categories:
Body

Grand Rounds - May 13, 2022
"Updates in Outpatient Diabetes Management: Standard Medications, Insulin, and New Therapies"

Speaker: Marilyn Tan, MD, FACE. Chief, Stanford Healthcare Endocrine Clinic; Clinical Associate Professor, Department of Medicine, Division of Endocrinology, Stanford University School of Medicine

 

 

Objectives

  1. Identify the importance of early diagnosis and treatment of diabetes.
  2. Discuss the updated guidelines and protocols for treating a patient with diabetes.
  3. Describe the new medications and their mechanism of action (MOA).
  4. Appropriately prescribe new medications when using combination therapy.
  5. Compare the safety and efficacy of diabetes therapies in patients with Type 2 Diabetes.
  6. Identify patients at higher risk of diabetes based on age, gender, ethnicity, and/or family history.

Accreditation: St. Charles Health System is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. St. Charles Health System designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)TM.

The period to claim credit for this activity expires one year after its original publication. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Claim Credit

Target Audience: Physicians, Nurses, Pharmacists, Allied Health Professionals

Accessibility/Program Questions: St. Charles Health System encourages persons with disabilities to participate in its programs and activities. If you anticipate needing any type of accommodation or have questions about the physical access provided, please contact Continuing Medical Education at [email protected].

Oher CME or Clerkship questions: also contact Continuing Medical Education at [email protected].

Share
topics in this article
categories:
Body

"I think St. Charles has evolved into a big organization compared to what it was 30 years ago, and we've had growing pains a couple of times. But I think right now we've definitely found a way to adapt to our growth. I think we've got nice people here that really enjoy what they're doing, and I I love that."

- Greg, manager of the Biomedical department, which takes care of all 15,000+ pieces of medical equipment used for patient care across the health system. Greg's 30th anniversary with St. Charles is this month.

Share
categories:
Body

Heaven Can Wait 5K walk and run postponed to October

The event will also now be held in Redmond

Heaven Can Wait, a 5K walk and run that was originally scheduled for June 5 at Drake Park, will now be held sometime in October in Redmond.

The changes were made due to unforeseen logistical challenges in trying to hold the event at Drake Park.

Information including the new date and location will be announced as soon as details are confirmed. At that time, participants will have the option of keeping their registration, receiving a refund, deferring their registration until next year or donating their registration fee to the St. Charles Foundation.

A time-honored tradition for the community, Heaven Can Wait brings together and celebrates cancer survivors while also remembering the loved ones who have been lost. The event raises funds for Sara’s Project, which provides support services for Central Oregonians battling breast cancer.

“While we are sorry for any inconvenience this has caused our participants who have already registered, we are excited about bringing Heaven Can Wait to Redmond, which will make the race more accessible to people throughout Central Oregon,” said Mari Shay, Administrative Director Cancer Services. “It will also be held in October, which is Breast Cancer Awareness Month, a time devoted to educating everyone about breast cancer.”

For updates on the event or to register, visit HeavenCanWait.org.

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, La Pine, Madras, Prineville, Redmond and Sisters. St. Charles is a private, not-for-profit Oregon corporation and is the largest employer in Central Oregon with more than 4,500 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
categories:
Body

St. Charles Cancer Center hosts survivorship series for young women with breast cancer

Starting June 7, St. Charles Cancer Center will offer a series of workshops for young women diagnosed with breast cancer before the age of 45.

A national nonprofit organization that provides information and community support to those impacted by breast cancer, Living Beyond Breast Cancer selected St. Charles Cancer Center and just 18 other sites to host the series.

Living Beyond Breast Cancer’s four-part Survivorship Series for Young Women will provide answers and resources on some of the most common concerns for young women such as sex and intimacy, early menopause, the long-term effects of treatment and selfcare after breast cancer.

The organization’s national needs assessment of young women diagnosed with breast cancer revealed their survivorship needs were not being adequately addressed. Living Beyond Breast Cancer developed the Survivorship Series to address the identified need for more survivorship patient education and enhance the skills of the oncology nurses to address the needs of their young patients

The series of sessions will be offered Tuesdays in June, from 5 to 7 p.m., at St. Charles Bend in the Heart and Lung Center conference room. There is no cost to attend, but RSVPs are required by June 1 to Michele Halligan at 541-706-6715 or [email protected].

