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Spotlight on the Edwards Internal Medicine ClinicPA

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Connect Care is now available for employees PA

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ROSEMARY BARON: Loneliness hurts...and its a lot more common

LISA GRAYDON talks about the power of choosing to be engaged

18 years after Sabina Suggs got a bone marrow transplant, she came back to LDS Hospitals BMT unit as an RN: When a patient is wondering if a transplant works, I can say, Yes, it does because here I am!

If youre looking for a high-impact example of patient engagement, look at this: Sabina Suggs was a patient in LDS Hospitals Bone Marrow Transplant Unit 18 years ago in January 1998 and our team was so good to her she came back to the unit this past September to work as an RN. The people here saved my life, she says. I feel a sense of awe being on this floor. Most of us in healthcare feel driven to be here, and I feel drawn to BMT. This is where I need to be.

February 8, 2016

Central Region

SABINAS INCREDIBLE JOURNEY

18 years after Sabina Suggs got a bone marrow

SABINAS INCREDIBLE JOURNEY

Sabina has a degree in business, and she worked for almost three years as a Psych Tech at LDS Hospital and one year as a Patient Care Tech at Riverton Hospital on the Mom/Baby Unit. But once she earned her nursing degree in the last cohort of the Central Region/SLCC nursing program, she knew where she wanted to work.

I didnt know at first if I could do it emotionally, she says. I thought being back on the same unit, caring for patients who are now where Id once been, might be too much for me. And that aside, as a

higher acuity floor, it can be a pretty intense unit to work on, especially for a new RN. But I felt

an obligation to give back. When a patient is newly diagnosed and given their treatment options, and theyre wondering if a bone marrow transplant works, I can say, Yes, it does because here I am! You never know

what their outcome will be, but at that moment it gives them a little more hope to hang on to.

How does Sabinas experience as a patient enhance her work as an RN? There have been multiple times when a patient opens up to me once they know Ive been where they are, she says. I was diagnosed with leukemia just three months after I got married. One of the hardest things for me wasnt the fact that I was getting a bone marrow transplant, but seeing how hard it was on my family and seeing how helpless they felt. When I talk about that with a patient now, I can see their family members nodding in agreement yes, we feel helpless. One thing I learned

was: Let your family members help when they can; you dont have to be independent. I think that helps family members feel like part of the healing process.

A specific experience Sabina had with a patient: She got paged to come out to BMTs front desk a couple of months ago to meet a patient whod just been diagnosed with leukemia. He and his family were touring the unit, and they were wondering: Does a bone marrow transplant really work? I gave them my big grin and said, Why, yes, it does, because here I am, Sabina says. A couple of weeks later he came in as an inpatient, and he and his wife were overwhelmed and scared, like a lot of our patients. I was assigned to be their nurse, and when I walked into their room, they said, Oh, yeah we met you. Youve been through this. I could see some of their stress drain out of their faces. It was like, We know you know what were dealing with.

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THE INCREDIBLE JOURNEY OF SABINA SUGGS continued

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A MODEL OF BMTS IMPACT: Sabina Suggs received a bone marrow transplant at LDS Hospital in January 1998 and 18 years later she came back to the unit as an RN. Some of my colleagues here have said: You know, we treat these patients and they go home and we only hear about the downsides they either come back because their leukemia or lymphoma comes back or we hear about them not making it, she says. When they do well, we really dont hear anything. So people told me it was a boost for them to see me here and doing so well after having a bone marrow transplant 18 years ago. They could say: See? We really do make a difference.

higher acuity floor, it can be a pretty intense unit to work on, especially for a new RN. But I felt

an obligation to give back. When a patient is newly diagnosed and given their treatment options, and theyre wondering if a bone marrow transplant works, I can say, Yes, it does because here I am! You never know

what their outcome will be, but at that moment it gives them a little more hope to hang on to.

A MODEL OF BMTS

program, she knew where she wanted to work.

I didnt know at first if I could do it emotionally,thought being back on the same unit, caring for patients who are now where Id once been, might be too much for me. And that aside, as a

How does Sabinas experience as a patient enhance her work as an RN? There have been multiple times when a patient opens up to me once they know Ive been where they are, she says. I was diagnosed with leukemia just three months after I got married. One of the hardest things for me wasnt the fact that I was

was: Let your family members help when they can; you dont have to

3I want to be clear, Im not the only one who can connect with our patients everyone here is great with them, medically and emotionally but if I can make a difference because of what Ive been through, I feel awesome.

Her experience as a patient helped her when she was working in Behavioral Health, too. All of us are subject to stress and depression and anxiety, Sabina says. Those are normal feelings that can be treated, and theyre certainly part of the experience of having a bone marrow transplant. I think its good for everyone to remember: No ones immune from emotional trauma and for all of us, theres light at the end of the tunnel.

One other unforgettable experience: Not long after Sabina was hired in BMT last fall, she was able to meet up with Finn Petersen, MD the long-time Medical Director of the bone marrow unit and Clyde Ford, MD, both of whom were her doctors 18 years ago. It was like running into your heroes, literally, she says. I had butterflies. She works the night shift

now and doesnt see them much, but its nice to talk with a patient and say, Oh, Dr. Petersen is your doctor? He was my doctor, too youre in good hands.

Barb Adams, RN, who manages BMT, says: Sabina connects really well with our patients and her clinical skills are excellent. Shes helping to move the unit forward and making it a better place. Shes absolutely incredible.

One other benefit of Sabinas work on BMT: Some of my colleagues here have said: You know, we treat these patients and they go home and we only hear about the downsides they either come back because their leukemia or lymphoma comes back or we hear about them not making it. When they do well, we really dont hear anything, she says. So people told me it was a boost for them to see me here and doing so well after having a bone marrow transplant 18 years ago. They could say: See? We really do make a difference.

