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Spring 2010

Teamwork and technology


saves time and lives

Committed to Your Care


T his issue marks the fifth anniversary of
Healthy Connections and, more than ever,
information shared related to your health and
In this issue... well-being is designed to be timely and relevant.
2 Committed to Your Care We strive to continuously improve our service to
you, and we request and welcome your feedback
3 Healthcare Reform and Winona
Health: Uncertainty, challenges and insights.
and opportunities ahead
During recent elective surgery, I was able to
4 Managing Your Medications
evaluate my experience as a patient. I tried to be
6 Time and Teamwork: critical of each step of the process as I considered
Critical in emergency care
whether what was done added value to my
8 Cancer Care at Winona Health: experience. Not all of it did. And that is the challenge
Our patient navigator is with
you all the way in front of us: To understand what each experience is like from a patient’s or
resident’s point of view and evaluate where we can improve our processes to
9 Marie Luhmann, RN, BPN-IC,
first in region to receive unique eliminate wasted time and resources.
certification
I am confident in the care, concern and competence of our staff and
10 Care Coordination Team:
Helping hospital patients avoid physicians. I have the luxury of working with them every day and seeing
a return visit firsthand how their heart and talent ensures that each patient gets outstanding
11 Social workers: A wealth of care. It’s a challenging environment at the best of times, and there is no
resources shortage of other parties exerting pressures on us. We meet those challenges
12 Winona Health News and Notes head on, but what drives each and every person at Winona Health is caring for
14 Foundation and Auxiliary News people.That is our central guiding purpose, and we strive to ensure patients
and family members see this and experience it. Our physicians and staff create
15 Winona Health Directory
this experience with every patient they touch.They find great joy in this work,
16 Events, classes and support groups
and I find great comfort in being cared for by all of them.
On the cover: (l-r) Terry Donnal,
MD, Emergency Department and
Many of you have received surveys to evaluate your care, and we thank you
Urgent Care Clinic physician; Brett for taking time to share your thoughts. In addition, all of us at Winona Health
Whyte, MD, medical chief for receive comments and feedback from the community and have a responsibility
Emergency and Urgent Care Services to follow up on it. When I receive letters, calls, personal visits or comments
and medical director for Winona Area
Ambulance Service; Kari Nelson, EMT; from community members, I take each situation seriously and follow up on
Angie Contreras, paramedic; and Joel every one, if given permission by the reporting party. I appreciate hearing from
Stevens, PA-C, Emergency Department patients, residents and their family members and being able to learn from the
physician assistant. personal experiences, good and bad, that they share. No two patients, residents
or families are the same, and each encounter provides us with insight into how
Healthy Connections is published
by Winona Health to provide you to best meet your individualized needs.
with information about health,
wellness and the many healthcare All of us at Winona Health are inspired by our patients, residents and family
resources available to you, close members and we thank you for entrusting your care to us.
to home.
Warm Regards,
We welcome questions, suggestions
or comments about Winona Health
and this publication. Please visit
winonahealth.org and click on
Contact Us or call Winona Health
Marketing Communications at Rachelle H. Schultz
507.457.4157.
President/CEO

2 Healthy Connections • Spring 2010


Healthcare Reform
and Winona Health:
—Uncertainty, challenges and
opportunities ahead
by Rachelle H. Schultz, President/CEO

T he recent passing of the healthcare reform bill has


generated many questions and uncertainties for
everyone, including Winona Health. One thing will not
change: Winona Health, your local healthcare provider,
remains focused on providing compassionate, high-
quality care to our community.

Healthcare reform is a national agenda item for


a reason.The system as it operates today is not a For the past several years, Winona Health has been
sustainable one and opportunities to improve quality, implementing aggressive changes to remain a strong,
lower costs and enhance a patient’s experience independent healthcare system.
exist in every healthcare organization.The issue of
health insurance coverage became the prevailing Through our Continuous System Improvement (CSI)
issue of reform and is the theme that runs through efforts, which include the implementation of LEAN
the legislation. At this time, it is not clear how the principles (often used in the manufacturing industry),
legislation will actually be implemented and what we are improving processes which increase the value
the impact of it will be for any of the stakeholders. of our services to our customers.There is waste in
This is different from past healthcare legislation in the healthcare industry and we are aggressively going
that it significantly impacts employers, insurance about removing it. Lean thinking presents unlimited
companies, healthcare providers and each citizen. opportunities and is measured not only in time and
We have not seen this type of over-arching reform resources saved, but also, and most importantly, in
in healthcare. While there is no detail yet on how it customer satisfaction.
will be implemented over the next ten years, there
are some factors we can be fairly sure of: Winona Health is proud to be one of the area’s largest
employers. We provide employment opportunities for
• The demand for services and associated costs are nearly 1,100 people—and also support many local
likely to continue to increase. people and businesses. As the details of healthcare
reform take shape, Winona Health will continue to
• Reimbursement from various payers will continue
pursue a revolutionary transformation of community
to decrease.
healthcare while improving healthcare outcomes and
• Overall reimbursement from government programs a very satisfying patient experience. We should all stay
such as Medicare and Medicaid will continue to informed and be active participants in the healthcare
decrease for Winona Health (and all other providers). reform initiative that will hopefully benefit our family,
Winona Health will continue its efforts to friends and neighbors. We welcome suggestions,
continually reduce costs—both internally and to thoughts and ideas from our patients and fellow
the patient. Adapting to these changes will require community members. Please feel free to send your
innovative thinking and action. comments to info@winonahealth.org.

