The Pulse

MY HOSPITAL | MY NEWSI S S U E 9 | J U L Y | A U G U S T 2 0 1 5

G E T T I N G TO K N O W T H E

On July 13, 2015, Yuma Regional Medical Center will welcome Robert (Bob) Trenschel, D.O., as President and Chief Executive Officer. Dr. Trenschel brings

nearly 20 years of healthcare and medical management experience, including time as a physician in a private practice setting and as a medical director. He most recently served as Executive Vice President of Harris Health System, located in Houston, TX. We asked Dr. Trenschel a few questions to help you get to know your CEO:

What are you most excited about joining the Yuma community and the YRMC team? My wife Sandy and I are excited to become part of the Yuma community. We’ve always said it’s the people who make a place special, and everyone we have met in and from Yuma has been friendly and helpful. We like the lifestyle Yuma offers. I am particularly excited about the YRMC team – the staff and executive leadership I met with are very engaged and want our system of care to be the best possible. To me this speaks volumes because it’s the passion of our staff that is the difference between very good and excellent, and we have to be excellent.

What do you hope to achieve as CEO of YRMC?In leading YRMC forward, my guideposts will continue to be our mission and vision. Our mission is to improve the health and well-being of individuals, families and communities we serve through excellence, innovation and prudent use of resources. Our vision is to be recognized as the model regional medical center and to work collaboratively to evolve the best system of integrated healthcare in our service area. Our values reflect who we are and how we conduct ourselves. I shall do my very best to live these values each and every day, and my expectation is that our staff will strive to do likewise. Population Health will be a major driver of how we will achieve our goals. At YRMC we will have a unique opportunity to influence, improve and measure the health of the population we serve. In doing so, we will continue to strengthen our position as a regional system of care such that we will be the architects of our future.

Do you have kids and/or family pets?We have three children. Robert, who graduated from the University of Florida as a chemical engineer, now resides and works in Chicago. Matthew is graduating from Louisiana State University this summer as a marketing major and will then join the Navy. My daughter Alexa is a second year pre-med student at the University of Texas. We have a Tabby cat and a Toy Fox Terrier dog and will be adopting our son’s German Shepherd when he ships out with the Navy.

What are your hobbies outside of work?I enjoy traveling, hiking, snow skiing and most of all spending time with my family.

Any recent or upcoming travel plans?My wife, daughter and I recently traveled to Colorado to ski and we are very excited about visiting Italy in the fall. We enjoy experiencing the culture and foods of different areas.

What made you interested in medicine and healthcare?I have always been interested in the sciences and helping people, medicine was the natural progression. I have an uncle and two cousins who are physicians so the amount of exposure to me early in my life was significant. Among other things, I enjoy the business of healthcare and building a system of care that allows physicians to practice their art and science with ease, staff to be in a rewarding and supportive work environment and patients to have the highest quality, best experience and safest care possible. Ultimately, it’s the community that benefits.

Anything else you would like people to know about you?Great organizations build upon the legacy of those who have gone before. Accordingly, I am appreciative and recognize the past leadership of YRMC. We will continue to build on successes and create new, innovative opportunities for a future that is very, very bright.

PRESIDENT/CEO

PRESIDENT/CEO CONTENTS

HOW TO REACH US

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EDITORIAL BOARDJenn Lotz, Corporate Communication Specialist, Pulse EditorMachele Headington, Vice President, Marketing & CommunicationsMarshall Jones, Vice President, Human ResourcesTeri Norris, Director of HR OperationsJennifer Stanton, Director of Pediatrics/Women’s/NICUAlex Wade, Director of Compensation & BenefitsLaura Wisniewski, HR Business PartnerAhmanielle Hall, Digital Marketing SpecialistSerena Holthaus, Fund Development SpecialistRon Hayes, Art Director/Designer

The Pulse is published by Yuma Regional Medical Center’s Community Relations department, 2400 S. Ave. A Yuma, AZ 85364, www.yumaregional.org, 928-336-7005 Pulse feedback and story ideas: Jenn Lotz, Community Relations, [email protected]

Our Mission: The mission of YRMC is to improve the health and well-being of individuals, families and the communities we serve through excellence, innovation and prudent use of resources.

Our Vision: YRMC will be recognized as the model regional medical center. We will work collaboratively to evolve the best system of integrated healthcare in our service area.

Our Primary Value: Patients Come First

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TEAM YRMC Cleft Lip and Cleft Palate Team

EMPLOYEE SPOTLIGHTClarissa DeCarlo, Community Outreach Specialist

VOLUNTEER SPOTLIGHTGail Ganter, Retail System Super Trainer & Corner Stork Volunteer

PHYSICIAN SPOTLIGHTRobert Takesuye, D.O., Radiation Oncology

YRMC FAMILY AND COMMUNITY MEDICINE RESIDENCY PROGRAMHospital Continues to Build Physician Training Program

GETTING TO KNOWEarl Cooper, Clinical Pastoral Education Program & Isela Banuelos, Environmental Services

AWARDS, HONORS & RETIREMENTS Congratulations to our Employees

WE CARE Y.O.U.T.H. Initiative and Cares Project Photos

STRATEGIC IMPERATIVE ALERT Accelerate Waste Reduction BECOMING A CENTER OF EXCELLENCE Seeking HFAP Accreditation and What it Means to YRMC

BY THE NUMBERSCalculating our Impact as a Hospital

http://www.yumaregional.org

mailto:[email protected]

4 | YUMA REGIONAL MEDICAL CENTER THE PULSE | JULY/AUGUST 2015

TEAM YRMCCLEFT LIP & CLEFT PALATE TEAM

The Cleft Lip and Cleft Palate Team at YRMC began in the mid-1980s when Dr. Tim Herr, Dr. James Paquin, Dr. Wilson Kerr and Dr. Robert Cannell realized a need for local cleft

palate surgery. Dr. Cannell says many children were going to Phoenix for specific surgeries but they were not receiving the necessary follow-up care.

