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FOR IMMEDIATE RELEASE   |   April 23, 2020

Gov. Kate Brown lifts restrictions on hospitals, making more elective surgeries possible

BEND, Ore. – Gov. Kate Brown announced today that her executive order limiting elective surgical procedures will be lifted May 1 provided that hospitals are able to meet certain COVID-19 preparedness criteria.

The change will allow St. Charles Health System hospitals and others around the state to slowly begin ramping up the number of surgeries performed, as long as the hospitals maintain an adequate supply of personal protective equipment (PPE) and maintain open-bed capacity at or above 20 percent to accommodate a potential surge in COVID-19 patients.

This is good news for Central Oregon patients who have been dealing with difficult health situations while waiting for a safe time to receive care. St. Charles received some shipments of PPE last week and currently has adequate critical resources on hand.

“We want patients and caregivers to feel comfortable and know that we will only expand the procedures we are providing as long as we can do so safely,” said Dr. Jeff Absalon, chief physician executive.

The governor’s new executive order also stipulates that, to start, hospitals will be able to perform up to 50 percent of their pre-pandemic volume and will be required to review and prioritize cases based on indication and urgency. Some surgeries that require critical resources will continue to be postponed.

While the governor characterized the change as an important move for Oregonians whose quality of life has been impacted by the delayed surgeries—and for hospitals and health systems who have seen their revenues decline—she cautioned that the state will monitor and adapt its guidance as needed.

“We’re only stepping onto the ice carefully and cautiously, one step at a time,” Brown said. “If we see a crack in the ice or find ourselves in a precarious position, we may need to pause.”

Since COVID-19 first appeared in Oregon, St. Charles hospitals have been performing up to 25 surgeries daily that were either considered urgent or fell within the exceptions of the governor’s prior executive order regarding elective surgeries. The kinds of surgeries performed varied, but all had the common caveat that a delay in moving forward with them would cause significant harm to the patient.

St. Charles formed a group of experts, called the Limited Elective Procedure Panel (LEPP), to evaluate requests for elective surgeries. The LEPP—which is led by clinical leaders throughout the health system—will remain in place to continue making decisions about which surgeries can be done.

“With the LEPP already in place, we have the infrastructure we need to review each case and decide which ones are appropriate given the new guidance from the governor,” Absalon said. “But overall, this is welcome news—it’s good for our patients who have been patiently waiting for the care they need, and it’s good for our organization, which will start to see some of its revenue return.”

Chief Financial Officer Jennifer Welander said since March 2, the health system’s revenue has declined by 41 percent. That drop is largely attributable to fewer surgeries and the resulting patient stays, along with a decline in patient volumes in Emergency Departments and outpatient clinics.

Like the governor, however, Absalon said the situation could still change quickly.

“If we let up on social distancing as a community too quickly, we absolutely do anticipate the potential for a second surge,” he said. “So, everything we do will have to be thoughtful and staged in such a way that we are able to keep our eye on this. It’s a dynamic process that will be adjusted based on what the prevalence of disease tells us.”

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 and Sisters. 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.

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Lactation Services

St. Charles Lactation Services is available for continued support throughout your entire breastfeeding journey. You may contact us any time to schedule an appointment, or if you have questions we can answer over the phone.

Bend Hospital Lactation: 541-706-4924
Bend Lactation mobile: 541-780-7753
Redmond Hospital Lactation: 541-516-3623
Redmond Lactation mobile: 541-908-6712
Madras Lactation: 541-460-4110

Breastfeeding Support Group

Mommy and Me breastfeeding support group is held every Thursday from 1-3 p.m. at the Heart and Lung Center conference room on the St. Charles Bend campus (2500 NE Neff Road, Bend).

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Grupo de apoyo para la lactancia

Breastfeeding Education -- Online Course

To make it more convenient for our patients, we offer a free virtual breastfeeding class you can watch anytime.

If you have any questions, please reach out to the instructor, Alicia Selby, RN, directly at [email protected].

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At St. Charles, the effort to prepare for and respond to a local outbreak of COVID-19 extends far beyond the doctors, nurses, medical technicians and caregivers who provide food and environmental services on the front lines. It also includes pharmacists, lab workers, IT experts, administrators and even contracted vendors who specialize in a specific service that meets one of the health system’s needs.

Duane Smith is one of those vendors. For years, his West Coast Event Productions company has provided St. Charles with temporary tents, furniture, audio/visual support and special rental items needed to put on a successful event. The company has been in business in Portland for 40 years, and in Bend for 25 years, Smith said.

