Dignity Health Yavapai Regional Medical Center Receives 2022 Guardian of Excellence Award®
Pictured from Dignity Health Yavapai Regional (l to r): Frank Almendarez, MHSA, Vice President, Operations; Richard Logan, PT Director, Physical Rehabilitation Services; Anthony Torres, MD, FACP, President and CEO; Jeremy Murdock, FACHE, Chief Operating Officer The Physical Rehabilitation Services Department at Dignity Health Yavapai Regional Medical Center has long been known as the premier rehabilitation services center in the Quad Cities. It’s a state-of-the-art facility, with advanced therapies and the latest healing technologies, delivered by an outstanding team of licensed physical, occupational, speech, and massage therapists. The center recently earned national recognition as the recipient of the Press Ganey 2022 Human Experience (HX) Guardian of Excellence Award®. Press Ganey is the global leader in healthcare experience solutions and services. This award is part of the company’s annual assessment of the top hospitals and health systems in the country, ranking them according to performance in patient experience. Press Ganey works with more than 41,000 hospitals and healthcare facilities in its mission to reduce patient suffering and enhance caregiver resilience in order to improve the overall safety, quality, and experience of care. Winning the Press Ganey HX Guardian of Excellence Award® places Yavapai Regional in the top 1% of healthcare providers in delivering superior patient experience in the last year. “By putting their patients and workforce first each and every day, Dignity Health Yavapai Regional Medical Center is demonstrating their unwavering commitment to their employees and to the communities they serve,” said Patrick T. Ryan, chairman and chief executive officer, Press Ganey. “The caregivers at YRMC have inspired us with the compassion, empathy, and human connection they bring to the clinical healthcare setting. We are honored to partner with them as we celebrate their achievement.” “Receiving the Press Ganey Award is a true honor, but I have to say I am not entirely surprised,” stated Richard Logan, PT, Director of Dignity Health YRMC Physical Rehabilitation Services. “Our Physical Rehabilitation Services Team is second to none. They show up every single day with a can-do attitude and a commitment to our patients and our community that is truly inspiring.” To learn more about Dignity Health Yavapai Regional Medical Center, visit yrmc.org. About Press Ganey Press Ganey, the leading Human Experience (HX) healthcare performance improvement company, offers an integrated suite of solutions that address safety, clinical excellence, patient experience and workforce engagement. Press Ganey is a PG Forsta company.
YRMC Advocates for Patients through Innovative Patient Blood Management Program
A Message from Anthony Torres, MD, FACP, President and CEO, Dignity Health Yavapai Regional Medical Center Dignity Health Yavapai Regional Medical Center (YRMC) offers exceptional health care programs and outstanding clinical services that impress me both as a physician and the organization’s CEO. Our Patient Blood Management (PBM) program is an excellent example. This program stands out to me for its clinical achievements and because it demonstrates YRMC’s willingness to lead and innovate. Yavapai Regional is home to Arizona’s only PBM program that is recognized by the Society for the Advancement of Patient Blood Management (SABM). In the United States, approximately 90 hospitals/health systems have earned SABM recognition. It makes me proud to say that YRMC’s efforts surrounding PBM have elevated our organization as a national and global leader in this field. To truly appreciate this achievement, it’s important to understand PBM and how it can improve patient outcomes. Simply put, PBM aims to support and optimize blood health. This begins before patients are hospitalized for surgery by customizing therapies – nutrition, vitamins, medication management, and more – that prevent or treat anemia. It continues with strategies that detect and treat anemia, minimize the risk for blood loss, and improve overall health in our surgical suites, on the patient care units, and even after the patient leaves the hospital. What are the results? While blood replacement remains a vital life-saving procedure in our hospital, and within health care in general, growing evidence shows that PBM reduces complications, shortens hospital stays, and results in better long-term outcomes. YRMC’s PBM program was launched in 2012, thanks to forward-thinking leadership and PBM champions, especially Pierre Tibi, MD, FACS. Dr. Tibi is an internationally known cardiothoracic surgeon and a leading authority on PBM. He serves as the medical director of the James Family Heart Center at Dignity Health Yavapai Regional and YRMC’s PBM program. Dr. Tibi’s advocacy has placed Yavapai Regional in the center of a world-wide effort to achieve better patient outcomes through PBM. I encourage you to explore these local and global resources for more information: Yavapai Regional’s PBM Department at YRMC.org/services/patient-blood-management or call (928) 771-5109 The Society for the Advancement of Patient Blood Management at SABM.org
Five tips to get you walking for Diabetes Awareness Month
Regular exercise is a good way to both prevent and manage type 2 diabetes. Many people, however, are unaware that walking – a low-impact exercise that improves blood flow and lowers blood pressure – can help stave off diabetes. Additionally, higher daily step counts can help people with diabetes reach their blood glucose (blood sugar) targets. “A major complication of uncontrolled blood sugar is heart disease,” says Andrea Klein RN, BSN, CDCES, CCRP, Director of Preventive Medicine and Wellness, Dignity Health Yavapai Regional Medical Center. “Two out of three people who have diabetes also have high blood pressure, which increases your chances of heart attack and stroke. Walking is an excellent way to improve your cardiovascular health and manage your blood-sugar levels.” Are you ready to launch a new walking program or step up your current commitment to walking? Either way, Klein recommends getting your health care provider’s clearance before you begin. This is especially important if you are among the one in three American adults who has prediabetes or the 11 percent with a diabetes diagnosis. Now is the time November is National Diabetes Month, a good time to launch a walking program. Here are five tips that will get you moving in the right direction. Prepare for your walk (especially longer ones) – Foot issues can be a factor for people with diabetes, which is why Klein recommends purchasing a good pair of walking shoes. If a continuous glucose monitor (CGM) is an option, it’s also a good investment. Sync your CGM with your smartphone for real-time access to glucose levels. “Stay hydrated, take along a few glucose tablets, and pack an energy bar for emergencies,” says Klein. “Be prepared and think through everything you may need, especially if you’re taking a long walk or hike.” Take walks when they will benefit you most – Research shows that a 20 to 30-minute walk taken approximately a half-hour after breakfast, lunch, or dinner can reduce spikes in blood sugar. Work up to more steps – The more active you are, the less likely you are to develop type 2 diabetes. Work your way up to approximately 10,000 steps per day or to a 30-minute daily walk. If it’s difficult to walk 30 minutes at a time, take shorter walks throughout the day—10 minutes in the morning, afternoon, and evening. Pick up the pace as you get stronger – People who walk briskly – between 80 and 100 steps per minute – have overall better health outcomes compared with those who walk a similar amount each day but at a slower pace. Walk with a buddy, if possible – You’re more likely to stay with your walking routine if you walk with a friend. Klein recommends people with diabetes wear a medical alert band, especially when taking a solo walk or hike. Whatever type of fitness program you take on, it’s important to stick to it. “The benefits of exercise build over time,” explains Klein. “People who engage in regular, moderately intense physical activity are at about 30 percent lower risk for type 2 diabetes than people who are sedentary.” Stay informed Want to learn more? Join Yavapai Regional’s “Healthy Living with Diabetes” program by calling 928-771-5794 or explore other diabetes education offerings here.
Is Lung Cancer Screening right for you or someone close to you?
