9Weight-Loss Surgery

Changes Lives

Taking Your Healthcare to a Higher Level

Today’s News for tomorrow’s health

since 1889 Sum

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4Supporting

Cancer Patients

8Improving Quality of

Life for Patients

3 Meet our administrative team

4 Supporting cancer patients beyond treatment

6 Comprehensive cardiac care

8 Improving quality of life for our patients

9 Weight-loss surgery can turn lives around

10 Conducting national research on deep-vein thrombosis

11 Upcoming events

Our Values

ReverenceIntegrity

CompassionExcellence

The Official Hospital of the University of Nebraska Athletics

CEO Welcome

Dear Friends,

Welcome to the latest edition of Today’s News for tomorrow’s health. As you enjoy the stories in this issue, you will become familiar with a few of the services available at Saint Elizabeth. If you would like to see a complete listing of all of our services and meet some of our staff, please visit our website at www.SaintElizabethOnline.com.

In this issue, I would also like to introduce you to the Administrative Team at Saint Elizabeth. On the facing page, you will find photos and information about each member of the group. As you will see, our team has a wide range of experience and expertise that they use to help lead Saint Elizabeth through the challenges facing health care, both today and in the future. Each member is committed to developing an organization that will provide you with the best possible health care.

The mission at Saint Elizabeth is to provide quality health care while demonstrating compassion to all those we serve.

To your good health!

Kim S. MoorePresident and CEOSaint Elizabeth Regional Medical Center

Table of contents

Kim Moore, President and CEOKim Moore has more than 30 years of health care experience. Her career began as an RN in the critical care area. In 1996, she stepped into the role of Chief Nursing Officer and then moved to Chief Operating Officer. She has been serving as President and Chief Executive Officer since September 2011. Moore led the Saint Elizabeth nursing team on their successful journey to Magnet designation—the highest award in nursing—an honor held by Saint Elizabeth since 2004. In 2011, she was selected to participate as one of 21 distinguished Robert Wood Johnson Foundation Executive Nurse Fellows in the United States.

Libby Raetz, VP, Nursing and CNOLibby Raetz has been with Saint Elizabeth for 24 years. In 1995, she became the Director of the Emergency Department; in November 2011 she was named as Vice President, Nursing and Chief Nursing Officer. Raetz has also chaired many internal committees and councils at Saint Elizabeth. She has provided strong leadership for Embrace the Spirit—a values-based, customer-service program—which inspires a system-wide focus on excellent service and care.

Douglas Kucera, VP, FinanceDouglas Kucera is a Certified Public Accountant with more than 25 years of health care finance experience. He came to Saint Elizabeth as the Director of Finance in 2008 and was promoted to Vice President, Finance in 2011. Prior to that, he was Director of Finance for Methodist Health System in Omaha, Nebraska and Chief Operating Officer for Tabitha in Lincoln, Nebraska. Kucera also oversees the financial reporting of the Catholic Health Initiatives ministries in Nebraska.

Pat Gilles, VP, Clinical and Support ServicesPatrick Gilles has an MBA from the University of Iowa and has worked in hospital administration for more than 35 years. His career began at Creighton University Medical Center in Omaha; he then moved to Vice President of Human Resources at St. Francis Health Center in Topeka, Kansas. He came to Saint Elizabeth in 1999 and was instrumental in the major facility expansion that was completed in 2004. He provides direction to marketing and communications, six clinical ancillary departments and four support service departments.

www.SaintElizabethOnline.com

Cary Ward, MD, CMOCary Ward earned his medical degree at the University of Texas, Southwestern Medical School, Dallas, and completed his internship and residency at Washington University in St. Louis, Missouri. He practiced Internal Medicine in Lincoln until 1998 when he started and directed the hospitalist program, Inpatient Medical Services, at Saint Elizabeth. This was Nebraska’s first hospitalist program. He has also served as the director of hospitalist operations for the 35 other hospitals in CHI that have hospitalist programs. Dr. Ward was named the Chief Medical Officer in 2002 and is the leader of the quality committee for CHI Nebraska.

STE_ExecTeam2_0612.indd 1 6/26/12 11:30 AM

Saint Elizabeth Regional Medical CenterAdministrative Team

4 ❘ Summer 2012

At Saint Elizabeth Cancer Institute, our unique commitment to complete care starts from the moment patients learn they are facing cancer. “Support begins at diagnosis so patients never feel isolated,” says Mary Trauernicht, director of oncology at the Saint Elizabeth Cancer Institute.

