Fall 2015 - Bon Secours

good help
Fall 2015
OLBH and the
War on Cancer
» Old Fashion Days
30 YEARS of RACING in Greenup
| Around
Thankful
for This
Honor
I
n more than 20 years
in healthcare in the
Commonwealth, I have
never been more honored
than when my colleagues
entrusted me to lead the
board of the Kentucky
Hospital Association (KHA)
(see story at right).
A very human trait is to feel as if the world is moving
faster than we can comprehend; was there ever a moment
you didn’t feel like you were living in a time of change?
Yet, in healthcare true change has come. The old model
for how healthcare was delivered survived for well more
than a century. This model wasn’t sustainable and the new
model ushered in by the Affordable Care Act is a work-inprogress. Yet for those of us in Kentucky healthcare, there
isn’t time to fully process or contemplate this transition as
on a daily basis thousands look to us to provide care.
We are no longer in a system that allows the hospital
or provider to do what is most convenient for them. The
new healthcare delivery system is consumer-driven, which
is a positive change for patients. As providers, we must
engage you not just for your health, but for the health of
hospitals. Population health and the management of it will
keep our residents healthier and sustain a more efficient
hospital system.
At the Bon Secours Kentucky Health System, we have
devoted years preparing for the changes. We’ve been
involved in the development and redesign of Accountable
Care Organizations, we have engaged in patient navigation,
we’re managing patient populations collaboratively
through the Eastern Kentucky Health Coalition, along
with KDMC and 44 other partners we are addressing
community health needs through the Healthy Choices,
Healthy Communities coalition, and we have been involved
in the formation of 13 Patient Centered Medical Homes. Are
these all the answers? No, but they’re a large part of the
transition and I look forward to bringing my experience in
these matters to my new role with KHA.
While I’m honored to serve as chairman of the KHA
board, I’m under no illusions that we can solve all the
challenges in a year’s time. What I can promise is I will be
a faithful supporter of my peers and Kentucky’s hospitals
as I represent KHA during this time of great obstacles and
opportunities.
Sincerely,
Kevin Halter, CEO,
Bon Secours Kentucky Health System
2 good help | Fall 2015
OLBH
Halter Elected
Association Chair
Bon Secours Kentucky Health System (BSKHS) CEO Kevin
Halter has been elected and installed as chairman of the
Kentucky Hospital Association’s Board of Trustees for the
association’s 2015-16 year.
Halter brings to his new role more than 30 years of executive
leadership experience in healthcare including experience in
strategic planning, operations, business development and
management engineering. Halter joined BSKHS, which includes
OLBH and Bellefonte Physician Services, in 2004. He became
the organization’s CEO in 2009 and previously served the
hospital as vice president of Planning and Operations.
Slone & Spurlock Honored
Lisa Slone is the
recipient of the 12th annual Sister Ruth Ellen
James Nursing Excellence Award, OLBH’s
nurse of the year honor.
Wilbur Spurlock received the hospital’s seventh annual Outstanding
Nurse Leader Award.
Nominated by her
peers, Slone, a registered
nurse in the Radiology Department, was selected due to her
demonstration of clinical excellence in the workplace. Slone has
been an employee of OLBH since 1991. Spurlock serves as nurse
manager for the OLBH Same Day Surgery Center. Spurlock has
worked at OLBH since 1992.
A Super
Survivor’s Day
The annual Cancer Survivor’s Day in June attracted
not only survivors and
their families, but some
well-known crime-fighters.
Many attendees dressed in
costume in celebration of
the cancer survivors, who
are the real superheroes.
Stay Connected
Our Lady of Bellefonte Hospital:
Saint Christopher Drive | Ashland, KY 41101
OLBH CareLine: (606) 833-CARE (2273), careline@bshsi.org
Online:
www.olbh.com
:
www.facebook.com/ourladyofbellefonte
:
www.twitter.com/OLBHBonSecours
:
www.youtube.com/OurLadyofBellefonte
Introducing Bellefonte Primary Care Ironton
Bellefonte Physician Services has opened
Bellefonte Primary Care Ironton at 115 North
3rd Street in Ironton.