My working here is not about me. But if I can inspire and help others, that sure is a great feeling.

SABINAS INCREDIBLE JOURNEY continued

Grand opening of Riverton Hospitals new Outpatient Services Center is February 24

Mark your calendar and plan to attend: The grand opening of Riverton Hospitals Outpatient Services Center is Wednesday, February 24, from 4 to 7 p.m. A short program and ribbon-cutting will start at 4 p.m. with tours to follow. All

employees and the public are invited.

The purpose of the new Outpatient Services Center: To help Riverton Hospital better meet the needs of the growing community in the southwest corner of the Salt Lake Valley. The new, four-story, 120,000-square foot center will house several additional services at Riverton Hospital, including rheumatology, pulmonology,

senior services, ophthalmology, and podiatry. It will also allow current services such as the lab, endoscopy, and physical therapy to expand.

4Construction starts Monday on T6 at Intermountain Medical Center; be expecting some noise (and please help patients and visitors know whats happening)

Intermountain Medical Center is building a new 32-bed medical telemetry unit on the sixth floor of Intermountain Medical Centers patient tower starting Monday, February 8. Construction will be loud during parts of the project, and everyones encouraged to help patients and visitors know whats happening and why and help them cope.

How the construction process will work (and how to support patients and visitors who may be affected):

Our construction team will drill into the sixth floors cement floor starting this week to place shower pans, then well chip out the cement which will be noisy and disruptive to patients who are nearby.

Well close the 12 beds on the north half of Shock Trauma on T5 starting Monday. Patients in those beds will be moved to rooms in CICU on the fifth floor of the Heart and Lung Center.

When the shower pans are done on the north part of T6, well repeat the process, and move patients from the south half of Shock Trauma to CICU.

The noise on T6 is likely to affect patients on T5, T7, T8, and possibly T9. If you work on those floors, please be ready to explain whats happening

to patients. Handouts are available on those floors to give to patients and visitors and signs have been posted to explain what were doing and why were doing it, plus well offer ear plugs to people who request them.

Vibrations or other impacts arent likely to affect the ORs on T2. Once the shower pans are done, two other parts of the construction may be

noisy: Framing the walls and putting up drywall. Construction crews will work weekdays from roughly 7 a.m. to 5 p.m. They

wont play radios and theyll avoid any unnecessary noise and disruption. Construction will take roughly six months; well share the specific timeline as

construction progresses.

If you have questions about the construction process, contact Randy Evans at 801-507-9526 or randy.evans@imail.org or Steve Brown at 801-314-2260 or steve.brown@imail.org. If you have questions about the new T6 unit, contact Suzanne at 801-507-7924 or suzanne.anderson@imail.org.

Think of parking like its part of patient care save the closest spots for patients and guests The best place to start delivering extraordinary care is in our parking

lots. When all of our employees park in employee parking, its easier for patients and visitors to park closer to our buildings which means they have a better experience here even

before they get inside. Pass the word and help remind your colleagues!

If you work on T5, T7, T8, and T9, please be ready to explain whats happening to patients and visitors. Handouts are available on those floors to give to patients and visitors and signs have been posted to explain what were doing and why. Plus well offer ear plugs to people who request them.

PARKING REMINDER

5Intermountain Connect Care which allows you to receive care online or on your phone 24/7 is now available for employeesand your first visit is free

Connect Care, Intermountains new online and mobile service that allows patients to receive care from Intermountain caregivers 24/7/365, is now available for Intermountain employees and your

family whenever you need care for low-level urgent needs. And from now through March 15, employees and your immediate family can have your first visit free using the coupon code INTERMOUNTAIN.

Normally a visit will cost $49, but our employees are essential to the success of Connect Care and we want you to try it and

share your feedback. You can help improve the experience by responding to the follow-up survey youll receive via email after your

visit or by emailing your feedback directly to ConnectCare@imail.org.

Sharing your feedback will automatically qualify you to win a Kinsa thermometer a smartphone-enabled thermometer that plugs into any phone with a headphone jack and helps you track real-time temperature information through Kinsas app. Well draw 10 Kinsa winners on March 31. Feedback isnt necessary to qualify for the drawing. If youd like to participate in the drawing without providing feedback, simply send an email to ConnectCare@imail.org with Connect Care Employee Giveaway Entry in the subject line.

After the employee trial period, Connect Care will be a covered benefit for employees with SelectHealth coverage through Intermountain and will apply toward deductibles.

Starting a visit is easy. Simply go to IntermountainConnectCare.org, or download the Connect Care app from both the Google Play Store and iTunes. Even if youre not sick now, create an account so youre ready when you do need a visit. For more information on what Connect Care is, how it works, or what kinds of conditions we can treat, please

visit intermountain.net/TeleHealth/Services/ConnectCare.

A literary moment with Jim Gaffigan

Ever read a book that changed your life? Me neither.

CONNECT CARE, Intermountains new online and mobile service, allows patients to receive care from Intermountain caregivers 24/7/365. Its now available for employees and your family members whenever you need care for low-level urgent needs. And from now through March 15, your first visit is FREE. Click here to start a visit.

6Loneliness hurts whether youre at a junior high dance or in an ICU and its becoming a lot more commonbut Valentines Day may bring an antidote

When I was 13, my eighth grade class had a Valentine dance. I remember wearing a red dress with a then in-style crinoline liner underneath. I thought I looked beautiful. Dancing fast dances was fun; I was asked often to dance by the boys in my class. But no one

asked me to dance during slow dances. I stood alone at the wall. I still remember the sting of being alone, not included in this adolescent ritual. Then it dawned on me (and was later confirmed by a girlfriend): I was five feet eight inches tall, the same height I am now but thinner. I was taller than any boy or girl in my class. I didnt fit into the world of the perfect-sized girl for slow

dances. I still remember that loneliness of standing by myself. It hurt.

