RENOWN NEWSROOM

Stage 2 Air Quality Index and alarming research studies from DRI, Renown Health and the Washoe County Health District leads to public health advisory- seek care if needed For people who suffer from asthma, wildfire smoke is more hazardous than other types of air pollution, according to a study from the Desert Research Institute (DRI), the Renown Institute for Health Innovation (Renown IHI) and the Washoe County Health District (WCHD). The study published in the journal Environmental Health examined associations between airborne particulate matter (PM) from sources such as wildfire, transportation and industry, and medical visits for asthma at Renown Health’s emergency departments and urgent care centers in Reno, Nev. during the six-year period from 2013-2018. In places like Reno, where wildfire events occur regularly during parts of the year and are expected to become more frequent in the future, an accurate understanding of the impacts of wildfire smoke on population health is critical. We have an exceptional process in place through our urgent care sites, Renown Medical Group offices and hospital emergency departments to screen, diagnose and treat members of our community who come to us for care related to asthma, chronic obstructive pulmonary disease (COPD), chronic bronchitis, emphysema, and other upper respiratory diseases that may be exacerbated by wildfire smoke. At the same time, we continue to develop and refine, in real-time, the data that supports our predictive analytic models. We are using every tool and resource-including scientific data and clinical reporting, to ensure that we are meeting both the health and healthcare needs of the people we serve. In the study, researchers found that air quality in the Reno area was affected by wildfire smoke on a total of 188 days during the study period. A total of 18,836 asthma-related emergency room and urgent care visits occurred over the same five-year period of time, indicating that the influences of wildfire smoke and other types of air pollution on this medical condition are important to understand. The Washoe County Health District – Air Quality Management Division (AQMD) has issued a Stage 2 Air Pollution Warning due to smoke from area wildfires. Air quality in the Reno-Sparks area is now “Very Unhealthy” with an Air Quality Index of 247. The Stage 2 warning means that all residents should stay indoors and reduce activity levels due to the susceptibility of increased health risks. To see current air quality in Reno-Sparks, click here. Brion Hill, MD who practices at the Renown Urgent Care - Los Altos location warns, “This is an important health advisory, exposure to elevated PM2.5 (fine particulate matter in smoke) concentrations can result in eye and throat irritation, headaches, nausea, shortness of breath, congestion, coughing, impaired lung function and chest pain. Everyone should take precautions when the air quality is unhealthy. Air pollution can aggravate heart and cardiovascular disease as well as lung diseases like asthma and COPD. When the air quality is unhealthy, people with these conditions may experience symptoms like chest pain, shortness of breath, wheezing, coughing, or fatigue. If you are experiencing any of these symptoms, use your inhalers as directed and contact your health care provider,” says Dr. Hill. “If you do not have a health care provider, we have 11 conveniently located Renown Urgent Care offices with providers ready to see you 7 days a week." Dr. Joseph Grzymski, a research professor at Desert Research Institute, a corresponding author on the study and Chief Scientific Officer, Renown Health, says, “This air is very bad for your health. Given today’s Air Quality Index in Reno, being outside and breathing this air for a day equals about smoking half a package of cigarettes.” Additional Information: The full text of the article “Particulate matter and emergency visits for asthma: a time-series study of their association in the presence and absence of wildfire smoke in Reno, Nevada, 2013–2018,” is available from Environmental Health: https://ehjournal.biomedcentral.com/articles/10.1186/s12940-020-00646-2 To learn more about the Renown Institute for Health Innovation, please visit: https://www.dri.edu/renown-ihi/ Renown Urgent Care provides treatment for a wide range of minor injuries, illnesses and medical concerns that are urgent but not life-threatening, that require same-day medical attention and avoid the long wait times and high prices of the emergency room at 13 convenient sites, including Reno, Sparks, Carson City, USA Parkway, Fallon and Fernley. You can walk-in or book ahead online. The Washoe County Health District offers online health information on its Be Smoke Smart website, including fire information, daily air quality information, fire and smoke maps and how to protect yourself.     About the Desert Research Institute The Desert Research Institute (DRI) is a recognized world leader in basic and applied interdisciplinary research. Committed to scientific excellence and integrity, DRI faculty, students, and staff have developed scientific knowledge and innovative technologies in research projects around the globe. Since 1959, DRI’s research has advanced scientific knowledge, supported Nevada’s diversifying economy, provided science-based educational opportunities, and informed policymakers, business leaders, and community members. With campuses in Reno and Las Vegas, DRI serves as the non-profit research arm of the Nevada System of Higher Education. For more information, visit www.dri.edu. About Renown Health Renown Health is a locally governed, not-for-profit integrated healthcare network serving northern Nevada, Lake Tahoe and northeast California. Renown is one of the region’s largest private employers with a workforce of more than 7,000. It comprises three acute care hospitals, a rehabilitation hospital, the area’s most comprehensive medical group and urgent care network, and the region’s largest and only locally owned not-for-profit insurance company, Hometown Health. Renown has a long tradition and commitment to improve the care and the health of our community. For more information, visit renown.org.

