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"I feel like I've found my people here in the Lab. I'm very organized, and people in the Lab tend to like things very structured. They like repetition and routine and so it's a really good fit. I was pulled out of the Lab for 10 weeks during COVID to help with Incident Command, and that was a great experience. And, of course, COVID has stretched and grown all of us. But I was so elated to get back to the Lab because I missed my people and I missed what I do on a daily basis. I just felt like I was able to come back home."

- Anna, administrative assistant in the Bend Laboratory, a job that requires her to wear many hats, including coordinator of the monthly blood drives at St. Charles Bend.

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As much as I hate to say it, the delta variant of COVID-19 is increasing in our communities.

Over the past two weeks, wastewater samples throughout the state of Oregon show an increase from 5% to 40% of this more transmissible variant of the virus. We believe our current vaccination rate in Central Oregon is not high enough to provide herd immunity against the delta variant in part because it spreads more easily than earlier versions of the virus. In fact, studies show that delta appears to be much more transmissible than the original version of COVID-19.

Keeping all of this in mind, we expect to experience a new spike in COVID-19 cases among unvaccinated individuals in the near future. And although our counties have worked so hard to make vaccines available, we still have large numbers of people who have not received the vaccine. Children under the age of 12 remain ineligible for any of the vaccines and are at a high risk of contracting the new variant and spreading it to others.

Throughout the country we are seeing huge spikes in COVID-19 in areas with low vaccination rates. Daily reported cases in the U.S. rose by 43% in the past week and hospitalizations rose by 33%. In some states, hospitals are once again being overwhelmed.

Honestly, I’m worried.

At St. Charles, we continue to have hospital bed capacity and staffing challenges that have been exacerbated by the global pandemic. We are working so hard to ensure we can care for you if you need us.

But please know you have a part to play as well. You can help by taking actions that reduce the spread of the virus.

For example, I still choose to wear my mask in some indoor public places and hope that you are doing so as well. I wear a mask to protect those who can’t be vaccinated and the most vulnerable among us.

In addition, I think it’s prudent at this point to avoid large indoor gatherings where you don’t know the vaccination status of those in attendance. The vaccines are highly effective at preventing serious illness and hospitalization from COVID-19, but we have had a handful of cases in vaccinated individuals where hospitalization was necessary.

It’s OK to continue being cautious regardless of your vaccination status. In fact, I would encourage you to do so.

More than anything, if you haven’t done so yet please get vaccinated. Talk to your health care provider about which of the three available COVID-19 vaccines is right for you. All of them are free and available through individual health care providers, pharmacies and our local county health departments. You can find information on vaccine availability at www.CentralOregonCOVIDVaccine.com.

Also, consider talking with your friends and family members who have been vaccinated about their experiences. These videos show familiar faces from Crook and Jefferson counties sharing their thoughts on why the COVID-19 vaccine is important. Give them a watch and share them with others.

Sincerely,
Joe

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Grand Rounds - Jul. 23, 2021
"Leadership in Crisis: Lessons from the COVID Pandemic"

Speaker: Vivic Kaul, MD. Segal-Watson Professor of Medicine, Division of Gastroenterology, University of Rochester Medical Center, Rochester, NY

Objectives

  1. Identify different strategies of leadership which have been used during crisis situations.
  2. Apply core leadership strategies to situations of crisis/conflict.
  3. Explore and incorporate innovative strategies into the rebuilding process of the COVID-19 crisis.

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.

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 541-706-4680, [email protected]. For CME or Clerkship questions, contact Sheila Jordan, MMGT, CHCP, Manager of Continuing Medical Education at 541-706-6780, [email protected].

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"It's so rewarding to see parents meet their infant feeding goals. And I love the challenge of it. It really checks all the boxes for using your brain and using your heart and your compassion and working with patients as they begin their parenting journey. It does everything I need to feel fulfilled in my job. Not to mention ... new moms and dads are just so fun to work with!"