A cancer survivor is anyone living with cancer, from the moment of diagnosis through the remainder of life.

The National Cancer Institute reports that there are nearly 12 million cancer survivors in the United States and it is estimated that by 2020 there will be some 20 million people living with a history of cancer.

“With advancements in cancer care, more people are living longer making survivorship a critical part of cancer care. We are committed to helping our patients through the entire cancer journey from diagnosis to survivorship,” says Trauernicht.

Survivorship Care PlansAt the end of cancer treatment, many

patients report feeling lost and unsure where to find answers to their questions. To fill this need, we offer our patients Survivorship Care Plans. Patients can have a Survivorship Care Plan created that provides them and their health care providers with a comprehensive plan that includes a complete treatment summary and recommendations for follow-up care. This plan serves as a great reference tool for patients and their primary care providers if they have any late or long-term effects from treatment.

Supporting Each OtherSaint Elizabeth wants to help survivors in all aspects of healing by focusing on the mind, body and spirit. That is why we offer a variety of support programs, so there is something for everyone.

We have a breast cancer support group that meets on the first Wednesday of every month. Women have the opportunity to meet with others who share a similar experience and discuss their concerns in an informal atmosphere.

On August 11, Saint Elizabeth is hosting a luncheon for breast cancer survivors in partnership with the Nebraska Affiliate of Susan G. Komen for the Cure. “It’s a lovely afternoon where breast cancer survivors enjoy an entertaining speaker, lunch and meeting and getting reacquainted with other survivors,” Trauernicht says. “This will be our third summer working with Susan G. Komen to organize this event.”

Another support program, a monthly seminar known as Strong and Smart: Living Well with Cancer, allows patients to participate from the comfort of their home or office by listening to experts on the phone and viewing the presentation on their computer. Topics vary from healthy eating to genetic testing to information on clinical trials.

Healing Through ArtIn June, Saint Elizabeth Cancer Institute partnered with Lux Center for the Arts to offer cancer survivors a unique event called Expressions of Art & Hope. Cancer survivors were invited to explore their creative expression through a series of free art classes. Participants learned about different styles of bookmaking, explored clay by creating a tile of personal significance and experimented with acrylic and watercolor paints.

We hope this program gives survivors the opportunity to become absorbed in their own creative resources as they meet the challenges of cancer diagnosis, treatment and survivorship,” says Trauernicht

Saint Elizabeth believes that each cancer patient deserves extraordinary care in every realm. “Cancer is a difficult journey, but the good news is that no one needs to face it alone,” adds Trauernicht.

Mary Trauernicht visits with a cancer survivor.

Supporting Cancer PatientsBeyond Treatment

Cancer is a difficult journey, but the good news is that no one needs to face it alone.

www.SaintElizabethOnline.com ❘ 5

For more information about our survivorship programs

at Saint Elizabeth Cancer Institute, call 402-219-5000 or visit our website at www.SaintElizabethOnline.com/cancer.

(L – R) Lisa Kendle, Cancer Nurse Navigator, Mary Trauernicht, Director of Oncology and Karen Pribnow, Cancer Nurse Navigator help cancer patients meet the challenges of cancer diagnosis, treatment and survivorship.

LaVonne Rosenthal shares the painting she made in the Experiment with Watercolors class that was part of the week-long art classes focused on helping cancer survivors heal through art.

Cancer Survivors pose for a picture with the journals they hand-crafted in the Bookmaking class during Expressions of Art & Hope week. From left; front row: Donna West, Kathy Janda, Roxane Hiatt, LaVonne Rosenthal, Phyllis Anderson and Sister Elaine Herold, Director of Pastoral Care at Saint Elizabeth, who led an evening of reflection on gratitude. From left; back row: Cindy Devoe, Sharon Allder and Jill Weyers, Outreach Coordinator at Saint Elizabeth Cancer Institute.

6 ❘ Summer 2012

When you’re experiencing the warning signs of a heart attack, time is of the essence. That’s why the cardiac team at Saint Elizabeth Regional Medical Center rushes into action in the moments before a patient arrives at the hospital in an ambulance.

