OUT WITH THE OLD AND IN WITH THE NEW
St. John’s Hospital Installs New 16-Slice CT Scanner
Libby, MT – St. John’s Lutheran Hospital has acquired a 16-slice LightSpeed computed tomography (CT) system that provides highly detailed images of the human body.
The LightSpeed CT scanner manufactured by GE Medical Systems allows doctors to simultaneously capture multiple wafer-thin images of a patient’s anatomy within seconds, shaving precious minutes off of exam time. The system provides exceptionally high-resolution images that help doctors to more accurately diagnose patients.
"The addition of the LightSpeed CT system compliments and extends the high range of quality diagnostic services that St. John’s offers the residents of south Lincoln County," said Dr. Steve Becker, Radiologist. "The LightSpeed \will provide us with vastly improved image quality over our recently updated 6-slice CT Scanner. The 16-slice scanner produces higher quality images much faster than the current scanner. This is especially beneficial with our patients who have asbestos related lung disease and with emergency room patients. This new scanner will also allow us more timely access to the films that are taken. "
"The technical difference between a 6-slice and a 16-slice CT scanner is the number of cross sections that the machine allows us to see at one time," stated David Broderick, Imaging Department Manager at St. John’s. "Picture a loaf of bread. If you cut into that loaf of bread 16 times with one rotation of the scanner, as opposed to 6 times, you will be able to see much more of the inside of the loaf with each rotation. That is exactly what the 16-slice CT will allow us to do for our patients. We will see a greater surface area of the body part that we are examining in a much quicker time frame. Before a common scan would require a 25 second breath hold. With our new scanner, that same scan will require about a 10 second breath hold. A quick scan means less motion, which equals better images and improved patient comfort."
Originally developed in the 1970’s CT or "CAT" scans combine the power of x-ray technology and computers – allowing physicians the ability to view wafer-thin cross-sections of internal anatomy without the need for surgery. The LightSpeed CT system is the fourth evolution of GE’s award-winning LightSpeed CT platform, the CT scanning system that revolutionized the industry in 1998.
CT exams are used when people are ill or injured, or when a doctor suspects a medical problem that is not easily detectable from a normal physician examination. The LightSpeed CT scanner non-invasively assists physician in the diagnosis of a variety of anatomical areas, including spine, head, abdomen, and chest.
"We are fortunate to have the level of services that we do here at St. John’s," added Becker. "In addition to this CT upgrade we have added Orthopedic and OB/GYN practices, MRI, Digital Mammography, DEXA Bone Scanning, and Laparoscopic Towers in our Surgical Department all in the past three years. Those are substantial services that aren’t typically offered in small rural hospitals like St. John’s. Fortunately we have the vision to continue to grow to meet the needs of our ever changing demographics."
COMMUNITY BUSINESSES TEAM WITH ST. JOHN’S LUTHERAN HOSPITAL TO WELCOME THE FIRST BABY OF 2010
Libby/Montana - On January 2, 2010, the staff and physicians at St. John’s Lutheran Hospital welcomed Tahley Renee Dobrowsky, daughter of Shayna Dobrowsky of Troy, as the first baby born in 2010. Tahley made her entrance at 6:15 am, weighing in at 7 lbs., 1 oz, and measuring 19 1/2 inches long. Dr. Jana Hall of Northwest Community Health Center was the attending physician. Tahley joins her big sister, Zoe, age 2, who is very excited to have a little sister to play with! "We think that all of our births are exciting here at St. John’s, and we look forward to each one, but there is something very special about the first baby of each year, and the way the whole community awaits the arrival," commented Cathy Wolfe, Vice President of Nursing Services at St. John’s. "In 2009, we delivered 107 new lives into this world and anticipate even more in 2010." The New Year’s baby is celebrated throughout the community, and Zoe was more than happy to open the New Year’s gifts for her little sister. Along with St. John’s Hospital employees and Auxiliary members, who provided the new family with a swing, a case of diapers, a beautiful gift basket, and an afghan made especially for the New Year’s arrival --other area physicians, businesses, and individuals joined in the celebration. Dr. Anne Camber generously donated a car seat, Pamida donated a high chair, Glacier Bank and First Montana Bank provided savings bonds. Libby Clinic put together a gift bag loaded with baby gifts including a baby monitor and a Johnny Jump Up, and the Northwest Community Health Center donated a Soothe ‘n Play Bouncer. Approximately 100 babies are delivered annually at St. John’s. "We pride ourselves in our Obstetric services," added Wolfe. "We offer our mom’s the best possible care including free pre-natal classes, state-of-the-art birthing equipment, trained and certified OB nurses, Jacuzzi Tub for relaxation, and newborn care instruction; all of the services new parents should expect for their delivery. We also offer the kind of care and compassion that sends our new families home confident in the care they received, and in their impending parenthood." For more information about the Birthing Facilities at St. John’s or a tour, please call KC Hoyer at 293-0106 or visit our web site at www.sjlh.com. - 01/10
ST. JOHN’S ACUTE CARE/OBSTETRICS NURSING DEPARTMENT WINS THE "CAUGHT YA CARING" AWARD
Libby, MT - At an all staff meeting on December 15, 2009, the St. John’s Lutheran Hospital Acute Care/Obstetrics Nursing Department received their second Caught Ya Caring quarterly patient recognition award. "The Caught Ya Caring program was created to give patients and their visitors an avenue to recognize individual hospital staff members and physicians for care that they feel is above and beyond the call of duty," stated KC Hoyer, Marketing Manager at St. John’s Lutheran Hospital. "Since the program started in July of 2008, we have had over 470 certificates turned in recognizing outstanding care. We realize that our patients have a chance to recognize our employees through the patient satisfaction surveys that are sent out after the patient has left the hospital; however, we wanted to give our patients, as well as their families and friends, a chance to give on-the-spot recognition to our employees who have gone above and beyond. And, we want them to be able to do this while the experience is still fresh in their minds. These are the type of awards that our employees relish the most." Each quarter, the SJLH Marketing Department gives out an individual award to the employee who received the most Caught Ya Caring Certificates for the quarter, as well as a department award to the team who collectively received the most certificates. For July, August, and September of 2009, their was a tie for the individual award – David Edwards from the Emergency Room/Prompt Care Department and Jessica Hartman from the Rehabilitative Services Department both came in with four individual recognitions each. There were also three departments acknowledged for a job well done. In 3rd place was the Rehabilitation Department, in 2nd place was the Emergency Room/Prompt Care Department, and the big 1st place winner was the Acute Care/Obstetrics Nursing Department. "I am so proud of my staff for the great job that they are doing. Patient approval and recognition are the greatest rewards that we can receive as nurses, and we are thrilled that we our making our patient’s stay at St. John’s a pleasant experience," stated Riki Cochran, RN, Acute Care and Obstetrics Manager at St. John’s. Edwards and Hartman were each awarded $25 in Libby Bucks for their individual awards, and the Acute Care/Obstetrics Nursing Department was awarded $50 in Libby Bucks for their team’s accomplishment. – 12-09
SJLH Sleep Lab Team: Robert O'Rourke, Andrea Jordan, and Jimmy Ray Fincher. Not Pictured: Sarah Hogan.