Healthy Connections • Spring 2010 3


HERE TO HELP WITH
YOUR MEDICATION
QUESTIONS—
Pharmacists
Dick Gaffron, RPh (l),
and Terry Full, RPh,
at Winona Health
Parkview Pharmacy
have 58 years of
combined experience
serving customers.

Maintaining Your Medication Records


—An important and ongoing process
I f you take multiple medications, you know that it’s
important that the right medication is taken in the
right dose, at the right time. Keeping an accurate, up-
When a patient is admitted to the hospital, the
admitting staff begins the medication reconciliation
process by asking each patient what medications
to-date list of all your medications can be a challenge. he or she is taking.Then, during the patient’s stay,
an inpatient pharmacist uses this list along with
At Winona Health, your healthcare team—the primary information in the patient’s EMR as the starting
healthcare provider, pharmacist and inpatient care point to review and confirm the patient’s complete
team if hospitalized—works together to ensure you medication list, follow up on any questions, and make
have an accurate, up-to-date medication list in your suggestions to the attending healthcare provider.
Electronic Medical Record or EMR.
“To avoid potential medication interactions, it’s
“Medication reconciliation is the process of important for healthcare providers to know what a
compiling an accurate and current list of every patient currently is taking,” said Drew Bilicki, PharmD,
medication a patient is taking, including the name, an inpatient pharmacist at Winona Health. He notes
dosage, frequency, and the last time the medication that this includes any over-the-counter medicines and
was taken,” said Abdul Adjei, MD, hospitalist.“Having alternative/herbal supplements the patient may be
up-to-date medication information in each patient’s taking.“By making sure Electronic Medical Records
EMR prevents errors and helps healthcare providers are complete and accurate, we can be sure that this
ensure that the right medications are given to important information is available when and where
patients and helps patients and their caregivers patients and healthcare providers need it, no matter
keep track of medications.” where they are in the healthcare system.”

4 Healthy Connections • Spring 2010


For your FREE medication log
to track your medications—
• Call Parkview Pharmacy at 507.454.4925
• Click “Contact Us” online at winonahealth.org
• Or ask for one at Parkview Pharmacy the
next time you stop in or drive through!
[
“It is important that patients take a proactive role in
managing their medications. If you keep a medication
log, it is very helpful to bring that document to your
local pharmacist to review. Not only will it help
prevent medication errors, but it will also make the
patient a more informed healthcare consumer.”
- Terry Full, RPh
]
Medication Management
Upon discharge from the hospital,
–15 ways to ensure safety
the doctor will update the patient’s
Electronic Medical Record with the 1 Asprescribed,
medications are
take notes and 8 Remember, many
medications have names
confirmed, complete and accurate ask as many questions as you which sound or look alike. Read
medication list. The nurse will review feel necessary. the directions on the label and
all discharge instructions and the any written information you’ve
medication list with each patient
and make sure all their questions are
2 Make sure that your
healthcare provider is
been given.

answered. Patients are given a printout


aware of medications that
others have prescribed for you. 9 Ifswelling
you develop itching or
or if you have
with the comprehensive list of their trouble breathing after taking a
current medications for their records,
as well as a wallet-sized medication 3 When possible, take your
new prescriptions and refill
new medication, seek medical
help immediately.
list. So, if they would need to see a requests to the same pharmacy.
healthcare provider outside the
Winona Health system, they have a 4 If you are taking more than
one prescription, be sure to
10 Be alert to side effects.
Call your pharmacist,
current medication list for reference. nurse or healthcare provider.
disclose this to your healthcare
provider and pharmacist.
11 Take the medication
exactly as prescribed.
5 Inform your provider or

over-the-counter and alternative/ 12


pharmacist about any If you stop taking your
medications, tell your
herbal therapies you’re taking. healthcare provider.

6 Before
dose of a new medication, 13
taking the first Keep medications in their
original container and
read the label. Be sure that the store them out of the reach of
medication you have received children.
is the one that your healthcare
provider ordered.
14 Check the expiration
date on all medications.

7 Ifinform
you have any allergies,
your doctor.
Dispose of outdated products.

take 15 You may find it useful


to keep a medication
MEDICATION LOGS ARE BENEFICIAL— log to bring to appointments.
Drew Bilicki, PharmD, a Winona Health
inpatient pharmacist, encourages individuals
note This record will be helpful for
both you and your healthcare
to maintain an up-to-date medication log, provider.
including prescription and over-the-counter
medications.

