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Takesha Cooper, M.D., Appointed Chair of Psychiatry & Behavioral Sciences
Takesha Cooper, MD, has joined the University of Nevada, Reno School of Medicine and Renown Health as Department Chair of Psychiatry and Behavioral Sciences. Dr. Cooper comes to the area from the University of California, Riverside School of Medicine where she served for seven years as clinical associate and then full professor in the Department of Psychiatry and Neurosciences, and associate training director for Child and Adolescent Psychiatry. Dr. Cooper previously served as associate medical director for the Riverside University Health System and Riverside County Department of Mental Health providing clinical and operational oversight for four regional psychiatric county clinics, and as an adjunct instructor of psychiatry at Stanford University School of Medicine. As a double board-certified child, adolescent, and adult psychiatrist, she also established a successful solo private practice serving patients from diverse backgrounds. At UC Riverside, Dr. Cooper held significant academic and leadership roles including vice chair of education, residency program director, chair of the Admissions Committee and equity advisor. Dr. Cooper will now build on the strong foundation established by Dr. Josh Fitzgerald, interim chair of the department, who will now serve as director of research for the department. Dr. Cooper will be responsible with Steve Shell, vice president of the Stacie Mathewson Behavioral Health & Addiction Institute at Renown Health, for leading the Behavioral Health Program at the Institute where a team of nine psychiatrists, nurse practitioners and licensed professionals and counselors provide intensive outpatient treatment, partial hospitalization programs, Transcranial Magnetic Stimulation, Esketamine, hospital-based assessment and medication-assisted treatment to serve those struggling with mental illness and addiction across northern Nevada, Lake Tahoe and northern California. “We are delighted to have Dr. Cooper join the UNR Med/Renown team,” said Paul J. Hauptman, MD, dean of UNR Med and chief academic officer for Renown Health. “She brings a wealth of experience in multiple clinical settings, and we are confident that she will have a significant impact at a time of great need for mental health services, education, and research in northern Nevada. Dr. Cooper will do much to advance the mission of UNR Med which includes a commitment by the Department of Psychiatry to train the next generation of psychiatrists through a Psychiatry Residency and Child & Adolescent Psychiatry Fellowship training program. Education and training are provided in both urban and rural areas of northern Nevada.” Dr. Cooper earned her Doctor of Medicine Degree from the Keck School of Medicine at the University of Southern California and completed her residency at San Mateo County and fellowship at Stanford University. Prior to medical school, she obtained a Master of Science degree in Biochemistry and Molecular Biology from UC Riverside and her bachelor’s degree in Biochemistry and Molecular Biology from UC Santa Barbara. Dr. Cooper’s research explores the impact of Adverse Childhood Experiences on mental health outcomes in children and adults. She served as a clinical co-PI on a U54 funded grant aimed at reducing health disparities by engaging in community-based participatory research partnerships. “Dr. Cooper is an energetic, collaborative physician, researcher and mentor who cares deeply about improving the mental health and well-being of adults and children,” said Brian Erling, MD, MBA, President and CEO, Renown Health. “This is an exceptionally exciting time to advance health equity and to help improve mental health outcomes for people and communities across northern Nevada. We are excited that Dr. Cooper is joining our team. I know her talent, energy and leadership will further elevate our mission of outstanding care, exceptional training, innovative research, impactful advocacy and innovative community partnerships in mental health and addiction medicine.” Dr. Cooper is recognized for her passion for high-quality patient care and supports future practitioners through rigorous and culturally informed undergraduate and graduate medical education, research, and community collaboration. A 2022 graduate of the Executive Leadership in Academic Medicine (ELAM) program offered through Drexel University, she also maintains active involvement in national and state committees and journal editorial boards. 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. 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 locally owned not-for-profit insurance company, Hometown Health. For more information, visit renown.org.
