RENOWN NEWSROOM

Northern Nevada Sierra Medical Center (Reno, NV) closed their inpatient pediatric unit for infants and children on June 1. This follows the 2022 decision by St Mary’s Medical Center (also in Reno) to close their 24-bed Neonatal Intensive Care Unit (NICU) and 18-bed pediatric floor in addition to eliminating maternity and birthing services. Why Are Hospitals Closing Pediatric Units? “Across the nation, pediatric units are being shuttered in favor of more lucrative units for adult care,” writes Brenna Miller, a Health Communications Specialist at the Lown Institute in her blog, Pediatrics and Profits: Why children’s hospital units are closing (Dec. 2022). “Why is pediatrics a drain on hospital finances? One reason is reimbursement. Medicaid, the state-run health insurance program for low-income patients, covers more than one third of children in the US, and Medicaid reimbursement rates are typically lower than those from other insurers.” The New York Times also reported a nationwide wave of hospitals shutting down their pediatric units in favor of more profitable adult units. “Adult beds are more lucrative than children’s beds. So as institutions look to boost profit margins, pediatrics is often among the first services to be cut,” said Emily Baumgaertner, Oct. 11, 2022. “The decline of local access to children’s inpatient care began over a decade ago and accelerated during the pandemic. Between 2008 and 2018 — the most recent national data available — pediatric inpatient units in the United States decreased almost 20 percent, and nearly a quarter of children found themselves farther from their nearest pediatric unit.” Northern Nevada Health System and St. Mary’s Medical Center are owned by for-profit investor companies, Universal Health Services, Inc., and Prime Healthcare. Renown Children’s is Here for You and Your Child “Renown is focused on meeting the community’s need for essential services, offering peace of mind knowing that any time, day or night, kids can get sick, and when they do, we are here to care for them, says Brian Erling, MD, MBA, president & CEO, Renown Health. “Renown is owned by our community, not by stockholders or private investors. We are a charitable, not-for-profit organization supported by grateful patients and donors. We are proud that 100% of our earnings are reinvested in programs, people, and equipment to improve the health of our community. We are investing in high quality health care for children; recruiting and training the next generation of physicians, nurses, and clinicians; and enhancing the quality of life for generations to come.” “At Renown Children’s, we offer a full range of pediatric services- both inpatient and outpatient,” says Kristina Deeter, MD, MBA, FAAP, Chair of Pediatrics (UNR Med) and Physician-in-Chief, Renown Children’s Hospital. “Our hospital services include a Level II Pediatric Trauma Center, Children’s Emergency Room (open 24/7), Pediatric ICU (PICU), children’s imaging center and a Level III neonatal ICU (NICU) within Renown Regional Medical Center. We also have a team of dedicated pediatricians who specialize in caring for children from birth to young adulthood. This includes preventative care such as annual checkups, immunizations, developmental screenings, and nutrition and physical activity counseling. Whether you're a new parent or an experienced caregiver, we're here to support you and your child every step of the way.” In addition to providing comprehensive OB/GYN and birthing services, Renown Health has invested in and expanded their team of dedicated pediatricians and support staff to ensure your child receives the best care possible in the highest quality facilities. New Neonatal Intensive Care Unit The Wilbur D. May Neonatal Intensive Care Unit (NICU) is located on the fifth floor of the Tahoe Tower at Renown Regional Medical Center. This special floor was designed to provide advanced care for 49 premature babies and newborns. As the only level III NICU in the region, Renown’s team of neonatologists, nurses, and specialists provides around-the-clock care for premature and sick infants, ensuring the highest standard of care.   New Pediatric Intensive Care Unit The Pediatric Intensive Care Unit (PICU) at the Children's Hospital provides specialized care for critically ill patients ranging from newborns to young adults, primarily those under eighteen. These team cares for a variety of conditions, including respiratory issues, infections, genetic and metabolic disorders, traumas, accidents, and post-surgical recovery. A dedicated team of pediatric intensivists, nurses, respiratory therapists, pharmacists, dietitians, and other professionals ensure that our most fragile children receive the attention and compassionate care they deserve. Pediatrics Specialties & Services  Over 50 Pediatricians and Pediatric Clinicians provide care in the following areas. Appointments can be scheduled via MyChart or by calling Renown at 775-982-5437.  Adolescent Medicine Child Life Program Children's Fractures Children's Hand Treatments Clubfoot & Foot Disorders Hip Disorders Limb Deformity Neuromuscular Diseases & Syndromes Pediatric Behavioral Health Pediatric Cardiology Pediatric Care Pediatric Endocrinology Pediatric Gastroenterology Pediatric Hematology/Oncology Pediatric Hospital Medicine Pediatric Intensive Care Unit (PICU) Pediatric Nephrology Pediatric Neurology Pediatric Ophthalmology Pediatric Orthopedics Pediatric Pulmonology Pediatric Sedation Services Pediatric Sports Medicine Pediatric Surgery Pediatric Urology Safe Kids Washoe County Scoliosis Neonatal Intensive Care Unit (NICU) Renown Children’s Hospital is supported by grateful patients and donors. Secure a brighter future for local children by donating to the Renown Health Foundation at 775-982-5545 or at renown.org/About/Renown-Health-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.