Healthy Connections • Spring 2010 5


TIME AND TEAMWORK:
Ambulance + Emergency Medical Responders + Emergency Department
–Critical in Emergency Care
Should I call the ambulance?
I f you find yourself in a situation where you’re
trying to decide between driving someone to the
Emergency Department or calling an ambulance,
“It’s probably best to call the ambulance,” advises
Brett Whyte, MD, Winona Health medical chief for
Emergency and Urgent Care Services and medical
director for Winona Area Ambulance Service.

Dr. Whyte points out that in most cases, an ambulance


can get to the patient before the patient can get to
the Emergency Department.“An ambulance is an
extension of the Emergency Department—sort of a
mini ED on wheels,” says Whyte.“Once the ambulance
reaches the patient, emergency responders can begin
administering life-saving treatment.”

Using advanced medical technology and


communication devices, Winona Area Ambulance
Service staff can transmit data directly to a Winona
Health Emergency Department physician who can
advise the team in the field on specific treatment to
begin before and during transport.

A special technology recently implemented in the


ambulance is a 12-lead EKG (electrocardiogram)
NURSES ALSO ARE which will quickly indicate if the patient is having a
A KEY PART OF A heart attack. “Having emergency responders equipped
LIFE-SAVING TEAM.—
with the right technology leads to what we call
Marilou Dienger, RN,
consults with Brett improved door-to-drug or door-to-balloon (angioplasty)
Whyte, MD, in Winona times and improved outcomes,” notes Dr. Whyte.This
Health’s Emergency can save thirty minutes or more of precious time.
Department.
If the patient is having a heart attack, the Emergency
Department physician can immediately implement
a set of protocols to prepare for the patient’s arrival
ALL ON THE SAME TEAM.—(l-r) Terry Donnal, MD,
and, if necessary, immediately call for medical air
Emergency Department and Urgent Care Clinic physician;
Brett Whyte, MD, medical chief for Emergency and Urgent transport. Because of collaborative relationships with
Care Services and medical director for Winona Area Ambulance area tertiary care centers, a helicopter can be on its
Service; Kari Nelson, EMT; Angie Contreras, paramedic; and way even before the patient arrives in the Emergency
Joel Stevens, PA-C, Emergency Department physician assistant. Department.

6 Healthy Connections • Spring 2010


[ ]
“In every situation, our top priority is to
provide immediate lifesaving care.
We’ve implemented the right technology
and have the right people,
partnerships and processes in place
to provide outstanding emergency
care here at Winona Health”
- Brett Whyte, MD
Before you find yourself
Electronic Medical Records in an emergency situation
Saving critical time with technology Planning for the unexpected can save
precious time. Here are a few ways you
Another critical element in saving time in the can prepare:
Emergency Department is having immediate access
to a patient’s health history at the point of care. • Keep important information such as phone numbers
and medication in a safe, yet accessible place, such as
In 2002, Winona Health was one of the first on the refrigerator.
healthcare organizations in the nation to develop • If you have small children, teach them about calling
and implement Electronic Medical Records. 911 at the appropriate age, ensuring they understand
Today, Winona Health’s community-wide integrated to only do so in an emergency. Teach your child what
Electronic Medical Record (EMR) is instrumental would be considered an emergency.
in ensuring that information is available when and
where it’s needed. You’ve called the ambulance—what next?
After you’ve called 911, here are a few things you can do
“Diagnostic technology helps us determine whether to ensure precious minutes are saved:
someone is having a heart attack,” said Dr. Whyte.
• Turn on outside lights. If possible, have someone
“But when the problem is more obscure, it’s
at the door watching for the ambulance so
helpful to assemble as many pieces of information responders immediately see where they should go.
as possible. In many cases, pieces of the puzzle
are found in a patient’s health history and easily • Gather the patient’s medications and any other
accessible in their Winona Health EMR.” information you might want to have in the Emergency
Department such as family contact information.
If your primary healthcare provider is at Winona
• Call the person most familiar with any of the patient’s
Health, your EMR is securely accessible. Whether you
health conditions if that is not you.
are a patient in the Emergency Department or at a
routine visit at the clinic, healthcare providers can • If there are small children at home, contact a family
quickly review your medical record to help diagnose member or neighbor to see if they can stay with the
the cause and plan treatment. children.

“Making the best use of available technology to improve healthcare is an ongoing process
and a goal that is supported by Winona Health’s board of directors, administrators, healthcare
providers and staff. It takes a commitment from everyone, and our community benefits from
our advanced technology.”
– William Davis, MD
Winona Health’s chief medical information officer

Healthy Connections • Spring 2010 7


A CANCER DIAGNOSIS AFFECTS AN
ENTIRE FAMILY—Left: Marie Luhmann,
RN, BPN-IC, checks in with patient,
Don Nelson and his wife, Mary Kaye Perrin,
before their scheduled appointment.