Bellefonte Primary Care Ironton is the new
practice of Kristie Downs, D.O., and Thuy
Nguyen, D.O. Dr. Downs is a graduate of the
Edward Via Virginia College of Osteopathic
Medicine in Blacksburg, Va. Dr. Nguyen is a
graduate of the West Virginia School of Osteopathic Medicine in Lewisburg, W.Va. Both physicians completed their residencies at OLBH.
Kristie Downs, D.O.
New patients are being accepted. Bellefonte
Primary Care Ironton can be reached at (740) 442-7697.
Thuy Nguyen, D.O.
O’Toole Named
GALLUP MANAGER OF THE YEAR
OLBH’s director of Rehabilitation Services Tim
O’Toole has been selected as Gallup’s 2015 Manager of
the Year. The manager of the year honor is awarded by
Gallup, Inc., the research-based, global performancemanagement consulting company known for its public
opinion polls and its research and strategic consulting
to organizations.
O’Toole received the honor in Omaha, Nebraska, as
part of the annual Gallup Workplace Summit. The Bon
Secours Health System, Inc. (BSHSI) was named a reTim O’Toole
cipient of the 2015 Gallup Great Workplace Award and
has been honored by Gallup each of the last four years as having one of the world’s
most productive and engaged workforces. From the 40 Gallup Great Workplace
Award applications, 10 Manager of the Year finalists were chosen to be recognized at
the June 3 Gallup Great Workplace Award ceremony.
O’Toole joined OLBH 17 years ago as a clinical supervisor of physical therapy and
now oversees more than 50 employees in six departments. His departments have
achieved 90th percentile or greater in Gallup’s Grand Mean and Overall Satisfaction
for each of the past five years and have exceeded budgeted expectations the past
three. O’Toole is a graduate of the University of Pittsburgh School of Physical Therapy.
“This is a well-deserved honor,” BSKHS CEO Kevin Halter said. “Tim’s leadership
capabilities have always been exceptional, as he has cultivated loyalty and high morale
among his staff. The respect Tim receives from both coworkers and patients has been
earned through his tireless work ethic and positive approach to providing patient care.
We could not be more proud of Tim.”
NEW Leader for HomeCare Services
Alicia O’Toole
Alicia O’Toole has accepted the position of director of
OLBH’s HomeCare Services.
In her new role, O’Toole will coordinate and lead OLBH’s
home health division.
O’Toole joined the BSKHS in 2012 and has served several
key roles, including as a staff physical therapist for HomeCare
Services then as the clinical team leader for the agency. She
most recently has served as interim director of HomeCare
Services.
OLBH HomeCare Services accepts Medicaid, Medicare
and private insurance. For more information about OLBH
HomeCare Services call the hospital campus office at
(606) 833-3545 or the Ironton office at (740) 533-9010.
Fitness Fest
Attracts
Hundreds
The first Festival of Fitness engaged hundreds of attendees in exercise and health-related activities
May 1 in downtown Ashland. The
Festival of Fitness offered more than
30 activities free to area residents.
The event was hosted by Healthy
Choices, Healthy Communities, a
coalition comprised of 46 members
throughout the Tri-State region. For
more information concerning Healthy
Choices, Healthy Communities, visit
healthychoiceshealthycommunities.
com or www.facebook.com/ healthy
choiceshealthycommunities.
Did You Know...
?
BSKHS’s Information Services
Department is responsible for 6,004
computer/electronic/telephonic
devices at 49 locations in Kentucky
and Ohio? The department receives
an average of 400,000 calls per
month and staff traveled more
than 8,000 miles in 2014 to provide
services.