That experience so many years ago comes to my mind as I talk with many of our patients. So many of them are lonely and it hurts them just like it hurt me. Three examples:

One patient wants to go home. But her family members are unable to care for her because of her complex medical conditions. Theyve asked their mother to return to the care center from which she came. Mother refuses and says, Its too lonely there. I want to come home.

Another patient sits next to her dying husbands bed and says, I dont know what Ill do. Ill be so lonely. Weve been married 60 years.

The wife of an intubated critically ill patient in an ICU finds it impossible to allow her husband to die because hes the only support in the world for her. Shed been physically abused in the past, and her husband had calmed and protected her. She thought hed always be with her, but now she faces living alone and afraid without her loving protector.

These brief encounters with our patients are part of a bigger picture: More Americans are lonely. Some evidence:

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NO ONE ASKED ME TO DANCE during slow dances, says Rosemary. I stood alone at the wall. I still remember the sting of being alone, not included in this adolescent ritual. Then it dawned on me (and was later confirmed by a girlfriend): I was taller than any boy or girl in my class.

BY CHAPLAIN ROSEMARY BARON. Rosemary is a member of the regions Palliative Care team; you can reach her by calling the Palliative Care Answering Service at 801-408-6249

THE CHAPLAINS PERSPECTIVE

7 Loneliness has doubled to include 40 percent of adults, up from 20 percent in the 1980s, according to an article titled Loneliness Is Deadly by Jessica Olien.

Half of Americans are lonely which is defined as having no one to talk to about their personal problems or triumphs, according to an article titled The Loneliness of American Society by Janice Shaw Crouse.

The U.S. census examines a group of people called unrelated individuals or people who dont live in a family group and says about 70 percent of those individuals live alone.

Social isolation and living alone were found to be even more devastating to a persons health than feeling lonely, respectively increasing mortality risk by 29 percent and 32 percent, according to Justin Worland in an article in Time titled Why Loneliness May Be the Next Big Public Health Issue.

How does social media affect loneliness? Youd think that in a technologically connected world, wed be less lonely. But Jessica Olien says a study of Facebook users found that the amount of time you spend on the social network is inversely related to how happy you feel throughout the day.

In his book Bowling Alone, Robert Putnam cites a dramatic increase in television watching; he says 5 percent of households had a television in 1950, 95 percent in 1970, and today many homes have TVs in every room. All those TVs are replacing

family conversations over the dinner table and elsewhere in the home, and more people dont even watch TV together they watch their own TVs by themselves. That contributes to loneliness among people who are living in the same house.

An antidote is coming on Valentines Day, the day we show our love. I saw some research that says 180 million Valentines (not counting school Valentines!) will be exchanged and 196 million roses will be given that day. Last year, people spent $18.9 billion on Valentines gifts. That seems like a lot of loving! But is a gift or a card enough to relieve the real loneliness faced by half of the American adult population? Probably not.

Were all likely to give a Valentine remembrance to those we love. But what about those who could benefit from a heartfelt conversation, a handwritten note, a personal visit, a stroll in the park, a shared cup of soup or tea? These acts of kindness take time and emotional energy, yet theyre exactly what the lonely need. I invite you not to let Valentines Day go by this year without relieving the hurt and the sting of loneliness for someone whos lonely in your world. Dont let them be the person I was when I was 13 alone at the wall during the dance.

ROSEMARY: LONELINESS HURTS continued

Intermountain medical experts will answer questions about heart health during Ask the Expert on Tuesday

Intermountain Healthcare medical experts will answer questions about keeping your heart healthy and share updates about the latest research and treatments during interviews on KUTV Channel 2 and over the phone with callers on Tuesday, February 9, from noon to 5:30 p.m. People who are interested can call 877-908-0680 to speak free of charge to one of the many experts, including doctors, dieticians, exercise experts, and other clinicians, or receive answers via Facebook or Twitter using #kutvasktheexpert. Experts from throughout the Intermountain system will be answering questions. For more information visit intermountainhealthcare.org/asktheexpert.

8The power of choosing to be engaged

A look at the winter of my discontentand how Im dissing the winter and learning to be content

I think I was a bear in another life. Every winter I tell myself Im not going to let the short days and cold weather get to me. But when the days get short, my energy level drops and I start eating like Im preparing for hibernation. Mentally, I know what I need to do. Emotionally and physically, though, I fall into the same trap every year. I gain weight. I dont exercise. I feel lethargic. Im not a good example of living the healthiest life possible.

All thats standard after the holidays. Unlike other winters, though, something else started happening over the last few months that kind

of snuck up on me. I started to have a bad attitude. Not like Im bagging it and going off the grid bad attitude, but, Gosh, Im sick and tired of all this STUFF I have to do bad attitude.

Over the past month my work life has included wrapping up last years goals, creating this years goals, performance evaluations, new team members to work with, lots of meetings much of it stuff I do every January. Im getting accustomed to the constantly changing environment in healthcare. Outside of work lots of whats on the news is either scary or depressing,

like the recent stock market roller coaster. And dont even talk to me about the ramp-up to the 2016 presidential election!