Below: General surgeon Hans Zinnecker,


MD, meets with Nelson and Luhmann
for a surgery follow-up visit.

Cancer Care at Winona Health:


—Our patient navigator is with you all the way.

W hen Don Nelson, 66, retired Winona Middle


School math teacher, noticed that he often was
feeling short of breath and tired, he chalked it up to all
“Having Marie there was so helpful. She mapped out
the next steps and answered all the questions my
family and I had,” said Nelson.“She has a wonderful,
the snowblowing during the winter’s heavy snowfalls. caring demeanor and she’s so supportive. She relieved
But after a trip to Peru to see family, he noticed that a lot of the stress and made the whole thing so much
his fatigue and shortness of breath were getting worse. more understandable and less frightening.”
Nelson said he also was a little overdue for his annual
physical, so he scheduled an appointment with his The patient navigator’s goal is to make sure each
primary care provider, Donna Kamann, CNP. patient gets the support they need, understands their
options and gets answers to their questions. Luhmann
“Shortly after my appointment, Donna called with serves as the primary point of contact to help cancer
my test results. She said my hemoglobin was low patients through their individualized treatment. She
and she wanted me to have a blood transfusion assists patients with navigating the medical system
and a colonoscopy,” recalls Nelson.“A few days later, including coordinating appointments, surgery, tests,
I was in for the procedure.” follow-up care and education. She also assists with
referrals for second opinions for those who choose
“Dr. Zinnecker [Hans Zinnecker, MD] came in and and for highly specialized procedures or radiation
talked to me after the colonoscopy. Of course you therapy if necessary.
never want to hear the word cancer. I was kind of in
a fog, and a little in denial,” remembers Nelson. Marie A week to the day after his initial appointment, Nelson
Luhmann, RN, BPN-IC, patient navigator, also was there. had surgery to remove the cancerous growth and also
She introduced herself to Nelson and explained her had to have several lymph nodes removed for testing.
role in guiding him though his care. Again, Dr. Zinnecker was there after surgery, and so

8 Healthy Connections • Spring 2010


[ ]
was Luhmann. Nelson said,“We were relieved to
learn that the cancer had not metastasized to other
“Learning that you have
organs.”And more good news, Nelson’s pathology
cancer is scary for everyone.
report showed no sign of cancer in his lymph nodes.
From the moment cancer is
Nelson said,“I’ve been so impressed by my care.
identified as probable or confirmed,
It’s been outstanding.”
we want patients and their families
As for follow-up care,“Marie has been great about to know that we’re with them
finding out what we need and making sure we get 100 percent of the way—
it. She worked with hospital staff to coordinate care from discovery to recovery.”
including a home healthcare nurse who comes in a
- Marie Luhmann, RN, BPN-IC
few times a week to check on me and help change
my dressings,” noted Nelson.“That’s been healing
to me—being able to stay in the community and to
continue to heal at home.”

Helping cancer patients heal


close to home— THERE ALONG
THE WAY—
Marie Luhmann,
Winona Health’s patient navigator is first in RN, BPN-IC, is
the region to achieve unique certification. the first in the
region to receive
the certification
Marie Luhmann, RN, BPN-IC, patient navigator at
of Breast Patient
Winona Health, earned a unique, new certification

[ ]
Navigator.
signifying her expertise in helping breast cancer
patients through screening, diagnosis and treatment.

To earn BPN-IC (Breast Patient Navigator-Imaging/


Cancer) certification, candidates must complete
“Cancer patients are fortunate that a minimum of 1,000 hours working as a patient
Winona Health can provide a navigator along with demonstrating knowledge and
wide range of services right here in competence on an extensive written exam.
Winona including surgery, diagnostic
testing and chemotherapy ” Luhmann works with Winona Health physicians who
use the National Comprehensive Cancer Network
- Marie Luhmann, RN, BPN-IC (NCCN) guidelines for diagnosing, staging and
treating cancer. These guidelines determine the best
approaches to diagnosing, treating and monitoring
As Winona Health’s patient navigator, cancer at every stage and are developed and
continuously updated by panels of medical
Luhmann works with patients undergoing experts including clinicians and cancer researchers.
screening or treatment for any type of cancer. For more information about NCCN, visit nccn.org.

To learn more about Winona Health, visit winonahealth.org,and to find a primary healthcare provider,
click on Find a Provider. Or, call Winona Health at 507.454.3650.

Healthy Connections • Spring 2010 9


Care Coordination Team
-Helping hospital patients avoid a return visit.
H ealing often starts in the hospital, but oftentimes a
patient needs some level of care or assistance after
they leave. According to Robin Hoeg, RN, MS, Winona
Health director for inpatient care,“Our primary goal is
to help ensure patients understand their options and
continue to receive the care they need.”

