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Renown Health Pulmonary Rehabilitation Program Certified by American Association of Cardiovascular and Pulmonary Rehabilitation
Renown Health is proud to announce the certification of its pulmonary rehabilitation program by the American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR). This certification is recognition of Renown Health’s commitment to improving the quality of life of patients by enhancing standards of care. Pulmonary rehabilitation programs are designed to help people with pulmonary problems (e.g., chronic obstructive pulmonary disease [COPD], respiratory symptoms, long COVID-19) recover faster and live healthier. Both programs include exercise, education, counseling and support for patients and their families. According to the Center for Disease Control and Prevention, COPD impacts 16 million people across the United States, and 1 in 13 adults (7.5%) have “long COVID” symptoms, defined as symptoms lasting three or more months after first contracting the virus, and that they didn’t have prior to their COVID-19 infection. "We are thrilled to receive this certification from the American Association of Cardiovascular and Pulmonary Rehabilitation for our pulmonary rehabilitation program at Renown South Meadows Medical Center. This recognition underscores Renown Health's unwavering dedication to providing the highest standards of care and improving the lives of our patients, no matter what life throws at them,” said Sam Weller, MHPA CEO of Renown South Meadows Medical Center and Renown Rehabilitation Hospital. “Our commitment to excellence shines through in every aspect of our programs, and this certification reinforces our ongoing mission to make a positive impact on the health and well-being of the people of northern Nevada." To earn this accreditation, Renown Health’s pulmonary rehabilitation program participated in an application process that requires extensive documentation of the program’s practices. AACVPR Program Certification is the only peer-review accreditation process designed to review individual programs for adherence to standards and guidelines developed and published by AACVPR and other related professional societies. Each program’s application is reviewed by the AACVPR Program Certification Committee, and certification is awarded by the AACVPR Board of Directors. "At Renown Health, our pulmonary rehabilitation program is designed with our patients in mind. Our focus includes physical exercise, extending to education, counseling and support for both patients and their families,” said John Lynn, Manager of Respiratory Services at Renown Health. “This AACVPR certification is a testament to our team's hard work and dedication in ensuring that individuals with pulmonary conditions receive the best possible care to enhance their quality of life." In 2018, AACVPR moved to an outcomes-based process with performance measurements that represent more meaningful outcomes. Therefore, AACVPR-certified programs are leaders in the cardiovascular and pulmonary rehabilitation field because they offer the most advanced practices available and have proven track records of high-quality patient care. AACVPR Program Certification is valid for three years. About Renown Health Renown Health is Nevada’s largest, 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. Renown is currently enrolling participants in a community-based genetic population health study, the Healthy Nevada Project®. About AACVPR Founded in 1985, the American Association of Cardiovascular and Pulmonary Rehabilitation is a multidisciplinary organization dedicated to the mission of reducing morbidity, mortality and disability from cardiovascular and pulmonary disease through education, prevention, rehabilitation, research and disease management. Central to the core mission is improvement in quality of life for patients and their families.
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Cancer Care Team
Your Cancer Care Team Close to Home The William N. Pennington Cancer Institute team wants you to feel confident in the care we provide. Our dedicated doctors, nurses, therapists, dietitians, social workers, and other support staff work together to assure you receive the best care close to home. We serve our communities with the primary location in Reno, a satellite office at Carson Valley Health, and through Telehealth at Banner Churchill Community Hospital in Fallon, Nevada.