“We noticed that kids were having the reconstructive surgeries out of town, but most had little help with the associated dental and speech problems,” says Dr. Cannell. “Cleft palate care needs a team approach, with coordination of services from plastic surgeons, ENT doctors, oral surgeons and the various dental

specialties as well as speech therapy and audiology evaluation. With care coordinated locally clinic, we realized we could greatly improve the care of our patients with cleft problems.”

According to the CDC, it is estimated that about 2,650 babies are born with a cleft palate and 4,440 babies are born with a cleft lip with or without a cleft palate each year in the United States. A cleft palate is a facial and oral malformation in which tissue does not form in the lip and mouth area and can extend to the upper jaw. Children born with a lip and cleft palate may have difficulty eating, breathing, hearing and speaking, requiring extensive coordinated care among all specialties to reconstruct the lip or palate while considering the developmental needs of the patient, including speech therapy and tubes for their ears.

In 1989, with the help of Dr. Cannell, YRMC began assisting the program with funding and billing through AHCCCS. The team also began to expand and grow as additional key physicians in the area expressed interest in offering their assistance. Today, the team meets on a monthly basis in the Children’s Rehabilitative Services department, located in Tuscany Plaza.

While the team will see a patient at any point in their care, most children enter the program at birth when Dr. Barton Bernstein, YRMC pediatrician and medical director of the program, sees cleft lip and cleft palate babies at birth. He then introduces the family to the program.

The reconstructive and therapy process is extensive – usually lasting from birth until 21 or 22 years old. Around three months the plastic surgeons reconstruct the upper lip and around 12 months the oral surgeons close the palate, preparing the child to speak. Around that time, the ear, nose and throat doctor places tubes in the child’s ears, as they are prone to ear infections. Between that time and age five, the child works with a speech

pathologist, who also determines if an additional surgery is needed to assist with speech development. Speech therapy is an ongoing process throughout their development and hearing screenings are done once a year.

At nine years old, the child is prepared for cleft palate surgery. Ages 10-17 require dental work, orthodontia and possibly additional jaw surgeries. Around 19-20 the child has mostly completed surgeries but is still monitored by the physicians until they officially graduate from the program around their twenty-second birthday.

Cassendra Nunez, RN and program coordinator says the physicians gather around a table to analyze the child’s progress and determine their next steps. Cassendra then helps the families coordinate appointments with the appropriate specialist, ensuring their next visit is a seamless process.

“It’s pretty fantastic,” said Cassendra. “I don’t think I could have asked for a better place to be. My favorite part about the clinic is to see how the physicians work together. They really work well together and it’s in the best interest of the patient, which is the most important thing.”

The Cleft Lip and Cleft Palate team is a prime example of specialties coming together in one room with a goal of putting patients and families first.

“I think watching the children – helping a child who can’t hear well, can’t speak well and feels bad blossom is the greatest part,” said Dr. Freimuth. “Honestly, what more could a person ask for? To change somebody’s life for the positive – really it’s a gift that I’ve been given and I do my best.”

“It is a long journey – a long journey of surgeries,” said Dr. Freimuth. “These kids are troopers – they have surgery after surgery.”

Physicians on YRMC’s Cleft Palate Team include:Dr. Ronald Brooksher, plastic surgeonDr. Louis Miller, plastic surgeonDr. Jeff Cook, orthodontistDr. Randolph Snyder, periodonticsDr. Brian Cullen, pediatric dentistDr. Michael Freimuth, oral surgeonDr. Barton Bernstein, pediatricianPilar Moreno, speech pathologistCassendra Nunez, RN, team coordinator

JULY/AUGUST 2015 | YUMA REGIONAL MEDICAL CENTER THE PULSE | 5

SPOTLIGHTE M P L O Y E E

CLARISSA DECARLO COMMUNITY OUTREACH SPECIALIST Two Years at YRMC

“I have the privilege of working with Clarissa often at the many YRMC community outreach events that occur throughout the year.

I always enjoy working with Clarissa because she is so thorough, reliable and organized in every event she leads. Her collaborative nature, friendly demeanor and creativity are welcoming for any

volunteer or staff member participating in her community events.”

- Nicole Bozich, Wellness

How long have you been here at YRMC? I have been here since October 2012. Before that I lived in Orlando, FL. I grew up in Germany and I do speak German; my father was in the military so I have grown up everywhere.

What did you do before coming to YRMC? I worked in hospitality management with a focus on hotel, banquet and restaurant sales.

What do you enjoy most about what you do? I love that I get to help people in my role as a community outreach specialist. I love events that are focused on encouraging families to be healthy – to be in a position that helps so many people gain access to healthcare and the resources they need is fulfilling to me. Each event our department puts on requires a lot of planning. No matter how much time and effort goes into an event, seeing it all come together and how people benefit from it makes it all worthwhile. I also enjoy that I get to work with so many people from various departments within the organization because of the variety of events provided. I am thankful that I have the opportunity to work with some amazing volunteers, who enjoy reaching out and making an impact in our community.

What do you enjoy doing in your spare time? My husband and I are major vacationers! We love to get out as much as we can. There’s nothing I enjoy more than being with my family. Whether it’s on vacation or hanging out around the house, I just love spending time with them. I also enjoy exercising and reading as well.

What should people know most about Community Outreach? I want our employees to know that there are so many exciting volunteer opportunities available through community outreach. There are so many events that we put on that cover a variety of interests, so I am sure they will find a few events to get involved in that they really like.

Why Yuma? I moved here six years ago for my husband and Yuma has been really good to us. I had my kids here and I got married here, so Yuma will always be special to me.


SPOTLIGHTV O L U N T E E R

GAIL GANTERRETAIL SYSTEM SUPER TRAINER & CORNER STORK VOLUNTEER

Three years and 2,620 hours with YRMC

“Gail is a special volunteer. She most recently served as a trainer on our new Point of Sale (POS) system in the gift shops, allowing us

to have faster service and better inventory control. Gail proved to be patient and encouraging and was able to assist volunteers through a difficult transition. She even volunteered many extra hours until the volunteers were completely comfortable on their own. She definitely made my job easier! I don’t know what I would have done without

Gail and the amazing volunteer trainer team.”