In fact, it was West Coast’s Bend-area manager, Kezia Steinmetz, and operations manager, Rick Jacobe, who forwarded Smith a recent email from St. Charles President and CEO Joe Sluka announcing the St. Charles Foundation’s new Hero Fund, which will provide bonus pay to frontline caregivers.

In that email, Sluka mentioned that St. Charles would donate $1 million to the fund, and that he himself would donate half his April paycheck in hopes of inspiring others to do the same.

It worked.

“It was so wonderful, I must’ve read it 10 times because I was so impressed and I wanted to make sure I understood it,” Smith said. “I called my management team and I said, ‘Look at this. Isn’t this great?’ Immediately my wife Pat said, ‘We need to match that.’”

The team – which also includes sales manager DJ Smith and director of sales Mike Gargiulo – quickly agreed to give back to St. Charles half its April revenue from tents the company currently has installed across the health system. With 12 tents at nine locations, the donation penciled out to right around $10,000.

“Every day I look at all these health care providers who are risking their lives and their families’ health, and I just can’t imagine the toll it’s taking,” Smith said. “I call them angels. They’re like angels caring for all those people who really need it right now.”

Smith said he hopes West Coast’s donation inspires other companies to give whatever they can to the effort.

“This is a time when every citizen around the globe must join together and share whatever they can,” Smith wrote in a letter to St. Charles. “From hope to prayer, from personal help to financial support or to have the will to stay home to fight this (pandemic).”

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Childbirth Education - Online Course

This online course is free. If you'd like to attend an in-person class, please visit our Class and Events section.

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As we have battled the COVID-19 crisis, a few of you have had the experience of knowing someone who has been afflicted with this disease. Some of you have already watched loved ones struggle to recover, while others have experienced devastating losses.

For me, that wasn’t the case until last Friday when COVID hit home.

We got the call early in the morning, from the other side of the country; my father-in-law was sick and in respiratory distress and was being moved to comfort care. It didn’t seem real as my wife had just talked with him earlier in the week. By late afternoon that day he was gone. This is a man that loved and was loved. I lost someone I considered a friend, father and one of my biggest supporters.

And for my wife … well … she lost her dad.

The best any of us can do during these times is hold those that are close to us a little closer and do our best to keep our Central Oregon family safe by protecting ourselves and those around us.

After watching news reports this weekend of people protesting throughout the country – and right here in Central Oregon – I understand the frustration is rising. You are tired of being stuck at home. You are tired of being out of work. You are worried about the future and also maybe a little skeptical about how serious this situation continues to be.

After all, COVID-19 cases in Central Oregon are remaining relatively steady and we have not reached a surge of patients that we can’t handle with our available hospital beds, equipment and staff. That’s because of the hard work our community has done in adhering to our social distancing guidelines. You have bought us precious time and we thank you.

But that doesn’t mean the storm is over.

As St. Charles data scientist Michael Johnson explains in this video – we’ve been really good at riding out the rocky weather in our tents. If we step outside now, the winds will still be blowing and we risk being right back where we started four weeks ago.

Most data-modeling scientists in the state agree that we have about a 10% detection rate for COVID-19. As of today, we have 65 positive cases in Central Oregon, which means there could be as many as 650 people who are (or who have been) infected and are circulating in the community. Many may not have any symptoms. 

While everyone wants to get back to work, relaxing our social distancing measures requires thoughtful planning and consideration to ensure we don’t throw ourselves right back into the eye of the storm.

A roadmap for recovery

Many leaders in health care and other industries have been evaluating how we start to go back to normal. We are actively making recovery plans that will help us ramp up in a safe way.

For hospitals, we are developing guidelines that will assist in resuming services including:

  • Monitoring the availability of widespread testing for people suspected of having COVID-19
  • Ensuring adequate personal protective equipment (PPE) supplies for our facilities and providers
  • Working with our public health partners to support thorough contact tracing for those with positive COVID-19 test results

In good news, St. Charles is receiving shipments of PPE supplies that will help protect our caregivers, although we must maintain our conservation efforts as well. In addition, we have added testing capacity. We now have a drive-thru COVID-19 specimen collection site at our St. Charles Family Care Bend East location. Patients still need an order for the collection from a provider and they need to call 541-699-5107 to make an appointment in advance.

