categories:
Body

FOR IMMEDIATE RELEASE
June 20, 2019

REDMOND, Ore. – St. Charles Health System leaders have identified July 13 as the official closing date for the St. Charles Redmond Family Birthing Center.

“Our new OB hospitalist program will be up and running in Bend in early June and we feel confident we’ll have the necessary services in place to care for moms and babies in Bend and Madras by July 13,” said Iman Simmons, chief operating officer for St. Charles. “The team has worked hard on transition plans to ensure the closure is smooth for patients and families.”

C-sections will be scheduled in Redmond through July 10 and laboring moms will be admitted and evaluated up until 12:01 a.m. on July 12 – to ensure enough time for recovery post-delivery.

St. Charles leaders made the difficult decision last fall to close the Redmond FBC after a task force of experts spent nearly a year evaluating options for birthing services throughout the region. The Redmond FBC has 12 beds and an average of 1.5 births per day. Last year, 49 newborns were transferred from Redmond to Bend because they needed a higher level of care. This decision will reduce the need for risky neonatal transports.

“St. Charles continues to focus on ensuring access to safe, high quality care throughout the entire region we serve while maintaining the long-term viability of the health system well into the future,” said Aaron Adams, president of St. Charles Bend and Redmond. “While we are consolidating birthing services, we remain committed to the Redmond community. Currently, we are expanding cancer and women’s services in Redmond and will conduct our first robotic surgeries in Redmond this week. We anticipate additional investments in the community in the future.”

In addition to the new OB hospitalist program, St. Charles is also building its certified nurse midwifery group and is offering outpatient midwifery appointments for patients at clinics throughout Central Oregon.

About St. Charles Health System
St. Charles Health System, Inc., headquartered in Bend, Ore., owns and operates St. Charles Bend, Madras, Prineville and Redmond. It also owns family care clinics in Bend, Madras, Prineville, Redmond, Sisters and La Pine. St. Charles is a private, not-for-profit Oregon corporation and is the largest employer in Central Oregon with more than 4,200 caregivers. In addition, there are more than 350 active medical staff members and nearly 200 visiting medical staff members who partner with the health system to provide a wide range of care and service to our communities.

###

Share
topics in this article
categories:
Body

Last week, paramedics from Redmond Fire & Rescue and caregivers from the St. Charles Redmond Emergency Department gathered together for joint training on precipitous baby deliveries – meaning the baby is born within three hours of the onset of regular contractions.

On an early Wednesday morning, four Redmond Fire paramedics worked in tandem around a “pregnant” mannequin, learning processes and procedures from Meggen Ditmore, an RN in the Redmond Family Birthing Center, and Candy Peplin, an RN and neonatal transport specialist at St. Charles Bend.

The two nurses would call out conditions for “mother” and “baby,” setting off a flurry of activity among the paramedics. As conditions changed, so did the response.

The hands-on simulation is the result of months of work by nurses from the Redmond Emergency Department and Family Birthing Center, Respiratory Therapy and the Clinical Practice Professional Development team, with guidance from their leadership, Redmond ED Nurse Manager Amy Leath and Redmond FBC Nurse Manager Melissa Smith, and in partnership with Doug Kelly, chief of Redmond Fire’s EMS division. The idea was twofold: To ensure practices are aligned across various agencies, and also to create a culture in which emergency responders in the community are learning and growing together, Leath said.

“With the closure of the Redmond FBC (on July 13), we wanted to make sure our community is safe and all taken care of, but we also wanted to align our care. So (Redmond Fire) is getting a large portion of the education that we’re providing to our ED nurses,” she said.

Kelly said Redmond Fire has trained with St. Charles in the past, usually to prepare for a mass casualty event. This was the first time the groups got together for something more medical in nature, he said, and the benefit goes far beyond just the paramedics in his department.

"It's a good thing for the community because we always want to be prepared to handle any kind of emergency, and now the likelihood of a precipitous delivery may increase with the closure," Kelly said. "So our people will be freshly trained on it, and that's really the goal whether it's childbirth or trauma or cardiac arrest. We want to be able to do the job safely, effectively and also efficiently." 

Plans for the joint training were in the works well before the FBC closure was announced, Leath said, because emergent deliveries are a possibility regardless of the status of nearby facilities.

“There’s always the potential (of this happening) in the field, in our parking lot, in our waiting room,” she said. “We want to prepare our nurses in case a delivery does happen in our ED, so this is really just providing the education on those high-level things they need to know, even to recognize that this is going to be a precipitous delivery.”