- Jenny Inglett, Volunteer Services

What made you decide to volunteer at the hospital?My sister-in-law Sally was a nurse in LDRP. They didn’t have anyone to run the gift shop on the weekends, and for the nurses in LDRP, the cafeteria, main gift shop and Daily Grind are just so far away. So she coerced my brother into working on the weekends. When they went north, they coerced me into taking his place so it could stay open during the summer.

What is your favorite thing about volunteering, specifically in the gift shop?Selfishly, everyone is so grateful for us to be there. I can’t tell you how many times during a single day, people will walk in and say, “Thank you for being here.” It’s great and it feels good to know that we are there helping them out. They are sort of stand-ins for my sister-in-law, so I feel like one of the family through her.

Would you recommend others volunteer at YRMC?Yes, particularly in both of the gift shops. The gift shop is a wonderful way to meet all the people in the hospital – the doctors, the nurses, the other program directors – you get to meet so many of those people. I am particularly fond of the Corner Stork because it is in the Labor and Delivery area and that’s mostly a happy place.

Expand on the transition to the new system in the gift shops and your role in help-ing volunteers.When we were first looking at the system, a few of us were asked to consider what we wanted on the screens. I was able to be involved right in the beginning. We then held sessions for two to three weeks to teach people how to use the system. The trainers would show up at someone’s shift and would stand there with them and show them how to do things and help them along when they got in trouble. I worked for the NY State Department of Motor Vehicles – it was a computer-based department. I was a manager so I was able to do training. Once you show them and give them a little space to let it settle in their minds – they got it!

What are the benefits of the new retail system? It is quicker and it’s a better inventory system. We used to have to know the pricing on everything. Now we have a lot barcoded. We just swipe it – Diet Coke, 75 cents, zippy do! The old system would print two receipts – we gave you one and we put the other one in the drawer. Ninety-nine percent of the ones given to the customer ended up in the trash. Now we can ask if someone wants a receipt.


SPOTLIGHT SPOTLIGHTP H Y S I C I A N

ROB TAKESUYE, D.O.RADIATION ONCOLOGY

Six months with YRMC

“I would describe Dr. Takesuye as genuine and as a people person, so naturally he is thoughtful and always has a focus on his patients. As

someone who works with him closely, he is consistently interested in my feedback and thoughts when it comes to caring for our patients. I admire his forward thinking and determination to bring our cancer center to a

new level, especially in the area of radiation oncology.”

Durana Havins, Radiation Oncology Clinic Nurse, Cancer Center

Your wife Ginny is a dosimetrist at the Cancer Center. What is it like working together? It is an amazing experience to be able to work with Ginny. She is a true professional, as well as a compassionate and caring person. Her attention to detail and work ethic are inspirational. I haven’t met a person that exceeds her goal at delivering quality healthcare. I met her prior to medical school when she was working as a radiation therapist in San Diego. She opened my eyes to radiation oncology. Everything that I have done professionally has been with her support. We worked briefly together over the past decade in San Diego and Los Angeles and it has always been a wonderful experience.

You are soon retiring from the Navy after 20 plus years. How have you seen your-self grow since you first entered the Naval Academy?When I entered the Naval Academy in 1986, my goal was to be a line officer – I was going to drive a ship or fly an airplane. You want to do things that are exciting when you are young. Medicine was not even a consideration for a 19 year old kid. When I was a junior officer, a good friend of mine was our ship’s physician and encouraged me to pursue medicine. I completed my pre-med undergradu-ate requirements at the local community college and returned to Arizona for medical school. I was awarded a Navy Health Professions Scholarship for medical school and returned to the Navy after graduating. I was accepted to the University of Southern California for my residency and completed my naval career at the Naval Medical Center, San Diego. I look back and see where I thought I was going to be in life and where I am today and it is two vastly different paths. I recently spoke with a local high school class and the take home message was that you have time to determine what you want to do, and that you don’t have to choose your final career path when you are 17. Life changes, and with it, career goals. I have also mentored sailors and junior officers over the past 20 plus years. I think that giving guidance to these younger individuals can only help them succeed in the future and highlight the path that they follow.

What inspires you every day – not just in healthcare but in life too?I always say family first. If you aren’t taking care of the home front, everything else is not going to get your full attention. I am fortunate to be married to a wonderful woman. I have three boys that are overachievers, each in their own way. I want to do my best every day, for them. My second inspiration would be my patients. I am fortunate to meet people from literally every walk of life and I learn some-thing from each of them. They have graciously allowed me to participate in their health care, and I give them my best efforts every day. Lastly, I lost an older brother in an accident about a decade ago. I often think of him, and only want to do my best, in his honor.

What do you enjoy doing when you are not working?I do have to mention that if you give me a half a day free, I will end up on the paintball field with my friends. I have a close group of friends that love to get together and play. We are a bunch of big kids having fun both on and off of the field.


Now entering its third year, Yuma Regional Medical Center continues to build its residency program by welcoming yet

another class of medical residents and adding to its faculty while exploring the possibility of reaching across the border. To better accommodate the growing program, administrative and faculty offices and classroom facilities have been relocated to the former Kachina Medical Plaza that conveniently places them just across the street from the hospital.

A medical residency is a phase of medical training. In the case of Family Medicine, this is a three-year program. It provides the residents with practical experience and mentorship from experienced physicians during the three-year program. Residents see patients in the hospital and at YRMC Family Medicine Center under the supervision of faculty and other physicians. Program director Dr.

Ed Paul, who has shepherded the physician training program since its beginning, has seen more and more local established physicians step up to mentor the students and participate in the Family and Community Medicine Residency Program.

“We’re teaching in front of patients,” said Dr. Paul. “Our residents are very bright people … they keep us experienced physicians on our toes. Teaching and learning go both ways. They often are able to spend extra time with patients which can improve the quality of care.”

After developing the infrastructure and setting policies for the program, YRMC’s Graduate Medical Education program was launched in the fall of 2013 with the arrival of its first class of residents. Four of them are now completing their residency in the coming year and will graduate in June 2016.