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Department Spotlight: Medical Oncology
The month of September recognizes several cancer-related health observances. Join us in celebrating our Medical Oncology team at Renown! No person ever wants to hear the words, “You have cancer.” Those three short yet impactful words immediately change the course of someone’s life. As these patients Fight the Good Fight against cancer, there are a lot of intimidating unknowns that can take over their minds. What happens next? What will my treatment be like? What is my prognosis? How will I be able to handle this physically and emotionally? What will it take for me to beat this? Who is better to be by their side than the devoted team members at the William N. Pennington Cancer Institute at Renown Health? From helping patients manage the process of complex paperwork and referrals to delivering personalized oncology and hematology treatment options tailored to each individual diagnosis, those fighting virtually any type of cancer are never alone, thanks to this team. The William N. Pennington Cancer Institute always lives up to that promise, guiding patients through the daunting journey of cancer treatment ahead, one step at a time. Courageous Against Cancer Our exceptional Medical Oncology department inherently understands that each moment in life is precious, especially for patients battling cancer. This team is dedicated to orchestrating the most comprehensive plan for each patient, seamlessly weaving together diagnoses and treatments, oral chemotherapy, medication management, clinical trials, radiation oncology and more. With the many patients they impact, there’s no question that there is never a dull moment in the day of the life of a healing hero like those in this department. “No day is the same in Medical Oncology,” said Hollyann Dehm, Registered Nurse. “As a nurse, we wear many hats in the clinic. Our role is to educate patients on their treatment plans and specific drugs they are receiving, triage symptom calls from patients, refill medications and implement our oral chemotherapy program. We help provide direct patient care by accessing ports, drawing labs and giving IV hydration when needed. We also help fill out family and medical leave (FMLA)/disability paperwork, help with physician orders, help obtain prior authorizations for prescribed medications and treatments.” “We do our best to let our patients know that they will not be going through this alone,” added Danielle Say, Physician Scheduling Coordinator. "We will be here for them every step of the way, guiding them and making sure their treatment is as smooth as possible and making ourselves available to them as much as we can. We end up getting to know many of our patients on a very close, personal level, and this helps to build that trust.” “Our day-to-day activities include seeing patients and helping to manage their therapies as well as their toxicities,” added Dr. Harry Menon, DO, Oncology Physician. “We work closely with our infusion room staff and have a robust team to help us deal with these complex patients. We also work very closely with our surgical and radiation oncology colleagues in a multidisciplinary fashion to provide comprehensive care for our patients.” The Medical Oncology team excels not only in providing cutting-edge cancer care but also in their compassionate approach to helping patients reduce the anxieties they understandably feel. Recognizing that a cancer diagnosis can be an emotionally overwhelming experience, this dedicated team combines medical expertise with unwavering support to create a healing environment. “When patients are referred to our department, a lot of them have many fears and questions,” said Heather Cortez, Medical Assistant. “A majority of what our team does is focused on the mental support that our patients require to help them have the most successful outcomes. One thing I have learned about cancer care is that positivity in the face of adversity is everything. Just being there to listen to our patient’s concerns can make all the difference. Helping them to navigate their many appointments and taking the time to explain things in a patient and compassionate way, is part of how our team serves this vulnerable population.” “The uncertainty is one of my patients' biggest fears: How far has my cancer progressed? How long will I have left? Is treatment even an option?” added Mary Wilson, Senior Medical Assistant. “The best advice that I can give my patients is that they are not alone. While this battle is going to be one of the hardest parts of their lives, they are surrounded by constant support to try and help with any burdens they may be facing. I also tell my patients that we have to take the little wins no matter how small they may be, because while cancer treatment is a physical battle, it is also a large mental battle." “While we don’t have answers to all the questions patients and their family members may have, we do our best to listen to their questions and concerns regarding their cancer diagnosis and treatment and guide them through their cancer journey," added Hollyann Dehm. “We provide emotional support and education on their type of cancer, managing their pain and side effects of their treatment. We also connect them to nurse navigators and our social worker who also help identify barriers to care and provide the patient with resources.” Whether it's explaining treatment options in understandable terms or offering emotional support through difficult moments, this department is committed to empowering patients on their journey toward healing. Their holistic approach not only treats the disease but also nurtures the spirit, all while being a strong advocate on each patient’s behalf. “Getting a cancer diagnosis can be the worst news that a person can hear; what we try to do is focus on improving quality life and focus on goals that help to promote quality of life,” said Dr. Harry Menon. “If the option for a cure is on the table, we try and focus on that goal in concert with promoting quality life. I try and have our patients focus on what they can control, with the understanding that even if some things are out of our control, the way we approach and manage those things, including our mindset, is still within our control.” “In our clinic, we truly value our patients and how they are cared for,” added Mary Wilson. “The amount of compassion our team shows is incredible. Patients constantly commend our team on how much they feel like the provider's care. Our providers and staff are not afraid to advocate for patients and that truly is an accomplishment in and of itself.” “We know patients are only hearing a small amount of the immense volume of information we provide them, so we encourage them to ask questions until it makes sense because the timeframe is different for every patient,” said Lillian Morton, APRN of Medical Oncology. “Cancer is an anxiety inducing lack of control whirlwind – if we can help by being responsive to patient calls and messages, we do so.” With their harmonious and integrated approach, each patient’s treatment journey progresses uninterrupted, bringing them closer to a brighter and healthier future.