Going forward, agencies in Redmond plan to meet regularly to talk through various cases and situations, and also work toward training in other areas of care, as well, Leath said.

“This was our first big piece that we bit off,” she said. “Our vision is to start doing more of this and to support our community partners in helping to provide care to our patients.” 

Share
topics in this article
categories:
Body

FOR IMMEDIATE RELEASE
June 12, 2019

St. Charles Bend recognized for its commitment to quality stroke care

BEND, Ore. – St. Charles Bend has received an award from the American Heart Association/American Stroke Association recognizing its commitment to ensuring stroke patients receive treatment according to nationally recognized, research-based guidelines based on the latest scientific evidence.

The hospital earned the Stroke Gold Plus Quality Achievement Award by meeting specific quality achievement measures for the diagnosis and treatment of stroke patients at a set level for a designated period.

These measures include evaluation of the proper use of medications and other stroke treatments aligned with the most up-to-date, evidence-based guidelines with the goal of speeding recovery and reducing death and disability for stroke patients. Before discharge, patients should also receive education on managing their health, get a follow-up visit scheduled, as well as other care transition interventions.

Additionally, St. Charles Bend received the Target: StrokeSM Honor Roll award. To qualify for this recognition, hospitals must meet quality measures developed to reduce the time between the patient’s arrival at the hospital and treatment with the clot-buster tissue plasminogen activator, or tPA, the only drug approved by the U.S. Food and Drug Administration to treat ischemic stroke.

“We are pleased to recognize St. Charles Bend for its commitment to stroke care,” said Dr. Lee H. Schwamm, national chairperson of the Quality Oversight Committee and executive vice chair of neurology, director of acute stroke services, at Massachusetts General Hospital in Boston. “Research has shown that hospitals adhering to clinical measures through the Get With The Guidelines quality improvement initiative can often see fewer readmissions and lower mortality rates.”

According to the American Heart Association/American Stroke Association, stroke is the No. 5 cause of death and a leading cause of adult disability in the United States. On average, someone in the U.S. suffers a stroke every 40 seconds and nearly 795,000 people suffer a new or recurrent stroke each year.

About St. Charles Health System
St. Charles Health System, Inc., headquartered in Bend, Ore., owns and operates St. Charles Bend, Madras, Prineville and Redmond. It also owns family care clinics in Bend, Madras, Prineville, Redmond, Sisters and La Pine. St. Charles is a private, not-for-profit Oregon corporation and is the largest employer in Central Oregon with more than 4,200 caregivers. In addition, there are more than 350 active medical staff members and nearly 200 visiting medical staff members who partner with the health system to provide a wide range of care and service to our communities.

About Get With The Guidelines®
Get With The Guidelines® is the American Heart Association/American Stroke Association’s hospital-based quality improvement program that provides hospitals with tools and resources to increase adherence to the latest research-based guidelines. Developed with the goal of saving lives and hastening recovery, Get With The Guidelines has touched the lives of more than 6 million patients since 2001. For more information, visit heart.org.

###

Share
topics in this article
categories:
Body

"LGBTQ pride is an exciting and important month to promote self-affirmation, increase awareness within our community and to celebrate everyone living their best authentic lives. As a member of the LGBTQ community and co-lead of St. Charles’ SOGI workgroup, I am extra proud of St. Charles for taking a closer look at how we deliver inclusive and patient-centered care to truly care for all. Together, we are making a huge positive impact within our community and I am really proud to be part of that. St. Charles is sponsoring Central Oregon Pride this year on June 22 at Drake Park, and members of the SOGI workgroup and IDEA council will be staffing the booth. Come say hello and celebrate with us!"

- Frances, Epic EHR Application Analyst II and co-lead of St. Charles' Sexual Orientation and Gender Identity workgroup.

Share
topics in this article
Body

It was an early December morning in 2017, and Brett Kinnard was most of the way to Prineville for work when he realized something didn’t feel right. 

“It was bad,” the 32-year-old Bend man said late last month. “I drive my truck … and oh man … ow … ouch … big time … big time. And pain, and pain. Oh my gosh.”

And that’s where Brett’s streak of good luck started. Despite an intense headache and blurry vision, he was able to turn around and drive all the way back home. There, his wife Heather was home when she typically wouldn’t have been. She had dropped their children at daycare and stopped back by to grab something on the way to another appointment.