We also recently began running COVID-19 tests in our St. Charles Laboratory in Bend for hospitalized patients. We can now turn these test results around in about 40 minutes and plan to expand this service to our labs in Madras, Prineville and Redmond soon. Expanding our capacity for testing has been one of our top priorities since this crisis began.

The more we identify where the virus has taken hold, the easier it will be to contain it.

We'll be alright

In the midst of all of this craziness and stress, what gets me through the long and tiring days is all of the words of encouragement and notes of thanks I have received from you. This past week, one of our patients wrote and performed a song for our caregivers with a simple, encouraging and important message – we’ll be alright.

Eli Ashley, member of local band Appaloosa, recently visited our Bend hospital with symptoms of a stroke. His wife wrote the following note to our care team:

"My husband, Eli Ashley, was admitted to the ER with stroke symptoms. While I couldn't go in with him, by all reports, every minute under your care was exemplary, especially commendable during this difficult time. He was discharged, came home and got up to record this song. It is very, very heartfelt from him, and he sends this out as a "thank you" to St. Charles, your ER and second floor staff, and to the others and to the people of our community: We'll Be Alright."

Please take a minute to watch Eli’s song and share it with others. We all need to remember that we are in this together.

Our St. Charles team continues to be here for you to provide a safe place to receive care – either through virtual visits in our clinics or for emergency health needs in our Emergency Departments. As we develop our recovery plans and look to the future, we need you to help us by following the Governor's order and staying the course we’re on right now.

The numbers may be low and you may be feeling restless, but make no mistake: It continues to be important that you stay home. The lives of our patients, our caregivers and our loved ones still depend on it.

Sincerely,
Joe

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Grand Rounds - April 17, 2020
"Fine tuning diagnostic conceptualization skills: The Autism Spectrum Disorder"

Speaker: Kira Armstrong, PhD

 

 

Objectives:

  1. Describe at least 3 characteristics in a child’s psychosocial family history and/or parents that can make it more challenging to recognize high functioning ASD
  2. Identify at least 4 child characteristics and/or comorbidities that can “mask” ASD
  3. Summarize at least 3 ways to change how one approaches diagnostic interviews and the assessment process to increase the likelihood of recognizing and “finding” high functioning children who have ASD.

Accreditation: St. Charles Health System is accredited by the Oregon Medical Association 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.

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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FOR IMMEDIATE RELEASE   |   April 14, 2020

St. Charles to begin offering drive-through specimen collection service Thursday

BEND, Ore. – Starting Thursday, St. Charles Health System will begin offering a drive-through specimen collection service for COVID-19 testing outside of the St. Charles Family Care clinic at 2600 NE Neff Road in Bend.

Those taking advantage of this service must have a provider’s order and call 541-699-5107 to schedule an appointment. The ordering provider does not have to be employed by or affiliated with St. Charles.

Individuals who do not have a provider’s order will be referred to their primary care provider, or to an Immediate Care or Urgent Care clinic for evaluation.

Initially, the drive-through will be open weekdays, 9 a.m. to 3 p.m. Upon arrival, individuals will participate in a quick registration process, after which a specimen will be collected. All specimens will be sent to the University of Washington for testing, and results should be available within two to four business days.

To use this service, individuals should enter the St. Charles Bend campus from Neff Road and follow the signage on Medical Center Drive to the drive-through entrance.

In addition to offering drive-through specimen collection, St. Charles Bend is now also able to provide rapid on-site COVID-19 testing for eligible patients who are hospitalized. The health system received its first allotment of 120 test kits Friday, allowing its Bend laboratory to begin performing COVID-19 tests on its Cepheid platform on Saturday. The health system is expecting a second shipment of 890 test kits within the next two weeks. Once that shipment is received, the health system expects to expand rapid on-site testing to its hospital laboratories in Madras, Prineville and Redmond.

Reminder: St. Charles’ Emergency Departments are open to treat patients

As a reminder to the community, St. Charles’ Emergency Departments are open to see patients with conditions other than COVID-19. All Emergency Departments have protocol in place to evaluate and triage patients in such a way so as to reduce the risk of exposure to the virus. This includes taking patients with respiratory symptoms to areas for care that are separate from everyone else.

“We want to make sure people who need emergent care are getting it,” said Dr. Gillian Salton, an emergency medicine physician in the St. Charles Bend Emergency Department. “We have many processes in place, and are wearing the appropriate personal protective gear, to ensure our Emergency Departments remain safe places for those will emergent medical needs to be seen.”

