Health wise by hkksew3563rd


									    visiting |ours

                                                                             PO Box 350
                                                                             Crystal City, MO | 63019                                                                    JHsMo.coM                                        Volume 16 - Number 1
                                                                                                                                                  Non-Profit Org.
                                                                                                                                                  U.S. Postage                                                                      March 2011
Jefferson regional                                                                                                                                     PAID
    Medical center                                                                                                                                St. Louis, MO
                                                                                                                                                 Permit No. 1062
                                                  Jefferson Health System

                                                                                                                                                                                                                    We are your hospital.

                                Crystal City |          Festus

     To St. Louis

                                            Highway 61-67
                            Highway 61 S.

Jefferson Regional Medical Center is
conveniently located 35 miles south of St. Louis
and less than one mile south from the intersection
of Highways 61 and 67 in Crystal City, MO.
636.933.1000 or 800.931.JRMC(5762)                                                                                                              JHsMo.coM

Health wise
                                                                                              Urgent Care and Occupational Medicine Center

                                                                                              660A South Truman Blvd., Festus (636) 931-3800.

SUPPORT GROUPS                                                          Grief Support                                   Childbirth Class
Alcoholics Anonymous (AA)                                               A group for those who have suffered the loss    Class covers physiology and anatomy of
(636) 933-1211 or the Central                                           of a loved one. First and third Monday of the   pregnancy, the labor process, Lamaze
Service # for AA (314) 647-3677.                                        month at 1 p.m. in the Conference Center.       breathing, and childcare. Pre-admission is
                                                                        Contact Chaplain Dennis Heck                    recommended. Contact (636) 933-1385.
Alzheimer’s & Related Disorders                                         (636) 933-1325.
First Wednesday of the month at 3 p.m. in                                                                               Sibling Class
the Crystal Oaks Nursing Center. Contact                                Hospice Grief Support Group                     A special 90-minute class for future brothers
Michelle at (636) 933-1818.                                             Second Monday of the month at 10 a.m. in        and sisters. Call (636) 933-1385.

Better Breathers & Healing Hearts
For patients and their family with chronic lung
                                                                        the Jefferson Regional Home Health and
                                                                        Hospice Building. Call (636) 933-1200.
                                                                                                                        SPECIAL PROGRAMS
                                                                                                                        Cardiopulmonary Rehabilitation
                                                                                                                                                                                Now Open: Missouri’s First
                                                                                                                                                                                Short-Stay Surgical Hospital
disease and/or heart disease. Classes held in                           EMOTIONAL WELLNESS                              for patients diagnosed with heart or lung
the Conference Center.                                                  Stress Evaluations                              disease. Family members are welcome.
Contact (636) 933-1681.                                                 A free, confidential service. A professional    For more information call (636) 933-1681.
                                                                        therapist on staff at Jefferson Regional
Breast Cancer Support Groups                                            Medical Center is available to meet with you    Dial-A-Doc
Meets the second Saturday of each month in                              or a loved one. Call the 24-hour Hotline at     Free Physician Referral (636) 933-1147
our Rehab Center. Call (636) 933-5757.                                  (636) 933-1211.                                 or (636) 464-1883.
Meets the second Tuesday of each month in
Patient Accounts. Call (636) 933-5757.                                  PARENTING/CHILDBIRTH                            VIP Care (Senior Services)
                                                                        Breastfeeding Classes                           Coordinated services for older adults includes
Essential Tremor Support Group                                          Provided by a Certified Lactation Consultant.   transportation, and patient monitoring.
Second Saturday of the month. Call Mary for                             Contact (636) 933-1385 or                       For more information call (636) 933-1124.

                                                                                                                                                                         Jefferson regional Medical center
more information. (636) 861-7483.                                       (636) 933-1320.
                                                                                                                        Jefferson Regional Health Foundation
                                                                                                                        For more information call (636) 933-1324.                         Jefferson Health System
message from the President

                                                                       you know.

                                                                                                               All surgeons with privileges
                                                                                                               at Jefferson Regional
                                                                                                               Medical Center may
                                                                                                               perform procedures at the
                                                                                                               new Surgical Hospital.

