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Amy McGaha, MD, MPH, FAAFP Appointed Chair of Family and Community Medicine
Amy McGaha, MD, MPH, FAAFP has joined the University of Nevada, Reno School of Medicine (UNR Med) and Renown Health as department chair of Family and Community Medicine. Dr. McGaha comes to Nevada from Omaha, Nebraska where she served as the Roland L. Kleeberger, MD professor and chair for the Creighton University School of Medicine, Department of Family Medicine. Dr. McGaha previously served as the assistant director of medical education for the American Academy of Family Physicians (AAFP), the professional membership association for family physicians, working to develop family medicine workforce and medical education. She has also served on the Board of Trustees for the Society of Teachers of Family Medicine and on the board for CHI Health, the clinical partner of Creighton University School of Medicine. Prior to those appointments, Dr. McGaha provided inpatient and outpatient care for Freeman Health Systems in Missouri. Dr. McGaha completed her education at the University of Missouri School of Medicine in Columbia and completed her residency in family medicine in Tallahassee, Florida. Dr. McGaha also completed a Master of Public Health (MPH) degree at the Milken Institute School of Public Health at George Washington University. She is a fellow of the AAFP. Dr. McGaha will serve as the joint academic and administrative leader defining clinical operations to expand care, enhancing teaching and training programs vital to ambulatory and acute care medicine in northern Nevada and fostering clinical and translational research and diversity missions. “I am delighted to welcome Dr. McGaha,” said Paul J. Hauptman, MD, dean of UNR Med and chief academic officer for Renown Health. “As our new chair for Family and Community Medicine, she brings to us a wealth of experience, dedication and innovation that will continue to elevate the quality of care we provide to patients and the excellence in education we offer to students. Dr. McGaha has a strong background in academic medicine, distinction in clinical care, medical education, and research, and is universally respected as a compassionate physician leader. Dr. McGaha will do much to advance the mission of our Family Medicine Residency program and expand related Graduate Medical Education (GME) opportunities, shaping the future of family medicine in northern Nevada and beyond.” “Dr. McGaha will help bolster our commitment to providing exceptional primary care services to our community. With her guidance, we will advance patient-centered care, train the next generation of health care professionals and foster a culture of innovation within our academic health system,” said Brian Erling, MD, MBA, president and CEO of Renown Health. “This is an exciting time for Dr. McGaha to help craft our vision to offer more efficient and affordable care, elevate the patient experience and advance health equity across northern Nevada. We are fortunate to have her joining our team and our community.” Dr. McGaha will spearhead initiatives to enhance clinical outcomes, promote preventative health measures and foster collaboration among health care providers to optimize patient care delivery. In addition, Dr. McGaha will oversee the Family Medicine Residency, a full-scope, fully accredited program at UNR Med. Graduates practice in various settings, both rural and urban, solo family medicine and in large provider groups, traditional outpatient family medicine and as hospitalists or urgent care physicians. Dr. McGaha’s research has explored maternal health equity. She designed a Medical-Financial Collaborative Care Practice Model to address social determinants of health in patients with Type 2 diabetes. She has also presented nationally on diverse topics, such as “Advancing Inclusion and Belonging in Health Science Education” and “Innovating Interprofessional Collaboration in a Primary Care Setting.” An author of 25 academic papers, she has a long history of community service to schools, hospice organizations and neighborhood health clinics. Dr. McGaha has won many awards for her work in medical education, including the AIHC Interprofessional Practice Award, induction into the Gold Humanism Honor Society at Creighton University, the AAFP Foundation Pfizer Immunization Grant Award, the Physicians Recognition Award from the American Medical Association, and the Ellen Beck Faculty Award for Medical Staff Outstanding Commitment. 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 health care 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.
Read More About Amy McGaha, MD, MPH, FAAFP Appointed Chair of Family and Community Medicine
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Department Spotlight: Customer Engagement Center
Do it for the patient. That’s the motto that each employee in the Customer Engagement Center (CEC) lives by every single day. This team spins all the existing stereotypical thoughts about call centers on their side by empowering and partnering with patients to achieve their best health. Being transferred around several times just isn’t in this team’s DNA – being a one-stop-shop for patient scheduling, referrals, insurance matters and more is how they proudly operate. Through elevating the customer engagement experience, the CEC closes care gaps to ensure patients get the right care at the right time. From employees who work from our home base in Reno, all the way to the southeastern corner of Florida, this primarily remote team stays firmly connected and collaborative to make patient care possible for all Renown Health patients and Hometown Health and Senior Care Plus members. The “Make It Happen” Department Back-to-back phone calls about a wide variety of patient needs? They make it happen. Referrals that need to go directly to the provider? They make it happen. Complex insurance questions that need to be resolved? They make it happen. The CEC is the keeper of all things customer service and all things patient satisfaction, leveraging technology to improve engagement and accessibility – and they wear that badge with pride. “Patient care is our first priority,” said Cindy Arevalo, Supervisor of Customer Engagement. “Even though we aren’t face-to-face with them, we are always there to help them over the phone with whatever their needs are.” The CEC has a lot of different sub-departments under its umbrella: scheduling, referrals, insurance, patient outreach, personal assistants, MyChart customer service and more. Each team handles calls for a different section of our health system, including the hospitals, imaging, primary care and specialty care. While their individual teams may be different, one aspect of their jobs remains the same: they care. Deeply. “We advocate for the patient, especially when they can’t advocate for themselves,” said Amanda Ishii, Referral Specialist. “We are the first people that patients speak to, and we all have empathy to listen to them, help them solve their problems and take as much time as they need to care for their needs,” added Susana Arroyo Garcia, Supervisor of Customer Engagement. Customer loyalty is key to the CEC. Every CEC team member builds strong relationships with patients and members. Whether they manage patient outreach or manage back-to-back inbound calls, each employee feels a special connection to the helpful work they do to solve a variety of patient concerns. “As Senior Care Plus Personal Assistants, for instance, we help guide our members through complex situations, and we