how we're improving your access to care - Marion General Hospital

vim&HEALTHYLIVINGFOR OURREGIONFALL 2012 $2.95Quick! Do youknow when togo to the ER?HOW WE’REIMPROVINGYOUR ACCESSTO CAREEnsuring you’rein the best shapefor surgeryScreenTHISTimeKATIE COURICcontinues tostand up againstcolon cancerNURSEGOES ABOVEAND BEYONDpage 52

COVER PHOTO BY JOHN P. MIDGLEY, CORBISDEPARTMENTS2 Opening ThoughtsHelp us identify healthproblems early to keepyou healthy and thecost of healthcare low.3 Life in GeneralThe latest newsfrom MGH.52 Employee ExcellenceWho’s lighting thehospital’s halls?53 Lifetime of LearningStaff memberscommit to qualityhealthcare by earningcertifications.54 Volunteer ServicesHonoring those whogive their time andtalents.55 Donations The MGHMemorial Gardencommemoratesemployees, physiciansand volunteers.56 CommunityConnectionsEducation programsand support groups.504To6Improving101418SPECIALSurgicalAssessmentThe perioperativeclinic helps ensureyour overall medicalcondition is at its bestprior to undergoingthe stress of anesthesiaand surgery.Go to ER or Not to Go to ER?We know it can be difficult to decide.Consult this list for when to call 911 orwhen to call your doctor.AccessMGH is committed to its mission offocusing on the health and wellness ofthe Healthcare Community.30 Days to Better SleepMake these changes to your routineto get better ZZZs.I Can’t Ask My Doctor That!Cardiologists reveal their answers tothe questions you’re afraid to ask.He Said, She SaidProstate cancer screenings andmammograms are nothing to fear.Here’s the lowdown from a realcouple on what to expect.2232364042CONTENTSFEATURESHold On to Your HealthDo you know the top healththreats for seniors? Find outhow to eliminate them.Your Joints: An Owner’s ManualLearn how your joints work andhow to care for them.Weighing Your OptionsIf you’re considering weight-losssurgery, check out our checklist.No Greater GiftGet the formidable facts onorgan donation.Weather AlertApproaching menopause?Then you’ll want this guide tobetter understand the forecast.26STILL ASCREENING STARKatie Couric is known as a perky morning personalityand a hard-hitting journalist. But her legacy remains hercommitment to fighting cancer.Vim & Vigor · FALL 2012 1