It is also important to remember that due to the COVID-19 pandemic, there continues to be a nationwide shortage of blood supply. Emergency Department and trauma physicians continue to urge Central Oregonians to use caution and avoid activities that could lead to a high likelihood of traumatic injury requiring blood transfusions.

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 and Sisters. 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.

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It was after 10 p.m. on Friday, March 27 when Dave Beermann pulled into the parking lot of St. Charles Bend. Before he could even open his door to help his feverish wife, Barbara, out of the vehicle, he heard someone shouting instructions.

“We arrived at the Emergency Department and they said, ‘Don’t get out of the pickup!’” Beermann said. “I said, ‘OK,’ and they took Barb and put her in a wheelchair and wheeled her off into the dark.

“And that,” Beermann said, “was the last time I saw her for six or seven days.”

Barbara Beermann, 71, is one of handful of people who has recovered and been discharged from St. Charles Bend after testing positive for COVID-19. She spent six days and nights in the hospital’s Progressive Care Unit, where caregivers worked around the clock to lower and stabilize her temperature, which hovered near 100 degrees before finally reaching 101.8 on the night she went to the ER.

By that time, Beermann had awoken soaked in sweat several nights in a row. Just a couple weeks removed from a knee-replacement surgery, she was concerned about an infection and was in touch with both her surgeon and her primary care physician. The possibility that she had contracted the novel coronavirus known as COVID-19 never crossed her mind.

“They thought it had to do with my incision at first,” Beermann said. “But they said if my temperature went over 100.4, I should go to the ER. So that night, I was getting ready for bed and all of a sudden I was just out of energy. I couldn’t even get undressed. I took my temperature and told my husband, ‘We need to go right now.’”

Beermann hadn’t experienced any of the other symptoms commonly associated with COVID-19, including cough and shortness of breath. But she said the St. Charles ER staff tested her oxygen level and found it was very low. They also scanned her lungs, she said, and tested her for the virus by inserting a swab deep into her nasal cavity. At 3 a.m. on Saturday, March 28, she called Dave and said she wouldn’t be home that night.

Dave Beermann, 72, was also experiencing symptoms consistent with COVID-19, though his weren’t as severe as his wife’s. So he hunkered down and self-isolated at home.

“I pretty much became a hermit,” he said.

Barbara Beermann couldn’t have visitors at all because she was isolated at the hospital to protect caregivers and other patients from the highly infectious virus. Her nurses were “awesome,” she said, constantly updating and encouraging her. She had one conversation with a doctor – a “gloom and doom” talk about ventilators and the possibility that she might not survive the situation, she said – that upset her, in part because it highlighted the fact that she couldn’t have her family at her side.

 

“It was petrifying thinking, ‘Oh my God, I want to do this and I want to do that. I want to see all my grandkids grow up,’” Beermann said. “It was pretty devastating, but I could see (my number on the screen) every time they took my temperature. I could see that I was getting better.”

After her second night in the hospital, Beermann’s night sweats subsided, and four days later, she was allowed to go home to her Bend home. There, she decided to make a donation to the St. Charles Foundation in honor of her nurses, who she called “so nice and kind.” Just last week, St. Charles announced a new Hero Fund to benefit caregivers on the front lines of the battle against COVID-19.

“My son is a nurse in California, so I had great respect for them when I went in there,” Beermann said. “And I have even greater respect for them now. They took good care of me, and I just hate to see the loss of life over this. I didn’t give a huge amount, but I hope it can help somebody.”

Now, both Beermanns are feeling much better. A veteran of the agriculture and trucking business, Dave is urging acquaintances far and wide to take COVID-19 seriously.

“I tell them they need to use common sense and be very vigilant about not only their own well-being but also the people around them,” he said.

As for Barbara, her three kids and 10 grandkids are scattered across the country, so she hasn’t gotten a chance to hug them yet, though she did video chat with them to assure them that “grandma is OK.”

She feels lucky – or more precisely, blessed – to have beaten COVID-19.

“I had good care at the hospital and I had a lot of people praying for me,” she said. “By the grace of God, I’m home.”

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Last week, a patient celebrated her 95th birthday while admitted to our Progressive Care Unit at St. Charles Bend. Because of visitor restrictions, her family sadly couldn’t be with her on this special day.

Instead, our social workers, nurses and many other caregivers stepped in to help. They brought her a piece of carrot cake and even served her a martini with three olives – essentially fulfilling her dying wish. They sang “Happy Birthday” while holding up a cell phone so her children and grandchildren could sing along.

The next day, the patient passed away. 