Read More About Wildfire Smoke More Dangerous Than Other Air Pollution for People With Asthma

Renown Urgent Care team prepares you to stay safe this season and is available seven days a week at 11 locations across northern Nevada Millions of people across the West live in areas where air pollution can cause serious health problems. Local air quality can affect our daily lives. Like the weather, it can change from day to day. The Northern Sierra Air Quality Management District issued an Air Quality Health Advisory for Plumas County, to notify the public of the possibility of poor air quality conditions resulting from the Beckwourth Complex Fire in addition to other wildfires in northern California. In addition, there is the potential for wind shifts to carry smoke to other parts of Plumas County from the Beckwourth and several other regional wildfires.  Air quality is expected to vary greatly depending on fire behavior and weather conditions, with smoke settling in low areas at night and in the early mornings as long as these fires are active. The advisory mentions, “Exposure to elevated PM2.5 (fine particulate matter in smoke) concentrations can result in eye and throat irritation, headaches, nausea, shortness of breath, congestion, coughing, impaired lung function and chest pain, especially among sensitive individuals such as the elderly, children, people with asthma, people with heart or lung conditions, pregnant women and anyone who is exercising or working hard outdoors.” Kouros Farro, MD, a physician with Renown Urgent Care advises that there are people who are more likely to be affected when fine particle pollution reaches an unhealthy level. People who have asthma or other breathing conditions like chronic obstructive pulmonary disease (COPD). People who have heart disease or high blood pressure. Children and older adults. People of all ages who are doing extended or heavy, physical activity like playing sports or working outdoors. “Everyone should take precautions when the air quality is unhealthy. Air pollution can aggravate heart and cardiovascular disease as well as lung diseases like asthma and COPD. When the air quality is unhealthy, people with these conditions may experience symptoms like chest pain, shortness of breath, wheezing, coughing, or fatigue. If you are experiencing any of these symptoms, use your inhalers as directed and contact your health care provider,” says Dr. Farro, who is board certified in family medicine and practices at Renown Urgent Care at 975 Ryland St in Reno. “If you do not have a health care provider, know we have a Renown Urgent Care office on almost every corner, with providers ready to see you.” Dr. Farro advises the following: Take it easy and listen to your body. Limit, change, or postpone your physical activity level. If possible, stay away from local sources of air pollution like busy roads and wood fires. If you have asthma or other breathing conditions like COPD make sure you have your relief/rescue inhaler with you. People with asthma should review and follow guidance in their written asthma action plan. Make an appointment to see your health provider to be sure you have an asthma action plan. “Even just one hour of smoke exposure can affect our lungs and hearts, and these consequences can reach people far beyond the direct area endangered by the fire. Children, older adults, pregnant women, people with preexisting cardiopulmonary disease, communities of color, economically disadvantaged communities, and people with preexisting chronic health conditions like asthma, diabetes, and obesity are all especially vulnerable to the air pollution that wildfires cause," says Dr. David Lemak, Division Chief of Urgent Care at Renown. Renown Urgent Care provides treatment for a wide range of minor injuries, illnesses and medical concerns that are urgent but not life-threatening, that require same-day medical attention and avoid the long wait times and high prices of the emergency room at 11 convenient sites, including Reno, Sparks, Carson City, USA Parkway, Fallon and Fernley. You can walk-in or book ahead online. You can get the latest fire and smoke information at the Washoe County Health District’s Be Smoke Smart webpage.  It includes information about air pollution levels and how to protect yourself from the smoke. An on-line subscription page allows you to sign up for EnviroFlash, notifying you about air quality.     About Renown Health Renown Health is a locally governed, not-for-profit integrated healthcare network serving northern Nevada, Lake Tahoe and northeast California. Renown is one of the region’s largest private employers with a workforce of more than 7,000. It comprises three acute care hospitals, a rehabilitation hospital, the area’s most comprehensive medical group and urgent care network, and the region’s largest and only locally owned not-for-profit insurance company, Hometown Health. Renown has a long tradition and commitment to continually improve the care and the health of our community. For more information, visit renown.org.