Do you have a history of tobacco use? Or, perhaps someone you care about is a former smoker. Either way, you’re probably concerned about the possibility of lung cancer. Fortunately, Dignity Health Yavapai Regional Medical Center (YRMC) offers low-dose computed tomography (LDCT), which can detect lung cancer early, when it’s most curable. “Early-stage lung cancer has up to an 80 percent chance of cure, or survival, over five years,” says Jennifer Harvey, RN, BSN, Nurse Navigator, Lung Cancer Screening and Care at Dignity Health YRMC. “That’s positive news for people who are considered high risk for lung cancer.” November is Lung Cancer Awareness Month, an excellent time to focus on LDCT as well as Yavapai Regional’s Lung Cancer Screening and Care program. Learn the essentials of LDCT LDCT is a yearly check for patients who are at high risk for lung cancer. It’s also the only lung cancer screening method recommended by the medical community. During LDCT, a CT scan takes 3-D pictures of the lungs. These images provide more detail than a standard chest X-ray and require 75 percent less radiation than a regular CT scan. LDCT scans include a large part of the body, which means in addition to lung cancer, LDCT can detect other conditions, including chronic pulmonary obstructive disorder (COPD) and heart disease. Additionally, LDCT is non-invasive, only takes a few minutes to perform, and is not painful. “If you don’t have any signs of lung cancer after your first LDCT screening, you will be screened annually,” Harvey explains. “It’s important to know that lung cancer screening is not a ‘one and done’ scan. I suggest that people think of their LDCT as they would a mammogram or colonoscopy—a preventive and early detection screening tool.” A yearly LDCT scan that shows no signs of lung cancer is reassuring. However, if a scan reveals suspicious findings, the multidisciplinary care team members – nurses, pulmonologists, radiologists, surgeons, and technologists – are ready to assist with timely follow-up care. Are you eligible for LDCT? LDCT is available to: People ages 50 – 77 (or up to age 80 with private health insurance) Current smokers or smokers who quit in the last 15 years Heavy smokers—one pack a day for 20 years or two packs daily for 10 years Those free of any lung cancer symptoms with no prior lung cancers The best way to find out if you qualify for LDCT is to contact a Yavapai Regional Lung Cancer Screening and Care patient navigator at (928) 771-5454. For more information, visit Lung Cancer Screening and Care.
Our volunteers are awesome!
Working with Dignity Health Yavapai Regional Medical Center’s (YRMC) volunteers is no doubt a rewarding job. However, according to Chamine David, YRMC’s Director of Volunteer Services, that fulfilling position can become very challenging at one particular time of year. “Selecting our Volunteer of the Year recipients is really difficult,” says David. “Yavapai Regional has a total of 340 active volunteers. All of them give their time and talent to support our organization. It’s never an easy choice.” Yavapai Regional’s 2022 Volunteer of the Year selection was no different. Presented earlier this year, the award recipients were celebrated during an event at The Center in Prescott. All three of the volunteers selected were recognized for their unique service to Yavapai Regional. Lana Fielding, YRMC West 2022 Volunteer of the Year Lana Fielding began volunteering at YRMC in 2015. Since then, she has served in a variety of volunteer roles, including: Courtesy cart driver Information desk ambassador Registration desk volunteer Fielding also chairs YRMC’s PAWS program. She brings joy to patients during visits with her therapy dogs, Tama and Maggie. “Lana embodies the values we strive for at Dignity Health YRMC,” says David. “She’s respectful, honest, and collaborates with fellow volunteers. Lana serves YRMC with passion.” Kim Haugen, YRMC East 2022 Volunteer of the Year Kim Haugen currently supports the Volunteer Services office at YRMC East and assists with mail delivery. She also chairs the information desk and trains volunteers who are new to that role. During her 15 years of service, Haugen has volunteered in many areas, including: The Family Birthing Center Nutrition Services Patient care areas Haugen also participated in the Pets Are Warm Support (PAWS) program with her therapy dog, Dirk. “Everything Kim does, she does well,” David says. “She’s pleasant and cheerful to everyone she meets. Truly, Kim is an ambassador for YRMC.” Jackie Gallant, 2022 Sally Zinn Martin Award recipient Like this award’s namesake, Jackie Gallant is beloved for her caring spirit and big heart. “Jackie is always ready to support her fellow volunteers,” says David. “She checks on volunteers who are home sick or hospitalized.” During her weekly shift, Gallant delivers water and coffee to fellow volunteers. On holidays, she wears colorful and fun outfits that bring smiles to both volunteers and patients. Gallant has carved the pumpkin that Volunteer Services enters in the annual hospital-wide contest. “If there is a special project or event, Jackie is all in,” notes David. “She’s a ‘people person.’ In fact, I’m pretty sure she knows every hospital staff member by name.” The Sally Zinn Martin Award is presented in memory of the YRMC volunteer whose positive nature inspired many. To learn about volunteering at YRMC visit Volunteer Services or call the department in Prescott at (928) 771-5678 or Prescott Valley at (928) 442-8683.
Preparing for recovery before surgery: A new approach to healing
If you’ve had surgery, you know how important rehabilitation is to recovery. Working with a physical therapist, occupational therapist, and other rehabilitation specialists helps you regain your strength and returns you to your normal activities faster. Traditionally, rehabilitation begins after surgery. The team at Dignity Health Yavapai Regional Medical Center (YRMC) is part of a movement by leading health care organizations to introduce what could be named “prehabilitation.” Enhanced Recovery After Surgery (ERAS®), as it’s actually called, is designed to get you ready for your post-surgery recovery program before you even see the inside of a surgical suite. “ERAS is a way to help people prepare physically and mentally for their postoperative course,” says Pierre Tibi, MD, FACS, Director, the James Family Heart Center at Dignity Health YRMC and a cardiothoracic surgeon. “It’s a partnership that involves patients and every YRMC team member who comes in contact with them as part of their surgery.” That multi-disciplinary team – physicians, nurses, dietitians, pharmacists, rehabilitation specialists, and more – puts into action ERAS protocols that are scientifically proven to curb complications, reduce hospital stays, and accelerate recovery. Education and communication are threads that connect ERAS protocols at every phase. “Patients are at the center of ERAS,” Dr. Tibi says. “They are provided complete information about what to expect during their surgical journey. This empowers people to take an active role in their recovery.” Why is YRMC implementing ERAS? The answer is related to metrics and mission. Data from numerous large studies show ERAS programs: Reduce complications by 50 percent Shorten hospital stays by 30 to 50 percent Improve patient satisfaction “Beyond the data, ERAS demonstrates YRMC’s commitment to ensuring patients have the best experience we can give them during a stressful time,” says Kenneth O’Beirne, MD, a YRMC-affiliated anesthesiologist. “We’re applying the top medical science available and evidence-based practices to improve their care. To me, that shows we take our role as health care providers very seriously.” The ERAS journey ERAS begins as patients are contemplating surgery and continues through recovery. The protocols – developed by the non-profit ERAS Society – focus on improving the delivery of health care for surgical patients throughout the care cycle. This includes a surgery-specific roadmap that covers many phases, all of which involve patients in their recovery. Operation get ready for surgery Before surgery, YRMC clinicians help patients prepare using ERAS strategies that improve nutrition and physical fitness. They also share information on what patients can expect at every phase of their specific operation. “The more patients understand about their surgery, the more they can participate in their healing,” says Olivia Marsh, RN, Nurse Manager, Pre-Admission Testing, Pre-Op, and Post-Anesthesia Care Unit. “During the pre-operative phase of ERAS, we speak to patients about their expectations after surgery. We also discuss pain, which is part of the healing process.” For example, YRMC nurses coach patients undergoing knee replacement surgery to prepare by walking five times a day, even if it’s making loops around their living room. Studies confirm that being active prior to surgery reduces pain following the operation. In addition to engaging in exercise, patients receive information and tools to, for example: Eat a healthy balanced diet Stop smoking or consuming alcohol/drugs Manage blood sugar levels What happens during surgery helps with recovery The surgeon and anesthesiologist collaborate during surgery to reduce the physical stress of the operation on the patient. Fluid management is a good example of ERAS protocols at work in the operating room. Typically, patients receive fluids during surgery to manage their blood pressure. The problem is too much fluid can lead to excessive water weight, which can delay recovery. ERAS protocols call for careful fluid management. During surgery, anesthesiologists combine different types of medications as part of the ERAS protocol. Anesthetic drugs, nerve blocks, and anesthesia that targets specific parts of the body may replace conventional anesthesia. Let the healing continue After surgery, patients are encouraged to both eat and walk sooner. Research shows that the quicker food is re-introduced, the less need there is for intravenous medications and fluids. Additionally, walking reduces muscle loss, improves the respiratory function, and lowers the risk for pneumonia. “Patients also get a psychological boost when they’re up and moving following surgery,” Dr. O’Beirne says. “They think, ‘I can do this.’” Opioids are not part of the ERAS pain management protocol. Instead, combinations of acetaminophen, non-steroidal anti-inflammatory drugs (NSAIDs), injections of local anesthetics at the incision, and peripheral nerve blocks help ease pain. A patient-provider partnership How has the patient-provider dynamic evolved thanks to ERAS? “Safe and successful surgeries have always been the goal of our team,” Marsh says. “What’s changed is that ERAS challenges us to look at every aspect of the surgical journey from our patients’ perspective. That’s driving us to adopt strategies that involve patients as our partners in new ways that benefit all of us.”