                                                                                                               Patients at Jefferson
   Jim Muehlhauser                                                                                             Regional are benefiting
   President and CEO                                                                                           from a medical team
   Jefferson Regional Medical Center
                                                                                                               structure that offers both

                                                                                                               nurse practitioners and

 What does access to

 exceptional healthcare mean
 to you and your family?                                                                                       Jefferson Regional Medical
                                                                                                               Center will return for a third
    At Jefferson Regional Medical Center, it is providing the communities we                                   straight year as a sponsor
 serve with the ability to receive the care they need, when and where they                                     for the Start! Heart Walk at
 need it. Our commitment to accommodating your access is never-ceasing.                                        Busch Stadium, scheduled
    When new and complementary services, facilities, and technologies are                                      for May 14th.
 identified, we proactively pursue making them available for you. We have
 highlighted a few of our success stories in this issue of Visiting Ours.
    Jefferson Regional’s new Surgical Hospital is the first in the State of
 Missouri and is conveniently located across the street from the main             On the cover:
 medical center. Designed for maximum efficiency with outpatient and short-       The new Surgical Hospital at Jefferson Regional Medical Center.
 stay procedures, the surgical hospital’s skilled team, latest technologies
 and convenient location make for an easily accessible and improved patient
                                                                                  Visiting Ours is a Jefferson Regional Medical Center publication
    The story gives you a behind-the-scenes look at the 25,000 square foot
                                                                                  offering practical and inspirational healthcare and wellness
 surgical hospital. It features four operating rooms, two endoscopy rooms
                                                                                  information. It is not intended to diagnose illness, prescribe
 and 15 private patient suites — each with a private bathroom, digital
                                                                                  treatment or replace the recommendations of your physician.
 television, and a comfortable adjoining area that allows a family member to
 stay the night in the patient’s room.
    Now you can experience a dynamic model of care at Jefferson that
 includes the talents of primary care physicians, hospitalists and nurse
                                                                                  Bone And Joint Awareness
    More than just a trend, the number of hospitalists in the U.S. has grown
 from about 100 in 1996 to about 30,000 in 2010, making it the fastest-
 growing physician specialty in medical history.
    Nurse practitioners deliver high-quality healthcare services in hospitals
 and physician practices throughout the country, here at the medical

                                                                                  BAJA RUN 2011
 center, and in our community. They complement the care provided by your
 physician, and can promote a faster appointment time, in-depth education
 and expertise that adds up to improved access.
    Be sure to take advantage of the delicious and healthful recipes, too.
                                                                                  October 9th
 They are a great way to get your new year off to a healthy start.

 Wishing you and your families a
 happy and healthy New Year!                                                             training!
                                                                                      Time to start
                                                                                                     Visit for more details.

                                                                                                             Become a Fan of
                                                                                                              Jefferson Regional
                                                                                                              Medical Center
                                                                                                              News on facebook

Jefferson regional Medical center
                                                                                                                                           surgical hospital

                                     Jefferson Regional Opens
                           Missouri’s First Short-Stay Surgical Hospital

               Surgical HoSpital
                   Jefferson regional Medical center

        efferson Regional became familiar with a          The Surgical Hospital’s unique advantages          an orthopedic surgeon. “Many of the scopes are
        view from the top in 2010, consistently        include the convenient location just across the       simply state-of-the-art. We’ve invested a lot of
        earning No. 1 rankings, breaking new           street from the medical center’s main campus          resources in outfitting the hospital with the tools
ground on “first of its kind” facilities and           and more predictable scheduling. Scheduled            we need that are on the leading edge of the
continuing to add the latest technologies.             surgeries in a hospital setting may be delayed        technologies that are available to us today.
    In April 2010, Jefferson Regional Medical          by emergency procedures, compared to the                 “For example, the Storz High Definition
Center was the first in the St. Louis region to        outpatient setting where they are more likely to      imaging technology at the Surgical Hospital
earn Cycle III Chest Pain Center Accreditation         stay within a set schedule.                           offers the physician up to six times higher
from the Society of Chest Pain Centers, and later                                                            input resolution and delivers more detail and
in the year the medical center was recognized                                                                depth of focus allowing optimal diagnosis. It’s a
by the CareChex organization as No. 1 in the St.
                                                       The heart of the new surgical center                  remarkable tool for us.”
Louis region for overall Cardiac Care                  is a team of professionals delivering                    Gastroenterologist Edwardo Verzola, MD,
    On October 4, the new Surgical Hospital at         exceptional care. The Surgical                        cares for patients facing diseases of the
Jefferson Regional opened its doors as the first                                                             gastrointestinal tract, esophagus, stomach and
                                                       Hospital’s physicians, nurses,
short-stay surgical hospital in Missouri.                                                                    colon.
    “At the new Surgical Hospital, patients have       technologists and support staff come                     “The most common procedures we perform
the benefits of outpatient (one-day) surgery           to you with extensive experience from                 at the Surgical Hospital include the upper GI
services combined with the advantages of               the main hospital. All physicians                     endoscopy,” Dr. Verzola said. “We examine the
a short-stay surgical hospital in a single,                                                                  esophagus and the stomach and look for such
convenient location,” said Pam Pearch, R.N.,
                                                       with privileges to perform surgeries                  things as cancer, ulcers and infections in the
Director of Surgical Services at Jefferson             at Jefferson Regional can schedule                    upper GI tract. We also perform colonoscopies
Regional Medical Center. “The Surgical Hospital        your procedures at the new Surgical                   where we examine the entire colon to screen for
is a smart option for patients with its modern,                                                              colon cancer, look for sources of GI bleeding
single-level floor plan and the latest technology in                                                         and causes of abdominal pain.
the hands of the region’s best surgeons.”                                                                       “We can achieve excellent results with the
    The new 25,000 square foot surgical hospital           In addition to the newness of facility, the       center’s Olympus endoscopes, which are
features four operating rooms, two endoscopy           Surgical Hospital is equipped with remarkable         considered to be the ‘best of the best’ among
rooms and 15 private patient suites — each             technology. The skilled surgeons at Jefferson         gastroenterologists. Our procedures are
with a private bathroom, large digital television,     Regional have access to a full range of the most      performed using Olympus endoscopes, so this is
and a spacious area that can comfortably               modern equipment.                                     a real benefit for the patient.”
accommodate a family member who wishes to                  “The technology at the new Surgical Hospital         The latest technology can also be found in the
stay overnight with the patient.                       is the latest available,” said Clarence Temple, MD,   patient suites.

