S p r i n g 2 0 1 2 VO lUM e 34 nUMB er 2
Not Random Acts of Kindness Anymore
New federal laws require nonprofit hospitals to conduct lead StOry
community health needs assessments in a standardized
P A G E
manner. The purpose of the assessments is to move
community benefits from random acts of kindness to
strategic planning that involves communities served. in the COMMUnity
Here some Avera hospitals share processes and plans, and Community Benefits, Cont.
P A G E
discuss the pitfalls and perks of meeting the new requirement. Avera Sacred Heart Expands
Vera MarShall regiOnal MediCal Center in MarShall, Minn.
Avera and SDSU Make
The Process: A 10-member steering committee selected Announcement
target focus groups based on frequent health care access:
business, education, minorities, older adults, social services, aVera St. BenediCt
mental health, civic and law enforcement, elected officials, hOSpital in parkStOn, S.d. fUlfilling OUr
patients and hospital staff. Organizational Learning and MiSSiOn
The Process: three focus
P A G E
Community relations departments helped conduct the groups. groups were performed: the ministerial Mission Possible
The Possibilities: despite the hospital’s addition of mental association, food pantry and commercial club.
health services a few years ago, there is a need for more The Possibilities: A nurse and clinic are needed in
resources. Gaps in transportation and needs for radiation the school to address health care needs such as fevers,
therapy for cancer patients and affordable dental care also exist. rashes, cuts and head lice. some community members arOUnd the SySteM
The Plan: the Open door Health Center, a mobile unit, now require basic life-skills education including personal Kudos
P A G E
provides dental and other affordable care to people in need hygiene, cleaning, checking-account balancing and
on a regular basis at the hospital parking lot on east College nutrition. every focus group identified a lack of
drive. Public Health had been coordinating the project, and transportation and noted that drug abuse and underage
drinking are problems. Leadership on the Move
the hospital collaborated to provide the host site. Planning to
meet other needs will be done in conjunction with the board In Memory
The Plan: Quick, basic education on drug and alcohol
P A G E
later this year. the completed report will be published at abuse with parents during school registration led by the Also
police department, school staff and a behavioral health Bricks and Mortar
The Surprise: the prevalence of demand for additional specialist
mental health services The Surprise: the openness of community members
The Pitfall: Know how to distinguish community health to welcome the assessment and answer questions peOple neWS
needs with other “wants,” such as the desire for another store On the Move
The Pitfall: Having enough time, which led to the perk
P A G E
downtown or additional white-collar jobs. Be able to refocus Medical Staff Notes
the discussion. The Perk: the time put into this assessment has
created a quality project. A community need is now
The Perk: in working with other Minnesota groups, it being addressed with coordinated community resources
became evident Avera has a strategic focus on the process including behavioral health professionals. Avera Medical Group
and is leading the way.
P A G E
The Pro: Contact Jessica Leischner, coordinator of
The Pros: Contact Marty seifert, executive director of the infection Prevention/employee Health/education/
Avera Marshall Foundation, at (507) 537-9145, or sr. sharon trauma, at firstname.lastname@example.org.
Altendorf, vice president of Mission services, at (507) 537-9032. preSident’S
(continued on pg 2)
P A G E
Avera Chart Leadership
t a k e Ote
Of Band-Aids, Bucks and Buyer Centralization
Understood in Band-Aids, the value of centralizing Purchasing Manager ryan rotar helped translate the
Avera’s buying functions would cover a lot of skinned savings into another image to illustrate the impact.
ve-year knees. in reality, the comparison isn’t such a bad one “the money saved, if placed into one pile of one-dollar
translate the fi in the health care industry environment where buying bills, would weigh 19,800 pounds or nearly 10 tons,”
projected savi decisions and processes make all the difference between he notes. that’s BiG savings.
hurting the organization and a healthier bottom line!
Avera supply Chain employees recently began the
d you could
Band-Aids , an
in fact, careful analysis determined that Avera has centralization process, but it doesn’t mean that everyone
lay them end-t $9 million to gain over five years by bringing buyers will be working from one location. Buyers will remain
Los Angeles, C
under one reporting structure, making buying processes throughout the regions but will operate under a unified
, and back uniform and implementing new policies and software. structure with newly defined roles and responsibilities.
Boston, mass. that healthy savings can do a great deal to keep health
three-and-one- care costs down and keep the organization strong — ryan has overall responsibility for the centralized
both of which translate to greater job stability for all buyers. direct questions on buyer centralization to
Avera colleagues. ryan at (605) 322-8733 or email@example.com.
S p r i n g 2 0 1 2 2
in the OMMUnitY
what is eLtC?
aVera SaCred heart tO e LtC is a relatively new service line in the Avera
(continued from pg 1)
EXPAND SerViCe thrOUgh grant
e CArE™ family of telehealth services. residents
of long-term care often suffer discomfort and
disorientation when transferred out of their home
settings, making healing and wellness more
difficult to achieve. e LtC allows residents to
stay in a familiar, homelike environment and still
receive needed health care services.
aVera St. lUke’S hOSpital in aBerdeen, S.d. On Friday, April 6, U.s. sen. tim Johnson e LtC connects long-term-care residents to
(d-sd) announced that Avera sacred Heart physicians at remote locations using two-way
The Process: A 12-person team of
Hospital was the recipient of a federal grant from audio-visual telehealth technology to:
hospital professionals who “touch” the department of Health and Human services.
the community — equipped with n improve access to high-quality care in a
the total grant award will be around $375,000 convenient, low-cost manner
fiscal and clinical analysis, and over three years and will expand eLtC (see
administrative vision — assembled sidebar) beyond the current four pilot sites to
n Provide around-the-clock urgent care to
six focus groups: students, community residents exhibiting acute symptoms not readily
another 16 long-term-care centers. addressed during regular clinic hours
health providers, key hospital
personnel, public agencies, the project is a partnership between Avera n Accurately assess residents’ conditions from
community leaders and the sacred Heart, Avera eCAre™ services and hundreds of miles away
underinsured and uninsured. the evangelical Lutheran Good samaritan n Eliminate costly and exhausting transport to and
society®. the project also will broaden the scope from the clinic or hospital setting
The Possibilities: Focus group of the pilot by bringing additional resources, such n reduce unnecessary transfers, allowing
participants gave many accolades to as wound care, to the long-term-care setting. residents to be cared for in their homes by staff
Avera st. Luke’s for the wonderful who know their unique needs
health care the hospital provides in
the region. Areas of opportunity that
were identified include a need for
more education in the areas of mental
health, diabetes, nutrition, obesity and
preventive medicine. transportation
to health care and improved access for
the underserved and uninsured also
were noted as issues.