Read More About As Second Northern NV Hospital Closes Pediatrics Unit, Renown Children’s Hospital Expands to Meet Community Need for Essential Services

Reno's first baby of 2022 was born in the Labor and Delivery Childbirth Center at Renown Regional Medical Center. Jacqueline Guzman Sanchez gave birth to Alejandro De La Rosa Jr. at 12:07 a.m. on Saturday, Jan. 1, 2022. Baby Alejandro weighed 7 pounds, 6.2 ounces and was the first 2022 birth at any of the region's hospitals. Baby Alejandro is welcomed to the world by his father, Alejandro De La Rosa and grandparents Juan De La Rosa, Gerarda Lopez and Alicia Gamiros. More than 4,260 babies were delivered at Renown Health in 2021. Renown Health offers exceptional family-centered care with complete prenatal services designed for the health and well-being of every patient and their new baby.     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. Renown is currently enrolling participants in the world’s largest community-based genetic population health study, the Healthy Nevada Project®. For more information, visit renown.org.

Read More About Renown Welcomes New Year's Baby

Protecting employees and their families; providing the safest, highest-level of care to patients and supporting public health Renown Health, one of the region’s largest private employers with a work force of almost 7,000, and a not-for-profit integrated healthcare network serving over 1 million people across Nevada, today notified its employees that it will support the national Emergency Regulation and will require COVID-19 vaccination for all Renown Health employees. Communicating to employees today, Tony Slonim, MD, DrPH, President & CEO, wrote, “For the last nineteen months, we have done everything humanly possible to care for patients, our community and each other- and to keep people safe from COVID-19. Despite these efforts, too many people have fallen ill, suffered long-term effects or lost those they loved to this deadly disease.” He added, “I believe that as the leading anchor institution for our community, we are obligated to set a clear example of our trust in data and science, and to hold ourselves to the highest ethical and professional standards to keep our community safe. It is clear that the vaccine is safe and effective in reducing illness and saving lives and we encourage everyone who is medically able to do so, and within their religious guidelines, to get vaccinated.” Dr. Slonim thanked his staff for “heeding the call for vaccination and protecting those in our care who are ill and physically vulnerable, and ensuring a safe, COVID-19-free environment for them and for each other.” As of today, 80% percent of all 6,750 Renown Health employees have already been vaccinated or granted an approved exemption or deferral. On November 4th, The Biden-Harris Administration announced required COVID-19 vaccination of eligible staff at health care facilities that participate in the Medicare and Medicaid programs.The American Hospital Association, American Medical Association and multiple national societies representing medical professionals and at least 174 health care organizations nationally have recommended that vaccination be required for all healthcare personnel as a condition of employment. COVID-19 vaccination prevents serious illness, hospitalization and death. Documented declines in cases since mass vaccination began prove the COVID-19 vaccines are both safe and effective, and are crucial to decreasing the spread of the virus. Renown’s requirement applies to all employees, new hires and students. Chief Medical Officers strongly endorse the mandate. “Our role is to provide the safest, highest-level of care to people who come to us for care, and we must do our part to support public health, which has been greatly enhanced in this state because of the utilization and uptake of the vaccine,” said Rahul Mediwala, MD, CPE, Chief Medical Officer, Health Services. Dr. Mediwala was instrumental in Renown’s volunteer effort to administer 80,000 vaccinations to employees and community members, and now to children ages 5-11 at its Hometown Health location earlier this year. We know that there’s some hesitancy that exists, but the data are clear that these vaccinations have been very effective in preventing hospitalizations, severe complications and deaths from COVID-19,” says Susan Lee, DO, MBA, Chief Medical Officer, Acute Services. “We encourage all colleagues, patients, and community members to receive the COVID-19 vaccine as soon as possible.”   