Read More About Takesha Cooper, M.D., Appointed Chair of Psychiatry & Behavioral Sciences
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Renown South Meadows Medical Center Earns 'A' for Patient Safety
Hospital safety grade reflects top national performance on patient safety through COVID pandemic. Renown South Meadows Medical Center in South Reno has earned an “A” Spring 2023 Hospital Safety Grade from The Leapfrog Group. This national distinction recognizes Renown Health’s achievements in prioritizing patient safety by protecting patients from preventable harm and errors. The Leapfrog Group is an independent, nonprofit, national watchdog organization that upholds the standard of patient safety in hospitals and ambulatory surgery centers. It assigns an “A,” “B,” “C,” “D” or “F” grade to general hospitals across the country. Grades are based on more than 30 national performance measures reflecting errors, accidents, injuries and infections, and systems hospitals have in place to prevent harm. The new grades primarily reflect performance during the height of the pandemic. “We all play a role in protecting the health and safety of our patients,” said Brian Erling, MD, MBA, President and CEO, Renown Health. “As the only locally governed not-for-profit healthcare network in the region, Renown’s success is shared with our patients and community. We celebrate and thank our physicians, nurses, and caregivers for their continued focus on making a genuine difference in the health and well-being of the people and communities we serve.” “At Renown, safety is the number one priority for everyone that comes through our doors,” said Jen Walker, MSN, RN, Vice President, Quality for Acute Services. "The hard-working staff at each facility, who day in and day out provide the best patient-centered care, also demonstrate clinical expertise, service and compassion. This has helped us achieve well-deserved high ratings across the system.” “We work to ensure that the care that our physicians, nurses and caregivers provide is of the highest quality, and safe, effective, people-centered, timely, equitable and efficient,” said Ross Albright, MD, Medical Director of Quality & Patient Safety, and the South Meadows Medical Center Emergency Department. “High-quality health care helps prevent disease and improve the quality of life. That is truly important to everyone on our team, and we are pleased to be nationally recognized for our efforts.” “Every day, we make choices about where we shop, who we bank with, what cars we drive, and what doctors we see. Yet despite our consumer culture, some people aren't aware they can choose what hospital they go to,” said Bret Frey, MD, President of Northern Nevada Emergency Physicians, a 65-physician group at Renown Health. “Your choice of hospital could be a life-or-death decision. Hospitals vary greatly on things like infection rates, surgical errors or patient injuries—and choosing to receive treatment by Board-Certified physicians, ER wait times, patient satisfaction rates, and other measures are important for consumers to know and consider when choosing an ER and a hospital.” “The Leapfrog ratings reflect the staff and system’s commitment to providing the highest quality of care for patients,” said Susan Lee, DO, MBA, Chief Operations Officer, Renown South Meadows. “Earning ‘A’ ratings showcases the commitment both physicians and staff demonstrate every day. We are proud to continue to deliver the best care possible to every patient.” “I applaud the hospital leadership and workforce for their strong commitment to safety and transparency,” says Leah Binder, President and CEO, The Leapfrog Group. “An ‘A’ Safety Grade is a sign that hospitals are continuously evaluating their performance so that they can best protect patients. Your team should be extremely proud of their dedication and achievement.” Developed under the guidance of a national expert panel, the Leapfrog Hospital Safety Grade uses publicly available hospital safety data to assign grades to more than 2,700 U.S. acute-care hospitals twice per year. The Hospital Safety Grade’s methodology is peer-reviewed and fully transparent, and the results are free to the public. Renown South Meadows also received a Leapfrog A score in Fall 2021 and Spring 2020. Renown Regional Medical Center received a B score for Spring 2023. For more information on the Leapfrog Group and the Spring 2023 scores, please visit: hospitalsafetyscore.org. About The Leapfrog Group Founded in 2000 by large employers and other purchasers, The Leapfrog Group is a national nonprofit organization driving a movement for giant leaps for patient safety. The flagship Leapfrog Hospital Survey reports hospital performance, empowering purchasers to find the highest-value care and giving consumers the lifesaving information they need to make informed decisions. The Leapfrog Hospital Safety Grade, Leapfrog’s other main initiative, assigns letter grades to hospitals based on their record of patient safety, helping consumers protect themselves and their families from errors, injuries, accidents and infections. 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
Read More About Renown South Meadows Medical Center Earns 'A' for Patient Safety
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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
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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®.