In addition to the hospitalist (a physician who is a


specialist in caring for hospitalized patients) and nursing
staff, a patient’s care team may include any or all of the
following: patient educator, physical and occupational
therapist, dietitian, pharmacist and social worker.“Each
member of a patient’s care coordination team works
together to assess a patient’s post-hospital needs,” says
Hoeg.“We recognize that in addition to helping our
patients get better while they are in the hospital, our PART OF THE TEAM.—Kay Walsh, LSW, an inpatient social
role is to prepare them to return home and to help worker, provides information and helps patients and their
them avoid another hospital stay.” family members coordinate services for post-hospital care.

Winona Health patients have many options for post-hospital care:


Winona Health Auxiliary Telecare More Skilled Care at Lake Winona Manor
A volunteer will call a discharged patient at home at The Transitional Care Unit provides a certain level of
a regularly scheduled time. If the patient needs help, skilled care, such as rehabilitation services, physical
the volunteer can set that in motion. If the patient or occupational therapy, or IV therapy. In addition, it
does not answer the phone, the volunteer has gives patients an opportunity to receive additional
instructions to call a contact to follow up.Telecare education about managing a chronic illness.The
is free and available to anyone in the Winona Health average length of stay is two to four weeks—or until
service area. the skilled care is no longer necessary.

Winona Health Home Care Palliative Care


Home Care offers a broad range of services—from Palliative Care provides people who are experiencing
homemaker services to help with meal preparation a serious but perhaps temporary illness, such as cancer,
and cleaning, to skilled nursing and therapy services or a chronic illness, with additional comfort measures
that help individuals continue to recover after surgery to ease their symptoms and decrease their symptom’s
or to manage a chronic condition. impact on their daily lives. Palliative care can work
hand-in-hand with various curative treatments.
Watkins Manor Assisted Living Short-Term Stay
If a patient needs extra supportive services before Hospice Services
returning home, Watkins Manor provides apartments Hospice provides comfort and supportive services to
and staff to assist with a variety of needs including terminally ill patients and their families.The goal of
meals, housekeeping, medication administration, hospice is to give people the opportunity to die with
and assistance with bathing and dressing. Residents dignity in their own home or home-like environment,
choose the level of care they are comfortable with. surrounded by the people they love.

To learn more about these care options, call Winona Health at 507.454.3650 or visit winonahealth.org and click on Services.

10 Healthy Connections • Spring 2010


[ ]
Social Workers
— Providing assistance, support
and a wealth of resources. “The social worker’s primary goal is
to connect each person with the
An illness may create difficulties that cannot be resolved resources that best meet their
by medical treatment alone. That’s where social workers physical and emotional needs to
come in. The role of a social worker is to help resolve
support their recovery.”
or minimize problems that may interfere with an
individual’s medical care or recovery. - Kay Walsh, LSW
Each person’s situation is unique,” says Kay Walsh, LSW,
a social worker who has been with Winona Health for
29 years. “Being a social worker is about listening to
each person and assessing his or her needs and wants,
learning what they don’t want, and finding the best
resources and options for them.”

In connecting patients with the appropriate resources,


social workers consider:

• A patient’s physical and emotional needs at the time


of discharge, from arranging for a wheelchair or other
medical equipment to providing information about
advanced directives

• The amount of assistance available to the patient from


family and friends

• The resources available in the patient’s community


to help with their care

• The patient’s financial resources (social workers assist


people regardless of their income level) WINONA HEALTH’S SOCIAL WORKERS PROVIDE
PERSONALIZED SERVICES TO PATIENTS. —Pictured: (front,
Based on these factors, social workers discuss options seated l-r): Sheila Skeels, Christi Nowland, and Dawn Gronner
and, ultimately, each patient and his or her family makes (back, standing l-r): Kay Walsh, Amy Gordon, Barb Klink, and
Cassie Longueville.
the final decision about which plan to follow.

Notes from grateful clients reflect the value of social workers:


“I’m writing to express my gratitude for your help “We want to thank you for helping us get through a
and guidance with moving my parents to [long- difficult situation.Your caring and professionalism
term care]. It was a very stressful time and I really stand out in our minds.”
appreciated your empathy and support.You were a
vital link for my family’s decision and planning.” “Thanks to you, my grandmother died in
comfort and with the dignity we had hoped for.
“I was so glad to have your help...My heartfelt Your concern was a great comfort to me.”
thanks and admiration for the work you do.””

Healthy Connections • Spring 2010 11


WINONA HEALTH NEWS & NOTES

Shhh... It’s Quiet Time!


Winona Health’s inpatient units have implemented a
two-hour quiet time every afternoon from 2 to 4 p.m.

“Our intent with setting specific quiet hours is to


ensure a relaxing, restful, healing experience for all our
patients,” said Robin Hoeg, RN, MS, leader of Inpatient
Services.“We implemented quiet time approximately two
years ago in the Intensive Care Unit, and we have received
many positive comments from both patients and family
members about the positive outcomes due to this specific
rest time. Patients and family members have become more
aware of the connection between rest and healing.”