Opening ThoughTsTimely Access to a Family PracticePhysician or Nurse PractitionerIs Critical to Your HealthHelp us help you to identify healthproblems early to keep you healthyand cost of healthcare lower foryou and your employerTimely access to family practice services is criticalfor early detection of your health problems.One of our objectives at MGH is to providecare for you in the lowest cost setting. Forexample, an office visit is much less costly than an emergency room or walk-inclinic visit. And, although one of our objectives is to lower cost, an even moreimportant objective is to ensure you receive care that is properly managed on atimely basis. This helps ensure early detection of problems and provides the bestpossible continuity of care to keep you healthy and out of the hospital.Our emergency room is one of the busiest in Indiana with over 43,000 visitseach year. Many people in our Healthcare Community still use the emergencyroom for family practice services. The emergency room is not the appropriateplace to obtain family practice services, unless it is an emergency medical condition.Using the emergency room may be very frustrating because it is not theproper setting to address your health issues and it is very costly.Emergency room physicians are trained to address acute emergency issuesand refer follow-up to family practice physicians. Family practice physicians andnurse practitioners are better trained to manage your overall health and providethe continuity of care you deserve and need to remain healthy.For many years, our Healthcare Community did not have a sufficient numberof family practice physicians and nurse practitioners, so it was very difficult tobe accepted as a patient. Today, however, we have much more availability in ourHealthcare Community, so you can now be more easily accepted as a new patient.In the future, if you are seeking family practice services please call our familypractice offices or call our Physician Referral Line at 765.660.6444, which isavailable Monday through Friday from 8 am to 5 pm excluding holidays. We willget you in to be seen in a timely manner.Please make a personal commitment to help us help you.Together we can make a positive impact on your personal healthas well as the overall cost of healthcare.Paul L. Usher, FACHE, CPA, FHFMAPresident/CEOMarion General HospitalMArIoN GeNerAl HosPITAlPresident/CeoPaul L. Usher, FACHE, CPA, FHFMAChairman, Board of DirectorsJoe MartinPresident, Medical staffEsther B. Fox, D.O.Administrative Director/Medical staff services andCommunity outreachAnn Vermilion, MBA, FACHEeditorRandy DeffenbaughContributing PhotographersEric MarshallCarl and Allison SaathoffProDUCTIoNeditorialExecutive V.P./Chief Creative Officer: Beth TomkiwEditor-in-Chief: Shelley FlanneryEditors: Erin Feeney, Sam Mittelsteadt, Matt Morgan, Ellen Olson,Tom WeedeCopy Editor: C.J. HutchinsonDesignManaging Art Director: Adele MulfordArt Directors: Rod Karmenzind, Monya Mollohan, Kay MorrowProductionSenior Production Manager: Laura MarloweSpecial Projects Coordinator: Jenny BabichImaging Specialist: Dane NordineProduction Technology Specialists: Julie Chan, Sonia WashingtonCirculationV.P./Business Intelligence Group: Patrick KehoePostal Affairs & Logistics Director: Joseph AbeytaClIeNT servICesV.P./Sales & Product Development: Chad Rose, 888-626-8779V.P./Client Services & Strategy: Andrea ParsonsAccount Managers: Carey Ballard, Barbara Mohr, Paul Peterson,Ryan SmeetsADMINIsTrAT I oNVim & Vigor Founder: J. Barry JohnsonChairman: Preston V. McMurry Jr.Chief Executive Officer: Christopher McMurryChief Financial Officer: Clarke ReaPresident: Fred Petrovsky441 N. Wabash Ave., Marion, IN 46952-2690If you prefer not to receive our magazine or other health andwellness information from Marion General Hospital, please call us at765-660-6000 or send your request to be removed from our mailinglist to randy.deffenbaugh@mgh.net.Vim & Vigor, TM Fall 2012, Volume 28, Number 3, is published quarterly byMcMurry, McMurry Campus Center, 1010 E. Missouri Ave., Phoenix, Arizona85014, 602-395-5850. Vim & Vigor TM is published for the purpose of disseminatinghealth-related information for the well-being of the generalpublic and its subscribers. The information contained in Vim & Vigor TM is notintended for the purpose of diagnosing or prescribing. Please consult yourphysician before undertaking any form of medical treatment and/or adoptingany exercise program or dietary guidelines. Vim & Vigor TM does not acceptadvertising promoting the consumption of alcohol or tobacco. Copyright© 2012 by McMurry. All rights reserved. Subscriptions in U.S.: $4 for one year(4 issues). Single copies: $2.95. For subscriptions and address changes, write:Circulation Manager, Vim & Vigor, TM McMurry Campus Center, 1010 E. MissouriAve., Phoenix, Arizona 85014.2Vim & Vigor • FALL 2012