Whatever the cause, I found myself dragging into work, feeling kind of tired, kind of ho-hum, here we go again. I got a little cynical and threw some pity parties for myself. And as my energy flagged, my job list expanded. I found myself thinking: How am I going to have time for that new assignment? Cant we have just a few months without a new regulation or requirement? Why do we have so many goals? I was behind on my email and behind on some projects. It felt lousy to feel lousy. Id been spending a lot of time in my office catching up and chose to call into meetings instead of going in person. Even when I was with people, I was thinking about everything I had to do and not taking

I FOUND MYSELF DRAGGING INTO WORK, says Lisa. And as my energy flagged, my job list expanded. I was behind on my email and behind on some projects. It felt lousy to feel lousy. Id been spending a lot of time in my office catching up and chose to call into meetings instead of going in person. Even when I was with people, I was thinking about everything I had to do and not taking the opportunity to engage with them. In short: I needed an attitude adjustment.

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Central Region NURSING HUDDLE

By Lisa Graydon Regional Chief Nursing Of cer

9the opportunity to engage with them. In short: I needed an attitude adjustment.

Then one Tuesday, I was sitting in a meeting with our regional and facility managers and I looked around the table. We were having a great discussion I dont remember the subject and I thought: Gosh, I really like these people. They make me smile. Im glad I get to work here with them. That made me feel better than I had in a couple of months. I had a thought: Id let myself get dragged down by little things that didnt matter. Yes, all of the things I need to do are important goals, projects, etc. But Id lost sight of why I do it, which is ultimately about people. Our patients, their families, my coworkers, our staff thats really what healthcare is all about.

The benefits of choosing to be positive and focusing on people. We had a speaker at the meeting, Jon Gordon, who was talking about the rewards of vision, connection, optimism, and gratitude. He quoted Lou Holtz, the football coach, who said: Dont talk too much about your problems; 80 percent of people wont care, and the other 20 percent will be glad you have them. He said and I love this: Research shows you cant be stressed and thankful at the same time. Then Dr. Sam Brown of Intermountain Medical Centers Shock Trauma ICU gave a powerful presentation on humanizing intensive care. He talked about respecting the intrinsic dignity of the people we care for (and work with). He said: When we separate ourselves from the humanity of those we serve, we desecrate the meaning of being human.

Hearing all those words and being with our managers had an effect on me. As the meeting progressed I took a step back and reframed my thought process. Being engaged is a choice, and I thought: Okay, I can either keep wallowing in the reasons I have to be unhappy, or I can put a smile on my face and re-engage. Since then Ive re-engaged. Ive thought about why Im doing what I do. And its amazing how much better I feel! I realized I had to make a conscious choice to be positive and upbeat, even when I didnt feel that way to begin with. And heres a secret: It helps. I still have a lot to do. The weather is still lousy. But choosing to be engaged, and sometimes remaking that choice every day, really works.

Quote of the week from Becky Thompson

Jokes about German sausage are the wurst.

LISA: THE POWER OF CHOOSING TO BE ENGAGED continued

Jon Gordon

said and I love

this: Research shows

you cant be stressed

and thankful at the

same time. Then Dr.

Sam Brown talked

about respecting the

intrinsic dignity of

the people we care

for (and work with).

He said: When we

separate ourselves

from the humanity

of those we serve,

we desecrate the

meaning of being

human.

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ARE YOU INTERESTED IN A CAREER AS AN OR TECH? CLICK TO SEE WHAT THE JOB IS LIKE. In a video titled Life of an Operating Room Tech, Intermountain OR techs and OR leaders talk about what they do, why its important and why working as an OR tech is a rewarding career. They also talk about what the job requires: Teamwork, focus,

knowledge of anatomy and physiology, being ready for anything, assertiveness, stamina, resiliency, and more.

Katie, whos interviewed in the video, says: You get to help someone. Whether its taking out a tumor thats cancerous or youre relieving them from pain from a kidney stone, you get to see the immediate results and know that youre helping someone. Its a great feeling.

And Tacy, whos also interviewed, says: For me, I went from being a student to assisting surgeons in the operating room in just over 19 months. If you or one of your colleagues is looking for an interesting, meaningful, high-impact career, watch the four-minute video, then be watching for information about a training program Intermountain will offer in partnership with the Davis Applied Technology College in Kaysville. The program will take approximately a year to complete. Applications will be accepted starting February 15. Stay tuned for more news!

Employees whod like to be medical coders are invited to sign up for a training program A training program in health information management coding designed to help Intermountain Healthcare meet additional needs for coding staff is offered by Intermountain and Weber State University. Employees whod like to begin the program in the summer or fall semester of 2016 can apply online until Monday, February 29. Classes are available online or on-campus at Weber State. Intermountain will pay tuition for the students in the course; theyll only need to pay for books and pay miscellaneous fees.

Some prerequisite courses must be met in order to apply for the program. If you have questions or want more information, call 801-442-2102 or email crstudentprograms@imail.org.

HOW TO APPLY: Go to Intermountain.net, go to the A to Z index, click on Talent Link, then sign in with your master account if youre not already signed in. Scroll down to about the middle where it says Job Openings and type in: Health Information Management Coding training program or enter the job number 180185. Click on the highlighted title and then click on Apply Now.

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FOCUS ON INTERMOUNTAINS VALUES

Trust: We count on and support one another individually and as team members. When Intermountains mission, vision, and values were updated last year, the language for each value was also updated. The following expectations affect both you and your manager:

YOU CAN EXPECT YOUR MANAGER TO: Be accessible and open to input from all levels. Reinforce, not punish, constructive criticism and divergent views. Give positive feedback publicly; give constructive criticism thoughtfully and

privately. Be clear about who is making the decision. Be relentlessly confidential and protect the privacy of patients, members, and

coworkers.

YOUR MANAGER AND COWORKERS CAN EXPECT YOU TO: Share your ideas and your opinions even if they are different from those of the

majority. Support decisions once they are made. Give positive feedback publicly; give constructive criticism thoughtfully and

privately. Be relentlessly confidential and protect the privacy of patients, members, and

coworkers.

