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Renown Health's public relations team supports media partners in finding experts on diverse health care topics. In addition, we provide information and answer all questions regarding Renown. We look forward to working with you.

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    • Friday, Sep 06, 2024

    UNR Med and Renown Chair of Psychiatry Talks About Asking, Listening and Reminding Others They Are Not Alone In Their Fight

    During September, Suicide Prevention Month, Dr. Takesha Cooper shares her thoughts on how you can support others As we observe National Suicide Prevention Month this September, Renown Health and University of Nevada Reno School of Medicine reaffirm a commitment to addressing mental health challenges and preventing comprehensive support to those at risk of suicide. Suicidal thoughts, much like mental health conditions, can affect anyone regardless of age, gender or background. Suicidal thoughts, although common, should not be considered normal and often indicate more serious issues. Takesha Cooper, MD, MS, FAPA, Chair, Department of Psychiatry and Behavioral Sciences, Professor of Psychiatry, University of Nevada Reno School of Medicine and Chief, Behavioral Health - Renown Health, Stacie Mathewson Behavioral Health & Addiction Institute, underscores the importance of creating safe spaces, listening without judgement and reminding others that they are not alone in their fight. “I frequently engage in conversations about suicide, a topic that touches many aspects of my life and work. As a psychiatrist, I have the privilege of sitting with my patients as they share their painful suicidal thoughts, and I strive to create a space where they feel safe to express their feelings openly and withoutjudgment. As a child and adolescent psychiatrist, I share the concerns of parents who worry deeply about their teens’ overwhelming emotions, self-injury, and feelings of hopelessness. Together, we work on simply validating their child's experiences, even when the instinct as a parent is to try and 'fix' things. As a mother, I can’t help but think about my own children and their peers, many of whom are grappling with depression and anxiety, especially in the wake of the pandemic. And as a teacher of resident physicians, I guide my learners in recognizing the signs of suicide in their patients and ensuring they have the tools to offer support and safety.” Providing care and support has always been my priority, but I also recognize that mental health is a complex journey, and everyone faces unique struggles. My training, and a deep respect for what my patients have taught me, allow me to navigate difficult conversations about hopelessness, but I believe the most crucial part of my role is simply being present, listening without judgment, and reminding people that they're not alone in their fight.” As we observe Suicide Prevention Month this September, I am reminded of the profound impact that simply asking and listening can have. While it might seem that 'just listening' isn’t enough, it is often the very thing that helps our patients and loved ones feel truly seen and supported.” #988; #Talk about it; #Listen; #Suicide Prevention Reno is Home to One of the Top Psychiatry and Mental Health Programs in U.S. Recently honored by Becker's Healthcare as one of the top psychiatry and mental health programs in the U.S., the integrated team at the Stacie Mathewson Behavioral Health & Addiction Institute at Renown Health on 85 Kirman Avenue in Reno, has an unwavering commitment to enhancing the lives of individuals and families affected by mental health challenges. The team of experienced psychiatrists, psychologists, social workers, counselors, and nurses is dedicated to supporting you and your family through every step of your journey to wellness. Services Include: Personalized mental health care Psychological and psychiatric assessments Outpatient medication management and therapy for adults and youth Substance abuse treatment Individual, couples, family, and group counseling Medication management and treatment Appointments can be made by calling 775-982-2862. Other services include the SOAR early intervention treatment program for those experiencing their first episode of psychosis. A 24-hour crisis stabilization center will open in 2024 for adults with mental health or substance use issues. The Connect Washoe County mental health collaborative, part of the hospital’s community benefit program, hosts the Youth Mental Health Summit, with a number of interventions resulting in reduced use of street and prescription drugs, lower hospitalization rates due to opioid overdose, and fewer cases of intentional suicide mortality in youth. “We will continue to strive for excellence and address the diverse needs of individuals struggling with behavioral health issues, says Takesha Cooper, MD, Department Chair of Psychiatry and Behavioral Sciences. “Our team comprises skilled psychiatrists, psychologists, therapists and support staff who collaborate to provide holistic and integrated care for our patients. As the region’s only not-for-profit health system, together with the support of grateful donors like Stacie Mathewson, we will continue to actively engage in outreach initiatives to raise awareness about mental health, reduce stigma and create a community that fosters healing and support.”   About the University of Nevada, Reno School of Medicine The University of Nevada, Reno School of Medicine (UNR Med), Nevada’s first public medical school, is a community-based, research-intensive medical school with a statewide vision for a healthy Nevada. Since 1969, UNR Med has trained more than 3,900 students, residents and fellows. UNR Med continues to improve the health and well-being of all Nevadans and their communities through excellence in student education, postgraduate training and clinical care, research with local, national and global impact and a culture of diversity and inclusion. For more information, visit med.unr.edu.      About Renown Health Renown Health is the region’s largest, locally governed, not-for-profit integrated health care network serving Nevada, Lake Tahoe, and northeast California. With a diverse workforce of more than 7,500 employees, Renown has fostered a longstanding culture of excellence, determination, and innovation. The organization comprises a trauma center, two acute care hospitals, a children’s hospital, a rehabilitation hospital, a medical group and urgent care network, and the locally owned not-for-profit insurance company, Hometown Health. For more information, visit renown.org.

    Read More About UNR Med and Renown Chair of Psychiatry Talks About Asking, Listening and Reminding Others They Are Not Alone In Their Fight

    • Wednesday, Sep 04, 2024

    Renown and Great Basin College Launch 18-month Respiratory Therapist Training Program