GROWINGaPROGRAMHospital Continues to Build Physician Training Program

BY JOYCE LOBECK


Welcome incoming first-year medical residents:Dr. Dikran Orfali, Dr. Adil Baig, Dr. Giselle Carvalho,

Dr. Sayda Fink, Dr. Muhammad Aahmer & Dr. Rajni Bopari

“Those four ladies are our stars,” Dr. Paul said. “As the first in the program, they were adaptive in trying new things. They really helped create the program.”

The first residents helped mentor the second group of six new residents who arrived in July 2014. Now that mentorship will extend to the newest class of six residents who will complete the first full three-year program.

Meanwhile, Yuma Valley Family Medicine Center has completed the relocation of its practice and staff to Family Medicine Center. As part of that transition, Dr. Ricky Ochoa has taken on the position of medical and business director for the residency program and Dr. Kristina Diaz is now assistant program director. In those roles, they work with the residents while also carrying on their primary care practices. A similar transition will take place this summer for Dr. Steven Anderson, a longtime family medicine physician in Yuma, who will serve as an instructor for the hospital’s family medicine residents beginning in July. Other faculty for the residency program include Dr. Jeanne Elnadry, director of geriatric and supportive care; and Dr. Katarina Olea, director of behavioral health.

While here, the residents also become immersed in the community, developing new healthcare programs and volunteering at schools, churches and such agencies as the Food Bank. Yuma is a great place to build a teaching program, said Dr. Paul of the community’s location in a rural area and near the international border. In fact, he added, some of the residents are attracted to Yuma’s teaching program because of the border connection.

Dr. Paul noted that one of the residency program’s instructors, Dr. Lorena Jauregui, who serves as assistant program director, is from Mexicali. To further the border connection, efforts are underway to set up a rotation in Mexicali at the women’s health hospital there.

Dr. Paul said that in developing the residency program the hope is that some of the residents will choose to stay in Yuma to help meet the community’s need for more family physicians. While hundreds of medical students have applied each year for the residency program – this year there were 2,000 applicants for six positions. Emphasis is placed on those with ties to the community as a result of growing up in the area or having family here.

Dr. Paul expects a couple of residents from the first class to stay in Yuma to practice medicine after they graduate in June 2016 and anticipates other students will make that choice as well in years to come. For example, third-year resident Dr. Natalia Galarza’s mother is a family physician in San Luis Rio Colorado, Son., and she indicated to Dr. Paul from the beginning that she would probably stay in Yuma.

“If we can get someone whose spouse can be happy to be here, that’s a bonus,” Dr. Paul said. Such is the case with Dr. Navaneeth Kumar, a second year resident, whose wife is a pediatric hospitalist on the YRMC staff.

The residency program recently welcomed its first-year medical residents. Two of the incoming residents have previous medical experience in Yuma, one as a fifth-year intern and the other as a provider in the emergency room and urgent care centers here.

Dr. Paul said, “With a full complement of family and community medicine residents now in YRMC’s program, and with graduates looking for jobs every year, the potential to make a long-term and steady impact on the shortage of primary care physicians in our community remains bright.”

Residents and staff of the Graduate Medical Education program celebrate Dr. Ed Paul, Program Director, at last year’s Residency Awards Banquet and participate in community health fairs.


GETTING TO KNOWKnow a colleague with a hidden talent or who goes above and beyond at YRMC and/or in the community? Email their name, talent and department to:Jenn Lotz in Community [email protected]

Many YRMC employees are passionate about their profession as a nurse, physician, employee or volunteer, but outside of work, they possess other talents that often times contribute to their skills as a professional. As an organization of 2,300 employees, we have a lot of hidden talents here at Yuma Regional Medical Center. In our “Getting to Know” section, we highlight exemplary employees who showcase their hidden talents and contributions at the hospital and in the community.

EARL COOPER, D MIN Clinical Pastoral Education Supervisor, Spiritual Care Horse Trainer and PilotEarl Cooper grew up with horses in Amarillo, TX. The Clinical Pastoral Education Supervisor is known for his patience and thoughtfulness in words and actions – a skill he applies when helping patients and family members during their most vulnerable times and when serving as an instructor and mentor to YRMC’s chaplain residents. Earl says these proficiencies are also needed when training horses. “Learning to speak horse is sort of what I do as a chaplain – one becomes a listener,” he says. “Horses don’t speak English, they speak body language. So, I began to pick up on what they are saying, as often I do with patients. You can see pain on their face if they are in pain or you see happiness on their face without them ever really saying it.” Earl, who has worked at YRMC since 1997, graduated with a Master’s degree from Iliff Seminary in Denver and a Doctorate from the

Graduate Theological Union – state of Illinois. When he lived in Spokane, WA, prior to moving to Yuma, he learned to fly planes and received several of his pilot certifications, including multiengine rating. Earl says his favorite plane to fly is the Beechcraft Bonanza single engine and that receiving his pilot’s license fulfilled his childhood dream. While Earl doesn’t fly planes often these days, he is still committed to training horses on a regular basis and stresses the importance of always remaining open-minded to learning new skills. “Being willing to learn is sometimes a challenge, but it is one of the things we must always keep before us – to remain teachable,” he says. “We need to understand that ‘conversation is medicine.’ Sometimes we don’t know what we think until we hear ourselves say it. That is why we have therapists, psychologists and chaplains. Sometimes we just need to think out loud.”

