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    • Tuesday, Dec 19, 2023

    Give the Gift of Health This Season with ELF Testing

    Renown Health and the University of Nevada, Reno School of Medicine give the gift of early diagnosis and disease prevention this holiday season.   With the season of giving upon us, give yourself the gift of health. The Renown Institute for Health Innovation (IHI) and the University of Nevada, Reno School of Medicine (UNR Med) are excited to offer a free Enhanced Liver Fibrosis (ELFTM) test to patients at risk for a common type of liver disease, e.g. metabolic and nonalcoholic steatohepatitis (M/NASH), and who enroll or are currently enrolled in the Healthy Nevada Project. The ELF Test is an FDA (Food and Drug Administration) approved non-invasive test to help identify people most at risk for liver scarring, e.g. cirrhosis, and allows doctors to intervene before irreversible damage occurs. If undetected and untreated, M/NASH can result in liver cirrhosis which could require liver transplantation or lead to death. This test is important as the symptoms of M/NASH can be silent or non-specific, making it difficult to diagnose.  “There are currently more than 11,000 people across the U.S. on the national liver transplant waiting list, and with the heightened prevalence of NAFLD and M/NASH, this number is projected to keep rising; however, with research such as the ELF Test at our disposal, we are continuing to find ways to improve the health of those at risk for advanced liver disease,” said Bill Plauth, MD, Chief Medical Officer for Renown Health and Associate Dean of Clinical Affairs at UNR Med. “We encourage our community to participate in this early risk detection. Through this sophisticated, noninvasive, blood test, our physicians and Advanced Practice Providers can better evaluate liver fibrosis to help those affected and enable researchers to improve the prevention and treatment of nonalcoholic liver disease as a whole.”  This liver health-focused sub-study of the Healthy Nevada Project seeks to enhance the understanding of both NAFLD and M/NASH and to help inform the development of treatment options for these conditions, as few currently exist. “Providing access to cutting-edge innovations such as the ELF Test is critical for both participants and the physicians and advanced practice providers that care for them.” said Joseph Grzymski, PhD, principal investigator of the Healthy Nevada Project and the Liver Disease Study and research professor at UNR Med. Those interested in determining their risk for M/NASH and its progression are encouraged to enroll in the Metabolic & Nonalcoholic Steatohepatitis study. Those who have consented and participated in the M/NASH research will be eligible and contacted with more information on how to receive the ELF Test. The Renown IHI is also happy to connect with physicians and Advanced Practice Providers interested in having their patients enroll in the Healthy Nevada Project and join the study. For members of the community who would like more information and learn how to enroll, please contact the Renown IHI at RenownIHI@renown.org or (775) 982-6914 to be connected to a Genomic Representative. About the ELF™ Test  The ELF Test is a noninvasive blood test that can quickly identify which patients are at an elevated risk for developing cirrhosis and other liver-related clinical events (LREs). In contrast to standard liver enzyme tests that reflect liver damage that has already occurred, the ELF Test combines three serum direct biomarkers of active fibrosis. The ELF Test algorithm measures each of these biomarkers to create an ELF score, which can be used as an aid to assess the risk for future disease progression. Doctors may use this ELF score to help evaluate if a patient requires increased medical care and monitoring for their condition. Individuals interested in determining their risk for NASH and its progression are encouraged to enroll in the Nonalcoholic Steatohepatitis Liver Disease Genome Atlas study. Those who have already consented and participated in the study will be contacted with more information on how to receive an ELF blood test. For more information or to enroll, please contact RenownIHI@renown.org or (775) 982-6914. In the U.S., the ELF Testing Service is available from Brio Clinical, Inc., a CLIA-certified laboratory offering specialized testing throughout the United States. Brio Clinical is regulated under CLIA as qualified to perform high complexity testing.

    Read More About Give the Gift of Health This Season with ELF Testing

    • Renown Health
    • Awards and Accreditations

    Renown Regional Medical Center Recognized Among Nations Top Hospitals In Critical Care

    The region’s only trauma center receives top honors from Healthgrades   What is Healthgrades?   Healthgrades, a leading national resource for trusted information about physicians and hospitals, recently announced the recipients of their 2021 Specialty Excellence Awards. These awards recognize hospitals with superior performance and have selected Renown Regional Medical Center in Reno, Nv. as northern Nevada’s top hospital for critical care. Hospitals in this ranking demonstrate excellent patient clinical outcomes in treating pulmonary embolism, respiratory system failure, sepsis, and diabetic emergencies. Health grades further distinguishes hospitals that stand out as America’s 100 Best Hospitals for Specialty Care™, with Renown Regional Medical Center identified as Nevada’s only critical care hospital to be bestowed with this honor.    What this Award Means To Us   “At Renown, I am honored to work beside dedicated healthcare heroes who are working tirelessly to make a genuine difference in the health and well-being of every patient and family we serve,” says Tony Slonim, MD, D.Ph., FACHE, president and CEO of Renown. “Having trained and served as a pediatric intensive care physician, this honor from Healthgrades does so much to recognize the compassion, skill, and determination of this incredible team. I join with our community in saluting the Renown Regional Medical Center’s critical care team as one of the best critical care hospitals in the nation.”  “As the only accredited trauma center between Sacramento and Salt Lake City, we receive and care for critically-injured patients from over 100,000 square miles. Our communities depend on Renown Regional Medical Center for outstanding critical care,” says Dawn D. Ahner, DSc, FACHE, Chief Operating Officer, Acute Services. “Our multi-disciplinary critical care and intensive care healthcare teams are specially-staffed, equipped and designed to care for, closely monitor, and comprehensively care for patients with life-threatening conditions.” “Having a specialty-trained team of physicians, nurses, respiratory therapists, care managers, physical and occupational therapists around the clock, every day ensures that, no matter the illness or injury, a patient will be treated with the highest degree of care right away,” says Paul Sierzenski, MD, MSHQS, CPE, FACEP, Chief Medical Officer, Acute Services. “What it comes down to is this; the quicker and more accurately you get treated, the better your outcome will be. That's what makes being one of the most respected critical care teams in the country, so vital to all of us.”  “At Renown, we have done so much over the years, to prepare to meet the need for rapid surges in critically ill or injured patients. Through this pandemic, many patients suffering from complications of COVID-19 have needed intensive care services,” says Erik Olson, MHA, Chief Executive Officer of Renown Regional Medical Center. “As the demand for critical care and intensive care continues to increase, the ratio of ICU beds to hospital beds will continue to rise as the ICU occupies an ever-larger role at the center of acute hospital care. We appreciate the recognition from Healthgrades demonstrating the Renown team’s unwavering commitment to the highest level of patient care and safety.”    About Renown Health    Renown Health is the region’s largest, locally owned and governed, not-for-profit integrated healthcare network serving Nevada, Lake Tahoe, and northeast California. With a diverse workforce of more than 7,000 employees, Renown has fostered a longstanding culture of excellence, determination, and innovation. The organization comprises a trauma center, two acute care hospitals, a children’s hospital, a rehabilitation hospital, a medical group, an urgent care network, and the region’s largest, locally owned not-for-profit insurance company, Hometown Health. Renown’s institute model addresses social determinants of health and includes Child Health, Behavioral Health & Addiction, Healthy Aging, and Health Innovation. Clinical institutes include Cancer, Heart, and Vascular Heath, Neurosciences, and Robotic Surgery. Renown is currently enrolling participants in the world’s largest community-based genetic population health study, the Healthy Nevada Project®. For more information, visit renown.org.    About Healthgrades   Healthgrades is dedicated to empowering stronger and more meaningful connections between patients and their healthcare providers. At Healthgrades, we help millions of consumers each month find and schedule appointments with their provider of choice. With our scheduling solutions and advanced analytics applications, we help our health system and life sciences clients cultivate new patient relationships, improve patient access, and build customer loyalty. At Healthgrades, better health gets a head start.