- Greta, registered nurse and lactation consultant, on why she decided to transition from her position as a labor and delivery nurse to lactation consulting about five years ago. Greta works with both inpatients at the Bend Family Birthing Center and NICU and outpatients at the Center for Women's Health in Redmond.

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Grand Rounds - Jul. 16, 2021
"COVID-19 Vaccine Update"

Speaker: 
Shira Shafir, PhD, MPH, Director, MPH for Health Professionals Department of Community Health Sciences Director of Field Internships Department of Epidemiology UCLA Fielding School of Public Health

Objectives

  1. Describe the current state of the COVID-19 Coronavirus outbreak
  2. Describe current best practices concerning personal protective equipment (PPE)
  3. Understand the importance of social distancing measures and what they mean for health care professionals in practice
  4. Understand the implications of a PHEIC (Public Health Emergency of International Concern)and a locally declared Public Health Emergency
  5. Understand where to find additional information and resources as this outbreak continues to evolve

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.

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 541-706-4680, [email protected]. For CME or Clerkship questions, contact Sheila Jordan, MMGT, CHCP, Manager of Continuing Medical Education at 541-706-6780, [email protected].

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Alert: Fraudsters seeking Medicare information over the phone

BEND, Ore. – St. Charles caregivers and patients have received phone calls from fraudsters identifying themselves as employees of other local health care organizations or Medicare officials who are seeking valuable Medicare information for identity theft or fraudulent billing purposes.

The caller ID may appear as a legitimate number from a local medical facility. Falsifying a caller ID number in this way is known as “spoofing” and unfortunately St. Charles cannot prevent this type of criminal activity. According to the Office of Inspector General, these fraudsters are targeting beneficiaries through telemarketing calls, booths at public events, health fairs and door-to-door visits.

St. Charles is advising the public to be extremely cautious about ever giving medical or insurance information over the phone. If you think a caller is falsely representing St. Charles, Medicare or any other local medical facility, hang up and call your St. Charles provider’s office to find out if information is needed from you. If you think you have been a victim of any kind of phone scam, please consider reporting it to one of the following organizations:

  • The Federal Trade Commission is the primary government agency that collects scam complaints.

Online: https://reportfraud.ftc.gov/#/

By phone: 1-877-382-4357

  • To report suspected Medicare fraud: 1-800-MEDICARE (1-800-633-4227)
  • Report caller ID spoofing to the Federal Communications Commission

Online: https://consumercomplaints.fcc.gov/hc/en-us

By phone: 1-888-225-5322

  • Report the scam to the Office of Inspector General

Online: https://oig.hhs.gov/fraud/report-fraud/

By phone: 1-800-447-8477

TTY: 1-800-377-4950

If you are the victim of identity theft, visit https://identitytheft.gov/ for information on how to report it.

To learn more about how to spot and avoid Medicare scams or scams in general, visit

https://www.consumer.ftc.gov/blog/2019/03/protect-yourself-against-medicare-scams

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 4,600 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.

 

                                                                        ###

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Grand Rounds - Jul 9, 2021
"Eosinophilic Esophagitis"

Speaker: Ikuo Hirano, MD. Professor of Medicine at Northwestern University Feinberg School of Medicine, Chicago, Illinois

Objectives

  1. Review the pathophysiology of eosinophilic esophagitis (EOE).
  2. Identify the clinical presentation of patients with EOE.
  3. Explain the diagnostic criteria of EOE.
  4. Review medical and dietary treatment options for EOE.

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.

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 541-706-4680, [email protected]. For CME or Clerkship questions, contact Sheila Jordan, MMGT, CHCP, Manager of Continuing Medical Education at 541-706-6780, [email protected].

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At St. Charles, our vision is both ambitious and simple: “Creating America’s healthiest community, together.”

Every day, we're making progress toward achieving that goal, and that progress takes many different forms: We've launched virtual visits to allow patients to see their physician from the comfort of their home. We've built new clinics, rolled out new services and upgraded patient care spaces in our hospitals. We host events and classes for people interested in healthier living. We've brought the latest technology to rural areas. We continue to hire only the most skilled caregivers to provide this region’s superior patient care. The list goes on and on.