ST. JOHN’S SLEEP LAB DEPARTMENT RECEIVES PATIENT SATISFACTION AWARD!
Libby/Montana – The Sleep Lab Department at St. John’s Lutheran Hospital has won the battle for the Quarterly Patient Satisfaction Award (QPSA)! This award is given out quarterly to a St. John’s Lutheran Hospital Department that has received consistently high patient care performance scores. Patients who have received services at St. John’s are given a patient satisfaction survey to complete and turn in with their thoughts and opinions on it. The QPSA award is based on those completed surveys. Scoring a 98.3% on patient satisfaction for the months of July, August, and September of 2009, St. John’s Sleep Lab Department was awarded the traveling patient satisfaction trophy, a $100 team award, and individual employee certificates of appreciation for their hard work, and dedication to their patients and their profession. The St. John’s Sleep Lab currently houses a 4-member staff: Department Manager Robert O’Rourke, CRT; Andrea Jordan, CRT; Jimmy Ray Fincher; and Sarah Hogan, RRT, who recently joined the department, make up the winning team. "Our Sleep Techs, Andrea Jordan and Sarah Hogan, make every effort to provide a great experience for our patients, and to offer top quality tests. The patient satisfaction award was one of the results of their efforts. There is a lot of background work that goes into each test as well, such as physician and vendor coordination, follow-up, and trouble shooting patient concerns. We have a great team to make this happen for our patients, and it shows," stated O’Rourke "Our job in the sleep lab is to provide our patients with high quality and reliable sleep diagnostic analysis, right here in Libby. We work closely with Board Certified Sleep Medicine Physician, Dr. Rolf Holle to manage patient care through sleep evaluation, diagnosis, and treatment. The best part about our program is that it allows the patient to receive all of their follow-up right here by their primary care provider, saving them the stress of traveling out of town for a doctor’s visit," explained O’Rourke. It is estimated that 40 million Americans suffer from chronic sleep disorders, and an additional 20-30 million are affected by intermittent sleep-related problems. What is unfortunate is that an overwhelming majority of sleep disorders remain undiagnosed and untreated. There are 84 classified sleep disorders, which can affect the quality of your sleep. They include sleepwalking, sleep terrors, tooth-grinding, shift work sleep disorder, daytime sleep attacks, and more. For more information about sleep disorders call Robert at 293-0179.
Santa's Day Off Tree Donated by Glacier Bank
THE FESTIVAL TREES: TRUE COMMUNITY BENEFIT
From the Community Night Santa Wonderland to the Elegant Gala, the 15th Annual SJLH Festival of Trees is the gift that keeps on giving. Each year this event is successful in raising dollars for St. John’s Lutheran Hospital, but the best-kept secret is that this fundraiser keeps giving far into the holiday season. Early Sunday morning following the Festival, the St. John’s Lutheran Hospital Foundation Board members shed their gala finery for work clothes, and set-out to clean up the Memorial Center, part of which includes dismantling and delivering trees to families in our area. "This year, thanks to the generosity of Shan and Barb Bush, owners of A-L Compressed Gases, we not only delivered trees, we delivered over 80 gifts to the Christmas is for Kids event at the VFW," said KC Hoyer, Executive Director of the SJLH Foundation. "You can just imagine their surprise when the gifts just kept coming and coming; it truly spoke to the magic of the season." Not all of it was magic according to Hoyer. The North Pole Tree, donated by John Ague and Dejon Raines, was laden with over 80 gifts for good girls and boys. Each gift was hand wrapped with tags that identified the type of gift for easy distribution. "Untold hours and a lot of love went into this very special Festival Tree. This is the second year that John and Dejon provided the Festival with the gift that spreads its magic throughout the entire community," added Hoyer. "The Bush’s purchased the tree for $4,100, to support the new hospital building fund, and then they generously re-donated it to Families in Partnership for the Christmas is for Kids event, so that no child will have to go without a gift this holiday season. John and Dejon always hope that their tree will be used in a charitable fashion, and because Shan and Barb give from their hearts, the North Pole tree was able to spread its goodwill in exactly the fashion that it was intended." When asked why donors spend thousands of dollars on trees and then donate them back, Hoyer smiled and answered, "The donors who purchase these trees aren’t trying to find the best deal on a Christmas tree or the presents that come with the tree, they are raising money for a worthy cause, something they deeply and passionately believe in. Donating the trees beyond the Festival is just kindhearted giving--the type of giving that comes from people who genuinely care about other people. These donors have been blessed with success, and want to spread some happiness to those who are less fortunate. They definitely put the ‘fun’ in fundraising." The North Pole tree wasn’t the only tree spreading its magic at the Festival. "The trees and the items that are auctioned are always fun and imaginative, and this year was no exception," added Hoyer. Glacier Bank won the prize for the most imaginative tree in the Festival’s 15 years. The theme of the tree was Santa’s Day off, and it had a Summer Fun theme complete with flip-flop sandal lights, a swimming pool, lawn chairs, squirt guns, and a musical tree topper of Santa in Hawaiian garb. The USFS Employees went above and beyond with their Snowman Tree and its handmade snowman ornaments and decorative moss bulbs. Lincoln County Credit Union entered a beautiful, traditionally decorated Gold and Red Poinsettia Tree with decorative glass bulbs and Poinsettia ribbon. "Our live auction donors and community businesses and organizations spend countless hours trimming their trees and we truly appreciate all the effort that they put forth to make the Festival a success," commented Hoyer. Other individual live auction items where a Vintage Lance Scooter donated by North West Motor Sports, Captain Mike’s Middle Thompson Cruise donated by Mike & Dori Munro, and a 75th Anniversary Boy Scout Winchester Rifle donated by Dave and Susan Cox. The real star of the evening was the 4th annual quilt crafted and donated by the Tender Lov’n Quilt Guild of Troy, which sold for a record $5,500.