    Read More About Renown Regional Medical Center Recognized Among Nations Top Hospitals In Critical Care

    • Renown Health
    • Nursing

    The Journey Within: Helping Others Through Grief

    Learn more about a Renown Health nurse who formed a nonprofit to help other families through loss. After the unexpected loss of her young husband, a Renown Health nurse turned her grief into helping other families navigate the loss of a family member. Jen Walker, RN, MSN, director of clinical excellence, lost her high school sweetheart and husband of eight years when he passed away in October 2015, while their two boys, age 7 and 9, lost their father. Walker, a nurse at Renown since 2003, was overwhelmed by the outpouring of support she received from the Reno community. It inspired her to want to help others in the same situation. “After Travis passed, the community did some amazing things for me,” Walker says. “I got really motivated to do the same thing and to give back, so that’s when I came up with starting The Journey Within.” The Journey Within organization provides support and resources for young families who have lost a close family member. Before officially starting her organization, Walker used some of the money she received after her husband passed and personally donated to three families. And with the help of four board members, Jen officially started The Journey Within in February 2017, and they have helped six families so far. One of the board members is her sister, Anny Goff. “She thought of creating this foundation in the darkest time of her family’s life,” Goff says. “She knew there would be other families that would need help and support and immediately wanted to help others. It showed incredible strength and courage to keep moving forward.” Nursing Careers at Renown Health Nurses at Renown Health demonstrate a commitment to patients and their families through the integration of care, clinical expertise, education, evidence-based practice and the pursuit of quality patient outcomes. Learn more about our mission, vision and values and the benefits of a career in nursing at Renown Health today. Explore Nursing at Renown Walker’s organization supports families through financial donations, which she funds through two yearly fundraisers. The Travy Tourney is a golf tournament held in memory of Travis, and the “Let’s Toast to Travis Fundraiser” event raffles prizes and merchandise. Along with financial support, The Journey Within helps families connect with other community resources, such as counseling and grief therapy services. Walker hopes to expand her nonprofit’s fundraising and support for families beyond the Reno-Tahoe community. Because of her outstanding work at Renown and in the community, Walker recently received a 20 Under 40 award from the Reno-Tahoe Young Professionals Network. She has also received a Women of Achievement award, a Leader of the Quarter award and has been nominated four times for Northern Nevada Nurses of Achievement. “She is strong and resilient and cares a lot about people,” says Jen Richards, chief nursing officer, acute care services. “She never settles for the status quo and is always pushing our team to do better.” In navigating her own loss and starting a nonprofit to give back, Walker has learned a lot about the community. “I’ve gained a tremendous amount of respect for the community as a whole, but especially for the young community,” she says. “Seeing the young people in the community who have been willing to give back and live really selflessly has been amazing to me.” As someone who lost her husband, helping young families who have gone through the loss of a close loved one can hit close to home for Walker, but that doesn’t stop her — it fuels her. “That’s one of the hardest parts about doing this — it takes you back a little bit,” she says. “But it’s just a very good reminder of ‘why.’ Because when I get to talk with these families, I realize that now I am that person who is there to listen. I just want them to know that they’re talking to someone who’s been through something similar.”

    Read More About The Journey Within: Helping Others Through Grief

    • Tuesday, Dec 15, 2020

    Renown Institute Expands Partnership to Offer ELF Testing

    Together, will test over 30,000 qualifying study participants by 2023 for risk of cirrhosis and liver-related illnesses. Renown Institute for Health Innovation (IHI) announced today that the organization and Gilead Sciences, Inc. will be joining forces with Siemens Healthineers to offer the Enhanced Liver Fibrosis (ELF™) Test to people with risks for nonalcoholic steatohepatitis (NASH) enrolled in the Healthy Nevada Project (HNP). The ELF Test will help identify people most at risk for progressing to cirrhosis and liver-related outcomes and allow healthcare providers to intervene before irreparable damage occurs. This noninvasive blood test uses three serum biomarkers to create an ELF score from a predefined algorithm, which can be used by doctors to help evaluate if a patient requires increased medical care and monitoring for their condition. Nonalcoholic fatty liver disease (NAFLD), which includes NASH, is prevalent in Nevada and under-diagnosed, likely affecting more than 500,000 adult Nevadans. If undetected and untreated, NASH can result in liver cirrhosis and may require liver transplantation or lead to death. There are more than 12,000 people on a waitlist for liver transplantation in the U.S. and this number continues to rise due to the increasing prevalence of NAFLD. “Thanks to important data collected through our Nonalcoholic Steatohepatitis Liver Disease Genome Atlas study, we now know that NASH is prevalent in the state of Nevada,” said Tony Slonim, M.D., DrPH, FACHE, president and CEO of Renown Health. “We are proud to expand our partnership with Gilead and begin working with Siemens Healthineers to improve health of those with liver disease and to take early detection one step further by offering Enhanced Liver Fibrosis, ELF testing for patients of Renown Health. This test provides our team of highly-skilled physicians an advanced, noninvasive method to actively assess dynamic liver fibrosis in study participants and intervene whenever necessary, contributing to a healthier Nevada.”  “Gilead believes that noninvasive tests, including the ELF Test, will help improve the experience of people living with NASH. These tests may help to diagnose liver disease, monitor disease progression and evaluate responses to treatment without the requirement for liver biopsy,” said Rob Myers, MD, Vice President, Liver Fibrosis Clinical Research at Gilead Sciences. “The ELF Test has proven itself to be a valuable tool in NASH management and we hope this partnership will further support its use in routine care.”  “We are very pleased that NASH patients in the Healthy Nevada Project now have access to the ELF Test which offers clinically useful prognostic information for their condition with the convenience of a simple blood test. Using our advanced laboratory expertise together with Renown IHI and Gilead, we can work towards better understanding of NASH and liver disease in a representative patient population,” said Sebastian Kronmueller, Head of Molecular Diagnostics at Siemens Healthineers. “We launched the Healthy Nevada Project to help people understand more about their health, to identify serious health risks, and to give people access to innovations like the ELF Test, so they can live their best lives,” said Renown’s chief scientific officer, Dr. Joseph Grzymski, who is also a research professor at the Desert Research Institute and principal investigator of the Healthy Nevada Project. It’s incredibly rewarding to be able to report clinical findings to help our 50,000 volunteer study participants, and to assist healthcare providers in helping their patients.” The provision of the ELF Test builds on a previously announced strategic collaboration between the Renown IHI and Gilead in July 2019. This ongoing partnership aims to collect and analyze de-identified genetic and electronic health data from 60,000 qualifying study participants to enhance the understanding of NAFLD and NASH and to potentially inform development of treatment options for these diseases.  About NAFLD and NASH NAFLD is a build-up of fat in the liver of people who do not have a history of alcohol misuse. It is normal for the liver to contain some fat, but if more than 5 percent of the liver content is fat, it’s considered a fatty liver (steatosis). NASH is the most severe form of NAFLD in which a person has liver cell damage and inflammation of the liver. Inflammation and liver cell damage can cause fibrosis, or scarring of the liver, and can cause decreased liver function (1). The symptoms of NASH are often silent or non-specific, making it difficult to diagnose. About one-third of people with NASH develop cirrhosis or irreversible liver damage (2). About the ELF™ Test The ELF Test is a noninvasive blood test that can quickly identify which patients are at an elevated risk for developing cirrhosis and other liver-related clinical events (LREs). In contrast to standard liver enzyme tests that reflect liver damage that has already occurred, the ELF Test combines three serum direct biomarkers of active fibrosis. The ELF Test algorithm measures each of these biomarkers to create an ELF score, which can be used as an aid to assess the risk for future disease progression. Doctors may use this ELF score to help evaluate if a patient requires increased medical care and monitoring for their condition. Individuals interested in determining their risk for NASH and its progression are encouraged to enroll in the Nonalcoholic Steatohepatitis Liver Disease Genome Atlas study. Those who have already consented and participated in the study will be contacted with more information on how to receive an ELF blood test. For more information or to enroll, please contact RenownIHI@renown.org or (775) 982-6914. The Enhanced Liver Fibrosis (ELF™) Test kit is not available for sale in the U.S. Product availability may vary from country to country and is subject to varying regulatory requirements.  In the U.S., the ELF Testing Service is available from Siemens Healthcare Laboratory, LLC (SHL), a CLIA-certified laboratory located in Berkeley, Calif. The ELF Testing Service, including the establishment of performance characteristics, was developed by SHL. The ELF Test has not been cleared or approved by the U.S. Food and Drug Administration. SHL is regulated under CLIA as qualified to perform high complexity testing. The ELF Test is used for clinical purposes and should not be regarded as investigational use only or research use only. About Renown Health Renown Health is the region’s largest, locally owned and governed, not-for-profit integrated healthcare network serving Nevada, Lake Tahoe and northeast California. With a diverse workforce of more than 7,000 employees, Renown has fostered a longstanding culture of excellence, determination and innovation. The organization comprises a trauma center, two acute care hospitals, a children’s hospital, a rehabilitation hospital, a medical group and urgent care network, and the region’s largest, locally owned not-for-profit insurance company, Hometown Health. Renown’s institute model addresses social determinants of health and includes: Child Health, Behavioral Health & Addiction, Healthy Aging and Health Innovation. Clinical institutes include: Cancer, Heart and Vascular Health, Neurosciences and Robotic Surgery. Renown is currently enrolling participants in the world’s largest community-based genetic population health study, the Healthy Nevada Project®. For more information visit, renown.org. About the Renown Institute for Health Innovation Renown Institute for Health Innovation is a collaboration between Renown Health - a locally governed and locally owned, not-for-profit integrated healthcare network serving Nevada, Lake Tahoe and northeast California; and the Desert Research Institute - a recognized world leader in investigating the effects of natural and human-induced environmental change and advancing technologies aimed at assessing a changing planet. Renown IHI research teams are focused on integrating personal healthcare and environmental data with socioeconomic determinants to help Nevada address some of its most complex environmental health problems; while simultaneously expanding the state’s access to leading-edge clinical trials and fostering new connections with biotechnology and pharmaceutical companies. Learn more at healthynv.org. Renown Health is Nevada’s most comprehensive and integrated healthcare network and maintains electronic health records for 1.02 million registered patients. In 2016, Renown Health and the Desert Research Institute established the Healthy Nevada Project (HNP), the nation’s first community-based population health study. In 2017 HNP began a partnership with Helix to leverage its population health services, Exome+™ sequencing, and consumer engagement tools. The HNP is now an ongoing collaboration between Renown IHI, the Desert Research Institute, a global leader in environmental data and applied research, and Helix, a personal genomics company. HNP combines genetic, environmental, social and clinical data to address individual and community health needs with the goal of improving health across the state and the nation. The HNP currently has over 60,000 participants. For more information, visit healthynv.org.  About Siemens Healthineers Siemens Healthineers AG (listed in Frankfurt, Germany: SHL) is shaping the future of Healthcare. As a leading medical technology company headquartered in Erlangen, Germany, Siemens Healthineers enables healthcare providers worldwide through its regional companies to increase value by empowering them on their journey towards expanding precision medicine, transforming care delivery, improving the patient experience, and digitalizing healthcare. Siemens Healthineers is continuously developing its product and service portfolio, with AI-supported applications and digital offerings that play an increasingly important role in the next generation of medical technology. These new applications will enhance the company’s foundation in in-vitro diagnostic, image-guided therapy, and in-vivo diagnostics. Siemens Healthineers also provides a range of services and solutions to enhance healthcare providers ability to provide high-quality, efficient care to patients. In fiscal 2020, which ended on September 30, 2020, Siemens Healthineers, which has approximately 54,000 employees worldwide, generated revenue of €14.5 billion and adjusted EBIT of €2.2 billion. Further information is available at www.siemens-healthineers.com.Media Contact for Siemens Healthineers: Lance LongwellM: 610-448-6341E: lance.longwell@siemens-healthineers.com