                                                                                                                                      Continued on next page

                                                                                                                                       visiting |ours
    surgical hospital

                                         Continued from previous page

                                         Two of the 15 well-equipped patient suites are outfitted with special
                                         equipment for patients with limited mobility due to their weight, physical
                                         size, shape, or other health concerns. These rooms feature the Cirrus
                                         Electric Ceiling Lift with the power to lift and transport up to 600 pounds.
                                         These rooms also feature reinforced beds with fully adjustable mattress
                                         width for the patient’s optimal comfort.
                                            “As a general surgeon, most of the surgeries I perform tend to be
                                         abdominal surgeries, such as removal of gall bladders, hernia repair,
                                         breast cancer procedures and a lot of removal of skin lesions, moles,
                                         lumps and bumps,” said Steven Kurzweil, MD, a general surgeon at
                                         Jefferson Regional. “A large majority of my practice is performing both
                                         outpatient procedures and surgeries that may require a short stay. The
                                         surgical hospital compliments my practice exceptionally well.”
                                            “I have heard all positive feedback from my patients who have
                                         stayed overnight at the new facility,” Dr. Kurzweil said. “In addition to
                                         the comfortable patient suites, there is a very favorable nurse-to-patient
 Edwardo Verzola, MD
                                         ratio and decentralized nurse’s stations that keep the nurse closer to the
                                         patient for more personalized care.”
                                            The new surgical hospital represents the medical center’s latest
                                         response to the growth of our community and patient load, said Veronica
                                         Schlett, RN, Fifth Floor Nursing Director.
                                            “On occasion we were running at full capacity with our beds,” she
                                         said. “We were looking for ways to add more beds to the facility in order
                                         to best serve the community. Moving some of the surgeries that were
                                         previously performed in the main hospital to the Surgical Hospital has
                                         helped open those beds. It is a win-win situation, adding 15 beds and
                                         opening more beds in the main hospital for medical patients.”
                                            Otolaryngologist James Gould, MD, performs a variety of ear, nose
                                         and throat surgeries in the new center. He provides outpatient and short-
                                         stay procedures including sinus and thyroid surgeries, tonsillectomies,
                                         ear tubes for children who have repeat ear infections, as well as sleep
                                         apnea surgeries.
                                            “The new Surgical Hospital provides the community with state-of-the-
                                         art surgical care performed by leading specialists in the St. Louis and
                                         Jefferson County regions,” Dr. Gould said.
                                            In addition to the technology available and the skill of the practitioners,
                                         Pam Pearch said the community will be struck by the appearance of the
                                            “The minute they walk through the front door they are going to be
                                         impressed with the warm and inviting feel,” Pearch said. “From the
                                         soothing wall and floor colors — greens and purples — to the eye-
                                         catching photographs donated by area residents, patients and their
                                         families can feel at home.
                                            “If a short-stay is necessary following a procedure, patients will
                                         appreciate the larger rooms with space for a loved one to stay over,” she
                                         said. “Patients and their families can instantly feel at ease because they
 Steven Kurzweil, MD                     know they will receive exceptional care.”
                                            It is the level of care everyone would expect from a facility that
                                         regularly finds its name at the top of the list as a No. 1 provider in the
                                         region and state of Missouri.