Intermountain is honored as part of a new national listing of 40 health systems with innovation centers Intermountain Healthcare is included in a new national listing of 40 Hospitals and Health Systems With Innovation Centers compiled by Beckers Hospital Review, a journal for hospital and health system leaders. The 40 recognized facilities were selected based on editorial research by Beckers staff. Innovation centers included on the list include Brigham and Womens Innovation Hub, Cleveland Clinic Innovations, Henry Ford Health Systems Innovation Institute, Johns Hopkins Medicines Armstrong Institute for Patient Safety and Quality, Kaiser Permanentes Sidney R. Garfield Health Care Innovation Center, Massachusetts General Hospitals Stoeckle Center, and Mayo Clinics Center for Innovation. A summary of Intermountains center in the Beckers article says: Intermountain Healthcare opened its Transformation Lab in Murray, Utah, in 2013. Projects at the lab include developing the patient room of the future, 3D printing, and sensors to boost hand hygiene compliance. Marc Probst, CIO of Intermountain Healthcare, oversees innovation at the lab. Click here for more information.

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Edwards Internal Medicine Clinic at Intermountain Medical Center offers a unique extra level of care and follow-up to patients while it provides hands-on medical training

Corwin Edwards, MD, remembers a really sick patient who came into Intermountain Medical Centers internal medicine clinic. She had hypopituitarism and was very high-risk she had lots of endocrine abnormalities related to her damaged pituitary, he says.

It was her first visit to the clinic, and Dr. Edwards, whos an internist, remembers all the physicians who were in her room to consult about her care. We had an endocrinologist, the clinics senior attending internist, a resident, a medical student, and myself, all of us working

to take care of her, he says. She was surprised we were doing so much for her. Shell require life-long care and in fact she could have died but shes receiving great attention here and she continues to do well.

We see lots of examples of patients like that ranging from people with very severe disorders to

people with minor but longstanding health problems, he says.

The case illustrates the purpose of the Internal Medicine Clinic: To provide high-quality care and long-term follow-up for its patients and to deliver that care while we provide hands-on training to medical residents, interns, and students. Residents who are completing their training in internal medicine at the University of Utah School of Medicine serve in the clinic, as well as interns and third- and fourth-year medical students.

Most of our patients really like having the residents here, says Nate Allred, MD, Medical Director of the clinic. That means we have more time to spend with them, and we try to schedule our appointments so our patients see the same residents, along with their

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THE STAFF OF THE INTERNAL MEDICINE CLINIC includes, on the front row from the left, Brooke Thompson, Michaela Ishino, Allyson Eddy, Debra Hatch, Dez Small, and Erik Riessen, MD. Back row: Debra Platts, Karen Murrell, Marcie Jaramillo, Nate Allred, MD, Brian Clements, DO, and Tiffany Dean.Not pictured: Janis Matsumura, Camille Simpson, Anna Zagarich, and James Jepson.

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primary care physician, each time they come in. Our residents are excellent smart, energetic, and motivated and having them here means our patients have two brains thinking about them rather than just one.

The clinic is an excellent primary care option for Intermountain Healthcare employees, especially those who work at Intermountain Medical Center. Its a great place to be a patient, says Mark Ott, MD, the Central Regions Chief Medical Director. If our employees dont have a personal physician, it could be a wonderful option for them to consider. They could get in to see their doctor without the long waits that often happen with other clinics, and theyd get the extra attention some patients really appreciate, especially if they have complicated problems or long-term medical issues.

More details about how the clinic works and the benefits it offers:

Who the clinic serves: The clinic treats adults who need all kinds of primary care services, including regular check-ups and care for chronic problems. The clinics staff has a lot of experience treating hypertension, diabetes, heart disease, arthritis, peripheral neuropathy, neurological disorders, gastrointestinal problems, skin disorders, connective tissue problems, pulmonary disorders, asthma, obstructive lung disease, pneumonia, and other problems.

Excellent collaboration: The clinics staff is skilled at working with any specialists their patients may need to consult with, including neurologists, cardiologists, pulmonologists, rheumatologists, gastroenterologists, nephrologists, ophthalmologists, and more.

The clinic offers extra attention and extra time to its patients. The patients who come here get to see a medical student, an intern, or a resident in addition to their senior attending physician, says Dr. Edwards. They get a lot of people thinking about them, and I think that extra attention is a tremendous benefit.

Whos on the clinics staff (and why are their patients so satisfied)? The clinics staff includes three full-time attending internists Drs. Nate Allred, Erik Riessen, and Brian Clements 24 internal medicine residents (who serve at the clinic for three years), medical interns or students, and 10 other staff members, including nurses, medical assistants, schedulers, patient care coordinators, and pharmacists. We have an awesome staff, says Dr. Allred. They get excellent marks on our patient satisfaction surveys. They work hard not only to provide great care, but to schedule appointments quickly, coordinate schedules, do reminder calls, and do all the things that help an effective clinic work well.

Getting appointments quickly is a huge benefit. We can normally see Intermountain employees right away on the same day they call for an urgent appointment and within a few weeks for a new patient visit, Dr. Allred says.

The clinics patients come from a variety of backgrounds. Our patients range from healthy people who come in for a yearly appointment to people with chronic conditions who need regular follow-up, says Dr. Edwards. Theyre from all socioeconomic classes, and we take great pride in taking

SPOTLIGHT ON THE EDWARDS INTERNAL MEDICINE CLINIC continued

The clinic offers

extra attention

and extra time to

its patients. The

patients who come

here get to see a

medical student, an

intern, or a resident

in addition to their

senior attending

physician, says

Corwin Edwards,

MD. They get a lot

of people thinking

about them, and

I think that extra

attention is a

tremendous benefit.