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As Community Covid-19 Cases Rise, Renown Has Capacity; Prepared And Ready To Serve
Renown team is prepared and ready to serve the community with staff, technology, supplies, equipment and remote patient monitoring services to meet needs and assure the highest quality care and safety. Many parts of the country and Nevada are seeing increases in COVID-19 cases and patients hospitalized with both the Delta and the new Omicron variant. As Nevadans experience the impact of the pandemic, the Renown Health team continues to be prepared to serve the community with staff, technology, supplies, equipment and services in place to meet the needs of patients and assure the safety of Renown's care teams. The Renown Health team ensures constant readiness and continues to safely screen, diagnose and care for patients with respiratory illnesses, including those at risk for COVID-19. Renown Health continues to have capacity to accept patients at all 11 Urgent Care locations, Renown's three Emergency Departments, including the Children's ER at Renown Regional Medical Center and the Emergency Department at Renown South Meadows Medical Centers. There is capacity if needed for additional patients on Renown's three Intensive Care Units or ICUs, and Renown hospitals continue to operate a full surgery schedule. "Every community member can feel confident that Renown has a trained team of physicians, nurses, respiratory therapists, medical assistants, care managers and physical and occupational therapists around the clock, every day to ensure that, no matter the illness or injury, every patient will be treated with compassion and the appropriate degree of care," says Susan Lee, MD, MBA, Chief Medical Officer, Acute Services. "News about the COVID-19 may be making you feel anxious about going to the emergency room (ER) or getting the medical care you need," said Bret W. Frey, MD, emergency medicine physician at Renown. "Please remember it's important to seek emergency care if you have serious non-COVID-19 symptoms and COVID-19 symptoms. Delaying care for a medical emergency, such as a heart attack or stroke, can be life threatening or lead to serious complications. We are here for you around the clock and have taken all precautions to be sure that visits to the ER and hospital are as safe as possible." He reminds us, "Emergency departments are experiencing large numbers of patients presenting with COVID-like symptoms. Please do not visit the emergency department if you are experiencing non-life threatening symptoms including a sore throat or cough. Consider these options to get the care you need; use Renown's MyChart "Talk to a Doctor" for a virtual visit, obtain free COVID-19 screening and testing through the Washoe County Health District, or contact Renown at 775-982-5000 to make an appointment with a primary care provider." Renown Uses Analytics and Predictive Modeling in Service to the Community Renown continues to use current local and national data, analytics and public data sets for predictive modeling in service to our community. When there is heightened concern around an illness, enhanced infection prevention strategies are in place to ensure Renown is ready with the appropriate supplies and alternate plans should the need arise. Renown medical experts report the following information this week: 1. Cases in Washoe County have started climbing. It appears the Omicron wave has started in northern Nevada. The good news is that studies continue to show that vaccines and previous infection still provide people with protection from severe disease. Predictive analytics at Renown show that the Omicron wave is expected to peak in northern Nevada sometime between January 10 and February 10. 2. Data continues to mount that Omicron infections are much less severe than previous variants. The Renown team is preparing to see an increase in hospitalized patients, but at a far lower rate than during previous surges. 3. Today, new patient hospital admissions to Renown Regional Medical Center and Renown South Meadows Medical Center for patients with COVID-19 are low. Today, of the 501 patients hospitalized at Renown, less than 9% or 43 patients are hospitalized with COVID-19. This may change at any time and medical experts and scientists at Renown will continue to monitor data on a daily basis. Renown Offers State-of-the-Art Remote Patient Monitoring to Enhance Patient-Centered Model of Care Renown continues to enact the emergency preparedness plans that have been in place since the beginning of the pandemic, creating additional capacity for inpatients while allowing Renown to continue to deliver high-quality care. Renown now has state-of-the-art clinical remote monitoring services to serve additional patients diagnosed with COVID-19 who are clinically stable or improving. Remote patient monitoring is now being visualized and monitored by clinical staff within the new Renown Transfer and Operations Center (RTOC). The Transfer and Operations Center is powered by Renown doctors, nurses, technicians and national technology partners help ensure seamless care for patients and providers. Through this highly coordinated care logistics system, Renown is able to customize health care to the needs of every patient; delivering the right care, at the right time and place across the integrated delivery system. Renown clinicians are able to access near real-time information on patients' vital signs and symptoms, enabling them to identify adverse changes in health sooner and intervene earlier. "We are excited to continue to enhance our relationships with patients by integrating technology that supplements our care teams to provide patients with a virtual care solution that continuously tracks vital signs, making healthcare more accessible, affordable and convenient," said Tony Slonim, MD, DrPH, president and CEO, Renown Health. Patients and their loved ones have said they have greater confidence and security knowing that our clinical team is closely monitoring their health data and communicating regularly to deliver high quality, personalized care." Renown Continues to