                                        All surgeons with privileges at Jefferson Regional
                                        Medical Center may perform procedures at the new
                                        Surgical Hospital. Surgeons with privileges include:

                                          Anthony Anderson, MD                   J. Travis Methvin, DO
                                          Mark Comess, DPM                       Ryan Miller, MD,
                                          Daniel E. Cox, MD                      Randall Nacke, MD
                                          Kevin Enger, MD                        Mitchell Needleman, DPM
                                          Charles Freeman, MD                    Craig Ruble, MD,
                                          Gregg Ginsburg, MD                     Bruce Schlafly, MD
                                          James Gould, MD                        Rita Schuman, MD
                                          Mohideen Jamal, MD                     William Sciortino, MD
                                          William Kennen, DO,                    Robert Smeyne, DO
                                          Steven Kurzweil, MD                    William Snidle, MD
James Gould, MD
                                          Ronald Loucks, DPM                     Mark Spurrier, MD,
                                          Paul Maynard, MD                       Clarence Temple, MD
                                          Luis Mertins, MD                       Edwardo Verzola, MD

    Jefferson regional Medical center
                                                                                                                                                    healthy living

                         Mark Your Calendars!
                                                                     Family Health Fair Offers Free Screenings,
                                                                     Information, Something for Everyone!
                                                                        The annual Jefferson Regional Medical           Hospital departments and physician offices
                                                                      Center Family Health Fair attracts             will be offering screenings at the fair. Among
                                                                      hundreds of area residents looking for         the many free tests available will be screening
                                                                      free health screenings, information and        for glaucoma, high blood pressure, hearing
                                                                       other services.                               loss, bone density, sleepiness, pulmonary
                                                                          The fair is scheduled from 9 a.m.          function, and more.
                                                                        to noon on Saturday, March 12,                      Health fair visitors will be able to pick
                                                                        in the hospital conference center.           up vouchers to receive a complete lipid
                                                                         More than 50 booths will be set up          panel screening at their convenience in the
                                                                         throughout the center offering help         Outpatient Lab for only $10.
                                                                          and information for all ages.              For more information about the health
                                                                              One of the most popular features       fair, call 636-933-1686.
                                                                           of the Family Health Fair returns this
                                                                           year offering children’s bike helmets
                                                                            for only $5.

                 Fa m i l y H e a l t h Fa                                                                                             National
                     March 12
                                       th                                                                                               Satkag Da!
                                                                                                                                        W l in
                                                                                                                                              rt y
                                            Treadmill Marathon
                        Kicks Off National Start! Walking Day
   The 24-Hour Treadmill Challenge returns this      and CEO. “We hope that all of
spring as Jefferson Regional Medical Center          Jefferson County becomes inspired
teams with the American Heart Association to         to add more physical activity to
raise money for heart disease research and raise     their daily routines.”
awareness about the benefits of exercise for            In addition to hospital staff,
good health.                                         several members of the Board
   Scheduled to roll non-stop from 9 a.m. April 6,   of Directors also took turns
until 9 a.m. Thursday, April 7, the medical center   keeping the treadmill belt
plans to add a second treadmill this year to allow   turning.
the community to participate. Individuals and        For more information on
organizations are invited to join the effort.        how to get involved or to

                                                                                         24 H
   “Our employees and volunteers had a lot of        reserve a time on the

fun with this event, so we are hoping to involve     treadmill call Wellness

                                                                                                     dmill C
the community more this year for National Start!     Coordinator Andrew Held
Walking Day,” said Jim Muehlhauser, President        at 636-933-1603.
                                                                                              April 6        halleng
                                                                                                      th-7th         e

                                                                   Jefferson Regional Partners with
                                                                   American Heart Association for the Start!
                                                                    Heart Walk at Busch Stadium scheduled for May 14
                                                                        Jefferson Regional Medical Center              Start! Heart Walk, Jefferson Regional also
                                                                     has reinforced its commitment to a heart          participates in activities for National Start!
                                                                     healthy community by extending and                Eating Healthy Day in November and the
                                                                      expanding its support for the American           National Start! Walking Day in April.
                                                                      Heart Association and efforts to help area          “The American Heart Association is thrilled
                                                                       residents “Learn and Live.”                     to have the support of Jefferson Regional
                                                                          As the Start! Cause sponsor Jefferson        Medical Center for our Start! program,”
                                                                        Regional will return to the Start! Heart       said Tracy Brazelton, Executive Director of
                                                                         Walk at Busch Stadium in St. Louis for        the American Heart Association Greater St.
                                                                         the third straight year. The annual walk      Louis Division. “Their commitment to the
                                                                          begins and ends at Busch Stadium, and        health of the region lines up perfectly with
                                                                          is scheduled for May 14 with a goal of       our mission of building healthier lives free
                                                                           $1.5 million this year.                     of cardiovascular diseases and stroke. This
                                                                               In support of the Start! Heart          sponsorship will increase awareness for our
                                                                            Walk in 2010, teams from Jefferson         No. 1 health threat, while empowering others
                                                                            Regional raised more than $31,000          to embrace a healthier lifestyle.”