“I heard him come in loudly, stumbling around. I thought, ‘What the heck is this guy doing here?’” said Heather, a registered nurse on St. Charles Bend’s surgical floor. “He was walking around opening cupboards and not saying anything to me. Which is not abnormal for husbands to ignore their wives, right?”

But this was different. Brett was clearly looking for something. When Heather asked him what he needed, he replied, “Pencils.”

She was confused. “Why do you need pencils?” she asked.

That’s when Brett responded with a nonsense string of words that worried both of them.

Heather went into nurse mode. She sat Brett down and did a quick assessment. He seemed a little panicked but otherwise looked fine. She looked for the FAST signs of stroke: F for facial droop (nope), A for arm weakness (nope), S for speech difficulties (yup). She decided it was T -- time to go to the hospital.

“I just had this really bad gut feeling that he was having a stroke,” Heather said. “We got to the emergency room in about five minutes and he walked in just fine, but by the time he was in triage, his face was starting to droop.” 

Indeed, Brett had suffered an embolic stroke, which means a blood clot traveled to his brain. He spent three days in the ICU, a couple days in Ortho/Neuro and then four weeks in inpatient rehab, where he entered completely paralyzed on his right side and mostly unable to speak.

“The only words he could say reliably,” Heather says with a laugh, “were curse words.” 

Thanks to his strong work ethic and St. Charles’ excellent rehab program, Brett left inpatient rehab walking with a cane.

“Our experience at St. Charles, from the second I walked into the ER till now through the ICU through inpatient rehab and then outpatient rehab has been amazing,” Heather said. “There was never a time when I felt like we could have been in a better place for him to get better.”

By March of 2018, Brett was snowboarding with the help of the folks at Oregon Adaptive Sports. Since then, he has biked and climbed at the rock-climbing gym, and this winter he’s snowboarding with no extra help or gear. In February, Heather came home to find him on the roof of their home, removing ice dams.

“Oh my gosh. It’s awesome. Big time,” Brett says. “Speak is … better. But leg and arm is awesome.”

Over the past 18 months, Heather has become a sort of amateur speech therapist, and last winter, she saw Brett’s speech progress starting to plateau. So she started researching intensive speech therapy options and found The Aphasia Center, a private treatment center in St. Petersburg, Florida. From mid-March to mid-April, Brett stayed at the center and worked with a therapist for five-to-six-hours-a-day, five-days-a-week. When he wasn’t working on his speech, he was outside soaking up the sunshine and warm weather.

 “He has been really motivated, so I wanted to give him something to look forward to, but also give him a challenge to get better,” Heather said.

As always, Brett was up for that challenge.

“Let’s go! That’s fine. Exciting,” he said. “I need my life. So it’s like … OK. Let’s go.”

Brett has been back for a month now, and Heather called the progress he made there “remarkable,” especially given that he’s now 18 months post-stroke. These days, their kids understand Brett better than anyone, she said.

“They just adapt so quickly. They finish his sentences for him. They know what he wants before he knows what he wants,” she said. “They notice if he says something he’s never said before. They’re his little cheerleaders.”

The kids are just part of Brett’s support system. His parents spent several months in Bend last year to help him and Heather. His twin brother Todd comes to visit and hang out and have fun. A whole bunch of people contributed to a GoFundMe fundraiser to help the Kinnard’s pay for Brett’s trip to The Aphasia Center.

“A lot of people like Brett,” Heather says, her voice quivering ever so slightly. “And I feel like he’s always felt like he has someone to get better for, which is really important. It wasn’t an option to just sit around and not get better.”

Brett agrees. And when he does so, his message and his motivation comes through crystal clear.

“Fills my soul,” he said. “Kids and a wife … are amazing.”

Share
topics in this article
Body

Central Oregon health care providers and public health departments are working together to raise awareness of safe sleep practices in response to troubling data that suggest the number of infants dying while sleeping is on the rise.

Between 2012 and 2017, 14 Deschutes County children died by suffocation or strangulation while sleeping, according to statistics provided by the state of Oregon. Five of those deaths occurred in 2016 alone, compared to one death in 2012.

The Deschutes County Child Fatality Review—a team of multidisciplinary community agencies that convene twice a year to identify trends and possible interventions—was motivated by the concerning rise in sleep-related infant deaths to create awareness of the problem.