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Sepsis: Causes & Symptoms
According to the Global Sepsis Alliance, 1 in 5 deaths worldwide are associated with sepsis. If not recognized early and treated promptly, sepsis is the final common pathway to death from most infectious diseases worldwide, including viruses such as COVID-19. We spoke with Jeremy Gonda, MD, a critical care physician from Renown Health’s Sepsis Committee to increase public awareness of this preventable medical emergency. What is sepsis? Sepsis is a response to infection—bacterial, viral or fungal—and can start anywhere in the body and spread into the bloodstream. The body is trying so hard to fight an infection that it begins releasing chemicals into the bloodstream that cause inflammation and the shutdown of multiple organ systems. “It carries a very poor prognosis in general unless you catch and treat it very early,” said Dr. Gonda. “Any infection can lead to sepsis. Typically your immune system takes care of the infection. It doesn’t progress, but in cases where the infection becomes severe, or the immune system doesn’t function properly, people can certainly die. So there’s, unfortunately, a very high mortality rate associated with sepsis.” According to the Centers for Disease Control and Prevention, each year at least 1.7 million adults in America develop sepsis. While you can recover from sepsis if caught early, many sepsis survivors suffer from long-term physical and psychological effects. What are the signs of sepsis? One way to spot sepsis is to use the acronym SEPSIS: S – Slurred speech and confusion E – Extreme shivering or muscle pain/fever P – Passing no urine all day S – Severe breathlessness I – “I feel like I might die” S – Skin mottled or discolored Keep in mind that sepsis symptoms can vary depending on where the infection starts. “Patients may experience urinary burning if they have a urinary tract infection or a cough and shortness of breath if they have pneumonia first,” said Dr. Gonda. “However, often symptoms are more generalized or subtle such as fevers, confusion and malaise.” How do you develop sepsis? When germs enter your body, they can cause an infection. If you don’t stop that infection, it can cause sepsis. Areas of infection that more commonly result in sepsis include: Lungs, such as pneumonia Kidney, bladder and other parts of the urinary system Digestive system Bloodstream (bacteremia) Catheter sites Wounds or burns Who is most at risk? People with compromised immune systems are at greater risk for sepsis, such as “The very young, the elderly and any people who may have conditions that suppress your immune system,” said Dr. Gonda. “For instance, if you have diabetes or if you’re an organ transplant patient who is on immunosuppressant therapy, you’re at somewhat higher risk.” Sepsis is often considered a hospital-acquired infection, but a study in The Journal of American Medical Association found that 80% of sepsis cases occur outside of a hospital. That’s why it’s especially important to remember any infection can lead to sepsis, and anyone can develop sepsis from an infection. What do I do? Timing is critical in the case of sepsis and septic shock. According to a study on septic shock patients, there is a 7.6 percent decrease in survival for each hour treatment is delayed. On the other end, if treatment is given within an hour of the first drop in blood pressure, the survival rate is 80 percent. Because sepsis can be so deadly, it’s important to seek medical attention as soon as possible. “If you’re not getting any better, if you think symptoms are progressively worsening – you should definitely be evaluated by a doctor,” said Dr. Gonda. You can help #StopSepsis by getting involved at worldsepsisday.org.
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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.)