The 2 to 4 p.m. daily quiet time now applies to the HEALING IN PROGRESS—Helen Bagshaw, RN, was
Intensive Care Unit, Medical, Surgical and Pediatric unit instrumental in researching the benefits and implementing
and the Family Birth Center.“Even though new moms Quiet Time in Winona Health’s Intensive Care Unit several
years ago. In addition to the ICU, Quiet Time is now
and babies are healthy, they need time to bond and get
observed from 2 to 4 p.m. every day on the Medical/
to know each other in a quiet and private environment Surgical/Pediatric Unit and in the Family Birth Center.
during their short hospital stay,” Hoeg noted.

“Although we always try to keep noise to a minimum in a healthcare setting, implementing this two-hour quiet
time provides a consistent time for rest during the day and increases everyone’s awareness of the importance
of rest to the healing process.”

Hoeg added,“In general, we believe that what’s best for each patient varies depending on their illness and
their family needs. However, we do ask that people not visit during our two-hour afternoon quiet time.
We appreciate all visitors being considerate not only of the friends or family they are visiting, but also of
all others who are hospitalized.”

Winona Health offers online bill pay.


Online bill pay is a fast, safe and secure way to
pay your medical bill electronically. No account setup is
required, and there are no additional fees. Simply enter
the account number from your bill, along with payment
information from a credit or debit card, and within
minutes the bill, or a portion of the bill, can be paid.

For more information and to pay a bill online,


visit winonahealth.org/bill_pay.

12 Healthy Connections • Spring 2010


Winona Health Welcomes New
Healthcare Providers
Robert W. Neilson Jr., MD,
a board certified Internal
Medicine physician, joined the
Winona Health medical staff.
Dr. Neilson received his Medical
Degree and completed his
residency in Internal Medicine
at Texas Tech University Health
Sciences Center School of
Step into Summer
Medicine in Lubbock,Texas.
He also served as an assistant professor in the school’s
Family Fun Walk
Department of Internal Medicine. Dr. Neilson has
given presentations on topics including the obesity Saturday, May 22, 9 - 12 p.m.
epidemic, controlling cholesterol, adult immunizations,
Winona Health’s Healthy Kids Club invites
hypertension, and the patient-centered medical home.
children ages 6-11 and their familes to
He’s also presented at national meetings and contributed
Step into Summer. This is a FREE, casual and
to an educational course for medical students. non-competitive walk with some fun along
the way. Total distance is almost two miles.
Danielle Rollmann, PA-C,
joined the healthcare team at To register, please visit winonahealth.org/HKC
the Winona Health Urgent Care or call 507.457.4161.
Clinic. Rollmann received her
Master’s of Physician Assistant
For planning purposes, registration is required for this
Studies at Des Moines University
free event. Children must be accompanied by an adult.
Osteopathic Medical Center in Strollers and wheelchairs are welcome, but please leave
Des Moines, Iowa. Her areas of your bikes, skateboards, rollerblades and pets at home.
special interest include healthy
lifestyles and preventive medicine.

Share your thoughts on our newsletter


—Be eligible to win a prize!
Take our quick and easy online
survey and let us know what Spring 2010 Trinona set for June 12 and 13.
health issues interest you! Fall 2009
This USA Triathlon (USAT) sanctioned event is back in

If you choose to include your Winona for year two. Race organizers say that Winona
contact information you will offers “an incredible mix of terrain” making it an ideal
spot to offer an original sporting challenge.The event

be entered in a drawing to
win a $25 gift certificate to Pain
Teamwork and relnolo
tech
‘medand
ief isgy
like a includes a kids’ triathlon held at St. Mary’s University.
saves time ical lives
miracle’
the Glady D. Miller Gift Shop • Colon cancer: Early
• From Halloween
to Happy New Year:
detection, happy outcome

Tips for healthy holidays


Learn more about the kids’ event online—including
• Hospitalist and Care

an application for an event registration scholarship—


Teams: An effective
combination

or to the Lakeside Café.


at winonahealth.org/HKC. Learn more about Trinona:
Take our survey and tell us what matters to you: The Battle for the Bluff at trinona.com.
winonahealth.org/survey

Healthy Connections • Spring 2010 13


FOUNDATION AND AUXILIARY NEWS

Justin Green Awarded


Community Service Tribute
Justin Green received the 2009
Ben & Adith Miller Community
Service Tribute at a dinner held
in his honor April 20.

Kalene Engel, executive director of Winona County


Criminal Justice Coordinating Council, was among
those who nominated Green for the award. In her AUXILIARY OFFICERS FOR 2010—sitting (left to right) Nancy Enochs,
remarks, Engel said,“Justin has done so very much for vice-president; Pat Nolan, president-elect; Julieanne Schwemer, 2010 president;
my organization and the whole community. He has Grace Welle, outgoing president. Standing (left to right) Sheila Lind, secretary; Kim Schwab,
dedicated his life to community service and we are WH board representative; Candi Kohner, treasurer; Carol Partingon, assistant treasurer.
sincerely blessed to have him in our community.”