ISELA BANUELOS Team Leader, Environmental Services

Designer – Accessories and Handbags Isela Banuelos is not only known for being a talented accessory designer, she is also known for her generosity and willingness to share her art. The Environmental Services Team Leader designs and creates headbands, small leather handbags as well as decorative name badges – embellished with rhinestones in creative patterns. “Name badges can be so plain,” says Isela. “I like to create something special for everybody. I give my badge holders to a lot of different people. They ask me, ‘You aren’t going to charge me?’ and I say ‘No – it’s for you.’” Isela has worked for YRMC for three years, initially in LDRP and now on 2 West, Tower 3, Tower 4 and the Emergency Department. When asked what her favorite part about her job is, she responds “everything,” and she truly means it. She especially loves bringing joy to patients, and she sees how much they appreciate her in the numerous gold stars she receives. “Working at YRMC is the best thing that has ever happened in my life,” Isela responds. “Patients tell me I deserve a gold star and that’s special to me. I am a happy woman.” In addition to her talent as an accessory designer, Isela is also an accomplished cook and enjoys traveling with her four children. She says people ask often about her accessories and she enjoys gifting name badges to people across the organization. “When I design something special and give it away, I know it’s going to make someone happy,” Isela says. “People often ask where they got their name badge. Now, they will know who to call.”

mailto:[email protected]


AWARDS & HONORSW E L C O M E S

RETIREMENTS – YOU WILL BE MISSED!Please join us in congratulating the following Yuma Regional Medical Center employees on their recent and upcoming retirements. Through your time at YRMC, you were dedicated to the organization and the community. You affected the lives of patients, their families and your colleagues. Thank you for your service!

Raymundo Garcia, Environmental ServicesEva Hernandez, Women & Children Services Paul Humphries, Maintenance Luz Lopez, Tower 3

LEADERSHIP WELCOMESPROMOTIONS & DESIGNATIONS

On Friday, May 8, YRMC celebrated the retirement of Pat Walz, former Chief Financial Officer and Chief Executive Officer. Staff, physicians, volunteers and community members gathered in the YRMC cafeteria to celebrate Pat and his 10 years of service at YRMC with a Final Four-themed farewell – highlighting Pat’s love for college basketball.

YRMC has announced Robert (Bob) J. Trenschel, D.O., as Chief Executive Officer (CEO). Dr. Trenschel and his wife will move to Yuma in July, with an official start date at YRMC on July 13, 2015.

Dr. Trenschel brings nearly 20 years of healthcare and medical management experience to YRMC. Dr. Trenschel currently

serves as Executive Vice President of Harris Health System, located in Houston, TX. He has also served as Senior Vice President of Medical Operations for Aurora Healthcare in Milwaukee, WI, and as Vice President of Clinical Operations & Chief Medical Officer for Florida Community Health Centers in West Palm Beach, FL. Dr. Trenschel also served as a physician in a private practice from 1990-1993. He graduated medical school from Nova Southeastern University in Fort Lauderdale, FL, and holds a Masters of Public Health from Florida International University.

“On behalf of Yuma Regional Medical Center’s Board of Directors and Leadership, I am happy to announce Dr. Trenschel as President & CEO– an important leadership position for our hospital and community,”

said Jeff Andrews, Chairman of the Board for YRMC. “Dr. Trenschel has an extensive background in healthcare, both as a medical provider and an administrator. Most importantly, the Trenschel family is excited to be a part of Yuma and we look forward to welcoming them.”

“When I visited Yuma during my interview process, I was impressed by the spirit of this community – the vision to make Yuma the best place to live and work,” said Dr. Trenschel. “As a hospital, I believe the passion of the medical staff coupled with the vision of YRMC yields future opportunities that are limitless. My wife of 30 years and I look forward to setting down long term roots in Yuma – a place where we can become part of the fabric of this community.”

YRMC ANNOUNCESROBERT J. TRENSCHEL, D.O.,AS CHIEF EXECUTIVE OFFICER


Mandy Beaumont, R.N.Director of Tower 2

It is with great pleasure that Yuma Regional Medical Center announces Amanda (Mandy) Beaumont, R.N., as Director of Tower 2. Mandy began her career as a registered nurse and a midwife in the United Kingdom before coming to the United States as a travel nurse. In January 1993, Mandy signed a three month contract as a travel nurse with YRMC. During her now 22 years at YRMC, Mandy has held various positions including resource coordinator in Labor, Delivery, Recovery and Postpartum (LDRP); nurse in the Emergency Department; hospital resource supervisor and most recently clinical supervisor for two of the hospital floors – 2 West and

3 West. While at YRMC Mandy attained her Bachelor of Science in Nursing and will complete her Masters in Nursing in October of this year. Mandy is currently leading YRMC’s Efficient Discharge Project and is a Six Sigma Green Belt – designating her as an employee who solves quality problems and is committed to helping the hospital with process improvement. Mandy’s role on Tower 2 officially began on May 31, 2015, when Marla Moore, Director of Tower 2 and Tower 3 at YRMC, transitioned to leading Tower 3 exclusively.

Celia Renteria, R.N.Director of Med West

Yuma Regional Medical Center is pleased to announce that Celia Renteria, R.N., has accepted the position of Director of Med West Observation. Celia started her nursing career at YRMC in 1994 as a medical-

surgical nurse. Prior to joining YRMC, Celia was the associate director for a non-profit behavioral health agency, which provided crisis prevention and intervention services in Yuma County. She was instrumental in partnering with community agencies in developing Yuma County’s first Healthy Mother-Healthy Babies program. She served as a staff member for Safe House, a domestic violence shelter for women and managed Yuma County’s Suicide Prevention Center. Prior to her promotion, Celia served as the Clinical Nurse Expert (CNE) on Towers 2 and 3. In 2005, Celia received her Bachelor of Science in Nursing degree from the University of Phoenix and continued her education, receiving her Masters of Science in Nursing in 2006. Celia is currently in school pursuing her Doctor of Nursing Practice degree with an emphasis in Healthcare Systems Leadership. She is scheduled to graduate in January 2016. Celia replaces Claudette Rodstrom who retired in June of 2015 after 12 years of service at YRMC.