Read More About Bone Fractures in Children Honest Expert Advice
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Groundbreaking Historic Milestone: ECMO Program for Region's Critically Ill Patients Now Available at Renown Health
Extracorporeal Membrane Oxygenation technology (ECMO) for patients with severe heart or respiratory failure is now available locally thanks to a grant from The Leona M. and Harry B. Helmsley Charitable Trust Renown Health, the Level II Trauma Center for the region and the leader in offering the most innovative treatments for critically ill adults and children, is now home to northern Nevada’s first and only comprehensive extracorporeal membrane oxygenation (ECMO) program. The ECMO machines arrived at the Cardiac ICU at Renown Regional Medical Center this week, and the multidisciplinary team of highly specialized physicians, Critical Care intensivists, Cardiovascular surgeons, perfusionists, registered nurses and therapists are ready to provide minute-by-minute support for patients receiving ECMO treatment. The multidisciplinary ECMO team includes pharmacists and respiratory therapists who are ready to receive their first patient. “At Renown Health, we are constantly investing in our clinicians, essential services, and medical innovations to help keep care local. Access to health care—both preventive care and advanced treatment—is critical for a community’s well-being and optimal health,” said Brian Erling, MD, MBA, President & CEO for Renown Health. “We are incredibly grateful for the Helmsley Charitable Trust and their $3.5-million grant to help establish the first ECMO program for the region at Renown. ECMO saves lives. Neighbors in need of ECMO life-support can now stay close to home and loved ones, and no longer need to be transported to facilities outside our area for this type of advanced care.” What is ECMO? “ECMO is a life support technology for patients with the most severe heart and lung illnesses,” explains Richard King, MD, FACEP Division Chief- Critical Care Medicine at Renown Health and Co-Medical Director of the ECMO program. “At Renown, our technology allows a patient's heart and lungs to heal and recover from illnesses, diseases, and injuries the body has sustained. The ECMO machine is a portable life-support system used for severe cases of heart and lungfailure. The ECMO procedure provides minimally invasive heart-lung bypass support outside of the body. The machine then removes carbon dioxide from the patient’s blood and adds oxygen. Basically, ECMO serves as your heart and lungs, supplying blood with oxygen and pumped back into the body, allowing your own organs to rest and to help the impaired function.” Why is ECMO important in saving lives? “This state-of-the-art procedure can save lives in cases that otherwise would offer little chance of survival and can act as a bridge to those needing heart or lung transplants,” says Dr. Kimball Knackstedt, Cardiovascular surgeon, Renown Institute for Heart & Vascular Health, and Co-Medical Director of the ECMO program. “ECMO can be a game changer and a last resort for patients with severe heart and lung conditions. The procedure isn’t for everyone. ECMO requires anticoagulation, so a common complication is bleeding. This makes the therapy complex for trauma patients who often have life threatening heart and lung failure but due to severe bleeding, cannot utilize ECMO. We look forward to providing care for patients who are too unstable for transport and who could die before receiving needed care.” "Renown Health serves more than one million patients in a 100,000-square mile reach across Nevada, Lake Tahoe and eastern California. The Helmsley Charitable Trust grant to the Renown Health Foundation will help give severe respiratory distress and cardiogenic shock patients a greater chance of survival and lessen the need for risky and lengthy transfers out of the community,” said Taralynn Bassham, BSN, Director of Nursing, Critical Care. “This investment in critical life support technology enables the best chance of survival for our patients suffering severe heart and/or lung failure during their most critical moments. This is truly a gift of life for many.” ECMO programs growing across the U.S. ECMO technology was developed in the late 1960s by a team led by Robert H. Bartlett, MD. Its main purpose was to serve as a long-term “bypass machine” to support the lungs or heart, which was not feasible at that time with conventional bypass machines. ECMO was first used successfully in 1971 by a patient with severe lung dysfunction after a motorcycle accident. In 1976, it was also used successfully for a baby who had severe lung injury from meconium aspiration, which led to increased use in the pediatric population. In 2009, ECMO was used worldwide in the treatment of severe lung failure during the H1N1 influenza pandemic. More than 100 new ECMO programs were launched in the U.S. in the last 3-5 years. Today, there are 6,120 hospitals in the U.S. and only 300 to 400 with ECMO programs according to the American Medical Association. “We are launching our ECMO program with the capability to support up to 2 patients simultaneously for the first 1-2 years and aim to eventually perform 40 cases annually,” said