Fall 2015 | good help 3
Q&A
Ask the Doctor
Nancy Mussetter,
D.M.D., is a pediatric
dentist whose office
is located in Ashland
at 2000 Carter
Avenue. The office
can be reached at
(606) 329-1440.
Firm Up!
with Wesley Lauderback
PT at Bellefonte Physical
Therapy and Firm Fitness,
Wheelersburg, Ohio
Physical therapists and physical
therapist assistants work to prevent,
correct, or alleviate any disabilities.
Evidence suggests physical therapy
(PT) is as effective as surgery for
certain conditions such as back pain,
meniscal tears, knee osteoarthritis,
and even rotator cuff tears. It can
be effective treating neurological
problems (stroke effects, multiple
sclerosis, dizziness/vertigo, etc.).
Patients who have suffered a
concussion or who are recovering
from one can benefit from PT.
PT can prevent injury through
risk assessment and developing a
program to reduce these factors.
This is especially useful in lowering
the hazards of non-contact ACL
injuries in female athletes.
A PT evaluation can be scheduled
at the newly opened Bellefonte
Physical Therapy & Firm Fitness
in Wheelersburg by calling (740)
981-3370 or at the Human Motion
Vitality Center on the OLBH campus
by calling (606) 833-3517.
Q:
with Nancy Mussetter, D.M.D.
I have three kids, only one of whom has some adult teeth. I’ve
started him with a dentist, but was wondering if baby teeth are
as important?
– Rachel - Hanging Rock
A:
Primary teeth (baby teeth) are more important than many realize. A healthy mouth helps form speech patterns and guides
permanent teeth into appropriate position. Cavities in baby teeth
progress rapidly and can become problematic before a parent
is aware of the decay. According to the American Academy of
Pediatric Dentistry, tooth decay is the most common chronic childhood illness – five times more so than asthma, four times more than
obesity and 20 times more than diabetes. Dental pain and infection
is the number one reason for missed school days, affecting a child’s
ability to concentrate. Decay in primary teeth greatly increases the risk for children to
have decay in their permanent teeth.
Regular dental visits can identify potential problems at an early age. I recommend
children begin seeing a dentist at age one, returning for cleanings and exams every six
months. This provides the dentist the opportunity to educate the child and parent(s)
on proper dietary choices. Developing a relationship with your child’s dentist can help
empower your child to be a confident dental patient with a healthy mouth.
Each issue, an OLBH physician answers reader questions. Submit questions
via email to careline@bshsi.org or via mail to OLBH CareLine, Ask a
Doctor, Saint Christopher Drive, Ashland, Ky. 41101. Readers
whose questions are printed will receive a free gift.
HEALTHY RECIPES
from the
OLBH kitchen
Sweet Potato Soup submitted by Ron Medley
Ingredients:
2 cups diced peeled fresh
sweet potatoes
½cup diced red onion
1 cup diced and peeled gala or
Fuji apple
2 tablespoons olive oil
1 teaspoon cumin
1 tablespoon cinnamon
1 teaspoon kosher salt
2 cups vegetable stock, unsalted
½ cup half and half
Nutrition Facts:
(per serving,
recipe yields four
servings):
Calories:196
Fat: 10.6 g
Saturated Fat:
3.2 g
Sodium:*
672 mg
Carbohydrate: 23 g
Fiber:
3.6 g
Protein:
2.35 g
*This is a high-sodium food.
Firm Up! is courtesy of Firm Fitness,
OLBH’s community wellness
facility. Call (606) 3240339 for membership
information.
4 good help | Fall 2015
Instructions:
Sauté onions in oil until soft, place in blender. Sauté sweet potatoes in oil, add cumin
and cinnamon, add ½ cup vegetable stock and cover, steam five minutes then add to
blender. Sauté apples in oil, add kosher salt, when soft add to blender. Add the rest of
the vegetable stock and half and half to blender then blend until smooth. Heat and serve.