Sometimes, though, the best thing St. Charles can do to improve health and health care in Central Oregon is to support our partner organizations doing good work in the communities we serve. That's what we're doing in Prineville, where we donated $100,000 toward Crook County Fire & Rescue's purchase of two new, much-needed ambulances that will reduce back strain for their EMTs and make both patients and EMTs safer and more secure during transport. St. Charles is proud to partner with the fire district to help it provide excellent emergency services in Crook County.

Also, we recently announced we’re contributing $400,000 to Partners in Care to support the construction of a 12-bed specialty hospital called Hospice House that's designed for hospice patients who need short-term care for advanced, life-limiting illness in a home-like environment. The organization is in the middle of a $6 million fundraising campaign to build Hospice House, which will replace its current six-bed facility. St. Charles' gift will help them pass the $4 million mark of that campaign.

St. Charles’ relationship with Partners in Care dates back to 1979, when former St. Charles president and CEO Sister Catherine Hellmann championed hospice care in our region. In honor of her legacy, the new Hospice House's chapel will be dedicated to Sister Catherine, whose philosophy of caring for all still guides much of what we do at St. Charles.

The contribution to Partners in Care is being made jointly by the St. Charles Foundation and the health system's Community Benefit Program. The donation to Crook County Fire & Rescue is also part of the Community Benefit Program, which we use to support local organizations and services that improve the health of Central Oregonians. In both cases, we identified a local partner that is doing good work and has a specific need, and we worked together to find a way for St. Charles to help meet that need.

There's that word again: together. It's part of our vision statement for a reason, and it's an important piece of the complex puzzle of caring for the people and the communities of Central Oregon.

Sincerely,
Joe

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For the first time since the start of the pandemic, St. Charles Health System is offering a treatment to help people with mild to moderate COVID-19 fight off the disease and, hopefully, avoid hospitalization.

The treatment uses monoclonal antibodies to mimic the immune system’s natural antibodies, which fight back against harmful antigens such as viruses. Whereas the body takes time to produce natural antibodies, monoclonal antibody treatment allows a sick person to fight the virus earlier, which may prevent them from getting sicker and needing to be hospitalized.

Currently, monoclonal antibody treatment is only available to people who are at high risk of becoming severely ill from COVID-19, and they cannot self-refer themselves for the treatment. A physician must make the referral, and infusion would ideally be administered within three days of a positive COVID-19 test or within 10 days of symptom onset.

The potential benefits of the treatment are well worth navigating the logistical challenges, said Dr. Cynthia Maree, St. Charles’ Medical Director of Infectious Disease.

“Right now, this is the only medication we have that is approved under Emergency Use Authorization to be used for outpatient management of COVID-19,” she said. “It has the possibility of keeping people with COVID-19 from developing severe disease or from dying. Obviously, that’s something we want to be able to provide to the community.” 

Caregivers from the St. Charles Bend Pulmonary Clinic are working in collaboration with nurses in Redmond, where the infusions are performed in an area away from other patients and visitors to protect vulnerable people. The health system worked to identify the right personnel to staff the clinic and provided training to ensure they were prepared to safely treat the patients, Maree said.

“We needed to figure out how to get people identified, referred, evaluated and scheduled pretty rapidly,” Maree said. “The therapies may change over time based on variants and which antibodies are recommended, but now that we have a process in place, we plan to continue offering this until something comes along that’s easier to administer or more effective.”

The clinic has treated its first patient and it went “very smoothly,” Maree said, thanks in large part to the St. Charles caregivers who worked hard to overcome logistical hurdles and bring monoclonal antibody treatments to Central Oregon.

“There was a gap in access to this treatment in our community, so we wanted to make sure to fill that gap,” Maree said. “We’re excited to be up and running and we’re looking forward to helping people get better.”