    Read More About Renown Institute Expands Partnership to Offer ELF Testing

    • Thursday, Sep 22, 2022

    Approval of New Pediatric Physician Residency Program Helps Improve Care for Children and Families in Nevada

    The University of Nevada, Reno School of Medicine (UNR Med) and Renown Health are pleased to announce the accreditation of a new three-year Pediatrics Residency Program with the Accreditation Council for Graduate Medical Education (ACGME). The inaugural cohort of pediatric residents will start next summer, in July of 2023. The new residency will help shape future pediatric practices – and fill a state and nation-wide physician specialist shortage. Over a three-year period, four newly trained physicians will be selected each year for a total complement of twelve residents. “Creating a Pediatric Residency Program for our community has been a dream more than five years in the making,” says Max Coppes, MD, PhD, MBA, former Nell J. Redfield Chair of Pediatrics at the UNR Med and pediatrician-in-chief at Renown Children’s Hospital. “Currently, UNR Med students interested in becoming pediatricians must leave the area to complete their residency training elsewhere. The William N. Pennington Foundation has paved the way for this program, which will create a pipeline of much-needed pediatricians for our state, especially in under-served and rural areas – to serve vulnerable children and families of Nevada with high-quality, affordable care.” The vision to grow pediatric services into a full-fledged children’s hospital with a robust academic department of pediatrics in Reno began in 2014 when Renown Health and UNR Med agreed to recruit an academic pediatrician who would serve both as Chair of Pediatrics at UNR Med and as Pediatrician-in-Chief of Renown Children’s Hospital. The Nell J. Redfield Foundation donated $1.5M towards this initiative and expressed the hope to see a pediatric residency program established for the community. After the recruitment of Dr. Max Coppes for this role in 2016, The William N. Pennington Foundation recognized the need for enhanced care and expertise for pediatrics and donated $7.5 million to Renown Children’s Hospital to establish the William N. Pennington Fund for Advanced Pediatric Care. Through these gifts, 100,000 area children now have access to more than 15 specialized pediatricians, including those specializing in oncology, orthopedics, pulmonology, emergency medicine, urology and other subspecialties previously lacking in the community, as well as a pediatric emergency room, pediatric ICU and contemporary healthcare services at Renown Children’s Hospital. Prior to 2016, about 30%of all pediatric patients had to leave northern Nevada to receive the specialty care they needed. Now, thanks to donor support, Renown estimates that 97% of all pediatric patients and their families can receive both general and specialty pediatric care locally. The next nearest children’s hospital in the state is 7 hours or 438 miles away in Las Vegas. Melissa Piasecki, MD, Acting Dean of UNR Med and Chief Academic Officer for Renown, explains, “Residencies are specialty training programs for doctors after they graduate from medical school. Before becoming licensed physicians, medical school graduates train for three or more years learning from more experienced attending physicians.” She adds, “This new residency is a tremendous step forward for the UNR Med and Renown Health affiliation – and for our entire community. This pediatric residency program advances a mutual commitment to recruit and retain skilled and compassionate physicians and healthcare professionals, improve access to healthcare and invest in clinical research that improves the health of this generation and the next. Within the UNR Med andRenown affiliation, we created an integrated Graduate Medical Education Consortium Council (GME-CC) to provide strategic oversight and growth of residency programs within the affiliation. In this agreement, UNR Med is the sponsoring institution for accreditation and Renown Health and the VA are the clinical training partners. The process moved so smoothly; within six months of the affiliation, the GME-CC voted to support a new pediatric residency. This is a great addition to our existing residencies at UNR Med, which include family medicine, internal medicine, psychiatry and behavioral sciences, and provides our students with a great training opportunity in pediatrics.” Nevada faces a severe physician workforce shortage, ranking 45th in the nation for active physicians per 100,000 people. The physician workforce shortage is especially critical for pediatricians, with Nevada ranking 47th in the country with fewer than 10 pediatricians for every 100,000 people. The northern Nevada community is growing rapidly and Washoe County faces additional pediatrician shortages as local physicians approach retirement. “This new residency is an opportunity to train the next generation of pediatricians who will want to continue providing care in northern Nevada,” said Kristina Deeter, MD, MBA, FAAP, Interim UNR Med Chair of Pediatrics and Physician-in-Chief at Renown Children’s Hospital. “Our community continues to grow. This new pediatric residency-training program will allow Nevada to have a supply of outstanding, compassionate physicians, now and into the future. With our exceptional team of existing pediatricians, pediatric specialists, medical teams and support staff, we are committed to providing a comprehensive and rewarding educational experience for our trainees.” “It truly is a dream come true. We are indebted to the comprehensive team that has built the structure, recruited faculty to support the training program and successfully recruited a Program Director, Dr. Caroline Barangan, and Associate Program Director, Dr. Shilpi Garg, a 2012 UNR Med alumna,” says Lawrence Duncan, MS, VP and Administrator for Renown Women & Children’s Hospital. “Between now and summer 2023, we will add the foundational pieces needed to ensure the success of the program including recruiting a Chief Resident, ongoing faculty development and ensuring that all components are in place for recruiting, teaching, supervising and mentoring residents.” “One of the main obstacles for increasing the number of physicians to care for our growing community is the relative lack of pediatric residency programs in the state and the absence of a program in northern Nevada. Residency programs in pediatrics recruit and train students completing medical school and seeking residency training to become a pediatrician,” says Caroline Barangan, MD, Pediatric Residency Program Director, Renown Health and UNR Med. “Workforce research consistently shows that students who complete a residency tend to stay and practice in the communities where they completed their residency training program. For those who complete medical school and residency in the same place, over 75% stay to practice in that community.” “In August, recognizing the need to grow the state’s physician workforce in high-needs specialties, Nevada Governor Steve Sisolak and the Office of Science, Innovation and Technology announced the funding of five graduate medical education residency and fellowship programs, including $870,433 for the UNR Med Pediatrics Residency Program,” said Christine Bosse, Chief Government Affairs Officer for Renown Health. “Nevada produces more undergraduate medical students than it has available residencies and fellowships. Additionally, Nevada lacks fellowships in some specialties that are of interest to students. As a result, many highly educated students must leave the state for further training at a time when they are beginning real-world application of their advanced education. We appreciate that the GME Grant funding will assist the state and our community, in attracting, educating and retaining more doctors for Nevada.” “This new community-based program will provide residents with a strong foundation in primary care pediatrics as well as broad, in-depth exposure to all pediatric subspecialties. This will create graduates equally well prepared for careers in general pediatric practice, service to the state’s rural and underserved communities or in academics," adds David Carlson, MD, UNR Med Associate Dean, Graduate Medical Education, Designated Institutional Officer. “Through the program, pediatric residents will spend their 36-month residency focused on children’s care and complete a primary care-focused clinical training program with rotations that allow them to learn while caring for children in both inpatient and outpatient settings with supervising pediatricians and pediatric specialists at Renown Children’s Hospital.” “The Pediatrics Residency Program is a wonderful opportunity to continue a tradition of academic excellence alongside Renown Health’s record of clinical excellence,” said Brian Sandoval, President, University of Nevada, Reno. “This is one more way our affiliation, signed in 2021 to establish the first fully integrated health system in Nevada, is helping to expand clinical training and clinical research programs as well as improve access to clinical care for all Nevadans.” “We are proud to partner with UNR Med to bring this new residency program to our community,” says Thomas Graf, MD, interim Chief Executive Officer, Renown Health, “Attracting and retaining talent is a key component of our drive for excellence as a care leader and our mutual goal of improving the health of our community. We are fortunate to have the strong infrastructure necessary to create this program and a team of highly-skilled physicians who can train the next generation of pediatricians.” For the 2023 residency application cycle, UNR Med will participate in the National Resident Matching Program (NRMP) and encourages applicants to visit the UNR Med GME website for more information.  About UNR Med The University of Nevada, Reno School of Medicine (UNR Med), Nevada’s first public medical school, is a community-based, research-intensive medical school with a statewide vision for a healthy Nevada. Since 1969, UNR Med has trained more than 3,900 students, residents and fellows. UNR Med continues to improve the health and well-being of all Nevadans and their communities through excellence in student education, postgraduate training and clinical care, research with local, national and global impact and a culture of diversity and inclusion. For more information, visit med.unr.edu. About Renown Health Renown Health is Nevada’s largest, locally governed, not-for-profit integrated healthcare network serving Nevada, Lake Tahoe and northeast California. With a diverse workforce of more than 6,500 employees, Renown has fostered a longstanding culture of excellence, determination and innovation. The organization comprises a trauma center, two acute care hospitals, a children’s hospital, a rehabilitation hospital, a medical group and urgent care network, and the locally owned not-for-profit insurance company, Hometown Health. Renown is currently enrolling participants in a community-based genetic population health study, the Healthy Nevada Project®.