Spearheaded by KIDS Center and St. Charles Health System, a collaborative effort has begun to more proactively share information about safe sleep practices on social media channels and in clinics through the end of June. Summit Medical Group Oregon, Central Oregon Pediatric Associates (COPA), Mosaic Medical and public health departments in Crook, Deschutes and Jefferson counties are also participating.

Dr. Nancy Heavilin, a pediatrician and KIDS Center’s medical director, said the number of infant deaths is a sobering reminder of the importance of safe sleep practices.
“In reviewing the data, it became clear our community needs to talk more about how to safely prepare a baby for sleep,” she said. “With proper education, fatal circumstances can be prevented.”

The leading cause of death for infants 1 month to 1 year old is Sudden Unexpected Infant Death (SUID), which includes sleep-related deaths and SIDS, according to the American Academy of Pediatrics.

Dr. Logan Clausen, chief medical officer at COPA, said more than 95 percent of SIDS cases are associated with one or more risk factors. The most common risk factors for babies are sleeping on a soft surface, sleeping on their stomach and exposure to parental smoking. Premature babies and low birth weight babies are also at higher risk, as are those who sleep in the same bed as their parents.

“The safest way for babies to sleep is on their back on a firm mattress without any crib bumpers, stuffed animals, thick blankets or pillows in the sleeping area,” Clausen said. “Exposure to any second-hand smoke should also be limited.”
The best way to prevent SUID is to:

  1. Put babies to sleep on their back. When they’re too young to turn themselves over, this is the safest way to sleep.
  2. Put them to sleep in the same room as their caretaker, but in their own space.
  3. Use a firm, flat mattress.
  4. Keep the sleep surface clutter-free (skip the bumpers, blankets, pillows and toys.)

Dr. Brooks Booker, a pediatrician at Summit Medical Group Oregon, added, “Be sure to schedule and go to all well-child visits. Your baby will receive important immunizations at these doctor visits. Recent evidence suggests that immunizations may have a protective effect against SIDS.”
For more information about how to help babies sleep safely, visit HealthyChildren.org/SafeSleep.

Share
topics in this article
Body

St. Charles Cancer Center was awarded the 2018 Outstanding Achievement Award by the Commission on Cancer of the American College of Surgeons

The center was one of only two accredited cancer programs in Oregon — and one of 24 in the country — to receive this honor, out of more than 500 cancer surveys performed in 2018, placing it in the top 5 percent of all U.S. cancer programs. 

“This award recognizes the comprehensiveness and excellence of our cancer treatments and programs, which span the entire continuum of care,” said Dr. Linyee Chang, a radiation oncologist and medical director of the cancer center. “From prevention and early detection, through diagnosis and active cancer treatment and extending into survivorship and wellness, our patients can be assured they are receiving the best cancer care close to home.” 

The purpose of the award is to encourage cancer programs to raise the bar on quality cancer care, with the ultimate goal of increasing awareness about high quality, patient-centered care. In addition, the award is intended to:

  • Recognize those cancer programs that achieve excellence meeting the Commission on Cancer's standards
  • Motivate other cancer programs to work toward improving their level of quality cancer care
  • Facilitate dialogue between award recipients and health care professionals at other cancer facilities for the purpose of sharing best practices
  • Encourage honorees to serve as quality care resources to other cancer programs

St. Charles Cancer Center was evaluated on 34 program standards categorized within five cancer program activity areas: program management, clinical services, continuum of care services, patient outcomes and data quality. The cancer program was further evaluated on seven commendation standards. To be eligible, all award recipients must have received commendation ratings in all seven commendation standards, in addition to receiving a compliance rating for each of the 27 other standards.

For a list of all cancer programs in the U.S. that received the award during 2018, visit the ACS website.

Share
topics in this article
Body

A message from our president and CEO, Joe Sluka

At St. Charles, something new is happening every day.

In Bend, we’ve opened our new tower and moved patients into our new Intensive Care Unit and Progressive Care Unit. These big and beautiful spaces with state-of-the-art technology will increase capacity to care for patients, shorten patient stays, improve patient safety and allow us to treat more people closer to home.

At St. Charles Prineville, construction has started on an expansion that will provide more room for same-day access to primary care appointments, space for visiting specialists and a larger rehabilitation facility.

St. Charles Redmond has a new ranking to be proud of: #1 in the state of Oregon for quality outcomes according to HealthInsight, an organization dedicated to improving health care across the West. We are also excited to launch our first robotic surgeries in Redmond next week, which will give patients access to less invasive procedures with a quicker recovery time.