Meet MGH’sER PhysiciansRuth Bainbridge, M.D.•Medical school: IndianaUniversity School of Medicine,Indianapolis•Residency: Community Hospitalof Indianapolis, Indianapolis•Undergraduate: Marion College,Marion (graduated summacum laude)•Board certified: Family medicineRuth Bainbridge, M.D.Derrick Dvorak, M.D.•Medical school: Universityof South Dakota School ofMedicine, Vermillion, S.D.•Residency: Rapid CityFamily Medicine Residency,Rapid City, S.D.•Surgical internship: Universityof Minnesota, Minneapolis•Undergraduate: University ofSouth Dakota, Vermillion, S.D.• Board certified: Family medicineDerrick Dvorak, M.D.Earl Beaupied, M.D.•Medical school: Wayne StateUniversity School of Medicine,Detroit•Residency: Baptist Hospital,Winston-Salem, N.C.•Undergraduate: EasternMichigan University, Ypsilanti,Mich. (graduated summacum laude)•Board certified: EmergencymedicineEarl Beaupied, M.D.Jeffrey Giese, D.O.•Medical school: KirksvilleCollege of OsteopathicMedicine, Kirksville, Mo.•Residency: Doctors Hospital ofStark County, Massillon, Ohio•Internship: Doctors Hospital,Columbus, Ohio•Undergraduate: GannonUniversity, Erie, Pa.•Board certified: EmergencymedicineJeffrey Giese, D.O.Timothy Drinkard, D.O.•Medical school: MichiganState University Collegeof Osteopathic Medicine,East Lansing, Mich.•Internship: Pontiac OsteopathicHospital, Pontiac, Mich.•Undergraduate: OaklandUniversity, Rochester, Mich.•Board certified: EmergencymedicineTimothy Drinkard, D.O.Stephen Jasinski, M.D.•Medical school: IndianaUniversity School of Medicine,Indianapolis•Residency and internship:Fort Wayne Family Practice,Fort Wayne•Undergraduate: PurdueUniversity, West Lafayette•Board certified: Family medicineStephen Jasinski, M.D.Vim & Vigor • FALL 2012 5

“IMPROVEaccess to carein lowestcost setting”Referral Line, we can provide you a list of practitioners accepting new patients and schedule your firstappointment during the same call if you select one of our MGH practitioners.Our physician referral line continues to provide information for obstetrics/gynecology, pediatricians,psychiatrist, surgeons, cardiologists and various other specialists who are on MGH’s medical staff.◆ Expansion of Bridges to Health (“Bridges”): We provide Bridges (our Healthcare Community’s freeclinic for uninsured patients) with ample office space at Kem View Medical Center, enabling Bridges toenhance its outreach to provide access to care for those in need. This donation of space, along with our yearlyfinancial support, is another way we are helping to ensure access to family practice services in our HealthcareCommunity.◆ Reducing Physician Visit Costs: We made family practice practitioner visits more affordable toour Healthcare Community. We reduced our office visit charges by an average of 30% and at the sametime continue to provide an upfront 25% discount to self-pay patients, which improves access to familypractice care.◆ Employer Clinics Coming: We are preparing to offer employer clinics in our Healthcare Communityas another tool to lower healthcare costs and improve timely access to family practice practitioners. Byworking closely together with employers, we can help design an approach that will work to help reducehealthcare expenditures and improve health status for employees of our local employers.USING FAMILY PRACTICE OFFICES COSTS EVERYONE LESSIt is no secret that getting health services in a family practice setting is more cost effective than optingfor urgent care facilities or the emergency room. Patients can generally see this difference in the variationof co-pays for a practitioner’s office compared to the co-pay for a visit to an urgent care facility or theemergency room.Employers who provide the insurance to the employee realize savings when their employees utilizethe medical care available in our family practice offices to address health concerns. It is a Win-Win foreveryone involved.MGH FOCUS ON COST-EFFECTIVE CAREWe want to be your first choice for healthcare services and we also want our Healthcare Communityliving healthy lives and addressing health concerns before a need for an inpatient hospital stay occurs.We are committed to our mission to focus on the health and wellness of our Healthcare Community.However, please remember our primary goal at MGH is to encourage our community friends, neighborsand family members to make health a priority. MGH urges you to live a healthy life by creating arelationship with an MGH family practice practitioner who can help you navigate the journey towardsimproved health and wellness.8Vim & Vigor · FALL 2012CONTINUED ON PAGE 49