Session topics include:

June 7 -- Hot and Bothered: Coping with Early Menopause

Hot flashes, mood changes and trouble sleeping are just a few of the annoying symptoms of early menopause due to breast cancer treatment. During this session, participants will learn more about the impact of early menopause and tips on how to manage the symptoms.

June 14 – Stay Alert: Managing the Long-Term Side Effects of Breast Cancer Treatment

The side effects of breast cancer treatment may last many years following treatment. Some common concerns include heart problems, pain, fatigue, numbness and weight gain. During this session, participants will learn what to watch for, what to report to their provider and when to call them.

June 21 – Let’s Talk About Sex and Breast Cancer

Changes in a person’s sex life are common after a breast cancer diagnosis and during treatment. In this session, participants will learn how to talk about these concerns with their health care provider and partner, and get tips on how to improve their sexual health and satisfaction.

June 28 – Self-Care After Breast Cancer

During this session, participants will learn ways to take care of themselves physically, mentally and spiritually. The important role exercise, nutrition, alcohol consumption, cancer and genetic screening and emotional support can play in a person’s health will be discussed.

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, La Pine, Madras, Prineville, Redmond and Sisters. St. Charles is a private, not-for-profit Oregon corporation and is the largest employer in Central Oregon with more than 4,500 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

Grand Rounds - May 6, 2022
"Dietary Sugars & Sweeteners in the Development of Obesity, Metabolic Risk and Cognitive Development in Early Life"

Speaker: Michael Goran, MD. Director, Program in Diabetes and Obesity The Saban Research Institute, Children’s Hospital Los Angeles; Professor of Pediatrics & Atkins Endowed Chair in Childhood Obesity & Diabetes, USC Keck School of Medicine, Los Angeles

 

 

Objectives

  1. Review sources of sugar in the diet and ubiquitous nature in the food supply.
  2. Recognize names of 200+ names for sugar used as food ingredients and how they differ.
  3. Understand differences between different types of low calorie sweeteners and effects on the body.
  4. Review effects of different sugars on the body including kids including brain development, learning and memory, emotional behavior, gut problems, fatty liver disease, type 2 diabetes and cardiovascular health.
  5. Discuss life course effects of different sugars and how they affect gestational development through to healthy aging.
  6. Discuss strategies for reducing sugar in children.

Accreditation: St. Charles Health System is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. St. Charles Health System designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)TM.

The period to claim credit for this activity expires one year after its original publication. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Claim Credit

Target Audience: Physicians, Nurses, Pharmacists, Allied Health Professionals

Accessibility/Program Questions: St. Charles Health System encourages persons with disabilities to participate in its programs and activities. If you anticipate needing any type of accommodation or have questions about the physical access provided, please contact Continuing Medical Education at [email protected].

Oher CME or Clerkship questions: also contact Continuing Medical Education at [email protected].

Share
categories:
Body

Grand Rounds - Apr. 22, 2022
"Management of Asthma/Allergies in the Environment of COVID-19"

Speaker: Marilyn Li, MD.

 

 

Objectives

  1. Identify the evolving definitions and treatment paradigms of asthma and allergies.
  2. Review the pathophysiology and biomarkers of severe asthma.
  3. Evaluate clinical guidelines in the proper workup and treatment of asthma and allergies in the environment of COVID-19.
  4. Approach severe asthma endotypes of asthma through personalized medicine.

Accreditation: St. Charles Health System is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. St. Charles Health System designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)TM.

The period to claim credit for this activity expires one year after its original publication. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Claim Credit

Target Audience: Physicians, Nurses, Pharmacists, Allied Health Professionals

Accessibility/Program Questions: St. Charles Health System encourages persons with disabilities to participate in its programs and activities. If you anticipate needing any type of accommodation or have questions about the physical access provided, please contact Continuing Medical Education at [email protected].

Oher CME or Clerkship questions: also contact Continuing Medical Education at [email protected].

Share
categories:
Body

Grand Rounds - Apr. 15, 2022
"Diet and Nutrition in CVD: What really works?"

Speaker: Zhaoping Li, MD, PhD. Professor of Medicine, Lynda and Stewart Resnick Endowed Chair in Human Nutrition, David Geffen School of Medicine at UCLA.