The Festival of Trees is a two-day community holiday tradition held by the volunteer Foundation Board at St. John’s Lutheran Hospital. The first day of the Festival is a Santa Wonderland Community night and the second a Gala Fundraiser. The community night-Santa Wonderland saw well over 800 smiling faces, with the Kootenai Karacters providing an enchanting Santa Wonderland. Kids of all ages enjoyed winding through the 23 festively decorated trees, train display, face painting, cookie decorating, and story time to find their way to Santa. "The community night is a joint effort," added Hoyer. "We could not offer all that we do without the help of the Kootenai Karacters, SJLH Auxiliary, Don’s Depot, our high school and middle school volunteers, the Lincoln County Libraries, and all the businesses and organizations who take the time to enter a tree. It takes a community to pull off an event of this magnitude, and once again we pulled it off in fine style." The Gala raised over $50,000, which will help the Foundation reach their $1.5 million dollar goal for a new hospital in Libby. For more information about the Festival contact KC Hoyer, 293-0106.
The North Pole Tree
Jan Ivers, Laurie Maloney, Martha Dahm, & Marie Graham
ST. JOHN’S SURGERY NURSES FURTHER EDUCATION
Four of St. John’s Lutheran Hospital’s Operating Room Nurse’s have gone for the gold, and completed a course to further their education in the perioperative field. Perioperative nurses are registered nurses who work in hospital surgical departments, and their activities include those performed by the professional registered nurse in the pre-operative, intra-operative, and post-operative phases of surgery. They work closely with the patient, family members, and other health-care professionals to help plan, implement, and evaluate treatment. Martha Dahm, RN; Janet Ivers, RN; Laurie Maloney, RN; and Marie Graham, RN have all completed the Association of Operating Room Nurses (AORN) Perioperative 101 course. AORN is considered an authority throughout the perioperative community on safe operating room practices, evidence based practices, perioperative research, and guiding principles that support day-to-day perioperative nursing practice. Their Perioperative 101 core curriculum is the gold standard in Perioperative education. "The perioperative course was an excellent course for both the new OR nurse, and the nurse that has more experience. The course was flexible enough so that we could complete the class in our spare time. It was very beneficial, and learning more about our jobs improves the care that we offer at St. John’s," stated Ivers. "We are working hard to make sure that all of our operating room nurses take this course. We want to ensure that we are always up to date on the latest standards, and that we are giving our patients the very best care possible," stated Karen Edwards, RN, Surgical Services Manager at St. John’s. Over 750 facilities have licensed the Perioperative 101 course since its inception in 1999, and over 6,000 students have successfully completed this educational program. – 12/09
ST. JOHN’S HOME HEALTH & HOSPICE RECEIVES NEW SOFTWARE
St. John’s Lutheran Hospital Home Health and Hospice departments are maintaining the raised bar of expectations in healthcare with regard to improved technology. The home care clinicians have been utilizing computers for bedside care documentation for several years, but as of November, the department has changed software vendors. This implementation will help them to comply with changes to the Center for Medicare/Medicare Services (CMS). HealthWyse, the new software, offers a full range of integrated applications to keep clinicians up to date with the most current patient information. The new software has the flexibility to help the clinicians from all angles including intake, scheduling, time and labor management, hospice interdisciplinary team conferencing, insurance tracking, and billing. Information is more readily at the clinician’s fingertips, and safeguards built within the system assure that regulatory compliance is met. "This new system allows the clinicians, who are out in the field, to have the most current information on their patients at their fingertips," stated Sheree Comer, RN, MS, COS-C, CPHM, and Home Health/Hospice Department Manager at St. John’s. "Also, SJLH is only the second organization to have this new system application," she added. The electronic medical record maintains HIPAA (Health Insurance Portability and Accountability Act) confidentiality with all the needed security precautions, and to do lists in the system alert the clinician and manager about timeframes such as recertification and need for further insurance authorization. For safety and continuity measures, SJLH has a stand alone database which ensures that all patient’s information is available to the clinician in the case of an emergency. – 12-09
ST. JOHN’S LABORATORY TECHNICIAN BRINGS INNOVATIVE CERTIFICATION
Libby, MT - Lyn Thompson, MB (ASCP), MT (ASCP), SM, MB, a 12-year member of St. John’s Laboratory team, was recently certified by the American Society of Clinical Pathology (ASCP) as a Specialist in Molecular Biology. Thompson completed the course in Molecular Pathology given by the Biomedical Laboratory Diagnostics Program at Michigan State University. This course of learning incorporated two semesters of on-line study, as well as a week of intensive hands on training in the molecular lab at the Michigan State University Campus in Lansing. Upon successful completion of this course, Thompson became eligible to sit for the national certification examination. She ultimately passed this exam, and is now allowed to perform molecular diagnostic testing, as guided by the ASCP. "Molecular biology is the study of life at the cellular level. This field of study is progressing rapidly, and is becoming an exciting tool within the Clinical Laboratory to aid in the treatment of patients," stated Thompson. "Most molecular pathology testing performed today is done on human DNA, or on DNA that aids in the diagnosis and treatment of diseases affecting mankind. This DNA testing is used in a wide array of clinical settings such as identifying genetic mutations that may cause disease, in forensic medicine and paternity testing to identify people, and in infectious disease testing to identify bacteria and viruses that cause infections." Roger Riddle, Laboratory Manager at St. John’s added, "Currently, St. John’s Lutheran Hospital is not equipped to perform molecular testing. However, since this technology will be instrumental in the future development of laboratory medicine, the hospital is planning to add this wonderful technology when we move into the new facility. Thanks to Lyn’s dedication to her profession, and the patients served by St. John’s Lutheran Hospital, the capability to utilize this technology is readily available." Thompson was born and raised in Glasgow, MT and graduated from Carroll College in Helen with a B.S. in Biology and Chemistry. She completed her laboratory internship at Columbus Hospital in Great Falls, and has been in the medical technology field for 14 years. In addition to being a licensed med tech, Thompson is also a certified specialist in Microbiology.
The glimmering trees are the backdrop to Lincoln County's most celebrated Holiday Gala.
FESTIVAL OF TREES SET FOR DECEMBER 11TH AND 12TH.