                                                                             to help American Heart Association        For more information on how to get

                         H eart Wa
                                                                              Midwest Affiliate exceed its goal of     involved or join the Jefferson Regional

                                                                              $1.2 million.                            team call Chest Pain Center Coordinator

                     May 14
                                                                                  In addition to the annual            Laura Bailey, RN, at 636-933-1118.

                                                                                                                                                visiting |ours
jefferson regional hospitalists

                                                                                                                             Diana Kornhardt, ANP
                                                                                                                             Nurse Practitioner
       Briccio Cadiz,MD                                                                                                      Hospitalist Group
       Internal Medicine                                                         Benjamin Albano Jr.,MD
                                                                                 Medical Director
                                                                                 Hospitalist Group

      Primary Care Physicians ✚ Hospitalists ✚ Nurse P

             new care delivery model at Jefferson          once the patient is in the hospital, the hospitalist   “Hospitalists close this gap by being available in
             Regional Medical Center makes the flow of     oversees the treatment plans, makes tweaks as          practically non-stop shifts and creating treatment
             patient care seamless and efficient.          necessary and stays in close contact with the          plans with the patient’s primary physician.”
       By working together a patient’s primary care        primary physician along the way.                           Temple also notes that the “next-day checkout”
   physician and the medical center’s hospitalists             The term hospitalist was first coined by Dr.       for emergency room patients can actually be a late-
   offer a unified prognosis and peace of mind.            Robert Wachter and Dr. Lee Goldman in an article       in-the-day discharge for patients who are waiting on
   Patients can be assured that if they have questions     published in the 1996 New England Journal of           their primary-care physicians to stop in.
   or require follow-up treatment, each member of          Medicine. Since then, the number of hospitalists           “These physicians have clients at 8 a.m.
   the medical team will be familiar with the patient’s    in the U.S. has grown from about 100 to nearly         and won’t be in to see you until their other
   history and treatment plan, and be able to offer        30,000, making it the fastest-growing physician        appointments are finished. That’s why if they
   more timely, cost-effective and quality patient care.   specialty in medical history.                          coordinate with a hospitalist, they can get your
       A hospitalist is a physician who guides the             “Sometimes a patient is at the mercy of a          care plan finished much sooner.”
   treatment and recovery of patients in the hospital      primary physician’s schedule, and this can mean            Internal Medicine Specialist Benjamin Albano
   setting. A patient’s primary care physician may         longer wait-times to be seen,” says Blake Temple,      Jr., MD, is the medical director of the Hospitalist
   initially diagnose and create a treatment plan, but     Executive Vice President at Jefferson Regional.        Program at Jefferson Regional. He calls a

  Jefferson regional Medical center
                                                                                                                                                 nurse practitioners

                                                                                                                                            Shiela Frimml, WHNP, BC
                                                                                                                                            Nurse Practitioner
                                                                                                                                            Contemporary OB/GYN

Practitioners = Seamless and Effective Patient Care

    hospitalist “the quarterback of the team.”                  “We have hospitalists available for every medical      “If you hit an emergency room where there’s a
        “A primary physician works long hours and           specialty, and our goal is to soon have them            hospitalist on staff, they are going to assess and
    is constantly playing catch-up,” Albano says.           available 24/7,” Temple says.                           order tests for you within a couple hours. If you
    “They see patients at the office, visit patients in         Hospitalists allow more efficient delivery of       need surgery, sometimes this can happen on the
    the hospital, make follow-up phone calls in the         medical care, and help to maximize the productivity     same day.”
    evenings. That’s why hospitalists are here – to offer   of the individual physicians.                              The hospitalist and his or her staff can work
    faster and more fluid treatment. The hospitalist is         “There are huge advantages to having a              with a primary physician to create a treatment
    a dedicated physician here to oversee the primary       hospitalist on staff,” says Diana Kornhardt, a nurse    plan, and the hospitalist will be able to put it into
    physician’s treatment plan.”                            practitioner who works on a team of hospitalists.       motion more quickly.
        Albano says this also allows physicians to place    “If you enter the emergency room at 2 a.m., your           “This means you are feeling better and out of
    more focus on their own practices.                      primary care doctor isn’t going to be able to see or    here faster, and a one-night stay in the hospital is
        Incorporating more hospitalists is a nationwide     monitor you until perhaps the next evening, when        definitely less expensive than three nights here,”
    medical trend, and Jefferson Regional didn’t            he finishes his own appointments and medical            Kornhardt says. “Hospitalists help boost efficiency
    hesitate to do its homework to become a part of         rounds.                                                 and lower costs for everyone involved.”
    this patient solution.

