br />
Brainerd CBOC — est. 1999<br />
<strong>St</strong>. <strong>Cloud</strong> <strong>VA</strong> Medical Center<br />
— est. 1924<br />
2001<br />
Montevideo CBOC<br />
— est. 2002<br />
<strong>2010</strong><br />
Max J. Beilke CBOC<br />
Alexandria — est. 2009
Total Operating Beds<br />
*Mental <strong>Health</strong> Residential Rehabilitation<br />
and Treatment Program<br />
Inpatients & Residents Treated<br />
*Mental <strong>Health</strong> Residential Rehabilitation<br />
and Treatment Program<br />
Outpatient Visits<br />
Operating <strong>St</strong>atistics for <strong>2010</strong><br />
Budget Totals<br />
Total Value of Volunteer Resources<br />
$2, 112, 067**<br />
**Includes value of cash, materiel donations, and dollar<br />
value of payroll equivalent provided by volunteers.
Clinical Organization<br />
Primary & Specialty Medicine<br />
George Feyda, M.D.<br />
Director<br />
Surgical & Specialty <strong>Care</strong><br />
Jay Collins , M.D.<br />
Director<br />
Mental <strong>Health</strong><br />
Sherrie Herendeen, M.D.<br />
Director<br />
Extended <strong>Care</strong> & Rehabilitation<br />
Lorraine Birskovich, M.D.<br />
Medical Director<br />
‐Preventative <strong>Health</strong> & Chronic Disease Management<br />
‐Telephone <strong>Care</strong> ‐Women’s <strong>Health</strong> Services<br />
‐Clinical Pharmacy ‐Diabetic Education<br />
‐Transition Clinic ‐Urgent <strong>Care</strong><br />
‐Rheumatology Clinic ‐Hematology/Oncology Clinic<br />
‐Environmental Exams ‐Cardiology<br />
‐Pulmonology ‐Compensation & Pension Exams<br />
‐Outpatient Surgery ‐Orthopedics<br />
‐Optometry ‐Audiology<br />
‐Podiatry ‐Urology<br />
‐Dental<br />
‐Outpatient Mental <strong>Health</strong> Treatment ‐Substance Use Treatment<br />
‐Homeless Veteran Program ‐Psychological Testing and<br />
‐Suicide Awareness Program Assessment<br />
‐Vocational Rehabilitation ‐Mental <strong>Health</strong> Intensive<br />
‐Acute Psychiatric Inpatient Treatment Case Management<br />
‐PTSD Track<br />
‐Residential Rehabilitation Treatment Programs<br />
‐Rehabilitation Therapies ‐Adult Day <strong>Health</strong> <strong>Care</strong><br />
‐Dementia <strong>Care</strong> ‐Home Based Primary <strong>Care</strong><br />
‐Hospice <strong>Care</strong> ‐Gero‐Psychiatry<br />
‐Nursing Home <strong>Care</strong> ‐Ventilator Dependent <strong>Care</strong><br />
‐Respite <strong>Care</strong> ‐Prosthetics Services<br />
‐Pastoral <strong>Care</strong>/Counseling ‐Fitness Wellness<br />
‐Home <strong>Care</strong> Telehealth<br />
‐Home Improvement <strong>St</strong>ructural Alteration<br />
‐Secondary Traumatic Brain Injury (TBI) evaluations
George Feyda<br />
Medical Director<br />
Jeanine Czech<br />
Physician<br />
Haito Ge<br />
Physician<br />
Kirshan Lal<br />
Physician<br />
Sadeem Ali<br />
Physician<br />
Corinne Davis<br />
Physician<br />
Richard Hill<br />
Physician<br />
Basil LeBlanc<br />
Physician<br />
Primary & Specialty Medicine<br />
Robert Bacon<br />
Physician<br />
Crispin Domingo<br />
Physician<br />
Orleen Hoffman<br />
Physician<br />
Richard Linares<br />
Physician<br />
Don Blowers<br />
Physician<br />
Carl Fedyszyn<br />
Physician<br />
<strong>St</strong>acy Holberg<br />
Physician<br />
Charles Maron<br />
Physician<br />
Byron Busch<br />
Physician<br />
<strong>St</strong>ephen Firestone<br />
Physician<br />
Julie Jacobson<br />
Physician<br />
Lucinda Marty<br />
Physician
Primary & Specialty Medicine<br />
Brandon Mattison<br />
Physician<br />
Joyce Warkentien<br />
Physician<br />
Cheryl Larson<br />
Physician Assistant<br />
Angie Faundeen<br />