It’s time to ring in the Holidays once again! The 15th annual St. John’s Lutheran Hospital Foundation’s Festival of Trees will be held on December 11th and 12th, bringing holiday dazzle and cheer to the communities of Libby and Troy. The Festival of Trees, which is held at the Libby Memorial Center, is an enchanting exhibit of beautiful holiday trees, hand-decorated and displayed by local merchants and organizations demonstrating their zeal for the holidays, as well as their commitment to family and community. Friday night is Festival Community/Family night. "In the spirit of giving and holiday traditions, there is no admission charge to the Friday night Festivities," commented KC Hoyer, Foundation Director at St. John’s. "The Community Night is a wonderful way to share the magic of the holidays with your family in the warmth of the Memorial Center surrounded by fun activities and dazzling trees. The kids can visit Santa, and the entire family can enjoy the decorated trees, train displays, more children’s activities, and the famous SJLH Auxiliary Annual Christmas Craft and Bake Sale. What fun times to share with your children!" Santa and Mrs. Claus, along with their Elves, played by the legendary Kootenai Karacters, will enchant the children and make holiday memories! A professional photographer will be on hand to capture the moment, but feel free to bring your own cameras. Santa and his Elves will be granting holiday wishes from 5pm to 8pm. Saturday, December 12th is the day to slip into your finery. Saturday evening the Festival is transformed in to a shimmering Holiday Fundraising Gala celebration, a one of a kind in our area. Join in the fun as our communities merry-make the night away at the most celebrated Holiday Gala in the County. Dance to the music of the Bryan Lloyd while you take in the shimmering trees and excitement of the auction and raffles. Mouth-watering hors d’oeuvres, incredible music, and the dazzling ambiance make this evening the most romantic and exciting of the season! "Our communities really look forward to this Holiday Tradition, because there is something for everyone to enjoy. This year, the live auction has some real surprises. The tickets are flying out the door," added Hoyer. "It is such an exciting, elegant, and entertaining way to raise money for our new building project." Tickets will not be available at the door for the Gala Dance on Saturday evening, but are available through reservation. Please call Kate Stephens at 293-0187 to reserve your tickets. The doors open at 6:00pm, with dancing till midnight.
ST. JOHN’S EMPLOYEES DONATE TO LIBBY AND TROY FOOD PANTRIES
It is once again the season of giving, and the employees at St. John’s Lutheran Hospital are no exception to the rule. November 2 through November 13, the St. John’s Lutheran Hospital employees held a holiday food drive for the Libby/Troy food pantries. Over this two week period, an abundance of food and cash was donated to the worthy cause. The employees of St. John’s contributed 544 pounds of food, totaling an excess of $600. On top of that, $615 in cash was donated to the pantries. These two massive amounts of good deed brought the total hospital employee donation amount to $1,230 for the 2009 drive. "We are so proud of our employees for their constant willingness to give back to the community in any way that they can," stated KC Hoyer, Marketing Manager at St. John’s. "It is very fulfilling to work in an environment overflowing with generosity of this magnitude, especially during this holiday season." Half of the donated goods were delivered to the Troy pantry, and the other half went to the Libby food pantry.
"Paint It Pink" raises $5,800!
Community Fundraiser to provide mammograms to uninsured women broke fundraising records.
We take care of our own – the mantra of South Lincoln County certainly rang true at the 3rd Annual Paint It Pink Fundraiser on Friday, October 30th. Sixty businesses and hundreds of individuals supported the "PIP" event, which raised a record $5,800.00 this year. "If you bring a good cause to this community, you just know that it will be well received and supported," comment Gary Spencer, Manager of Glacier Bank in Libby. Paint It Pink, a month long series of events and fundraisers sponsored by St. John’s Lutheran Hospital and Glacier Bank, was developed to raise funds to provide area uninsured women with mammograms, as well as to provide educational opportunities to learn more about Early Detection and Breast Health Awareness. "We want to make sure that our communities have the resources they need for the early detection and treatment of breast cancer," added KC Hoyer, Executive Director of the Foundation at St. John’s. "We may not be able to prevent this disease, but we can do our part to promote the early detection of it. Mammograms can be lifesavers when it comes to breast cancer. Making these tests available to women, who might put them off because they can’t afford them, is one giant step in breast health awareness for our communities. We had a great turnout again this year, and I know that our community will continue to support and contribute to this wonderful cause." Annually during the month of October, St. John’s and Glacier Bank provide a variety of fundraising and educational opportunities for community members. From fun runs to workshops, to the annual Breast Health Awareness Dessert, each week offers an opportunity to learn and to be a part of the cause. On the last Friday of October, the community celebrates the close of the fundraiser by painting the towns of Libby and Troy Pink. This year on the last Friday of October, pink balloons with the signature PIP on them, lined the sidewalks and everywhere you turned someone was dressed in Pink. Many businesses found their own flare to celebrate the day. Just to name a few, Noble Excavating decked their trucks out in pink, and matched their employee contributions; First National Bank was flowing in pink because they allowed their employees to wear jean’s an additional Friday if they doubled their donations and participated in the fundraiser; Les Schwab had all their workers wearing pink (for the second year in a row), and State Farm Insurance dressed their signature Bear in pink and displayed him in the window of their new office on highway 2. "The purpose of the fundraiser is to educate and to save lives," added Hoyer. "Since the program began, we have provided 24 area women with mammograms and expanded our reach from women who require first time baseline mammograms to screening and diagnostic mammograms as well. A number of the mammograms that the program provided have revealed questionable findings, the majority of which were in women ages 30-50. So at the end of the day, our community wide efforts are rewarded by the lives we save. Our communities truly do ‘take care of their own’". Again this year, Northwest Imaging and St. John’s Lutheran Hospital will discount the cost of Paint It Pink mammograms, so more local uninsured women will be provided with this lifesaving test. Women must be examined and referred by their healthcare provider to qualify. For more information about the Paint It Pink Free Mammography Program, contact your healthcare provider or call KC Hoyer at 293-0106.
The first dog to participate in Paint It Pink!
ST. JOHN’S MANAGER NAMED DIABETED EDUCATOR OF THE YEAR!
