MARSHALL MEDICAL FOR YOUR HEALTH FALL 2024

For Your
Health
Caring. Connecting. Elevating.
FALL 2024
Healthy Heart.
Healthy Brain.
Marshall’s Annual Report
Recognize Common Forms of Skin Cancer
Marshall Expands to Better Care for You

FEATURE
Caring.
Connecting.
Elevating.
Marshall’s Report to the
Community for Fiscal Year 2023
Report to the Community
FOR THE FISCAL YEAR 2023
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Marshall is different. We were founded 65 years ago by the
community, for the community. Our neighbors raised the
funds to build the original 30-bed hospital and donated the
land we stand on. Today, we are proudly one of the state’s few
independent, locally governed healthcare systems. We remain
committed to creating a community where everyone can
attain their highest desired state of health and well-being.
We work to honor that history and commitment every day. In
2023, Marshall focused on strategic quality measures aimed
at improving our patients’ health and preventing illness.
Our teams set, and surpassed, goals in the areas of annual
wellness visits and colorectal cancer screenings, helping patients obtain
the screenings indicated for their age and health condition. Our diabetes
management program exceeded its goal, ensuring that more than 76% of
patients achieved an A1C of less than 8%, working to successfully manage
their disease. Marshall likewise met its goals for reducing hospital
readmission rates, improving its overall operating margin, and increasing
our growth and patient visits in Western El Dorado County. These
measures, and the work of each of our employees and providers, helped
Marshall to achieve national recognition for the quality of our care.
We are taking bold steps to ensure that Marshall remains at the forefront
of care in our region and is able to provide you with an excellent
experience well into the future. Through our new School of Medical
Assisting, in partnership with the El Dorado County Office of Education,
we are utilizing our best-in-practice professionals to train the next
generation of caregivers. We are significantly expanding our presence in
El Dorado Hills with a new facility at Town Center West to best serve this
growing area of our county and we have invested in training for every
one of our employees to elevate the Marshall experience for not only our
patients, but also our colleagues.
To bring all these efforts into focus, and to help transition the perception
of Marshall from a humble foothills gem into a nationally recognized
center of excellence, we have undertaken a bold rebranding campaign.
This campaign highlights our providers, our care teams, and our lifechanging
programs throughout the county.
Read the full report and learn more by visiting
marshallmedical.org/newsroom
Caring.
Connecting.
Elevating.
Resilient
Resilient: The Marshall Medical Story
is a feature-length documentary
highlighting complex and inspiring
stories of care. Filmed entirely
on location at Marshall’s hospital
and clinics, the documentary
profiles providers and patients as
they navigate life’s most difficult
... and joyous moments. Resilient
honors the indomitable spirit of our
healthcare providers and celebrates
the courageous spirit of the patients
who step through Marshall’s doors on
some of their hardest days.
View the documentary at
marshall-resilient.org
MARSHALLMEDICAL.ORG
2 | FOR YOUR HEALTH | www.marshallmedical.org

DID YOU KNOW
ABOUT MARSHALL
Marshall is an independent,
nonprofit community
healthcare provider
located in the heart of the
Sierra Foothills between
Sacramento and South
Lake Tahoe. Marshall
includes Marshall Hospital,
a fully accredited acute
care facility with 111 beds
located in Placerville;
several outpatient facilities
in Cameron Park,
El Dorado Hills, Placerville
and Georgetown; and
many community health
and education programs.
Marshall has nearly 220
licensed providers and
a team of over 1,400
employees providing
quality healthcare services
to the residents of El
Dorado County.
For Your Health is
published as a community
service by
MARSHALL
1100 Marshall Way
Placerville, CA 95667
telephone 530-622-1441
or 916-933-2273;
www.marshallmedical.org
It is intended to provide
information about health in
general as well as healthcare
services and resources
available in El Dorado County.
Information comes from a
wide range of medical experts.
If you have any concerns
or questions about specific
content that may affect your
health, please contact your
healthcare provider.
To reach the editor of For Your
Health, contact Fernando
Diaz at 530-626-2675 or
fdiaz@marhsallmedical.org
How to
Recognize
Common
Forms of
Skin Cancer
Although skin cancer can resemble other
skin issues, these are signs you should look
out for.