The Plan: the team will sift through UpCOMing edUCatiOnal eVentS Offered By aVera inClUde:
the input (prioritized by each group)
to determine top opportunities. this
will be compared with data such n the Avera Gerontological Care Conference on June 14 offers specific education that
as census, emergency department can be used in applying for or renewal of the Gerontological nurse Certification.
discharges and chronic-disease data to n the 10th Annual Avera nursing Conference on Oct. 18 highlights the professional
develop a plan. practice of Avera nursing across the system and includes presentation of the
Avera nursing excellence Awards.
The Surprises: the team members
discovered that much of what they
first wanted to do didn’t match the
community’s needs, but the work is
exciting, the opportunities and
suggestions plentiful, and the team
is “amped up” to respond with
The Pitfalls: Finding the right
attendees and getting them to the
aVera and SdSU
annOUnCe reSearCh fUnding OppOrtUnity
groups in the right numbers —
particularly the underserved — proved VOlUnteer regiStrieS BOOSt Avera and south dakota state University (sdsU) recently
difficult. And, is there ever a good
time for another project? eMergenCy preparedneSS published a request for proposals soliciting research projects
that demonstrate a collaborative effort between Avera and
sdsU’s colleges of Arts and sciences, education and Human
The Perks: Opportunities are sciences, nursing and Pharmacy. the grant opportunity is for
opening up, and this work ties back during national Volunteer Week, projects that have the potential to improve health care.
to the Avera mission. there will be April 15 − 21, state health departments
excitement over the next three years encouraged doctors, nurses, eMts and Up to $80,000 is available. requests may not exceed $20,000.
other health care providers to register with Projects, which will be funded for a one-year period, will be
as the paper turns into a project that
statewide emergency registries of volunteers. evaluated for:
impacts the community.
some registries also enroll other volunteers to n strength of inter-organizational collaboration
The Pros: Other area hospitals, not assist in health emergencies. n relevance to health care and potential for advancing
all Avera facilities, called upon the health care
disaster response from Hurricane Katrina to the Joplin
team for assistance with their Quality of the proposal and proposed project
tornado has demonstrated that the nation’s health and n
assessments. the team members medical professionals are willing to volunteer and n dissemination plans and potential for future extramural
shared data and the Avera toolkit, and provide vital services to stricken communities. the funding
made themselves available to assist. federal emergency system for the Advanced registration of
Contact Michael O’Keefe, executive Volunteer Health Professionals (esAr-VHP) was created Project proposals, due June 1, are to have co-principal
director of Avera st. Luke’s to help eliminate problems encountered in utilizing medical investigators (one investigator is an Avera employee and one
Foundation, at (605) 622-5758 or and health care volunteers in complex emergency situations. is an instructor-or-above-ranked sdsU faculty member).
firstname.lastname@example.org. Volunteer registries help to identify professionals in advance, For additional information about submitting a proposal,
verify their credentials and provide them with disaster contact Kevin Kephart, Phd, at (605) 688-5642 or
training so they’re ready to go in the event of a public health email@example.com.
COMMUnity health the registries can be activated when a health care
needS aSSeSSMentS organization, county, other state or federal agency requests
For a quick review of the new volunteers. registered volunteers choose whether to
requirements and to learn how participate in any response and are not obligated to deploy.
Avera sacred Heart Hospital
learn more about your state’s emergency health care
tackled the project, read volunteer registry:
“Connecting the Dots” and Iowa: www.idph.state.ia.us/cdor/iSErv.aspx
“President’s letter” in the minnesota: www.mnresponds.org Spring into prayer. For Today’s Scripture
summer 2011 issue of All of Us Nebraska: volunteers.ne.gov/ESAr-vhP/faces/jsp/login.jsp and Reflection and Avera Prayer Line
found at www.Avera.org/ North Dakota: www.ndhan.gov/PhEvr/phevr.asp
south Dakota: serv.sd.gov
go to www.Avera.org
experience/index.aspx. where you can e-subscribe today!
S p r i n g 2 0 1 2 3
f U l f i l l i n g O U r issiOn
Mission The Klinik Pep Bondye-a features
n Fully stocked pharmac
n medical X-ray and sono
gram — the only such
services in the area
n Clinical laboratory
n Fully equipped eye exam
n Five patient examinati
n Fully equipped and staff
ed dental clinic
n Diabetes trea tment center
n Staff of physicians, dent
ists, nurses, technical
assistants and others
most of us expect that when we flip a a
switch, something will happen. But that Patric
ie s the p
experience isn’t so true for many people in our h his s
world, including workers at the haitian health Foundation’s (hhF)
outpatient clinic, Klinik Pep Bondye-a (Clinic of the People of God) in Jéremié.
thanks to one man who really understands power, all of that is about
to change. the man is Patrick Soukup.
Patrick is an electrician by trade, so he knows electrical power, wiring, grounding and all that
will be needed to bring the clinic’s wiring up to code, modernity and energy efficiency. He
also understands the power each person has to make a difference in the world. “i am going to
make the world better one step at a time by the things i can control,” Patrick says.
His first trip to Haiti was in 2010 when he worked at Avera Queen of Peace Hospital in Mitchell, s.d.