 

 

Objectives

  1. Understand concepts including Diet and Nutrition.
  2. Improve knowledge regarding the role of Diet and Nutrition in CVD.
  3. Review the evidence regarding the use of Diet and Nutrition to treat CVD.

Accreditation: St. Charles Health System is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. St. Charles Health System designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)TM.

The period to claim credit for this activity expires one year after its original publication. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Claim Credit

Target Audience: Physicians, Nurses, Pharmacists, Allied Health Professionals

Accessibility/Program Questions: St. Charles Health System encourages persons with disabilities to participate in its programs and activities. If you anticipate needing any type of accommodation or have questions about the physical access provided, please contact Continuing Medical Education at [email protected].

Oher CME or Clerkship questions: also contact Continuing Medical Education at [email protected].

Share
categories:
Body

While St. Charles and other health systems are feeling the relief of fewer COVID-19 patients these days, we are also continuing to navigate a serious set of challenges that are the direct result of the pandemic.

In 2021, St. Charles Health System lost $16.4 million due to direct impacts from COVID-19. Even when we include the COVID-relief funding we received from the federal government, we ended the year with a negative operating margin for the first time since the financial crisis of 2008. Having a positive operating margin is critical, as it allows us to re-invest in our equipment, facilities and training for our staff.

There are two primary issues driving these challenges:

  • Inpatient and outpatient surgical volume – which we rely on for a large portion of our revenue – was 29.2% lower than expected in 2021 because of a lack of bed capacity and staff to care for patients after surgery. These limitations were due at least in part to the high number of COVID-19 patients in our facilities.
  • Our labor costs have skyrocketed as many health care workers have left the profession due to burnout. We spent nearly $70 million on contract labor in 2021, which is up from about $12.7 million in 2020. We are grateful that about $31 million of that cost was covered by the state of Oregon, but we are no longer receiving that funding and must now cover all labor expenses on our own.

The pandemic has also exacerbated problems within the health care system that existed previously. For years, the nation hasn’t produced enough health care professionals to replace those who are retiring. We know that additional behavioral health and skilled nursing services are critical, yet the infrastructure is not there to handle the current volume of patients. This means hospitalized patients often stay with us longer than necessary because beds aren’t available at facilities with a lower and less expensive level of care.

Hospitals are the safety net that catches people when they need these types of services and can’t receive them in other places. Yet, the holes in our net keep getting wider and more difficult to fill.

We are working vigorously to address these problems. Our voluntary turnover rate has decreased to 1.4% in March and thanks to an aggressive recruiting effort, our number of open positions is the lowest it has been in many months. We currently have 792 open positions and 232 candidates in the process of being hired. In addition, St. Charles has launched several programs to train our own health care workforce including a nurse residency program, a certified nursing assistant training program and a medical assistant training program.

We are actively implementing ideas to increase revenue and reduce expenses with a goal of minimizing the impact to our workforce and the services we provide.

I have the utmost confidence in our incredible team of caregivers. We will get through this next phase of the pandemic just as we have the past two years – by working together.

Sincerely,
Joe

Share
topics in this article
categories:
Body

Update: The St. Charles Foundation has pledged another $5,000 to help cover the cost of shipping medical supplies to benefit Ukraine and has set up a fund to receive donations from the public. If you'd like to support the effort by donating, visit the Foundation's website and choose "Ukraine Medical Supply Support" from the drop-down menu.


Thanks to a multi-department effort spearheaded by two anesthesiologists, a steady stream of needed medical supplies has been flowing from St. Charles Bend to people in war-torn Ukraine for the past several weeks.

And there is no end in sight.

“This thing has kind of snowballed into something that’s bigger than I expected,” said Dr. Evan Sutton, who is overseeing the effort alongside Dr. Holly Graham, his colleague from the Bend Anesthesiology Group.

Sutton was inspired to start collecting donations by a physician friend who practices in Indiana, but is from Ukraine and still has family there. She is involved with a number of different organizations that are working to provide assistance to the Ukrainian people during the Russian invasion.

“She reached out to several of our friends and colleagues and asked us to consider helping the cause, and I immediately wanted to contribute,” Sutton said. “But I thought that instead of just giving money, maybe there’s something I can do that would be a little bigger and would get more people involved here in Central Oregon.”

