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MARCH 2015 VOL. 31, NO. 1 MASON GENERAL HOSPITAL & FAMILY OF CLINICS

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“Care Coordination Services” for Medicare Patients – made possible thru ACO Page 4

Mountain View Women’s Health collaborates in Women’s Services Página 13

Evento de Salud para Mujeres 16 de Mayo, MGH&FC, las 8 a.m. - el Mediodía

quality Care Coordination Services now available Case Manager will work directly with the patient, their family, and the rest of their care team to maximize the health care experience. Q. What can the Case Manager do for the patient? A. The patient’s physician and Case Manager want to make sure the patient has the tools and support needed to achieve and maintain the best health possible. The Case Manger supports the patient in making the best choices for their health by helping them become a more active partner in improving their overall well-being.

Mason General Hospital & Family of Clinics (MGH&FC) recently joined an innovative program called the National Rural Accountable Care Consortium, an initiative intended to improve the health of people with Medicare fee-for-service via access to a Care Coordinator. “We are excited to be a part of this program, as data show that patients with two or more chronic health conditions, who are in this program, have better outcomes,” said Terri Gushee, R.N., director of Care Coordination Services at MGH&FC. Program activities include training Care Coordinators to provide additional Terri Gushee, R.N. services to the most vulnerable patients, promotion of population health and wellness, and improving quality, customer service and patient satisfaction to those 65 years of age and older. “This collaboration will help to keep our senior patients in their homes,” added Eric Moll, CEO, MGH&FC. “This is possible because the Care Coordinator works closely with doctors and community resources to assist these patients in staying healthy, securing care when needed and avoiding repetitive tests. In general, it helps patients navigate the complex health care system.” Q. What is Care Coordination Services? A. Our Care Coordination Services actually begin within the hospital and they transition along with our patients to meet their needs in various care settings. The goal of Care Coordination is to provide the patient with focused, one-on-one attention to help them become an active participant in their own health care. This program will also help enhance the patient’s relationship with their physician. As a participant in the Care Coordination Services program, the patient will receive focused support from the Case Manager. The 2 S C O P E

Case Management includes: Identifying and overcoming barriers to getting care needs met Arranging care and connecting the patient to important community resources Providing education, resources or materials about a chronic disease or other medical condition the patient may have Acting as a patient advocate with providers Supporting the patient in becoming a self-advocate and active participant in their own health care Providing information about advanced directives or assisting the patient in designating a health care power of attorney Q. How will this program affect the patient’s relationship with their doctor? A. The patient/physician relationship is very important. The Care Coordination program has been designed to support and strengthen that relationship by working with the patient’s doctor in developing the best plan of care. Q. What else should I know about this program? A. The program is voluntary and a patient can stop or change the way they work with their Case Manager Continued on page 11... On the cover: The goal of “Care Coordination” at MGH&FC is to provide Medicare fee-for-service patients with focused, one-onone attention to help them take an active role in their health care. This is made possible through the National Rural Accountable Care Organization Consortium. Care Coordination begins in the hospital setting and transitions with the patient to the clinic setting. The program consists of patient education, resources and support materials provided by MGH&FC for managing chronic diseases or other medical conditions. Pictured are some of the members of the care coordination (hospital and clinics) team: (front) Cindy Mortensen, B.A., director of patient resources; (seated) Carol Lindahl, R.N., patient resources and care coordination; Karry Rogers, R.N., patient resourses, (standing) Terri Gushee, R.N., director of Care Coordination Services, and Crystal Diemert, B.A., patient resources. Not pictured are Karry Trout, RT(R) (M), patient navigator, and Sharon Strong, R.N., care coordination. Cover photo by Cooper Studios, Shelton.

Rehabilitation Services

becomes official department offering patient-centered care

Rehabilitation Services Director Cheryl Woods, PT, claims, “One of the values focused on in ‘Patient First’ care is Accessibility. We are putting that value into practice in our department by increasing staff in order to increase accessibility to patients with rehabilitation referrals.”

Colorectal cancer on decline in U.S. Thanks to screening with colonoscopy

and other tests, both incidence and mortality from colorectal cancer have been declining steadily since 2001. The decrease in incidence averaged 3.4 percent a year; the decrease in deaths, 3.0 percent a year. The biggest declines have been among Americans age 65 and over who have high screening rates. Medicare has covered colonoscopy screening since 2001. [SOURCE: Zosia Chustecka, “Dramatic decline in CRC in US attributed to colonoscopy,” Medscape Medical News, March 20, 2014 (CA Cancer Journal for Clinicians, March 17, 2014)]

Under the direction of Cheryl Woods, PT, a long-time area licensed physical therapist and veteran Director of Rehabilitation Services (RS) at MGH&FC, Mason General Hospital’s Rehabilitation Services recently became an official department of MGH. “Until now rehabilitation services at MGH were contracted through a private company,” said Cheryl. “We are all very excited to be a part of MGH&FC as it is a progressive, patient-centered organization.” Cheryl went on to explain how the Hospital and Clinics are implementing core values that emphasize ‘Patient First’ care. “It is a very exciting time to be a part of a team of health care professionals who work daily to improve patient care,” she added. In addition, Cheryl said she has seen lots of changes at MGH&FC during her tenure, which started in 1986. “I am so pleased with the direction MGH&FC is heading. I am very happy and honored to be a part of the Hospital and Clinics’ progressive culture and to be a member of the leadership team.” Cheryl served as director of the Physical Therapy (PT) department (now known as Rehabilitation Services) from 1986 to 2000. She then stepped down to work part-time. In 2012 Cheryl was reappointed as Director of Rehabilitation Services for MGH&FC. Cheryl grew up in Shelton, graduating from Shelton High School in 1980 and going on to receive her Bachelor of Science degree in Physical Therapy from the University of Puget Sound in 1984. One of the first things Cheryl plans to do is hire more staff to cover the ever-growing patient load. “Currently we have a full staff of highly-trained professionals,” said Cheryl. “Treating our patients as individuals with specific needs is what we do best.” Rehabilitation Services treats patients of all ages for a wide variety of diagnoses including orthopedic musculoskeletal conditions, neurological diseases, vertigo, sports injuries, pediatric developmental delays, speech and language problems and swallowing issues. They also provide treatment for post L&I injury, post motor vehicle accidents, and teach balance and fall prevention. “We value one-on-one treatment and care,” added Cheryl. To make an appointment call Rehabilitation Services at (360) 427-9545, Monday through Friday between 7:30 a.m. and 6 p.m.