“it gets a hold of you,” Patrick notes. in fact, he credits the visit with prompting him to his current work
as a teacher. “i wanted more direct contact where i knew i was really helping people.” n Calby Auch, sc
otland, s.D., ele
with Fischer electri ctrician
When he returned to Jérémie in 2011, HHF Administrator sr. Maryann Berard, OsF, had plans for n eric Boehmer, m
itchell, s.D., ele
him, and he had plans to reciprocate. “sr. Maryann knew what makes me tick,” he notes of her ability to with Muth electric, inc. ctrician
size up people and draw out their talents. sr. Maryann supplied him with the blueprints to the building. n ron Disbrow, si
oux Falls, s.D.,
Patrick agreed to send them back with the next Avera group. with d iaz electric electrician
n Paul Faris, siou
x Falls, s.D., co
then he set about organizing a one-week rewiring trip. First he met with Mike stebbins, senior vice supe rvisor, City of siou llection
president of Mission services for Avera; Jim Breckenridge, senior vice president of Finance for Avera; x Fa
n richard Kluth, m
itchell, s.D., ele
and Kathy english, lactation consultant at Avera McKennan Hospital & University Health Center and student at Mitchell ctrician
volunteer coordinator for the Avera Haiti Project. together they secured the funds for the rewiring from technica l institute
n Doug schley, m
itchell, s.D., ele
the Avera Foundation. with Central ctrician
n Patrick soukup e
From that point on, Patrick says, “every obstacle — whenever we ran into a roadblock — it was removed. , mitchell, s.D.,
electrician and teach journey
When your heart is in the right place, things just happen,” he explains. er for Mitchell
Muth electric, inc., in Mitchell, s.d., helped him copy the blueprints and redesign a wiring plan for all n Gary soupir, m
itchell, s.D., ele
with Muth electri ctrician
four floors of the building. (Only the second floor where the clinic is located is being rewired this trip.) c, inc.
the company also helped him obtain the needed materials at a generous discount. A sioux Falls
businesswoman donated essential power tools. Old dominion Freight Line, inc., in sioux Falls trucked
the supplies to HHF’s Connecticut offices, also at a discount. Once there, they were loaded into a
container for shipment to Haiti.
Patrick estimates total project expenses with shipping, materials and tools at $12,000. “the retail value
with the design would be close to $22,000,” he notes, expressing amazement at the donations and price
breaks others gave to the project.
to recruit the team he says he just talked about it, at first with his second-year students. Friends talked
to friends, and before he knew it, he had assembled an eight-person team. Donate to
www.Ave era’s work in Haiti a
ra.org. Se t
Asked if all of the permits and permissions are in place, Patrick explains that if wiring works, it is Foundatio lect “Avera
ns” on the
How you can
a success by third-world standards. But, he says the group is bringing their work “Avera He left. Choo
alth Found se
standards and code of ethics with them, and those will be the “Make a G ation.” Th
measure by which the work is performed. in addition, ift Online” en select
out the on on the left
Patrick has scoured the plan and timed each phase line donati . Fill
“Mission on form c
of the work. “it is a big job, and each person Work (Hait hoosing
area drop-d i)” in the p
on the team will be putting in 75 hours to own box. rogram
and check Click “Add
pull this off.” the team leaves May 17 out. to Cart,”
and returns May 23.
iS pUBliShed QUarterly By aVera.
itS pUrpOSe iS tO COMMUniCate aCtiVitieS and iSSUeS
q u e s t i o n s ?
editOr: Clare WillrOdt For additional information
about Avera, its affiliates
pertinent tO aVera, tO Share ideaS and infOrMatiOn Send comments and questions to:
Look no further. USefUl in Managing Or deliVering health Care, tO
Avera Health and physicians, or to view
3900 W. Avera Drive this newsletter online,
Sioux Falls, SD 57108
aSSiSt in fOStering a COMMOn aVera CUltUre and or firstname.lastname@example.org
please visit our website at
tO reinfOrCe the MiSSiOn and COre ValUeS Of aVera.
S p r i n g 2 0 1 2 4
arOUnd the YsteM
Proud! aVera BehaV iOral healt h Cente r
h World” touts the
aVera prair ie Cente r An article in the Feb. 1 edition of “Catholic Healt
the Prairie Center on the Avera McKennan Hosp
ital & University Health inventive approach taken in the creation of the Avera
ed recognition on two fronts: Center to reduce the fear and stigma that keep people from seeking
Center campus in sioux Falls, s.d., recently receiv calls the approach
the award for Best Project in Health Care from enr
Mountain states behavioral health care. the front-page feature story
news periodical covering Colorado, Wyoming, “advocacy for the menta lly ill” and says it is a “bricks-and-mortar testament”
magazine (an engineering its behavioral health
Kansas, nebraska, and north and south dakota)
and two Green Globes to the sioux Falls region that Avera McKennan places
overall environmental services on a par with its other medical servic es. the article can be found by
for its efforts in maintaining sustainability and bar at www.chausa.org.
performance. the Prairie Center is home to the
Avera Cancer institute and entering “Avera Behavioral Health” in the search
the Avera surgery Center.
stewards, both in energy Another First!
“this is evidence that we take pride in being good aVera MCken nan
t for staff and patients,”
conservation and providing a healthy environmen the national Weather service (nWs) recently annou
nced that Avera
nt at Avera McKennan.
says Garrett Peters, director of Facility developme McKennan is “stormready .” the hospital is the first faith-based nonprofit
nnan has worked
organization to achieve the designation. Avera McKe
Minnehaha County to
Perfect! closely with the nWs, the City of sioux Falls and
er. Former Manager of
aVera St. lUke’S kidne y dialy SiS better prepare its facilities for the next weather disast
the Kidney dialysis Unit at Avera st. Luke’s Hosp
ital in Aberdeen, s.d., Communications Jason diMe rcurio, who passed away in August 2011, laid
t score) in meeting quality standards set by the s and the organization as a
scored a 30-out-of-30 (a perfec the groundwork for ensuring various department
). the hospital’s score on its
Centers for Medicare & Medicaid services (CMs whole are prepared.
am evaluation is above the
end-stage renal disease Quality incentive Progr
national average of 26. CMs scores on total performance of three individual
facility measures and how closely performance comes
facilities are required
to CMs standards. All
to display their Performance score Certificate in
a public 92,400 roses
aVera fOUnd atiOn S
area throughout 2012. “roses ... Just
twenty-four facilities participated in the annual
Because” fundraiser this year, and 7,700 dozen roses were ordered.