eliminate the process of transferring them to different departments, becoming a ‘one-stop-shop' for them,” said Stephanie Perez Campbell, Senior Care Plus (SCP) Health Coordinator. “While every day is different, we are constantly learning new things and helping members navigate through the health system." With the 4.5 million calls the CEC handles per year, the nature of their jobs is undoubtedly fast paced. However, this does not intimidate the CEC team members; instead, it inspires them to continue reaching new milestones, helping thousands of patients and members every year by handling all the scheduling and referral work on the backend so that they can receive the care needed. “I never find myself sitting around asking, ‘what should I do next,’” said Gina Briles, Supervisor of Customer Engagement. “We always support each other to stay on top of it all in order to take care of our patients.” By wearing a lot of hats and managing many different work queues all while staying engaged with each patient, the CEC is full of natural problem-solvers, helping our healthcare network run smoothly. “The Engagement Center is the front door for the community; serving as the voice of the customer, we ensure patients do not fall through the cracks of the complex healthcare system and are able to easily access the right care at the right time through an exceptional experience,” said Candace Dietrich, Director of Customer Engagement. Consistently Connected With thousands of referrals to process and millions of calls to field, the ways the CEC stays connected to patients and members as well as each other can be related closely to magic. No concern goes unnoticed, and no problem is too complicated. “The sheer volume of patients we engage with is incredible,” said Rene Jacinto, Manager of Customer Engagement. “We processed nearly 200,000 referrals and authorizations last year.” “We expect a steady increase of calls year-over-year. My team processed 1,259 referrals in one day alone recently,” added Arielle Gomes, Referral Specialist. A superpower that every CEC team member holds is the ability to listen. According to this department, active listening is key when problem-solving with every patient and member, as that skill helps them anticipate patient needs and resolve their issues quickly and efficiently. “I’ll always listen,” said Alex Gomez, Customer Engagement Representative. “I want them to know that they are in good hands, especially when they are feeling scared or frustrated.” Team members like Alex help carefully guide customers through the Hometown Health and Senior Care Plus enrollment process, increasing membership and engaging patients to find the perfect plan for them. One of the largest challenges the CEC faces is the departures and arrivals of providers. The ebbs and flows of all hospital systems include provider departures and shifting provider availabilities. Despite this challenge, the CEC staff work hard to ensure communication with all patients regarding provider changes is consistent and that all patients are scheduled in a slot that works for both their schedule and the provider’s schedule. “It’s important for us to be flexible, because things can change at a moment’s notice,” said Gina Briles. “This is more than just a job – we are here for our patients. What we are doing impacts everyone.” Throughout all times of transition, the CEC builds robust relationships with both patients and providers within our organization and community, a skill that this team emphasizes as “fundamentally important.” For example, SCP Personal Assistants like Stephanie Perez Campbell will coordinate care with community resources and offices, giving members one less call to make and one less hurdle to cross in order to get the care they need. On top of it all, even though this team has the ability to work from all 50 states (and many of them work outside of Nevada!), every employee feels connected to their colleagues and their work. “This is the best group of people I’ve ever worked with,” said Riley Petro, Manager of Customer Engagement – Imaging. “I am super lucky for this job and am so thankful for these people.” Proud and Powerful The proof is in the pudding – or rather, the proof is in the numbers. Within the 4.5 million calls they successfully field every year, approximately 1.6 million of those calls route through the private branch exchange (PBX) team – the team that oversees the main operator lines – under the guidance of Jess Nater, Supervisor of Customer Engagement. The CEC is also on track to handle nearly 300,000 referrals this year alone. Additionally, the Hometown Health CEC team was recognized nationally this year with a five-star rating from Medicare. “We all have the initiative to grow, and because of this, we are always learning something new,” said Cindy Arevalo. “Our leaders also support our growth, especially if we want to skill-build or advance in our careers.” The CEC is frequently the first stop on the career ladder for many employees as they start their journey in healthcare, and CEC leadership is committed to the growth and development of their teams to reach their career goals at Renown. The secret formula for all this success can be in part attributed to the pride each CEC employee has for their team, their work and Renown. “We have a very supportive team,” said Holly Coffey, Supervisor of Customer Engagement. “I’ve seen our leaders support their teams tremendously.” “We rely on each other,” added Ashleigh Carty, Customer Engagement Representative. "I love the relationships we create with one another.” Employees in the CEC come from many walks of life, choosing to work at Renown and Hometown Health for a variety of different reasons, many related to the positive power our health system holds. Team members in this department hold a myriad of different career backgrounds, including pharmacy technicians, medical assistants, population health professionals, community health workers and more. Some team members, like Nikki Clifford, Customer Engagement Representative Lead, heard wonderful things about Renown from her mother, who also works for Renown. According to Nikki, “seeing how happy my mom has been in her career made me want to join too. I’ve loved it here ever since.” Katie Lunau, Supervisor of Customer Engagement, also grew up in a family involved in healthcare, and she wanted to follow in their footsteps. Choosing Renown as the place to follow her family path was a simple one, because “Renown stood out as the company that was actively involved in the community helping others.” For other team members, like Susana Arroyo Garcia, Ashleigh Carty and Stephanie Perez Campbell, Renown and Hometown Health’s impact on the local healthcare landscape was their primary driver for choosing a career here and in the CEC specifically. “Renown is very well-known in the area,” said Stephanie Perez Campbell. “I went to school in Reno for public health, so Renown came up all the time in my schooling. I knew Renown had a lot of different opportunities available for career growth, and with the friendly environment I always experienced here, it was an easy decision.” “Once I went through the interview process and joined the team, I immediately realized that there are outstanding managers, support systems and communication skills here. People genuinely care,” added Ashleigh Carty. Ashleigh is exactly right. As emphasized by every team member, employees in the CEC care. Their heightened levels of care and empathy set the bar high for all at Renown and Hometown Health, and their impact will be felt for years to come.