    Read More About Approval of New Pediatric Physician Residency Program Helps Improve Care for Children and Families in Nevada

    • Friday, May 08, 2020

    Seeking Donors Who Have Recovered from COVID-19 to Donate Plasma

    New study, led by physician researchers from Renown Health and University of Nevada, Reno School of Medicine seeks to understand how the immune system responds to COVID-19 with goal of developing a new treatment. Individuals who have recovered from COVID-19 may now be able to help patients currently fighting the infection by donating their plasma. Those who have recovered from the infection may have COVID-19 antibodies in their blood. These antibodies provided one way for their immune systems to fight the virus when they were sick, so their blood may be used to help others fight off the disease through convalescent plasma. Convalescent plasma is a component of blood from recovered patients that may contain precious COVID-19 antibodies. Antibodies are proteins that might help fight the infection. In this study, we will be collecting plasma from patients who have recovered from COVID-19 and investigating its efficacy in helping treat other patients with COVID-19. Convalescent plasma is being investigated for treatment of COVID-19 because there is no approved treatment for the disease and there is information that suggests it might help some patients recover from COVID-19. Renown Health and the University of Nevada, Reno School of Medicine (UNR Med) are leading a study locally to better understand how the body’s immune system responds to the virus, how it presents in northern Nevada and ultimately, aid in developing a new treatment for COVID-19. “Renown and UNR Med are at the forefront of conducting essential research to increase the health and safety of our community,” said Sara Healy, MD, MPH, principal investigator of the study and a pediatric infectious disease physician at Renown Children’s Hospital and UNR Med. “So little is known about effectively treating COVID-19 and we are venturing into new territory. This important study is instrumental in helping us understand the immune systems of people who were affected by COVID-19, and with their help, getting us one step closer to finding a treatment for the disease that has significantly impacted our nation and our community.” “COVID-19 survivors are in a unique and exciting position to be a part of something much bigger than the virus,” said Mark Riddle, MD, DrPH, FISTM, associate investigator of the study and Associate Dean for Clinical Research at UNR Med. “As a participant of this study, not only are you helping us to better understand the disease and the chronic health affects it has long term, but it’s a way to help those suffering from the disease to fight it and hopefully recover. We encourage participation in this important study and invaluable contributions to advancing medicine and our knowledge of COVID-19.” This community-wide study led by physician researchers from Renown Health and UNR Med is a collaborative effort with Vitalant, county and state health districts, Saint Mary’s Medical Center, Northern Nevada Medical Center, Carson Tahoe Health and the VA Sierra Nevada Health Care System, along with the many care providers in our area.   People aged 18-60 in general good health who have fully recovered from COVID-19 for at least two weeks are encouraged to consider donating convalescent plasma as part of this study. There are 332 people, just in Washoe County (as of 5/1/20) who have recovered from COVID-19 and have immune systems that may now be producing antibodies to protect them from becoming infected again with coronavirus. Donated plasma is needed right now, for this clinical trial to determine definitively if this treatment works. Participating in this research study will also make it easier to donate plasma to the Mayo Clinic convalescent plasma program that Renown is a part of in hopes to find a treatment for COVID-19. There is no cost to participate in this study and participation is voluntary. An individual’s decision to participate will not affect their current or future relations with their health care provider(s), health district, or the community. Those who decide to participate are free to withdraw at any time. Confirmed COVID-19 patients who have recovered from the virus and are interested in participating in the study are invited to contact the project coordinators at the Renown Research Office at (775) 982-3646, or via e-mail at covidplasmascreening@renown.org, 7:30 a.m. – 5 p.m., Monday through Friday.   About Renown Health Renown Health is a locally governed and locally owned, not-for-profit integrated healthcare network serving northern Nevada, Lake Tahoe and northeast California. Renown is one of the region’s largest private employers with a workforce of more than 7,000. It comprises three acute care hospitals, a rehabilitation hospital, the area’s most comprehensive medical group and urgent care network, and the region’s largest and only locally owned not-for-profit insurance company, Hometown Health. Renown has a long tradition and commitment to continually improve the care and the health of our community. For more information, visit renown.org. About the University of Nevada, Reno School of Medicine The University of Nevada, Reno School of Medicine (UNR Med), Nevada’s first medical school, is a community-based, research-intensive medical school with a statewide vision for a healthy Nevada. Established in 1969, UNR Med is improving the health and well-being of all Nevadans and their communities through excellence in student education, postgraduate training and clinical care, research with local, national and global impact and a culture of diversity and inclusion. For more information, visit med.unr.edu.