Top-Performing! new this year was a partnership between the Avera
Foundation and the
WWW .aVer a.Org YWCA − Avera of sioux Falls, which brought the event to a broader
t” assessed the performance
A study in the “Journal of Healthcare Managemen audience. Other participating facilities included:
United states based on best
of 25 hospital and health system websites in the
ting, technology and overall Avera st. Luke’s Hospital, Aberdeen, s.d.
practices in the areas of accessibility, content, marke
n United Living Community Avera
, Brookings, s.d.
quality. the Avera site scored 8.1 on a 10-point scale, tying for fifth place with
overall score in the study n Avera de smet Memorial Hospital, de smet, s.d.
four other systems listed in the top nine. the mean rapids, s.d.
n Avera dells Area Hospital, dell
was 6.37, and the maximum was 8.4. ital, Flandreau, s.d.
n Avera Flandreau Hosp
using the internet as a n Avera Gregory Hospital, Grego
in 2011, more than 80 percent of adults reported
resource for health care qualit y information. n Milba nk Area Hospital Avera, Milbank, s.d.
n Avera Hand County Memorial
Hospital, Miller, s.d.
n Avera Queen of Peace Hospital, Mitchell, s.d.
Best! HHHHH outstanding! n Avera st. Benedict Hospital,
aVera hOSpi talS .
in south dakota in cardiac n Pipest one County Medical Center Avera, Pipestone, Minn
HealthGrades® has rated Avera st. Luke’s the best n Platte Health Center Avera, Platte
hGrades also gave
intervention (angioplasty and stents) for 2012. Healt n Hegg Memorial Health Cente
r Avera, rock Valley, iowa
tar ratings for:
Avera Heart Hospital in sioux Falls, s.d., five-s n Landmann-J ungman Memorial Hospital Avera, scotland, s.d.
n Cardiac surgery for six years in
a row sibley, iowa
n Osceola Community Hospital,
n Coronary bypass surgery for nine
years in a row ital & Health Center Avera,
n sioux Center Community Hosp
n treatment of heart attack for 10 years in a row
row sioux Center, iowa
n Valve surgery for 10 years in a s.d.
n Avera Foundation, sioux Falls,
n Carotid surgery for four years
in a row
n tyler Healthcare Center Avera, tyler, Minn.
the best in south dakota n st. Michael’s Hospital Avera,
in 2011, HealthGrades named Avera McKennan
ement, neuroscience, gastrointestinal medical n Wagner Community Memorial Hospital Avera, Wagner, s.d.
in orthopedic joint replac ra Health, Wakonda, s.d.
ital in Yankton, s.d., n Wakonda Heritage Manor/Ave
treatment and critical care. Avera sacred Heart Hosp s.d.
HealthGrades Outstanding n Avera Weskota Memorial Hospital, Wessington springs,
and Avera Heart Hospital also received 2011 Yankt on, s.d.
nation’s most-trusted, n Avera sacred Heart Hospital,
Patient experience Awards™. HealthGrades is the s.
independent source of physician information and hospital quality rating
Gold seal Six aVera nUrSi ng hOMeS
& World report
aVera MarS hall iMagi ng six Avera nursing homes are listed in the U.s. news
Medical Center, Marshall, rankings as Best nursing Hom es in 2012. the facilities are:
the imaging Center at Avera Marshall regional
itation in magnetic
Minn., has been awarded three-year terms of accred n Avera Creighton Care Centre,
ound as the result of
resonance imaging, computed tomography and ultras n Avera Brady Health and rehab, Mitchell, s.d.
reviews by the American College of radio logy (ACr).the mammography n Platte Care Center Avera, Platte
the ACr gold seal of ital & Health Center Avera,
program has been continually accredited since 1988. n sioux Center Community Hosp
quality and patient safety.
accreditation represents the highest level of image sioux Center, iowa
n tyler Healthcare Center Avera
, tyler, Minn.
ington springs, s.d.
n Weskota Manor Avera, Wess
Centers for Medicare &
All six received overall five-star ratings from the e
e eMerg enCy MileS
the 2,500-patient milestone! Medicaid services. A facility’s overall ranking is geared to its performanc
Avera’s eemergency program recently celebrated in health inspections, nurse staffing and medical
the program, which began in October 2009, has grown to 57 hospitals in six
e area to as far north as
states. eemergency reaches beyond the Avera servic
Baudette, Minn., on the Canadian border and to
as far west as Afton, Wyo., Beautiful!
y, more than 550 patients have aVera Urgen t Care in MitCh ell
along the idaho state line. Because of eemergenc ed the 2012 Chamber
ts were admitted to local Avera Urgent Care in Mitchell, s.d., recently receiv
avoided costly transfers. some 350 of those patien vement Award in the
hospitals. Learn more at www .Avera.org/eCAre. City Beautification Committee’s Community impro
Public/nonprofit category. in just more than six months after opening, the
18 patients on weekdays
clinic was already providing care to an average of
and up to 40 patients on weekends.
S p r i n g 2 0 1 2 5
MClean naMed aVera SeniOr ViCe
preSident fOr hUMan reSOUrCeS
Bill McLean has been named senior vice spiritual!
president for Human resources for Avera. the appointment comes following a aVera’S SpOnSOring COMMUnitieS
national search with more than 60 candidates. Men and women of all faiths can avail themselves of the spiritual formation resources of the
in the role, Bill will work with Human resources professionals across the system Benedictine sisters of Yankton, s.d., and the Presentation sisters of Aberdeen, s.d.
to standardize operations and centralize functions. the process will bring together
nearly 100 Human resources employees from five regional centers serving Programs for individuals or groups at the Benedictine Peace Center at sacred Heart
nearly 14,000 employees and physicians across the Avera system. Bill will begin Monastery, Yankton, include weekend retreats, extended sabbaticals, spiritual direction and
the new position July 1. more. A full schedule of offerings can be found at www.yanktonbenedictines.org/center.
Past: For 13 years he has been senior vice president of Human resources for Avera the Presentation sisters of Aberdeen, s.d., also offer spiritual formation resources.