    Training respiratory therapists as part of a healthcare team to help diagnose, treat and manage conditions to help restore or maintain lung and breathing function. Applications due Oct. 31, 2024 Great Basin College and Renown Health are partnering to bring the first Respiratory Therapy training program to educate new healthcare professionals to meet the growing needs of the community.   With the generosity of grant funders, the Leona M. and Harry B. Helmsley Charitable Trust and the Health Resources and Services Administration, Great Basin College will launch the first and only available program of its kind in support of several rural northern Nevada communities. According to project leads, the program and the trained respiratory therapists will bring great value to the community and healthcare system.  “Great Basin College is thrilled to join forces with Renown Health to launch this new program and be a critical contributor to advancing the respiratory care profession for our community,” says Interim GBC President Dr. Amber Donnelli.  The program is an accelerated 18-month program resulting in an Associate of Applied Science in Cardio-Respiratory Care Science degree. It's incredibly high-tech, uses leading-edge training equipment, and provides real-world experience to students.  In-person classes will be offered at GBC campuses in Elko and Winnemucca and at Renown Health in Reno. Applications will open this June and are due October 31, 2024. The first program courses will begin in the Spring of 2025. There are very specific prerequisites for the program and students can visit the program page for more information.“Investing in the training of new respiratory therapists is crucial to meeting Renown’s mission of providing essential services for our community,” says Brian Erling, MD, MBA, CEO & President, Renown Health. “These professionals help patients manage respiratory conditions and their expertise makes a difference in the lives of others. By equipping them with the latest knowledge and hands-on experience, we ensure that our patients receive the best possible care during their most crucial moments. Respiratory therapists are important members of the critical care team, which is why we are proud to partner with Great Basin College to establish the first training program for our region."According to the U.S. Bureau of Labor Statistics, the “employment of respiratory therapists is projected to grow 13 percent from 2022 to 2032.” GBC sees the incredible potential for growth and has worked hard to bring this opportunity to Nevada’s health care workforce.  “This vital program will support our health care systems through innovative teaching strategies geared towards developing the highest caliber respiratory therapist,” says Jason Farnsworth, GBC Respiratory Therapy Program Director and Director of Respiratory Care Services at Renown Health. The Associate of Applied Science Cardio-Respiratory Care Science program will be offered at Great Basin College at the Elko, Winnemucca, and Reno locations and is currently in the process of seeking CoARC accreditation for a respiratory care program. However Great Basin College can provide no assurance that accreditation will be granted by the Commission on Accreditation for Respiratory Care (CoARC) 264 Precision Blvd, Telford, TN 37690 (817) 283-2835. Accreditation is presumed to be finalized around November 2024.      About Great Basin College Great Basin College, "The Gold Standard in the Silver State,” offers associate and baccalaureate level education in academic, career and technical fields. Welcoming over 4,000 students annually from all corners of the country, both online and at our various campuses and centers, GBC's presence extends across two time zones and spans more than 86,000 square miles throughout Nevada. A leader in rural higher education, GBC takes pride in developing students who are well-prepared to meet the demands of industry and who contribute to the success and prosperity of the local economy.     About Renown Health Renown Health is the region’s largest, locally governed, not-for-profit integrated health care network serving Nevada, Lake Tahoe, and northeast California. With a diverse workforce of more than 7,500 employees, Renown has fostered a longstanding culture of excellence, determination, and innovation. The organization comprises a trauma center, two acute care hospitals, a children’s hospital, a rehabilitation hospital, a medical group and urgent care network, and the locally owned not-for-profit insurance company, Hometown Health. For more information, visit renown.org.

    Read More About Renown and Great Basin College Launch 18-month Respiratory Therapist Training Program

    • Monday, Jul 15, 2024

    Sophie’s Place, An Exciting New Integrative Treatment Space Opens to Inspire Young Song Writers, Singers and Musicians at Renown Children’s Hospital

    NFL Hall of Famer Steve Young and his wife Barb, The Beach Boys and community donors celebrate the grand opening of Sophie’s Place, a new integrative treatment space at Renown Children’s Hospital dedicated to the healing arts. (Photo Credit: David Calvert) Today marks the grand opening of Sophie’s Place at Renown Children’s Hospital which is supported by The Forever Young Foundation, founded by Barb Young and her husband NFL Hall of Famer Steve Young, and designed by Anne Marie and Kent Barton (Sophie’s parents). The Forever Young Foundation has supported the development of eight Sophie’s Places across the United States. The opening at Renown Health is the ninth Sophie’s Place location to provide music therapy to young people in children’s hospitals across the nation. Two years ago, on June 5, 2022, over 500 generous donors attended a benefit concert by The Beach Boys with front man Mike and his wife Jacquelyne Love, both Nevada residents; and special guests Steve and Barb Young, to help Renown Health Foundation raise a remarkable $1.2 million to construct the first and only Sophie’s Place in Nevada. Children's Miracle Network (CMN) Hospitals celebrity ambassador Steve Young has helped raise over $1 billion to lift up children’s hospitals around the nation. The Forever Young Foundation established Sophie’s Place in 2013 in loving memory of Sophie Barton, a young musician with a passion for helping others, who passed away in 2010. Sophie served and played her guitar at Primary Children’s Hospital in Utah. Sophie's Place was inspired by Barb Young, a close friend of the Barton family and an avid believer in the science of music therapy. Her passion and commitment were crucial in bringing this specialized care to the many pediatric patients and their families served by Renown Children’s Hospital. “At Renown, we recognize the profound impact that music can have on the healing process,” says Brian Erling, MD, MBA, President & CEO, Renown Health. “We are grateful to Steve and his wife Barb Young, the Forever Young Foundation, Mike and his wife Jacquelyne Love and The Beach Boys and hundreds of community donors for this incredible gift for the region’s only Children’s Hospital. We are excited to see, and hear, how kids will sing, play, dance and create in this new space. We will continue to create a healing environment within our hospitals to support recovery and enhance health and happiness.” Barb Young says, “Research has proven that music therapy fires the synapses to help create new neuro-pathways to replace those that have been damaged. It increases oxygen-saturation levels, alleviates pain, eases anxiety and depression, assists in fine and gross motor skill development, and so much more. We are honored to partner with Renown Children’s Hospital as we share with you the building of our newest Sophie’s Place space, a music-therapy room which will bring hope, healing and harmony to the children being treated in this special CMN Children’s Hospital.” Sophie’s Place is fully equipped with musical instruments and games for both children and music therapists to use, allowing patients and their families the opportunity to relax and socialize outside of the hospital room. The space also includes: Room for individual and group music therapy sessions Opportunities for patients to record their music Separate practice, recording and editing rooms Microphones Performance space Comfortable seating Musical memorabilia and artwork “Child and family-centered care is fundamental to all of us at Renown Children’s Hospital, which means we understand that comprehensive pediatric medicine goes beyond the clinical aspects,” says Kris Deeter, MD, MBA, FAAP, Chair of Pediatrics, UNR Med and Physician-in-Chief, Renown Children’s Hospital. “Providing our young patients and their families with therapeutic experiences goes hand in hand with the excellent care provided by our physicians, nurses and clinicians. Renown has a team of Child Life Specialists who support this holistic manner of providing care, and Sophie’s Place helps create an environment that supports treatment, recovery and well-being. Together, music and medicine can work in harmony to heal the body, mind and soul.” Steve Young shared, “through Sophie’s Place, Sophie’s heart continues to beat on.” “Sophie’s Place is an example of what happens when our community comes together to invest and imagine in all that is possible,” says Greg Walaitis, Renown Health Foundation Chief Development Officer. As a charitable, not-for-profit organization we rely on the generosity of people like Steve and Barb Young, Mike and Jacquelyne Love and The Beach Boys and the many generous donors who helped us raise the funds needed construct this new music therapy room at Renown Children’s Hospital.” For more information about supporting pediatric care at Renown Children’s Hospital, visit renown.org/Foundation. About Renown Health Renown Health is the region’s largest, locally governed, not-for-profit integrated health care network serving Nevada, Lake Tahoe, and northeast California. With a diverse workforce of more than 7,500 employees, Renown has fostered a longstanding culture of excellence, determination, and innovation. The organization comprises a trauma center, two acute care hospitals, a children’s hospital, a rehabilitation hospital, a medical group and urgent care network, and the locally owned not-for-profit insurance company, Hometown Health. For more information, visit renown.org.