In recognition of his work, Hugh and Vera Miller and Volunteers Needed for our Patient Assistant Program
RTP Company will donate $25,000 to the Winona Auxiliary volunteers are now providing support and
Health Foundation’s Ben & Adith Miller Patient Care friendship to hospital patients through our Patient
Fund in Green’s honor. It is the 21st consecutive Assistant Program. Volunteers provide companionship
year that the Miller family has sponsored the such as visiting with a patient who may feel alone,
Winona Health Foundation’s Ben & Adith Miller bring magazines for them or refilling their water.
Community Service Tribute to benefit the Patient Volunteers help our patients with non-medical needs
Care Fund. Since its inception, the fund has helped and work with staff who will help with those things
more than 2,100 people pay for almost $4.6 million outside of the volunteer scope.
in healthcare expenses.
If you are interested in learning more about this or
any of our volunteer opportunities, please visit our
website winonahealth.org or call Volunteer Services,
at 507.457.4394.

Will your family know how to honor your wishes?


When we’re healthy, it’s difficult to imagine a day when we may not be able to clearly
express our wishes when it comes to receiving medical care. That’s why it’s important
to put your wishes in writing in the form of a Healthcare Directive. The primary
purpose of a Healthcare Directive is to allow you to retain control over your care,
even if you lose the ability to speak on your own behalf.

Winona Health Auxiliary volunteers are trained and certified to assist you in developing your Healthcare Directive.
Every other month, Auxiliary volunteers offer a free informational program about the need for and benefits of
having a Healthcare Directive followed by a “working” session to answer questions as you prepare your Directive.
You can choose to make your family members aware of your Healthcare Directive, and it can become a part of your
Electronic Medical Record.

All adults over the age of 18 are encouraged to complete a Healthcare Directive. Healthcare Directive programs
are free of charge and open to the public. No registration is required. For more information, call the Winona Health
Volunteer Services Office at 507.474.3328.

14 Healthy Connections • Spring 2010


Healthy starts here.

To schedule an appointment:
Anesthesiology: General Surgery: Pain Management:
457.7670 457.7670 474.5698
Winona Health Ruth L. Moes, MD Matthew J. Broghammer, DO Ruth L. Moes, MD
454.3650 Amarjit Virdi, MD J. David Rowekamp, MD Amarjit Virdi, MD
855 Mankato Ave. • Winona, MN David Woosencraft, MD Lee Trombetta, MD
Pathology: 457.4361
Hans Zinnecker, MD
Dermatology: Pediatrics/Adolescent
Clinic Locations Internal Medicine:
• Family Medicine: 454.5050 457.7670 Medicine: 457.7607
Frank A. Bures, MD 457.7622
825 Mankato Ave. • Winona, MN Craig H. Anderson, MD
Abdul Adjei, MD (Hospitalist)
• Lewiston Clinic: 523.2127 Emergency Medicine Joan M. Krueger, MD
Andrew E. Edin, MD
100 Harrison St. • Lewiston, MN (if an emergency, call 911) Arnold W. Fenske, MD Psychiatry/Counseling:
• Rushford Clinic: 864.7726 Terry Donnal, MD Richard C. Ferris, MD 454.2606
109 W. Jessie St. • Rushford, MN Carlos Morales, MD John G. Mulrooney, MD Cullen R. Schwemer, MD
Christopher Schubert, MD Robert W. Neilson Jr., MD Laurie Stenseth, MSW, LICSW
• Urgent Care Clinic: 474.7830 Scott Turner, MD
420 E. Sarnia St. • Winona, MN Dennis G. Nolan, MD
Brett Whyte, MD Abdul M. Oseini, MD (Hospitalist) Radiology/Imaging:
• Winona Clinic: 454.3680 Joel Stevens, PA-C Daniel Parker, MD 457.4320
859 Mankato Ave. • Winona, MN Bryan Reed, DO Matthew S. Hayes, MD
Family Practice Laurel Littrell, MD
Family Medicine: 454.5050 Charles A. Shepard, MD
Hospital: 454.3650 Mary Funk, CNP
855 Mankato Ave. • Winona, MN William E. Davis, MD Urgent Care: 474.7830
Wayne G. Kelly, MD Traci J. Morken, CNP Terry Donnal, MD
Ann Marie Olsen Wagner, CNP Bob Giese, PA-C
Parkview Pharmacy: 454.4925 Rebecca Lossen, MD
825 Mankato Ave. • Winona, MN Thomas A. Retzinger, MD Occupational Health: Marla McConkey, PA-C
Kristi L. Schulte, PA-C 474.3212 Danielle Rollmann, PA-C
Winona Senior Services Cathy Johnson, RN
Lewiston Clinic: 523.2127 Women’s Health
• Adith Miller & Roger Metz Manors: Mary Kramer, RN, CNP Kris Lawson, PT Obstetrics/Gynecology:
454.0179
Rushford Clinic: 864.7726 Ophthalmology/ 457.7701
• Home Care: 457.4468 Scott B. Birdsall, MD
David Lofgren, MD Optometry: 474.4760
• Hospice: 457.4468 Joy Stevens, PA-C Troy J. Shelton, MD
Laurel Quinn, MD
• Lake Winona Manor: 457.4366 Winona Clinic: 457.7648 Scott M. Pastryk, OD M. Suzanne Cooley, CNM
• Watkins Manor: 494.7400 E. Allen Beguin, MD Holly J. Fratzke, CNP
Oral/Maxillofacial Ann F. Olson, CNP
David A. Christenson, MD
Winona Health Foundation: Surgery: 457.7700 Tara Suffrins, CNP
Jonathan Knight, DO
Gary W. Hayes, DDS
474.3328 Lynette Lamp, MD
855 Mankato Ave. • Winona, MN Mary A. Michener, MD Orthopaedic Surgery/
Nicholas Modjeski, MD Sports Medicine: Please note that all
Surgeons pictured above: (clockwise from front left) Robert P. Wilfahrt, MD 474.6600 Winona Health phone numbers
Matthew Broghammer, DO; Gary Hayes, DDS; Laurel Quinn, MD; Donna J. Kamann, CNP Tim Gabrielsen, MD are in the 507 area code.
Hans Zinnecker, MD; J. David Rowekamp, MD; Troy Shelton, MD; Christina M. Nitti Velasquez, CNP Richard Romeyn, MD
Richard Romeyn, MD; Tim Gabrielsen, MD; Amarjit Virdi, MD Aaron Schilling, PA-C
(anesthesiologist); Ruth Moes, MD (anesthesiologist);
Scott Birdsall, MD. For more information about healthcare providers at Winona Health,
visit winonahealth.org and click on Find a Provider.
Healthy Connections • Spring 2010 15
Nonprofit Org
U.S. Postage
PO Box 5600 | 855 Mankato Ave. | Winona, MN 55987 | winonahealth.org PAID
Winona, MN
Permit No. 72