Skin cancer is the most common form of
cancer, but you may not always notice if
you have it or may mistake it for other skin
issues. That’s why it’s important to look
over your skin regularly and to be on the
lookout for anything that looks suspicious
or is changing in shape, size or color. Seeing
a dermatologist yearly is the best way
to find skin cancers early since a trained
medical professional will be able to spot
bumps, moles, spots, and lesions that may
be cancerous.
Types of Skin Cancer
The most common type of skin cancer is
basal cell carcinoma. It occurs in basal cells
which are found in the outer layer of the
skin. This cancer affects several million
people each year in the U.S. but is very
treatable and rarely fatal. Another common
type of skin cancer is squamous cell
carcinoma, which occurs in the squamous
cells in the outer layer of skin. Melanoma,
which can grow rapidly and spread to other
parts of the body if untreated, is a lot more
dangerous but thankfully not as common as
other forms of skin cancer.
Signs of Skin Cancer
Here are some possible signs of skin cancer,
although many of these signs may also be
due to other skin issues. Different types of
skin cancer may look different, but if you
notice any of these signs, see things that are
changing rapidly on your skin, or feel that
something on your skin doesn’t quite look
right, see a doctor. It’s better to be safe than
sorry when it comes to skin cancer because
treating skin cancer early results in the best
outcomes.
• New spots or growths or ones that change
in size, shape, or color
• Spots that are pink or skin-colored that
are pearly, waxy, or a little shiny
• Spots that are brown, blue, or gray, often
with irregular edges
• Spots that bleed easily or don’t heal
quickly
...story continued on page 6
For more information about Marshall, visit www.marshallmedical.org or follow us on
Facebook/marshallmedicalcenter, instagram.com/marshall.medical.center, on YouTube, LinkedIn and on Twitter.
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FOUNDATION NEWS
Marshall
Tournament
a Success
The 41st Annual Bob West Drive for
Marshall Golf Tournament took place
on June 21st under beautiful skies at
Cold Springs Golf and Country Club.
The tournament raised an impressive
$177,975 to benefit the Marshall
Foundation for Community Health.
With 40 teams playing, this year’s
sold-out tournament raised
unrestricted funds and included a
“Fund-a-Need” to support Marshall’s
Behavioral Health Initiatives. One
such initiative is the new dedicated
space being created in Marshall’s
Emergency Department to better
Multi-Agency Drill
Highlights Marshall’s
Emergency Readiness
serve patients experiencing
behavioral or mental health crises.
The critical project will help elevate
the experience of all who visit the
Emergency Department.
The winners of this year’s
tournament were Brian Veerkamp,
Chad Spencer, Tiffany Spencer, and
Ellie Spencer and John Sellers, Matt
Kelley, Aiden Harte, and Gary Dodge.
To learn more about how you can
support the Marshall Foundation
for Community Health visit
marshallfound.org
HOSPITAL NEWS
Earlier this summer, employees from
across Marshall acted in response to a
multi-agency drill involving the relocation
and ultimate evacuation of patients
from the hospital. Marshall’s patient care
teams, engineering, security, community
relations, volunteers, leadership, and
support staff worked in close partnership
with representatives from the El Dorado
County Medical and Health Operational
Area Coordinator (MHOAC), El Dorado
County Fire Department, El Dorado County
Amateur Radio Emergency Services (ARES),
and El Dorado Transit Authority to address
all aspects of the simulated emergency.
Comprehensive drills are essential
to ensuring Marshall is prepared
to effectively address disaster and
emergency situations that may develop
in our region. Multidisciplinary teams are
trained, in realistic scenarios, to care not
only for the patients we have on-site, but
for additional community members who
may need our services.
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COVER STORY
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Here’s why
keeping your heart
healthier may also
keep your brain
sharper as you age.
Dementia is a condition that occurs
due to changes in your brain, so what
does your heart health have to do
with your chances of developing this
disease? While a healthier heart and
a healthier brain may not seem like
they go hand in hand, many factors
that contribute to the health of one
also affect the health of the other.
That’s why a healthier heart may affect
dementia risk.
One reason heart health and dementia
may be linked is that unhealthy
arteries are thought to play a role in
both conditions. Therefore, controlling
risk factors that improve heart health,
such as lowering blood pressure and
cholesterol, is likely to also lower the
risk for dementia because it keeps your
arteries healthier.