The Biden-Harris Administration requirements will apply to approximately 76,000 providers and cover over 17 million health care workers across the country. The regulation will create a consistent standard within Medicare and Medicaid while giving patients assurance of the vaccination status of those delivering care. Facilities covered by this regulation must establish a policy ensuring all eligible staff have received the first dose of a two-dose COVID-19 vaccine or a one-dose COVID-19 vaccine prior to providing any care, treatment, or other services by December 6, 2021. All eligible staff must have received the necessary shots to be fully vaccinated – either two doses of Pfizer or Moderna or one dose of Johnson & Johnson – by January 4, 2022. The regulation also provides for exemptions based on recognized medical conditions or religious beliefs, observances, or practices. Facilities must develop a similar process or plan for permitting exemptions in alignment with federal law. Renown will do direct outreach to those employees who have not yet been vaccinated, to be sure they understand the regulations, implications, and options available to them. Dr. Slonim closed his announcement to employees today by saying, “While we understand this is a heavy issue for many, the mandate is clear and is one we will abide by. It is the right thing to do for our patients and each other.”   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 almost 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 Renown Health Expands Covid-19 Vaccination Requirement

Renown joins Washoe County Health District to Offer COVID-19 Vaccines to Children 5-11 at Vaccine Clinics. Renown Health is partnering with the Washoe County Health District to help distribute the initially available, limited supplies of an age-appropriate dose of the COVID-19 Pfizer-BioNTech vaccines to children ages 5-11. At this time, all residents 5 years and older are eligible to receive a vaccine. Renown announced today that for parents/guardians with proxy access for their children through the Renown MyChart app, vaccination appointments are now available for children ages 5-11. Pending supply, Renown expects to be able to vaccinate 1,600 children with the 2-dose series in a limited series of weekend clinics. At this time, due to limited supplies, no vaccines for children are available through Renown Medical Group pediatric offices. Vaccine appointments may only be scheduled through the Renown MyChart app; please do not contact a Renown doctor/health care provider or the Engagement Center at this time. There is no cost to establish a Renown MyChart account, and you do not need to have a Renown provider to enroll. For MyChart Technical Support, call 775-982-2781. Renown is covering all costs of the vaccine, and it is offered free of charge. “As a pediatrician, an intensive care physician, a public health practitioner and a grandparent, I encourage parents to vaccinate their children against COVID-19 now. No child should suffer, be hospitalized or die from a disease that can prevented by simply getting a shot,” says Tony Slonim, MD, DrPH, President & CEO of Renown Health. “We remain steadfast in fighting the good fight for our community, and that includes protecting kids. Being able to serve kids and their parents, with the only Children’s Hospital in northern Nevada, and being able to administer COVID-19 vaccines to children is incredibly gratifying for our team. This vaccine will prevent deaths, ICU admissions and will prevent significant long-term adverse outcomes in children." “I tell parents, get your kids vaccinated now- because every kid is at risk,” says Kristina Deeter, M.D., MBA, Pediatric Intensivist, and Vice Chair of Pediatrics at Renown Children’s Hospital. “Please get your family- including your kids, vaccinated now to keep your family safe. Being fully vaccinated and being able to hug Grandma and Grandpa at the holidays may be the greatest gift of all this holiday season.” “The CDC recommends everyone ages 5 and older get a COVID-19 vaccine to help protect against COVID-19. Widespread vaccination for COVID-19 is a critical tool to protect everyone, especially those at highest risk, from severe illness and death. Currently, the Pfizer vaccine is the only option currently authorized for children,” says Vanessa Slots, MD, a pediatrician with Renown Children’s. “It was found to give kids strong protection against COVID-19, including against the Delta variant. Children who are vaccinated may have some side effects (chills, redness and swelling at site injection), which are normal signs that their body is building protection.” Children are advised not to receive the vaccine if: • They are ill at the time of vaccination (fever, shortness of breath, vomiting, diarrhea or acute illness). • They have been diagnosed with COVID-19 in the previous 14 days. • They have a history of significant allergic reaction to any of the ingredients in the vaccine.   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 world’s largest community-based genetic population health study, the Healthy Nevada Project®. For more information, visit renown.org.