St. John’s Lutheran Hospital’s Diabetes Manager Becky Brundin, RD, CDE, has been named Montana’s Diabetes Educator of the Year for the Montana Association of Diabetes Educators. The award recognizes educators who have made a special contribution to diabetes education through their dedication and innovation of the practice in patient care. Brundin was chosen for this award by a group of her peers who recognized her for promoting diabetes in the community through support groups and local schools. For this award, she will receive $500 toward her registration for the American Association of Diabetes Educators annual conference in San Antonio next fall. "It is a great honor to be nominated and selected for this award by my peer group. Diabetes technology is ever changing and I am so excited about the opportunities to continue educating our patients and the general public about these changes and about diabetes in general. Brundin has been a certified diabetes educator since 1997 and has served as Secretary/Treasurer as well as on the legislative committees for the Montana Association for Diabetes Educators. "We are very proud of Becky for her accomplishment in receiving the Montana Diabetes Educator of the Year award. Becky is very dedicated and passionate about her work and her patients. She truly makes a difference in her patient’s lives and quality of life," stated Barb Dumont, Vice President of Support Services at St. John’s Lutheran Hospital.
ST. JOHN’S LUTHERAN HOSPITAL CELEBRATES NATIONAL DIABETES MONTH
November is American Diabetes Month and with that St. John’s Lutheran Hospital and the American Diabetes Association (ADA) are bringing to light the fastest growing health care crisis of the 21st century. Nearly 75 million Americans have, or are at risk of developing, this disease. Diabetes is a disease in which the body does not produce or properly use insulin. Insulin is a hormone that is needed to convert sugar, starches, and other food into energy needed for daily life. There are "many faces of diabetes". Nearly 21 million children and adults in the United States are living with diabetes, and another 54 million people are at-risk. Locally, there are hundreds of people with diabetes; most are adults, but there are some children as young as six years old who must take multiple daily injections of insulin and check their blood sugars several times a day. Diabetes is associated with an increased risk for a number of serious, sometimes life-threatening complications. Good diabetes management can help reduce risk of complications. However, many people are not aware that they have diabetes until they develop one of its more serious complications. The good news is that working together, people with diabetes along with their health care providers and diabetes educators, can reduce the occurrence of these complications, and others, by controlling the levels of blood glucose, blood pressure, and blood lipids, and by receiving other preventive care practices in a timely manner. Fortunately for the people in Lincoln County who have diabetes, St. John’s Lutheran Hospital employs two Certified Diabetes Educators: Becky Brundin, RN, MPT, CDE and Joan Bush, RN MED, DCE. The Diabetes Care Program at St. John’s is approved by the American Diabetes Association. The educators there work closely with individuals or groups to help them understand how to control their diabetes and lower the risk of complications. What’s more, a recent study found that people with diabetes who attend at least one educational session may reduce their chances of being hospitalized by up to 34%. Recent studies indicate that fewer health care dollars are spent on persons who participate in diabetes self management education. Speak to your doctor about a referral to a diabetes education in your community. For more information about the St. John’s Lutheran Hospital Diabetes Education program, please call 293-0175.
St. John’s Lutheran Hospital Receives Quality Award
St. John’s Lutheran Hospital was recently awarded the Montana Rural Healthcare Performance Improvement Network’s Quality Improvement Award for its work on reducing the risk of pressure ulcer development. The awards were announced during the general session at the MHA Annual Convention held in Billings on September 24, 2009.
The Montana Rural Healthcare Performance Improvement Network (PIN) is a voluntary membership of 47 critical access hospitals throughout the state. Through this Network, member hospitals are able to benchmark their performance with their peers on a variety of financial, utilization and direct patient care measures that encourage safe, effective, patient-centered care delivery in even the most remote communities of the state. PIN quality of care measures are based on national benchmarks, but are tailored to reflect the realities of the state’s rural population.
Throughout 2008 and 2009, PIN members worked in one or more of three focus areas to improve the quality of care provided to the members of their communities: reducing the number of pressure ulcers in hospitalized patients; reducing the potential for harm to hospitalized patients when they receive high-alert, or high-risk, medications; and improving the response of the emergency department to trauma patients. Applicants for awards in 2009 were required to demonstrate consistent participation in the PIN's benchmarking program and measurable improvement in one or more of the quality of care focus areas over the previous 12 months.
St. John’s Lutheran Hospital has demonstrated a commitment to its community and the region it serves through its efforts to participate in the PIN’s benchmarking and quality of care improvement programs. Barb Dumont, Quality Risk Manager and Vice President of Support Services received the award for the facility at the Performance Improvement Network’s regional meeting.
On October 22, 2009 Margy Nelson celebrated 13 years of service as a clerk in the Home Health/Hospice Departments at St. John's Hospital.
MARGY NELSON RETIRES FROM HOSPITAL HOME HEALTH/HOSPICE STAFF AFTER 13 YEARS.
St. John's Home Health & Hospice Crew
ST. JOHN’S CELEBRATES NATIONAL HOMECARE, HOSPICE, AND PALLIATIVE CARE MONTH
November is National Homecare, Hospice, and Palliative Care Month, and St. John’s Lutheran Hospital will be celebrating the month with its Home Health and Hospice Department! The National Hospice and Palliative Care Organization (NHPCO) has a yearly celebration theme. This year the theme, "Preserving a Legacy…Treasuring Memories", celebrates that fact that Hospice helps to bring comfort, relief of symptoms, dignity, and peace to help people with terminal diagnoses lead full lives, living every moment to the fullest, and leaving loved ones with memories to treasure and appreciate. Hospice and palliative medication management is said to be the "ICU of homecare". Hospice nurses must be very well trained as they have to accurately and adequately take care of pain and other symptoms, changing and measuring the concentration of medication to ensure the patient is comfortable as well as aware and alert. "There are some people who think of homecare as being less challenging than acute hospital care; however, the clinicians who are out in the field must have a wide array of knowledge and expert clinical assessment skills, as they are frequently the eyes and ears for the physician in a very dynamic environment in which the nurse has little control," stated Sheree Comer, SJLH Home Health and Hospice Department Manager. "Our entire team is exceptional, and in all of my experience I have never met a group of people in which everyone is so passionate about what they do. All of the staff is focused on the same goal – making patients as comfortable and healthy as possible while maintaining dignity and preserving the patients’ rights and wishes," she added. "Homecare fills a definite need within our communities to help with restorative care, assessments, and skilled treatment for patients who are homebound, as well as hospice care for terminally ill individuals. It allows our patients to be in their own homes where they feel comfortable, and can enjoy their family members while care is provided to them," stated Cathy Wolfe, Vice President of Nursing Services at St. John’s Lutheran Hospital. "This month of celebration allows us to raise awareness within our communities, celebrate our accomplishments, honor colleagues, and remember our patients and their families!" For more information about the St. John’s Lutheran Hospital Home Health and Hospice Services, please call 293-0180.