McKennan Hospital & University Health Center in sioux Falls. there he has For more information, go to www.presentationsisters.org.
worked on a variety of key projects including culture change, benefits redesign and
development of the physician employment model. He began his health care
career in 1984 and since 1986 has primarily been involved in health care human What’s New?
resources administration, working in Fargo and Bismarck, n.d., before coming MediCliCk
to sioux Falls. in February, a new contract management system rolled out across Avera. the MediClick
software helps store and manage the thousands of contracts that merge services across
Present: Bill says, “As reimbursement models change, health care delivery will
the system in order to provide improved and efficient methods of contract management.
change accordingly. the Human resources team will be in the middle of the Partners across Avera are being trained to use MediClick and new contract management
culture change-management process. We have to find ways to deliver human processes. Find more information about MediClick and contract management at the
resources services more effectively and efficiently as we centralize and standardize Contract Management Portal at http://avera/contracts.
some processes and functions. Pay practices and benefits structures are an example.
Aligning our leaders with common leadership skills is another priority.”
Personal: His father was a small-town doctor, and his mother was a nurse.
though he was born in new York City, he grew up in rural north dakota, the flaSh Ct
oldest of six. He says his values were formed by what he calls “the utopian, Upper Avera Heart Hospital now features the latest technology siemens sOMAtOM definition
Midwest small-town lifestyle.” He and his wife, Judy, have two children and Flash Ct, one of the world’s fastest computed tomography (Ct) scanners with the lowest-
two grandchildren. possible radiation dosage. the new Ct will aid in improving diagnosis and treatment of
heart and vascular disease. it is designed to reduce radiation exposure through advanced
technology features that help shield organs and areas of the body that are more sensitive to
escription is state-of-the-art technology that will enhance dictation and transcription
functionality at Avera regional hospitals through sophisticated backend speech recognition.
escription will allow clinicians to dictate in the manner in which they are accustomed. the
dictation is processed through a speech engine, and the medical transcriptionist receives
draft text along with the voice file. the medical transcriptionist acts as an “editor” and edits
the draft text while listening to the dictation, correcting and formatting the document as
sr. Colman Coakley, 84, died March 30, 2012, at needed. Because editing is faster than traditional typing, productivity gains by the medical
Presentation Convent in Aberdeen, s.d. transcriptionists are anticipated after they learn new processes. this will allow current
turnaround-time standards for transcribed reports to be exceeded without sacrificing quality.
Brigid nodlaig Coakley was born dec. 28, 1927, in
Cork, ireland, to Hannah (Cotter) and Cornelius Go-lives planned for April included Avera McKennan, Avera Marshall and Avera st.
Coakley. As a young woman, she decided to enter Luke’s. Avera Queen of Peace and Avera sacred Heart have planned go-lives in May.
Presentation Convent in Aberdeen and left Cork
on May 7, 1949, on the Cunard Liner Britannic.
she arrived in Aberdeen by train from new York
on May 17, 1949. she received the habit May 22, 1950, and professed
perpetual vows Aug. 11, 1955.
sr. Colman began working at Avera McKennan in 1952 as a bookkeeper, then and
business manager until 1968. she served as chair of the Avera McKennan
Board of trustees from 1970 to 1989. she attended Augustana College in
sioux Falls where she obtained a degree in business administration in 1971.
aVera St. lUke’S therapy Center
When the Presentation Health system formed in 1978, sr. Colman became its With the April 9 opening of a 14,000-square-foot, $3 million addition, outpatient
first president. the system grew under her influence and leadership from four rehabilitation services for all ages now will be under one roof at Avera st. Luke’s therapy
owned hospitals to a regional network with 18 hospitals; 14 long-term-care, Center in Aberdeen, including physical, occupational, speech, massage and warm-water
assisted-living and independent-living facilities; a home-care organization; and therapy.
other associated services and programs.
the new addition to the original therapy center built in 2005 includes a therapy gym and
in 1997, sr. Colman was inducted into the south dakota Hall of Fame patient, staff and support spaces. the therapy center is now connected to Avera dakota
Medical square to the east and the Aberdeen Family Y to the west.
because of her contributions to health care in the state of south dakota.
the rest of Avera st. Luke’s outpatient therapy services are moving from the hospital’s
in 1998, following a sabbatical year, she volunteered at Avera st. Luke’s for Midland campus to the therapy center at 805 First Ave. se, close to the hospital. the center
three years. she returned to sioux Falls working as a volunteer with the sister’s also features the region’s only full-size, 1,000-square-foot warm-water-therapy pool.
Hispanic Ministry until 2007.
S p r i n g 2 0 1 2 6
pe Op l e eWs
on the move
Nick Fosness is the new CeO and administrator at Marshall County Healthcare Gale Walker, president and CeO of Avera st. Benedict Hospital in Parkston, s.d.,
Center Avera in Britton, s.d. nick was formerly executive director and has been appointed to membership on the Centers for Medicare & Medicaid services
administrator of Long-term Care at st. Mary’s Healthcare Center in Pierre, s.d. (CMs) Hospital Outpatient Panel. the purpose of the panel is to advise the secretary
Previously, he served as administrator of Long-term Care and Critical-Access of the department of Health and Human services and the secretary and administrator
Hospitals. of CMs on the clinical integrity of the ambulatory payment classification groups and
hospital outpatient supervision issues.
Justin Garry, manager of Avera Medical Group neurosurgery sioux Falls,
received the early Careerist Award from the University of Missouri Health Wendy Welty has accepted the position of director of Anesthesia at Avera McKennan.
Management and informatics Alumni Association in conjunction with the
American College of Healthcare executives Annual Congress in mary Wolf, eAP and Outpatient services director at Avera McKennan Behavioral
Chicago, ill., on March 20. Health, recently received the sioux Falls tribute to Women Healthcare and science
Award at the 39th anniversary celebration of the awards. Mary was chosen for the
Deanne Geditz is the new director of Health information Management at award from 67 nominees in nine categories.
Avera sacred Heart Hospital. Previously she was assistant director of Health
lynne Hagen, director of Human resources at Avera McKennan, recently
was named senior Professional of the Year by the sioux empire society for
Human resource Management.
Alan Helgeson, marketing manager at Avera McKennan, has accepted the
position of director of Account services for the hospital.