    Read More About Sophie’s Place, An Exciting New Integrative Treatment Space Opens to Inspire Young Song Writers, Singers and Musicians at Renown Children’s Hospital

    • Monday, Jun 17, 2024

    Renown Health Earns "Best Place for Working Parents" Designation

    Renown Health has earned the “Best Place for Working Parents” designation for 2024 as a family-friendly workplace in Nevada.   “We are honored to be recognized as a Best Place for Working Parents, said Brian Erling, MD, MBA, President & CEO of Renown Health. This designation reflects Renown’s commitment to creating a supportive and inclusive workplace where our physicians, clinicians and employees can thrive professionally and personally. We understand the challenges that working parents face, and we are working to foster a more family-friendly environment. Together, we are building a People-First culture that values caring, integrity, collaboration, and excellence.” “This designation recognizes Renown Health’s commitment to supporting working parents with family-friendly policies and practices,” said Sandeep Randhawa, MS, Chief People Officer. “Our People First culture and mindset supports the well-being of Renown’s more than 7,500 exceptional physicians and employees. Our best-in-class talent management programs focus on attracting and retaining healthcare professionals; ensuring that Renown’s values are reinforced with strategic decisions aimed at empowering our employees to perform at their best. We are incredibly proud of our team and the total rewards package we offer. We continue to look at meaningful ways to recognize and reward our extraordinary team for their contributions and achievements.” “This designation recognizes Renown Health’s commitment to supporting working parents with family-friendly policies and practices,” said Sandeep Randhawa, MS, Chief People Officer. “Our People-First culture supports the personal needs and well-being of Renown’s more than 7,500 exceptional physicians and associates. Our best-in-class talent management programs focus on hiring, training, and growing our professionals; ensuring that Renown’s values are reinforced with every strategic decision. We are incredibly proud of our team and the benefits we offer. We will continue to look for new benefits and conveniences to bring to our extraordinary team.”  “The Best Place for Working Parents” is made up of community businesses that work to educate organizations on the importance of promoting family in the workplace. Renown was recognized for offering the following family-friendly benefits.  Expanded physical health, medical, prescription and dental benefits for full-time and part-time employees Flexible Spending Accounts Enhanced wellness and mental health support Appreciating and engaging employees Paid volunteer opportunities Everyday Amazing and Celebrate Amazing service milestone events Community and family event discounts Debt-free Financial Wellness program Emergency Financial Fund through Renown Health Foundation Educational assistance reimbursement, student loan repayment, continuing education Onsite Childcare Center Flexible schedules and locations Retirement Savings Plans and matches For more information or to join the Renown family, apply online at renown.org/careers. About Renown Health Renown Health is the region’s largest, locally governed, not-for-profit integrated health care network serving Nevada, Lake Tahoe, and northeast California. With a diverse workforce of more than 7,500 employees, Renown has fostered a longstanding culture of excellence, determination, and innovation. The organization comprises a trauma center, two acute care hospitals, a children’s hospital, a rehabilitation hospital, a medical group and urgent care network, and the locally owned not-for-profit insurance company, Hometown Health. For more information, visit renown.org.

    Read More About Renown Health Earns "Best Place for Working Parents" Designation

    • Friday, Jun 14, 2024

    Reno Rodeo Foundation Grants Three Rodeo Wishes to Renown Children’s Hospital Patients and Families