Rob Blamire, Enterprise Project Manager for Renown. “Initially, we will focus on adult patients and later expand to include pediatric care. Depending on a patient’s needs, ECMO support varies from several days to weeks. The entire Renown team takes immense pride in introducing this leading-edge life support technology to our community, benefiting area patients and their families.” What conditions may ECMO support help treat? There are several conditions extracorporeal life support can aid in treating, such as: Adult respiratory distress syndrome (ARDS); Burns (smoke inhalation); Cardiogenic shock; Heart attack; Respiratory failure; Myocarditis; Pulmonary embolism;Sepsis; and as a “bridge” to transplant. Supported by Innovative ECMO Concepts “We appreciate the partnership with the team at Innovative ECMO Concepts, a leading provider of ECMO who specialize in providing support for launching and refining ECMO programs,” said Bill Plauth, MD, MMM, CPE, Chief Medical Officer for Renown Health, and Associate Dean for Clinical Affairs at the University of Nevada, Reno School of Medicine. "From initial consultation to working bedside, staff training, and ongoing program evaluation, IEC’s comprehensive approach has ensured seamless integration and optimal outcomes for patients. “We are proud to help set a new standard in patient care and safety in northern Nevada through Renown’s ECMO program,” comments Dr. John Mehall, Chief Medical Officer at IEC. “This achievement is a testament to the team’s unwavering commitment to improving outcomes for patients requiring ECMO therapy.” Thank you to The Leona M. and Harry B. Helmsley Charitable Trust "This life-support procedure would not be possible without the generosity of The Leona M. and Harry B. Helmsley Charitable Trust. The Trust's ongoing support for Renown Health and our community helps us further our healing mission," said Greg Walaitis, Chief Development Officer, Renown Health Foundation. If you are a hospital or referring provider and want more information about our ECMO program, please contact the Renown Operations & Transfer Center. For media interviews, contact news@renown.org or 775-691-7308. About Renown Health Renown Health is the region’s largest, locally governed, not-for-profit integrated health care network serving Nevada, Lake Tahoe, and northeast California. With a diverse workforce of more than 7,500 employees, Renown has fostered a longstanding culture of excellence, determination, and innovation. The organization comprises a trauma center for adults and children, 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.
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Let Those Ears Breathe! Increased Headphone and Ear Bud Use Leads to Ear Wax Build Up; Renown Urgent Cares Offer Relief
Wearing headphones or earbuds is a daily activity for many of us. Listening to music, podcasts, meetings, phone calls; there are endless reasons to stick them in or on your ears. However, if your ears start to feel plugged, full; or you feel dizzy, lightheaded or hear ringing in your ears; you may be experiencing ear wax build up where your ear canals become blocked and affect your hearing. If you’ve tried to clean your ears (please don’t use Q-Tips®), but still have symptoms, pain, or hearing loss, it’s time to see your physician, nurse practitioner, physician assistant or visit Renown Urgent Care. “Ear wax isn’t dirty. It’s normal,” says Ryan Bristol, APRN, Advanced Practitioner of Nursing at Renown Urgent Care. “Ears are self-cleaning miracles, and naturally clean themselves with the help of jaw movement and skin migration. However, wearing headphones or earbuds for hours blocks earwax from naturally draining from the ear. Additionally, the dirt and bacteria that these headphones often carry can cause an infection on their own, and earwax buildup can trap dirt in the ear and block the canal completely. The snug fit of headphones can create a conducive environment for the accumulation of ear wax. It's crucial for individuals to be mindful of this and take necessary precautions to prevent complications." “Individuals experiencing symptoms such as ear pain, decreased hearing, or a sensation of fullness in the ears are encouraged to seek evaluation and treatment at their nearest urgent care facility,” says Rahul Mediwala, MD, CEO of Renown Medical Group. “By addressing ear wax build-up promptly, individuals can mitigate the risk of complications and maintain optimal ear health. Fortunately, prompt, pain-free and effective treatment is available at Renown Urgent Care. We offer professional ear wax removal procedures performed by trained staff, providing relief to those experiencing discomfort or hearing impairment due to excessive ear wax build-up.” The experts at Renown Health gave us some background. What is ear wax and why is it healthy? Ear wax is a protective substance called sebum made of fat, skin cells and sweat. Ear wax is produced by glands in the ear canal. It helps protect the ear from germs and dirt and prevents the sensitive skin of the ear canal from becoming irritated. It is normal and healthy to have a thin lining of ear wax on the canal. Ear wax will sometimes accumulate and move to the outer ear canal, where it