“It means the world to me what the frontline team did,” her son wrote in a note of thanks. “They are risking their families to help families like us and at the same time give comfort and compassion when it’s time. For that I am truly grateful.” 

This is just one of thousands of stories like it taking place across the globe. Health care workers, first responders, public health caregivers and so many more are going above and beyond to not only treat the sick, but to be there for important moments when patients’ loved ones can’t.

Introducing the St. Charles Hero Fund

To acknowledge the many sacrifices and honor the risks our caregivers are taking, last week we launched the St. Charles Hero Fund. 

The fund will provide bonus pay to caregivers who work on the front lines for the month of April. To be eligible, caregivers must work in direct patient care or on-site at a St. Charles clinical location for at least 80 hours this month.

St. Charles caregivers in our hospitals, clinics, home health and patient support areas come to work every day knowing that even with taking appropriate precautions they could contract this serious virus. They provide essential care, while having to worry about potentially bringing home COVID-19 to their families. I am in awe of their heroism and honor the sacrifices they are making to care for others during this crisis.

To kick-start the fund, I am donating 50% of my paycheck during this timeframe to support our caregivers. I hope you will join me in contributing whatever amount you feel comfortable to do the same. To learn more about the St. Charles Hero Fund or to make a donation, please visit our website. Our goal is to raise $1 million from our community as a match to $1 million in support from St. Charles. You can help us get there.

The latest on the COVID-19 front

At this time, St. Charles has the lowest number of inpatients with COVID-19 we have had in the past two weeks. We have just four positive COVID-19 patients at St. Charles Bend and none of them are in the Intensive Care Unit.

This is great news and simply would not have been possible without your efforts to stay home and save lives. It is working.

New projections released by the Oregon Health Authority yesterday estimate that together we have prevented as many as 18,000 COVID-19 infections and 500 hospitalizations because of social distancing measures throughout the state.

Isn’t it extraordinary to think you have saved lives simply by staying home, spending more time with your families, playing board games, watching Netflix and taking a breath from the busyness of life?

Of course, I realize none of this is easy. Parents are juggling working from home while also trying to be educators to their children. Businesses are suffering from the loss of revenue and closed doors. And, we are all afraid to go to the grocery store or even walk too close to a neighbor if we aren’t wearing a mask.

Yet, I know we will get through this together as long as we keep it up. The good news is encouraging. It means our efforts are making a difference. Please stay strong and continue to stay the course.

Sincerely,
Joe

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Helping with the fight

Our community is made of so many generous members, and never has it been more apparent than in the last few weeks. Thank you for your kindness, support and love.

You have asked us, “How can we help?” There are several main ways that you can join with us in this fight against this new, unknown virus.

 

Financial Support

We’ll be honest: financially supporting our COVID-19 efforts is the number one way you can help. Preparing for an influx of patients takes money, time, resources and extra staff. The absolute best-case scenario is that we won’t need to utilize the tents, ventilators, extra hospital beds and other supplies, but until then we will continue to prepare for the worst. To make space for a potential surge and to protect other patients, we have cancelled all elective surgeries through June 15. Cancelling these services, while we know it is the right thing to do, represents 45% of our daily revenue and puts a financial strain on our health system. Please consider a monetary donation to help support the care and treatment of all patients during this difficult time.

Recently, we rolled out the St. Charles Hero Fund. This fund provides extra pay to caregivers who work on the front lines. It’s an opportunity for the Central Oregon community to show its love and thank them for their bravery and sacrifice.

Make a donation

 

Feeding the Soul

The Caregiver Support Team was formed to better support our caregivers and their families during this trying time. They are working together with our community to provide donations, food, mental and physical wellness resources, words of appreciation and tips for working from home. If you would like to make a donation of food, beverages or something to help with our caregivers’ wellbeing, please reach out to [email protected].

 

Needle and Thread

Countless individuals and companies have donated personal protective equipment (PPE) and hand-sewn cloth masks and we are so grateful. Cloth masks potentially provide an extra layer of protection to our caregivers to help prevent asymptomatic spread of COVID-19. We met our 10,000 mask goal, so we will distribute the extra to other groups in our community.

Get sewing

 

Share Your Love

Every day, our caregivers put their lives on the line to fight an unknown enemy and treat patients as best they can with the tools they have. It is challenging physically, mentally and spiritually. Your support and encouragement can make all the difference. Click share your love or fill out the form on the right to send your words of gratitude and encouragement. Or click below to share a video, photo or note on our social media channels.