Chronic or severe wound?

Don’t suffer any longer. Stay close to home when your physician refers you to MGH&FC Wound Care Services. Call (360) 432-3285.

Visit MyMasonHealth.org for more information. For enrollment questions or general patient portal questions, please email patientportal@masongeneral.com. For technical questions, please call (877) 621-8014 between 8 a.m. and 8 p.m. EST, Monday - Friday (except holidays). SCOPE 3

quality Mountain View Women’s Health and MGH work together for “Women Services” It is important for women to have a stable, coordinated system of health care. The staff at Mountain View Women’s Health (MVWH), a part of Mason General Hospital & Family of Clinics, is working hard to provide this environment for women of all ages. In doing so they have created “Women’s Services” in collaboration with The Birth Center at MGH.

Meet the medical team at MVWH

“The aim is to make a woman’s continuing health care seamless, and for patients to have easier access to services,” said Marcia Rohlik, R.N., BSN, director of Women’s Services.

Alford N. Vassall, Jr., M.D. Board Certified Obstetrician/Gynecologist

MVWH currently provides coordinated care for women’s obstetric, gynecological and urological health needs, with future plans to include women’s breast health, and other services unique to women. “Women are different at a cellular level, and they need a different kind of care. We want to bring awareness to this fact,” said Rohlik. “In this collaborative approach to care, a woman should never feel like she is going through health and wellness issues alone.” Marcia went on to explain that MVWH office staff, board-certified physicians, and Birth Center Manager Kris Gaa, R.N., have coordinated patient care for years, and how their “team approach” to care is proving to be an effective model. “We want to choose the best information possible from all providers to keep us all working together from ‘the same sheet of music,’ so to speak,” said Rohlik. Mountain View Women’s Health’s Office Manager Misti Webb is a big part of this process, too. “Misti and I meet each week to share information. She talks office, and I share clinical information. We want to provide women with comprehensive support by removing barriers in their continuity of care and getting care to them sooner,” she No more said. “This crossover embarrassment. not only benefits pregnant women, but women of all ages and stages of life who have medical needs outside of the clinic, including making it possible for you to get the treatment you need for your overactive hospital care.” The bladder issues, locally – without long wait times or trips out of town. women agree that New urodynamic bladder testing equipment provides a computerized this collaboration summary of test results – information our board-certified OB/GYNs and is unique and specially-trained staff use to provide you the best possible treatment what makes their options. Women’s Services Put an end to the worry about endless trips to the bathroom and get back to the life you enjoy with family, friends, and at work. Call Mountain View exceptional.

Mountain View Women’s Health has new technology

Women’s Health today at (360) 426-0955 to make an appointment with one of our specialists.

(360) 426-0955 2300 Kati Court, Suite A, Shelton, WA 98584 www.MasonGeneral.com

“Each department knows what’s going on with each patient,” said Webb, adding Continued on page 11…

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Dr. Vassall studied medicine at Meharry Medical College in Nashville, TN. He is a board-certified obstetrician/ gynecologist who has been at Mountain View Women’s Health in Shelton since July of 2009. Dr. Vassall likes caring for pregnant women and being around babies, and really appreciates sharing in the entire birth and delivery process. He enjoys working at Mountain View Women’s Health for the excellence in quality of its office staff, out-patient services, and follow-up care. Dr. Vassall graduated from Meharry Medical College in Nashville, TN, in 1978; did his internship at Erie County Medical Center, Buffalo, NY; and his residency at SUNY, Buffalo, NY in 1985.

Mercedes Goebel, M.D. Board Certified Obstetrician/Gynecologist Mercedes Goebel, M.D., recently joined the women’s health care team at Mountain View Women’s Health and the medical staff at Mason General Hospital. She is board-certified in obstetrics and gynecology and highly qualified in all aspects of gynecological care and surgery, as well as contraceptive

Birth Center management and obstetrics. Dr. Goebel obtained her medical degree from SUNY Downstate Medical Center, New York in 2001; and completed her internship and residency at Jackson Memorial Hospital/Jackson Health System, Jackson, FL. With a special interest in adolescent female care, Dr. Goebel welcomes younger patients who may have a gender preference for their personal health issues.

Carley A. Jacobs, PA-C Board Certified Physician Assistant Carley joined the medical staff at Mountain View Women’s Health in November, 2012. She obtained a Bachelor of Science degree in biology with a Spanish language minor from Western Washington University in 2002; and in 2007 completed her Master’s degree in Physician Assistant studies at Shenandoah University, Winchester, VA. Carley worked as a certified nursing assistant (CNA) at the Cordata Healthcare and Rehabilitation Center and St. Joseph’s Hospital in Bellingham, WA in 2002; and in 2004 joined Woodstock Internal Medicine Specialists, Inc. in Woodstock, VA as a physician assistant. She is board-certified with the National Commission on Certification of Physician Assistants (NCCPA). Carley’s experience is mainly in primary care rural medicine, and she has a particular interest in women’s health and preventive medicine. She and her husband are both originally from Washington State, and have relocated to the west coast where they enjoy the rural setting.

MGH&FC 2015 medical officers elected, Chiefs of Service appointed The staff of more than 100 physicians – active, courtesy, and consulting – with privileges at Mason General Hospital & Family of Clinics recently re-elected its medical officers and appointed its Chiefs of Service for 2015. The officers include: Chief of Staff Michael Keep, M.D., board-certified in Family Practice; Assistant Chief of Staff John E. Clayton, D.O., board-certified in General Surgery, and past Chief of Staff Dean E. Gushee, M.D., boardcertified in Emergency Medicine. The clinical Chiefs of Michael Keep, M.D John E. Clayton, D.O. Dean E. Gushee, M.D. Service unit heads Board Certified Board Certified Board Certified include: Anesthesia – Deborah A. Hartley, CRNA; Medicine – Mark L. Schlauderaff, M.D.; Emergency Services – Joseph R. Hoffman, M.D.; Infant and Children’s Services – Rose Ann Rayos, M.D.; Laboratory Services – J. Michael Odell, M.D.; Nutritional Services – Douglas F. Lindahl, D.O.; Obstetrics – Alford N. Vassall, Jr., M.D.; Respiratory Therapy – Douglas F. Lindahl, D.O.; Surgery – Stephen Ou, D.O.; and Radiology – Kevin J. Roscoe, M.D.