CONTINUED FROM PAGE 8Medical Group - Family Practice PractitionersFamily Practice Balasandiran Emil MD Family Medicine Center Western Ave. 765-660-7720Family Practice Bragg Jeffrey DO Marion Family Practice 765-660-7900Family Practice Cytrynowicz Karl DO Family Medicine Center Marion 765-660-7630330 BuildingFamily Practice Draves Susan FNP- C Family Medicine Center Marion 765-660-7630330 BuildingFamily Practice Fuqua Lori MD Family Medicine Center Gas City 765-660-7840Gas City Medical CenterFamily Practice Howard Adrienne FNP- C Family Medicine Center Swayzee 765-660-7860Pence Davis Medical CenterFamily Practice Howard Amy NP-C Family Medicine Center Western Ave. 765-660-7720Family Practice Inam Novera MD Family Medicine Center Northwood 765-660-7550Northwood Medical CenterFamily Practice McDowell Michelle FNP- C Family Medicine Center Gas City 765-660-7840Gas City Medical CenterFamily Practice Nisa Nuzhat MD Family Medicine Center Marion 765-660-7630330 BuildingFamily Practice Orrell James MD Marion Family Practice 765-660-7900Family Practice Osborne Patti NP-C Family Medicine Center 765-660-7840Gas City Medical CenterInternal Medicine Patel Bharatkumar MD Fairmount Medical Associates 765-660-7880Internal Medicine Patel Kundanbala MD Fairmount Medical Associates 765-660-7880Family Practice Raj Kavita DO Family Medicine Center Northwood 765-660-7550Northwood Medical CenterFamily Practice Riegle Helen MD Upland Health & Diagnostics 765-660-7520Family Practice Riegle Shannon MD Upland Health & Diagnostics 765-660-7520Internal Medicine Srikanth Shankaran MD Family Medicine Center Western Ave. 765-660-7720Family Practice Templin Teresa APRN-C Family Medicine Center Converse 765-660-7870Drook Medical CenterFamily Practice Westfall Mark MD Marion Family Practice 765-660-7900Family Practice Woods Brenda MD Marion Family Practice 765-660-7900Vim & Vigor · FALL 2012 49

50Vim & Vigor • FALL 2012

SurgicalAn extension of MGH’s preadmissionprogram, the perioperative clinichelps ensure you’re in top conditionprior to your procedureAssessmentthinkstockQA“Perioperative”whAt Is AperIoperAtIve clInIc?refers to the whole surgical experience,before and after surgery. The perioperativeclinic is staffed by hospitalists at MGH. These are doctorsand nurse practitioners who specialize in the care ofhospitalized patients and also are trained in performingpreoperative assessments.The purpose of the preoperative assessment is toensure your overall medical condition is at its best priorto undergoing the stress of anesthesia and surgery.Many patients who are scheduled to have surgery atMarion General Hospital will have an appointment foran assessment prior to surgery. Ideally, this appointmentwill take place a few weeks prior to the scheduled surgery.QAwhAt cAn I expect leAdIng upto my preoperAtIve Assessment?First, your surgeon, anesthesiologist or primary caredoctor will make a referral to the perioperative clinic.You will be contacted by the clinic staff with the dateof your appointment. This will be followed by a call fromthe preadmission testing (PAT) nurse. The PAT nursewill take a brief medical history over the phone.On the day of your appointment, you are encouraged tobring an up-to-date list of your medications, allergies andquestions you may have. The clinic staff will communicatewith your doctors and obtain your health records forthe perioperative clinic visit.You will arrive at the registration department and thenbe escorted to the PAT department. There, you will meetthe PAT nurse, who will complete a history and physicalassessment. Any predetermined blood work, EKG orchest X-ray will be performed.QAOnceAfter my Assessment,whAt hAppens next?the testing is completed, you will be escorted tothe perioperative clinic to meet with the hospitalist.The hospitalist will do a head-to-toe physical assessmentto determine if you are at risk for complications witha planned surgery. Surgery and anesthesia can be verystressful, which can lead to adverse results (e.g., heartattack, respiratory failure) that may threaten your wellbeingand affect your postoperative care. The hospitalist’sevaluation will minimize this risk.The assessment is communicated directly to you andyour referring doctor.It is possible additional testing (e.g., stress test, sleepstudy) may be ordered based on your assessment for risk.The most common problems that need further evaluationare cardiac (heart) and pulmonary (lung) diseases.The appointment takes two hours on average. Thisincludes registration, an assessment with the PAT nurseand an assessment with the hospitalist.QAAfterIs there AnythIng elseI need to do?the perioperative clinic visit, you’re free toreturn home and await your surgery. On the day ofsurgery, you will come back to the hospital as directed byyour surgeon.After surgery, a hospitalist, ideally the same one whoassessed you in the perioperative clinic, will see you. (Ifthe hospitalist who assessed you is unavailable, anotherhighly qualified hospitalist will visit.)By Arun TewAri, M.D., MGHHospiTAlisT proGrAM DirecTorVim & Vigor • FALL 2012 51