    Pictured Above: Rodeo Wish recipients stand with representatives from the Reno Rodeo Foundation and Renown Children’s Hospital at the E.L. Wiegand Pavilion at Renown Regional Medical Center in Reno. The Reno Rodeo Foundation has once again demonstrated its commitment to improving the lives of local children with its annual “Rodeo Wish” program. This year, the Foundation is funding the wishes of three young patients at Renown Children’s Hospital with $36,000 in funding. Renown Children’s Hospital is northern Nevada’s only dedicated pediatric hospital with a 24/7 Children’s Emergency Room and a Level II American College of Surgeons Trauma Center designation.  “We are grateful to the Reno Rodeo Foundation and their Reno Rodeo Wish program which assists young people who have unique and extraordinary life and medical needs,” said Brian Erling, MD, MBA, President and CEO, Renown Health. “This program helps improve the quality of life for both patients and families, through granting their ‘once-in-a-lifetime’ wishes. All of us at Renown are inspired by our patients and families; and thrilled that three families will benefit from this generous donation. We appreciate the community’s trust and partnership in improving the health and well-being of children.” “Our mission is to make a positive difference in the lives of children facing medical challenges,” said Debby Herman, Reno Rodeo Foundation Board President. “By granting these wishes, we provide financial support and memorable experiences that offer comfort and happiness.” “Renown Children’s Hospital is dedicated to improving the health of our pediatric patients, and committed to the welfare, happiness and comfort of every child entrusted to our care,” said Kristina Deeter, MD, MBA, FAAP, Chair of Pediatrics (UNR Med) and Physician-in-Chief, Renown Children’s Hospital. “The Rodeo Wish program demonstrates the importance of inspiring hope for children experiencing extraordinary health conditions that require acute care. These meaningful donations from the Reno Rodeo Foundation highlight our community’s deep-rooted ties with Renown Children’s Hospital.” Since its inception in 2003, the Rodeo Wish program has selected children nominated by local hospitals to receive funding for special wishes that significantly improve their quality of life. This year, every patient receiving a gift was nominated by a care provider at Renown Children’s Hospital. The surprises were revealed at a heartwarming event held in Fianna’s Healing Garden at Renown Regional Medical Center on Monday, June 10. Becky Haase, RN, Renown Health Director of Nursing, Women and Children’s Services, has witnessed the lasting impact of the Rodeo Wish program on the lives of Children’s Hospital patients over the last 21 years. “The Reno Rodeo Foundation grants gifts that help build positive and lasting memories for our young patients and their brave families. It is inspiring to see the hopeful and excited smiles on the children’s faces during the announcements. We are grateful to the Reno Rodeo Foundation for their continued support,” Haase said. “We are deeply honored to bring joy and support to these incredible children and their families,” said Cheree Boteler, Executive Director of the Reno Rodeo Foundation. “Each wish granted this week reflects the community’s spirit of generosity and the unwavering dedication of everyone involved with the Reno Rodeo Foundation.” The Reno Rodeo Wish recipients will be recognized as V.I.P.s during the Reno Rodeo with a special presentation in the arena on Tuesday, June 25. For more information on the Reno Rodeo Foundation’s Rodeo Wish program, visit renorodeofoundation.org/rodeo-wish. About Renown Health  Renown Health is the region’s largest, locally governed, not-for-profit integrated health care network serving Nevada, Lake Tahoe, and northeast California. With a diverse workforce of more than 7,500 employees, Renown has fostered a longstanding culture of excellence, determination, and innovation. The organization comprises a trauma center, two acute care hospitals, a children’s hospital, a rehabilitation hospital, a medical group and urgent care network, and the locally owned not-for-profit insurance company, Hometown Health. About the Reno Rodeo Foundation The Reno Rodeo Foundation was incorporated in 1986 and is a Nevada-based registered 501(c)3 nonprofit. In addition to the annual Denim Drive that helps clothe foster children 365 days a year, the organization provides educational scholarships to eligible northern Nevada high school graduates including supporting foster youth education, funds a Reno Rodeo Wish for a child, provides funding to purchase new books to comfort Denim Drive children for required family court proceedings, builds community partnerships and serves as the anchor for large capital projects to improve the lives of children. Like Reno Rodeo Foundation on Facebook, follow on Instagram and Twitter or for more information, please visit RenoRodeoFoundation.org.

    Read More About Reno Rodeo Foundation Grants Three Rodeo Wishes to Renown Children’s Hospital Patients and Families

    • Friday, Apr 12, 2024

    Renown Health Announces Community Health Needs Assessment (CHNA), Strategy & Implementation Plan

    Renown Health, the leading health care system in northern Nevada, today announced its Community Health Needs Assessment (CHNA) Strategy & Implementation Plan for 2025-2027 for Washoe County. The Plan and Community Benefit Health Focus Areas for 2025-2027 are based on the 2023 Community Health Needs Assessment (CHNA) as required for all not-for-profit hospitals. The Assessment is conducted every three years to gain a better understanding of the health needs of the communities Renown Health serves and to address healthcare inequities. The CHNA includes an analysis of input from community stakeholders who represent the broad interests of the diverse communities served by the Renown hospitals including those with expertise in community and public health. Health needs were identified in the CHNA research and subsequently prioritized by community stakeholders. From the prioritized health needs, Health Focus Areas were chosen based on criteria that consider the Renown Health’s team capacity to impact community needs, the strength of community partnerships and the alignment with Renown’s organizational strategic planning efforts. Through this Implementation Strategy & Plan, Renown Health is committed to identifying and closing health equity gaps in communities that are historically marginalized and vulnerable. The 2025–2027 Health Focus Areas include; Mental Health: Based on the secondary data scoring results, Mental Health was again ranked as a high need topic area in Washoe County. This health topic area includes indicators such as Poor Mental Health: 14+ Days, Teens who have Attempted Suicide, Adults Ever Diagnosed with Depression, Intentional Injury (Suicide) Mortality Rate and Teens who Felt Sad or Hopeless. Access to Health Care and Community Services: Community Benefit efforts focus on increasing and supporting access to essential health care and community services for communities and groups that have been historically underserved through direct programs and partnerships with other local not-for-profit community-based organizations. The Access to Care effort is grounded in the knowledge that social determinants of health and health equity impact health outcomes. Indicators include Children without Health Insurance, Adults Unable to Afford to See a Doctor and Physician Provider Rates. Maternal and Child Health: The Infant Mortality Rate for Washoe County is on the rise and Maternal and Child Health indicators are worsening. Both Primary and Secondary Data collection for the CHNA process showed this health need as a priority for the community. Improvements in health care services, access to prenatal care, and education on maternal and child health can help to decrease the infant mortality rate and improve the health outcomes for mothers and children in Washoe County. Collaboration between healthcare providers, community organizations and government agencies can also lead to more effective interventions and solutions. By working together, a positive impact on the health and well­ being of our community can be sustained. Priority Geography Renown Health is a healthcare provider serving multiple communities in northern Nevada and eastern California, located east of the Sierra Nevada Mountain range. The primary focus of Renown Health is to provide health care services to residents of the Reno -Sparks area, which is situated in Washoe County. Renown Health includes Renown Regional Medical Center, an 826-bed full service regional hospital located at 1155 Mill St., Reno, NV, 89502. The Community Benefit Service Area is Washoe County which has a population of 502,193 residents, making it the second most populous county in Nevada. Community Health Needs are greatest in zip codes: 89412, 89405, 89510, 89424, 89442, 89508, 89506, 89502, 89439, 89434, 89521, 89511, 89451, 89704. Over 90% of the county's population lives in the Reno-Sparks metropolitan area, which has undergone significant growth in the last decade. Although most patients reside in Washoe County, Renown Health serves an area of 100,000 square miles and many rural communities across northern Nevada. The health needs and outcomes in Washoe County are significantly impacted by the demographic composition of the region. To address these needs, the CHNA comprehensively assessed population dynamics, considering aspects such as age, ethnicity, and socioeconomic status, among other factors. By acknowledging the unique health requirements of various groups and communities, targeted interventions are being developed that address specific health disparities. The BARHII Framework and CMS Framework for Health Equity ensure that the initiatives and identified health needs are based on a true understanding of the root causes of health disparities and effectiveness in Renown’s community health initiatives. Renown Health provides a significant benefit to the region, providing 66.5% of the care for the Reno/Sparks market. As the same time, Renown provides 72.7% of the Medicaid and uninsured care provided to the region. Thank you to our Community The Renown Health leadership expresses appreciation to our clinicians, community, non-profit partners and colleagues at University of Nevada, Reno, who have been instrumental in the successful completion of the 2023 Community Health Needs Assessment (CHNA), Implementation Strategy & Plan. We extend special thanks to Northern Nevada Public Health for their valuable insights and data which helped shape the report. The Renown Health Board and leadership have also made a significant contribution and commitment to community health and have reviewed and approved both the CHNA and Implementation Strategy & Plan. Their guidance has been pivotal in fostering a collaborative environment that promotes inclusivity and equity. Together, we remain committed to enhancing the health and wellbeing of Washoe County residents and our state. To access the Renown CHNA Implementation Strategy & Plan for Washoe County, visit renown.org/About/Community-Commitment/Community-Health-Needs-Assessment. Renown Health is the region’s locally governed, not-for-profit integrated health care network serving Nevada, Lake Tahoe, and northeast California. With a diverse workforce of more than 7,200 employees, Renown has fostered a longstanding culture of excellence, determination, and innovation. The organization comprises a trauma center, two acute care hospitals, a children’s hospital, a rehabilitation hospital, a medical group and urgent care network, and the locally owned not-for-profit insurance company, Hometown Health.