CHAPLAIN PROGRAM AT ST. JOHN’S UNDERGOES LEADERSHIP CHANGE
In September of 2009, long time St. John’s Lutheran Hospital Chaplain Coordinator, Pastor Les Nelson, announced his retirement from his position at the hospital. Pastor Nelson began this role with St. John’s in 1994, although he had been a member of the Chaplain program there before he became the coordinator. "It has been a privilege to be associated with St. John’s Lutheran Hospital as a volunteer for all of these years. The many volunteers help make St. John’s the marvelous health care facility it is. I especially appreciate the volunteer chaplains who have given, and continue to give of themselves in this ministry," stated Nelson. Nelson is proud to be passing the gavel to fellow pastor G.L. "Stump" Heiselman. "The acceptance and support of the CEO, Mr. Patten, the hospital board, and the entire staff at St. John’s of the chaplains and our work has been both gratifying and humbling. I know that my predecessor will enjoy his time at St. John’s as much as I did," Nelson concluded. Heiselman is excited for his new role at the hospital to begin. "First of all, Pastor Les, thank you for your leadership and faithful service with the chaplain program. As I look forward to this next step in service to the Lord, I know that there will be many challenges. I see these challenges as opportunities for service – service to our community and to my Lord and Savior, Jesus Christ. With the Lord’s guidance, may we as chaplains be a blessing to all we meet both patient and care giver." Volunteer and Chaplaincy Service at St. John’s provides spiritual support for patients, families, and hospital staff. Chaplains offer hospitality and pastoral presence as they listen to patients or family member’s concerns, fears, and questions regarding their illness, or that of a loved one. They also support each individual’s healing resources of faith, beliefs, traditions, cultural backgrounds, and/or lived experiences. "Chaplaincy is a unique ministry: the word means to ‘walk with’," stated Nelson. "It is neither a chaplain’s role to supplant the patient’s pastor, priest, or spiritual director, nor to impose his or her values or beliefs on the patient, but rather to ‘walk with’, bring comfort and care, and help the patients to clarify their spiritual journey in times of illness and crisis."
ST. JOHN’S BROSSMAN RECERTIFIED
Libby/Montana – Machelle Brossman, CPUR, CDS, CMA, and Quality Risk Management Assistant with St. John’s Lutheran Hospital has been recertified as a professional in Utilization Review and as a Certified Medical Assistant. In the past two years, Brossman has traveled to Chicago, IL; San Francisco, CA; and Helena, MT obtaining over 90 total hours of continuing education for the two re-certifications. "Having an employee who is certified in Utilization Review helps ensure that St. John’s Lutheran Hospital is meeting the regulatory guidelines related to utilization management. This includes legal, ethical, and financial consideration in patient care management," stated Brossman. "I plan to continue to help St. John’s partner with our medical staff and patients to balance cost and quality that meets medical necessity. This involves proactive procedures such as discharge planning, concurrent planning, certification, and clinical case appeals. "Machelle brings passion into her profession and is an advocate both for our patients and for St. John’s Lutheran Hospital. Becoming recertified in utilization review and medical assisting is an example of her ongoing commitment to personal achievement that also benefits our patients," stated Barb Dumont, Vice President of Support Services at St. John’s Lutheran Hospital. Brossman has been in the medical profession for 8 years, over 5 of which have been spent at St. John’s Lutheran Hospital. If you have any questions about utilization review or discharge planning, please call Machelle at 293-0110.
LABORATORY DEPARTMENT AT ST. JOHN’S PASSES INSPECTION WITH FLYING COLORS
On October 6th and 7th, 2009 the St. John’s Lutheran Hospital Laboratory went through an extremely in-depth inspection process from the Certification Organization for Laboratory Accreditation (COLA). COLA is the national laboratory equivalent to The Joint Commission, and provides the accreditation that allows St. John’s to bill to Medicare & Medicaid.
The SJLH Laboratory department passed the inspection with flying colors!
"In the past two years, many changes were implemented making these great survey results possible; changes not just in the laboratory itself, but in many other hospital departments that work directly with the laboratory as well. This was a hospital wide team effort," stated Roger Riddle, Laboratory Department Manager at St. John’s.
"Since the beginning of June, the SJLH Laboratory team has written and implemented 77 new Policies & Procedures. They have also documented every step of the quality control procedures required by the government, written whole manuals explaining how to use Meditech, our electronic medical records system in the Lab, as well as detailed every step of every process on every piece of equipment for every lab test they perform. Every employee in the SJLH Laboratory Department has changed processes, trained people, improved systems, upgraded equipment, and implemented new procedures", stated Jeanie Gentry, Vice President of Allied Health at St. John’s.
"Each of our people in the Lab has worked extremely hard, and their tireless efforts paid off during this inspection. They have kept St. John's in the good graces of our biggest payer, and they have represented our team in a way that makes St. John’s Lutheran Hospital very proud," added Gentry.
For more information about the SJLH Laboratory please contact Roger Riddle at 293-0155.
ST. JOHN’S OCCUPATIONAL THERAPISTS RECEIVES NEW CERTIFICATION
Cindy Sullivan, OTR, CEAS, Occupation Therapist with St. John’s Lutheran Hospital, was certified as an Ergonomics Assessment Specialist in September. Sullivan has been working with ergonomics and workstation assessments since 1998. "Musculoskeletal Disorders and Ergonomics Certification indicates a higher level of proficiency and the meeting of standards recognized by a specific school of training for the utilization of OSHA Ergonomic Survey tools. I am excited to say that I am now certified in this specialty," stated Sullivan. An ergonomic assessment can be performed on any job (office, industrial, service), as most jobs contain some type of risk. The assessment compares the worker to their worksite and activity performed, looking at areas of risk such as use of awkward postures, heavy force, or frequent repetition. Once an employee’s risks are identified, recommendations can be made for reasonable and cost effective solutions. Ergonomic assessments can also be used to provide ideas for increased productivity through identifying and altering wasteful or fatiguing motions and tasks. "We are very fortunate to have an experienced occupational therapist of Cindy’s caliber here at St. John’s," stated Ahyoung Huff, MPT, and Rehabilitative Services Department Manager. "Not only will this specialty help SJLH employees enjoy ergonomically sound work stations, but Cindy has the ability and desire to visit other local businesses to help them become ergonomically friendly as well." Sullivan has been an occupational therapist at St. John’s for 15 years, and in the profession for 28 years. "It is important to provide ergonomic assessments that are comprehensive and provide practical and affordable solutions for employers and employees. My desire is to work with businesses to help them protect their employees and expand their productivity. Prevention of work injuries is healthy for workers and for businesses. The workers enjoy a safe environment and the business is able to reinvest money saved through reduced costs from loss time and healthcare expenses." For more information on ergonomic assessments, contact the Rehabilitative Services Department at 293-0154.