    Read More About Seeking Donors Who Have Recovered from COVID-19 to Donate Plasma

    • Wednesday, Aug 31, 2022

    Hometown Health CEO David Hansen Announces Retirement, Bethany Sexton Named Successor

    Renown Health announced today that David Hansen, CEO will retire on October 7, 2022 from Hometown Health, Nevada’s largest not-for-profit insurance company. Over the last two years that Hansen has overseen Renown’s health plan, he has contributed significantly to ensuring wide-ranging medical coverage and excellent customer service for more than 100,000 members across Nevada. Bethany Sexton, MBA, will assume the role of CEO of Hometown Health effective September 12, 2022 as part of a smooth transition and succession plan. Ms. Sexton currently serves as Chief Transformation Officer for Renown Health, responsible for value-based care delivery including insurance and managed care contracting, the Renown Direct Contracting Entity (DCE), Renown Accountable Care Organization (ACO) and Western Clinical Alliance, a clinically integrated network of physicians. Mr. Hansen led a number of significant accomplishments for Hometown Health including the addition of 82 new provider groups for northern Nevada health plan subscribers and a Medicare network in southern Nevada. Hansen, the Hometown Health team introduced a Transitional Care Navigator program resulting in reduced hospital readmission rates, added Renown-branded insurance products on Nevada Health Link, Nevada’s Health Insurance Exchange and helped to grow Senior Care Plus, Hometown Health’s Medicare Advantage Plan membership during the 2022 Annual Election Period. Hansen and the Hometown Health team implemented a number of Total Cost of Care initiatives in partnership with Renown Medical Group to make premiums and health care costs more affordable, including health outreach efforts and medical screenings to improve health care for members over age 65. "Leading Hometown Health for the past two years, and through the pandemic, has been a great honor. I am incredibly thankful to our members, my fellow employees, our broker and employer partners, and our leadership team for giving me the privilege to serve," said Hansen. “Hometown Health and Renown are community-focused organizations and it has been a privilege to be part of a team that gives back to improve the health and well-being of those we serve. I have spent hours working collaboratively with Bethany over the last few years and know she is perfect person to lead our health plan into a new era.” As CEO, Hansen worked closely with Renown senior leadership to put a thoughtful leadership transition plan in place, culminating with the promotion of Bethany Sexton to the position of CEO. Consistent with the plan, Hansen will continue to offer guidance and perspective as he and Sexton complete the transition over the next few weeks. "David’s vision of excellence, his drive and experience has transformed Hometown Health to be both member and customer-focused,” said Dr. Thomas Graf, CEO of Renown Health. “David has done much to modernize and build a first-rate health plan. We thank David for all his accomplishments and wish him a wonderfully satisfying retirement.” As CEO of Hometown Health, Ms. Sexton will be responsible for driving growth across the organization, including the development and execution of strategic plans; introduction of new programs and services; membership growth; operational, financial and customer service excellence; and continued improvements in clinical quality with a focus on lowering the cost of care for members in northern Nevada. Ms. Sexton has served in a number of key leadership roles for Renown Health over the past eight years, including Vice President of Operations & Development, VP/Administrator for the Department of Medicine, VP Strategic Planning and Performance Improvement, and VP of Revenue Cycle in Finance. With 20 years of health care experience, in both clinical and administrative settings, and more than 9 years at Renown, she has developed collaborative partnerships and created innovative new solutions to meet rapidly changing employee and customer expectations. "I believe one of the most important duties of a leader is preparing the next generation of leadership to succeed," added Dr. Graf. "There is no question that Bethany Sexton is the right person to lead Hometown Health into its next chapter. She has integrity, business acumen, energy, leadership skills and deep knowledge of value based care to ensure Hometown Health delights its membership and she will help Renown Health achieve our strategy of being both a Care Leader and a Health Partner for providers and patients in our community.” Bethany Sexton earned her Master of Business Administration (MBA) from the University of Nevada, Reno and her Bachelor of Arts (B.A.), Business Administration and Management from Western Washington University. She is passionate about community service, most recently serving as Chair, Board of Directors for Immunize Nevada, and as a former Board Member for Nevada Women's Fund, Healthcare Financial Management Association (HFMA) and the American Red Cross. Ms. Sexton and her family make their home in Reno, NV.     About Renown Health Renown Health is the region’s largest, locally governed, not-for-profit integrated healthcare network serving Nevada, Lake Tahoe and northeast California. With a diverse workforce of more than 7,000 employees, Renown has fostered a longstanding culture of excellence, determination and innovation. The organization comprises a trauma center, two acute care hospitals, a children’s hospital, a rehabilitation hospital, a medical group and urgent care network, and the region’s largest, locally owned not-for-profit insurance company, Hometown Health. Renown is currently enrolling participants in the world’s largest community-based genetic population health study, the Healthy Nevada Project®. For more information, visit renown.org.

    Read More About Hometown Health CEO David Hansen Announces Retirement, Bethany Sexton Named Successor

    • Wednesday, Jan 05, 2022

    Renown Children’s Hospital Joins The Children’s Oncology Group

    Dr. J. Martin Johnston, Renown Health's Chief of Hematology and Oncology. Renown now home to northern Nevada's only Children's Oncology Group institution, giving local pediatric cancer patients access to the most cutting-edge treatments. Renown Children's Hospital announced today that it is now a member of the Children's Oncology Group (COG), the world's largest organization devoted exclusively to childhood cancer. Membership in the COG allows Renown to enroll its youngest patients in the latest clinical trials, including ground-breaking treatments for many childhood cancers, studies to better understand these diseases, and trials focused around supportive care and survivorship. Renown is now enrolling pediatric patients in clinical trials through the COG. Through this process, many childhood cancer patients will be eligible to receive newly-developed therapies.  For example, some trials employ immunotherapeutic drugs in addition to conventional chemotherapy, in hopes that adding the immunotherapy results in better health outcomes for pediatric cancer patients. "As a pediatric intensivist by training, I understand how quickly advancements are made in pediatric medicine," said Tony Slonim, MD, DrPH, President & CEO of Renown Health. "As a member of the COG, pediatric oncology patients of Renown Children's Hospital now have access to the latest and most cutting-edge treatment options in addition to commonly prescribed treatments. I am proud of the highly-skilled caregivers at Renown who are constantly expanding their knowledge and contributing research to give our pediatric patients and their families hope for the future." "Until now, we have been able to offer treatments at Renown based on the current standard of care, which means the treatment is based on published trial results that may not reflect the latest research in the field," said Renown's Chief of Hematology/Oncology, J. Martin Johnston, MD. "Previously, a pediatric oncology patient could only enroll in a COG trial if the family had the capacity to temporarily relocate to the Bay Area or Salt Lake City, for example. Now, our patients will have the opportunity to enroll in these trials without the need to travel so far from home." "When faced with pediatric cancer, the last thing parents should worry about is traveling great lengths to receive the best in cancer care," said Larry Duncan, Vice President of Pediatrics and Surgery and Administrator, Renown Children's. "We are proud to now offer the most advanced childhood cancer treatment options here at Renown, close to home and convenient for area patients and their families. We always strive to see more patients beat cancer, and being part of the COG helps our expert team of pediatric oncologists implement innovative and new ways to make that happen." Carson City local Brenda Milligan's son, Austin, was 5 when he was diagnosed with leukemia and received treatment at Renown Children's Hospital. As an active participant in her now 10-year-old son's treatment plan, Brenda shares that she regularly sought out advice from COG providers across the country and is pleased that northern Nevadan parents of children being treated for leukemia can now take full advantage of the COG right at home. "The COG allows Renown's providers to have access to treatment plans that weren't available when Austin was receiving treatment," said Brenda. "It comforts me to know that not only can children receive cancer treatment right at home, but their parents can now elect for them to participate in trials and plans that are at the forefront of cancer treatment today." According to the COG, more than 90 percent of 14,000 U.S. children and adolescents diagnosed with cancer annually are cared for at COG member institutions. As a COG member institution, Renown joins over 200 institutions including Stanford, UCSF and Kaiser Permanente in this prestigious honor. The COG is made up of more than 9,000 experts worldwide and has nearly 100 active clinical-translational trials running at once. Research from the COG has drastically transformed children's cancer outcomes. Just 50 years ago, pediatric cancer was thought to be untreatable; while today, it has a combined five-year survival rate of 80 percent. "The key to ending childhood cancer is through extensive scientific research and clinical trials," said Max Coppes, Cancer Center Director at Renown Institute for Cancer. "As a COG member institution, our doctors will have the opportunity to collaborate with other pediatric oncologists around the world who share a common goal—to cure all children of cancer. At Renown, we are proud to be at the forefront of life-saving research and treatments for pediatric oncology patients throughout our region." "We are also grateful to the William N. Pennington Foundation for its support in establishing the William N. Pennington Fund for Advance Pediatric Care in 2016, which allowed us to hire more than 15 specialized pediatricians, including in oncology/hematology, which was crucial to our application for COG membership." About Renown Children's Hospital Renown Children's Hospital is the only dedicated children's hospital in northern Nevada, and offers a variety of programs and services designed specifically to care for families in our community. It has the region's only pediatric ER and ICU. Renown Children's Hospital is not-for-profit and relies on philanthropic support. Visit renown.org/give to support Renown Children's Hospital. For more information on programs and services, visit renown.org/children.