Continued on next page

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care of everyone equally well, whether theyre very poor or wealthy, and whether they have private insurance, Medicare or Medicaid, or no insurance at all.

This is a great place to come for care, says Dr. Allred. We try to model the best and most up-to-date clinical practices for the residents, because were teaching those methods, but we do more than that. We really want to set our residents on a path that will help them be excellent clinicians and educators in the future. Theyre not just memorizing things in a textbook and prescribing reflexively, but with the gift we have of extra time and extra personnel, we really try to listen to our patients and work together with them to enhance their health.

Dr. Edwards adds: I have complete confidence in the clinics staff. Theyre terrific people who are strongly committed to the patient. Any time I have a health problem, I make an appointment to see one of our trainees and the attending physician, and together we make a plan for whatever it is that I need. Similarly, all of my family members, including my wife, children and my parents, have come in over the years when they needed care. Thats evidence that I really believe in the quality of the people here and the care they provide.

To get more information about the clinic or to set an appointment call 801-507-3310.

INTERNAL MEDICINE CLINIC continuedA LOOK AT THE LEGACY OF DR. CORWIN EDWARDS

The Dr. Corwin Q. Edwards Ambulatory Internal Medicine Clinic honors the influence of Dr. Edwards, who was one of the founders of the clinic at LDS Hospital in 1979 and served as its medical director from then until 1999. The clinic was named after him in 2010 at the request of an anonymous donor

who gave a significant gift in his honor to the Intermountain Research and Medical Foundation.

Nate Allred, MD, the clinics current medical director, says: Dr. Edwards is an extremely warm and kind person who has an uncompromising commitment to medical

education. I dont think anyone on this campus is more dedicated to providing a good educational experience for the housestaff. Hes set the bar really high for us, and that goes back to when I was a resident in this clinic. He does all he can to provide best clinical care and best education here.

Dr. Edwards serves as director of graduate medical education at Intermountain Medical Center and as a professor of internal medicine in the University of Utah School of Medicine. Hes received over 30 teaching/administrative and patient care awards, including the 2010 Golden Apple Award presented to the outstanding faculty member by Intermountain Medical Centers transitional year housestaff and the U. of U. Department of Medicines 2011 Outstanding Faculty Teaching Award. He was also named Researcher of the Year for Intermountains Central Region in 2012.

Corwin Edwards, MD

Three legislative updates are set; everyones invited

Legislative updates are scheduled as follows across the Central Region. Everyones invited to come talk with legislators about issues that are important to you and hear a brief update about bills that are being considered. A free breakfast will be served and theres no need to RSVP.

LDS HOSPITAL: Saturday, February 13, at 1 p.m. in the auditorium. INTERMOUNTAIN MEDICAL CENTER: Saturday, February 20, at 9 a.m.

in the education center ALTA VIEW: Saturday, February 20, at 9 a.m. in the large classroom

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Community input from across Utah helps Intermountain improve our billing, collections, and charity care policies and processes

One of the ways Intermountain Healthcare gets community input into its policies on billing, collections, and charity care is through a series of meetings held throughout Utah. The meetings called Community Financial Services Advisory Councils involve more than 75 area leaders representing small and large businesses, social services, government

and other local entities. The councils allow us the unique opportunity to discuss our policies with the people who pay for health services and those who cant (or with advocates for those who cant), says Mikelle Moore, Vice President of Community Benefit for Intermountain.

Recent meetings were held in Ogden, Salt Lake, Provo, and St. George and similar meetings have been held in each of the past

10 years. Community leaders were asked to provide input about how Intermountain is doing in providing appropriate help to those who may be uninsured or unable to pay for necessary medical care. Having Utah leaders who represent diverse parts of the community participate in the dialogue provides balanced input on many important issues related to unfunded or underinsured patients, Mikelle says.

Feedback from the most recent meetings was positive and included ideas to improve billing and our financial assistance processes, she says. Other discussion and suggestions from the councils revolved around the issue of engaging patients in their health and care, and about how TeleHealth technology could be effectively used by community members. The Community Financial Services Advisory Councils will meet again later in 2016 to provide more input to Intermountain.

Dave Barry philosophizes about left-turn signals

Condensed from Dave Barrys Calendar, copyright by Dave BarryHave you noticed the people who are always in front of you when youre trying to turn left at a busy intersection that has a 10-second left-turn green arrow? When the arrow lights up they react as though theyve never seen such a thing before. They try to make sense of this baffling set of clues: A green arrow points left, here in the left lane, with giant painted lane arrows pointing left, and big signs that say, LEFT LANE MUST TURN LEFT. Whatever could it mean?

Mikelle Moore

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Farewell party for Michele Barker is Monday

A retirement open house for Michele Barker, the Central Regions EKG & Cardiac Rehab Director, is Monday, February 8, from 3 to 4 p.m. in the lobby of Intermountain Medical Centers Heart-Lung Center on lower level 1. All of her friends and fans are invited to drop by to thank her for her service and wish her well.

A summary of Micheles career: People enter your doors as patients, but leave as friends. Michele has served at Intermountain for 27 years. I sort of fell into the healthcare profession, but I stayed in it because I realized I could make a difference in peoples lives, she says. She started working in cardiology in 1977 in Castro Valleys Eden Hospital Medical Center in California until 1988, then moved to Utah and became the Director of Cardiac Rehab at LDS Hospital. She was named Director of EKG-Based Services in 1999. It was my privilege to assist in the planning of the Heart and Lung Services at Intermountain Medical Center, she says.