CMYK

SCOPE 5

community Scrambled Legs and Achin’

Birth Center Hat Donations

Fourteen of the 22 members of MGH&FC’s team, Scrambled Legs and Achin’, recently gathered in MGH’s Bistro for a team photo prior to Seattle’s “Big Climb.” The Climb will take place Sunday, March 22, 2015 at the Columbia Center in downtown Seattle. This is the third year MGH&FC has entered a team. The Washington/ Alaska Chapter of the Leukemia & Lymphoma Society (LLS) hosts the annual event. All proceeds will go towards the LLS mission to cure leukemia, lymphoma, Hodgkin’s disease and myeloma, and to improve the quality of life for patients and their families.

Ladies from the “Knit and Pray” group enjoy creating unique baby hats for newborns arriving in MGH’s Birth Center, while praying for friends and family. The group meets bi-weekly at Alpine Way Retirement Center in Shelton. Some of the ladies include (l-r) Suzy Petty (founder and coordinator), Billie Howard, Marcie McKaig, Judy Wise Buckholt, Donna Fairbanks, and Mildred Starr (seated).

Nearly 6,000 people are scheduled to be a part of the challenge of climbing 69 flights of stairs in Seattle’s highest skyscraper. Participants had the choice of either running up the stairwell (in a timed race) or walking up (untimed). Someone walking will take about 20 minutes to climbed 1,311 steps (788 feet of vertical elevation) to reach the top. Each team member is asked to raise at least $100 for the climb. Last year the MGH&FC team raised more than $7,000. “This is a great team-building exercise,” said Shannon Barnhart, captain of the team and director of central registration at MGH. “We all enjoy the challenge of doing this and helping to raise money for a great cause. Preparing for the Climb also motivates you to stay healthy.” Team members in the photo include: Back row - Trevor Madison, Materials, clerk; Tom Hornburg, CIO; and Eric Moll, CEO. Middle row - Vincent Morini - Shelton Family Medicine, receptionist; Mindy Fisher, registration specialist; Pam Madison, HIM coder; Kristen Sage, Clinical Informatics; Brooke Goldsby, family member; and Team Captain Shannon Barnhart, director, Registration. Front row - Nicole Eddins, director, Pharmacy; Matt Eddins, family member; Carol Blevins, registration specialist; Sabrina Nelson, director, ED and Trauma Services; and Shelly Dunnington, senior executive assistant, Administration. Not pictured - Terri Manke, Nursing Administration house supervisor; Andrea Beman, lab assistant; and community/family members Troy Beman, Melissa Morini, Traci Francis, Amy Schultz, and Nicole Anderson. 6 S C O P E

Babies born in The Birth Center at MGH go home wearing something unique: a handmade, knitted or crocheted hat donated by members of the community.

Susan Petty, a parishioner at Saint David’s Episcopal Church in Shelton leads “Knit & Pray” – a group of ladies who meet at Alpine Way Retirement Center every other Monday to make little hats for newborns in Mason General Hospital’s Birth Center. “We knit and pray. Our prayers are usually for people on our prayer list. We started this two years ago when we took on the project of knitting baby hats for the Hospital’s Birth Center. In two years, we’ve knitted over 200 hats,” said Petty, explaining that group members buy and share the yarn they use, but each member creates her own designs. Petty said what she loves most about the project is how different each hat is, as well as the nurses’ reactions when she delivers the hats. Kathy Mix, R.N., works in The Birth Center and has been an employee at MGH&FC for nine years. She said the nurses give away about 300 hats a year, and look forward to receiving donations from other groups as well. “We really enjoy being able to offer hats to the parents of new babies. It’s great to get a selection of colors and sizes and to try and match them with donated quilts,” she said. Homemade quilts are donated by Christmas Town Quilters and Ladies of the Lake Quilters, who also crochet hats. “Parents are always pleased and surprised to receive these donations at our Birth Center. A lot of our families don’t Continued on page 11...

Service groups fulfill Christmas wish lists

Turning Pointe Domestic Violence Services This Christmas, Turning Pointe Domestic Violence Services was able to fulfill the wish lists of 22 kids, with the generous help of Mason General Hospital & Family of Clinics staff and the local community. Toys, bikes, art supplies, diapers and clothing were among the items listed. Pictured are (l-r) Sherry Donley, Turning Pointe program manager; Meghan Lucas, drive coordinator and MGH&FC development assistant; with Dena Moore and Keri McIntrye, both MGH&FC billing representatives.

MGH New Year’s Baby Fifty-eight minutes into “New Year

2015” on January 1, Olivia Lee King was born in The Birth Center at Mason General Hospital. The 2015 New Year’s Baby weighed 8 lbs., 13 oz. and was 20-½ inches long. Olivia and her parents, Cyle and Holly King, received a gift bag filled with many items, including toys, diapers, and sparkling apple cider – all made possible by The Birth Center staff, MGH&FC and MGH Foundation’s Auxiliary Gift Shop. The Gift Shop contributed to the festivities by giving a generous discount on many items for the new baby, such as baby care items and adorable toys and accessories. Helping in the celebration was Birth Center Director Kris Gaa, R.N, shown here (right) with baby Olivia and her proud parents.

DSHS Child and Family Services For the fifth straight year, DSHS Child

and Family Services Division has been the recipient of toys and items generously donated by Mason General Hospital & Family of Clinics staff and the community. Bikes, toys, books, movies and clothing were among the many items donated to 63 local children and families who provided a detailed Christmas ‘wish list’ to Child and Family Services. Shown here with some of the toys are (l-r) Annette Clevenger, DSHS; Penny Nielsen, MGH&FC volunteer; and MGH&FC staff members Keri McIntrye, billing rep; Meghan Lucas, drive coordinator and MGH&FC development assistant; Dena Moore, MGH&FC billing rep; and Sherry Curtis, MGH&FC education coordinator.