    Read More About Renown Children’s Hospital Joins The Children’s Oncology Group

    • Thursday, Aug 08, 2024

    Groundbreaking Historic Milestone: Renown Pioneers Histosonics Edison® System Delivering Histotripsy for Non-Invasive Liver Tumor Treatment

    Renown’s Surgical Oncology team amongst the first to use HistoSonics' image guided histotripsy system to deliver non-invasive, personalized treatments for patients with liver tumors, thanks to a private donation. Watch this video to learn more about the technology.  Renown Health announced today that the first patients have received targeted liver tumor treatments through the Edison® System histotripsy technology, which uses focused ultrasound waves to noninvasively destroy a designated tissue or tumor in the liver. This revolutionary technology represents a significant advancement in providing leading-edge surgical care to patients. Renown joins the Cleveland Clinic, Mayo Clinic and Johns Hopkins in being amongst the first in the country to offer this revolutionary non-invasive clinical procedure. Surgical oncologists Christos A. Galanopoulos MD, MBA, MSc, FACS; Nicholas Manguso, MD; and Randy Zuckerman, MD of the William N. Pennington Cancer Institute at Renown Health, are amongst the first physicians in the world trained to perform the procedure which destroys both primary and metastatic liver tumors, including those that can’t otherwise be removed surgically. Renown’s multidisciplinary team includes surgical oncologists, radiologists, oncologists and nurses who collaborate to provide comprehensive care tailored to each patient’s needs.  “At Renown Health, we are constantly investing in our clinicians, essential services, and medical innovations to help keep care local,” said Brian Erling, MD, MBA, President & CEO for Renown Health. “We are grateful to a generous local donor, who provided us with a $1.4-million private donation to help purchase the equipment, training and to establish one of the few histotripsy programs in the U.S. at Renown. This non-invasive technology is a game changer in helping our liver surgeons and surgical oncologists to target and destroy malignant tissue in patients with either liver cancer or tumors that have spread to the liver from cancers based elsewhere in the body. This means people can now stay close to home and loved ones, and no longer need to leave Nevada for this type of advanced care.”  “As a surgeon, it’s rewarding to offer a procedure where we can precisely destroy liver tumors without using a scalpel or needles, enabling a patient’s quick recovery while avoiding certain complications common with other modalities,” says Dr. Christos Galanopoulos, Chair, Department of Surgery at Renown Health, and one of the oncology surgeons trained to perform the HistoSonics procedure. “Histotripsy uses focused ultrasound waves to mechanically destroy targeted tissue, offering a promising alternative to traditional surgical methods. This non-invasive approach reduces recovery time, minimizes complications, and improves patient outcomes. We look forward to the role this innovative technology will have in our treatment plans going forward.”  Revolutionary Technology “Histotripsy is a novel form of therapeutic ultrasound that precisely targets and liquefies tissue without damaging surrounding structures,” says Dr. Randy Zuckerman, surgical oncologist at Renown. “The system works by sending out focused ultrasound to targeted areas of tissue. The ultrasound energy creates pressure in the targeted tumor causing naturally existing gas bubbles to rapidly expand and collapse, helping break down and liquefy the targeted tissue. The entire process—from pre-treatment planning to real-time visualization—is assisted by advanced imaging technologies. We are confident that histotripsy will have a meaningful impact for patients suffering from unresectable liver disease, including liver tumors, and we are excited to share this advancement with our patients and community.”  The HistoSonics Edison® System and histotripsy procedure allows for: Precision and Accuracy: Histotripsy targets only the tumor cells, sparing adjacent healthy tissue, which is particularly advantageous in treating tumors located near critical structures.  Non-Invasiveness: As a completely non-invasive procedure, histotripsy eliminates the need for incisions, resulting in less pain and potentially faster recovery times for patients.  Reduced Risk of Complications: With no need for surgical intervention, patients face a lower risk of infection, bleeding, and other post-operative complications commonly seen in more invasive procedures. Renown’s Commitment to Innovation “The introduction of histotripsy underscores Renown Health’s dedication to staying at the forefront of medical advancements,” says Bill Plauth, MD, Chief Medical Officer for Renown Health and Associate Dean for Clinical Affairs at the University of Nevada, Reno School of Medicine. “By continually investing in the latest technologies and treatment modalities, we can ensure that patients receive the highest standard of care - right here in Reno.” Clinical trial results recently shared by the company showed that physicians were able to achieve a technical success rate of 95.5% in targeting and destroying malignant tissue in 44 patients with either liver cancer or tumors that had spread to the liver from cancers based elsewhere in the body.  Thanks to the Generosity of Our Community  "Through the generosity of our community, we are working to provide the best expertise, technology and programs for our patients,” said Greg Walaitis, Chief Development Officer, Renown Health Foundation. “As the only charitable, not-for-profit integrated academic healthcare organization in Reno, we appreciate that our community has helped us further our healing mission."  For more information about supporting innovative clinical care at Renown Health, visit www.renown.org/Foundation. To schedule a new patient appointment with the William N. Pennington Cancer Institute at Renown Health at 1155 Mill St in Reno, NV, call 775-982-4000. To schedule a patient for the HistoSonics procedure, call Dr. Christos Galanopoulos’ office (Renown Surgical Care) at 775-982-6270.  For media interviews, contact news@renown.org or 775-691-7308.  The Edison® System is intended for the non-invasive mechanical destruction of liver tumors, including the partial or complete destruction of unresectable liver tumors via histotripsy. The FDA has not evaluated the Edison System for the treatment of any specific disease or condition. Use of Edison System in kidney applications is limited by federal law to investigational use.     About HistoSonics HistoSonics is a privately held medical device company developing non-invasive platforms and proprietary sonic beam therapy utilizing the science of histotripsy, a novel mechanism of action that uses focused ultrasound to mechanically destroy and liquify unwanted tissue and tumors. The company is currently focused on commercializing their Edison System in the US and select global markets for liver treatment while expanding histotripsy applications into other organs like kidney, pancreas, and others. HistoSonics has offices in Ann Arbor, Michigan and Minneapolis, MN.  About Renown Health Renown Health is the region’s largest, locally governed, not-for-profit integrated health care network serving Nevada, Lake Tahoe, and northeast California. With a diverse workforce of more than 7,500 employees, Renown has fostered a longstanding culture of excellence, determination, and innovation. The organization comprises a trauma center, two acute care hospitals, a children’s hospital, a rehabilitation hospital, a medical group and urgent care network, and the locally owned not-for-profit insurance company, Hometown Health. For more information, visit renown.org.

    Read More About Groundbreaking Historic Milestone: Renown Pioneers Histosonics Edison® System Delivering Histotripsy for Non-Invasive Liver Tumor Treatment