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Pulmonary and Sleep Medicine
Pulmonary Medicine Our expert pulmonary medicine team diagnoses and cares for patients with lung and breathing challenges. Serious breathing problems and long-term conditions, such as COPD and emphysema, are treated by our extensively trained providers. Our board-certified care team has the experience and clinical judgment to ensure the strongest possible patient outcomes. If you have a chronic lung condition diagnosis, you may also benefit from Renown Pulmonary Rehab. Conditions We Treat Asthma Bronchitis (acute and chronic) Chest infections Chronic obstructive pulmonary disease (COPD) Cystic fibrosis Emphysema Lung cancer Lung transplant Pulmonary fibrosis Pulmonary hypertension Pulmonary tuberculosis (TB) Other chronic lung diseases Pulmonary Services
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Renown Health Announces Community Health Needs Assessment (CHNA), Strategy & Implementation Plan
Renown Health, the leading health care system in northern Nevada, today announced its Community Health Needs Assessment (CHNA) Strategy & Implementation Plan for 2025-2027 for Washoe County. The Plan and Community Benefit Health Focus Areas for 2025-2027 are based on the 2023 Community Health Needs Assessment (CHNA) as required for all not-for-profit hospitals. The Assessment is conducted every three years to gain a better understanding of the health needs of the communities Renown Health serves and to address healthcare inequities. The CHNA includes an analysis of input from community stakeholders who represent the broad interests of the diverse communities served by the Renown hospitals including those with expertise in community and public health. Health needs were identified in the CHNA research and subsequently prioritized by community stakeholders. From the prioritized health needs, Health Focus Areas were chosen based on criteria that consider the Renown Health’s team capacity to impact community needs, the strength of community partnerships and the alignment with Renown’s organizational strategic planning efforts. Through this Implementation Strategy & Plan, Renown Health is committed to identifying and closing health equity gaps in communities that are historically marginalized and vulnerable. The 2025–2027 Health Focus Areas include; Mental Health: Based on the secondary data scoring results, Mental Health was again ranked as a high need topic area in Washoe County. This health topic area includes indicators such as Poor Mental Health: 14+ Days, Teens who have Attempted Suicide, Adults Ever Diagnosed with Depression, Intentional Injury (Suicide) Mortality Rate and Teens who Felt Sad or Hopeless. Access to Health Care and Community Services: Community Benefit efforts focus on increasing and supporting access to essential health care and community services for communities and groups that have been historically underserved through direct programs and partnerships with other local not-for-profit community-based organizations. The Access to Care effort is grounded in the knowledge that social determinants of health and health equity impact health outcomes. Indicators include Children without Health Insurance, Adults Unable to Afford to See a Doctor and Physician Provider Rates. Maternal and Child Health: The Infant Mortality Rate for Washoe County is on the rise and Maternal and Child Health indicators are worsening. Both Primary and Secondary Data collection for the CHNA process showed this health need as a priority for the community. Improvements in health care services, access to prenatal care, and education on maternal and child health can help to decrease the infant mortality rate and improve the health outcomes for mothers and children in Washoe County. Collaboration between healthcare providers, community organizations and government agencies can also lead to more effective interventions and solutions. By working together, a positive impact on the health and well being of our community can be sustained. Priority Geography Renown Health is a healthcare provider serving multiple communities in northern Nevada and eastern California, located east of the Sierra Nevada Mountain range. The primary focus of Renown Health is to provide health care services to residents of the Reno -Sparks area, which is situated in Washoe County. Renown Health includes Renown Regional Medical Center, an 826-bed full service regional hospital located at 1155 Mill St., Reno, NV, 89502. The Community Benefit Service Area is Washoe County which has a population of 502,193 residents, making it the second most populous county in Nevada. Community Health Needs are greatest in zip codes: 89412, 89405, 89510, 89424, 89442, 89508, 89506, 89502, 89439, 89434, 89521, 89511, 89451, 89704. Over 90% of the county's population lives in the Reno-Sparks metropolitan area, which has undergone significant growth in the last decade. Although most patients reside in Washoe County, Renown Health serves an area of 100,000 square miles and many rural communities across northern Nevada. The health needs and outcomes in Washoe County are significantly impacted by the demographic composition of the region. To address these needs, the CHNA comprehensively assessed population dynamics, considering aspects such as age, ethnicity, and socioeconomic status, among other factors. By acknowledging the unique health requirements of various groups and communities, targeted interventions are being developed that address specific health disparities. The BARHII Framework and CMS Framework for Health Equity ensure that the initiatives and identified health needs are based on a true understanding of the root causes of health disparities and effectiveness in Renown’s community health initiatives. Renown Health provides a significant benefit to the region, providing 66.5% of the care for the Reno/Sparks market. As the same time, Renown provides 72.7% of the Medicaid and uninsured care provided to the region. Thank you to our Community The Renown Health leadership expresses appreciation to our clinicians, community, non-profit partners and colleagues at University of Nevada, Reno, who have been instrumental in the successful completion of the 2023 Community Health Needs Assessment (CHNA), Implementation Strategy & Plan. We extend special thanks to Northern Nevada Public Health for their valuable insights and data which helped shape the report. The Renown Health Board and leadership have also made a significant contribution and commitment to community health and have reviewed and approved both the CHNA and Implementation Strategy & Plan. Their guidance has been pivotal in fostering a collaborative environment that promotes inclusivity and equity. Together, we remain committed to enhancing the health and wellbeing of Washoe County residents and our state. To access the Renown CHNA Implementation Strategy & Plan for Washoe County, visit renown.org/About/Community-Commitment/Community-Health-Needs-Assessment. Renown Health is the region’s locally governed, not-for-profit integrated health care network serving Nevada, Lake Tahoe, and northeast California. With a diverse workforce of more than 7,200 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.