The Mason Vision We put patients first. We provide quality medical care to assist the individuals of our community to restore and preserve their health. We conserve patient and community resources through a sustainable, financially viable, coordinated system of health care delivery. SCOPE 7

community Hospital and local area offer a wide range of community support groups Joining a support or service group can be a very empowering way

Bereavement Support Group (Providence Sound Home Care) meets the first and third Tuesday of the month from 1:30 to 3 p.m. at the Shelton Health and Rehabilitation Center – contact Barb at (360) 493-4667. Cancer Support Group meets the second Sunday of the month from 10 to 11 a.m. at Faith Lutheran Church, 1212 Connection St. in Shelton – contact Faith Lutheran Church at (360) 426-8611. MGH&FC Allyn Diabetes Support Group meets the fourth Support and Service Groups meeting on a regular basis at Mason Thursday of the month (except July and August) from 1 to 2 p.m. in General Hospital include: MGHF Auxiliary, which meets the second the Port of Allyn Building’s downstairs meeting room – contact Sue at Monday of each month at 12 p.m. in the Ellinor Room – contact (360) 427-7332. For the Domestic Violence Support Group contact Connie at (360) 426-4070. MGH&FC Cancer Support Group, open Turning Pointe for a prescreening appointment at (360) 432-1212 or to anyone affected by cancer, including caregivers, meets every (877) 923-1212. Grief and Loss meets the second Wednesday of each third Monday of the month from 6 to 7:30 p.m. in the Pershing month at the Alpine Way Continuing Care Community, 900 W. Alpine Room – contact Karry at (360) 432-7706. MGH&FC Shelton Diabetes Way in Shelton from 10:30 to 11:30 a.m. – contact Kathy at (360) Support Group meets the third Thursday of the month (except 426-2600. MOPS (Mothers of Preschoolers) welcomes all mothers July and August) from 1 to 2 p.m. in the Pershing Room – contact and children from birth to age 5 (child care provided) to meet on the Sue at (360) 427-7332. Narcotics Anonymous meets every Friday first and third Tuesday of the month at First Baptist Church, 428 W and Saturday at 6 p.m. – call (360) 754-4433 for more information. Cota St. in Shelton from 9:30 to 11 a.m., Sept through May only – call Overeaters Anonymous meets every Thursday from 5:30 to 6:30 (360) 426-8461 for further information. For the National Alliance on p.m. at MGH, and every Saturday from 10 to 11 a.m. at Saint David’s Mental Illness call (360) 493-6021, or the 24-hour hotline at (360) 866Church, 324 W. Cedar Street in Shelton – call Lori at (360) 970-8249 0403. For Parenting and Baby Sitting Classes call the American Red for more information. Prostate Cancer Awareness & Support Cross at (360) 352-8575 or visit www.rainier.redcross.org. Parkinson’s Group for Men and Significant Others meets the last Monday of Support Group meets the second Tuesday of every month at Alpine every month from 7 to 8:30 p.m. at MGH, and every second Tuesday Way Continuing Care Community, of the month at Olympic Bakery, 900 W. Alpine Way in Shelton from Spencer Lake in Shelton from 10 12:30 to 3 p.m. – call Kathy at (360) to 11:30 a.m. (except on Holiday 426-2600. For Reach to Recovery weekends) – contact Bill at call the American Cancer Society at (360) 426-2486 for further (800) 227-2345 for a referral. Shelton information. Neuropathy Support Group meets Thank Additional local area Support Groups on the first Thursday of each month You! include: AARP Driver Safety, with at 10 a.m. at the Shelton Library – classes meeting at different times contact Mary Ann at (360) 480-9480. and locations in Mason County For the Teen Sexual Assault Survivor National – visit www.aarpdriversafety.org Support Group call Margaret at (360) Volunteer Week for current classes. Alcoholics 426-6925 to sign up, or the Shelton is April 12-18. Anonymous meetings are held High School Counselor’s office at throughout the Mason County (360) 426-4471 (free and confidential). area, for a current list of locations TOPS 1402 meets every Monday at and times call Patient Resources at 9 a.m. at Harstine Island Community (360) 427-9544, or call (360) 352Mason General Hospital & Family of Clinics knows the value Hall, 3371 E Harstine Island Road N. of its Volunteers, who help to maintain excellence in patient7344, or visit http://www.area72aa. in Shelton – contact Marlene at (360) centered care with the valued tasks they perform every day. org/. Alzheimer’s Support Group 427-3873. Weight Watchers meets As part of this nationwide celebration, MGH&FC recognizes and (Shelton) meets the second every Tuesday at the Pavilion Senior honors all of our Volunteers. Thursday of each month at 10:30 Center in Shelton – weigh-in at 11:45 a.m. at Alpine Way Continuing Care a.m. for meeting at 12:15 – contact Community, 900 W. Alpine Way – Pat at (360) 229-9439. contact Kathy at (360) 426-2600. Continued on page 11... to deal with a chronic condition, help you through a difficult time, and meet people with similar challenges. Mason General Hospital & Family of Clinics extends its outreach by offering and endorsing community support groups that meet regularly at the Hospital and in surrounding areas.

We appreciate our valuable Volunteers!

8 S C O P E

news briefs MGHF’s Auxiliary Gift Shop

2015 from 1 to 2 p.m. in the Port of Allyn building’s downstairs meeting room.

MGHF’s Auxiliary Gift Shop at MGH is open for your Easter and Mother’s Day gift-giving needs. New location… new merchandise weekly… new everything! Also for sale is Carolyn Maddux’s book, Care: A Hospital for Mason County.

The guest speaker is Jan Weatherly, R.D., C.D.E., retired diabetes educator of 27 years with the Washington State Department of Health, and former president of both the American Association of Diabetes Educators and the Washington Association of Diabetes Educators. She is currently vice District C governor of the Lions Club, whose signature program is ‘Sight Preservation,’ and she will be discussing the many sight-enhancing programs the Lions Club engages in, globally and locally.

2015 Board of Commissioners Public Hospital District No.1, the governing body of Mason General Hospital & Family of Clinics – MGH Ankle & Foot, MGH Eye Clinic, Nancy MGH Family Health, MGH Trucksess Hoodsport Family Clinic, MGH Mountain View Women’s Health, MGH Oakland Bay Pediatrics, MGH Olympic Physicians, MGH Shelton Family Medicine, MGH Shelton Orthopedics, and MGH Surgery Clinic announced its officers on the Board of Commissioners for 2015. Nancy Trucksess, Shelton, was elected president of the threeperson board; Scott Hilburn, Shelton, is secretary; and Don Wilson, Potlatch, is a trustee. The Board of Commissioners meets at 8 a.m. in the Ellinor Room at Mason General Hospital every second and fourth Tuesday of the month (except holidays).