    Read More About Renown Health Announces Community Health Needs Assessment (CHNA), Strategy & Implementation Plan

    • Tuesday, Apr 02, 2024

    Kerry Kelly, MPH Selected as Community Health Program Manager for Renown

    Kerry Kelly, MPH has joined Renown Health as Community Health Program Manager. Ms. Kelly comes to Renown from the Food Bank of Northern Nevada where she served as Director of Programs and Community Engagement. She had previously been employed as a Medical Practice Supervisor with Renown Children’s, responsible for managing the day-to-day operations of three ambulatory pediatrics medical practices. With her extensive background in public health and community engagement, Kerry brings a wealth of experience to the role of Community Health Program Manager. Ms. Kelly will play a pivotal role in fostering Community Benefit health initiatives that address northern Nevada’s most pressing health needs, reduce health disparities, promote community wellness, and improve access to care for vulnerable populations. “We are excited to welcome Kerry as our new Community Health Program Manager,” said Suzanne Bharati Hendery, MA, APR, Chief Communications & Customer Officer. “Community is at the center of our mission, and we embrace our commitment to make a genuine difference in creating a healthier Nevada for all. Kerry has a passion for community health and a proven track record in driving initiatives that promote health equity, increase insurance coverage, and enhance health outcomes. The vital role that Renown Health plays as the only local, not-for-profit, charitable healthcare network in Reno will be strengthened by her commitment. We look forward to the innovative strategies and partnerships she will bring to further enhance the health of the community we serve.” Kerry completed her Master’s of Public Health with an emphasis in Community Health Education at San José State University and her BA in Psychology, Community Health Science at the University of Nevada, Reno. Kerry will report directly to Sierra Kelly Martinez, MPH, Director of the Customer Engagement Center. Renown Health has long-standing commitment to the community than spans more than 160 years. This commitment has grown and evolved through significant thought and care in considering our community’s most pressing health needs. One way this is done is through conducting a periodic, comprehensive Community Health Needs Assessment (CHNA). Through the CHNA process, Renown Health identifies the greatest health needs, and ensures resources are appropriately directed toward outreach, prevention, education, and wellness opportunities where the greatest impact can be realized. For more information on the most current Community Health Needs Assessment, visit renown.org/About/Community-Commitment/Community-Health-Needs-Assessment. Renown Health also funds and supports NevadaTomorrow.org, a website that can be accessed free of charge, and provides residents with up-to-date sources of quality-of-life data (such as health and socio-economic information), key reports that describe our community’s current quality of life needs, promising practices to improve people’s overall quality of life, and quality of life improvement efforts in our community. Renown Health is the region’s largest, locally governed, not-for-profit integrated health care network serving Nevada, Lake Tahoe, and northeast California. With a diverse workforce of more than 7,200 employees, Renown has fostered a longstanding culture of excellence, determination, and innovation. The organization comprises a trauma center, two acute care hospitals, a children’s hospital, a rehabilitation hospital, a medical group and urgent care network, and the locally owned not-for-profit insurance company, Hometown Health

    Read More About Kerry Kelly, MPH Selected as Community Health Program Manager for Renown

    • Wednesday, Mar 06, 2024

    Research Shows Genetic Approaches to Breast Cancer Screenings Yield More Accurate Results