1989
2011
mid ‘90s
Let’s Get Old
Fashion
30 Years of Racing in the Streets
I
f one were to stretch out the miles
participants have traveled during the
30-year history of OLBH’s Greenup Old
Fashion Days (OFD) 5K race, the distance
would take a person halfway around the
world. It would be enough to travel from
New York to Los Angeles and back….
twice, and with 2,000 miles to spare.
For three decades runners and walkers
have taken to Greenup’s streets to
participate in the annual OFD 5K race.
This year’s event takes place Thursday,
Oct. 1, and will be the race’s 31st running.
“It’s one of the area’s nicest 5Ks,” Ryan
Arnett, manager of OLBH’s Firm Fitness,
said. Firm Fitness assists with organizing
the race. “I think it’s popular because
of the history and tradition associated
with it. One of my favorite things is how
a cowboy fires a giant shotgun in the
air as the starting gun. I also love that
we award a medal to everyone who is
participating in their first ever 5K. It’s a
big accomplishment for them.”
If 30 years of experience in race
planning has produced the polished
product enjoyed by participants today, the
event’s early years could be adventures.
Rod Hieneman, OLBH’s current vice
president of Operations, recalled when he
coordinated his first OFD race for OLBH
in 1995. “I ended up coordinating seven
or eight of the 5Ks, but it seems like all
of the most embarrassing moments and
rookie mistakes happened in that first
one,” Hieneman recalled. “Greenup is my
hometown, so I wanted to do a great job
for the runners and because I had many
memories growing up and attending Old
Fashion Days.”
Hieneman’s escapade began when a
gospel sing needed to be interrupted in
order to start the ’95 race. The sing was
still ongoing at the race’s end, which
forced a change in the 5K’s awards
ceremony. “The folks involved with
the gospel sing would not allow me
to use the stage to announce the race
winners,” Hieneman said. “We had the
awards ceremony behind the stage with
a bullhorn. Naturally, the bullhorn ran out
of battery power. You can imagine how
that worked during a gospel sing. I was
yelling race winners’ names over some
serious singing!” The following year the
race’s start/finish line was changed to the
Greenup Christian Church to avoid the
conflict of the sing. It has remained the
start and finish point ever since.
The comedy of errors associated with
the ’95 event were not limited to just
staging issues, but a faulty timer resulted
in trophies being inaccurately awarded
(the actual winners were later mailed
their trophies) and an Old West-themed
T-shirt Hieneman helped design for the
event was not well received. “Twenty
years later and I still hear about that shirt,”
Hieneman said. “I learned that runners are
serious about their race shirts. I can laugh
about it all now, because it prepared me
to better coordinate our future races.”
Meschelle McCleese, OLBH’s current
rehab case manager specialist, remembers
those T-shirts with the cowboys and
Indians on them. McCleese assisted in the
coordination of the ’95 race though she is
quick to point at Hieneman if questioned
about the T-shirt design. McCleese
wished she still had the infamous shirt.
“For years, I kept a T-shirt from every
race,” she said. “I had them all the way
to 1986 (the race’s second year). I ended
up with so many that for space reasons I
finally let them go during an office move.
What a collection it would be today.”
McCleese can empathize with Hieneman
concerning fickle bullhorns and rookie
luck. She also had a bullhorn die on her
during the first OFD race she coordinated.
2014
“I am lining up the runners and just
when I should be making announcements
the megaphone dies so here I am
shouting as loud as I can with race
instructions,” McCleese said. “I am also
shouting to onlookers to keep the road
clear and allow the runners space. Did the
crowd hear me? It’s hard to say. Did they
listen? Absolutely not. Just as the starting
shot is fired a woman steps out from the
crowd in front of a runner who was in a
wheelchair and he almost flips over trying
to avoid her.”
The minor logistics issues faced by
Hieneman, McCleese and others involved
with the race’s early years have been
relegated to funny memories today.