would typically fall out or be wiped away. This is also normal. When should I seek care? An ear canal has too much wax if the ear feels plugged or hearing is affected. The accumulation of wax happens very gradually, so ears do not necessarily feel waxy. The problem is usually noticed because of changes in hearing. Over the counter remedies may offer relief. However, in some cases, the earwax has built up or become impacted, and ears need to be treated. What is the treatment? At Renown Urgent Care, we offer professional ear wax removal procedures performed by trained staff, providing relief to those experiencing discomfort or hearing impairment due to excessive ear wax build-up. Wax is flushed from the ear canal using a syringe filled with warm water and saline or diluted hydrogen peroxide. Most patients find the procedure is fast, pain free and effective. How can I prevent earwax buildup from headphones and ear buds? Most people who wear headphones or use earbuds occasionally or intermittently don’t have difficulties with excessive ear wax. Wax accumulation also depends on the size of the ear canals and the productivity of the oil glands in the ear canal. You can choose to use over the ear headphones. If you prefer to use in-ear headphones, the best modes of excess ear wax prevention are to: Clean headphones and earbuds regularly with a cloth or disinfectant wipes; Avoid sharing headphones or earbuds with other people; Take breaks from headphones and earbuds so ears can breathe and get back to normal; Pay attention to your ear health. Should we talk about Q-tips? Yes! Q-tips (and similar products) are rarely helpful for managing ear wax. The cotton on the end of the Q-tip is usually unable to pull the wax out of the canal. Worse, they can push the wax deep inside the ear canal, and it can end up impacted. Where should I seek care? Individuals experiencing symptoms such as ear pain, decreased hearing, or a sensation of fullness in the ears are encouraged to seek evaluation and treatment at a medical facility. By addressing ear wax build-up promptly, individuals can mitigate the risk of complications and maintain optimal ear health. Renown Urgent Care sees patients 365 days a year for medical concerns that are urgent but not life-threatening at many locations across northern Nevada. Book ahead to reserve a time slot at one of our ten urgent care locations. If you do not see time slots that work for you, you can still go to any location that has "walk-ins available" listed. For more information, or to book an appointment, go to renown.org/Health-Services/Urgent-Care. 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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Renown Health and University of Nevada, Reno School of Medicine Announce Intent to Affiliate
Renown Health and the University of Nevada, Reno School of Medicine (UNR Med) announced today their intent to develop plans for a proposed long-term partnership designed to enhance Nevada’s medical education system, expand clinical research capacity in northern Nevada and create a world-class healthcare network. The collaboration between Nevada’s oldest medical school and one of its largest non-profit healthcare organizations is well underway, with the organizations executing a Letter of Intent. The final agreement with details of the arrangement is slated to be signed by the end of the year. “Over the last 50 years, Renown Health has been an important UNR Med partner. We share a common vision, and recognize how expanding our collaboration will benefit the community through increased access to care and expanded clinical training and research programs. We know we can do more together than we would be able to do separately," said UNR Med Dean and Vice President, Health Sciences, Thomas L. Schwenk, M.D., professor, family and community medicine. "As healthcare professionals, we are forever changed by the events of the last six months. This new affiliation acknowledges our changing educational and healthcare environment, and advances our state-wide vision of A Healthy Nevada." Like many healthcare systems and medical schools across the nation, Renown Health and the University of Nevada, Reno School of Medicine have worked together for decades to advance a mutual commitment to improving the health of the community. Over the last five decades, UNR Med has educated more than 3,900 physicians with over 30 percent practicing in Nevada, increasing access to care for residents across the state. Equally rooted in the community, Renown’s long legacy of service started in 1862 as a county hospital, Washoe Medical Center. Now, Renown Health serves the community by providing care through hospitals, outpatient medical offices, institutes and an insurance plan, Hometown Health. Expanding on their long history of collaboration, both Renown Health and UNR Med have new strategic plans based on recruiting top-tier physicians and healthcare professionals, improving access to and developing new models of innovative care, and investing in clinical research. As pillars of healthcare in northern Nevada, both provide key services for underserved populations, and collaborate to educate, train and employ the next generation of doctors and healthcare