ST. JOHN’S PROUD TO HAVE A CERTIFIED HEALTH UNIT CLERK ON STAFF
Libby/Montana – Terri McCann, CHUC, Health Unit Clerk for St. John’s Lutheran Hospital has recently passed her certification examination to become a certified health unit clerk. After over a year of studying, McCann traveled to Missoula in August to sit for the examination, and passed with flying colors! "A health unit clerk is the foundation of the nursing floor. They are the first line of defense for the nurses. They ensure that the physician’s orders are completed in a timely manner, answer and direct phone calls, direct patient concerns to the appropriate personnel, and greet the public," explained Riki Cochran, RN and Acute Care Nursing Manager at St. John's Lutheran Hospital. "I truly believe that they have one of the most difficult jobs on the floor, as they must have the ability to multi-task with a smile on their face. They are a great resource for doctors and nurses, and they always know what forms need to be filled out and where to find everything!" McCann has worked at St. John's Lutheran Hospital for six years, five of them as a health unit clerk. "This certification has made me stronger and more knowledgeable in nursing, and all departments throughout the hospital," explained McCann. "I want to do everything that I can to make St. John’s even better than it already is, and this certification was just one way that I could do that! Our Road to Excellence depends so much on our skills and caring, and it is education and training that will help us get to where we want to be. I am so grateful to St. John’s for giving me the opportunity to further myself in my profession." "Getting certified as a health unit clerk means that our employees have to take a test that covers several aspect of all of the departments in the hospital including general departmental needs, tests typically ordered by each department, and departmental policies and procedures," added Cochran. "Terri’s certification shows that she enjoys her job enough to go above and beyond, and that she is extremely dedicated."– 09-09
ST. JOHN’S LUTHEAN HOSPITAL CELEBRATES NATIONAL PHYSICIAN'S ASSISTANT (PA) WEEK
Libby, MT - St. John’s Lutheran Hospital is celebrating National PA Week from October 6-12. Approximately 79,000 physician assistants (PAs) can be found in virtually every medical setting across the country providing a range of medical care to Americans. The role of PAs is vital to the success of health care, especially at a time when the number of uninsured Americans is at an all-time high, and people are living longer than ever before. In fact, in 2008, there were more than 250 million visits to PAs by patients. Physician Assistants, who have been an integral part of the health care system since the mid 1960’s, are vital to rural healthcare delivery. As part of their comprehensive responsibilities, PAs conduct physical exams, diagnose and treat illnesses, order and interpret tests, counsel on preventive health care, assist in surgery, and write prescriptions. Within the physician-PA relationship, physician assistants exercise autonomy in medical decision-making and provide a broad range of diagnostic and therapeutic services. A PA's practice may also include education, research, and administrative services. National PA Week is an opportunity for healthcare systems and their communities to celebrate the value of PAs. Without PAs, providers in hospitals, private practice, nursing homes, correctional institutions and many other health care settings would simply be overrun. Studies have conservatively estimated that PAs can provide 80 percent or more of the services provided by physicians—at the same level of quality.
Because of the close working relationship the PAs have with physicians, PAs are educated in the medical model designed to complement physician training. Upon graduation, physician assistants take a national certification examination developed by the National Commission on Certification of PAs in conjunction with the National Board of Medical Examiners. To maintain their national certification, PAs must log 100 hours of continuing medical education every two years and sit for a recertification every six years. Graduation from an accredited physician assistant program and passage of the national certifying exam are required for state licensure. Our local PAs include Rosemary Bergroos, St. John’s Lutheran Hospital; Tony Fantozzi, St. John’s Lutheran Hospital; and Joe Chopyak, Northwest Community Health Center and St. John’s Lutheran Hospital. Together, the three of them have over 26 years of experience as Physician’s Assistants, and all three of them are fellows of the American Academy of Physician Assistants (AAPA). "St. John’s is fortunate to have an excellent team of Certified Physician Assistants," stated Bill Patten, CEO of St. John’s Lutheran Hospital. "These dedicated individuals work in our Prompt Care Department, improving patient flow and reducing patient wait times; they allow our ER physicians to focus on the critically ill patients. I am pleased that we have these three PA-C’s on our staff! They make a positive difference in the lives of our patients!" – 09-09
"QUEST FOR QUALITY" AWARD WINNER CHOSEN AT ST. JOHN'S LUTHERAN HOSPITAL
This is the seventh year that St. John’s Lutheran Hospital has conducted its recognition program for outstanding quality improvement team projects. At the end of each fiscal year, departments are invited to submit a project that improved quality of services in their department. Each entry has to explain why they think their project qualifies for the annual "Quest for Quality" award.
This year, five SJLH teams entered a total of 8 projects. The Quality Committee at St. John’s is tasked annually with the very difficult decision of choosing which entry deserves to win. This year’s winner was the Surgical Services team.
The project title of the Surgical Services team was Pre-Colonoscopy Preparation. The focus of this project was the addition of a supplementary cleansing procedure to enhance the quality of care received by patients having a colonoscopy.
This change means that the patient spends much less time under conscious sedation, and has fewer drugs administered to them. The physician can also spend less time irrigating the colon and more time concentrating on the findings. This new practice has also cut the length of time that a colonoscopy takes from 30 to 20 minutes!
"We ran an in-house study which clearly revealed that the additional supplementary procedure decreased procedure time, resulting in less patient conscious sedation. The practice has been very well received by our physicians," stated Karen Edwards, RN, BSN, and Surgical Services Manager.
For more information on St. John’s Lutheran Hospital "Quest for Quality" program, contact Barb Dumont, Vice President of Support Services at 293-0104.
ST. JOHN’S OUTPATIENT CHEMOTHERAPY DEPARTMENT RECEIVES PATIENT SATISFACTION AWARD!