    Clinical researchers with the Healthy Nevada Project co-author research paper with findings that emphasize the need for a comprehensive approach to breast cancer risk assessment – including a focus on genetic medicine – to help ensure that individuals at high risk are identified and supported proactively rather than reactively.  Breast cancer is a leading cause of cancer death among women in the United States. According to the American Cancer Society, about 1 in 8 women will develop breast cancer and about 1 in 39 women will die from breast cancer. Breast cancer is associated with increased age, hereditary factors, obesity, and alcohol use. Since 1990, breast cancer death rates have declined progressively due to advancements in treatment and detection. In Nevada there are an estimated 2,310 new breast cancer cases a year, and genetic mutations such as in the genes BRCA1 or BRCA2 remain a top risk factor for this prevalent disease. Recognizing the urgency for progress in breast cancer research, a collaborative effort between physicians, advanced practice providers and scientists from the Healthy Nevada Project® (HNP) and Helix have unveiled groundbreaking research. This study explores how genetic screenings are a necessary supplement to traditional testing methods, together offering more accurate insights into a patient's likelihood of developing breast cancer in the future. HNP is operated by Renown Genomic Medicine and the Institute for Health Innovation and is one of the largest community-based population health studies in the country. Their team works in collaboration with Helix, a leader in precision health that delivers comprehensive genomic solutions. Together, this dynamic partnership aims to understand breast cancer risk factors and pave the way for more effective preventative measures. The combined research team studied 25,591 female HNP participants to evaluate the performance of different genetic screening approaches to identify women at high risk of breast cancer. The results of this research suggest that a combined monogenic, or single-gene, and polygenic, or multi-gene, approach to breast cancer screenings helped produce more accurate results and more closely identify study participants who have a high genetic risk of developing the disease. "Based on this research, we are advocating a shift in approach which would improve breast cancer risk assessment through a combination of effective family history ascertainment and genetic screening,” said Joseph Grzymski, PhD, principal investigator of the Healthy Nevada Project, research professor at the University of Nevada, Reno School of Medicine and co-author of the breast cancer research paper. “This tailored approach, founded on the assessment of individual genetic risk, not only intends to elevate patient well-being but also will improve efficiency and equity in healthcare." Complementing the team’s research on leveraging genetics to identify women at low genetic risk of breast cancer that could safely defer mammogram screenings by five to 10 years that was released in late 2023 in JAMA Oncology, the study suggests that incorporating genetic information can assist in personalizing breast cancer screenings and optimizing the use of screening resources. "Existing disparities persist across various facets of breast cancer screening and treatment; however, genetic screening is clearly a powerful tool to help facilitate early intervention for those at higher risk,” said Jamie Schnell Blitstein, APRN, a primary care nurse practitioner at Renown Health and co-author of the breast cancer research paper. “By placing a heightened focus on risk, we underscore the pivotal role of preventative breast cancer screening.” Despite the availability of effective methods for early screening, co-authors of this research found that 78 percent of women with a family history of breast cancer had their risk ascertained only after a breast cancer diagnosis. The findings emphasize the need for a comprehensive approach to breast cancer risk assessment – including a focus on genetic medicine – to help ensure that individuals at high risk are identified and supported proactively rather than reactively.  “These findings that can profoundly impact how healthcare is delivered were only made possible by all the participants who were willing to consent to research,” said Alex Bolze, PhD from Helix and co-author of the publication. “Broad-scale collaboration projects like these between Renown Health and UNR that engage large populations where participants share both their genetic information as well as electronic health records drive advancements in preventative medicine, as well as fundamental biological research.”   The research paper was officially accepted on Jan. 29, 2024, and will be published by Elsevier, Inc. on behalf of the American College of Medical Genetics and Genomics. The contents of the paper will appear in the international journal Genetics in Medicine Open. Read the full article by visiting sciencedirect.com. The Healthy Nevada Project is currently recruiting new study participants. Free to all Nevadans with a saliva sample or blood draw, participants and their referring providers receive access to whole-exome sequencing and clinical grade results that help provide insight into their unique genetic risks tied to heart disease and certain cancers. If you are interested in enrolling in the study, schedule a Virtual Consent Appointment through MyChart or contact the Renown Institute for Health Innovation at RenownIHI@renown.org or (775) 982-6914 to be connected to a Genomic Representative. About Renown Health Renown Health is the region’s largest, not-for-profit integrated healthcare network serving Nevada, Lake Tahoe and northeast California. With a diverse workforce of more than 7,000 employees, Renown has fostered a longstanding culture of excellence, determination and innovation. The organization comprises a trauma center, two acute care hospitals, a children’s hospital, a rehabilitation hospital, a medical group and urgent care network, and the region’s largest, locally owned not-for-profit insurance company, Hometown Health. Renown is currently enrolling participants in the largest community-based genetic population health study, the Healthy Nevada Project®. To join the Renown Health team, visit renown.org/careers. About Helix Helix is the leading population genomics and viral surveillance company operating at the intersection of clinical care, research, and data analytics. Helix enables health systems, life sciences companies, payers, and government partners to accelerate the integration of genomic data into patient care and public health decision-making. Learn more at helix.com.

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    • Thursday, Jan 18, 2024

    Reno Home to "Great Psychiatry and Mental Health Program;" Renown and UNR School of Medicine Named to Becker's National List

    Becker’s list of Hospitals and Health Systems with Great Psychiatry and Mental Health Programs for 2023 has been published, recognizing professional healthcare leaders across the country.    Renown Health and the University of Nevada, Reno School of Medicine have been recognized among the top programs in the United States. This acknowledgement reflects a commitment from a dedicated team of experienced local professionals providing comprehensive mental health services and advancing the field of psychiatry.    In their announcement, Becker’s highlighted that, “In 2018, a $6 million donation (by the Stacie Mathewson Foundation), funded the creation of the Stacie Mathewson Behavioral Health & Addiction Institute at Renown Health. The institute was formed to address increased prescription drug-related mortality rates and suicide rates in northern Nevada. The department is now fully integrated with University of Nevada School of Medicine's psychiatry residency, child and adolescent psychiatry fellowship programs, and behavioral sciences and clinical psychiatry medical student training. The curriculum emphasizes the value of psychotherapy, psychopharmacology, and interventional psychiatry methods, along with primary care team integration.”   Becker’s editors noted that, “Innovative public and private partnerships with the state include the SOAR early intervention treatment program for those experiencing their first episode of psychosis. A 24-hour crisis stabilization center will open in 2024 for adults with mental health or substance use issues. The Connect Washoe County mental health collaborative, part of the hospital’s community benefit program, hosts the Youth Mental Health Summit, with a number of interventions resulting in reduced use of street and prescription drugs, lower hospitalization rates due to opioid overdose, and fewer cases of intentional suicide mortality in youth.”    “We are honored to be recognized as one of the top psychiatry and mental health programs in the U.S. This achievement reflects the dedication of our integrated team and our unwavering commitment to enhancing the lives of individuals and families affected by mental health challenges. We will continue to strive for excellence and address the diverse needs of individuals struggling with behavioral health issues, said Takesha Cooper, MD, Department Chair of Psychiatry and Behavioral Sciences. “Our team comprises skilled psychiatrists, psychologists, therapists and support staff who collaborate to provide holistic and integrated care for our patients. As the region’s only not-for-profit health system, together with the support of grateful donors like Stacie Mathewson, we will continue to actively engage in outreach initiatives to raise awareness about mental health, reduce stigma and create a community that fosters healing and support.”  Renown Health also earned Forbes' Best Healthcare Employer in Nevada for combatting burnout and ensuring well-being and safety of caregivers. About Renown Health Renown Health is the region’s largest, locally governed, not-for-profit integrated healthcare network serving Nevada, Lake Tahoe and northeast California. With a diverse workforce of more than 7,000 employees, Renown has fostered a longstanding culture of excellence, determination and innovation. The organization comprises a trauma center, two acute care hospitals, a children’s hospital, a rehabilitation hospital, a medical group and urgent care network, and the locally owned not-for-profit insurance company, Hometown Health. For more information, visit renown.org. About the University of Nevada, Reno School of Medicine The University of Nevada, Reno School of Medicine (UNR Med), Nevada’s first public medical school, is a community-based, research-intensive medical school with a statewide vision for a healthy Nevada. Since 1969, UNR Med has trained more than 3,900 students, residents and fellows. UNR Med continues to improve the health and well-being of all Nevadans and their communities through excellence in student education, postgraduate training and clinical care, research with local, national and global impact and a culture of diversity and inclusion. For more information, visit med.unr.edu.