    • Monday, Sep 20, 2021

    Renown Welcomes Director, Cardiovascular Services; Jayson Morgan, MD, FACC

    Dr. Morgan embraces a patient-centered approach to delivering a comprehensive cardiac and vascular program in Nevada. Renown Health is excited to announce that Dr. Jayson Morgan has been promoted to serve as Director of the Cardiovascular Services. Dr. Morgan, who formerly served as the Cardiology Division Chief, began his new position on September 6. Dr. Morgan plays a key role in supporting clinical and administrative leaders to embrace a patient-centered approach in delivering the most effective, highest-quality care within the Institute for Heart and Vascular Health and across Renown Health. Dr. Morgan will expand care, enhance clinical outcomes and transform cardiovascular health care through adopting technological advances which promote patient-centered health care that is both convenient and affordable. “At Renown, delivering the highest quality care is our #1 priority. Embracing our vision to improve the health of Nevadans, we are pleased to promote an extraordinary physician like Dr. Morgan to lead and further develop cardiovascular services - and elevate and grow this important Destination Health program to serve the growing needs of our community,” said Tony Slonim, MD, D.Ph., President and CEO, Renown Health. “Unfortunately, Heart Disease continues to be the #1 cause of death in Washoe County, the state and the nation. Dr. Morgan and his team focus on saving lives and reducing the number of people needing heart and vascular interventions. He embodies our core values of caring, integrity, collaboration and excellence, and respect for all, and we are pleased to have Dr. Morgan at the helm of our cardiovascular program.” Dr. Jayson Morgan is a highly accomplished physician leader. He served as both an Internal Medicine Hospitalist and an Internal Medicine resident at UCSF Health in San Francisco, where he specialized in the care of advanced heart failure, pulmonary hypertension, and heart transplant patients. He completed his cardiology fellowship at Cedars-Sinai Medical Center in Beverly Hills, CA in 2017 and immediately joined Renown afterwards. In 2019, he served as director of the Echocardiography laboratory at Renown. In 2020, he was promoted to Division Chief, Cardiology. “The experts at Renown’s Institute for Heart and Vascular Health provide an integrated, multi-disciplinary, patient-centered approach to the prevention, diagnosis and treatment of heart and vascular disease. I am proud to have Dr. Jayson Morgan leading a team of experts who respond to and treat heart and vascular problems that extend from mild to the most critical of emergencies. Our specialized physicians (cardiologists, interventional radiologists, heart and vascular surgeons) work collaboratively with our clinical team to determine the best treatment plan for each patient,” says Rahul Mediwala, MD, Medical Director, Health Services. “High blood pressure, heart disease, and stroke affect one in three Nevada residents. These diseases are preventable and many acute events are avoidable, by leading heart-healthy lifestyles including not using tobacco products, limiting sodium and adopting a plant-based diet, engaging in at least 30 minutes of physical activity daily, limiting or eliminating alcohol consumption, and following prescribed medication regimens. Together, we can make a genuine difference in improving the health of our families, friends and neighbors,” says Jayson Morgan, MD, FACC, Director, Cardiovascular Services. “We are pleased to offer a medically supervised, Pritikin-certified, intensive cardiac rehabilitation (ICR) program for those with heart disease. Our expert team creates tailored plans, providing the support heart patients need to make lasting lifestyle changes.” Dr. Morgan continues, “Renown now has 3 cardiac surgeons, 17 cardiologists and 16 advanced practice providers who provide excellent cardiovascular care. Our technical capabilities have expanded with a structural heart program including trans catheter aortic valve replacements (TAVR), trans catheter mitral valve repairs (Mitraclip), patent foramen ovale closures, and atrial septal-defect closures; with over 100 structural heart procedures being performed each year. Our Cardiothoracic surgeons are the highest volume in the region and consistently exceed national performance standards for operative care. Renown Regional Medical Center was the first hospital in the region to implant the CardioMEMS pulmonary artery pressure monitoring system for advanced heart failure patients, dramatically reducing hospitalizations in these patients. Three interventional cardiologists have joined our team which has expanded our capacity to handle interventions for complex coronary artery disease. Renown’s three electrophysiologists have performed over 1000 procedures this year, drastically decreasing the symptomatic burden of atrial fibrillation in our community. In addition, with the UNR Medical School affiliation, we look forward to even greater contributions to cardiovascular research.” Dr. Morgan graduated from Stanford University School of Medicine and graduated from Yale University with his undergraduate education in Chemical Engineering. “I am excited to continue to help patients enhance their health and well-being,” said Dr. Morgan. “I am grateful for the opportunity to contribute to the great progress that Renown Health is making in becoming the best place to practice medicine and to receive care. I am excited to advance our journey of transformation to value-based care, and to serve patients, clinicians and the community.” To make an appointment with a provider at Renown’s Institute for Heart and Vascular Health, request that your primary care provider make a referral. For more information on Renown’s Institute for Heart and Vascular Health, visit renown.org/Health-Services/Heart-Care. Renown Institute for Health and Vascular Health is the recipient of a number of national awards for outstanding clinical care and service, including: In U.S. News and World Report Best Hospital rankings for 2021, Renown Regional Medical Center- #1 in the State of Nevada for 2021. No other hospital in Nevada earned recognition from U.S. News. Renown Regional Medical Center is High Performing, its highest rating possible, for Heart Failure and Chronic Obstructive Pulmonary Disease. Awarded by the American College of Surgeons for the Renown Regional earned America’s 100 Best Hospitals for Critical Care Award™ (2021) for Superior clinical outcomes in treating pulmonary embolism, respiratory system failure, sepsis, and diabetic emergencies. Regional also earned the Pulmonary Care Excellence Award (2021), for superior outcomes. Designated Level II Trauma Center. For the 30th year, Renown Regional Medical Center is northern Nevada's only designated level II trauma center. Renown Regional awarded The Get with the Guidelines – Heart Failure Gold Plus Quality Achievement award for continually ensuring heart failure patients receive the most appropriate treatment according to nationally recognized, research-based guidelines, as well as AHA’s Mission: Lifeline Gold Receiving honor for the treatment of patients who suffer severe heart attacks. American College of Cardiology’s NCDR Chest Pain ̶ MI Registry Platinum Performance Achievement Award. Renown Regional Medical Center is one of only 225 hospitals nationwide to receive the honor. The award recognizes Renown’s success in implementing a higher standard of care for heart attack patients and signifies that Renown has reached an aggressive goal of treating these patients to standard levels of care as outlined by the American College of Cardiology/American Heart Association clinical guidelines and recommendations.     About Renown Health Renown Health is a locally governed, not-for-profit integrated healthcare network serving northern Nevada, Lake Tahoe and northeast California. Renown is one of the region’s largest private employers with a workforce of more than 7,000. It comprises three acute care hospitals, the region’s only children’s hospital, a rehabilitation hospital, the area’s most comprehensive medical group and urgent care network, and the region’s largest and only locally owned not-for-profit insurance company, Hometown Health. Renown has a long tradition and commitment to improve the care and the health of our community. For more information, visit renown.org.

    Read More About Renown Welcomes Director, Cardiovascular Services; Jayson Morgan, MD, FACC