Oh, my aging feet: Five common foot problems and how to manage them
From our first steps as a child, we depend on our feet to carry us through life. For the average lifetime, that’s an estimated 115,000 miles of walking—the equivalent of circling the globe four times on foot. “Our feet are extremely complex structures,” says Richard Amundsen, DPM, a podiatrist affiliated with Dignity Health Yavapai Regional Medical Center (YRMC). “There’s a tremendous amount of mechanical demand on the feet. And after a lifetime of use, things can wear out.” Want to make sure your feet are healthy for the long haul? Here are five common foot problems people experience as they age and suggestions on how to manage them. 1. Osteoarthritis Often referred to as “wear and tear” arthritis, this is a degenerative joint disease that gradually leads to the breakdown of cartilage and other tissue. Symptoms: Decreased range of motion, swelling, bones that seem bigger, and an achiness that intensifies over time. Treatment options: Focus on reducing symptoms, managing pain, and decreasing inflammation through low-impact exercises, like biking and swimming. Your health care provider may also recommend physical therapy, steroid injections, oral steroids, or anti-inflammatory medications. In extreme cases, surgery may be necessary to either replace or fuse joints. 2. Peripheral Arterial Disease (PAD) This is a serious vascular disease that causes blockages or narrowing in the veins and arteries. It also restricts blood flow from the heart to the toes. Symptoms: Fatigue, pain, discomfort, or a heaviness in the legs. Treatment options: Lifestyle changes – a healthy diet and regular exercise – are typically recommended for PAD patients. Some people may also need medication or surgery. Early detection is important as PAD can be dangerous if left untreated. Contact your provider immediately if you experience symptoms. You may be referred to a cardiologist, interventional cardiologist, or a vascular surgeon for treatment. 3. Neuropathy (also known as peripheral neuropathy) This condition occurs when the nerves are no longer able to communicate properly between the feet and the brain. Neuropathy can be caused by diabetes, chemotherapy, immunotherapy, traumatic injuries, infections, metabolic problems, inherited causes, exposure to toxins (such as overuse of alcohol), and more. Symptoms: Numbness, tingling, lack of sensation in the lower extremities, and odd or painful sensations. Treatment options: Embracing preventative measures and addressing the root cause of neuropathy is important. If you have diabetes, work with your health care provider to effectively manage your blood sugar levels. Some people may need to quit consuming alcohol. Once the cause of neuropathy is diagnosed, your provider may prescribe medication or recommend supplements, such as vitamin B complex and alpha lipoic acid. No matter the cause of the condition, everyone with neuropathy should make sure their shoes fit properly. “Something as simple as a tight shoe can cause a blister and lead to a non-healing wound,” Dr. Amundsen says. “It’s important for anyone who has neuropathy to have the right foot gear – shoes and socks – and to check their feet frequently.” 4. Plantar Fasciitis This painful condition flares up when the thick band of soft tissue (fascia) that connects the heel with the rest of the foot becomes irritated and inflamed. Symptoms: Stabbing pain on the bottom of the foot near the heel that may improve with movement and worsen after prolonged periods of standing. Treatment options: Ice, rest, steroid injections, physical therapy, oral steroids, and proper footwear with orthotics to balance the heel are all used to treat plantar fasciitis. 5. Achilles Tendinitis Weekend athletes – especially tennis and basketball players as well as joggers who suddenly intensify their runs – are particularly susceptible to Achilles tendinitis. Symptoms: Achilles tendinitis begins as a mild ache in the back of the leg, or above the heel, and gets worse with prolonged activity. People with the condition also experience painful stiffness in the same area in the morning. Treatment options: Ice, physical therapy, heel lifts, and nonsteroidal anti-inflammatory medications are recommended for Achilles tendinitis. Keeping your feet on a healthy path “I talk to my patients about staying as active as they can,” says Dr. Amundsen. “I also emphasize that foot health is connected to our overall health.” Dr. Amundsen suggests swimming and bicycling to keep your feet – and the rest of your body – healthy and flexible. He also recommends investing in a good pair of supportive running or trail shoes for foot health and comfort.
Healthy Behaviors that Benefit All of You
Have you embraced healthy habits to help prevent breast cancer? Those same behaviors also keep hearts strong, blood pressures in check, glucose levels in the healthy range and more. “You’re a whole person, which means your body’s systems work together,” says LaNette Smith, MD, Breast Surgeon, Dignity Health, Yavapai Regional Medical Group (YRMG). “For example, the same things that lower your risk for cardiovascular disease – exercise, eating a nutritious diet, maintaining a healthy body weight and not smoking – also decrease your risk of breast cancer.” During October – Breast Cancer Awareness Month – Dr. Smith and the YRMG, Breast Surgery team remind you of the collective benefits of a healthy lifestyle and also offer these breast-health tips: Start yearly screening mammography at age 40 and continue screening for as long as you are healthy. Screening mammography is our best tool for detecting breast cancer earlier. Alternative screening methods should not replace screening mammography. Certain tests, like breast ultrasound and breast MRI, are used in addition to mammography. Discuss your personal risk for breast cancer with your physician. Risk assessment is important to creating individualized breast screening plans. Help prevent breast cancer or decrease your risk for recurrence by getting regular exercise, eating a nutritious diet, maintaining a healthy body weight, limiting alcohol and not smoking. Do not let lack of health insurance or financial concerns stand in the way of your yearly mammogram. The YRMG, Breast Surgery team can connect you to resources. Learn more about breast health and YRMG, Breast Surgery here or call (928) 442-8740. To schedule a mammogram, contact your physician or the Breast Care Center at Dignity Health, Yavapai Regional Medical Center at (928) 442-8900.
It’s Official: YRMC’s Breast Care Center is a Center of Excellence!
The word “excellence” has long been associated with the Breast Care Center at Dignity Health, Yavapai Regional Medical Center. But now it’s official. YRMC’s Breast Care Center was recently designated a Breast Imaging Center of Excellence (BICOE) by the American College of Radiology (ACR). The three-year accreditation recognizes that YRMC’s Breast Care Center excels in all aspects of breast imaging, including these breast imaging modalities: Breast MRI Breast ultrasound (including ultrasound-guided breast biopsy) Mammography Stereotactic breast biopsy ACR accreditation is voluntary and an addition to required imaging licenses, surveys and accreditations. The BICOE application process includes comprehensive evaluations conducted by board-certified physicians and medical physicists in each of the four breast imaging modalities. “Our team decided to pursue BICOE accreditation for our patients and community,” says Kathi Hoffer, Imaging Manager, Breast Care Center at Dignity Health, YRMC. “We were confident that the Breast Imaging Center of Excellence designation would validate the level of care we provide.” BICOE accreditation means YRMC’s Breast Care Center has achieved the highest practice standards in: Image excellence Staff qualifications Facility equipment Quality control standards Quality assurance procedures The ACR is a national professional organization founded in 1923 to advance the practice and science of radiological care. Today, the organization’s more than 41,000 diagnostic and interventional radiologists, radiation oncologists, nuclear medicine physicians and medical physicists work together in support of that mission. For more information about YRMC’s Breast Care Center, visit DignityHealth.org/YRMC or call (928) 442-8900.