professionals to support the health of local and rural communities, the state and the nation. “This new agreement builds on the close collaboration we have had for many years with UNR Med leadership,” says Anthony D. Slonim, MD, DrPH, FACHE, President and CEO, Renown Health; who also serves as professor of clinical medicine and pediatrics at University of Nevada, Reno, School of Medicine. “We have collaborated in research, medical education, grant funding for public health, clinical trials and integrated clinical practices to improve access and affordability of care. We both serve communities with significant health needs and socioeconomic challenges that have worsened through this pandemic. We recognize that this new level of affiliation will drive innovation and research that improves the health of our community, and together, we can be more effective in creating a healthier Nevada.” University of Nevada, Reno President Marc A. Johnson, PhD, said, “Physicians, clinicians and clinical researchers from the University of Nevada, Reno School of Medicine and Renown have worked together to care for patients during the COVID-19 crisis, from the bedside, to the research labs, and to the medical offices. That is a powerful example of the partnership between the two organizations as we have faced a historic pandemic. This new agreement reinforces what has already been a strong and impactful partnership. It promises to extend the healthcare mission of our School of Medicine and Renown for a community benefit that will be felt far beyond the next generation.” James DeVolld, board chair of Renown said, “During such a difficult time for our community, we are thrilled to bring two great organizations together, and present the community with such a precious gift. We have an urgent imperative to transform the delivery and financing of healthcare. Health systems and medical schools across the country are collaborating in innovative new ways, finding new efficiencies and better solutions by sharing clinical experience, intellectual resources, grants and community support.” Max J. Coppes, MD, PhD, Professor and Nell J. Redfield Chair of Pediatrics at UNR Med and Physician-in-Chief at Renown Children’s Hospital, added, “We are thrilled to have the support of so many elected officials, UNR Med students, alumni, donors, and community members to advance a mutual commitment to ensuring that people in northern Nevada can get top medical care right here at home. The envisioned integration will result in better access to state-of-the-art patient care, enhance and expand our ability to teach the next generation of healthcare providers, and actively engage in medical research, bringing new clinical research trials to our area.” Dr. Coppes noted the partnership’s previous success in 2014 when Renown Health and UNR Med collaborated in launching a transformation of Renown Children’s Hospital, the region’s only children’s hospital dedicated to full pediatric services. Dean Schwenk will present the Letter of Intent to the Nevada System of Higher Education (NSHE) Board of Regents on Friday, September 11. With NSHE regent approval, the affiliation will enter a period of review and due diligence within the organizations and with the relevant regulatory and oversight bodies. Until then, it will be business as usual within the two organizations. The process is estimated to continue through the end of the year. “Together, we can bring a higher level of world-class care providers, leading-edge care and new delivery approaches to meet the needs of people in our community,” said Sy Johnson, MBA, and Chief of Staff for Renown Health. “This is what we call Destination Health, enabling patients and families, including both local patients and those traveling long distances, to receive the most comprehensive medical care, right here at home.” The planned integration resembles other partnerships such as Washington University—Barnes Jewish Health System, Yale New Haven Health System, Penn Medicine, and RWJ-Barnabas-Rutgers. These partnerships expand medical education training opportunities for students and residents, retain more physician graduates in the community, recruit prominent physicians and researchers and build a more robust healthcare workforce. 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 University of Nevada, Reno School of Medicine The University of Nevada, Reno School of Medicine, 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. UNR Med Public Relations Media Contact M: 775-846-8445 E: jardito@med.unr.edu
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COVID-19 Patients Enjoy Renown's 'Hospital at Home' Remote Patient Monitoring