“We partner with the Lincoln Fire & Rescue Department to make sure we get immediate information about patients in distress before they get here,” says Patsy Gleim, director of cardiovascular services. “If an EKG in the ambulance shows that a patient is having a heart attack, our team prepares immediately.”

A single call to the hospital switchboard activates the cardiac team and 8 – 10 medical specialists receive urgent messages right away. They make sure all necessary equipment is ready to diagnose the patient.

“It’s important to call 911 if you’re experiencing the warning signs of a heart attack since our communication with the paramedics is state-of-the-art,” Gleim says.

“Our emergency room physicians and cardiologists are able to get a complete picture of exactly what’s happening so they can make immediate decisions about the best care,” says Gleim.

Your Heart While Saint Elizabeth can help save your life in an emergency, the hospital is also dedicated to meeting your other cardiovascular needs. These include prevention, diagnostic and interventional procedures. There is also a nationally certified rehabilitation program that helps cardiac patients get back to their normal routines.

“Everyone at Saint Elizabeth made me feel so special,” said Betty Kirby, former patient.

If an EKG in the ambulance shows that a patient is having a heart attack, our team prepares immediately.

In many cases, heart attack patients have clogged arteries. If treatment calls for an angioplasty (a procedure that opens arteries) or a stent placement (a procedure that keeps arteries open), the cardiac team is also skilled in those areas. Other clinical services include implanting a pacemaker or defibrillator.

The hospital is equipped with heart-monitoring equipment and other diagnostic devices that help physicians determine what’s wrong. If your physician wants you to have an echocardiogram or a stress test, Saint Elizabeth can provide that as well.

“Our job is to determine what’s wrong and offer details about possible solutions,” Gleim says. “Thanks to our technology, we can get an instant picture of your cardiovascular system and make the appropriate recommendations about the next step.”

Comprehensive Cardiac Care

To learn more about our cardiovascular services, visit www.SaintElizabethOnline.com.

Preventing Future Heart Problems“Our goal is to help people avoid having a cardiac problem in the first place,” Gleim says. “We believe that a healthy lifestyle is crucial to good health. But, people don’t always know the best ways to diet, exercise and reduce stress. That’s where we come in and offer the most up-to-date and comprehensive guidance.”

If you have a heart problem or are recovering from a cardiac-related condition, Saint Elizabeth is available to help you return to a fulfilling life. Research shows that cardiac rehabilitation improves the outcomes for patients with cardiac disorders.

The Saint Elizabeth Cardiac & Pulmonary Rehabilitation Department is a comprehensive program focusing on education, exercise and support. Some of the benefits individuals receive are: becoming physically stronger, better understanding their cardiac disease and recognizing and dealing with stress.

“Our work isn’t over after a patient undergoes a stent placement or gets a pacemaker implanted. We want to make sure patients undergo the proper monitoring and learn how to take care of themselves so their cardiac problems don’t return,” says Gleim.

www.SaintElizabethOnline.com ❘ 7

Our work isn’t over after a patient undergoes a stent placement or gets a pacemaker implanted. We want to make sure patients undergo the proper monitoring and learn how to take care of themselves so their cardiac problems don’t return.

We offer patient-centered care that views our patients not just as humans with physical needs but as people who have spiritual and emotional needs, too.

Compassionate Care Of course, heart patients need more than expert diagnoses and medical treatments. “We offer patient-centered care that views our patients not just as humans with physical needs, but as people who have spiritual and emotional needs too,” Gleim says. “We’re devoted 24/7 to making patients comfortable and helping them reduce their levels of anxiety and stress. This includes access to a Pastoral Care Department that is always available.”

The team approach—one that includes physicians, nurses, technicians, dietitians, laboratory staff, radiology staff and more—is an important part of the Saint Elizabeth approach to cardiac

care for all patients. “We realize the value of working together to ease what can be a very difficult time for patients and their loved ones,” Gleim says. “We carefully listen to patients describe their needs, and we do everything possible to meet them.”

At Saint Elizabeth, heart patients become part of the family. “We want to see how they are doing and follow their progress,” Gleim says. “They are important to us, and we’re happy when we can make a difference in someone’s life.”