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Multiple Sclerosis Research Opportunities in Northern Nevada
There are nearly 1 million adults living with MS in the United States alone. For comparison, that is roughly the entire population of the Reno/Sparks and Las Vegas areas combined. MS is a neurological autoimmune condition which means that the immune system of patients with MS attacks the body’s myelin, a protective substance that covers your nerves. When this happens, the unprotected nerves can be damaged. Patients with MS may experience many different symptoms ranging from mild to severe, such as mobility and vision problems, fatigue and difficulty thinking. MS is usually diagnosed between the ages of 20-50, but late onset MS can occur in patients over 50 years old. While there is no cure for MS, there are effective treatments that can help reduce the burden of patients’ symptoms and create a positive quality of life. At Renown Health, we have joined the fight against MS through a partnership between advanced neurology programs and providers and our research office. We are proud to offer newly diagnosed MS patients the opportunity to choose between standard care treatment options or participating in an open label clinical trial, the AGNOS study. This study is assessing the impact of a new medication, ofatumumab, as the first disease modifying therapy participants receive for managing relapsing remitting MS, the most common form of MS.
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May is National Stroke Month: Know the Signs and B.E.F.A.S.T.
Every 40 seconds someone in the U.S. has a stroke, but 80 percent of all strokes are preventable. That’s why knowing the signs and symptoms and what to do is so important. With May being National Stroke Month, we asked Sadie Wangler, program manager with Renown Institute for Neurosciences, to explain more. We can prevent strokes by changing our lifestyle behaviors that increase our risk. Knowing the symptoms and being prepared to B.E. F.A.S.T. are key as well. We asked Sadie Wangler, program manager for the Renown Institute for Neurosciences, what everyone person should know about stroke. What is a stroke? A stroke can be caused by a blood clot within an artery in the brain or a blood vessel. The clot can burst due to blockage and this causes blood flow to the brain to be cut off. Without the proper bloodflow and oxygen getting to the brain, the brain’s tissue begins to die. How to spot symptoms of a stroke? The easiest thing is to remember the word “B.E.F.A.S.T.” B – Loss of balance: Ask the person to walk 5-10 feet, with light assistance, and ask if they felt dizzy or off balance. E – Double Vision or blurred vision: Ask the person if their vision has changed in any way. F – Look for face drooping: Ask the person to smile and see if one side of their face droops. A – Arm weakness: Ask the person to raise both arms. Does one arm drift downward? S – Speech difficulty: Ask the person to repeat something. Is their speech slurred or strange? T – Time to call 911: Time matters – so don’t wait to call an ambulance if you or a loved one is experiencing these symptoms. You can also watch for sudden numbness or weakness in the face, arm or leg, especially on just one side of the body. Look for any confusion — if they’re having trouble speaking or difficulty understanding others talk — and if they have trouble seeing in one or both eyes, trouble walking, dizziness, loss of balance, or sudden and unexplained severe headache. The signs of stroke happen suddenly and a lot of people may deny their symptoms, thinking they’re overreacting. But it’s critical to act quickly and get medical attention right away — when it comes to stroke and saving your brain, minutes matter. What should you do if you think you or someone you love is having a stroke? In addition to seeking help right away, it’s best to call 911 and get an ambulance. A lot of people make the mistake of driving themselves to the hospital or have someone else drive them, and this can be dangerous for a number of reasons. First of all, it can put you, your loved ones and others on the road in danger. Second, going to the hospital on your own can take more time than calling an ambulance, and when it comes to stroke, every minute of medical care counts. So it’s important to call 911 and get treatment immediately. What can you do to prevent stroke? A stroke can happen to anyone, but certain risk factors can increase your risk. There are some risk factors you can’t control: your age, family history, race and gender. Stroke risk is higher for women and people over the age of 55. Fortunately, there are some risk factors you can control, such as high blood pressure, smoking, artery or heart disease, high cholesterol, as well as obesity, poor diet and lack of exercise. A lifestyle focused on healthy diet and regular exercise can greatly reduce your risk for stroke. Quitting smoking and watching your alcohol intake can help too. The Renown Regional Medical Center has been certified as a Comprehensive Stroke Center by the Joint Commission and received the Gold Plus Achievement award by the American Stroke Association. Our Stroke Program provides evidence-based primary stroke care including evaluation, treatment and education to patients who arrive at a Renown facility with the signs and symptoms of stroke. Learn more online. Renown Institute for Neurosciences: 775-982-2970 The Renown Regional Medical Center Comprehensive Stroke Program provides evidence-based comprehensive stroke care including evaluation, treatment and education to patients who arrive at a Renown facility with the signs and symptoms of stroke. Learn more about treatment options for stroke and additional ways to reduce risk factors online. Learn More
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How to Spot the Signs of a Concussion