Libby/Montana – The Chemotherapy Department at St. John’s Lutheran Hospital has won the battle for the Quarterly Patient Satisfaction Award (QPSA)! This award is given out quarterly to a St. John’s Lutheran Hospital Department that has received consistently high patient care performance scores. Patient who have received services at St. John’s are given a patient satisfaction survey to complete and turn in with their thoughts and opinions on it. The QPSA award is based on those completed surveys. Scoring a 99.6% on patient satisfaction for the months of April, May, and June of 2009, St. John’s Outpatient Chemotherapy Department was awarded the traveling patient satisfaction trophy, a $100 team award, and individual employee certificates of appreciation for their hard work, and dedication to their patients and their profession. "There are only two of us that work in the Chemotherapy Department, but we work very closely with our patients and get to know them on a very personal level," stated Linda Matthews, RN, OCN, and Outpatient Chemotherapy Coordinator at St. John’s. "We know what a difficult journey our patients are going through when they come to see us, and we want to make sure that we do everything that we can to help them and their families through this difficult time. We are just so blessed to work with patients who give back to us by filling out surveys and letting us know that we are doing a good job as well as where we could make some changes to better serve them! This job gives us the opportunity to meet and bond with the most amazing people, and we’re blessed to come to work and help them every day." For more information on the St. John's Lutheran Hospital Outpatient Chemotherapy Department or Cancer Resource Center call 293-0121.
ST. JOHN’S REHABILITATIVE SERVICES DEPARTMENT WINS THE "CAUGHT YA CARING" AWARD
At an all staff meeting on September 15, 2009, the St. John’s Lutheran Hospital Rehabilitative Services Department was awarded the first place Caught Ya Caring quarterly departmental patient recognition award, and their own Cindy Sullivan, OT, took home the Caught Ya Caring Individual award. "The Caught Ya Caring program was created to give patients and their visitors an avenue to recognize individual hospital staff members and physicians for care that they feel is above and beyond the call of duty," stated KC Hoyer, Marketing Manager at St. John’s Lutheran Hospital. "Since the program started in July of 2008, we have had almost 400 certificates turned in recognizing outstanding care. We realize that our patients have a chance to recognize our employees through the patient satisfaction surveys that are sent out after the patient has left the hospital; however, we wanted to give our patients, as well as their families and friends, a chance to give on-the-spot recognition to our employees who have gone above and beyond. And, we want them to be able to do this while the experience is still fresh in their minds. These are the type of awards that our employees relish the most." Each quarter, the SJLH Marketing Department gives out an individual award to the employee who received the most Caught Ya Caring Certificates for the quarter, as well as a department award to the team who collectively received the most certificates. For April, May, and June of 2009, the individual winner was Cindy Sullivan from the Rehabilitative Services Department. "St. John’s Lutheran Hospital is all about helping patients recover in an encouraging and motivating environment. There are so many hospital staff members who excel at this task, that I was surprised, though very appreciative, to hear my name called. I enjoy helping others and St. John’s is a great place to keep on doing just that," stated Sullivan. This quarter, three departments were acknowledged for a job well done. In 3rd place was the Emergency Room/Prompt Care Department, in 2nd place was the Acute Care Nursing Department, and the big 1st place winner was the Rehabilitative Services Department. "What an honor it is to win this award! When patients take extra time to fill out the Caught Ya Caring sheets, we know that our staff is going above and beyond. I’m very lucky to work with 13 fantastic individuals who really have the best interest of our patients at heart. And it shows! We have the opportunity to be a part of an amazing transformation in people’s lives, and we always have fun doing it!" stated Ahyoung Huff, Rehabilitative Services Manager.
Sullivan was awarded $25 in Libby Bucks for her individual award, and the Rehabilitative Services Department was awarded $50 in Libby Bucks for their team’s accomplishment. – 09-09
LOCAL HOSPITAL EARNS EXCELLENCE IN HEALTHCARE CERTIFICATE FOR BECOMING TOBACCO FREE
St. John’s Lutheran Hospital is celebrating one year of being a tobacco-free campus. "We knew that becoming a tobacco free facility would be an adjustment for our patients so we offered a ‘weaning off’ period to get everyone informed and onboard with the idea," stated Susan Horelick, Wellness Manager at St. John’s. "But that period has ended, and as of October 1, 2009, no tobacco use of any kind will be permitted on any hospital property– both inside and outside. This includes all of our off-campus facilities--our Medical Arts South and West Buildings, our Rehabilitative Services Building, and any of our Troy facilities. This also includes our parking areas and lawns."
The policy applies to patients, visitors, medical staff, employees, and all others who either visit or do business on any property owned or leased by St. John’s Lutheran Hospital.
"St. John’s took this step because as a healthcare organization, we are committed to the health and safety of patients, employees, and community," said Bill Patten, CEO. "We have a responsibility to work toward decreasing tobacco use, which is the number one cause of preventable death in our country."
Over twenty-five healthcare facilities around the state have implemented or are working on creating a tobacco free medical campus; St. John’s is one of the facilities leading the way.
"A tobacco free campus sends a clear message that tobacco use does not support health and wellness," said Dr. Jana Hall, Chief of Staff at St. John’s. "Tobacco free policies help people decide it’s time to quit, and get them one step closer to setting a quit date."
People who want to quit smoking or chewing tobacco can call the Montana Tobacco Quit Line at 1-800-QUIT-NOW (800-784-8669) to talk with a Quit Coach to get them started. St. John’s and the Center for Asbestos Related Diseases (CARD) offer a free monthly class to provide information to people who are considering becoming tobacco-free. These classes are held on the 3rd Monday of every month at 7:00 pm in the hospital conference room.
The Montana Tobacco Use Prevention Program is assisting hospitals and medical facilities that are interested in creating a tobacco free campus policy. St. John’s has utilized the planning materials, signage, and on-site assistance provided by Clare Lemke RN, the coordinator of the Montana Tobacco Free Medical Campus Project. "This has really taken off in Montana," said Lemke. "Hospitals are realizing the importance of such policies in helping them achieve their goal of improving the health of their communities."
Tobacco use kills more people every year than motor vehicle accidents, alcohol, suicide, homicide, AIDS, and illegal drugs combined, according to the Centers for Disease Control and Prevention. Exposure to secondhand smoke can cause lung cancer, heart disease, and respiratory disorders.
For more information, please contact Susan Horelick, Wellness Manager at St. John’s Lutheran Hospital - 293-0164.
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