COMMENTS FROM SOME OF MICHELES COLLEAGUES

BRENT WOOD, MBA, Cardiovascular Business Administration and Central Region Community Benefit Reporting Director: Michele is the consummate professional and an excellent clinician and manager.Michele cares deeply about both her patients and staff. Shes the epitome of the perfect manager if every manager followed her style, quality of care would be high and costs would be low. Its been an absolute pleasure to know and work with Michele!

SANDI STOKER, RN, Director, Heart Failure, Heart Transplant, and Artificial Heart: Micheles been such a great mentor for me; shes been an excellent example of caring and leadership. I truly appreciate her for having an open door policy and the times shes helped me problem-solve difficult issues. Ill truly miss Michele but wish her all the best in her future endeavors!

FRANK YANOWITZ, MD, cardiologist: Ive worked with Michele since approximately 1988 when she was hired to work with us in the Fitness Institute and manage our Cardiac Rehabilitation program at LDS Hospital, the first of its kind in Salt Lake City.In the early days of cardiac rehab (before all the rules, regulations, paperwork, etc.) many of our patients became long-term participants and were almost like family. Michele kept track of birthdays, and on the evening before a patients birthday shed create a huge Happy Birthday poster using magic markers and funny drawings. Shed have the poster taped to the wall before the patient

showed up for the rehab session.Our patients and their families were invited every year for a Christmas dinner in a local restaurant and a summer picnic and these were always well-attended. One other story from long ago involved an older woman in Cardiac Rehab who was blind.Michele organized and raised money to purchase an exercise bicycle for her to take home after completing her program in the Fitness Institute. Michele always was beyond extraordinary in everything she did during her many years at Intermountain. Shell be missed by all of us.

JAY GROVE, Cardiac Rehab Manager: Michele has truly been an inspiration to me for as long as Ive known her. I interviewed for a part-time job in Cardiac Rehab in March 1998.I flew to Salt Lake City from Ann Arbor, Michigan and met Michele for the first time. I felt like she was a quality individual who cared about the patients, and ultimately I was offered the job and ended up moving across the country because I knew Michele was a person of integrity. I knew shed be a good person to work for.I basically left everything to have the opportunity to come and work for Michele.Since then shes been my boss, my mentor, and my friend.Michele has earned her retirement.Her years at Intermountain Healthcare have been one continuous, tireless effort to better the programs she directed.Ill miss her as my boss and mentor but shell always be my friend.Shell be greatly missed.

Continued on next page

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Most of my career has been spent in cardiac rehab, where Ive had the chance to encourage patients to have a healthy lifestyle through diet, exercise and stress reduction and help them achieve optimal health (or live the healthiest lives possible) so they can enjoy life doing the things they love and being with those they love, she says. Ive had a wonderful career as a clinical exercise specialist and as a manager with Intermountain Healthcare and have been grateful for the support Ive received from my managers, medical directors, Administration and the Central Office.

Throughout her career, shes mentored young

people who are interested in, or beginning, healthcare careers. Many of my employees have gone on to be physicians, nurses, physician assistants, ultrasound technicians, cardiac rehab exercise therapists, and serve in other areas of the medical field, she says. Thats been a wonderful experience for me as well, and I can honestly say I love each one of my staff members.

Michele adds: My personal experience from years in Cardiac Rehab is that people enter your doors as patients, but leave as friends. I think that even though Ive always given my best to the patients, Ive received more from patients than Ive ever given. The patients have been great blessings in my life and have enriched my life with friendship and love.

MICHELE BARKER IS RETIRING continued

Want to learn how to get involved politically?

Interested employees and staff members are invited to learn how you can make a difference on political issues in Utah at free one-hour workshops in the Central Region. The states neighborhood caucus system gives voters who get involved a big voice in the political process. You can learn how the system works and how you can make a difference in deciding who your elected representatives are during your neighborhood caucuses, which will take place on March 22. The schedule:

Tuesday, February 9, at noon in Riverton Hospitals Herriman room Friday, February 19, at noon in Intermountain Medical Centers Dickson board

room (in Administration on lower level 2 of the Womens Center) Monday, February 22, at noon in Alta View Hospitals large classroom

To RSVP (and get a free box lunch), contact Mandy Glettler at 801-507-7040 or mandy.glettler@imail.org.

Intermountains annual research summit is April 22

Intermountains 13th annual research summit titled Research in a Model Learning Healthcare System is Friday, April 22, from 7:30 a.m. to 1:30 p.m. in Intermountain Medical Centers Education Center. You can attend either onsite or online. To register or get more information click www.intermountainphysician.org/researchsummit, call 801-442-3930, or email CME@imail.org.

IGETTING INVOLVED

A look at the Heart Fair: Fox 13s Big Budah previewed the 2016 Intermountain Medical Center Heart Institute Family Heart Fair: Strength training at home How to Go Red for

Women! to support womens heart health

Active kids means healthier hearts

Knowing the signs of a heart attack Big Budah gets an EKG Portion control is vital to a heart-healthy diet

An at-home workout using paper plates: Looking for a new way to workout at home? Exercise physiologist Jeffrey Beck of the Intermountain Medical Center Heart Institute shows KUTVs Ron Bird how you can do a simple workout routine using paper plates.

The statistics of heart disease are staggering: Cardiologist Kirk Knowlton, MD, of the Intermountain Heart Institute discusses the disease.

Do you know the symptoms of a heart attack? Cardiologist and researcher Brent Muhlestein, MD, of the Intermountain Heart Institute shares the symptoms with KSL 5.

A look at the link between bad air and heart disease: New research from the Intermountain Heart Institute highlights the link between poor air quality and heart attacks. Researcher Benjamin Horne, PhD, talks about the threats of bad air and how to protect your heart.