Concussions are an unfortunate occurrence in youth sports and other physical activities. Learning the signs now will help you respond if you suspect that someone near you has suffered a concussion. A concussion is a mild type of traumatic brain injury (TBI) that can occur after any injury to the head/neck area. It’s important to seek the appropriate level of care if they occur. Brandon Hockenberry, MD with Renown Sports Medicine shares tips on concussion signs to look for and what to do next. Look for these Dangerous Signs First Call 911 or visit an ER right away if you notice one of the following in the person who suffered a blow to the head or body: One pupil is larger than the other Severe or worsening headaches Drowsiness or inability to wake up, including any period of unconsciousness Slurred speech, weakness, numbness or decreased coordination Multiple episodes of vomiting Convulsions, shaking or twitching Monitor for Concussion Signs and Symptoms If someone suffers a bump, blow or other jolt, it’s important to look out for changing symptoms. Symptoms can continue to evolve for up to 24 hours after the injury. Seek care from your primary care provider, an urgent care or a sports medicine provider if you notice any of the following: Cannot recall events prior to or after the incident Appears confused or disoriented Clumsy movements Slow reaction, including movements and speech Changes to normal behavior or mood You should also question the person about how they are feeling. If they report any of the following symptoms, seek care: Headache or feelings of pressure in their head Nausea or vomiting Dizziness or balance issues Problems with eyesight, such as blurriness or double vision Increase sensitivity to light or sound Sluggishness, or feelings described as “hazy” or “foggy” Struggles with remembering or concentration Just “not feeling right”
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Department Spotlight: Enterprise Data & Analytics
In the fast-paced world of healthcare, productivity is always a focus. Care teams need accurate and timely information to make decisions that directly impact our patients. However, without a reliable system to analyze and deliver complex data, noticing areas for improvement and making impactful changes can become overwhelming. This is where the power of data and analytics comes into play. Renown Health’s Enterprise Data & Analytics (EDA) department are the leaders of this transformation. This team cares for the caregiver by delivering key data and insights with thorough analytics. Their data-driven approach ensures we are moving towards consistent progress and excellence in patient care, creating a better healthcare experience for everyone. Dedicated Data Deliverers From patient volumes to quality-of-care metrics, our EDA department drives a lot of decisions that directly affect our patients and caregivers. A day-in-the-life as an EDA team member is where creativity meets science. “Data is the lifeblood of the department and my role,” said Clayton Pettit, Senior Data Analyst. “Every day, I'm working with data – figuring out how to get certain pieces of data, visualizing it to provide users with clear insights and helping users of the data glean those insights and analyze the data.” “We are builders of data tools, collaborating with team members and IT teams,” added Michelle Ebesu, Data Analyst. “We problem solve and design the most efficient way to deliver data. We work on large projects, small report requests and answer reporting related questions. We investigate and research daily.” According to this team, every day brings a blend of exploration, engagement and discovery. Their role within our health system is central to turning data into useful ideas that drive meaningful change for all. “A day on the Enterprise Data & Analytics team involves responding to diverse requests, some well-defined and others more open-ended, requiring exploratory collaboration with stakeholders,” said Kevin Crofton, Senior Data Analyst. “We harness the vast institutional knowledge within our organization to inform our analytics projects. This collaborative approach not only enhances our insights but also extends their impact across various groups within the organization.” “Each day in EDA is fast paced,” added Ryan Fernandez, Manager of Data Analytics. “Our days are filled with a variety of different tasks ranging from data wrangling, building visualization to tell a meaningful story, responding to urgent business questions with analysis, training other team members on how to use analytical tools, and constantly learning more about the different clinical service lines and how to interpret their data.” No two days are the same in EDA. In fact, every day brings a new challenge. And the best part? They’re never alone. This team thrives on working together, emulating Renown’s cultural commitment of Collaboration to a tee. “Every day is different,” said Susan McDonald, Senior Data Analyst. “On larger projects we collaborate together, with each person taking a piece. We'll meet daily to gauge progress, exchange ideas and assist each other when needed. We'll sometimes have to troubleshoot issues that may come up with some reports. We often meet with our end users to get further details on their needs or to present their requested reports.” “Up until the last couple of months, my day-to-day was creating, updating and fixing reports for all aspects of Hometown Health,” added Ryan Zinck, Data Analyst. “For the past two months we have begun the development of what will be an extensive reporting system in PowerBI that's intended to serve most groups within the company.” Working with digital healthcare information that impacts how a health system operates and makes needed improvements can be complicated, since information is entered in various ways like calculations, statistics or measurements. Susan McDonald said it best: “It’s like solving puzzles every day.” “We are Business Intelligence,” said Michele Warner, Data Analyst. “We answer questions the business proposes. We write queries and design reports/dashboards. We dig into the tables that store the data