O’Such Tri-State Race Planners assists
with the event to ensure a uniform race
experience. What has not changed since
the first race in 1985 is the fun for both
participants and volunteers. “They are
great events to plan and a wonderful
way to spend an evening as a runner or
walker,” McCleese said. “For me, I was
always planning for the next year as soon
as the race ended. It was a great sense of
accomplishment for me and a wonderful
memory.”
To become part of the tradition,
register for this year’s OFD 5K, which
takes place Oct. 1, by calling (606) 3694403 or visiting tristateracer.com.
Fall 2015 | good help 5
Dr. Anna Melissa Murillo
is one of OLBH’s cancerfighting physicians
(see sidebar).
Fighting the
War on Cancer
OLBH on the Frontlines
BON SECOURS KENTUCKY HEALTH SYSTEM IS
FIGHTING THE WAR ON CANCER ON MANY FRONTS
WITH ITS CANCER CARE AT BELLEFONTE PROGRAM
O
ne hundred years ago, tuberculosis (TB) was a
major killer in the United States. In the 1950s, polio
killed and disabled millions of Americans.
TB is still a threat worldwide, but effective use of antibiotics
has reduced infections and deaths in the United States and
other developed countries.Thanks to the Salk vaccine,
introduced in the mid-1950s, polio has been virtually eliminated
in this country and lingers in only two small areas of the world.
When cancer was targeted in the National Cancer Act
of 1971, expectations were similarly high. Labeled by thenPresident Richard Nixon as the War on Cancer, the goal was to
find more effective treatments and ultimately a cure. Though
hopes have been revived again and again, the question, “Are
we there yet?” must be answered in the negative.
Cancer still ranks behind heart disease as the top killer in
the United States, accounting for nearly 25 percent of deaths.
Deaths from stroke declined by 60 percent during the period
from 1975 to 2006, and deaths from cardiovascular disease,
by 52 percent during the same period.
The cancer death rate for American men has declined since
1975 primarily because of less smoking and fewer lung cancer
cases. Yet, the overall cancer death rate, after adjusting for the
age and size of the population, has declined by only about five
percent since 1950.
Cancer is clearly a much more complex disease than was
thought in 1971. In fact, it’s not one disease but many, and the
more scientists learn about cancer, it seems, the more there
is to learn. Bon Secours Kentucky Health System is fighting
the war on cancer on many fronts with its Cancer Care at
Bellefonte program.
Diagnosis, treatment, education, support and more are
available at OLBH. As a member of the Markey Cancer Center
Affiliate Network, OLBH offers high-quality cancer services
with the support and guidance of the University of Kentucky
Markey Cancer Center, allowing patients to receive the latest
cancer treatments closer to home.
» PREVENTION
Thanks to ongoing research, treatments have been improved
and great strides have been made against some cancers,
most notably childhood leukemia, chronic myeloid leukemia,
Hodgkin’s and non-Hodgkin’s lymphoma and testicular cancer.
6 good help | Fall 2015
For many women, breast-preserving lumpectomy has replaced
mastectomy as a treatment option.
On the other hand, pancreatic cancer, lung cancer, brain
tumors and metastatic melanoma remain largely incurable.
Sixty percent of lung cancer patients die within a year. When
cancer has already spread by the time of diagnosis, successful
treatment is more challenging. For this reason, the healthcare
professionals of Cancer Care at Bellefonte promote disease
prevention. Free screenings are regularly offered for the early
detection of skin, prostate and breast cancers at primary
care centers and various physician offices throughout the
community. Prevention is a central component of the OLBH
Women’s Center’s mission, and women who receive their
annual mammograms at the center receive same-day results.