And in Madras, we are working closely with community partners to ensure consistent, quality care for patients throughout all stages of life. We are working on donating computers and supplies to the Warm Springs Reservation and recently provided Stop the Bleed training to employees at Madras Farms.

Here are a few other things happening at St. Charles:

Taking care of our community involves a lot of moving parts, but the important thing to remember is that each and every one of them is part of our commitment to creating America’s healthiest community, together – right here in Central Oregon.

Thanks for partnering with us.

Joe Sluka
President and CEO

St. Charles Health System

Share
categories:
Body

"My twins were born there and my first child was born there (in the old hospital). When I first discovered I was pregnant with twins, it was like a month before they were born. So, I had to hurry and get doubles of everything, and it was scary to begin with. They had to be transferred to Portland for a week because they were preemies. They had them on a routine where they were a half an hour apart on things, so that kind of helped when I got them home."

- Barbara, volunteer at St. Charles Prineville, recalling when her twin girls were born more than 30 years ago in Prineville

Share
topics in this article
categories:
Body

FOR IMMEDIATE RELEASE
May 22, 2019

BEND, Ore. – Central Oregon health care providers and public health departments are working together to raise awareness of safe sleep practices in response to troubling data that suggest the number of infants dying while sleeping is on the rise.

Between 2012 and 2017, 14 Deschutes County children died by suffocation or strangulation while sleeping, according to statistics provided by the state of Oregon. Five of those deaths occurred in 2016 alone, compared to one death in 2012.

The Deschutes County Child Fatality Review—a team of multidisciplinary community agencies that convene twice a year to identify trends and possible interventions—was motivated by the concerning rise in sleep-related infant deaths to create awareness of the problem.

Spearheaded by KIDS Center and St. Charles Health System, a collaborative effort has begun to more proactively share information about safe sleep practices on social media channels and in clinics through the end of June. Summit Medical Group Oregon, Central Oregon Pediatric Associates (COPA), Mosaic Medical and public health departments in Crook, Deschutes and Jefferson counties are also participating.

Dr. Nancy Heavilin, a pediatrician and KIDS Center’s medical director, said the number of infant deaths is a sobering reminder of the importance of safe sleep practices.

“In reviewing the data, it became clear our community needs to talk more about how to safely prepare a baby for sleep,” she said. “With proper education, fatal circumstances can be prevented.”

The leading cause of death for infants 1 month to 1 year old is Sudden Unexpected Infant Death (SUID), which includes sleep-related deaths and SIDS, according to the American Academy of Pediatrics.

Dr. Logan Clausen, chief medical officer at COPA, said more than 95 percent of SIDS cases are associated with one or more risk factors. The most common risk factors for babies are sleeping on a soft surface, sleeping on their stomach and exposure to parental smoking. Premature babies and low birth weight babies are also at higher risk, as are those who sleep in the same bed as their parents.

“The safest way for babies to sleep is on their back on a firm mattress without any crib bumpers, stuffed animals, thick blankets or pillows in the sleeping area,” Clausen said. “Exposure to any second-hand smoke should also be limited.”

The best way to prevent SUID is to:

  1. Put babies to sleep on their back. When they’re too young to turn themselves over, this is the safest way to sleep.
  2. Put them to sleep in the same room as their caretaker, but in their own space.
  3. Use a firm, flat mattress.
  4. Keep the sleep surface clutter-free (skip the bumpers, blankets, pillows and toys.)

Dr. Brooks Booker, a pediatrician at Summit Medical Group Oregon, added, “Be sure to schedule and go to all well-child visits. Your baby will receive important immunizations at these doctor visits. Recent evidence suggests that immunizations may have a protective effect against SIDS.”

For more information about how to help babies sleep safely, visit HealthyChildren.org/SafeSleep. 

About St. Charles Health System
St. Charles Health System, Inc., headquartered in Bend, Ore., owns and operates St. Charles Bend, Madras, Prineville and Redmond. It also owns family care clinics in Bend, Madras, Prineville, Redmond, Sisters and La Pine. St. Charles is a private, not-for-profit Oregon corporation and is the largest employer in Central Oregon with more than 4,200 caregivers. In addition, there are more than 350 active medical staff members and nearly 200 visiting medical staff members who partner with the health system to provide a wide range of care and service to our communities.

###

Share
topics in this article