Read More About Where There is Smoke; There May Be More Headaches, Nausea and Coughing

Both organizations have a long history of community support, a reputation for exceptionally-trained physician and provider teams, innovative approaches that have improved access and convenience, superior levels of clinical quality and service, and a commitment to making health care more affordable.    “What an important day for orthopedic care in our community! This partnership brings together two organizations that have the vision to elevate care, expertise and innovation in orthopedics and sports medicine,” said Renny Uppal, MD, ROC President and Chairman. ”We are excited to help usher in the next generation of orthopedic care for our community.”    “We have worked closely with the Reno Orthopedic Clinic and its team of caregivers for a long time, and we recognize the excellent quality of care and compassion they provide to their patients,” said Tony Slonim, MD, D.Ph., Renown’s President & CEO. “Given our mutual interests in advancing high-quality and high-value care, this partnership expands capabilities, enhances access and affordability, improves the health of our community and establishes a new premier destination for orthopedics and sports medicine, right here in northern Nevada.”   This partnership for orthopedic health care is the result of the unique collaborative relationship between Renown Health, Reno’s only not-for-profit health care system; and Reno Orthopedic Clinic, an independently-owned and operated, private multi-specialty orthopedic practice. This partnership brings together three key elements to serve the community with enhanced orthopedic care that includes:   A seamless patient journey. With the patient at the center, ROC and Renown will co-design the ideal orthopedic patient care experience, provide consistent clinical care pathways and a seamless experience.   Increased value for the patient. Working collaboratively, ROC and Renown healthcare providers will work on behalf of the patient to deliver orthopedic care. Both organizations are leading the way in providing exceptional care teams to increase value, efficiency, improve outcomes and better manage the total cost of care for patients.  A new level of convenience. Over the next year, ROC or Renown patients will be able to schedule appointments online, view radiology and lab results online, send a message to their provider or view documentation of procedures, surgeries and medications, 24 hours a day on Renown’s Epic MyChart electronic medical record, which is available via smart phone app or computer. This new technology will enhance communication between patients and their medical teams, reduce delays and increase efficiency.  “Both ROC and Renown have a focus on offering well-coordinated, innovative and efficient care, and an improved patient experience. There is great potential to improve quality, accessibility and affordability of orthopedic care for our community. We look forward to improving care together,” said Eric Boyden, MD, a physician with the ROC Center for Joint Replacement.   “Delivering high-quality, cost-effective services in the communities where our patients live is a fundamental part of Renown Health’s strategy. Traditionally, orthopedic surgeries were performed in hospitals, but advancements in technology, anesthesia and pain control now allow physicians to perform certain procedures in an outpatient site, or an ambulatory surgical center which can be a more convenient and cost-effective option, said Erik Olson, CEO of Renown Regional Medical Center. “Our community is growing and we are seeing more complex care needs. Renown is excited to invest and expand the range of outpatient surgical services we have available.”  "Through this partnership, patients from throughout the region will visit us for the most advanced technologies in orthopedic care, and experience the remarkable customer service we provide,” says Lisa Mead, ROC CEO. “We are excited that this partnership will allow our orthopedic surgeons to perform surgeries in a range of settings, and to do what is best for the patient, be that in a hospital or an outpatient site.”   Reno Orthopedic Clinic, in response to the tremendous growth in the region, has been working over the last five years to create the $54 million dollar ROC Institute for Musculoskeletal Health, a new facility being built in downtown Reno. The combined strength of the new partnership will further develop the capabilities for this Institute which features a surgery center, advanced imaging center, clinical offices, physical therapy, a post-operative recovery center and the Chiron Center – a bio skills lab and education center, offering specialized training for future healthcare providers. The facility is on schedule to open at 555 North Arlington Avenue in winter 2020.   A member of the northern Nevada community for over 60 years, providing high-quality orthopedic care across eight offices, Reno Orthopedic Clinic brings to the relationship 31 physicians, 20 advanced practitioners, and 15 physical and occupational therapists specializing in orthopedic surgery, physical medicine and rehabilitation, sports medicine and coverage in nearly every orthopedic subspecialty.   Renown Regional Medical Center is home to one of the nation’s busiest Trauma Centers, accredited by the American College of Surgeons, caring for thousands of people, the vast majority requiring some level of orthopedic care. With more than 150 years of excellence in orthopedics, the Joint Commission has given their Gold Seal of Approval® accreditation to Renown for Total Knee Replacement, Total Hip Replacement and Total Shoulder Replacement. US News & World Report ranks Renown South Meadows Medical Center as “High Performing” for Knee Replacement and Hip Replacement.  "With all of the pieces in place – top quality orthopedic specialty providers and one of the busiest trauma programs in the nation – we expect the ROC Institute for Musculoskeletal Health Center for Orthopedic Medicine will be a gift to those who live, work and play here in Nevada," said Ms. Mead.       www.renoortho.com/ www.renown.org