                                                                                                                                              Continued on next page

                                                                                                                                                       visiting |ours
nurse practitioners

  Continued from previous page

      Nurse practitioners like Kornhardt are trained      independence, is the optimal route when it comes           to always work so closely that any person on this
  in the diagnosis and management of common               to delivering the best patient care.                       medical team can pass the baton at any point and
  medical conditions and work closely with                    Physicians must complete four years of college,        the patient will be in great hands.”
  physicians. They can even provide some of the           four years of medical school, a minimum of three               Many nurse practitioners prioritize educating
  same types of care, such as prescribing some            years in a residency program and additional                patients on their conditions.
  medications and administering treatment plans.          years of training if they choose a sub-specialty.              “As a nurse practitioner, I can have more
  Nurse practitioners are particularly skilled in         Physicians must also obtain a state medical license        time with the patients and their families to help
  prevention, wellness and patient education. These       and have the option of earning board certification.        address post-operative or post-hospital-stay
  are key in helping patients and their families better       Nurse practitioners must complete four years of        care,” Kornhardt says. “A lot of time a surgeon
  monitor symptoms or pain, and to recognize when         college with a degree in nursing or a related field        or physician may not have the time to provide
  it’s time to follow up with a physician.                and one and a half to two years of graduate school         education and information multiple times a day –
      The Journal of the American Medical Association     to obtain a master’s degree as a nurse practitioner.       that’s when a nurse practitioner steps in and can
  conducted a two-year study of five large clinics        They must obtain a state nursing license and,              offer detailed steps and answer questions.”
  near an urban academic medical school to gauge          like physicians, have the option of earning board              This education is crucial, as lack of preparation
  the quality of care provided by physicians and          certification.                                             or education prior to discharging a patient can land
  nurse practitioners in an emergency room or                 Kornhardt’s particular role on the hospitalist         them right back in the hospital.
  urgent care setting.                                    team includes visiting and treating new patients               “Patients are more satisfied and confident when
      The findings suggest that the primary care          and monitoring and discharging current ones.               they can proactively take their health into their own
  delivered by nurse practitioners is equal to that of        “As an assistant to the physician, I think the crux    hands and know what to look for symptom-wise or
  physicians, based on the measurements of patient        of this job is collaboration,” Kornhardt says. “Each       how to prevent another hospital stay,” Kornhardt
  satisfaction, health status, physiological test         morning, the director, the two physicians and I            says.
  results one year later and service utilization.         meet to review patient diagnoses and courses                   While physicians focus on the care of patients
      “This is not a local phenomenon; there is a         of treatment, as well as update each other on              who may have more complicated conditions, nurse
  tremendous national shortage of medical doctors         changes and plans for discharging each patient in          practitioners can easily treat patients who arrive
  across multiple specialties,” Temple says.              a timely fashion. This is truly team management of         with straight-forward medical issues including
  “Nurse practitioners are trained and certified          patients.”                                                 fractures, gynecological check-ups or problems,
  as competent in delivering basic primary care               This team model is especially helpful for              infections, lacerations, burns, migraines, flu,
  to patients. Their role will become increasingly        patients who may be uneasy about their hospital            asthma or chest pains.
  important to all of us.”                                stay, she says.                                                Nurse practitioner Amie Nash joined the Draves’
      Though nurse practitioners offer some of the            “When someone is in the hospital for a week            Family Medicine practice more than decade ago.
  same services as physicians, they each have             and may see a bevy of doctors, there can be an                 “Their patient load was overwhelming, and they
  significantly different educational backgrounds.        unsettling feeling for the patient,” Kornhardt says.       wanted to better serve more patients in less time,”
  This suggests that collaboration, versus                “The role of a hospitalist and his or her team is          Nash says.

 Nita Eggers, FNP, BC
 Nurse Practitioner
 Urgent Care
                                                                                                                    At Jefferson Regional,
                                                                                                                    your primary care
                                                                                                                    physician will always
                                                                                                                    partner with whoever
                                                                                                                    is treating you,
                                                                                                                    whether that is a
                                                                                                                    nurse practitioner or
                                                                                                                    hospitalist. This group
                                                                                                                    effort will make
                                                                                                                    patients feel more
                                                                                                                    at ease.