“Vision: Our Window to the World” - March topic for Diabetes Support Groups Maximum eye health is very important in diabetes self-management, and maintaining good vision is vital to preventing serious complications that will hinder a healthy, independent lifestyle. “Vision: Our Window to the World” is the topic of the next MGFH&FC Diabetes Support Group meeting. The Shelton Group will meet on Thursday, March 19, 2015 from 1 to 2 p.m. in the Washington Meeting Room at Mason General Hospital; and the Allyn Group will meet on Thursday, March 26,

The Shelton and Allyn Diabetes Support Groups are affiliated with the American

Diabetes Association. The Shelton Group meets every third Thursday of the month and the Allyn Group meets every fourth Thursday of the month from September to June. The classes are free and open to people with type 1 and 2 diabetes, their friends, and family. For more information call Sue Barwick, R.N., C.D.E. at (360) 4277332 (from Allyn (360) 275-8614, and ask for the Diabetes Wellness Center).

Classes & support groups “Living Well With Diabetes” class in April A two-day class in diabetes self-management. When: Tuesday and Wednesday, April 14 & 15, 2015 from 12:30 to 4:30 p.m. Where: Pershing Meeting Room at Mason General Hospital. Registration: Pre-requisite: diabetes education, and advanced registration is required by calling Sue Barwick, R.N., C.D.E., at (360) 426-1611, ext. 28941 (from Allyn (360) 275-8614, ext. 28941). Note: There is a fee for this class, however, diabetes education is a covered service under most insurance plans.

First Aid/CPR/AED courses offered in April, May and June The First Aid/CPR/AED course size is limited to 16 per class, and an early, nonrefundable registration fee of $35 (exact cash or check) is required to cover the cost of books and materials. It is open to the entire community and a Spanish interpreter can be made available upon request. Comfortable clothing is recommended. When: Thursday evening, April 9, May 14 or June 11, 2015 from 5 to 9 p.m. Where: MGH&FC Learning Center, next to McDonald’s on Olympic Highway North. Registration: Advanced registration is required by the first Monday of the month by calling the Learning Center at (360) 427-3609.

Cancer Support Group Mason General Hospital and Harmony Hill are co-sponsoring a Cancer Support Group for anyone who has been affected by a cancer diagnosis, including caregivers. These sessions will be held on the 3rd Monday of each month (except March) and will be facilitated by Ronnie Hacken, MA, LMFT, a cancer retreat facilitator at Harmony Hill. The next Support Group meetings are scheduled for Monday, March 30 and Monday, April 20, 2015 from 6 to 7:30 p.m. in the Pershing Room at MGH. Please enter through the Main (south) Entrance. For more information call Karry Trout, Patient Navigator, at (360) 432-7706. SCOPE 9

Thank you for all you do! In honor of

Doctor’s Day

We put patients first.

March 30 we’d like to publicly thank:

Anesthesiology v Robert Anderson, CRNA v JoVanna Eisenbarth, CRNA v Deborah A. Hartley, CRNA Cardiology Philip W. Berger, D.O. v William P. Brennan, M.D. James F. Clifton, M.D. William A. Gavin, M.D. J. Gregg Julin, M.D. Richard P. Kennedy, M.D. Qiang Li, M.D. Harton S. Smith, M.D. John W. Waggoner, M.D. Robert S. Wark, M.D. v Craig J. Wehrli, M.D. v Scott Werden, M.D. Christopher L. Wolfe, M.D.

Emergency Medicine v Roy G. Belville, M.D. v Carola E. Bonfante, M.D. v Dean E. Gushee, M.D. v John W. Hautala, M.D. v Joseph R. Hoffman, M.D. v Marc Reiswig, M.D. v John P. Short, M.D. v Mary Colleen Tran, D.O.

v Rosemary Spyhalsky, ARNP v Hilary Walker, ARNP v Timothy J. Weber, M.D.

Family Practice v Lucinda Boudreau, PA-C v John V. Butler, M.D. v Resa Delany, PA-C v Lisa Dell, PA-C v Douglas Dightman, M.D. v Margene Fields, ARNP v KC Graham, PA-C v Katie Hackney, PA-C v Rebecca Hendryx, M.D. v Michael Keep, M.D. v Allen L. Millard, III, M.D. v Jennifer Nelson, ARNP v Christopher W. Penoyar, D.O. v Payal K. Shah, M.D.

General Surgery v John Clayton, D.O. David M. Deitz, M.D. v William D. Neal, M.D. David F. Tollefson, M.D. Todd Woltman, M.D.

Gastroenterology v Harpreet S. Brar, M.D. v Kathryne A. Wagner, M.D. v Meimin Xie, M.D. v Kristine Zhang, M.D.

Hospitalists v Thordur S. Agustsson, M.D. v David Anderson,CMYK M.D. v Edward Gacek, M.D. v Douglas F. Lindahl, D.O. v Thomas Prieskorn, PA-C v Yong Ki Shin, M.D.

Internal Medicine v Elena Olson, M.D. v Rachel A. Reeg, M.D. v Mark L. Schlauderaff, M.D. Obstetrics & Gynecology v Mercedes Goebel, M.D. v Carley A. Jacobs, PA-C v Alford N. Vassall, Jr., M.D. Oncology Maury Blitman, M.D. Ronald S. Goldberg, M.D. Steven J. Gorton, M.D. Harry S. Griffith, III, M.D. Michael Harris, M.D. v Min Kang, M.D. James J. Lechner, M.D. Paul A. Robertson, M.D. Xiang Sui, M.D. Hui Wang, M.D. v Linli Xuan, M.D. v Joseph Ye, M.D.

Ophthalmology v Jenni Aaseby, O.D. v Monica Vuong, M.D. Orthopedic Surgery v Michael Henry, M.D. v Stephen Ou, D.O. Pathology Francois Cady, M.D. Dominique Coco, M.D. Nisreen Fidda, M.D. Jeffrey Freed, M.D. Kevin B. Long, M.D. Jay M. Odell, M.D. Richard Whitten, M.D. Pediatrics v Therese Pizanti, ARNP v Rose Ann Rayos, M.D. v Binod Tuladhar, M.D. Podiatric Medicine Terrence E. Hess, D.P.M. v John V. Rice, D.P.M. v James A. Wright, D.P.M.