Nurse Practitioner<br />
John Mertz<br />
Physician<br />
Harold Windschitl<br />
Physician<br />
Mary Kay Whorton<br />
Physician Assistant<br />
Jason Pierskalla<br />
Nurse Practitioner<br />
Barbara Olson<br />
Physician<br />
Timothy Yeh<br />
Physician<br />
Mark Aberle<br />
Nurse Practitioner<br />
Anne Rich<br />
Nurse Practitioner<br />
Daniel Sather<br />
Physician<br />
Shannon Borer<br />
Physician Assistant<br />
Janelle Bauer<br />
Nurse Practitioner<br />
Christine Rohlfs<br />
Nurse Practitioner<br />
Jackson Thatcher<br />
Physician<br />
Mark Buhr<br />
Physician Assistant<br />
Kelli Eriksson<br />
Nurse Practitioner<br />
<strong>St</strong>eve <strong>St</strong>asiewicz<br />
Nurse Practitioner
Syed Ali<br />
Physician<br />
Max J. Beilke Community Based Outpatient Clinic—Alexandria<br />
James Burrell<br />
Physician<br />
Mary Leone‐Flynn<br />
Physician<br />
Thomas Polovitz<br />
Physician<br />
Montevideo Community Based Outpatient Clinic<br />
Richard Vandenberg<br />
Physician<br />
Primary & Specialty Medicine<br />
Mickie Pittman‐Leyendecker<br />
Women’s <strong>Health</strong><br />
Nurse Practitioner<br />
Erika Rodriguez<br />
Physician Assistant<br />
Susan Skarp<br />
Physician<br />
Penny Worsech<br />
Nurse Practitioner<br />
Not Pictured:<br />
Warren Luedtke, Physician<br />
Karen Eveland, Nurse Practitioner<br />
Brainerd Community Based Outpatient Clinic<br />
Jean Plested<br />
Nurse Practitioner<br />
Susan Mathison‐Young<br />
Nurse Practitioner
Surgical & Specialty <strong>Care</strong><br />
Jay Collins<br />
Medical Director<br />
Harry Robinson<br />
Surgeon<br />
Michael Zingale<br />
Dentist<br />
Joel Syvrud<br />
Podiatrist<br />
Dennis Callahan<br />
Surgeon<br />
Alan Tims<br />
Surgeon<br />
Terrence Duffy<br />
Urologist<br />
<strong>St</strong>acy Hinkemeyer‐<br />
Colatrella<br />
Optometrist<br />
Michael Dorle<br />
Surgeon<br />
Jeff Uhl<br />
Chief, Dental<br />
Kristin Jackson<br />
Podiatrist<br />
Troy Loomis<br />
Optometrist<br />
Mark Engelsgjerd<br />
Surgeon<br />
Chris Eriksson<br />
Dentist<br />
James Mann<br />
Podiatrist<br />
Carl Moon<br />
Optometrist<br />
Roger Frerichs<br />
Surgeon<br />
Janet Zingale<br />
Dentist<br />
David Schleichert<br />
Podiatrist<br />
Amber Scharnweber<br />
Optometrist
Kirsten Andenas<br />
Aligada<br />
Audiologist<br />
Sandy Peck<br />
Audiologist<br />
Sara Konrad<br />
Audiologist<br />
Alan Sias<br />
Audiologist<br />
Not Pictured:<br />
Scott Andrews, Anesthesiologist<br />
John Solan, Audiologist<br />
John Warner, Audiologist<br />
Nick Martino<br />
Audiologist<br />
Scott Barry<br />
Physician Assistant<br />
Surgical & Specialty <strong>Care</strong><br />
Mary Moran<br />
Audiologist<br />
Mark Rudel<br />
Physician Assistant<br />
“I wouldn’t be doing as well as I am at<br />
89 years old, if it weren’t for the <strong>VA</strong>.<br />
I am treated with respect and my<br />
provider is top notch.”<br />
Carrie Morris<br />
Audiologist<br />
Franz Weckauff<br />
Naval Petty Officer 1st Class<br />
WWII Veteran
Mental <strong>Health</strong><br />
Sherrie Herendeen<br />
Medical Director<br />
Roberto Pagarigan<br />
Psychiatrist<br />
Diane Myers<br />
Psychiatric<br />
Nurse Practitioner<br />
Keith Brown<br />
Psychiatrist<br />
Shashi Prakash<br />
Psychiatrist<br />
Luann Ackerson<br />
Clinical Nurse<br />
Specialist<br />
Not Pictured:<br />
Barbara Booth, Clinical Nurse Specialist<br />
Diana Feczer, Psychiatric Nurse Practitioner<br />
Kurt Fox<br />
Psychiatrist<br />
Jaya Varma<br />
Psychiatrist<br />
Elizabeth Kosiba<br />