James TannerDirector of Nutrition Services

Yuma Regional Medical Center is pleased to announce the promotion of James Tanner to Director of Nutrition Services. In this role, James is responsible for the oversight of day to day operations at Kiva Café and for the recently-launched YRMC Room Service Dining program. James began working at YRMC in May 2014 as the Nutrition Services Operations Manager. During that time, he was instrumental in the implementation and launch of the YRMC Room Service Dining program, which brings hotel-style dining with a restaurant-style menu to YRMC patients – greatly improving patient satisfaction and nutrition options. James has worked in

the food service industry for more than 34 years, 16 in healthcare. Prior to joining YRMC, James worked with Intermountain Health Care in Utah at American Fork Hospital for seven years, overseeing their patient room service dining program, cafeteria and catering operations. James replaces Khalid Shiekh, who retired May 1, 2015, after six years with Yuma Regional Medical Center.

Additionally...Celia was recognized on May 7 for her many contributions to our community and the nursing field at the 2015 Yuma County Nursing Gala when she was the recipient of the

EXCELLENCE IN CLINICAL NURSING AWARDIndividuals nominated for this award “possess and demonstrate excellence in the attributes of clinical judgment, critical thinking, inter-professional collaboration, advocacy and commitment to patient/family health and wellness.” When asked about her path to becoming a nurse, Celia said, “Many years ago, I had a very close family member who received healthcare services with an unfortunate outcome. I made a commitment that I was going to do what was necessary to offer my services and make every patient experience rewarding and meaningful. Nursing is a profession where learning is endless, which is one of the things I love about being a nurse.”


Rebecca Adame, R.N.Director of Clinical Operations – Family Practice

YRMC congratulates Rebecca Adame, R.N., on her position as Director of Clinical Operations – Family Practice. During her time at YRMC, Rebecca garnered wide organizational acceptance by creating credible and clinically successful programs in a variety of nursing and case management functions. Rebecca most recently served as the Bariatric Coordinator at YRMC. She began her career as a certified respiratory therapist technician before becoming a registered nurse and is a certified case manager. In her new role, Rebecca will focus on the logistics surrounding Family Medicine Center as well as the Graduate Medical Education program, Bariatric Services and Nutrition.

Elizabeth Jones, R.N.Director of Clinical Operations – Supportive Services

YRMC is announcing the promotion of Elizabeth (Liz) Jones, R.N., to Director of Clinical Operations – Support Services. During her time at YRMC, Liz has served in a variety of nursing roles and currently leads Yuma Regional Outpatient Services, assisting patients with outpatient infusion services. Liz is a certified CRNI (Certified Registered Nurse of Infusion) and is certified by the Oncology Nurses Society. She has more than 20 years of experience in nursing, focusing on medical-surgery, home health and ambulatory nursing. In her new role, Liz will continue seeing patients at Outpatient Services Infusion Center while also directing

the Pediatric Subspecialty Clinic and Children’s Rehabilitation Services (CRS) alongside Dr. Barton Bernstein.

Luz Wiley, DNP, ANP-BCDirector of Clinical Operations –Multispecialty Practices

Congratulations to Luz Wiley, DNP, ANP-BC, on her promotion to Director of Clinical Operations – Multispecialty Practices. Luz earned an Adult Nurse Practitioner degree in 2006 and a Doctorate of Nursing Practice degree in 2013 from Arizona State University. She is a clinical faculty member for the DNP program at the University of Arizona, College of Nursing and is currently enrolled in a Master of Business Administration program with U of A. In her new role, Luz will also continue to practice as a nurse practitioner and will maintain supervision of Transitional Care Services while overseeing the direction of

Yuma Regional Outpatient Clinics in Tuscany Plaza.

WITH CONSISTENT CHANGES IN HEALTHCARE and an increased level of services needed in an ambulatory setting, Yuma Regional Medical Center (YRMC) is expanding its outpatient clinics leadership team – this includes Family Medicine Center, Supportive Services and Multispecialty Practices. These additional roles form the leadership triad – physician, nurse and business – essential for successful practice management. We congratulate the following YRMC employees on their promotions:


WELCOME NEW MEDICAL PROVIDERS

We’ve MOVED

We’ve MOVED

We’ve MOVED

We’ve MOVED

We’ve MOVED

We’ve MOVED

Robert A. Miller, M.D.Otolaryngology Yuma Ear Nose & Throat

Robert A. Miller, M.D., received his medical degree from Temple University School of Medicine in Philadelphia. He completed a residency in general surgery from Albert Einstein Medical Center and his residency in Otolaryngology from Thomas Jefferson University. Dr. Miller is board certified in Otolaryngology. He is a member of the American Academy of Otolaryngology Head and Neck Surgery, American Academy of Otolaryngologic Allergy and American Board of Otolaryngology.

Carolyn Hull, N.P. Cardiology Nurse Practitioner Transitional Care Services Carolyn Hull, Nurse Practitioner, received her Masters of Science in Nursing emphasizing Family Nurse Practitioner from the University of Arizona. She holds a Bachelor of Science in Nursing from Northern Arizona University and is currently pursuing her Doctorate Nurse Practitioner from the University of Arizona. Previously, Carolyn worked as a Registered Nurse in the Labor, Delivery, Recovery and Postpartum (LDRP) department and in the Neonatal Intensive Care Unit (NICU) at Yuma Regional Medical Center.

YRMC Anticoagulation Foothills Clinic Relocation 11282 N Frontage Rd. Current hours of operation: Tuesdays and Fridays 7:30 am -4:00 pm Effective July 21, 2015, hours of operation will change to Mondays and Thursdays 7:30 am-4:00 pm On July 13, 2015, Yuma Regional Medical Center Anticoagulation Foothills Clinic, currently located at Foothills PrimeCare Urgent Care (11142 S. Scottsdale Dr.), will move to Yuma Regional Outpatient Laboratory Foothills (11282 N Frontage Rd.), across I-8 from the current location. Please note that the

main YRMC Anticoagulation Clinic will remain open at the Kachina Plaza location. While the Foothills Anticoagulation Clinic address and office hours will change, our phone number will remain the same. Patients with questions are encouraged to call 928-336-1378.