EVENTS, CLASSES & SUPPORT GROUPS


For a complete calendar of events and for more information about our services and programs, please visit online: winonahealth.org.

All About Baby Healthcare CPR Recertification


Tuesdays, 12-1:30 p.m. Tuesday, May 18, 9-12 p.m.
Women’s Health Library, 3rd floor, B.A. Miller Auditorium
Center for Women’s Health Cost for class: $40
Winona Clinic, 507.494.0812 Registration required: 507.457.4491

Alzheimer’s and Related Dementia Healthcare Directives


Support and Education Informational sessions:
2nd Wednesday of the month
Parkview Conference Room
Monday, May 17, 6:30-7:30 p.m.
Monday, July 19, 9:30-10:30 a.m. Step into Summer
For more information–Cheryl Krage
507.494.7496
Working sessions: Family Fun Walk
Monday, May 24, 6:30-7:30 p.m.
Breastfeeding Class Monday, July 26, 9:30-10:30 a.m. Saturday, May 22, 9 - 12 p.m.
Tuesday, July 13, 6:30-8:30 p.m. Parkview Conference Room
$10 per participant/couple 507.474.3328 Winona Health’s Healthy Kids Club
B.A. Miller Auditorium, 3rd floor invites children ages 6-11 and
507.457.4491 Little Ones Remembered theirfamiles to Step into Summer.
Outreach Group See page 13 for details.
Childbirth Education Classes 3rd Tuesday of every month, 6:30–8 p.m.
Six-week program options: Watkins Great Hall, 175 E. Wabasha St.
To register, please visit
Wednesdays, June 2 – July 7 Call for more information: 507.474.3042
Mondays, July 5 – August 9 winonahealth.org/HKC
6:30-8:30 p.m. or call 507.457.4161.

Weekend (two day) program options: Winona Health Foundation


Friday, June 25, 6-8 p.m.
Saturday, June 25, 8 a.m.–3 p.m.
and Auxiliary Events

B.A. Miller Auditorium, 3rd floor 2010 Ben & Adith Miller Golf Classic
Registration required: 507.457.4491 Monday, August 9,
Cedar Valley Golf Course
Diabetes Prevention Series Winona Health on the Web:
Winona Clinic Conference Room, 2nd floor WH Auxiliary Birthday Ball winonahealth.org
$40 per individual or $60 per couple Saturday, September 25
Registration required: 507.474.3341 Signatures Restaurant and Visions Event facebook.com/winonahealth
Center twitter.com/winonahealth
Family to Family Support Group
Second Monday of the month More information to come!
Become a fan on Facebook or follow
Parkview Conference Room For more information about Auxiliary and Winona Health on Twitter to get news,
For more information, call 507.494.0905 Foundation events, call 507.474.3328. event information, updates and more.

Events are on the Winona Health Campus located at 855 Mankato Ave., Winona, MN except when noted.

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