Click here to learn more about St. Charles Pulmonary Clinic’s monoclonal antibody treatments.

 

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Every day in St. Charles Prineville’s Emergency Department, Melissa Levesque sees the long-standing partnership between the hospital and Crook County Fire & Rescue in action.

“Oftentimes, they’ll bring in a patient with CPR in progress, and that crew will stay with us and help do compressions, or they’ll make sure we get the patient moved to where they need to go. I think that speaks to the teamwork we have with them,” said Levesque, trauma coordinator for the Prineville ED and house supervisor at St. Charles Prineville.

“We’re all from different organizations, but when we’re around a patient, it’s absolutely one big team,” she continued. “It’s so important for our patients and our community to know that we’re all working together to give them the best care possible.”

The relationship between Prineville’s local hospital — first Pioneer Memorial, now St. Charles Prineville — and the county’s emergency medical service stretches back at least 75 years, said Steve Lent, historian at the town’s A.R. Bowman Museum and a member of Crook County Fire & Rescue’s board of directors. That’s when local doctors helped train the area’s first emergency responders and the fire department purchased its first ambulance, a 1946 General Motors truck now on display at the museum.

“Back then, the hospital was just a three-story house converted to a hospital and the ambulance crew had to actually carry gurneys up and down the stairs,” Lent said. “Even then, they worked closely with the hospital to make sure everything went as smoothly as possible.”

Since then, just about everything has changed except the strong partnership between the entities. The latest proof of that is St. Charles’ recent donation of $100,000 to Crook County Fire & Rescue to help with the district’s purchase of two brand new, state-of-the-art ambulances — one already in use and another expected to arrive in September.

The new ambulances cost about $250,000 each and they’ll come equipped with several new features that will reduce back strain for EMTs and also make both patients and EMTs safer and more secure, said paramedic and Battalion Chief Jeremiah Kenfield. Those features include airbags in the back of the ambulance, a restraint system that secures EMTs while allowing them to move around and provide patient care, and, most prominently, a mechanical apparatus that loads the heavy patient cot into and out of the ambulance.

The loading apparatus is a “game-changer” for the EMTs, Kenfield said, because it will save them thousands of cot lifts every year and almost certainly reduce back injuries.

Safer, healthier EMTs are music to the ears of Crook County Fire & Rescue Chief Matt Smith, who started with the district as a volunteer firefighter in 1997. As overseer of the district’s budget, Smith said St. Charles’ donation is an opportunity to take money that was earmarked for an ambulance and spend it elsewhere in a growing district where tax revenues don’t cover the increasing level of service needed.

“We don’t have the ability to snap our fingers and build capacity anymore than anybody else does,” Smith said. “So when unexpected money comes in, we can put it to use elsewhere in the district to increase the capacity of our services and try to keep up with the growth in our community.”

It’s that last word — community — that catches the attention of Crook County Commissioner Jerry Brummer, who has spent the past nine years on the fire district’s board. In a rural area like Prineville, working together is more than just a warm, fuzzy feeling and a positive headline, he said. It’s absolutely necessary.

“Collaboration and partnerships, those are what makes a community,” Brummer said. “We have to work together on this stuff because our duty is to make this the best community we can, and we achieve that by understanding each other’s needs and working hand in hand to figure out how to meet those needs.”

He’s talking about agencies partnering on solutions, but he just as easily could be describing that “one big team” Levesque sees regularly in the Prineville Emergency Department. Whether it’s in a hospital room or the board room, St. Charles and Crook County Fire & Rescue are working together for the people in the region.

“If we didn’t work well as a team,” Levesque said, “there’d be gaps, and it’s the patients who would not get the same level of care they get today.”

For St. Charles, the donation isn’t just about maintaining the current level of care, but planning for the future of the community, too.

“We’re fortunate to enjoy such a positive and productive history of working with Crook County Fire & Rescue,” said Shannon Edgar, chief nursing officer at St. Charles Prineville. “We certainly value their partnership and we look forward to building on it for many years to come.”

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