Frani Kieffer is the new executive director of the Avera sacred Heart Foundation.
she has been with Avera sacred Heart Hospital for three years as strategic
rod King, PA-C, Avera Medical Group Brookings, has received the
distinguished service Award for 2012 from the south dakota Academy of
laura sangster has accepted the position of director of Volunteers and
Gift shop at Avera st. Luke’s Hospital.
Jamie schaefer, vice president of Finance at Avera sacred Heart
Hospital, recently was elected treasurer of the south dakota chapter of
the Health Care Finance management Association.
Cathi scharnberg, rN, mPH, ArNP, vice president of Patient Care and
Compliance officer at Avera Holy Family Hospital in estherville, iowa,
has been named one of 100 Great iowa nurses 2012. she was chosen by a
team of 21 reviewers from more than 500 nominations. she will be honored
at an event in des Moines on May 6.
leo serrano, FACHe, Laboratory director at Avera McKennan, recently was
awarded the 2011 Outstanding speaker Award by the American Association for
Clinical Chemistry for his presentation, “Advances in HiV diagnostics,” at the
international Association of Clinical Chemistry international meeting in Atlanta, Ga.
this award is conferred to speakers who achieve a 4.5 rating or higher by participants
at continuing education programs in the field of clinical chemistry in 2011.
C a l e n d a r
may 9 Avera PACE Conference, Ramkota, Sioux Falls
June 14 Avera Gerontological Care Conference, Avera
Education Center, Sioux Falls M ed iC al St af f nO te S
Aug 11 18th Annual Caring for Kids Golf Tournament,
Dr. Theresa Cam
benefit Avera Queen of Peace, Lakeview pbell has be en named medical
for the Avera Queen director
Golf Course, Mitchell of Peace Palliative
Aug 22 Avera Quality Congress, Sioux Falls
Dr. Paul Carpenter of
Convention Center north Central Hea
with Avera Heart H rt institute, a partn
Aug 23 – 24 Avera Board of Consultors, Hilton Garden Inn, ospital, recently rec er
teaching Award fro eived an Outstandin
Sioux Falls m the sanford scho g
University of south ol of Medicine at th
Sept 12 Avera SDSU Research Symposium, dakota (Usd). dr. e
professor of medicine Carpenter is a clinic
Callaway’s, Sioux Falls at the school and ha al
member for 30 years s been a Usd facult
Sept 19 – 21 SDAHO, Sioux Falls . y
Oct 4 Avera Rural Health Conference, Sioux Falls Dr. stev e Gutnik, Yankton
Convention Center honored for excelle Medical Clinic, P.
nce in teaching by C., recently was
Oct 18 Avera Nursing Conference, Sioux Falls Medicine at the sa the department of
Convention Center nford school of M internal
south dakota where edicine at the Unive
Oct 26 Avera Ethics Conference, Holiday Inn City he has been a facult rsity of
y member for 25 ye
Centre, Sioux Falls ars.
Dr. erick Temok
a of Avera Medica
recently was award l Group Pediatrics
ed a Childhood im Aberdeen
award by the Cent munization Champio
ers for disease Cont n
rol and Prevention.
S p r i n g 2 0 1 2 7
the fOllOWing prOViderS haVe jOined aVera MediCal grOUp:
Dr. David Balt is a graduate of Theresa Bly, PA-C, is a graduate of the
Kirksville College of Osteopathic University of Minnesota, Minneapolis.
Medicine, Mo. He completed a theresa joins Avera Marshall Specialty
family medicine residency at Clinic in Marshall, Minn.
naval Hospital Charleston, s.C.
dr. Balt joins Avera Medical Group
Emergency Medicine Mitchell in
Mitchell, s.d. Jodie Hartmann mcsherry, PA-C, is a graduate of
Wichita state University. Jodie joins Avera Medical
Dr. William Del monte is a graduate Group Gastroenterology Sioux Falls in sioux Falls, s.d. aVera WelCOMeS theSe praCtiCeS
of Creighton University, Omaha.
He completed a psychiatry residency
Jeff Konstanz, PA-C, is a graduate tO aVera MediCal grOUp:
of the University of south dakota
and a child and adolescent n Drs. Alex Falk and Zhi Zhang, emergency
Medical school, Vermillion. Jeff joins
psychiatry fellowship at Mayo medicine physicians at Avera st. Luke’s, have joined
Avera Medical Group Chamberlain in
school of Graduate Medical Avera Medical Group. they are now Avera Medical
education, rochester, Minn. dr. del Monte joins Group emergency Medicine Aberdeen. dr. Falk,
Avera Marshall Psychiatry Associates in who has served as the hospital’s emergency medical
Marshall, Minn. leah mergen, PA-C, is a graduate of director for many years, will continue in this
the University of nebraska Medical leadership capacity.
Dr. Ahmed Galal is a graduate Center, Omaha. Leah joins Avera
of Ain shams University, Cairo, Medical Group Urogynecology n this February, Avera Medical Group
egypt. He completed an internal Sioux Falls in sioux Falls, s.d. welcomed Drs. Kathleen schneekloth and Barbara
medicine residency at dalhousie schlager to the practice of Avera Medical Group
University, Halifax, nova scotia, a radiation Oncology sioux Falls. drs. schneekloth
T. Grace Petermann, CNP, is a graduate of the
hematology fellowship at University and schlager have long been affiliated with Avera
University of nebraska Medical Center, Omaha. Grace
of Western Ontario and an McKennan and the Avera Cancer institute in the
joins Avera Medical Group Comprehensive Breast Care
allogeneic bone marrow transplant fellowship at practice of radiation oncology and recently joined
in sioux Falls, s.d.
University of toronto, Ontario. dr. Galal joins Avera as employed physicians.