Clinical Nurse<br />
Specialist<br />
Kenneth Kemp<br />
Psychiatrist<br />
Renotta <strong>St</strong>ainbrook<br />
Clinical Nurse<br />
Specialist<br />
Marianne Foldesi<br />
Physician Assistant<br />
Witold Krasniewski<br />
Psychiatrist<br />
Kay Keimig<br />
Psychiatric<br />
Nurse Practitioner
Lorraine Birskovich<br />
Medical Director<br />
Kay Iken<br />
Nurse Practitioner<br />
Extended <strong>Care</strong> & Rehabilitation<br />
Carol Showalter<br />
Physician<br />
Ann Wiborg<br />
Nurse Practitioner<br />
Kathy Beuning<br />
Nurse Practitioner<br />
Angie Moscho<br />
Nurse Practitioner<br />
“I am very happy with the care I receive at the<br />
<strong>St</strong>. <strong>Cloud</strong> <strong>VA</strong>. I come to have my eyes and ears<br />
checked and they always do a good job”.<br />
Alvin Overbye<br />
Army Sgt 1st Class<br />
Korean & Vietnam War Veteran<br />
“I have been to several different <strong>VA</strong> facilities and<br />
<strong>St</strong>. <strong>Cloud</strong> is by far the best. The staff are<br />
professional and very courteous to all Veterans”.<br />
James Leach<br />
Army Sgt<br />
Served from 1976‐1981
Special Programs<br />
OEF / OIF / OND Program Office Women Veterans Program<br />
The <strong>St</strong>. <strong>Cloud</strong> <strong>VA</strong> Operation Enduring<br />
Freedom/Operation Iraqi Freedom/<br />
Operation New Dawn Program is designed<br />
to serve returning combat Veterans and<br />
their families. To date approximately<br />
4,358 OEF/OIF/OND Veterans have<br />
enrolled with <strong>St</strong>. <strong>Cloud</strong> <strong>VA</strong> HCS.<br />
The <strong>St</strong>. <strong>Cloud</strong> <strong>VA</strong> <strong>Health</strong> <strong>Care</strong> <strong>System</strong>’s Women<br />
Veterans Program enhances services to women<br />
Veterans, provides access to high‐quality health<br />
care and provides comprehensive primary and<br />
gender‐specific care for women Veterans. The<br />
number of female Veterans enrolled with the<br />
<strong>St</strong>. <strong>Cloud</strong> <strong>VA</strong> HCS is 2,135 and growing.<br />
Homeless Veterans Program<br />
In <strong>2010</strong> the <strong>St</strong>. <strong>Cloud</strong> <strong>VA</strong> HCS received an official<br />
<strong>Health</strong> <strong>Care</strong> for Homeless Veterans Program<br />
designation. In support of the <strong>VA</strong>’s mission to<br />
end homelessness among America’s Veterans<br />
by 2014, we are expanding services. Our efforts<br />
are focused on the following programs:<br />
�� Veterans Justice Outreach: We are actively collaborating with the 8th District Court to create the nation's first<br />
Rural Veterans Court.<br />
�� Homeless Call Center: Connects homeless Veterans with local resources to meet the Veteran’s needs.<br />
�� Contract Residential Bed: Seeks to address the needs of the most vulnerable and at‐risk homeless Veterans by<br />
providing housing and support for up to 6 months.<br />
�� Housing and Urban Development/<strong>VA</strong> Supported Housing Program: Helps homeless Veterans secure apartments<br />
in the community by helping to pay rent and providing support services.<br />
�� Homeless Outreach: Focuses efforts to identify and contact homeless Veterans to improve access to services.<br />
�� Homeless Re‐entry Program: Provides support to incarcerated Veterans as they re‐enter the community.<br />
�� Grant and Per Diem Program: Offers two years of housing support to achieve residential stability, increase skills<br />
and/or income, and obtain greater self‐determination.