MGH Staff EarnProfessional CertificationLifetime of LearningOne Marion General Hospitalemployee has proved herdedication to providing ourHealth care Community with the highestlevel of quality healthcare. She haschosen to further her education andadvance her knowledge within herchosen profession. This dedicationis demonstrated by her commitmentto study for and pass a professionalexamination to become certified.In healthcare, professional certificationhelps ensure excellence.MGH staff members pursue thiswith enthusiasm.Beth Foss, R.N., medical/surgical,is now wound care certified (WCC). The 24-yearMGH employee received the designation fromthe Wound Care Education Institute. As a WCCpractitioner, Foss has made a voluntary andpersonal commitment to advance her knowledgein wound care to deliver the highest qualitywound care available. She is also a certifiedmedical/surgical nurse. Foss and her husband,John, live in Marion. They have three grown children: Seth, Joshand Alyssa.DevotionandSacrificeIn the past year, more thana dozen Marion GeneralHospital employees havechosen to pursue professionalcertification. Theydo this because they aredevoted to their careersand the patients theyserve. Devotion perhapsis hard to find in today’sworld, but not so withinthe walls of MGH. MGHsalutes these employeesand their family members.Their sacrifices do notgo unnoticed.Vim & Vigor • FALL 2012 53

Volunteer ServiceSTransitionsA message from MGH Auxiliary president Ron TottenCALLJoin Our TeamCall MGH Volunteer Services at765-660-6410 to learn how youcan volunteer at MGH.Ron TottenMy name is Ron Totten, and I amproud to be your newly elected MGHAuxiliary president. I have big shoesto fill. Phil Weck, your past Auxiliarypresident, served two very successful terms. I wouldlike to thank him and the entire board for all theirhard work and dedication.In May, at the annual MGH Auxiliary meeting andluncheon, we elected our 2012–13 officers: Karen Key,vice president/president-elect; Kathy Gray, recordingsecretary; Dorinda Turner, assisting recording secretary;Norma Northway, treasurer; and Susie Jones,assistant treasurer.We also thanked Mary Craw and Jane Scholarfor their service as they completed their respectiveterms on the board. We welcomed Karen Koontz andMildred Shannon as new board members. I look forwardto working with Karen, Mildred and the entireboard to build on the successes of the previous boardin regard to fundraising and donations.Because of their hard work, and excellence in fundraising,they were able to donate 22 wheelchairs tothe hospital—wheelchairs that will be used daily toease the burden and pain of those who are sufferingand unable to walk because of illness or injury.The work we do as volunteers and as Auxiliaryboard members has a huge impact on MGH, ourHealthcare Community and our patients. We mustnever forget that.Of course, without you, none of this would be possible.We appreciate your support of our fundraisersthroughout the year and the many purchases youmake in our gift shop. Your generosity allows us todo what we do best: help others.On behalf of the entire board and each and everyvolunteer, thank you!Volunteers of the MonthMarch: Phil Burton—“Volunteering helps me get out and focus on other people,” says Phil Burton, whotravels all over the hospital working as a messenger. The Fairmount resident has volunteered for nearly threeyears. His working career was spent at Anaconda and Chrysler for 33 years. When not volunteering, Burtoncan be found sitting in front of his television watching Indiana University basketball and pro football.April: Lois Lutes—Prior to volunteering, MGH gift shop volunteer Lois Lutes and her husband owned andoperated a bed and breakfast in Grant County. Lutes has a sense of humor: She listed her family as two children,two stepchildren, three grandchildren, six step-grandchildren, two sons-in-law, two daughters-in-lawand “only one husband.” Her hobbies are crocheting and knitting.May: Velma Lovelady—Velma Lovelady volunteers at MGH because her son, Bryan (ambulance), anddaughter, Tressa Kilgore (laboratory), work at MGH and encouraged her to volunteer three years ago. She canbe found in the MGH gift shop. When asked what she likes about volunteering, she says, “meeting people.”She has lived in Marion since 1956 and retired as the manager of Greentree West Apartments after 29 years.June: Roy McVey—Roy McVey has a calling for helping others, and he truly enjoys it. He began volunteeringas a chaplain assistant after his pastor encouraged him. His pastor recognized his God-given talents toencourage, support and assist others during uncertain times. McVey enjoys traveling and playing with hisgrandchildren. He stayed active prior to retirement, working in a factory as well as being a farmer.Phil BurtonLois LutesVelmaLoveladyRoy McVey54Vim & Vigor • FALL 2012