Woodruff Family Conference Center Dedicated at Dignity Health, YRMC West
Benny and Ellen Benson at the newly dedicated Woodruff Family Conference Center, Dignity Health, Yavapai Regional Medical Center On December 7th, family and friends of Bob and Margaret Woodruff, together with members of the Yavapai Regional Medical Center (YRMC) Foundation (a member of Dignity Health), the YRMC Foundation Board and YRMC leadership, gathered at YRMC’s new Outpatient Services Building for the dedication of the Woodruff Family Conference Center. The Woodruffs moved to the Prescott community in the early 1980’s. Being recently retired, they quickly adopted Prescott as their new hometown and became involved in many local activities. In addition, they volunteered for community service organizations including Friends of the Library, Meals on Wheels, and Yavapai Regional Medical Center. Their daughter, Ellen Benson, noted, “My mother and father believed that it is through kindness and helping others, using the grace we have been given, that we meet the world in its needs. When my parents decided to include the Medical Center as a beneficiary of their estate, they did so knowing their gift would be invested wisely.” Ellen recognized the knowledge and learning that will be shared in the new Conference Center will enrich the lives of the people of our community and is a wonderful tribute to the legacy of Margaret and Bob. The Woodruff Family Conference Center is located on the first floor of the newly completed Outpatient Services Building at YRMC’s Prescott campus. The Conference Center, fully equipped with state-of-the-art conferencing technology, includes a multipurpose lecture room, two classrooms and a demonstration kitchen. “The Woodruff family has honored our organization and our community through their kindness and generosity,” said YRMC Foundation Executive Director Robbie Nicol. “The Center will serve as the hub for the continuous education of our staff, ensuring the ongoing delivery of quality and compassionate patient care. Additionally, it will be a gathering place for our community, a place for learning where community members can enjoy educational programs such as YRMC’s Healthy Conversations speaker series and the ‘Your Healthy Kitchen’ programs.” To learn more about community education at YRMC or to speak with a YRMC Foundation staff member, please contact (928) 771–5686 or [email protected], or visit www.yrmcfoundation.org.
Fork in the Road Restaurants Help “Boot Out Cancer” with Support for YRMC’s Breast Care Center
Pictured left to right: David Beasar, The Office Cantina; Mary Mallory, YRMC Foundation Board; Joe Terrinoni, Fork in the Road; Dr. LaNette Smith, YRMC Breast Surgeon; Bill Sonsin, YRMC Foundation Board Secretary/Treasurer; Wendy Price, Fork in the Road; Dave Barrett, YRMC Foundation Board Chair; Krystal Burge, Desert De Oro Foods; Chad Burge, Desert De Oro Foods. Members of Desert De Oro Foods, Inc. and the Yavapai Regional Medical Center (YRMC) Foundation, a member of Dignity Health, met recently to celebrate the success of this year’s “Boot Out Cancer” fundraising program to benefit the Breast Care Center at Dignity Health, Yavapai Regional Medical Center (YRMC). Krystal Burge, co-owner of Fork in the Road Restaurants, presented a check in the amount of $27,695 to Dave Barrett, Chair of the YRMC Foundation and YRMC breast surgeon Dr. LaNette Smith in support of the Center. Boot Out Cancer is an annual fundraiser held by Desert De Oro’s Fork in the Road restaurants including the Gurley St. Grill, Murphy’s and The Office Cantina during October to raise funds for YRMC patients with needs related to breast cancer. The tradition started 14 years ago to honor Sonya Peterson, Mark Peterson and Krystal Burge’s mother, who bravely fought a 20-year battle with breast cancer. Mark and Krystal wanted to help our communities where others may need support, and they match all funds raised at 100%. The Boot Out Cancer program has raised more than $125,000 in charitable support for the Breast Care Center. “We thank our employees and guests at all of our restaurants who support this journey with their donations each October in memory of our mother. We hope this tradition has improved the quality of lives of those who have been affected by breast cancer,” says Ms. Burge. Funds donated to the Breast Care Center are used to provide screening mammograms for those without insurance, essential health support for breast cancer patients including food cards, transportation vouchers and wigs, as well as continuing staff education. They also help ensure the Center has the latest technology, including the recent purchase of ultrasound units designed specifically for breast imaging. To learn more about the Breast Care Center at YRMC or to speak with a YRMC Foundation staff member, please contact (928) 771–5686 or [email protected] or visit www.yrmcfoundation.org.
Preparing for recovery before surgery: A new approach to healing
If you’ve had surgery, you know how important rehabilitation is to recovery. Working with a physical therapist, occupational therapist, and other rehabilitation specialists helps you regain your strength and returns you to your normal activities faster. Traditionally, rehabilitation begins after surgery. The team at Dignity Health Yavapai Regional Medical Center (YRMC) is part of a movement by leading health care organizations to introduce what could be named “prehabilitation.” Enhanced Recovery After Surgery (ERAS®), as it’s actually called, is designed to get you ready for your post-surgery recovery program before you even see the inside of a surgical suite. “ERAS is a way to help people prepare physically and mentally for their postoperative course,” says Pierre Tibi, MD, FACS, Director, the James Family Heart Center at Dignity Health YRMC and a cardiothoracic surgeon. “It’s a partnership that involves patients and every YRMC team member who comes in contact with them as part of their surgery.” That multi-disciplinary team – physicians, nurses, dietitians, pharmacists, rehabilitation specialists, and more – puts into action ERAS protocols that are scientifically proven to curb complications, reduce hospital stays, and accelerate recovery. Education and communication are threads that connect ERAS protocols at every phase. “Patients are at the center of ERAS,” Dr. Tibi says. “They are provided complete information about what to expect during their surgical journey. This empowers people to take an active role in their recovery.” Why is YRMC implementing ERAS? The answer is related to metrics and mission. Data from numerous large studies show ERAS programs: Reduce complications by 50 percent Shorten hospital stays by 30 to 50 percent Improve patient satisfaction “Beyond the data, ERAS demonstrates YRMC’s commitment to ensuring patients have the best experience we can give them during a stressful time,” says Kenneth O’Beirne, MD, a YRMC-affiliated anesthesiologist. “We’re applying the top medical science available and evidence-based practices to improve their care. To me, that shows we take our role as health care providers very seriously.” The ERAS journey ERAS begins as patients are contemplating surgery and continues through recovery. The protocols – developed by the non-profit ERAS Society – focus on improving the delivery of health care for surgical patients throughout the care cycle. This includes a surgery-specific roadmap that covers many phases, all of which involve patients in their recovery. Operation get ready for surgery Before surgery, YRMC clinicians help patients prepare using ERAS strategies that improve nutrition and physical fitness. They also share information on what patients can expect at every phase of their specific operation. “The more patients understand about their surgery, the more they can participate in their healing,” says Olivia Marsh, RN, Nurse Manager, Pre-Admission Testing, Pre-Op, and Post-Anesthesia Care Unit. “During the pre-operative phase of ERAS, we speak to patients about their expectations after surgery. We also discuss pain, which is part of the healing process.” For example, YRMC nurses coach patients undergoing knee replacement surgery to prepare by walking five times a day, even if it’s making loops around their living room. Studies confirm that being active prior to surgery reduces pain following the operation. In addition to engaging in exercise, patients receive information and tools to, for example: Eat a healthy balanced diet Stop smoking or consuming alcohol/drugs Manage blood sugar levels What happens during surgery helps with recovery The surgeon and anesthesiologist collaborate during surgery to reduce the physical stress of the operation on the patient. Fluid management is a good example of ERAS protocols at work in the operating room. Typically, patients receive fluids during surgery to manage their blood pressure. The problem is too much fluid can lead to excessive water weight, which can delay recovery. ERAS protocols call for careful fluid management. During surgery, anesthesiologists combine different types of medications as part of the ERAS protocol. Anesthetic drugs, nerve blocks, and anesthesia that targets specific parts of the body may replace conventional anesthesia. Let the healing continue After surgery, patients are encouraged to both eat and walk sooner. Research shows that the quicker food is re-introduced, the less need there is for intravenous medications and fluids. Additionally, walking reduces muscle loss, improves the respiratory function, and lowers the risk for pneumonia. “Patients also get a psychological boost when they’re up and moving following surgery,” Dr. O’Beirne says. “They think, ‘I can do this.’” Opioids are not part of the ERAS pain management protocol. Instead, combinations of acetaminophen, non-steroidal anti-inflammatory drugs (NSAIDs), injections of local anesthetics at the incision, and peripheral nerve blocks help ease pain. A patient-provider partnership How has the patient-provider dynamic evolved thanks to ERAS? “Safe and successful surgeries have always been the goal of our team,” Marsh says. “What’s changed is that ERAS challenges us to look at every aspect of the surgical journey from our patients’ perspective. That’s driving us to adopt strategies that involve patients as our partners in new ways that benefit all of us.”