“We have noted the success of screening in improving
outcomes in cervical, colon and breast cancers,” said Jeffrey
Lopez, M.D., OLBH radiation oncologist. “Considerable interest
has been shown in developing screening tools to detect earlystage lung cancer. Recent data supports using CT imaging
of the chest to screen patients at high risk of lung cancer,
specifically those who are 55 to 79 years old, are currently
smokers or have smoked in the last 15 years and smoked one
pack per day for 30 years. These scans can be performed at
OLBH.” OLBH’s Lung Health program offers the quick, painless,
potentially life-saving CT screenings for $75.
» TREATMENT
The primary purpose of cancer surgery is to cure cancer
through removal from the body. OLBH’s talented surgeons
extract the cancer along with some surrounding healthy tissue
to ensure complete removal. Surgeons may also remove some
lymph nodes in the area to determine if the cancer has spread.
This helps assess the chance for remission as well as the need
for further treatment.
Radiation therapy and chemotherapy are two treatment
options often following cancer surgery, and, occasionally, are
undertaken when surgery is not suggested. Radiation therapy
is a type of cancer treatment that uses beams of intense energy
to kill cancer cells. “Many of my patients recall stories of their
own family members undergoing radiation treatment many
years ago, and the memories aren’t happy ones,” said Anshu K.
Jain, M.D., OLBH radiation oncologist. “Radiation therapy has
made remarkable advances in the past five years. Not only has
treatment time become much shorter, but in some instances
where the cancer is inoperable, the outcomes of advanced
radiation therapies have been comparable to surgery.”
Chemotherapy is a cancer treatment that utilizes chemicals
administered intravenously to destroy diseased cells. OLBH
recently began an outpatient chemotherapy program. The
advantages of outpatient chemotherapy are many, including
safe, easy drug administration, convenience, expense and the
avoidance of hospitalization.
» SUPPORT
For patients and families dealing with a cancer diagnosis,
OLBH offers care in the form of support groups and
rehabilitation. OLBH’s monthly support groups include
offerings for breast cancer, prostate cancer and the Look
Good.Feel Better group that helps women cope with the
appearance-related side effects of cancer treatment. OLBH
maintains a smoking cessation program to help area residents
defeat the addiction of tobacco. All support groups are free.
Rehab options at OLBH include the OLBH Pulmonary
Rehabilitation program for lung cancer patients and for all
cancer types the recently launched Cancer Rehabilitation
Program. Participants receive customized programs to address
rehabilitation needs related to the physical effects of cancer.
Clinical trials are medical research studies in which volunteers
participate in new methods of treatment.
» LEARN MORE
“At OLBH, we strive to provide individualized cancer
care,” said Anna Melissa Murillo, M.D., OLBH oncologist.
“We understand every patient is different and we tailor our
treatment to take into consideration not just the type of cancer
patients have and the stage of cancer, but their preferences
and social situations. We make the whole experience as
convenient as possible not just for the patient but also families
and caregivers.”
For more information concerning cancer prevention,
treatment and support options available at OLBH,
call the OLBH CareLine at (606) 833-CARE (2273).
OLBH Cancer-Fighting
Physicians
Oncology/Hematology
» GENETIC TESTING/CLINICAL TRIALS
There are two reasons for genetic testing: 1.) To provide
former cancer patients with their likelihood of recurrence. 2.)
To determine the likelihood of cancer being inherited from a
cancer survivor to an offspring. Both test types are available
at OLBH and start with a simple blood sample.
While OLBH’s genetic testing program looks to predict the
future for the individual patient, the hospital’s clinical trials
program is focused on a better future for cancer as a whole.
Sameer A. Batoo,
M.D.
Kirti Jain, M.D.
Venu Konala, M.D.
OLBH’s oncology nurses
play an important role in
cancer care.
Anna Melissa
Murillo, M.D.
Vinay Vermani, M.D.
Radiation Oncology
Anshu Kumar Jain,
M.D.
Robert O’Laughlin,
M.D.
Jeffrey Lopez, M.D.
Terry Justice, M.D.
Prakash Patel, M.D.
Fall 2015 | good help 7
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