    • Wednesday, May 04, 2022

    56 Anesthesiologists Join Renown Health to Provide High Quality Services to Area Patients and Surgeons

    Innovative anesthesiology practice improves diagnosis, medical management and quality of life for patient. If you are preparing for a surgical procedure, you have probably given a lot of thought to the education, training and experience of the surgeon performing the procedure. But you may not have thought much about the physician anesthesiologist or the importance of his or her medical expertise in your procedure — before, during and after — to keep you safe and comfortable. "Our leadership team has thought a lot about physician anesthesiologists over the past year,” says Sy Johnson, MBA, President and Chief of Staff for Renown Health. “As the region’s only not-for-profit integrated healthcare network and trauma center, we are trusted and chosen by patients as the top provider of inpatient care, including surgeries, for northern Nevada, Lake Tahoe and northeast California. To serve the needs of hundreds of surgeons and thousands of patients with safe, high quality and effective anesthesia coverage, we now employ fifty-six anesthesiologists through our Department of Surgery and have established Renown Medical Group Anesthesiology, a new local practice for northern Nevada.” “Renown Medical Group anesthesiologists provide 24 hour surgical and procedural coverage based on clinical skill sets, surgeon preference and patient preference. Patients who choose Renown for their care can feel certain that they are receiving anesthesia care from a physician anesthesiologist who has attained board certification. Renown Health hospitals are pleased to provide patient care exclusively by physician anesthesiologists,” says Thomas Graf, MD, FAAFP, CEO, Chief Clinical & Quality Officer of Renown Health and Senior Associate Dean for Clinical Affairs at the University of Nevada, Reno School of Medicine. “We are the doctors trained to administer and manage anesthesia given to a patient during a surgical procedure to ensure anesthesia care is as safe and effective as possible,” says Nariman Rahimzadeh, MD. Dr. Rahimzadeh serves as Medical Director and Chief of Staff for Renown South Meadows Medical Center, is a member of the new group and has practiced in Reno for fifteen years. “We also play a key role in taking care of patients who are having minor surgery or who may not require general anesthesia, such as women in labor who need to be awake and alert but require effective pain management.” “Our innovative anesthesiology practice is now staffed by fifty-six anesthesiologists. We are serving patients and surgeons at Renown Health hospitals with one fully integrated model of care to improve diagnosis, medical management and quality of life,” says Christos Galanopoulos, MD, MBA, MSc, FACS; Chair, Department of Surgery and Vice President at Renown Health. “We strive to advance anesthesia through clinical excellence, education, innovation and people. Our nationally recognized medical staff and dedicated support team perform the majority of anesthesia procedures in our market, and evaluate, monitor, and supervise patient care before, during, and after surgery to deliver effective anesthesia and ensure optimal patient safety.” “Physician anesthesiologists have 12 to 14 years of education, including medical school, and 12,000 to 16,000 hours of clinical training,” adds Scott Parkhill, MD, FASA, who serves as a Medical Director and Vice Chief of Staff at Renown Regional Medical Center and is a member of the new group. “Physician anesthesiologists in the United States complete a four-year undergraduate college degree that includes satisfying pre-med requirements. Like other medical doctors, they must follow undergraduate education with four years of medical school. After medical school, a physician specializing in anesthesiology completes a four-year anesthesiology residency program. Following completion of a residency program, residents are eligible to sit for the American Board of Anesthesiology (ABA) exam. We are pleased that all of our Renown Medical Group anesthesiologists are board certified.” Adds Kelsey Larsen, MBA, Chief Operating Officer for Renown Medical Group, “We are thrilled to welcome and employ forty-two physician anesthesiologists who started with us on April 1. An additional nine physicians joined last week and five other physicians have requested to start over the summer for a total of 56 anesthesiologists that have joined Renown Health to provide services to patients.” Patients served include those at Renown Regional Medical Center, the only Level II Trauma Center between Sacramento and Salt Lake City, and named #1 Hospital in the State of Nevada by U.S. News and World Report Best Hospital Rankings for 2021. Physician anesthesiologists will also provide services to patients at Renown South Meadows Medical Center, named #1 Best Hospital for 2020 by U.S. News & World Report; and to patients at Renown Rehabilitation Hospital, northern Nevada’s only Commission on Accreditation of Rehabilitation Facilities (CARF) accredited hospital, specializing in the treatment of patients with brain injury, spinal cord injury and stroke. Renown Health is integrated with the University of Nevada, Reno School of Medicine, Nevada’s first medical school, which serves to enhance the health of the community through increased access to care, innovative health care delivery, expansion of clinical research and training for the next generation of physicians and health care professionals. 51 ANESTHESIOLOGISTS WHO JOINED RENOWN IN APRIL 2022: Samuel Beck, MD Heber Becker, MD  Peter Billharz, MD  Kara Bjur, MD  Brian Brewer, MD Brian Buehler, MD Carrie Buehler, MD Catherine Burton, MD Joshua Cartinella, MD  Nicholas Cirac, MD  Gordon Curry, MD  Scott Dougan, MD  JoAnn Ellero, MD  Daryl Fenio, MD  Dirk Fletcher, MD  Tobey Gansert, MD  Benjamin Garol, MD  Jeffery Grudzinski, MD  Keith Hanson, MD  Min Hein, MD  Mark Janes, MD  Scott Jeannes, MD  Kevin Lasko, MD  Sarah Lim, MD  Jay Markin, MD John Marshall, MD  Eric Moody, MD  John Mortensen, MD  Jobin Nash, MD Mel Nutter, DO      Scott Parkhill, MD   Nariman Rahimzadeh, MD   Suresh Raman, MD   Shaina Richardson, MD   Alan Sarabia, MD   Heidi Sarabia, MD   Mitch Seman, MD   Daniel Sorensen, MD   Ryan Stites, MD   Aaron Wallace, MD   Duncan Browne, MD   Tyler Hartley, MD   Jie Lan, MD  Pamela Russell, MD  Scott Reineck, MD   Brian Landreth, DO      Kara Sievert, MD   Chiaki Nakanishi, MD  Philip Phu, MD  Matthew Sabatini, MD   Robert Kyper, MD  About Renown Health Renown Health is the region’s largest, locally governed, not-for-profit integrated healthcare network serving Nevada, Lake Tahoe and northeast California. With a diverse workforce of more than 7,000 employees, Renown has fostered a longstanding culture of excellence, determination and innovation. The organization comprises a trauma center, two acute care hospitals, a children’s hospital, a rehabilitation hospital, a medical group and urgent care network, and the region’s largest, locally owned not-for-profit insurance company, Hometown Health. Renown is currently enrolling participants in the world’s largest community-based genetic population health study, the Healthy Nevada Project®. For more information, visit renown.org

    Read More About 56 Anesthesiologists Join Renown Health to Provide High Quality Services to Area Patients and Surgeons

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    Testosterone, Men and Health: What You Need to Know

    You probably know testosterone (T) plays an important role in how boys physically develop into men. But is that all you know? What happens when a man's T levels are off? Are there symptoms men should look for? And what are the treatment options? Dr. Bobby Kahlon, MD, Renown Medical Group provides answers in a Testosterone Q&A.   What does testosterone do for men?  "Testosterone is known as the 'manly hormone' for a reason," says Dr. Kahlon. "Though women also naturally produce small amounts of it, men produce testosterone at much higher concentration levels. And it affects men in more physical and obvious ways. How much hair a man has on his chest, how deep his voice is, or how muscular he is are all attributable in some way to testosterone. It's also responsible in large part for sex drive and bone strength and affects how men think, learn and experience their surroundings."  Testosterone in men:   Powers virilization (male physical characteristics) and sexual function Builds muscle mass and strength  Supports bone density  Improves cognition  T Trivia: Discover Magazine reveals that “manly” testosterone and other sex hormones evolved long before we did — 500 million years ago — from the ultimate “female” hormone, estrogen. Can you have too much or too little testosterone?  Though high testosterone isn't a concern for most men, low testosterone or low T occurs more frequently and develops for two primary reasons.  Dr. Kuhadiya explains, "Subnormal testosterone concentrations occur either due to pituitary or testicular failure and the causes for each need to be discussed with your physician."  Pituitary failure: Approximately one-third of men with obesity, type 2 diabetes, or metabolic syndrome (which includes increased blood pressure, high blood sugar, excess body fat around the waist, and abnormal cholesterol or triglyceride levels) have low free — or "bioavailable" — testosterone. These health conditions can cause the pituitary gland to "fail" to release follicle stimulating hormone (FSH) and luteinizing hormone (LH) which are essential for triggering testosterone and sperm production. And that can cause low testosterone (hypogonadism). Testicular failure: Though less common than pituitary failure, testicular failure may also be responsible for low T. It's caused by diseases or illnesses affecting the testicles, injury or trauma to the testicles, or certain medicines and treatments such as chemotherapy or opioid pain medication. Providing your complete medical history to your doctor is always the first step toward a proper diagnosis.  What are the symptoms of low T?  The following indicators could be a sign that you have low T, say the doctors.  Lack of motivation and determination, including mild depression  Loss of physical endurance and muscle strength  Loss of or diminished early morning erections  Reduced libido (sex drive)   Erectile dysfunction (ED — difficulty achieving or maintaining an erection)   Gynecomastia (male breasts)  Small testes  T and Time: T levels in men naturally begin to decline by about 1% a year starting at age 30.  How do you test for low T?  "There are different methods for testing testosterone levels," says Dr. Kuhadiya. "Each approach uses a blood sample to evaluate total testosterone, which includes free and attached testosterone that combines with proteins albumin and sex hormone-binding globulin (SHBG). For the most accurate results, testing is based on samples collected in the morning after fasting, and from tests on two different days."  What treatment options are available?  "Well, your best natural option may be YOU," says Dr. Kahlon. "Men with pituitary failure are often able to treat their low T by losing weight to increase levels of the hormone. And even if you don't lose weight, exercise can help boost your testosterone. Unfortunately, if you have testicular failure, weight loss and exercise may not have the same effect."  So, are there other options? "You may want to consider Testosterone Replacement Therapy (TRT)," says Dr. Kuhadiya. "TRT is only available to men who are hypogonadal — with a clinical diagnosis of low T. Injection, gel, skin patch and nasal spray are available TRT options. The best option is the one that works best for the patient. Convenience, insurance coverage and cost are all factors to consider." Dr. Kahlon's TRT preference? Daily gel treatments, which are applied directly to the skin. On the other hand, Dr. Kuhadiya recommends intramuscular injections, which take place once a week or every two weeks.  But both doctors agree on this: physicians and their patients need to weigh the benefits and risks of TRT before proceeding with treatment — especially if your low T condition may require lifelong treatment. "In my clinical practice, I have seen some very good long-term results with an improved quality of life," says Dr. Kuhadiya. "However, in certain situations, TRT may increase the risk of heart disease and is not recommended for men with a history of prostate cancer." Dr. Kahlon adds, "Patients receiving any type of hormone therapy need to be closely monitored throughout the treatment process for any changes in their health."   How do you feel about steroids and T boosters?  "I don't recommend them, certainly not for hypogonadism," advises Dr. Kahlon. "There is no evidence to support anabolic-androgenic steroids or testosterone boosters as a safe or effective treatment for low T in men."  "In fact, there continues to be emerging evidence they may lead to side effects that could potentially harm the liver and the pituitary and endocrine functions of the body," warns Dr. Kuhadiya. "And that damage may be irreversible."

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