Welcome Patient Supporters at the Hospital Bedside Renown Health continues welcome two patient supporters to visit their loved ones during their medical visit, surgery, birthing or hospital stay. Renown continues to have extra safety measures in place to protect the health of patients, visitors and healthcare employees. All people entering Renown sites must continue bringing and wearing a face mask for their entire visit, including inside patient rooms. "Visiting the hospital can be an anxious experience," says c. "It's incredible how the company of loved ones can reduce anxiety and promote healing. What we can do together with families to support patient care and excellent outcomes is greater than what any of us can do alone. We are glad to welcome patient supporters to our hospitals to help our patients feel more at ease, so they can focus on their recovery, health and healing." In addition to in-person visits, there are many ways to brighten the day of a patient at Renown hospitals. You can send a personalized message that will be hand-delivered to your loved one, call 775-982-4100 to speak with a patient, or Renown's care team can facilitate virtual visits via computer or tablet from the bedside. Please note that Renown Health reserves the right to limit visitors in the best interests of patients, families, visitors or staff. The Best Protection Remains Vaccination At this time, the medical experts at Renown remind us that vaccination is still the best protection against Omicron and COVID-19, and Renown providers and hospitals have full capacity to care for those who are sick or injured. "The most important action you can take to protect yourself from the Delta and Omicron strains and the COVID-19 virus is to get fully vaccinated," says Brion Hill, MD who practices at Renown Urgent Care - Los Altos location. "The COVID-19 virus and its related strains are preventable and controllable through safe and effective COVID-19 vaccines, which are free and now widely available in our area. The CDC recommends all people 5 years and older be vaccinated against COVID-19. Data shows that nearly all COVID-19 deaths are now occurring among unvaccinated individuals." A list of providers in our area offering vaccines is available at vaccines.gov." Renown Hospitals #1 in State of Nevada In the most recent U.S. News and World Report Best Hospital rankings, Renown Regional Medical Center was listed the #1 hospital in the State of Nevada. Last year, Renown South Meadows Medical Center was named the #1 Best Hospital in Nevada. A hospital's score is based on multiple data categories, including patient outcomes, safety and volumes. Hospitals earning a high performing rating were significantly better than the national average. Renown Regional Medical Center has also been awarded the Joint Commission's Gold Seal of Approval® for Hospital Accreditation based on compliance with hospital standards related to emergency management, environment of care, infection prevention and control, leadership and medication management. Renown's Roseview, Sierra and Cardiac Intensive Care Units have each been awarded a Beacon Award of Excellence from the American Association of Critical Care Nurses (AACN) based on patient outcomes that exceed national benchmarks. Renown has the only intensive care units awarded this distinction in Nevada. Stay Up-to-date on COVID-19 To stay up-to-date on communications regarding Renown's preparation for COVID-19, FAQs and the scientific evidence behind the vaccine, visit https://covid.renown.org/ Join the Renown team Renown Health remains committed to hiring key roles in our organization to support the health and well-being of our community. To join the Renown family to Fight the Good Fight, apply on line at https://careers.renown.org/ Support the Renown team Renown Health, a charitable, not-for-profit organization, is so grateful for our community's support during these unprecedented times. If you are interested in supporting Renown Health, a charitable, non-profit health organization, please consider giving to Renown Health Foundation. Donations are accepted through the following ways: Make a gift at www.renown.org/give Call Renown Health Foundation at 775-982-5545 Mail a check to Renown Health Foundation, 1155 Mill St., O2, Reno, NV 89502 Venmo: @RenownFoundation 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.
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Lung Cancer Screening and Early Detection
Lung cancer is the leading cause of cancer deaths in both men and women in the U.S. The good news is the five-year survival rate increases dramatically if lung cancer is treated before spreading to other parts of the body. Julie Locken, MD, of Renown Health Imaging, explains more. What are the signs and symptoms of lung cancer? As you might expect, most lung cancer symptoms appear in the chest and can affect your breathing. Watch for signs such as: Persistent cough Constant chest pain Shortness of breath Wheezing Bloody or rust-colored phlegm Hoarseness Swelling of the neck Pain or weakness in the shoulder, arm or hand Recurring pneumonia, bronchitis or other lung infections Loss of appetite and loss of weight can also be signs of lung cancer That said, there are usually no symptoms in the early stages of lung cancer, which means getting screened can truly be a lifesaver. If you have a history of smoking, you should get screened as a precaution. What are the risk factors of lung cancer? Around 80% of lung cancer cases stem from a history of smoking tobacco. But there are other known causes, such as secondhand smoke, radon, asbestos and diesel exhaust. It’s important to do what you can to eliminate exposure to all of these to reduce your lung cancer risk. People with an immediate relative – a parent, sibling or child – diagnosed with lung cancer and people between 50 and 80 years old are also at higher risk and may need to consider screening. People who are at the highest risk are those with a history of smoking tobacco, particularly smokers who averaged one pack of cigarettes per day for 20 years or more, as well as former heavy smokers who quit in the last 15 years.