There is no way to guarantee you
won’t develop dementia or Alzheimer’s
disease, but there are steps you can
take that may make a difference. Some
risk factors, such as your age, gender,
race or genes can’t be changed, but you
can control modifiable risks, which are
related to lifestyle habits. Although an
exact cause-and-effect relationship
between these risk factors and dementia
has not yet been established, research
indicates that they may affect dementia
risk in addition to heart health:
• Blood pressure and cholesterol
– Preventing high blood pressure
and high cholesterol or treating
the conditions if you have them
helps lower the harmful effects they
have on the heart, brain and blood
vessels. Healthy lifestyle habits such
as exercising regularly, following a
healthy diet, maintaining a healthy
weight and not smoking can help
you manage these conditions
and may reduce dementia risk.
Medications that control blood
pressure and cholesterol may also
lower the risk of dementia, but more
research needs to be done on the
subject.
• Blood sugar – Having too much
sugar in your blood (glucose) can
increase your risk of several diseases,
in addition to causing diabetes.
High glucose levels may raise heart
disease and stroke risk, as well as
the risk of dementia and cognitive
impairment. The best way to
prevent high blood sugar levels is by
following a healthy diet that doesn’t
include too much added sugar or
fat and exercising regularly. If your
blood glucose is higher than normal,
talk to your doctor about other steps
you can take to manage blood sugar
levels, including taking medication.
• Physical activity – Being physically
active is good for your health in so
many ways. It helps prevent obesity,
reduces the risk of heart disease
and high blood pressure, helps
with blood sugar management and
may lower your risk of stroke or
dementia.
• Mental and social activity – Keeping
your mind active and staying
engaged with social activities can
keep your brain sharper and prevent
loneliness. This lowers the chance of
6 | FOR YOUR HEALTH | www.marshallmedical.org

BETTER CARE FOR YOU
developing cognitive decline that
leads to dementia. Social isolation
and loneliness have also been
linked to an increased risk of heart
disease, stroke and early death.
Although keeping your heart
healthier doesn’t guarantee
you won’t develop dementia or
Alzheimer’s disease as you age,
the benefits of better heart health
are worth changing your lifestyle
habits. At the very least, you’ll enjoy
a healthier heart, but there’s a good
chance the effort you make may also
improve your brain health now and
in the future.
...story continued from page 3
• Spots that are itchy or painful
• Red, rough or scaly spots
• Growths with raised borders, that
bleed, or are wart-like
• Scaly or crusty lesions or scarlike
growths without well-defined
borders
• Changes in appearance of a mole
The most common locations for
basal cell carcinomas to occur are
in places that typically see the most
sun, such as the face, neck, ears,
head, arms, hands, or legs. However,
melanomas can occur anywhere
on the body, even if they are not
usually exposed to the sun. Skin
cancers may resemble moles, warts,
freckles, scars, growths or minor
skin injuries, which is why they are
often hard to spot.
Many skin cancers are discovered
during routine skin checks by a
dermatologist. They often cause
no symptoms and may not be
something that looks out of the
ordinary to the average person.
They may even be in places you
can’t easily see. That’s why seeing a
dermatologist regularly, especially if
you spend time in the sun or have
in the past, is your best defense
against skin cancer.
Marshall
Expands to
Better Care
for You
Work is progressing quickly on
Marshall’s exciting expansion in El
Dorado Hills. Our new facility at 4201
Town Center Boulevard, across Latrobe
Boulevard from the El Dorado Hills
Town Center, is on track to open to
patients in the winter of 2024-25.
Since 2005, Marshall has leased clinic
space in a nearby El Dorado Hills
business park, but the new Town
Center location is an opportunity to
have an even greater presence in the
community. The 49,000 square-foot,
two-story building is one of four on
the former Blue Shield campus and
the one closest to the freeway, giving
Marshall excellent visibility on the
Highway 50 corridor and our county
border. Its size and proximity to the
heart of the community will allow for
a robust, state-of-the art clinic and
increased convenience for patients.
When completed, services at the new
facility will include family medicine,
orthopedics and sports medicine,
physical therapy, and laboratory
services. A new walk-in orthopedic
clinic will enable area residents
to seek immediate attention for
potentially broken bones without
the need to travel to the emergency
room and coordinate insurance, office
visits, etc. This streamlined approach
is designed to provide best-in-class
service and exceptional care, all in one
convenient location.
The facility’s size and design allow
for expansion and consideration of
additional services in the future.
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