Pulmonology v Robert L. Huck, M.D. Austin C. Lampert, M.D. v Richard Redman, M.D. Radiology v Lawrence N. Bennett, M.D. v James G. Bonifield, M.D. Alireza Bozorgmanesh, M.D. v Tal Delman, M.D. v Gordon G. S. Dhanda, M.D. Mihai F. lancu, M.D. v Thomas J. Luetkehans, M.D. v Rodney S. Matsubara, M.D. David B. Mitchell, M.D. v Tremont V. Parrino, M.D. v Kevin J. Reed, M.D. v Kevin Roscoe, M.D. v Charles Hao Shen, M.D. v Navneet K. Singha, M.D. v David Stagnone, M.D. v Andrew R. Taylor, M.D. v Ian D. Timms, M.D. v Evert-Jan Verschuyl, M.D. v Lisa Vu, M.D. v With office hours in Shelton Doctors’ listing effective March 6, 2015

Mason General Hospital 901 Mountain View Drive Shelton, WA 98584 Michael Keep, M.D. MGH Medical Chief-of-Staff

John E. Clayton, D.O. MGH Medical Asst. Chief-of-Staff

Dean E. Gushee, M.D. MGH Medical Past Chief-of-Staff

The Mason Vision

Shelton: (360) 426-1611, Allyn (360) 275-8614 Toll Free: (855) 880-3201 • TTY/TDD (360) 427-9593 Equal Opportunity Provider Translation Services Provided/Se habla español

We put patients first. We provide quality medical care to assist the individuals of our community to restore and preserve their health. We conserve patient and community resources through a sustainable, financially viable, coordinated system of health care delivery.

Do a Physician search at www.MasonGeneral.com

Save the date!

Mason General Hospital & Family of Clinics Week CMYK

Celebration – May 10 -16, 2015

10 14 SSCCOOPPEE

Care Coordination continued from page 2...

at any time. The goal is to work collaboratively with the patient and their doctor. For additional information about this program please contact, Director of Care Coordination Services for MGH&FC, Terri Gushee, R.N., at (360) 426-6473, between the hours of 9 a.m. – 5 p.m., Monday – Friday, or via email at tgushee@masongeneral.com. Mason General Hospital & Family of Clinics is located at 901 Mountain View Drive, Shelton, Washington 98584. For general information on ACOs, call 1 (800) MEDICARE (1-800-633-4227) 24 hours a day, 7 days a week. TTY/TDD users should call 1(800) 486-2048.

Hat donations continued from page 6... have many resources themselves, so it’s great to give them a handmade ensemble to go home with,” said Mix. Petty went on to say that some hats have flowers or pom poms on them, and some are red and green for Christmas or red and white for Valentine’s Day. The group uses only acrylic yarn, in case a baby has an allergy to wool. “We have a lot of fun and we’ll continue to knit until the Hospital says they don’t need any more hats,” said Petty, adding that anyone is welcome to join the project. “I appreciate whoever wants to make hats,” she said.

Support groups continued from page 8...

Women’s Services

*Please note: These groups are regularly updated on the MGH&FC website at www.masongeneral.com, but meeting dates and times may change, so please contact the group directly to verify dates, times, and locations.

that “Women can expect quality care at Mountain View Women’s Health because the staff is supportive and works to make sure the patient is priority number one”.

The Patient Resources Department at Mason General Hospital has information on many more support and self-help groups in Mason & Thurston County available by calling (360) 427-9544. The Crisis Clinic also has a comprehensive listing of services available with information at (360) 586-2800.

continued from page 4...

One patient commented, “My concerns are always addressed and I don’t have to wait too long for my questions to be answered. Follow-up is great too, and my provider always calls to make sure I’m okay.” “Being a rural clinic doesn’t mean we have to offer a lesser quality of service; but we have to do it right – and our goal is to do it better,” said Rohlik. She offered an example of a woman scheduled for a C-section who had significant other health concerns. “Misti and I were in contact about her needs for over a month. We collaborated with all departments to make sure her delivery went smoothly,” she said. While delivering babies is only one service they provide, a good birthing experience for patients is a priority. “We have a goal, and we are working towards it – and the birth rate at MGH is picking up. We are constantly asking our patients, ‘Why would you choose to have your baby elsewhere?’ We ask this question because we want to know why women would go out of the area for delivery. It is important for us to listen to their needs and then make adjustments,” Rohlik said. Personalized Birthing Plans, which can include a variety of pain management options for labor and delivery, are a standard part of prenatal care at MVWH. For more information about Women’s Services at Mountain View Women’s Health, call (360) 426-0995 or visit them online at www.masongeneral.com.

Safety

and comfort...

Low-dose CT Scan is here! Our new, low-dose CT Scanner brings comfort and safety to you and your family with state-of-the-art technology. The Scanner has 50% less radiation exposure and large patient capacity – scanning patients who weigh as much as 660 lbs. This Scanner is the only large opening, large detector CT in Western Washington. For advanced technology have your health care provider refer you to MGH’s Diagnostic Imaging Department. Now accepting referrals from all providers. To make an appointment call (360) 427-9590.

S C O P E 11

hola Las pruebas del AND en las heces se cubren por Medicare

Cologuard, una prueba de revisión para el cáncer colorrectal que detecta las mutaciones del AND que podrían ser cancerosas o pre-cancerosas en las heces, fue aprobada por la Food and Drug Administration en Agosto, 2014. La prueba cuesta de $500 a $600, pero se cubrirá por Medicare, Medicaid y la mayoría de los seguros privados. Los estudios han encontrado que esta prueba es mucho más sensible que la prueba tradicional de la sangre oculta en las heces. Cologuard detectó el 92 por ciento de los canceres colorrectales y 42 por ciento de los pólipos grandes se consideraron probables de llegar a ser cancerosos (comparado con los 74 por ciento y 24 por ciento por FBOT). . [SOURCE: Michelle Andrews, “Government streamlining Medicare coverage for cancer test,” Kaiser Health News, August 18, 2014]