MGH Memorial GardenHonoring former MGH employees, physicians and volunteersDONATIONSThe Marion General Hospital MemorialGarden, in the courtyard east of thecafeteria, was built in memory of formerPlant Engineering Supervisor Fred Gauseand made possible by a generous donation andsupport from the MGH Auxiliary. The garden honorsMGH employees, physicians and volunteers whohave passed away, by displaying their names anddepartments on engraved bricks set around the baseof a tranquil fountain.Honored as of press time are:• Idabel Bailey, volunteer• Rida Baumbaugh, volunteer• Howard Huffman, nurse aide• Margaret Huffman, registered nurse• Mary Jane Langrall, volunteer director• William H. Rea, board chair• Marilyn Runyon, volunteerCALLPurchase a BrickBricks to honor MGH employees, physiciansand volunteers who have passed away can bepurchased for a minimum donation of $25.Call Volunteer Services at 765-660-6410for more information.Marion General HospitalEndowment FundIn 1994, the Marion General Hospital Endowment Fund wasstarted to accept donations to support the hospital’s missionand vision for our Healthcare Community. Donationsto the fund are sincerely appreciated. Call 765-662-0065or mail to:The Marion General Hospital Endowment FundCommunity Foundation of Grant County,Indiana Inc.505 W. Third St.Marion, IN 46952Vim & Vigor · FALL 2012 55

Community ConneCtionsContinuous education programs/support groupsClassesDIABETESClasses are offeredmonthly. Physicianreferral is required. Formore information, calldiabetes education at765-660-6690.PRENATALEDUCATIONClasses provided inconjunction withFamily Service SocietyInc. Classes are held atvarious times throughouteach month. Pleasecall 765-660-3864 orvisit www.mgh.netfor more information.SmOkINgCESSATIONThis free five-classseries is cosponsoredby the AmericanLung Association.Call 765-660-6330.supportGroups(All support groupsare free)POSTPARTUmSUPPORT gROUPAll postpartum familiesare welcome. Babies willbe weighed. Specialspeakertopics willinclude nutrition, carseats and postpartumdepression. Refreshmentswill be served.Call 765-660-6860.Dates: Meets everyTuesdayTime: 10:30 a.m.location: MGHFifth Floor, Room C,441 N. Wabash Ave.REfLECTIONSCancer support group.Call 765-660-6556.Dates: Meets the thirdWednesday of eachmonthTime: 3 p.m.location: MGHConferenceRoom E, Fifth Floor,441 N. Wabash Ave.CommunityserviCeCAR SEAT SAfETyFree service for parentsand caregiversfor inspection, fittingand instructions onproper installation ofa child car seat. (Bothchild and car seat mustbe at inspection.) Call765-660-6860 forappointment.Time: By appointmentonlylocation: MGHParking Garage,441 N. Wabash Ave.onlineFor MoreInformationPlease call the numberslisted or visitour website atwww.mgh.net forinformationabout any ofour programs.56Vim & Vigor • FALL 2012

Marion General Hospital441 N. Wabash AvenueMarion, IN 46952Non-Profit Org.US PostagePAIDVim & VigorMARION . GAS CITY . FAIRMOUNT . CONVERSE . SWAYZEE . UPLANDEXTRAORDINARY CAREfor ourHealthcare Communitywith National Award-WinningEXCELLENCE441 N. Wabash Ave. Marion, IN 46952765.660.6000, 800.200.1111www.mgh.net