Great People Serving Veterans<br />
Employee of the Year<br />
Mary Jo Pine<br />
Suicide Prevention Coordinator<br />
Mental <strong>Health</strong> Service Line<br />
Physicians Award for Clinical Excellence<br />
Terrence Duffy<br />
Physician<br />
Surgical & Specialty <strong>Care</strong> Service Line<br />
Outstanding Registered Nurse<br />
Ann Wiborg<br />
RN in a Non‐<strong>St</strong>aff Role<br />
Extended <strong>Care</strong> & Rehabilitation Service Line<br />
Outstanding Registered Nurse<br />
Ruth Schlangen<br />
RN in a <strong>St</strong>aff Role<br />
Surgical & Specialty <strong>Care</strong> Service Line<br />
Outstanding Licensed Practical Nurse<br />
Lauren Hemingson<br />
Licensed Practical Nurse<br />
Extended <strong>Care</strong> & Rehabilitation Service Line<br />
Hearts & Hands Award<br />
Priscilla Sobiech<br />
Registered Nurse<br />
Extended <strong>Care</strong> & Rehabilitation Service Line<br />
Outstanding Nursing Assistant<br />
Al Dingman*<br />
Residential Rehabilitation Treatment Program<br />
Mental <strong>Health</strong> Service Line<br />
*Photo not available
<strong>2010</strong> Photo Album<br />
1— Surgical and Specialty <strong>Care</strong> spaces were<br />
remodeled in <strong>2010</strong>. Shown here is part of the<br />
remodeled Podiatry Clinic.<br />
2—The newly opened Urgent <strong>Care</strong> Clinic provides<br />
expanded space and modern facilities.<br />
3—The Alexandria CBOC was renamed in honor<br />
of Master Sergeant Max J. Beilke in September.<br />
Here the new sign is unveiled.<br />
4—It’s a great day when the Secretary of<br />
Veterans Affairs visits. Secretary Eric Shinseki<br />
visits with attendees during the renaming<br />
ceremony in Alexandria.<br />
1<br />
4<br />
2<br />
3
1— A Veteran participates in the Project Healing Waters<br />
recreational therapy program, where Veterans learn to tie<br />
fishing flies.<br />
2—Wind Energy is coming to <strong>St</strong>. <strong>Cloud</strong> <strong>VA</strong> HCS! This image<br />
shows the turbine as it will look upon completion.<br />
3—Work progressed on the wind turbine throughout <strong>2010</strong>.<br />
Here a construction worker pours the concrete for the massive<br />
footing.<br />
4—In March the <strong>St</strong>. <strong>Cloud</strong> community hosted a “Welcome<br />
Home” ceremony for returning Veterans. The Patriot Guard<br />
Riders participated en masse, as evidenced by the row of<br />
motorcycles lined up outside the <strong>St</strong>. <strong>Cloud</strong> Civic Center.<br />
5—Blessed with over 200 acres of beautiful grounds and<br />
historic structures, a beautiful spring day helps to remind us<br />
what a very special place this is for Veterans.<br />
4<br />
1<br />
5<br />
2<br />
3
Coming in 2011<br />
Ambulatory Surgery Center<br />
The Ambulatory Surgery Center (ASC) will open in 2011.<br />
The ASC will provide same‐day surgical procedures closer<br />
to home for many of the 37,000 Veterans who receive<br />
their primary medical care at the <strong>St</strong>. <strong>Cloud</strong> <strong>VA</strong>.<br />
Ambulatory surgical procedures provided will include<br />
Urological, Podiatric, Orthopedic [including Arthroscopy],<br />
Oral, Ophthalmologic, and General Surgery. The<br />
Ambulatory Surgery Center features three operating<br />
rooms (two general ORs and one OR designed specifically<br />
for urology procedures) equipped with state‐of‐the‐art<br />
equipment, technology, and necessary support spaces.<br />
Mobile Audiology Clinic<br />
The Mobile Audiology Clinic will help fill a critical need of<br />
Veterans. <strong>St</strong>affed with an audiologist and an audiology<br />
technician, the mobile clinic will travel to CBOCs and other<br />
locations, delivering audiology services where none were<br />
previously available. The mobile clinic will also be used at the<br />
<strong>St</strong>. <strong>Cloud</strong> facility to augment services performed there. The mobile<br />
clinic features a double‐walled audio booth and equipment that<br />
allows the audiologist to perform complete hearing evaluations,<br />
hearing aid fittings, and post fitting appointments. The mobile clinic<br />
is equipped with a generator, wheel chair lift and storage for<br />
equipment and supplies. The mobile clinic was funded by a grant<br />
from the VHA’s Office of Rural <strong>Health</strong>.