Improving Quality of Life for Our Patients

When you are faced with a life-altering illness, the pain, symptoms and stress can be overwhelming. The Palliative Care program at Saint Elizabeth addresses the physical, emotional and spiritual needs of patients who are suffering from a serious illness.

What Is Palliative Care?The goal of palliative care is to prevent and relieve suffering and to support the best possible quality of life for patients and their families, often when the underlying disease cannot be cured.

Palliative care can be appropriate for anyone at any time during the course of an illness. It doesn’t replace your primary treatment. Instead, it works together with your primary treatment to help improve your quality of life.

“Our Palliative Care program is improving the care for our patients. Our team strives to help them live as fully and completely as possible,” says Richard Morin, MD, medical director, Palliative Care at Saint Elizabeth.

Working Together as a TeamThe Palliative Care program is focused on providing support and comfort for patients and their families. It is a

8 ❘ Summer 2012

collaborative effort with the health care team to address the numerous complications associated with a serious illness.

As an example, Palliative Care staff meets daily with the Critical Care team to discuss patient needs. “We talk about how we can make the patients more comfortable,” Dr. Morin says. “Everyone is encouraged to take part in the discussion—physicians, nurses, respiratory therapists, pharmacists, dietitians, social workers and chaplains.”

Our team also meets with the patients and families to help them identify goals for their treatment and make sure that they reach the most informed decisions possible. “We talk to them about what we’re doing and what they hope to achieve,” Dr. Morin says. “We have an open communication about their treatment and discuss if they want to continue life-prolonging therapy or stop interventions and focus on living comfortably.”

Palliative Care Is Different from Hospice Care Unlike hospice care, which can be limited to the final six months of life, palliative care can be provided at any

time during the course of the illness, regardless of the life expectancy or other treatment options chosen by the person with the illness.

Many patients using palliative care are living with illnesses such as cancer, heart disease, lung disease, kidney failure, AIDS and cystic fibrosis. You may consider palliative care if you suffer from pain or other symptoms due to a serious illness or experience physical or emotional pain that is not under control. Palliative care provides relief from symptoms like pain, shortness of breath, fatigue, loss of appetite, problems with sleep, anxiety and depression.

Ultimately, the palliative care team gives patients a chance to improve their quality of life. The team doesn’t just simply treat the illness; they are focused on treating the whole person. “We understand that patients are more than a physical body,” Dr. Morin says. “Whatever their future holds, we’re here to help them feel better and make choices that reflect their needs and wishes.”

To learn more about our Palliative Care Program, call 402-219-8703.

Richard Morin, MD, discusses patient care with Jay Swanson APRN, Saint Elizabeth hospitalist program and Becky Walkowiak RN, Palliative Care nurse

Just two years ago, Steve Jung weighed 407 pounds and suffered from a clogged artery and diabetes. Now, his life has taken a turn for the better.

Jung, 59, was able to improve his health with the help of surgeon Ray Taddeucci, MD, and Saint Elizabeth Regional Medical Center. Jung had gastric bypass surgery about a year ago, which helped him shed more than 150 pounds.

“It’s been pretty amazing,” says Jung, who is a probation officer in Lincoln, Neb. He is now down to 239 pounds and feels great. “Dr. Taddeucci and the team at Saint Elizabeth did a fantastic job.”

Moving Toward a Healthier LifeSaint Elizabeth Regional Medical Center has become well-known in Nebraska for the high quality of their metabolic surgery program. The hospital specializes

Weight-Loss Surgery Can Turn Lives Around

®

To learn more about our Bariatric Surgery Center and options that may be right

for you, call TLC at 402-219-7000 or visit our website at www.SaintElizabethOnline.com.

(L – R) Benjamin Hung, MD and Ray Taddeucci, MD

in three types of weight-loss surgeries. They are laparoscopic gastric bypass, laparoscopic sleeve gastrectomy and LAP-BAND®. Each is designed to help severely obese patients gain control of their weight.

“Our typical patient is someone who has been struggling with obesity all of their life,” says Dr. Taddeucci. “They have made multiple attempts at dieting and exercise but have been unable to lose weight through those methods alone.”

Dr. Taddeucci and Dr. Benjamin Hung perform the surgeries at Saint Elizabeth in a unit especially designed for the comfort of larger patients.

For those who want to lose weight and improve their health, the work does not begin or end with bariatric surgery. It is very important that patients continue to work with their family physician and surgeon for the best possible outcome.