The impact of smoking on children and newborns: Pediatrician Glen Huff, MD, with Riverton Hospital tells KUTVs Ron Bird how smoking produces harmful chemicals that threaten children and newborns with respiratory and ear infections, tooth decay, and more.

A workout in the kitchen can improve your heart health: There are a variety of ways to work out, including stuff you may use often in the kitchen. Jeffrey Beck demonstrates a kitchen workout routine with KUTVs Mary Nickles.

Heart disease kills more people than all forms of cancer combined: One in 32 women die of breast cancer annually but one in three women die of heart disease. Cardiologist Kirk Knowlton, MD, discusses heart disease.

Understand your heart rate (and whats normal): What is a resting heart rate and what are normal levels? Cardiologist John Day, MD, with the Intermountain Heart Institute discusses whats normal and abnormal with KUTVs Ron Bird.

Heart attack differences between men and women: What are the symptoms of a heart attack in women? It may be different than what you see in the movies. Cardiologist Lee Burke, MD, of the Intermountain Heart Institute talks about women and heart disease and Jolene Wolstenholme shares what she felt when she was having a heart attack.

Eagle scout focuses on saving peoples lives: A local Boy Scout promoted Be the Match the national bone marrow registry program which is helping LDS Hospital match donors with people who need a bone marrow transplant. Good Things Utah KSL TV

The goods and bads of smoothies: Lots of people want to eat healthier. But do smoothies help? LDS Hospitals Ali Spencer, RD, shares tips for finding healthy smoothie recipes and whips up a green smoothie thats excellent for your heart.

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New TV news reports from the Central Region look at heart health, the dangers of bad air, and how you can work out with paper plates (seriously)

Jeffrey Beck

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Vote for LDS Hospitals entry at this years Food Design contest and benefit the Utah Food Bank Everyones invited to visit the Salt Lake City Public Library and vote for their favorite food design at the annual Salt Lake County

Health Departments Food Design Contest. The contest features sculptures made out of canned and non-perishable food submitted by local healthcare partners like LDS Hospital, SelectHealth, University of Utah Healthcare, and Molina Healthcare Utah. The theme: Eat, Work, and Play in a Healthy Way. LDS Hospitals submission is a clever spin on Sesame Streets Cookie Monster and is titled Veggie Monster. The sculptures will be on display from Monday, February 8, to Sunday, February 14, from 9 a.m. to 6 p.m. at the

library at 210 East 400 South. After the contest, the sculptures will be dismantled and the food will be donated to the Utah Food Bank.

Free workshop on codependency is February 25

A free class titled Healthy Relationships: Addressing Codependence is Thursday, February 25, from 6 to 7 p.m. in classrooms 6 and 7 of Intermountains Employee Services Center, 5245 S. College Drive (480 West) in Murray. It will focus on codependency, which is a dysfunctional helping relationship where one person supports or enables another persons addiction, poor mental health, immaturity, irresponsibility, or underachievement. The agenda will help participants identify codependency in their relationships which is often the first step in recovery and offer suggestions for support and course correction.

The class is sponsored by Intermountains Employee Assistance Program; the instructor is EAP counselor Ingrid Brown, LCSW. All employees are invited. Call 801-442-3509 to register or get more information, and call soon since space is limited.

Annual Utah sleep conference is February 26

The sixth annual Utah Sleep Society conference is Friday, February 26, from 7 a.m. to 5 p.m. in Intermountain Medical Centers auditorium. Sleep physicians, technologists, and registered nurses are invited. To register or get more information click here, call 801-442-3930, or email CME@imail.org.

Join Us .

healthy

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Terri Flint says: Once you understand why you want to do something, youre more likely to do it

My January LiVe Well experiment was to track my food every day, says Terri Flint, PhD, LCSW, Intermountains Wellness Director. I tracked for 31 days and the benefit was far greater than the five minutes a day it took to electronically track it. I wont confess the details of my nutritional gaps, but I will share an insight I discovered. In my head, I know that eating healthy foods is good for me. I believe

the experts and especially my friends who are experts. But when I see that delicious chocolate cream pie, all of my rational thought flees and Im left with crumbs on my chin.

That reminds her of this thought from Stephen Covey: You have to decide what your highest priorities are and have the courage pleasantly, smilingly, nonapologetically to say no to other things. And the way you do that is by having a bigger yes burning inside.

Terri says: Do you have a big yes in your life? If Im going to say no to the pie, my why needs to be affixed to my heart, she says. I have to know my personal purpose for eating well, because that will be the source of courage when Im confronted with that creamy, sweet, homemade chocolate pie with whipped cream and a tasty crust.

So what did Terri learn during the 31 days she tracked her food in January? For me, the biggest surprise of all is that after a month, I still havent quite pinned down my why, she says. Ive seen clear patterns to my eating and Ive made some minor tweaks, but Im being patient in my quest to discover my inner motivation to change. Good research shows taking time to get ready to change increases your ability to change and sustain it. Im going to test that out on myself and will let you know what I discover.

And she adds: Isnt this journey to well-being interesting and fun?

Social commentary from Jimmy Fallon

Last weekend the President honored 20 researchers for their contributions to science and technology. But unfortunately, the event

was overshadowed by the NFLs big football game or as the researchers put it, Man, high school never ends, does it?

IF IM GOING TO SAY NO to chocolate cream pie, my why needs to be affixed to my heart, says Terri. I have to know my personal purpose for eating well, because that will be the source of courage when Im confronted with that creamy, sweet, homemade pie with whipped cream and a tasty crust.

LiVe S

ecure

LiVe EngagedLiVe Healthy

LiVe Happy

LiVe Connected