Avera Medical Group Hematology & Bone Marrow emily roberts, PA-C, is a graduate of
Transplant Sioux Falls in sioux Falls, s.d. the University of south dakota school Dr. schneekloth has two years of specialty training
of Medicine, Vermillion. emily joins in high-dose-rate brachytherapy and was the
Dr. Bryce Gammeter is a graduate Avera Medical Group Maternal Fetal medical director for san Francisco Brachytherapy,
of the University of south dakota Medicine Sioux Falls in sioux Falls, where she established four prostate-seed-implant
school of Medicine, Vermillion. s.d. programs. she is on the south dakota state
He completed an adult psychiatry Leadership Council, as well as the international
residency and a child and melissa scotting, CNP, is a graduate of Advisory Committee for the American Cancer
adolescent psychiatry fellowship the University of south dakota school society.
at sanford school of Medicine at of Medicine, Vermillion. Melissa joins
the University of south dakota. dr. Gammeter Avera Marshall Specialty Clinic in Dr. schlager specializes in the treatment and
joins Avera Medical Group University Psychiatry Marshall, Minn. diagnosis of breast, gynecologic, gastrointestinal
Associates Sioux Falls in sioux Falls, s.d. tract and prostate cancers. throughout her 33-year
career, dr. schlager has gained extensive experience
sharon simon, CNP, is a graduate of
Dr. scott Hiltunen is a graduate with a vast array of highly sophisticated equipment,
the University of north dakota, Grand
of the University of south dakota has been appointed to several committees and is a
Forks. sharon joins Avera Medical
school of Medicine, Vermillion. published author.
Group Webster in Webster, s.d.
He completed a family
medicine residency at Lds n twenty physicians and a physician assistant,
Hospital, University of Utah, who comprise a team of providers focused on using
Travis slaba, PA-C, is a graduate of
salt Lake City. dr. Hiltunen joins the most advanced technology to diagnose and
the University of south dakota school
Avera Medical Group McGreevy 7th Avenue in treat disease, are now members of Avera Medical
of Medicine, Vermillion. travis joins
sioux Falls, s.d. Group radiology sioux Falls. they include Drs.
Avera Medical Group Harrisburg in
Josie Alpers, Jeffery Baka, matthew Casey,
Dr. michael Pochop is a graduate sabina Choudhry, Daniel Crosby, Christopher
of the University of south dakota Gregory, matthew Helgeson, ryan Jepperson,
school of Medicine, Vermillion. Joseph Jordahl, michael Kihne, Jonah luzier,
the fOllOWing prOViderS haVe Staff priVilegeS at an Thomas masterson, Patrick Nelson, Brad
He completed a residency in
aVera hOSpital: Paulson, matthew Pardy, Joshua Plorde, Daryl
anesthesiology at Chandler Medical
Dr. richard Jensen is a graduate of the University of rife, Andrew soye, randal Welter and suzanne
Center, University of Kentucky, south dakota school of Medicine, Vermillion. He Woodward; and Derek sitter, PA-C.
Lexington. dr. Pochop joins Yankton Anesthesiology completed a nephrology residency and a critical care
in Yankton, s.d. fellowship at Baptist Medical Center, Kansas City, Mo. this group of radiology specialists is the largest,
dr. Jensen joins Midwest Family Care in sioux Falls, most comprehensive team of its kind in the region,
Dr. eri shinozaki is a graduate of s.d. with a combined total of nearly 300 years of
Yamanashi Medical University, medical expertise. they provide a full range of
Japan. she completed an Dr. Jeffrey luther is a graduate of sanford school radiologic care.
internal medicine residency at the of Medicine at the University of south dakota,
University of south dakota school Vermillion. He completed an internal medicine the team will provide services at Avera McKennan,
of Medicine, sioux Falls. dr. residency at sanford school of Medicine, sioux Falls. Avera Veradia Vein Center, Avera Pet-Ct Center
shinozaki joins Avera Medical Group Hospitalists dr. Luther joins Midwest Family Care in sioux Falls, and various outreach locations. Along with the
Sioux Falls in sioux Falls, s.d. s.d. addition of the radiology team, Avera McKennan
has assumed ownership of the Avera Veradia Vein
Dr. James simon is a graduate of Abigail Gramlick-mueller, CNP, is a graduate of south
Center, located in Plaza 2 on the Avera McKennan
the University of iowa College of dakota state University, Brookings. Abigail joins
campus, and the Avera Pet-Ct Center at 6001 s.
Medicine, iowa City. He completed Midwest Family Care in sioux Falls, s.d.
sharon Ave., suite 2, sioux Falls.
a radiation oncology residency at
the University of iowa Hospitals Jess oakley, PA-C, is a graduate of the University of
north dakota school of Medicine, Grand Forks. Jess n effective June 1, 2012, the McHale institute,
and Clinics, iowa City. dr. simon led by Dr. michael s. mcHale, will join Avera
joins Avera Medical Group Radiation Oncology joins Midwest Family Care in sioux Falls, s.d.
Medical Group. dr. McHale provides care to those
Sioux Falls in sioux Falls, s.d. lindsey Peterson, CNP, is a graduate of south dakota with solid and hematological cancers in sioux Falls
state University, Brookings. Lindsey joins Dakota and at outreach sites throughout south dakota,
Dr. steven Vander leest is a
Allergy & Asthma in sioux Falls, s.d. Minnesota and iowa. Avera Medical Group
graduate of des Moines University- McHale institute will remain at its current location
Osteopathic Medical Center, iowa. Darcie schmidt, FNP, is a at 3720 W. 69th st. in sioux Falls. dr. McHale,
He completed a family medicine graduate of south dakota state fellowship-trained in hematology and oncology, has
residency at siouxland Medical University, Brookings. darcie joins more than 25 years of medical experience. He will
education Foundation, sioux City, Surgical Institute of South Dakota – continue his appointed academic position as clinical
iowa. dr. Vander Leest joins Avera Medical Group Sioux Falls in sioux Falls, s.d. associate professor of internal medicine and
Lakes Family Practice in spirit Lake, iowa. division chief of hematology at the sanford school
of Medicine at the University of south dakota.
Dr. melissa Younger is a David sprecher, PA-C, is a graduate of the University of
graduate of Pacific University Wisconsin school of Medicine, Madison. david joins
College of Optometry, Forest Midwest Family Care in sioux Falls, s.d.
Grove, Ore. dr. Younger
joins Avera Medical Group Kari Varner, ArNP, is a graduate of Creighton
Optometry Redwood Falls in University school of Medicine, Omaha. Kari joins
redwood Falls, Minn. Floyd Valley Hospital Family Medicine Clinics –
Le Mars in Le Mars, iowa.