Dr. Steven Anderson Joins Family Medicine Center Beginning Monday, July 13, 2015, Dr. Steven Anderson will join the faculty of YRMC’s Family Medicine Center, located at Tuscany Plaza, 2851 S. Avenue B, Building 25. In this role, he will serve as an instructor in the Family and Community Medicine Residency Program. In closing his private practice, current patients can request to transfer their records to Dr. Anderson at the new location or another provider at the clinic. Patients also have the option to pick up their medical records to provide to their choice of primary care physician. For questions about medical records at Dr. Anderson’s private practice, patients should call 928-726-9385.


GRADUATIONS Congratulations to the following YRMC employees who recently received their Bachelor of Science in Nursing (BSN) or Master of Science in Nursing (MSN):

Yuma Rehabilitation Hospital Receives National Recognition for Exceptional Patient Care Yuma Rehabilitation Hospital has received top recognition from Uniform Data System for Medical Rehabilitation (UDSMR®) for the third consecutive year. UDSMR® is a non-profit group that evaluates rehabilitation hospitals on their delivery of quality care that is effective, efficient, timely and patient-centered. To determine the rankings, UDSMR® uses a system that measures the efficiency and effectiveness of a hospital’s rehabilitation programs. The system evaluates and tracks a patient’s progress through the rehabilitation process to document gains. This is the eighth year that UDSMR® has issued the awards. Yuma Rehabilitation ranked in the top ten percent of qualifying rehabilitation hospitals for 2014, 2013, 2012 and 2006.

AWARDS

YRMC and Mayo Clinic Partner on Continuing Education On Tuesday, April 28, 2015, and Friday, May 1, 2015, YRMC and The Mayo Clinic (Phoenix) conducted the first joint Oncology Education Program via video-conferencing, further solidifying the partnership between the two organizations while enhancing education for nurses providing chemotherapy to patients both in Phoenix and Yuma.

Seventeen nurses from YRMC’s inpatient unit working with Oncology patients (Tower 3) and 14 nurses from Mayo actively participated in this two-day video-conferencing event. Pertinent Oncology information was shared. The registered nurses who completed the class received 14 CEUs after successfully testing at the end of the second day. The nurses interacted, asked questions, participated in team activities and facilitated learning in a positive and conducive environment. The education sessions went above and beyond the Oncology Nursing Society certification required by YRMC.

Brittany Hudsick, BSNLinda Jackson, BSNMaria Jubera, BSNKim Kelland, BSNImelda Lamela, BSNEdith Stanfield, BSN

Monica Beltran, MSNSarah Medrano, MSNMelina Mendez, MSNLeslie Morin, MSN


WE CARE

Since 2008, the Foundation of Yuma Regional Medical Center’s YOUTH Initiative (Yumans’ Obesity Undermines Their Health) program has worked with local schools to provide the Walk for Wellness Mileage Club, a walking program for students. By walking laps, students earn charm tokens during walking events at local schools. Schools provide opportunities for students to walk in a non-competitive, fun environment by hosting walking events for the entire family.

One of our participating schools, Wellton Elementary, has found a unique way to get not only the local students involved, but the entire community as well. During the annual Turkey Trot, students walked along a two-mile path through the community of Wellton. The Wellton Police Department assisted with traffic safety, and Antelope High School students took photos and brought their mascot to the event. Seventeen parents came to help, and Antelope FFA members and local church members handed out water to participating students and parents.

During the annual Jingle Dash, students wore bells and Christmas colors, and the students received an unexpected surprise when a group of winter visitors brought a donation of juice boxes, enough for each student in the school. The walk was held the day before the Holiday Break, replacing more traditional holiday parties that often focus on unhealthy sweets and snacks.

In addition to these fun community events, students were able to walk laps for charm tokens during recess and the school’s 20 Fit

Program. Because of their dedication to reducing obesity through the Walk for Wellness Mileage Club, Wellton Elementary will receive the traveling YOUTH Initiative trophy. Previous recipients include Gary Knox Elementary, Desert Mesa Elementary and Valley Horizon Elementary. The Foundation of Yuma Regional Medical Center’s YOUTH Initiative is dedicated to reducing the rate of obesity in the Yuma Community. During the past school year, 12 local schools participated in the YOUTH Initiative Walk for Wellness Mileage Club and students walked more than 102,000 miles.

FOUNDATION OF YRMC YOUTH INITIATIVEWALK FOR WELLNESS MILEAGE CLUBSPOTLIGHT ON WELLTON ELEMENTARY

Thanks to our Nutrition Services & Patient Transport teamsfor helping make our community a great place to live through their Cares project. Everyone had a great time painting West Wetlands Park Hummingbird Garden Ramadas! If you are interested in organizing a Cares project, visit: yrmcintranet/cares.

The Annual “Stuff the Bus” event will be held on Friday, July 17 from 2 – 7 pm. Join us at Yuma Palms Regional Mall to donate crayons, pencils, notebooks or dollars to help us meet our goals for the Drive for School Supplies. Interested in volunteering to help stuff backpacks for the Drive for School Supplies or for the Stuff the Bus event? Email Serena Holthaus at [email protected] or call 928.336.2445.

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http://yrmcintranet/cares


During our Strategic Imperative Kickoff event, the Accelerate Waste Reduction team received 292 comment cards with ideas and ways YRMC can “eliminate waste.” Several suggestions focused on material ways in which the organization can save money on supplies such as paper, equipment, tools or ink. While this is accurate, Accelerate Waste Reduction also encourages us to think about saving time and effort. We know everyone works hard across the organization. In fact, many are working harder than ever before. We need to rethink how we perform daily tasks and redesign our processes to improve value to the patient. Ultimately, we must work smarter – not harder.

Several years ago, Yuma Regional Medical Center’s Inpatient Laboratory team worked to improve workflow in their department. Faced with a significant shortage of work space in the lab – a challenge intensified by the fact that there was nowhere that they could add more space (they were land locked between the ED and Imaging) – the team set out to redesign their work flow in a way that would make them more efficient, improve service to their customers and reduce congestion in their work day. After careful review of their work processes, it was determined they could improve workflow by realigning the physical layout of the lab. Rather than running across the room to complete a task, the new layout created linear work stations, increasing workflow while streamlining processes. This realignment can be compared to the sandwich making illustration – it can be assumed that more sandwiches are made in the same amount of time because there are fewer steps required across the kitchen.