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Bone Fractures in Children Honest Expert Advice
Michael Elliott, MD, head of the Department of Pediatric Orthopedics and Scoliosis, answers some common questions about bone fractures. Is there a difference between broken bones and fractures? No, these are two different names for the same injury. Of course the common term is a broken bone. Using either name will describe your concerns. Medical personnel typically describe a broken bone as a fracture to a specific bone. For example, a broken wrist is also a fractured distal radius. To clarify, this describes the injured bone and the precise location. How do I know if my child has broken their bone? Many times children will fall and complain of their arm or leg hurting. In most cases the pain goes away and the child will return to their activities. When there is a deformity to the limb (curve in arm) and the child is complaining of pain, it is probably a fracture. If the arm or leg looks straight, look to see if there is any swelling or bruising. Both are signs of a possible fracture. Finally, if the limb looks normal but the child continues to complain, gently push on the bone. Likewise if it causes the same pain, then they likely have a fracture and should have an x-ray. My child fractured their growth plate, what does this mean? Growth comes from this area of the bone. In detail, these are located all over the body but typically at the end of the bones. With this in mind, fractures to these areas can result in the bone growing abnormally. Because of potential shortening of the arm or leg, or bones growing crooked, it is important to follow fractures closely (up to 1-2 years or longer). It is better to identify a problem early. Small problems can be treated with small surgeries. What if the bones of the x-ray do not line up? Because children are growing, unlike adults, their bones will remodel and straighten with growth. The amount of remodeling occurring depends on a child’s age, the bone fractured and the location. In many cases an angled bone will grow straight over the course of a year. For this reason, someone with experience in caring for children needs to follow bone growth. How long does it take fractures to heal? Factors deciding when a cast can come off include: Child’s age. Bone fractured. Fracture location. Young children heal faster than teens, teens heal faster than young adults, who heal faster than older adults. In young children most fractures heal in 4-6 weeks. However, teens generally take 6 weeks to heal, and adults can take much longer. Although your child is out of their cast, it may not be healed completely to return to all activities. Placing a splint is during this time is common. This typically gives them added protection for several weeks after their cast is removed - in case they forget their limitations. What if my child is still limping? Whether a child is in a walking or non-weight bearing cast, removing it often leaves them stiff and sore. Therefore many children will walk as though they still have a cast in place. In most cases this resolves in about three weeks. Regardless, if your child is still limping or walking abnormally after three weeks, contact the treating doctor. They may benefit from physical therapy or a repeat evaluation. (This article was original published in the July 2019 issue of South Reno Kids & Sports.)
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What Is the Role of a Child Life Specialist?
What is the role of the child life specialist? Here are common questions and answers about how these special individuals give both parents and kids peace of mind. Let’s face it: A hospital can be an intimidating place for just about anyone. But add in being a small human with very little worldly experience — aka a child — and it’s easy to imagine how overwhelming a hospital visit can be. Enter the role of the child life specialist. Liz Winkler, a child life specialist with Renown Children’s Hospital, explains how a Renown program puts young patients and their families at ease. What does a child life specialist do? Child life specialists help young patients develop ways to cope with the anxiety, fear and separation that often accompany the hospital experience. They give special consideration to each child’s family, culture and stage of development. As professionals trained to work with children in medical settings, specialists hold a bachelor’s or master’s degree in the areas of child life, child development and special education or recreational therapy. Our child life specialists are also professionally certified and affiliated with the national Child Life Council. Child life specialists also offer tours of Renown Children’s Hospital for families whose children are scheduled to have surgery. Child life supports children and families by: Helping children cope with anxiety, fear, separation and adjustment Making doctors, needles and tests a little less scary Providing art, music and pet therapy Organizing activities Addressing your concerns Telling you what to expect Creating a therapeutic and medical plan Offering a hand to hold What else is available at the Children’s Hospital that helps ease some of the stress of a hospital visit? Whether it’s seeing a pediatrician, getting a sports physical or looking for advice, our care is centered on supporting and nurturing patients and families at our many locations. We have kid-friendly environments to help ease some of the stress of a hospital visit. These include colorful exam rooms, kid-friendly waiting and common areas, and medical equipment designed especially for children. Our children’s ER is open 24 hours a day, seven days a week. So parents and caregivers have access to emergency care tailored to little ones — anytime, day or night. We have several pediatric specialists on the Renown team in areas including diabetes, emergency medicine, neurology, pulmonology, blood diseases and cancer. How can parents start to ease their children’s mind when they know a hospital visit is in the future? As with many things in life, good preparation can help kids feel less anxious about the experience and even get through recovery faster. It’s important to provide information at your child’s level of understanding, while correcting any misunderstandings, and helping to eliminate fears and feelings of guilt. If you’re anxious and nervous, your child may reflect these feelings and behaviors. So make sure you educate yourself, feel comfortable with the process, and get your questions answered.
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