V O l U M e 3 4 n U M B e r 2 NON-PROFIT
3900 W. Avera Drive U.S. POSTAGE
Sioux Falls, SD 57108
SIOUX FALLS, SD
PERMIT NO. 7010
All Of Us is a publication for employees ProBlems?
of Avera and colleagues like Barb Joy,
PA-C, at Avera Medical Group Pierre.
We’d like tO Make it right!
Barb has been with the clinic for more than Change laBel and Mail BaCk tO US.
30 years, beginning as a registered nurse. Misspelled name
During the 1970s she entered the pilot
program for physician assistants with the
South Dakota Department of Health and became one of Received more than one
the first five licensed in the state. She consistently Remove my name from
provides excellent, quality care and is an inspiration to all the mailing list
who know her and work with her.
S p r i n g 2 0 1 2 8
resident’s l e t t e r
systemness— We Are Standing Together
You can safely bet that i will never reflect on the st. Luke’s Hospital and set up another hospital. facility brings greater, higher-quality care to
static nature of health care! it seems redundant We had to ask ourselves if we were doing the each community than could be provided
to observe once again that ours is an industry right thing for the community and why our singularly.
synonymous with change. All the same, on coworkers were going across town to compete
the occasion to celebrate the life and passing with us. But our colleagues then understood that standing together also means we can deliver
of one of Avera’s greatest, i found myself theirs was an original calling to a health ministry better value. since the beginning of Avera,
doing just that. sponsored by the Presentation sisters, and it is we have expressed that our sharing of support
a unique calling that carries through to today. services as a system keeps costs as low as
As many of us gathered in Aberdeen to say Avera st. Luke’s has served the community possible. some 12 years into the Avera system,
goodbye to sr. Colman Coakley, i began to since 1901, and it will be in place another 100 we are finding new ways to bring support
think of all the changes and challenges she years from now. Ours is simply the task to take services together. the buyer centralization you
faced — different than today’s but no less it in the direction it needs to go. read about in this issue is one example. the
significant. she was a senior leader for what support provided to the community health
is now Avera, and many knew her in her roles What the Benedictine sisters of Yankton, s.d., needs assessment initiatives is another.
with the Presentation Health Care Council and and the Presentation sisters of Aberdeen, s.d.,
John Porter Presentation Health system. she steered the began has grown into the Avera health system. Moving forward we will continue to find
President & CEO
Avera organization through Medicare and price caps, it is interesting to reflect on the word “system” opportunities to further envision how we can
changes in structure and marketplace, taking itself. its roots are in two Greek words, one become more efficient, professional and skilled
the early health system in the direction it meaning “together,” and the other meaning “to as health care professionals who stand together
needed to go. cause to stand.” in the face of the changes and — restructuring where needed, right sizing as
challenges in providing health care, standing appropriate and refocusing our long-standing
Visiting Aberdeen at this time of marketplace together means we bring all of the strengths of vision to meet today’s challenges.
change, i found myself recalling the 1960s when the system to bear in each individual situation.
a group of physicians and employees left then Our support and strength behind each Avera
StrOng teaM fOrMS tO lead Dr. Kim JunDt
AvErAChArt Chief MediCal infOrMatiOn OffiCer, aVera
Avera recently announced the formation of a physician
leadership team responsible for advancing AveraChart, the Dr. Jundt began his health care career in family practice in Aberdeen in June 1997. He is a
organization’s existing electronic medical record (eMr). native of Leola, S.D., attended Leola High School and graduated from Northern State University,
dr. Kim Jundt has accepted the role of chief medical Aberdeen, S.D. He received a medical degree from the University of South Dakota School of
information officer for Avera, replacing dr. tad Jacobs who Medicine, Vermillion, and completed a residency at Siouxland Clinic in Sioux City, Iowa. Dr. Jundt is board-certified in
became chief medical officer of Avera Medical Group in family practice and served as a medical information officer for the Avera St. Luke’s region for the past two years. He will
January. begin transitioning to his new role this summer from his current practice, Avera Aberdeen Family Physicians — one of
the busiest practices in Avera Medical Group. The practice has been at the forefront of implementing the EMR to create
dr. Jundt heads the physician it leadership team, which efficiency and improve patient care.
also includes two medical information officers: dr. Andrew
Burchett, who is newly appointed, and dr. Jennifer McKay, Dr. Jundt and his wife, Lora, have two children. He has served on the board of the Brown County United Way since 2005
who assumed her role in January. While both medical and is past president of the Avera St. Luke’s Hospital medical staff. Dr. Jundt enjoys golf and is a highly competitive
information officers will drive eMr success by providing fantasy football player.
physician leadership in the planning, design, development
and implementation of clinical information systems, dr.
McKay, a hospitalist with Avera McKennan Hospital &
University Health Center, brings inpatient expertise to the BurChEtt
initiative. dr. Burchett adds clinic-side physician wisdom to
MediCal infOrMatiOn OffiCer, aVera
When the three reflect on the challenges ahead for health Dr. Burchett graduated from Harlan Community High School in Harlan, Iowa. He received a degree
care it, common themes surface. All are keenly educated in exercise science from the University of Iowa in Iowa City, and a degree in osteopathic medicine
on the government mandates for health care it. the three from Des Moines University – College of Osteopathic Medicine, Iowa. Dr. Burchett completed
also express excitement that Avera Medical Group is at the the Sioux Falls Family Medicine Residency Program and is board-certified in family medicine. He
forefront of empowering physician adoption of technologies began his health care career as a family practice physician at Avera Medical Group McGreevy 7th
and processes to improve patient care and keep health care Avenue in September 2006. Dr. Burchett has served as medical information officer for the Avera McKennan region for the past
costs low. their mutual commitment is to further optimize two years. He will transition to his new role this summer.
AveraChart to enhance efficiency and effectiveness, and
improve patient outcomes. He and his wife, Dr. Andrea Miller, are the parents of 3 year-old twins. He shares a passion for piloting planes with his father,
enjoys lake life at Okoboji, Iowa, and is in the process of restoring a 1973 Fiat Spider convertible. He is an early IT adopter with
Learn more about Dr. McKay in the winter issue a passion for innovation and a strong work ethic that he says he inherited from entrepreneurial parents.
of All of Us.