Saint Elizabeth provides a variety of support services both before and after surgery, such as: » bariatric nutritional assessment » support groups facilitated by a registered nurse and a nutrition therapist

» exercise assessment by a physiologist with ongoing follow-up

» physical exercise plan at a wellness facility

» provider support for lifestyle changes » educational classes » patient reunions and ongoing education to help patients achieve and celebrate healthy goals

Saint Elizabeth has an established exercise program for bariatric patients that includes a fitness evaluation, analysis and exercise assessment by an exercise physiologist at a local wellness facility. A physical exercise plan is tailored to the needs of each individual to help him or her achieve success. Ongoing guidance and support from our staff and the physiologist helps maintain successful results.

Delivering Long-Term ResultsPatients often lose dozens of pounds in the first months after surgery. They also experience positive changes in related conditions like Type 2 diabetes, heart disease and sleep apnea.

“We may see improvement or resolution of diabetes within days or months after a procedure. We often see great improvement in quality of life. People who have been unable to move around, exercise or do family activities are suddenly able to do those things,” says Dr. Taddeucci

Jung is now enjoying daily walks at 5 a.m. He says he needs less medication and no insulin to manage his diabetes.

“I’m so glad I chose to go to Saint Elizabeth,” he says. “It was the right choice for my health and my future.”

www.SaintElizabethOnline.com ❘ 9

10 ❘ Summer 2012

As part of our commitment to advancing medicine, Saint Elizabeth Regional Medical Center is taking part in an important research study that aims to determine the best treatment for a common and potentially deadly condition.

Eligible patients who come to the hospital with blood clots in their legs—a condition known as deep-vein thrombosis (DVT)—and give their consent will be randomly assigned to receive standard treatment or a new clot-busting treatment. Ultimately, 692 patients nationwide will take part in the study at 30 – 50 hospitals. Eric Vander Woude, MD, and Rahul Razdan, MD, are the subinvestigators at Saint Elizabeth. Dr. Vander Woude trained at the University of Nebraska Medical Center and Dr. Razdan trained at the Yale School of Medicine.

“Even though we are not a large academic medical facility, we believe it is crucially important to provide patients with access to these new, innovative and developing therapies,” says research coordinator Paul Edwards. “In addition, we want to help advance the field of medical research. Patients

everywhere will be able to take advantage of reliable and proven treatments.”

Blood clots in the legs are dangerous because they can travel to the lungs and cause serious medical complications. The clots can appear when people suffer an injury or are sedentary for long periods—like during a lengthy plane flight. Genetic conditions, cancer and a variety of other medical problems can also boost the risk for clots.

With a blood clot in the leg, our top priority is to clear it and make sure other clots cannot form. “We know a blood clot in the system needs to be removed before it can cause damage to the valves in the veins,” Dr. Razdan says. “What we want to determine is should the clot be removed immediately, or is it better to encourage the body to break it down?”

With the new ATTRACT study, researchers will be able to learn which approach is most effective in the long run. The study is a National Institutes of Health–funded protocol through the National Heart Lung and Blood Institute.

In the clot-busting treatment, an interventional radiologist will directly dissolve or remove the clot.

“If the study proves that treating the clot directly results in better outcomes for patients, this study will have incredible ramifications,” Dr. Razdan says. “According to the Centers for Disease Control and Prevention, 60,000 – 100,000 Americans die every year because blood clots reach their lungs. Our goal is to use our research to prevent deaths due to DVT.”

The staff have the special training and equipment needed to treat patients with these blood clots. “Saint Elizabeth provides a very complete inventory of all the currently available tools to help patients recover from this potentially devastating condition,” Dr. Razdan says.

“This study will help us—and doctors around the world—make sure that the strategy used for treatment is the best and most effective for our patients.”

Conducting Research for a National Study on

Deep-Vein Thrombosis

We believe it is crucially important to provide patients with access to these new, innovative, and developing therapies.