that is input by everyone at Renown through EPIC and other applications. We tell a story that will help the business be more efficient, make better decisions, solve a problem or report to government agencies.” “We dive deeper into the front-end data and analyze it to get more detailed information and insights regarding the performance and certain project,” added Boqun Yin, Data Analyst. “Then, our colleagues working at the front line can utilize it when making strategic business decisions.” EDA takes the definition of trendsetting to a whole new level. With the unique ability to predict future trends, this department can provide crucial information that helps care teams on the floor care for their patients to the best of their ability today, tomorrow and forever. “I deliver data on all sorts of topics for Renown,” said Clayton Pettit. “With this data, I help Renown see where we are and where we need to improve. Beyond that, the data I provide can help us see how we can improve, what things we need to focus on and processes we need to change.” “Our organization needs up to date robust data to ensure quality and integrity so that it’s reliable, secure and accurate,” added Uriel Duran, Data Engineer. “We also provide analytics and insights that can provide/predict patient outcomes and trends. For our patients, improving patient care is critical – and that can be done with data.” Making Your Lives Easier As stated by Brian, Howell, Manager of Data Engineering, “we’re here to make everyone’s lives easier.” And Brian is exactly right – the EDA department’s work impacts the people who care for patients. Their data analysis and engineering skills help our care teams answer questions, give them information they can make decisions with and inform them statistically about well they are doing, along with showing opportunities for growth. “EDA professionals like to think of themselves as the ‘wizard behind the curtain,’ a nuance from the ‘All Knowing’ Wizard of Oz; we are custodians of the company's data and we take that responsibility seriously,” said Dr. Justin Coran, Chief Analytics Officer. “When we partner with our clinical or administrative counterparts, we can help evolve decision-making from emotional to rational. The shift to rational decision-making allows the company to understand cause and effect of their business or clinical decisions.” “I work directly with our customers on a daily basis to determine how our department can help them achieve their goals,” added Brian Howell. “I have been involved in data for over 20 years and love the technology, ever-changing landscape and challenges.” The proof of their influence is in the numbers and the words they hear from our front-line care teams, from a significant financial impact to words of enthusiasm from providers. This reinforcement encourages the EDA team to continue going above and beyond. “My goal is to make life easier for our clinicians and staff who do provide direct care,” said Helen Bahrke, Senior Data Analyst. “I feel accomplished if my work helps other staff reduce their time spent running reports or finding the data they need. Some providers have their own research questions they are studying in their patient population. Helping them get the data they need so they can provide better and more efficient care makes me happy.” “Though we may not be the most visible department at Renown, the work we do and content we output drives decision making at the highest level,” added Sean Gollos, Data Analyst. “We make it easier for physicians to track patients, provide key employee data to the HR department and help ensure our organization is compliant with several requirements set by our industry.” “I have seen my work bring in millions of dollars so that Renown can provide better care where it’s needed,” added Sean Richards, Senior Data Analyst. Both patients and providers can lean on the EDA department for support in helping unravel data that may seem complex to the everyday eye, which has a direct impact on productivity and care quality. “We take care of those who take care of patients,” said Mark Templeton, Manager of Data Analytics. “From descriptive analytics to measurements and dashboards, we provide a lot of support to those who manage patient care and productivity.” “Our team provides critical datasets and insights into specific medical data that informs decision making stakeholders, which indirectly impacts patient quality of care,” added Sergio Pascutiu, Senior Data Engineer. The impact of this team’s expertise can be felt beyond the hospital floor. Renown Health Leadership relies on the EDA to deliver data that affects important decisions at the top organizational level. “A typical day for me revolves around data integration and extract, transfer, load (ETL) operations,” said Ken Vogel, Data Engineer. “The data and reporting that we provide to our end users and Renown leadership drive the decisions that impact the organization as a whole, which in turn impacts our patients.” “Renown Leadership has business experience and training in order to navigate the challenges and opportunities that constantly present themselves,” added Michael Jesser, EDA Project Manager. “EDA helps them test their proposals with real data. This has been the meat and potatoes for our department if you've got a question about any process then we'll find the data that helps you form a reasonable answer.” "We provide timely information to Renown leadership so that they may optimize our operational efficiencies that allow for improved patient outcomes,” added Todd Nicholas, Data Engineer. This team thrives on challenges. Ryan Fernandez explains it beautifully: “I love challenges and learning new things, which is what happens almost every day being an analyst in healthcare, and that is what keeps me in this industry.” Fighting the Good Fight for Today and Tomorrow Throughout the past year, the EDA department has been hard at work with many transformative projects that have improved several processes at