Hospital-at-home monitoring allows patients to receive hospital-level care in the comfort of their own homes. Renown Health announced today that they are one of the first institutions to home monitor patients who have been hospitalized with COVID-19, as the integrated health network continues to seek innovative solutions to improving the health- and healthcare of those who live in Nevada. This week, six patients at Renown Regional Medical Center and Renown South Meadows Medical Center diagnosed with COVID-19 were outfitted with this remote ‘hospital at home’ monitoring system. Renown clinicians plan to use the system to monitor upwards of 1,000 hospitalized patients and lower acuity patients from their homes. “We at Renown are proud of our national reputation as an innovator in implementing new models, technology and systems of care for the community,” said Tony Slonim, MD, DrPH, President & CEO. “We are working with some incredible partners to transform care and demonstrate value in a way that appeals to patients and helps clinicians improve outcomes and reduce costs. Renown’s Hospital-at-Home model of care technology enables patients to receive hospital-level care in the comfort of their own homes. There is now compelling evidence that well-monitored, at home treatment can be safer, cheaper and more effective than traditional hospital stays, especially for patients who are elderly, frail or vulnerable to complications.” “This type of technology is a game-changer in improving patient care,” says Paul Sierzenski, MD, MSHQS, Chief Medical Officer, Acute Services. "Given the demand on our hospitals during this COVID-19 pandemic, we are pleased to provide appropriate patients with this telehealth solution which uses wearable, continuous pulse oximetry, assisting our management of patients with COVID-19, and allowing patients the convenience of being in their own homes.” Designed to track the blood oxygen saturation and respiration rate of patients who are hospitalized or quarantined at home, the system uses pulse oximetry with a proprietary remote data capture and surveillance platform accessible from a patient's Android or iOS smartphone or smart device. The remote monitoring system is designed for easy, initiative use. Patients wear a small metal finger cuff and are provided with a multi-day supply of single-patient-use sensors and access to a mobile app. Monitoring data collected by the sensor is shared with the patient’s smartphone using a secure Bluetooth® connection. Twice daily, or as directed, the program is configured to actively notify patients to answer questions such as, "are you having trouble breathing?" and "what is your temperature?” and pushes these responses along with the monitoring data to clinicians at Renown for evaluation. “Renown is working with a number of exciting technology companies who provide hospital-at-home technology, especially as they respond to the needs of our community through the COVID-19 pandemic, and work to make healthcare more affordable by offering services in lower-cost settings,” says Ty Windfeldt, MBA, Chief Operating Officer- Health Services. “One of the benefits of offering Hometown Health- our own not-for-profit health plan; a medical group; an accountable care organization and a clinically integrated network, is that even though Medicare does not pay for acute services offered outside of hospitals for fee-for-service beneficiaries, we are able to invest, pioneer and design innovative models for care and delivery that other health systems cannot.” "Our patients at Renown have the most sophisticated and reliable respiratory monitoring available anywhere," says Jason Farnsworth, MBA, Director of Respiratory Care Services at Renown. "We know that continuous physiologic monitoring improves outcomes and saves lives. The ability to extend that capability to patients in non-traditional settings and at home during this crisis is transformative. Our teams are excited to be able to delight patients and their families – and ensure they receive the clinical support they need by using this technology and monitoring.” “To know that we can provide quality care for patients recovering from COVID-19, and help ease their transition back to their normal lives, where they can recover in the comfort of their own homes, is fantastic,” says Mitchell Fong, Director of Telehealth Services at Renown. “Patients have shared that they enjoy being at home, sitting in their favorite recliner, enjoying a home-cooked meal and even transitioning back to remote work. If we can help people feel better, we feel better.” For the fourth year in a row, Renown Health earned the “Digital Most Wired” honors by the College of Healthcare Information Management Executives (CHIME). Renown also received the 2020 Most Wired Certified Level 7 Special Recognition. The CHIME annual survey accesses how effectively health care organizations apply core and advanced technologies into their clinical and business programs to improve health and expand access to care in their communities. In U.S. News and World Report Best Hospital rankings, Renown South Meadows Medical Center was listed #1 in the State of Nevada. Renown Regional Medical Center was named #2 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. WHAT TO DO IF YOU ARE EXPERIENCING RESPIRATORY OR INFLUENZA-LIKE ILLNESS OR POSSIBLE SYMPTOMS OF COVID-19: Renown is encouraging people to use online tools first, such as virtual visits covered by many insurance companies, including Teladoc, for those insured by Renown’s health plan, Hometown Health. For up-to-date information on Renown’s approach to keeping our community safe, visit our website at https://www.renown.org/covid-19/. 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.
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