Read More About Reno Orthopedic Clinic and Renown Partner to Enhance Orthopedic Care for Northern Nevada

Expanded test processing capabilities is resulting in faster test results, lessening the load on the state lab, and helping keep patients, care providers and the community safe. Renown Health announced today that its in-house laboratory is now able to process up to 500 COVID-19 tests for hospital patients and care providers each day. The organization has invested in expanded test processing capabilities to better serve the community amid the coronavirus pandemic, and to increase testing available across the state. Next month, Renown anticipates continuing to further expand testing capacity and doubling its capacity to be able to provide 1,000 tests per day in preparation for the continued response to the pandemic. “The COVID-19 pandemic is not going away- it is still with us. I am concerned by the number of new cases and hospitalizations we are seeing across northern Nevada. We must do more testing. We need broader capabilities around making sure we have broad-scale surge testing available, so we can help people identify if they have COVID-19 or not,” said Tony Slonim, MD, DrPH, Renown’s President & CEO. “If I could test 60,000 people in northern Nevada for COVID-19, like we did for the Healthy Nevada Project, we could better understand with data and facts the proportion of people who actually have COVID-19 versus those that just have the sniffles and a cold.” Launched in 2016, the Healthy Nevada Project https://healthynv.org/ is a community-based population study where free genetic testing is provided to thousands of Nevadans to learn about the health of the community and each person’s genetic risks. As of Tuesday, 2,286 people in northern Nevada have been tested, and positive cases were nearing 700. Seventy four people in northern Nevada have died; 1,526 have recovered. https://www.washoecounty.us/ Dr. Slonim says it would help him and others make important decisions and plans for coronavirus with evidence. He wants to be able to test many more individuals across northern Nevada. “Testing is pivotal upstream, so you can prevent consequences downstream,” said Dawn D. Ahner, DSc, FACHE, Chief Operating Officer – Renown Acute Services. “By processing our own tests, we’ve reduced the turnaround to receive results to just 12-24 hours, which will have a profoundly positive impact on our community, and lightens the load on the State lab. “Testing is an incredibly important tool in our fight against coronavirus,” said Tim Stephens, vice president of ancillary services. “There's no 100% perfect test, however, the PCR tests are so incredibly sensitive, that when done perfectly, have a very low false-positive rate. Certified labs like Renown’s use a number of procedures to reduce the risk of false test results.” “The expansion of our lab’s new testing capabilities during this time is a testament to the innovative and important work being done here at Renown,” said Erik Olson, CEO of Renown Regional Medical Center. “Throughout the pandemic, our ancillary team, which includes services like laboratory, radiology and pharmacy, has been quick to adapt to the needs of our patients and our community. I am pleased that we are able to generate critical test results for patients and providers as we continue the fight against COVID-19 and go the extra mile for safety.”   Going the extra mile for safety As an added safety measure, acute hospital patients; patients preparing for surgery, and care providers who may have come into contact with those positive for COVID-19, are among those that receive mandatory PCR testing from Renown at this time. For patients receiving hospital care, these tests help determine if patients should be placed in a designated area of the hospital to mitigate the risk of transmission to those not infected. Furthermore, all surgery patients are tested ahead of their surgery and self-quarantine prior to their surgical procedure at Renown Regional Medical Center and Renown South Meadows Medical Center. How do PCR tests work? PCR tests use a sample of mucus typically taken from a person's nose or throat. The test looks for the genetic material of the coronavirus, using a technology called PCR to detect if the viral genetic material is present. Those actively infected with the virus will show the existence of that material. Individuals who think they should be tested for COVID-19 are encouraged to call their medical provider or contact the Washoe County Health District at 775-328-2427 for a risk assessment. For up-to-date information on Renown’s approach to keeping our community safe, visit our website at renown.org/covid-19/.   Please see b-roll for this story here.     About Renown Health Renown Health is a locally governed and locally owned, not-for-profit integrated healthcare network serving northern Nevada, Lake Tahoe and northeast California. Renown is one of the region’s largest private employers with a workforce of more than 7,000. It comprises three acute care hospitals, Renown Children’s Hospital, Renown Rehabilitation Hospital, the area’s most comprehensive medical group and urgent care network, and the region’s largest and only locally owned not-for-profit insurance company, Hometown Health. Renown has a long tradition and commitment to continually improve the care and the health of our community. For more information, visit renown.org.

Read More About Renown Health In-House Lab Now Processing COVID-19 Tests for Patients and Care Providers