Renown. What many may not know is just how large of a role these team members played in several of these endeavors, from a time-keeping platform upgrade for our employees to creating a one-stop-shop data warehouse. As one can likely imagine, many of these projects are a large source of pride for this department, and deservedly so: “I am most proud of the Renown Regional Medical Center wall board conversion project, converting the patient lists that previously displayed to an Epic dashboard that displays data that is pertinent to the staff taking care of patients. The new wall boards provide at-a-glance information requested by nursing leadership.” - Michelle Ebesu “The last 12 months within EDA has been transformational. In May 2023, the data needed to run operations was scattered across 200 source systems and files, 20,000+ SQL tables and thousands of columns of data. Led by the vision of our executives, the team onboarded the technology (Microsoft Azure) and completed the development of a foundational Enterprise Data Warehouse (EDW) within 8 months, when the process usually takes 1.5-2 years. EDA produced Renown's first in-house developed risk stratification algorithm to optimize care for our Hometown Health members and produced a brand-new state-of-the-art reporting system for primary care.” - Dr. Justin Coran “Our team contributed to the integration with the new UKG enterprise resource planning (ERP) system which comprises of a multi-tenant integration package that sources data from the UKG system.” - Sergio Pascutiu “I'm proud of the role our department has played in migrating from Kronos to UKG. It was a project that took over a year from planning to implementation, but our team had a key role that I think really opened people's eyes to how much they rely on the data that our team maintains.” - Sean Gollos Since this team’s work involves a large collaborative effort between the clinicians and themselves, according to them, the work that our care teams do generates “a gold mine” of health services data for them to dig through and answer crucial questions to create solutions, such as “What has happened in the past?” “What is currently happening?” While figuring out the answers to those questions that will affect the future of healthcare at Renown, one solution often comes to the forefront: artificial intelligence. “Under the direction of our new Chief Analytics Officer, the tool sets that EDA uses will expand into machine learning and artificial intelligence (AI),” said Michael Jesser. “We'll be answering questions about what is likely to happen or what data could influence an answer that we don't normally associate with the question. This is big – and getting bigger. EDA will put Renown at the forefront of this powerful future.” “The new data science team that will onboard in 2025 will be able to utilize AI and machine learning (ML) applications that may impact patient care directly,” added Dr. Justin Coran. “EDA is looking forward to partnering alongside our clinicians and nurses to create the future in AI / ML healthcare products.” Virtually everyone in the EDA department was excited about a career in high tech. To make matters even better, many of them had a passion for healthcare and the non-profit world. “My healthcare experience led me to an understanding that there was a need for someone that understood healthcare workflows in the IT field, so I joined as an Epic analyst to help design those workflows and eventually found my way onto the EDA reporting team,” said Raffi Kilejian, Data Analyst. “The work-life balance, along with the fact that I work for a non-profit that gives back to the community are my main reasons for working for Renown.” Other team members didn’t originally intend to use their technical talents in healthcare but are glad that they ended up taking the road to Renown. From the department’s strong culture to our health system’s impact on the community, this team consistently reports enjoying the work they do every day for Renown. “I chose to work at Renown because of its stellar reputation as a leader in community-focused healthcare and the sense that individual contributions could genuinely drive change,” said Kevin Crofton. “Although I hadn't originally planned a career in healthcare, I've found a profound synergy in this department, where multiple disciplines converge to address diverse challenges. This welcoming and collaborative atmosphere has been key to our success. My transition into healthcare has been immensely rewarding, allowing me to apply my skills in ways that meaningfully impact our community's health and well-being.” Finding “better ways to do things,” as the EDA team puts it, transcends the backend data. That philosophy also feeds into their departmental culture, always finding ways to bring each other together and uplift one another’s accomplishments and ambitions. “I'm proud that we've been able to bring back some former valuable Renown employees,” added Brian Howell. “It is a testament to the culture at Renown that people recognize the meaningful work we do. I love working for a healthcare organization that makes a difference in people's lives." “I was referred to Renown by a good friend during job hunting; since I started to work for Renown, I've seen the changes and effort that the EDA leadership has put into the development of the team,” added Boqun Yin. “I am glad to be part of this journey. That's why I choose to stay.” “Renown also offers great benefits which I have taken advantage of, such as tuition reimbursement for my online MS in Analytics program I am currently enrolled in,” added Ryan Fernandez. As proudly stated by Michelle Ebesu, “I believe in the values we have here at Renown.” And at the end of the day, this is what matters most to all who work in EDA. “The opportunity to drive meaningful change and contribute to a mission that goes beyond profit—to truly focus on improving people’s lives—continues to inspire and keep me deeply committed to our cause,” closes Kevin Crofton.