What should you do if someone is having a heart attack?
You’re having dinner at your favorite restaurant and a guest at a nearby table collapses. You think it’s a heart attack, but what should you do to help? A heart attack is a life-threatening emergency that requires quick intervention. The U.S. Centers for Disease Control and Prevention (CDC) reports that every 40 seconds someone in the U.S. has a heart attack. That’s approximately 805,000 people a year. National CPR and AED Awareness Week (June 1-7) is coming up so it’s a good time to focus on how to help someone who is having a heart attack. Soundos Moualla, MD, FACC, FSCAI, is an interventional cardiologist as well as director of the Structural Heart program and co-director of the Cardiac Catheterization Laboratory at the James Family Heart Center at Dignity Health YRMC. What is a heart attack? Heart attacks are caused by a blockage in one or more of the arteries that supply blood to the heart. The blockage occurs when plaque inside the artery breaks open and a blood clot forms in the artery. “This sudden interruption of blood flow to the heart must be corrected quickly as every minute counts: time equals muscle,” says Soundos Moualla, MD, FACC, FSCAI, interventional cardiologist, the James Family Heart Center at Dignity Health Yavapai Regional Medical Center (YRMC). If the blockage is not treated quickly, the portion of the heart muscle that’s fed by the blocked artery will be severely damaged. How to recognize a heart attack The symptoms of a heart attack vary and may include: Chest pain or pressure Shortness of breath Discomfort in the arms, neck, back, or jaw Feeling lightheaded, dizzy, or passing out Heart palpitations Nausea and perspiration Upper abdominal/stomach discomfort While women may experience chest pain and pressure like men, they’re more likely to have other symptoms, such as shortness of breath, nausea/vomiting, and upper abdominal discomfort. Sixty-five percent of women seeking medical help for heart attack do not experience classic chest pain. CPR saves lives Cardiac arrest/sudden cardiac death can be a devastating result of a heart attack. In that circumstance, CPR should begin immediately by a bystander and be taken over by a paramedic or other emergency medical service (EMS) professionals when they arrive. The American Heart Association (AHA) recommends administering forceful and rapid compressions at a rate of 100-120 per minute. “Learning CPR is critical because it saves lives,” Dr. Moualla says. “CPR mimics the pumping of the heart, delivering blood and oxygen to the brain. It essentially buys time until further medical assistance and intervention can happen. The American Heart Association has sponsored a campaign for the last 20 years to increase awareness of CPR and encourage CPR training among the general population.” The AED comes to your aid An automated external defibrillator (AED) is an easy-to-use device that can revive someone in the event of cardiac arrest. Found in many public places – schools, police departments, police vehicles, grocery stores, airports, and malls – the success of an AED depends on its accessibility. “We need more AED units everywhere and increased public awareness of them,” says Dr. Moualla. “AEDS can be used safely and effectively, even by people who have not been trained.” How can you help someone in distress? Always call 911 first. If other people are present, ask them to look for an AED. If the person is unresponsive, administer CPR and activate the AED. If the person is conscious and breathing, they should slowly chew 325 milligrams of aspirin while waiting for the ambulance. Aspirin can reduce the degree of heart damage and the significance of the blood clot. Be prepared Learning CPR and retaining your certification can make you feel confident in case of a medical emergency. Look for classes through the AHA and the American Red Cross.
Our volunteers are awesome!
Working with Dignity Health Yavapai Regional Medical Center’s (YRMC) volunteers is no doubt a rewarding job. However, according to Chamine David, YRMC’s Director of Volunteer Services, that fulfilling position can become very challenging at one particular time of year. “Selecting our Volunteer of the Year recipients is really difficult,” says David. “Yavapai Regional has a total of 340 active volunteers. All of them give their time and talent to support our organization. It’s never an easy choice.” Yavapai Regional’s 2022 Volunteer of the Year selection was no different. Presented earlier this year, the award recipients were celebrated during an event at The Center in Prescott. All three of the volunteers selected were recognized for their unique service to Yavapai Regional. Lana Fielding, YRMC West 2022 Volunteer of the Year Lana Fielding began volunteering at YRMC in 2015. Since then, she has served in a variety of volunteer roles, including: Courtesy cart driver Information desk ambassador Registration desk volunteer Fielding also chairs YRMC’s PAWS program. She brings joy to patients during visits with her therapy dogs, Tama and Maggie. “Lana embodies the values we strive for at Dignity Health YRMC,” says David. “She’s respectful, honest, and collaborates with fellow volunteers. Lana serves YRMC with passion.” Kim Haugen, YRMC East 2022 Volunteer of the Year Kim Haugen currently supports the Volunteer Services office at YRMC East and assists with mail delivery. She also chairs the information desk and trains volunteers who are new to that role. During her 15 years of service, Haugen has volunteered in many areas, including: The Family Birthing Center Nutrition Services Patient care areas Haugen also participated in the Pets Are Warm Support (PAWS) program with her therapy dog, Dirk. “Everything Kim does, she does well,” David says. “She’s pleasant and cheerful to everyone she meets. Truly, Kim is an ambassador for YRMC.” Jackie Gallant, 2022 Sally Zinn Martin Award recipient Like this award’s namesake, Jackie Gallant is beloved for her caring spirit and big heart. “Jackie is always ready to support her fellow volunteers,” says David. “She checks on volunteers who are home sick or hospitalized.” During her weekly shift, Gallant delivers water and coffee to fellow volunteers. On holidays, she wears colorful and fun outfits that bring smiles to both volunteers and patients. Gallant has carved the pumpkin that Volunteer Services enters in the annual hospital-wide contest. “If there is a special project or event, Jackie is all in,” notes David. “She’s a ‘people person.’ In fact, I’m pretty sure she knows every hospital staff member by name.” The Sally Zinn Martin Award is presented in memory of the YRMC volunteer whose positive nature inspired many. To learn about volunteering at YRMC visit Volunteer Services or call the department in Prescott at (928) 771-5678 or Prescott Valley at (928) 442-8683.
Let’s Celebrate YRMC’s Advanced Practice Providers!
If you’re like many Americans, your health care is provided by a combination of physicians and advanced practice providers (APPs). These professionals—nurse practitioners (NPs) and physician assistants (PAs)—are important members of the health care team at Dignity Health Yavapai Regional Medical Center (YRMC) and Dignity Health Yavapai Regional Medical Group (YRMG). Advanced practice providers Gaby Herrera, MSN, FNP-BC, YRMG Pediatrics; Karlene Olson, FNP-BC, YRMG Cardiology; and Jerry Baldwin, PA-C, YRMG Family and Internal Medicine. During National Advanced Practice Provider Week, September 25-29, YRMC is recognizing the APPs who care for patients throughout our organization’s health care network. We’re also looking at the essential role these professionals play in today’s health care delivery system. Three of those advanced practice providers—all who care for patients in YRMC’s community-based, provider clinics—are pictured here. “Nationally, there are not enough physicians,” says Herrera. “APPs bridge that gap, increase access to care, and decrease the amount of time people wait to see their providers. They work with physicians and other providers to make health care possible.” What role do APPs play in health care? APPs have been part of the health care delivery system since the 1960s. The physician shortage and an aging population more in need of health care services have increased demand for APPs in recent years. The Bureau of Labor Statistics predicts that trend will continue from 2022-32 with job growth for NPs and PAs soaring 38 percent and 27 percent, respectively. “There are differences in how APPs work,” Herrera explains. “Nurse practitioners have their own license and can care for patients independently while physician assistants work directly with a physician, often in surgery. What all APPs have in common is that we collaborate with physicians and other health care providers to ensure our patients receive the best health care possible.” PAs are licensed clinicians who practice in nearly every medical specialty. They work alongside physicians and, depending on the specialty, may provide primary care, assist surgeons in the operating room, and help care for patients following surgery. Like PAs, nurse practitioners provide a wide range of health care services, including: Obtaining patient histories and performing physical exams Diagnosing and managing acute and chronic conditions Ordering tests and interpreting results Developing and implementing treatment plans Prescribing medications Performing minor procedures APPs: Providers of Patient-Centered Care APPs are known for their patient-centered approach to care. They spend time with patients, listen to their concerns, answer questions, and provide education. This approach creates a strong patient-provider relationship and makes patients more likely to follow through on treatment plans. “What I enjoy most about being an APP is helping people regain their health,” says Herrera, who has cared for both adult and pediatric patients. “It’s very gratifying when a patient tells me, ‘I feel a lot better now that my blood pressure is controlled or my ear infection is gone.’” For more information about YRMC and its providers, visit DignityHealth.org/YRMC.