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    • Tuesday, Dec 19, 2023

    Give the Gift of Health This Season with ELF Testing

    Renown Health and the University of Nevada, Reno School of Medicine give the gift of early diagnosis and disease prevention this holiday season.   With the season of giving upon us, give yourself the gift of health. The Renown Institute for Health Innovation (IHI) and the University of Nevada, Reno School of Medicine (UNR Med) are excited to offer a free Enhanced Liver Fibrosis (ELFTM) test to patients at risk for a common type of liver disease, e.g. metabolic and nonalcoholic steatohepatitis (M/NASH), and who enroll or are currently enrolled in the Healthy Nevada Project. The ELF Test is an FDA (Food and Drug Administration) approved non-invasive test to help identify people most at risk for liver scarring, e.g. cirrhosis, and allows doctors to intervene before irreversible damage occurs. If undetected and untreated, M/NASH can result in liver cirrhosis which could require liver transplantation or lead to death. This test is important as the symptoms of M/NASH can be silent or non-specific, making it difficult to diagnose.  “There are currently more than 11,000 people across the U.S. on the national liver transplant waiting list, and with the heightened prevalence of NAFLD and M/NASH, this number is projected to keep rising; however, with research such as the ELF Test at our disposal, we are continuing to find ways to improve the health of those at risk for advanced liver disease,” said Bill Plauth, MD, Chief Medical Officer for Renown Health and Associate Dean of Clinical Affairs at UNR Med. “We encourage our community to participate in this early risk detection. Through this sophisticated, noninvasive, blood test, our physicians and Advanced Practice Providers can better evaluate liver fibrosis to help those affected and enable researchers to improve the prevention and treatment of nonalcoholic liver disease as a whole.”  This liver health-focused sub-study of the Healthy Nevada Project seeks to enhance the understanding of both NAFLD and M/NASH and to help inform the development of treatment options for these conditions, as few currently exist. “Providing access to cutting-edge innovations such as the ELF Test is critical for both participants and the physicians and advanced practice providers that care for them.” said Joseph Grzymski, PhD, principal investigator of the Healthy Nevada Project and the Liver Disease Study and research professor at UNR Med. Those interested in determining their risk for M/NASH and its progression are encouraged to enroll in the Metabolic & Nonalcoholic Steatohepatitis study. Those who have consented and participated in the M/NASH research will be eligible and contacted with more information on how to receive the ELF Test. The Renown IHI is also happy to connect with physicians and Advanced Practice Providers interested in having their patients enroll in the Healthy Nevada Project and join the study. For members of the community who would like more information and learn how to enroll, please contact the Renown IHI at RenownIHI@renown.org or (775) 982-6914 to be connected to a Genomic Representative. About the ELF™ Test  The ELF Test is a noninvasive blood test that can quickly identify which patients are at an elevated risk for developing cirrhosis and other liver-related clinical events (LREs). In contrast to standard liver enzyme tests that reflect liver damage that has already occurred, the ELF Test combines three serum direct biomarkers of active fibrosis. The ELF Test algorithm measures each of these biomarkers to create an ELF score, which can be used as an aid to assess the risk for future disease progression. Doctors may use this ELF score to help evaluate if a patient requires increased medical care and monitoring for their condition. Individuals interested in determining their risk for NASH and its progression are encouraged to enroll in the Nonalcoholic Steatohepatitis Liver Disease Genome Atlas study. Those who have already consented and participated in the study will be contacted with more information on how to receive an ELF blood test. For more information or to enroll, please contact RenownIHI@renown.org or (775) 982-6914. In the U.S., the ELF Testing Service is available from Brio Clinical, Inc., a CLIA-certified laboratory offering specialized testing throughout the United States. Brio Clinical is regulated under CLIA as qualified to perform high complexity testing.

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    • Thursday, Sep 21, 2023

    Dedicated Community Leader, Stephanie Kruse Honored by NV Hospital Association for Excellence and Improving Health of Nevada