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Renown Institute for Heart & Vascular Health Conducts First Farapulse™ Procedure In Nevada to Treat Atrial Fibrillation
PICTURED ABOVE: Members of the Renown Institute for Heart & Vascular Health celebrate the first FARAPULSE™ procedure in Nevada on March 18, 2024. Physicians, nurses and clinicians at the Renown Institute for Heart & Vascular Health have achieved a groundbreaking milestone as they successfully completed the first cardiac ablation procedure done in Nevada, utilizing the FARAPULSE™ Pulsed Field Ablation System this past March. "Atrial fibrillation, commonly known as Afib or AF, is an irregular heartbeat caused by an abnormal heart rhythm that makes the upper heart chambers (the atria) quiver or fibrillate. It’s the most common heart rhythm irregularity—or cardiac arrhythmia—and it’s estimated that by 2030, 12.1 million people in the U.S. may have Afib,” said Rahul Mediwala, MD, MBA, CEO of Renown Medical Group. “While Afib itself generally is not life-threatening, the complications from Afib can be very serious, as it can increase the risk for heart problems such as heart failure and stroke. We are pleased to introduce additional therapies that allow physicians to serve more patients, reduce complications and benefit overall public health.” "Our team takes immense pride in pioneering Nevada's first cardiac ablation procedure with the FARAPULSE™ Pulsed Field Ablation System, an FDA-approved innovation for atrial fibrillation treatment,” said Shining Sun, MD, a board-certified cardiologist trained in the procedure, at the Renown Institute for Heart & Vascular Health. “This milestone represents a significant leap forward in cardiac care and underscores our commitment to advancing innovative treatments for atrial fibrillation, said Matthew Cain, MD, a board-certified cardiac electrophysiologist trained in the procedure. “We anticipate a significant reduction in anesthesia duration and wait times for patients undergoing this FDA-approved procedure due to its efficiency.” What is Atrial Fibrillation? Atrial fibrillation (AF) occurs when the top two chambers of the heart, the atria, beat too fast and with an irregular rhythm (fibrillation). AF, the most common type of arrhythmia, can decrease the heart’s pumping efficiency, which can cause blood cells to pool and stick together, forming clots in the heart, and lead to stroke. People with AF have a higher risk of stroke, heart failure and other heart-related complications than those with normal heart rhythms. AF affects nearly 2% of the general population worldwide, and approximately seven million Americans live with this arrhythmia. An estimated 38 million people globally have AF. About the FARAPULSE Pulsed Field Ablation System The FARAPULSE PFA System is a new alternative to standard-of-care thermal ablation. During a traditional ablation procedure, a catheter is guided to the interior of the heart and generates extreme temperatures – hot or cold – to destroy targeted areas in the heart associated with abnormal heart rhythms. The FARAPULSE PFA System relies on tissue selective, non-thermal electric fields to ablate heart tissue and avoid damage to surrounding structures. Positive 12-month data from the pivotal ADVENT clinical trial – the first randomized clinical trial to directly compare the efficacy and safety of the system against standard-of-care ablation – found that therapy with the device was as safe and effective as conventional thermal ablation, with statistically shorter ablation times and a quicker learning curve for physicians. Additional data from more than 17,000 patients demonstrated continued real-world safety of the system, with no reports of permanent phrenic nerve palsy, pulmonary vein stenosis or esophageal injury. Visit your primary care physician to hear more, or for a referral to the Renown Heart & Vascular Institute. If you would like a primary care physician or practitioner, please visit www.Renown.org or schedule an appointment by calling Renown’s customer service agents available by phone- Mon-Fri: 7 a.m. to 7 p.m., Sat-Sun: 7 a.m. to 6 p.m. at 775-982-5000. Renown Regional Medical Center has been named #1 Hospital in Nevada by US News & World Report for the past three years as the best hospital for patients with complex, life-threatening, or rare conditions for the last two years and rated highest in NV in eight specialty areas including, Cancer; Cardiology & Heart Surgery; Diabetes & Endocrinology; Gastroenterology & GI Surgery; Nephrology; Neurology & Neurosurgery; Orthopedics; Pulmonology & Lung Surgery. Renown South Meadows Medical Center in south Reno has earned an “A” Hospital Safety Grade from The Leapfrog Group, the nation’s premier advocate of transparency in health care. This national distinction recognizes Renown Health’s national accomplishments in ensuring safe, high-quality hospital care for patients. B-roll footage of the cardiac ablation procedure utilizing the FARAPULSE™ Pulsed Field Ablation System is provided by Boston Scientific® and available for media use here. 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 7,400 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.
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Renown South Meadows Medical Center Named #1 Hospital in NV
U.S. News & World Report provides rankings. U.S. News & World Report recently released their 2020-21 Best Hospitals rankings naming Renown South Meadows Medical Center as the number one hospital in Nevada. U.S. News looked at 4,554 hospitals, which represent nearly all U.S. facilities providing inpatient care. Hospitals are evaluated across a wide range of conditions and procedures, including 16 medical specialty areas of care. “We are committed to be among the best in the nation for quality, safety and patient experience,” said Tony Slonim, MD, DrPH, FACHE, president and CEO of Renown. “This ranking confirms what Renown has always been dedicated to — providing the best patient care possible. Quality and safety are the responsibility of every employee and physician at Renown, and we are proud that Renown South Meadows has been chosen as the best in the state and among the best in the nation.” “We thank the incredible physicians, nurses and employees at Renown South Meadows Medical Center and across Renown for their dedication to excellent patient care – our employees, patients and our community are the true award winners,” said Chris Nicholas, Vice President & Administrator, Renown South Meadows & Renown Rehabilitation Hospital. “We applaud them as being not only the best in the state, but among the best in the nation.” “We are proud that Renown South Meadows is one of Nevada’s highest rated hospitals, and it’s exciting to have that recognition. Over the last year both our acute care hospitals – South Meadows and Renown Regional Medical Center, have made substantial improvements. We are working every day to ensure we are delivering the highest quality, safest care to our patients and our community,” said Dawn D. Ahner, DSc, FACHE, Chief Operating Officer — Acute Services for Renown. Renown South Meadows has been recognized by several national organizations for excellence and quality, including the Joint Commission, Leapfrog and Health Insight. Renown South Meadows Medical Center is an Accredited Chest Pain Center, and a Pathway Designated hospital for nursing excellence. Renown South Meadows provides an emergency department staffed 24/7 with board-certified emergency physicians, a wide range of services including primary and urgent care medical offices, a lab and health improvement programs. Renown is currently recruiting outstanding employees at https://careers.renown.org/. 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 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 U.S. News & World Report U.S. News & World Report is the global leader in quality rankings that empower people to make better, more informed decisions about important issues affecting their lives. A digital news and information company focused on Education, Health, Money, Travel, Cars and News, USNews.com provides consumer advice, rankings and analysis to serve people making complex decisions throughout all stages of life. More than 40 million people visit USNews.com each month for research and guidance. Founded in 1933, U.S. News is headquartered in Washington, D.C.
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