Challenges<br />
<strong>St</strong>rategic Plan 2011‐2015<br />
Initiatives<br />
Construct Ambulatory Surgery Center<br />
Renovate & Expand Urgent <strong>Care</strong> Clinic<br />
Renovate Community Living Center<br />
Construct new Kitchen<br />
Expand &renovate Primary <strong>Care</strong> spaces<br />
Construct Intermediate Psychiatry unit<br />
Expand Audiology Clinic<br />
Design Rehabilitation Center<br />
Research & Plan CLC Cottages<br />
Implement Patient Aligned <strong>Care</strong> Teams<br />
Develop Cardiology Center<br />
Expand Hematology/Oncology program<br />
Expand TBI treatment programs<br />
Expand Homeless Program<br />
Open Psycho‐Social Rehabilitation<br />
& Recovery Center<br />
Expand Surgical Specialty Programs<br />
Research & monitor demand for acute<br />
inpatient services and additional<br />
specialty care services<br />
As we look to the future, the focus of our planning is adapting and<br />
enlarging our 85‐year old infrastructure while growing and<br />
expanding the health care services needed by today's Veterans.<br />
While there are many changes ahead of us, our pledge and our<br />
mission remain constant: To honor America’s Veterans by providing<br />
exceptional health care that improves their health and well‐being.
<strong>Health</strong> <strong>Care</strong> Online<br />
All Veterans are encouraged to enroll in the <strong>VA</strong> <strong>Health</strong> <strong>Care</strong> <strong>System</strong>. If not currently enrolled,<br />
Veterans can complete the Application for <strong>Health</strong> <strong>Care</strong> Benefits (Form 1010EZ) online at:<br />
http://www.stcloud.va.gov/patients/eligibility.asp.<br />
Once the application is completed, you can submit the form online or you may print the form<br />
and mail it to us at: <strong>VA</strong> <strong>Health</strong> <strong>Care</strong> <strong>System</strong> , Attn: Business Office ‐ Eligibility, 4801 Veterans<br />
Drive, <strong>St</strong>. <strong>Cloud</strong>, MN 56303. You can also hand‐carry the form to the Eligibility Office, which is<br />
located on the ground floor of Building 1 (Main Entrance). For more information or to enroll via<br />
phone please call the Eligibility Office at (320) 255‐6340.<br />
Once enrolled, Veterans can sign up for Myhealthevet, an online service that enables<br />
Veterans to refill prescriptions online, get automatic wellness reminders, and participate in<br />
secure messaging with their health care team. Learn more at www.myhealth.va.gov.<br />
<strong>St</strong>. <strong>Cloud</strong> <strong>VA</strong> <strong>Health</strong> <strong>Care</strong> <strong>System</strong><br />
4801 Veterans Drive<br />
<strong>St</strong>. <strong>Cloud</strong>, MN 56303<br />
(320) 252‐1670<br />
Visit our website at www.stcloud.va.gov<br />
for more information about the<br />
<strong>St</strong>. <strong>Cloud</strong> <strong>VA</strong> <strong>Health</strong> <strong>Care</strong> <strong>System</strong>!<br />
Printed on recycled paper using soy‐based ink.
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