El desprendimiento de retina se vincula con ciertos antibióticos

Los antibióticos tales como la ciprofloxacina, la levofloxacina y la norfloxacina (conocidas como las fluoroquinolonas) se vincularon al desprendimiento de retina en un estudio de caso control que se publicó en el Journal of

the American Medical Association +[2012]. El estudio encontró que los usuarios actuales, pero no los pasados, de las fluoroquinolonas eran 4.5 veces más probables que los no usuarios para desarrollar el desprendimiento de retina. Los estudios previos encontraron que estos antibióticos que se usaban frecuentemente se asociaban con la rotura del tendón Aquiles y otros problemas involucrando el colágeno y los tejidos conectivos. Los ojos contienen ambos el colágeno y los tejidos conectivos. [SOURCE: David A. Johnson, M.D., “Fluoroquinolones and retinal detachment: see no evil?” Medscape Gastroenterology, April 16, 2012; Laird Harrison, “Fluoroquinolones linked to retinal detachments,” Medscape, April 3, 2012]

El cáncer colorrectal está bajando en los E.E.U.U.

Cuando se esté comiendo o un cereal

caliente o uno ya listo para comer, agregue un poco de fruta fresca en lugar de alcanzar al tazón de azúcar. Los plátanos son particularmente buenos porque son naturalmente dulces, altos en potasio (lo que es bueno para los músculos que están trabajando y para la presión sanguínea) y son uno de los mejores recursos del almidón resistente, lo que le hace sentir lleno durante más tiempo. Algunos creen que el almidón resistente también estimula los mecanismos para quemar grasa en su cuerpo. Los plátanos que tienen un toque de verde en la piel son especialmente altos en el almidón resistente.

[SOURCE: “The 20 best foods to eat for breakfast,” Health, 2014]

Gracias a las revisiones con la colonoscopia

y otros exámenes, ambas las incidencias y la mortalidad del cáncer colorrectal han bajado constantemente desde el 2001. La bajada de las incidencias tienen un promedio de 3,4 por ciento al año; la bajada en las muertes, 3,0 por ciento al año. Las bajadas más grandes han sido entre los americanos de las edades de 65 y mayor quienes tienen las tasas de revisiones más altas. Medicare ha cubierto las revisiones de la colonoscopia desde el 2001.

[SOURCE: Zosia Chustecka, “Dramatic decline in CRC in US attributed to colonoscopy,” Medscape Medical Nerws, March 20, 2014 (CA Cancer Journal for Clinicians, March 17, 2014)]

a or ble Ah oni Accede a sus historiales por internet sp Di

Desde Cualquier Lugar

Haz Clic Aquí

con facilidad y conveniencia. Para más información visite a MyMasonHealth.org. Para hacer preguntas acerca de la inscripción o para hacer preguntas generales con respecto al portal de pacientes, favor de enviar un correo electrónico al patientportal@masongeneral.com. Para hacer preguntas técnicas favor de llamar al (877) 621-8014 entre las 8 de la mañana y las 8 de la noche, Hora Estándar del Este, lunes - viernes (excepto las fiestas). 12 SSCCOOPPEE

Tome un plátano con su cereal

Como investigar y comparar los planes para usted y su familia. En MGH&FC, queremos que usted tenga suficiente cobertura. Así que antes de registrase para un plan de salud, favor de comunicarse con Susana Lopez, Patient Accounts Office, al (360) 427-3635. Para más información visite a: www.masongeneral.com y haga clic en Healthplanfinder. Washington Healthplanfinder Parte del Plan de Seguro Médico Asequible

ital y Familia de Clín p s o H l icas nera

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Exámenes de Mamografía Digitales Gratis

GRATIS

Para las primeras 50 mujeres que califiquen y que o no tengan seguro de salud o que no tengan suficiente seguro. Para información llame al (360) 432-7706.

❥ Masajes Breves ❥ Pruebas de Diabetes ❥ Salud Cardiaca

¿Necesita Seguro de Salud?

❥ Servicios Nutricionales ❥ Información sobre el VPH ❥ Refrigerio Saludable

¿No puede venir – pero necesita ayuda? Llame a Lee Ayers, supervisor de proyectos, al (360) 432-7766, o comuníquese por correo electrónico al: layers@masongeneral.com.

PATROCINADO POR Mason General Hospital • 901 Mountain View Drive • PO Box 1668, Shelton, WA 98584 • Shelton (360) 426-1611, de Allyn (360) 275-8614 • Sin cargo (855) 880-3201 • TTY/TDD (360) 427-9593 www.MasonGeneral.com • Se Ofrece Igualdad de Oportunidades • Servicios de Traducción Provistos • Se habla español • Aprobado por la Comisión Conjunta del Cuidado de Salud ¡El Hospital Más Conectado Tecnológicamente durante siete años consecutivos! S C O P E 13

giving MGH Foundation contributors memorialized Mason General Hospital Foundation would like to acknowledge former contributors. Listed below are supporters, now deceased, the Foundation would like to recognize for their past support of our mission and work in the community. Please join us in acknowledging their support of the Foundation during their lifetimes. Nancy Burgess William S. McGee James Hill Joseph Moody

Memorial contributions made to MGH Foundation

Save the date for the Annual

MGHF

“Quality Care” Golf Tournament Friday, June 26, 2015 Alderbrook Golf & Yacht Club. All proceeds benefit MGH Foundation. For more information call (360) 427-3623 or go to www.MasonGeneral.com

Flashes have other causes

Perceived flashes of light in the field of vision and/or recent onset of floaters are two major symptoms of retinal tears and detachment. Some flashes, however, are not caused by retina problems.

A patient with migraine often experiences visual disturbances, such as a poorly formed pattern of lights or jagged lines and colors. These may occur with or without a headache. Migraine flashes tend to occur in both eyes whereas retinal flashes occur only on the eye affected by retinal detachment or tear.

Mason General Hospital Foundation has received generous donations in memory of the individuals listed below. Donors and memorialized individuals listed in this report reflect contributions made to the Foundation between November 7, 2014 and January 31, 2015.

[SOURCE: Laurie Barclay, “Floaters and/or flashes may warn of retinal tear and detachment,” Medscape Medical News, December 9, 2009]

Patricia I. Gregg In Memory of: Charles Gregg

Antibiotics such as ciprofloxacin, levofloxacin and norfloxacin (known as fluoroquinolones)

Donna J. Sund In Memory of: Jane Sund

Please be advised that every effort has been made to ensure the integrity of this listing. If we have inadvertently omitted any names, please accept our apologies and most sincere thanks for your generosity and continued support of Mason General Hospital Foundation.