Our volunteers are awesome!
Working with Dignity Health Yavapai Regional Medical Center’s (YRMC) volunteers is no doubt a rewarding job. However, according to Chamine David, YRMC’s Director of Volunteer Services, that fulfilling position can become very challenging at one particular time of year. “Selecting our Volunteer of the Year recipients is really difficult,” says David. “Yavapai Regional has a total of 340 active volunteers. All of them give their time and talent to support our organization. It’s never an easy choice.” Yavapai Regional’s 2022 Volunteer of the Year selection was no different. Presented earlier this year, the award recipients were celebrated during an event at The Center in Prescott. All three of the volunteers selected were recognized for their unique service to Yavapai Regional. Lana Fielding, YRMC West 2022 Volunteer of the Year Lana Fielding began volunteering at YRMC in 2015. Since then, she has served in a variety of volunteer roles, including: Courtesy cart driver Information desk ambassador Registration desk volunteer Fielding also chairs YRMC’s PAWS program. She brings joy to patients during visits with her therapy dogs, Tama and Maggie. “Lana embodies the values we strive for at Dignity Health YRMC,” says David. “She’s respectful, honest, and collaborates with fellow volunteers. Lana serves YRMC with passion.” Kim Haugen, YRMC East 2022 Volunteer of the Year Kim Haugen currently supports the Volunteer Services office at YRMC East and assists with mail delivery. She also chairs the information desk and trains volunteers who are new to that role. During her 15 years of service, Haugen has volunteered in many areas, including: The Family Birthing Center Nutrition Services Patient care areas Haugen also participated in the Pets Are Warm Support (PAWS) program with her therapy dog, Dirk. “Everything Kim does, she does well,” David says. “She’s pleasant and cheerful to everyone she meets. Truly, Kim is an ambassador for YRMC.” Jackie Gallant, 2022 Sally Zinn Martin Award recipient Like this award’s namesake, Jackie Gallant is beloved for her caring spirit and big heart. “Jackie is always ready to support her fellow volunteers,” says David. “She checks on volunteers who are home sick or hospitalized.” During her weekly shift, Gallant delivers water and coffee to fellow volunteers. On holidays, she wears colorful and fun outfits that bring smiles to both volunteers and patients. Gallant has carved the pumpkin that Volunteer Services enters in the annual hospital-wide contest. “If there is a special project or event, Jackie is all in,” notes David. “She’s a ‘people person.’ In fact, I’m pretty sure she knows every hospital staff member by name.” The Sally Zinn Martin Award is presented in memory of the YRMC volunteer whose positive nature inspired many. To learn about volunteering at YRMC visit Volunteer Services or call the department in Prescott at (928) 771-5678 or Prescott Valley at (928) 442-8683.
YRMC Announces the 2021 Volunteers of the Year
What’s the best job in the world? Working with volunteers, of course! Just ask Nancy Thomes, the Director of Volunteer Services at Dignity Health, Yavapai Regional Medical Center (YRMC). “I am so fortunate to be where I am because I work with top-notch people every day,” says Thomes. “It takes a giving heart to be a volunteer, and I’m surrounded by hundreds of volunteers with very generous hearts.” The volunteers are an integral part of the hospital, enhancing the patient experience and providing much needed support to YRMC staff. While the pandemic restricted their involvement over the past 2 years, YRMC is currently working to reopen additional service areas. Along the way, volunteers build friendships and enjoy the sense of purpose that volunteering provides. Each year, YRMC Volunteer Services recognizes three volunteers whose service to the hospital, its patients, and the community embodies the Mission and Vision of Dignity Health, Yavapai Regional Medical Center. Each recipient is recognized for the unique ways in which they make YRMC a better place. YRMC East Volunteer of the Year, Maggie Goltra “Nancy had asked if I could attend a meeting at the West Campus, and of course, if I can help in any way, I will be there,” recalls Goltra. “When we walked into the room, I recognized some of the staff, but still couldn’t figure out what I was doing there. When Nancy told me that I was Volunteer of the Year – East Campus, I was completely shocked – that never entered my mind! What an honor!” Goltra started volunteering at YRMC in 2007. Over the years, she has worked in Admitting, Care Management, and the Family Birthing Center, and now works at the East Campus Front Lobby. Volunteer Services Manager, Victoria Spears says that Goltra is one of those kinds of people that you just love being around. As the first point of contact when you walk through the hospital doors, the Front Desk volunteers have an important role. They can often set the tone for the patient or visitor’s experience, offering information and assurance. Duties include helping patients check in at the kiosk, helping visitors sign in, escorting patients and visitors throughout the hospital, delivering items, and regularly sanitizing the area. “Maggie does all of this with a big smile and gracious attitude,” notes Spears. “Everyone who is around Maggie cannot help but smile. She is a joy to be around!” Goltra gives credit to her fellow volunteers as well. “It’s nice to work with a group of people who are there because they want to be,” she says. “I work with Debbie, Wayne, and Gus, who are always there with a friendly hello and a readiness to help all of the patients and visitors who come in. These are the type of volunteers I would like to have welcome me to the hospital.” With more than 1,850 volunteer hours under her belt, Goltra is a true asset to YRMC. Yet she describes her role in simple terms: to be helpful, even if in a small way. “The best part about volunteering at YRMC is just being able to help make our patients’ time at the hospital a bit easier, in our small way,” she explains. “It’s important to be able to help where you can, especially if it is making someone’s day easier or less stressful.” YRMC West Volunteer of the Year, Mary Kerper Mary Kerper worked for 42 years for an international mechanical parts distributor, overseeing operations, training, auditing, and continuous improvement for more than 400 locations. Retirement brought her and her husband to Prescott in 2019. Their desire was to continue to contribute to their new community. “I have had chores, responsibilities, and jobs since elementary school,” says Kerper. “I was taught that work is important, and contribution is necessary to help others, as well as yourself. Volunteering helps me to maintain my sense of self while I provide support to others.” Nancy Thomes recognizes Kerper’s strong work ethic as she looks back on the past few years. “Mary is one of the volunteers who didn’t let COVID stop her from volunteering,” recalls Thomes. “She stayed active until we suspended all volunteers and returned immediately when we could open up the Information Desk – our only service area for a while. She took on an extra shift and was a ‘rock’ throughout that very uncertain time.” Staff and fellow volunteers agree. When asked why she is a stand-out volunteer, responses include: Mary is so vigilant – always alert to who is coming through the doors. She consistently subs for her fellow volunteers when she is available. One of Mary’s responsibilities is training new volunteers. They consistently remark how thorough she is with her training. She is helpful, compassionate, and caring, along with a friendly smile! The Front Desk is a challenging area of service, and she has remained calm throughout. Mary is a problem solver extraordinaire! “It is so amazing to come to a place of healing and do what I can to contribute to the patients, visitors, staff, and my fellow volunteers,” says Kerper. Yet on a larger scale, she reflects on the importance of her award. “This award reinforces the importance of the role of volunteers. It really shows the value that YRMC leadership places on the contributions the volunteers make. I love being part of this team. Leadership here at YRMC clearly includes volunteers as valuable members of their team.” “The new relationship between Dignity Health and YRMC has brought change, and will no doubt bring more change. But the community will benefit greatly,” she continues. “What I feel will not change is the commitment our leadership has to the hospital and to our community. The volunteers will always be here to help.” The Sandy Zinn Martin Award, Norma Bauer When describing Norma Bauer and her dedication to YRMC patients, staff, visitors, and fellow volunteers, Nancy Thomes is reminded of a television show. “There is a show called New Amsterdam. The setting is in a hospital, and the Medical Director is often seen moving about the hospital asking, ‘How can I help?’ The writers may not know this, but they must have fashioned that character after Norma Bauer.” Thomes continues, “She has been SUPER flexible, changing service areas often, and always willing to go where needed. When I ask for favors of volunteers, I often begin with a reminder that ‘No’ is an acceptable answer. That is a word that Norma rarely uses.” The award is named after a former volunteer, Sandy Zinn Martin, whose spirit lives on in the selfless service that Bauer demonstrates. It’s often the little things that show the true character of a person – the things that go unnoticed by most people. Thomes shares a brief but telling story. “A staff member sent me an e-mail after observing Norma assisting a patient who was having trouble getting something from a vending machine. Norma was a patient coach, gentle and kind.” “This award is a humbling honor; there are so many dedicated volunteers,” says Bauer. “I believe it indicates that staff and other volunteers have considered my presence and efforts in a positive light and kindly took the time to ‘say so.’” “Nearly every shift includes at least one interaction that stands out from the rest,” Bauer reflects. “What makes the greatest impact on me usually comes from a patient who expresses apprehension approaching a procedure. A brief suggestion to expect the staff to be caring and understanding can often serve to lessen the patient’s anxiety.” Bauer has been called a true role model in the Volunteer Services program, with some affectionately referring to her ‘old-world mannerisms.’ According to staff and fellow volunteers, Bauer’s gracious, polite, and professional approach informs everything she does. Comments include, “It was a privilege to be tutored and to subsequently work with Norma,” and, “She deserves this recognition.” When she was invited to consider volunteering at YRMC, Bauer didn’t hesitate. She was impressed with the quality of care given to her friends and family. “Volunteering at YRMC is an opportunity to support and give back to an organization that benefits our community,” she explains. “It gives me a sense of purpose and provides interests beyond myself. YRMC values its volunteers and demonstrates their appreciation of them.” “I sincerely enjoy volunteering at YRMC. It has become an enriching part of my life.” To learn more about becoming a volunteer at Yavapai Regional Medical Center, visit DignityHealth.org/YRMC. Or you can call Volunteer Services in Prescott at (928) 771-5678, or in Prescott Valley at (928) 442-8683.
YRMC Advocates for Patients through Innovative Patient Blood Management Program
A Message from Anthony Torres, MD, FACP, President and CEO, Dignity Health Yavapai Regional Medical Center Dignity Health Yavapai Regional Medical Center (YRMC) offers exceptional health care programs and outstanding clinical services that impress me both as a physician and the organization’s CEO. Our Patient Blood Management (PBM) program is an excellent example. This program stands out to me for its clinical achievements and because it demonstrates YRMC’s willingness to lead and innovate. Yavapai Regional is home to Arizona’s only PBM program that is recognized by the Society for the Advancement of Patient Blood Management (SABM). In the United States, approximately 90 hospitals/health systems have earned SABM recognition. It makes me proud to say that YRMC’s efforts surrounding PBM have elevated our organization as a national and global leader in this field. To truly appreciate this achievement, it’s important to understand PBM and how it can improve patient outcomes. Simply put, PBM aims to support and optimize blood health. This begins before patients are hospitalized for surgery by customizing therapies – nutrition, vitamins, medication management, and more – that prevent or treat anemia. It continues with strategies that detect and treat anemia, minimize the risk for blood loss, and improve overall health in our surgical suites, on the patient care units, and even after the patient leaves the hospital. What are the results? While blood replacement remains a vital life-saving procedure in our hospital, and within health care in general, growing evidence shows that PBM reduces complications, shortens hospital stays, and results in better long-term outcomes. YRMC’s PBM program was launched in 2012, thanks to forward-thinking leadership and PBM champions, especially Pierre Tibi, MD, FACS. Dr. Tibi is an internationally known cardiothoracic surgeon and a leading authority on PBM. He serves as the medical director of the James Family Heart Center at Dignity Health Yavapai Regional and YRMC’s PBM program. Dr. Tibi’s advocacy has placed Yavapai Regional in the center of a world-wide effort to achieve better patient outcomes through PBM. I encourage you to explore these local and global resources for more information: Yavapai Regional’s PBM Department at YRMC.org/services/patient-blood-management or call (928) 771-5109 The Society for the Advancement of Patient Blood Management at SABM.org
Patient Blood Management: Taking Charge of a Precious Resource
Patient-shared decision making is an important aspect of healthcare today. However, advocating for yourself – or someone you love – requires information, especially with a relatively new concept like patient blood management (PBM). This is one reason the Society for the Advancement of Patient Blood Management (SABM) is sponsoring Patient Blood Management Awareness Week®, November 7-11, 2022. This worldwide awareness week is dedicated to informing patients about the importance of blood health. Prescott City Council member, Steve Sischka – who also serves on the Dignity Health, YRMC Board of Trustees – presents Beth Black with a mayoral proclamation declaring Patient Blood Management Awareness Week. In our community, Dignity Health, Yavapai Regional Medical Center (YRMC) is home to Arizona’s only PBM program that’s recognized by SABM. Local leaders also understand the importance of PBM. Prescott Mayor Phil Goode, for example, has signed a proclamation declaring November 7-11, 2022, “Patient Blood Management Awareness Week” in Prescott. “Dignity Health, YRMC has been forward-thinking in its implementation of PBM,” says Dale Black, Program Coordinator, Patient Blood Management at Dignity Health, YRMC. “The people of Yavapai County are fortunate that YRMC has embraced blood conservation. This means residents have access to local providers for information about PBM.” The Pillars of PBM What is PBM and why is it important to you? “PBM is about keeping your blood in you and keeping it working well,” explains Beth Black, Administrative Assistant and Program Data Manager, Patient Blood Management at Dignity Health, YRMC. YRMC’s PBM program uses a team approach to: Manage anemia Ensure that bleeding is under control and blood is clotting appropriately (not too much, not too little) Utilize blood-conserving measures during surgery Involve patients in decision making about their blood Blood tests – particularly during hospitalization – give your provider important information about your health. However, drawing too much blood can lead to anemia in hospitalized patients. That’s why “phlebotomy stewardship” is becoming more and more important. This means taking only the needed amount of blood for testing in order to avoid hospital-acquired anemia. A Few Words About Anemia When you have anemia, your body lacks the healthy red blood cells needed to carry oxygen to your body’s tissues. Symptoms of anemia include, for example: Fatigue Weakness Cold hands and feet Dizziness Irregular heart rhythm Shortness of breath Headache Pale or yellowish skin “Once a year, ask your physician to order a complete work up of your blood,” Dale Black says. “If you are anemic, work with your doctor to learn the underlying cause of your anemia.” Prepping for Surgery with PBM If a surgery is in your future, ask your physician to order blood work two to four weeks before the procedure. If your blood counts are low, your doctor may recommend dietary changes. You may also need iron, vitamin B-12 or folic acid to fuel red blood cell production before surgery. “You’ll also want to discuss any herbals you take, along with other over-the-counter medications, such as ibuprofen,” says Beth Black. “These can all affect your body’s ability to clot.” Before your operation, talk to your surgeon about strategies that reduce blood loss. If you’re undergoing heart or orthopedic surgery – which are known to cause blood loss – discuss collecting blood lost during surgery for immediate post-operative reinfusion, if needed. Medications and blood products that promote clotting and reduce bleeding are also available. PBM is About You, the Patient Want to ensure blood conservation is part of your healthcare? Talk to your providers about PBM, especially prior to hospitalization. “Let your team know that you want to be treated in a manner that conserves your blood,” says Dale Black. “You can even mention your desire for minimal blood draws – just what is necessary for testing – during your hospitalization. With PBM, you are in charge of that precious resource, your blood.” Interested in learning more about YRMC’s PBM program? Get answers to your questions here or call (928) 771-5109.