 Jefferson regional Medical center
                                                                                                                                                nurse practitioners

  Gene Draves, MD
  Draves' Family Medicine

                                                                                                                                                 Amie Nash, FNP
                                                                                                                                                 Nurse Practitioner
                                                                                                                                                 Draves' Family Medicine

    Often the primary physician’s schedule is booked       is to ensure a patient is taken care of from every      means we can offer our community even more
in advance, and a nurse practitioner’s schedule            aspect. We are already used to being at a patient’s     accessibility to exceptional care,” Temple says.
will fill up that same day – mostly due to acute           side, listening to their concerns and answering            A proactive stance on incorporating more
conditions for which patients can’t afford to wait a       questions. Becoming a nurse practitioner enhances       hospitalists and nurse practitioners is good for
few days or weeks to see their regular doctor.             this caregiver-patient experience.”                     Jefferson Regional and the community, he says.
    “If nurse practitioners weren’t on site, physicians        Frimml sees her role as a nurse practitioner as        “It’s difficult to recruit physicians, especially
would have less time with a patient or perhaps not         someone who takes care of a patient’s mind and          with the fierce competition for graduating medical
be able to see that patient at all,” Nash says.            body.                                                   students,” Temple says. “Geographically, these
    Patients should feel confident in seeing a nurse           “It’s a holistic approach. We serve as a patient    new physicians can practice anywhere they want,
practitioner because it gives the patients an              liaison and as a patient advocate. That’s where the     with 50 job offers on the table. In smaller areas,
opportunity to be seen by a medical professional           years of prior nursing experience come into play,”      sometimes we have a greater number of patients
who can give individualized care on short notice.          she says. “Our patients feel comfortable here           who need care and not enough doctors to treat
    Nash says that patients who see a nurse                because they have options at any time of day, and       them. Bringing in these tremendously qualified
practitioner will still receive undivided and individual   at our practices, their voices are heard.”              nurse practitioners and hospitalists is a fantastic
medical attention – sometimes even more time for               Nita Eggers, a nurse practitioner at Jefferson      solution.”
questions and answers.                                     Health Urgent Care Center, brings 21 years of              Temple predicts that nurse practitioners will
    “The wonderful thing about my position is              nursing experience to the practice. She says that       soon become an integral part of the inpatient
that when my schedule allows, I can offer more             she appreciates the rapport she’s fostered with her     medicine world as populations rise and the burden
preventative care and patient education, such as           patients.                                               of urgent health issues become increasingly
teaching diabetes patients about diet and exercise             “When your patients are comfortable and feel        tougher to meet.
or how to check cholesterol levels and blood               like you’ve listened to them and not rushed them,          “At Jefferson Regional, your primary care
pressure,” she says.                                       that’s a wonderful thing,” she says. “We are right in   physician will always partner with whoever is
    Sheila Frimml, nurse practitioner for                  between a nurse and a doctor. The most rewarding        treating you, whether that is a nurse practitioner
Contemporary OB/GYN at Jefferson Regional,                 thing about being a nurse practitioner is that I’m      or hospitalist,” he says. “This group effort is what
treats patients before, during and after                   able to be a provider, to actually order tests or       should make patients feel more at ease.”
pregnancies; administers wellness exams and                treatment that will help them.”                            Dr. Albano says Jefferson Regional Medical
testing; provides extensive patient education and              Patients at Jefferson Regional are already          Center is the place patients can find the pinnacle of
addresses general women’s health issues. She               benefiting from a medical team structure that           close-to-home quality healthcare.
says it’s normal for patients to be hesitant or have       offers both nurse practitioners and hospitalists and       “A team model that includes nurse practitioners
questions about seeing nurse practitioner.                 allows them anytime-access to medical care and          and hospitalists certainly allows us the opportunity
    “We want patients to remember that we were             greater peace of mind.                                  to truly take this quality to another level.”
nurses before we were nurse practitioners,”                    “Developing more innovative team models
Frimml says. “We were taught that our first goal           that include hospitalists and nurse practitioners

                                                                                                                                                      visiting |ours
             With nearly 24 million                                  The Diabetes Support
                                                                     Group returns to Jefferson
         children and adults in the                                  Regional in 2011 with
                                                                     regular meetings on the
               United States living                                  second Tuesday of each
             with diabetes, and an                                   month.

              additional 57 million                                  Diabetic Educators
                                                                     Mary Thompson, RN, CDE,
                  Americans at risk,                                 and Ami Faerber, RN,
        there is no time to waste.                                   host the group and bring in
                                                                     special guest speakers along
                                                                     with providing information
                                                                     to people with diabetes and
                                                                     their families.

Diabetes is not
merely a condition.
It is a disease with deadly consequences.
Diabetes Support Group meets second Tuesday of each month.
For information call at 636-933-8071 or visit

Dedicated to helping diabetic patients live longer and healthier lives.
             Specialists in treating diabetes, Endocrinologists also specialize in treating
             disorders of internal glands such as the thyroid, pancreas, pituitary, ovaries
             and adrenal glands, in addition to treatment of the metabolic system.
                           For more information or an appointment call
                        Jefferson Multi-Specialty Group at 636-933-2900.