When we are more resourceful as individuals, we contribute more to our department, and in turn, work better as an overall organization. We fulfill a goal to increase the patient flow process. Let’s challenge ourselves to think about our roles within Yuma Regional Medical Center – are there things we can do better? Are there things we can do to streamline our processes? Take a step back and take action to make your work environment even better through Accelerate Waste Reduction.

Total Number of Comment Cards Submitted at the Strategic Imperative Kickoff Event: Quality Outcomes ............................... 697 Sustained Progress ............................. 681 Clinical Integration ............................. 449 Full Patient Experience ...................... 370 Accelerated Waste Reduction .......... 292 Trust & Collaboration ......................... 245 Integrated Delivery ............................ 227

STRATEGIC IMPERATIVE ALERT

ACCELERATE WASTE REDUCTION Objective: To evaluate everyday processes and implement efficiencies that result in improved quality, with less effort/resources.

OUR WAY TO SUCCESS N AV I G A T I N G

BEFORE

AFTER


HFAPDeb Aders, Administrative Director of Quality Services, says that insurance companies are becoming more involved in the care process, making sure that their patients are seen in facilities recognized for delivering exceptional care. Meeting HFAP standards means we are going above and beyond.

“This accreditation is about everything we do that touches the patient,” Deb said. “It’s everything we already do every day to promote patient safety and enhance the quality of care. We chose HFAP because it is a learning experience and their surveyors are practicing healthcare professionals. It is more of an educational and learning focus; they want you to succeed and provide better care.”

HFAP accreditation is just the first step to opening up the doors for many other opportunities for YRMC to be recognized as center of excellence or distinction. Many of the services we provide, such as bariatric surgery, orthopedics, cardiology and maternity services are all seeking to become a Center of Excellence or Blue Cross/Blue Shield Center of Distinction.

Jennifer Stanton, Director of Pediatrics and Women and Children’s Services says that she looks forward to earning the Blue Cross Blue Shield Center of Distinction title because of what it will mean to patients and families. However, HFAP is that first step toward achieving that goal.

In 2016, YRMC’s Women & Children services department hopes to be recognized as a center of Blue Distinction in Maternity Care. In order to begin this accreditation process, YRMC must successfully receive the HFAP accreditation, further solidifying the importance of HFAP. As a center of Blue Distinction in Maternity Care, existing and future patients and families will be more inclined to select our facility for maternity services.

Performance metrics for the Maternity Care Blue Distinction include:

• Early elective delivery rate

• C-Section rate in low risk patients

• Antenatal steroid use

• Healthcare associated bloodstream infections

• Breast milk feeding

• Appropriate DVT prophylaxis

• HCAHPS patient experience for maternity services

“Our maternity care services have successfully implemented a number of quality initiatives over the last several years,” Jennifer said. “As a result, we are already on track, continually evaluate and excel with the performance metrics required of a Blue Distinction facility in maternity care. With our current processes of quality evaluation and improvement, there are minimal changes needed to achieve the Blue Distinction.”

Educational materials will be provided by the Quality Services team to help staff prepare for the accreditation. To also help patients identify with who their care team includes, employee badges will also change to help patients better understand who we are and what we do.Over the next few months, employees in both clinical and support roles will learn much more about HFAP accreditation and how they can prepare.

“The staff already provides excellent care, Deb said. “This is an opportunity to show them what a great job they do. I want staff to know that these are the things you do every day, so this is about ensuring excellence. How you prepare is by doing your job to the best of your ability and being excellent in what you do.”

Between the months of August and November, YRMC will have special guests on campus for a surprise visit to see just how well YRMC delivers care. Their assessment process is under the Healthcare Facilities Accreditation Program (HFAP), which takes a look at how well hospitals meet or exceed Centers for Medicare and Medicaid Services (CMS) standards.

HFAP accreditation states that name badge photos must be visible at all times with photos on the front and back of the badge. Certain titles must also be enlarged and in plain view for patients. Updated name badges will be issued prior to the HFAP site visit. Stay tuned for additional information!


132 SEASONAL REGISTERED NURSES were hired for the busy 2014-2015 winter season.

243 MEDICAL INTERPRETERS are employed by YRMC.

574 “LIKES” ON FACEBOOK and 111 “shares” as a result of a Yuma Sun article posting featuring Dr. Cardenas as the first Interventional Cardiologist in the nation to use a new drug coated balloon in the post clinical trial phase.

720 PACKS OF PEANUTS distributed during Hospital Week May10-16, 2015, during hospital rounding. Human Resources also distributed cookies, goldfish crackers, pens and cups. Thanks for all that you do as YRMC employees!

1,515 BREAKFASTS, 1,747 lunches, and 1,839 dinners for a total of 5,101 meals served in the first week of YRMC Room Service Dining. As of early June 2015 Nutrition Services delivered 16,162 breakfasts, 17,324 lunches and 19,290 dinners for a total of 50,776 meals since Room Service Dining launched in March at YRMC.

12,000 CUBIC YARDS AND COUNTING – that’s the amount of concrete poured on-site as of June 2015. That is more than 1,550 concrete trucks and weighs 48 Million pounds!

$811,635 SPENT IN TUITION ASSISTANCEfor fiscal year 2014. That’s dollars given back to our employees pursuing additional degrees and certifications.

BY THE NUMBERSY U M A R E G I O N A L M E D I C A L C E N T E R

2400 South Avenue AYuma, Arizona 85364

School Supply ListBackpacks (all ages)CrayonsPencilsRulersGlueFoldersSafety ScissorsMarkersPencil SharpenersDictionaries

To donate online selectfrom the following options• Secure paypal donation:

– www.yumaregional.org/donateonline (or) – www.yumaregional.org/Foundation select DONATE NOW

• Call the Foundation:

– 928.336.2445

• Make a check payable to:

– The Foundation of YRMC

and mail to 2400 S Avenue A Yuma, AZ 85364-7170

Start a Student Off Right!

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