    Stephanie Kruse of Reno has been awarded the prestigious 2023 Trustee of the Year Award from the Nevada Hospital Association (NHA). Each year at the association’s annual meeting, the Nevada Hospital Association publicly acknowledges one trustee who exemplifies exceptional leadership professional excellence; outstanding achievements; innovative accomplishments and extraordinary compassion in caring for the community. “Stephanie’s effectiveness in advocating on behalf of hospitals, patients, and the health care system- as well as her personal connection and passion for improving the community’s overall health are what made her an excellent choice for this year’s award,” said Pat Kelly, NHA’s President & CEO. “Steph Kruse sets an inspiring example of someone who has dedicated her life to promoting public understanding of, and support for, the healthcare systems serving Nevada’s communities. She serves as an advocate for the provision of high quality, affordable and accessible healthcare services, resulting in healthier Nevada communities for all.” Kruse was nominated by Brian Erling, MD, MBA, President & CEO of Renown Health, who wrote, “The daughter of a nurse and a former nurse herself, Stephanie understands the importance of attracting and retaining nurses within our healthcare systems. This year, in addition to her four years of service on the Renown Health Foundation Board and serving as chair, Stephanie has made a significant and lasting contribution to our community by helping to train and grow the next generation of nurses and pediatricians; and expanding critical care facilities for babies, children and families in northern Nevada.” “I’m honored by Renown’s nomination and to be part of the mission of such an excellent organization,” said Kruse. “Supporting access to quality healthcare in our region is a top priority of mine and I hope that I can continue to convince others to do so as well.” Three of the major projects that Kruse has directed and completed on behalf of the Renown Health Foundation include: The Orvis School of Nursing and Renown Health partnership to provide nursing students with full ride scholarships to assist in building a sustainable nursing workforce in Northern Nevada. The Gerald “Jerry” Smith Academic-Practice Partnership established with the Renown Foundation now provides funding for up to 24 Orvis School of Nursing students each year. Scholarship recipients receive funding for educational expenses including tuition, fees, and books for the nursing program. Students can complete a paid apprenticeship at Renown Health and have a guaranteed job at the hospital following graduation and license obtainment. The University of Nevada, Reno School of Medicine (UNR Med) and Renown Health new three-year Pediatrics Residency Program. The inaugural cohort of pediatric residents started this summer. The new residency will help shape future pediatric practices – and fill a state and nation-wide physician specialist shortage. Over a three-year period, four newly trained physicians will be selected each year for a total complement of twelve residents. Formerly, UNR Med students interested in becoming pediatricians had to leave the area to complete their residency training elsewhere. The William N. Pennington Foundation, through the Renown Health Foundation, which Kruse leads as Board Chair, paved the way for this program, creating a pipeline of much-needed pediatricians for our state, especially in under-served and rural areas – to serve vulnerable children and families of Nevada with high-quality, affordable care. New Neonatal and Pediatric Intensive Care Units at Renown Regional Medical Center. To alleviate current capacity constraints and allow for expansion and new services, several aging facilities are being replaced and new patient care areas have been constructed at all Renown hospital campuses. Renown Regional Medical Center has expanded its pediatric critical care services. Women from throughout Nevada and California deliver their babies at Renown Regional Medical Center for the added specialty care and safety of a NICU. Renown also has a Neonatal Transport Team which brings infants with serious illnesses, injuries, or complications from outlying communities to the comfort of Renown's NICU. These spaces provide a nurturing, healing environment for babies and their families. These expansions were made possible through the collaborative efforts of Renown Health, the Renown Health Board, construction partners and the unwavering support of the community. A lifelong support of health and care and community Kruse graduated from nursing school and became a part-time Registered Nurse in a Sioux Falls, South Dakota nursing home while attending Augustana College to obtain a degree in journalism. As part of her journalism program, she completed an internship in the public relations department of a Sioux Falls hospital, and that led to her accepting a position as director of public relations at a sister hospital in Aberdeen, SD. In 1981, she moved to Reno to be the director of marketing for Saint Mary’s Hospital. Ten years later, Kruse graduated with her master’s in business administration from the University of Nevada, Reno. With not much in her pocket, she bought a Mac computer that helped launch her journey as a business owner. She called herself- appropriately- Stephanie Kruse and Associates (or SKA) and offered clients a strategic, thoughtful approach to their marketing communications. Since then, Kruse has grown SKA to KPS3, which is now a multi-million-dollar firm with over 50 staff members. KPS3 was named one of Inc's Fastest Growing Companies in the US and has also consistently been voted as a ‘Best Places to Work’ in northern Nevada. Kruse has several clients who have been with her and the company for all or most of the 30-year history. “Whether it’s for the community, a friend, family, a coworker, or someone in need, giving back has always been a part of Steph’s fabric,” says Greg Walaitis, Chief Development Officer of the Renown Health Foundation. “Stephanie brings strategic vision and is wholly dedicated to our community. Stephanie is a community asset, a compassionate leader and an exemplary Board member that is well deserving of this award. She holds a spot in her heart for organizations that address improved access to better health and human services, and we are fortunate to have her in Nevada.” In addition to her service at Renown Health Foundation Board, Kruse is active in many community organizations including the boards of High Sierra Industries/WARC, Access to Healthcare Network, the University of Nevada, Reno’s Foundation Board, and the Desert Research Institute. About Renown Health Renown Health is a locally governed, not-for-profit integrated healthcare network serving northern Nevada, Lake Tahoe and northeast California. In U.S. News and World Report Best Hospital rankings, Renown Regional Medical Center was listed #1 in the State of Nevada. Renown has a long tradition and commitment to improve the care and the health of our community.   About the NHA The Nevada Hospital Association is a not-for-profit, statewide trade association representing Nevada’s acute care hospitals along with psychiatric, rehabilitation and other specialty hospitals as well as health related agencies and organizations throughout the state. Allied with the American Hospital Association, the NHA is an independent organization headquartered in Reno, Nev.

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    • Friday, Sep 01, 2023

    Hometown Health Partners With Carson City Chamber of Commerce to Offer Affordable Healthcare to Business Members

    Hometown Health, the insurance arm of Renown Health and the premier locally-owned, not-for-profit insurance company in northern Nevada, has joined forces with the Carson City Chamber of Commerce to introduce reduced-cost health insurance options to member enterprises, effective Oct. 1, 2023. "We are thrilled to continue our collaboration with business-focused associations like the Carson City Chamber of Commerce, to provide their members with financially feasible healthcare alternatives. These best-in-class association health plans empower small business employers to access premium pricing typically reserved for larger employers. The resulting savings can be substantial," said CJ Bawden, Vice President of Growth and Retention at Hometown Health. The new association health plans through Hometown Health are available to all Nevada-based businesses with 50 or fewer employees and that have an active Carson City Chamber of Commerce membership. The new association health plans include: Competitive rates and access to northern Nevada's largest provider network Wide range of plans with unique benefit options Online member benefits through MyChart Online enrollment and premium billing Local customer service Members save up to 20% HMO, EPO and PPO products available ACA compliant No medical questionnaires required No cost wellness benefits Provides access to Renown and Carson Tahoe providers “By collaborating with Hometown Health, we are excited to offer our Carson City Chamber of Commerce members yet another premium benefit that will allow access to top-tier, affordable healthcare solutions,” said Stacy Woodbury, Chair of the Carson Chamber Board of Directors. “This alliance underscores our commitment to fostering the growth and prosperity of our business community while ensuring their health and well-being through northern Nevada's premier health insurance provider especially at a time when employee retention and attracting new employees is paramount.” Carson City Chamber members who are interested in Hometown Health should contact their health insurance broker to obtain more detailed information. They can also visit HometownHealth.com or CarsonCityChamber.com for more information.  About Hometown Health Established in 1988, Hometown Health is the insurance division of Renown Health and is Northern Nevada’s largest locally owned, not-for-profit health insurance company. Providing wide-ranging medical coverage and great service to members, Hometown Health represents a philosophy of health care that emphasizes active partnerships between members and physicians. For more information, call 775-982-3000 or visit HometownHealth.com About Carson City Chamber of Commerce The Carson City Chamber of Commerce has served the business community since 1945 and continually strives to build a healthy economy and high quality of life in Carson City and the surrounding area. The Carson Chamber offers its membership networking opportunities, advocacy with state and local government officials, seminars and training, a membership with the U.S. Chamber of Commerce and much more.

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