           Dr. Nicole Ducharme
                                                      MUlti-sPecialtY       Dr. Narwas Makhsida
           Endocrinologist                                                        Endocrinologist
                                                                                                                                                                                   heart healthy
Serves 4; 3 ounces chicken and 2 tablespoons sauce per serving
1 tsp    dried oregano, crumbled                                                                         Chicken
1/2 tsp paprika
                                                                                                       Breasts wit
                                                                                                         Tomato h
1/2 tsp chili powder
4        boneless, skinless chicken breast halves
         (about 4 ounces each), all visible fat discarded
1 tsp
1/2 c
         olive or canola oil
         medium tomato, seeded if desired and chopped
         kalamata olives, coarsely chopped
1        medium garlic clove, minced
1/4 tsp pepper
1/8 tsp salt                                                                                       ››››
1 1/2 oz reduced-fat feta cheese, crumbled

1. In a small bowl, stir together the oregano, paprika, and chili powder. Sprinkle
   over the chicken. Press the mixture firmly onto the chicken.
2. In a large nonstick skillet, heat the oil over medium heat, swirling to coat the
   bottom. Cook the chicken with the smooth side down for 5 minutes. Turn and
   cook for 4 minutes, or until the chicken is no longer pink in the center. Transfer
   to a serving plate.
3. Put the remaining ingredients except the feta in the skillet. Stir. Increase the heat
   to medium high and bring to a boil, scraping the bottom and side of the skillet
   to dislodge any browned bits. Boil for 2 1/2 to 3 minutes, or until the sauce is
   reduced to 1/2 cup, stirring frequently. Spoon over the chicken. Sprinkle with
   the feta.

 Nutrition Analysis (per serving)                    Sodium                   476 mg
 Calories                         196                Carbohydrates                4g
 Total Fat                      7.0 g                Sugars                       1g
    Saturated                   1.5 g                Fiber                        1g
    Polyunsaturated             1.0 g                Protein                     29 g
    Monounsaturated             3.5 g                Dietary Exchanges    1 vegetable
 Cholesterol                   70 mg                                  3 1/2 lean meat

 This recipe is reprinted with permission from Love Your Heart, Copyright © 2007 by the American Heart Association. Published by Publications International, Ltd. Available at grocery-store checkouts nationwide in
 February, while supplies last.

                                                                  adenmt                                        Serves 24; 1 square per serving

                                                               Dec ar                                           Vegetable oil spray

                                                                & Wcolate
                                                                                                                2 c       all-purpose flour

                                                                Cho dding                                       1 1/2 c sugar
                                                                                                                1/2 c     unsweetened cocoa powder

                                                                 Pu ake                                         1 tbsp    plus 1 teaspoon baking powder
                                                                                                                1/4 tsp salt
                                                                   C                                            1c
                                                                                                                1/2 c
                                                                                                                          fat-free milk
                                                                                                                          unsweetened applesauce
                                                                                                                2 tsp     vanilla extract
                                                                                  ››››                          2c        boiling water
                                                                                                                1 1/2 c firmly packed light brown sugar
                                                                                                                1/2 c      unsweetened cocoa powder

                                                                                                                1. Preheat oven to 350°F. Spray a 13 x 9 x 2-inch baking pan with vegetable oil
                                                                                                                   spray; set aside.
                                                                                                                2. In a large bowl, whisk together flour, sugar, cocoa, baking powder, and salt.
                                                                                                                3. Whisk in remaining cake ingredients, blending thoroughly. Pour into baking pan,
                                                                                                                   spreading evenly.
                                                                                                                4. In a large bowl, whisk together pudding ingredients until sugar and cocoa are
                                                                                                                   dissolved. Pour carefully over batter. (Pudding layer will be thin and runny.)
                                                                                                                5. Bake for 35 to 40 minutes, or until top is firm to the touch. (A toothpick
                                                                                                                   inserted in center of cake won’t be an accurate test for doneness.)
                                                                                                                6. Let cake rest for 15 minutes before cutting. To serve, slice cake and top
                                                                                                                   with sauce, or pool sauce on plate and top with cake. Cover and refrigerate
                                                                                                                   leftovers for up to 7 days or wrap tightly and freeze for up to 2 months.

                                                                                                                 NUTRITION ANALYSIS (per serving)                       Total Fat                              1.0 g
                                                                                                                 Calories                   152                            Saturated                           0.0 g
                                                                                                                 Protein                     2g                            Polyunsaturated                     0.0 g
                                                                                                                 Carbohydrates              37 g                           Monounsaturated                     0.0 g
 This recipe is reprinted with permission from American Heart Association Meals in Minutes Cookbook,
 Copyright © 2000 by the American Heart Association. Published by Clarkson Potter/Publishers, a division
                                                                                                                 Cholesterol               0 mg                         Fiber                                    2g
 of Random House, Inc. Available from booksellers everywhere.                                                                                                           Sodium                                94 mg

                                                                                                                                                                                       visiting |ours
 #1 for cardiac care in
 the St. Louis region.

       you know.

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