Prostate MRI: Detecting Cancer Early
Men of Yavapai County, here’s some important health information: Our county has the second highest rate of prostate cancer among Arizona’s 15 counties, according to the National Cancer Institute. Nationwide, one in eight men in the United States will be diagnosed with cancer of the prostate – a small gland below the bladder – during their lifetimes. But, there’s also reason to be optimistic. A non-invasive imaging study called prostate MRI (Magnetic Resonance Imaging) is finding prostate cancer early, when it’s most treatable. Even better news? Prostate MRI is available at Dignity Health Imaging Center in Prescott and Prescott Valley. “Prostate MRI is the most sensitive study available for detecting cancer in the prostate,” says Deven Cox, DO, Diagnostic Radiologist, Dignity Health Imaging Center. “If a patient has a lesion that’s very anterior in the prostate gland, a clinical exam will never detect that lesion. But prostate MRI does reveal those difficult-to-detect anterior tumors and others, too.” Should you have a prostate MRI exam? Dr. Cox – an expert in the non-invasive study – has reviewed more than 1,000 prostate MRI studies during his career. During National Prostate Cancer Awareness Month in September, he’s encouraging men ages 55–69 to talk to their physicians about whether prostate cancer testing is right for them. For men at high risk for prostate cancer – African-American men or males with a family history – discussions should begin between ages 40–54. Men with rising prostate-specific antigen (PSA) levels in their blood and struggles with “urinary retention” are also candidates for prostate MRI. In addition to diagnosing cancer, prostate MRI detects other conditions, including: Benign Prostatic Hyperplasia (BPH) – An enlarged prostate, which is most common in older males. Prostatitis – Inflammation or an infection of the prostate. “Prostate MRI studies provide important information that physicians use to develop treatment plans,” explains Dr. Cox. “These studies pinpoint the tumor location, determine its size and show if the cancer has spread outside of the prostate gland.” Contact us For more information about prostate MRI, speak to your physician or contact Dignity Health Imaging Center in Prescott or Prescott Valley at (928) 771-7577.
New Names for Prescott Medical Imaging and Prescott Valley Medical Imaging
Prescott Medical Imaging (PMI) and Prescott Valley Medical Imaging (PVMI) are introducing new names as part of Yavapai Regional Medical Center’s (YRMC) affiliation with Dignity Health. The outpatient imaging facilities are now: Dignity Health Imaging Center, Prescott Dignity Health Imaging Center, Prescott Valley “This change is part of the rebranding rollout plan launched in conjunction with the YRMC–Dignity Health affiliation,” says Ken Boush, Director of Marketing and Communications at Dignity Health, YRMC. “Patients and community members will begin to see new signage at both imaging centers. We want them to be aware that the name change is related to YRMC’s network-wide rebrand. It will not affect the care or services at our Imaging Centers in Prescott and Prescott Valley.” Local Radiologists Provide Exceptional Service For example, experienced, local radiologists will continue to interpret imaging studies and procedures performed at both locations, according to Mary Sterling, Imaging Services Director at Dignity Health, YRMC. “Our locally based radiology team has always differentiated us from other imaging centers, many of which use radiologists based in markets outside of Yavapai County to interpret imaging studies,” says Sterling. “At our Imaging Centers in Prescott and Prescott Valley, an imaging study performed in our community is interpreted by radiologists who live and work in our community.” Sterling adds that Dignity Health Imaging Center radiologists have long-established, working relationships with physicians throughout the area. This collaboration, she says, is a benefit to both individual patients and overall quality of care. Dignity Health Imaging Center radiologists and radiologic imaging technologists also are: Certified by the American College of Radiologists (ACR) and the American Registry of Radiologic Technologists (ARRT) Experts in advanced radiology modalities Graduates of leading medical schools and radiologic technology programs Accredited & Comprehensive Imaging Services Michael Locke, Operations Manager, Dignity Health Imaging Center, notes that the Imaging Centers have also earned ACR accreditation. “This means our Prescott and Prescott Valley facilities have undergone rigorous, objective evaluations by board-certified radiologists and medical physicists,” Locke explains. He also emphasizes that both facilities – along with the Breast Care Center at Dignity Health, YRMC – will continue to offer an all-inclusive menu of computer-enhanced, digital imaging services. YRMC’s Imaging Center facilities – both of which may be reached at (928) 771-7577 – are located in: Prescott – 810 Whipple Street Prescott Valley – 7700 East Florentine Road, Building B, Suite 105 Learn more about YRMC’s Imaging Centers and all YRMC services at DignityHealth.org/YRMC.
Do you know how to nourish your nervous system?
Like all body tissues, your nerves need the right nutrition to be healthy. Tune into this episode of Dignity Health Yavapai Regional Medical Center’s Your Healthy Kitchen to learn about the essential nutrients and foods that work together to keep your nervous system humming along for a lifetime. Reducing inflammation Research shows that chronic inflammation can damage nerves, leading to an increased risk of nervous system disorders, including Parkinson’s, ALS, Alzheimer’s disease, and stroke. But here’s the good news: you can significantly reduce the inflammation in your body every time you eat. In general, highly processed foods that contain added sugars, unhealthy fats, and little to no nutrients, tend to trigger the release of inflammatory chemicals throughout the body. On the other hand, whole foods – darkly colored vegetables and fruits, fresh herbs, nuts, spices, and some fish – contain powerful nutrients that fight inflammation. Here are some of the herbs, spices, and more with excellent anti-inflammatory qualities: Turmeric Ginger Garlic Rosemary Healthy omega-3 fats Flaxseed Walnuts Fatty fish Sea vegetables Berries Dark purple, red, orange, and green vegetables Green and black tea Essential nutrients In addition to eating meals packed with anti-inflammatory chemicals, it is important to consume essential nutrients for a healthy nervous system. For example, omega-3 fats, including those found in cold water fish, walnuts, and flax seeds support nerve cell communication and regeneration. B vitamins are essential to producing energy and manufacturing neurotransmitters—the chemicals that transmit information from one nerve cell to the next. Vitamin E helps to protect nerve cells from damage and studies suggest that vitamin D-3 may aid repair and growth. More research is needed better understand the role vitamins, minerals, and other nutrients play in our nerve health. However, it’s clear that meals containing a variety of colorful plants, healthy fats, and whole, less processed foods, will help keep you and your nervous system healthy.
Food that puts you in a mood (a good one)
In so many ways, food affects how we feel—from that sense of satisfaction after a good meal with friends to the positive vibes we get from eating nourishing food. This episode of Dignity Health YRMC’s Your Healthy Kitchen explores how food changes our mood. We also prepare a delicious meal that we hope will make you smile. The type and quality of fat in food significantly affects brain health and mood. Specifically, research shows that diets low in omega-3 fatty acids are associated with an increased risk of memory loss, anxiety, and even depression. Omega-3 fatty acids are some of the most important nutrients for nerve and brain health. These essential fats cannot be made in the body and must be taken in from food. They work to keep brain and nerve cells healthy, allowing neurotransmitters to easily pass through the nervous system. Neurotransmitters are the chemicals that relay information throughout your brain and nervous system and help determine mood and memory. Marine plants and fatty fish are the best sources of these healthy fats. These include: salmon mackerel sardines tuna anchovies herring trout seaweed If you are a vegetarian or avoid fish for other reasons, some land-based foods contain omega-3 fatty acids, though typically in lower amounts and in a form that can be less effective in the body. Some of these sources are: flaxseed chia walnuts cashews organic tofu and tempeh pumpkin seeds organic canola oil Brussel sprouts spinach broccoli basil The U.S. Food and Drug Administration advises consuming no more than 3 grams of EPA and DHA omega-3 fatty acids per day from foods and dietary supplements, unless prescribed by a health care provider. A word of caution: there is a risk of increased bleeding possible when people who take anti-platelet agents or anticoagulants also take high doses of omega-3 fatty acids. Be sure to tell your health care provider about these and any supplements you’re taking.