We are proud to be a

Tobacco-Free facility. Please – no smoking or chewing tobacco on our campus. Thank you!

14 SSCCOOPPEE 14

Other possible causes of flashes include seizures and postural hypotension – low blood pressure caused by rising too quickly from a seated or lying position.

Retinal detachment linked to certain antibiotics

were linked to retinal detachment in a case control study published in the Journal of the American Medical Association +[2012]. The study found that current, but not past, users of fluoroquinolones were 4.5 times more likely than non-users to develop retinal detachment. Previous studies found that these commonly used antibiotics were associated with rupture of the Achilles tendon and other problems involving collagen and connective tissue. The eye contains both collagen and connective tissue.

How to research & compare plans for yourself and your family.

[SOURCE: David A. Johnson, M.D., “Fluoroquinolones and retinal detachment: see no evil?” Medscape Gastroenterology, April 16, 2012; Laird Harrison, “Fluoroquinolones linked to retinal detachments,” Medscape, April 3, 2012]

At MGH&FC, we want you to be well-covered. So before registering for a health plan, please contact Lee Ayers, project supervisor at MGH&FC at (360) 432-7766, or email him at layers@masongeneral.com. For more information go to: www.masongeneral.com & click on Healthplanfinder.

Washington Healthplanfinder A part of the Affordable Healthcare Plan

Please…

use the enclosed envelope to make your tax-deductible donation to help support MGH&FC. To make a secured donation online go to www.MasonGeneral.com.

Save the date…

November 18 – 21, 2015

Fantasy Forest

at the beautiful Alderbrook Resort & Spa in Union.

2015

Centennial Guild’s * *

Goldsborough Creek Run & Walk * Saturday, May 30, 2015 7-mile Walk or Run 2-mile Walk or Run Quarter-mile Junior Jog

GROUP Run INDIVIDUAL Run

TER S I REG AY! TOD Family Run

Register by May 12 to save Competitive runners invited Timed event Have fun with family & friends and at the same time support MGH&FC! Title Sponsor: Regence BlueShield All proceeds benefit MGH&FC Register at Active.com for Centennial Guild’s Goldsborough Creek Run/Walk *A Mason County Forest Festival Association Event ** A Chapter of MGH Foundation S C O P E 15

CMYK

ECRWSS POSTAL CUSTOMER

Commercial low-fat foods usually have higher levels of sugar to keep you coming back for more. This combination of low fat and high sugar plus a cup of coffee is almost certain to mess with your blood sugar and make you hungry by mid morning.

A Emergency Entrance B Main Entrance 1 MGH Mountain View Women’s Health 2 MGH Eye Clinic

3 MGH Shelton Family Medicine 4 MGH Shelton Orthopedics 5 MGH Ankle & Foot 6 MGH Family Health

101

7 MGH Surgery Clinic 8 MGH Oakland Bay Pediatrics 9 MGH Olympic Physicians 10 MGH Hoodsport Family Clinic

Noon • Main • 8 a.m. to (Sou 5 1 0 th) E ,2 6 1 ntr y a an M ce , y a of d r M tu

FREE

[SOURCE: Traci D. Mitchell, “5 best and worst breakfasts for burning belly fat,” Get Fit Chicago, February 16, 2014]

119 Lake Cushman Rd

l & Family of C l Hospita linic a r e s pr n e G ese n o nt s s Ma

Does low fat equal high sugar?

Hoodsport

lton

Published by: Mason General Hospital & Family of Clinics. Published six times per year. Editor: McCarty & Associates, Inc. “a marketing firm”. Business Office: Office hours: 8 a.m. – 5:30 p.m., Monday – Friday. Spanish Translator Available. Located at Gateway Center, 2505 Olympic Hwy N., Suite 460, (360) 427-9547 Mason General Hospital: Visiting hours: 8 a.m. – 8:30 p.m., daily. Intensive Care Unit (ICU) visiting hours: special hours on a patient-by-patient basis, call for Unit hours. Located at: 901 Mtn. View Drive, PO Box 1668, Shelton, WA 98584-5001, (360) 426-1611, from Allyn (360) 275-8614, Toll free (855) 880-3201, CMYK TTY/TDD (360) 427-9593. Serving the medical needs of Mason County since 1968. Accredited by The Joint Commission. Translation Services Provided. Se habla español. Equal Opportunity Provider. Administration: Eric Moll, chief executive officer; Micheal Keep, M.D., chief of staff; Nancy Trucksess, commissioner/president; Scott Hilburn and Don Wilson, commissioners.

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Shelton

The Mason Vision: We put patients first. We provide quality medical care to assist the individuals of our community to restore and preserve their health. We conserve patient and community resources through a sustainable, financially viable, coordinated system of health care delivery.

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901 Mountain View Drive Shelton, WA 98584

NONPROFIT ORG U S POSTAGE PAID APEX MAILING SERVICES INC

If you want an egg for breakfast...

If you’d like to have an egg with whole grain toast for breakfast, go for it. It’s a healthy choice.

Concern about the cholesterol content (212 milligrams per egg) has haunted health conscious egg lovers for decades, but the American Heart Association says that healthy persons can eat one egg a day without worry. Eggs are also good for weight control. A study that compared overweight women eating either two eggs or a bagel for breakfast (identical in volume and calories) found that egg eaters lost 65 percent more weight, had 83 percent greater loss of waist circumference and had higher energy levels. There was no significant difference between the two groups in total cholesterol or triglycerides. [SOURCE: Kathleen M. Zelman, MPH, RD, LD, “The many benefits of breakfast,” WebMD Archive, reviewed by Louise Chang, M.D., August 29, 2007]

Free Digital Mammogram Screenings ❥ Mini-Massages

to the first 50 women who qualify that are uninsured or underinsured. For information call (360) 432-7706.

❥ Diabetes Testing ❥ Nutritional Services ❥ Cardiac Health ❥ Information on HPV ❥ Healthy Refreshments

Need Health Insurance? Can’t come – but need help finding a health plan? Call Lee Ayers, project supervisor, at (360) 432-7766 or email: layers@masongeneral.com.