(L – R) Eric Vander Woude, MD, Rahul Razdan, MD and Paul Edwards, Research Coordinator

Monthly, Weekly and Ongoing Classes, call for dates and times

Reshape Your Life—Surgical Weight LossMonthlyInformation on surgical weight-loss procedures such as Roux-en-Y Gastric Bypass, Sleeve Gastrectomy and the Lap-Band. FREE

Breast Cancer Support GroupWednesdays 7– 8:30 p.m.Our breast cancer support group offers an informal atmosphere to discuss your concerns about breast cancer and your treatment. Meet with other women who share your experience. FREE

Lamaze, Siblings, Having Multiples, Pregnancy Exercise, Breastfeeding, Infant Care and Car SeatsOngoing classes designed to give you the information and skills to give your family and your baby the best beginning. Find classes online at www.SaintElizabethOnline.com> Events, Programs & Classes

Pre-Diabetes….me?Saturday, July 28 9 a.m.–NoonSaturday, September 22 9 a.m.–NoonWhat you can do to lower your risk of diabetes. Advice on how to get started, what changes to make and what guidelines to follow. Cost: $15

General First Aid and CPRSaturday, August 18 8 a.m.–1 p.m.Learn CPR and basic first aid for home, school and work. Certification granted upon successful completion of test. $55

Asthma Care ClassThursday, September 13 1–2:30 p.m.Learn to monitor your asthma, how to use inhalers correctly and how to recognize your asthma triggers and symptoms. FREE

Women’s Top Health ConcernsWednesday, September 19 6:30–7:30 p.m.Dr. Boshra Rida will share symptoms, risk factors and preventive treatments for heart disease, breast cancer, osteoporosis, mental health conditions, menopause, dietary concerns and supplement usage. FREE

Diabetes Education UpdateSaturday, September 22 9 a.m.–NoonAre you an adult with diabetes? Speakers, Dr. Les Spry and Dr. Sarah Vander Pol will present tips and strategies for living with and managing your diabetes. Vendors of diabetes supplies will also be in attendance. FREE

Events, Programs & Classes

For more information go to wwwSaintElizabethOnline.com

Saint Elizabeth Regional Medical Center555 South 70th StreetLincoln, NE 68510

©2012. Our articles are reviewed by medical professionals for accuracy and appropriateness. No magazine, however, can replace the care and advice of medical professionals, and readers are cautioned to seek such help for personal problems.

Recipe Summary:Preparation Time: 30 minutesNumber of Servings: 4Cups of Fruits and Vegetables per Person: 0.5

Ingredients½ cup nonfat cottage cheese½ tsp. dried dill2 cups fat-free egg substitute2 cups frozen chopped broccoli1 tsp. olive oil2 tsp. margarine1 large onion, diced

Broccoli Frittata

Healthy recipe

clip & save

Diabetic Exchange**Fruit: 0 Vegetables: 1 Meat: 2 Milk: 0 Fat: 1 Carbs: 0 Other: 0

** Diabetic exchanges are calculated based on the American Diabetes Association Exchange System. This site rounds exchanges up or down to equal whole numbers. Therefore, partial exchanges are not included.

Source: Centers for Disease Control and Prevention, “Fruits and Veggies: More Matters”

10484M

NONPROFIT ORGUS POSTAGE

PAIDLong Prairie, MNPermit No. 1052

Nutrition Facts

Broccoli FrittataServing Size: ¼ of recipeAmount per ServingCalories 150 Calories from Fat 30% Daily Value (DV)*Total Fat 3 g, 5%Saturated Fat 0 g, 0%Cholesterol 0 mg, 0%Sodium 390 mg, 16%Total Carbohydrate 12 g, 4%Dietary Fiber 3 g, 12%Sugars 6 gProtein 19 gVitamin A 30%Vitamin C 60%Calcium 10%Iron 15%* Percent Daily Values are

based on a 2,000 calorie diet.

DirectionsMix cottage cheese and egg substitute together; set aside. In large nonstick frying pan over medium heat, sauté onions in oil for 5 minutes, or until soft. Add broccoli and dill; sauté for 5 minutes, or until broccoli mixture softens. Set vegetables aside.

Wipe out frying pan. Add 1 teaspoon marga-rine and swirl the pan to distribute it. Add half of the vegetable mixture, and then add half of the egg mixture; lift and rotate pan so that eggs are evenly distributed. As eggs set around the edges, lift them to allow uncooked portions to flow underneath. Turn heat to low, cover the pan, and cook until top is set. Invert onto a serving plate and cut into wedges. Repeat with remaining 1 teaspoon margarine, vegetable mixture, and egg mixture.