Sutton’s idea: To collect unused medical supplies that are typically flagged for donation or disposal, package them up and ship them to the Ukrainian Medical Association of North America, which is gathering similar donations from across the country and distributing them in Ukraine. He worked with Graham and leaders from the anesthesiology group and St. Charles to bring the idea to life, and pretty soon, word of the effort was spreading, he said. Donations came in from the hospital’s Perioperative unit, the Family Birthing Center and beyond, including the Pharmacy, which donated medications that are due to expire and thus cannot be used in the United States, but can be used in a humanitarian crisis.

“There are several different departments involved now, so I think this is going to be an ongoing process,” Sutton said. “Hopefully, we can send supplies out weekly.”

It is not free to ship things across the country, of course, but the group got help on that aspect, too. Home Depot in Bend donated cardboard boxes, and the St. Charles Foundation has pledged up to $5,000 to cover shipping costs, Sutton said.

Helping the cause aligns nicely with St. Charles’ vision of creating America’s healthiest community, together, said Carlos Salcedo, manager of community partnerships for St. Charles.

“Our caregivers are a part of this community and this is something they’re very passionate about. You can tell because it’s been a grassroots effort; this wasn’t something they were prompted to do,” he said. “Giving to people and helping others is good for our health and it’s empowering, because it makes us feel like we have the ability to help from the other side of the world.”

So far, the help has totaled more than 20 boxes and about 450 pounds of supplies, Sutton said, with another large shipment planned for this weekend. In the meantime, the effort is spreading to other St. Charles campuses – caregivers in Redmond are now collecting items to send to Ukraine – and donations are piling up along a wall in a physicians’ lounge at St. Charles Bend.

“I’m just really humbled and honored to be a part of something like this,” Sutton said. “It’s been really cool to see a bunch of people want to participate, and it feels great to be able to help out in any way we can.”

Share
Body

Months into the COVID-19 pandemic, St. Charles’ Clinical Practice and Professional Development department realized hundreds of caregivers’ CPR certification was due to expire—but in-person classroom learning wasn’t an option.

Without an updated CPR certification, caregivers can’t work on the floor. CPPD had to innovate, and fast.

“What we realized is that if we didn’t do that in about three or four months, we would have 1,000 caregivers—or we could possibly—that we would have to certify,” said Kelly Miller, a nurse educator.

The solution was a novel “high-frequency, low-dose approach” to CPR training that has boosted caregivers’ confidence administering CPR, saved the organization money and just last week earned it an award from the American Heart Association.

Miller said opportunity knocked when the AHA’s Resuscitation Quality Improvement Program (RQI) offered to partner with the health system, making its groundbreaking model for CPR training available at no cost during the pandemic.

Whereas the traditional model for CPR certification is to offer hours of in-person training in a classroom once every two years, the RQI program keeps caregivers’ certifications active by offering them short bursts of online education and hands-on practice using carts placed throughout the hospitals. And because the training happens quarterly, caregivers’ skills stay sharp.

“It’s … taking education to caregivers at the bedside,” Miller said. “You can’t beat that kind of training and that’s the way things are moving.”

The program is a win-win-win, she said: It helps caregivers feel more confident administering CPR, which when combined with defibrillation, is still the most effective way to revive a patient in cardiac arrest; it improves the survival rate of patients who experience cardiac arrest in a hospital, and it saves St. Charles about $1 million annually.

That estimated savings, Miller said, is based on how much money it costs to pull a caregiver off the floor for a four- to eight-hour CPR class, the cost of the CPR instructor and the cost to replace the caregiver on the floor.

“So, we delivered the best, evidence-based practice, helping the outcome of patients—(improving) survival rates—and we did it saving resources,” she said. “Til’ this day I have passion for it, no matter what. I just think it’s one of the best things AHA has ever done.”

St. Charles’ implementation of the program has been so successful that it recently earned RQI’s Lighthouse award for collaboratively demonstrating best practices with RQI Solutions.

The award recognizes hospital systems that “advocate for quality and culture of resuscitation excellence that serves as a beacon to other organizations looking to improve their resuscitation programs and patient outcomes.”

For Miller, it’s all about taking the best care of patients.

“I just appreciate St. Charles for seeing the power in the evidence and realizing how it could impact our community.”

Share
topics in this article