Read More About The Greatest Gift of All? A Fully Vaccinated Family!

Renown Health Foundation announced today a special delivery from Sarah Carmona Zink and her Dreams Foundation, donating hundreds of pajamas, receiving blankets, beanie caps, nursing pillows and more, as well as a check for $10,500 for the neonatal intensive care unit (NICU) at Renown Children’s Hospital. Please see visuals to accompany this story here.  For the past three years, Carmona Zink and the Dreams Foundation have staged a fundraisingand baby item drive to give back to the NICU that took care of Carmona Zink’s son, Howie, during a difficult time for the family.  “Our NICU drive is inspired by Howie, who just turned 4,” said Carmona Zink. “Hespent about a month in Renown’s NICU because he was born withgastroschisis, a condition where his intestines formed on the outside of his body.During Howie’s stay, the NICU staff was an extension of our family and cared so deeply for all of us. Our goal through this drive has always been to give back to those who gave so much to us, as well as provide a sense of normalcy to parents with babies in the NICU.During these unprecedented times, providing comfort and relief to parents is more important than ever.” “As a pediatric intensive care physician, who is also a dad, and a new grandfather, I thank Sarah Carmona Zink, her family and the Dreams Foundation for their incredible generosity and compassion. Through the years, Sarah has done so much to support the Renown Children’s Hospital NICU team and other NICU parents- she does so with such joy and enthusiasm, and we are incredibly grateful to her for all that she does,” said Tony Slonim, MD, D.Ph., Renown’s President & CEO. Through this year’s donation drive, Carmona Zink collected the following items for Renown’s NICU:  50 nursing pillows 180 hand-knitted baby beanies 532 pairs of pajamas 682 receiving blankets 8 sleep sacks 473 scent pads, which parents keep on their skin and then leave with their baby so he/she can be comforted by their parents’ scent Books for siblings to read while visiting Miscellaneous items such as pumping storage bottles, bibs, baby hand covers, newborn socks, mobiles, and nursing pillow covers $10,500 monetary donation from the Dreams Foundation   Dr. Max Coppes, Physician-in-Chief of Renown Children’s Hospitaland Larry Duncan, Administrator of Renown Children’s Hospital add, “We are truly blessed with the support for the very smallest residents of Renown Children’s Hospital, some weighing less than a pound! Sarah and her family inspire us to remain devoted to the children we serve, knowing that the community is committed to our Children’s Hospital.” “We look forward to this donation drive every year,” said Renown NICU nurse Jessica Bakke. “The work Sarah and her team do to collect these itemsis very meaningful to all of us. We don’t always have funds to purchase extra items like clothing, blankets and nursing pillows, so everything we receive through this drive makes a differencefor our babies and their families. It is a wonderful gift to be able to offer fresh clothing and other much-needed items to help these parents.”     Greg Walaitis, Chief Development Officer for Renown says, “We are extremely grateful to Sarah and the Dreams Foundation for their generous donation to our NICU. Donations like these help ensure we have plenty of items on hand when our babies and their families need them. This donation allows parents with babies in our NICU to focus solely ontheir baby’s health, rather than material needs that may come up along the way. It is an honor to be the recipient of such an amazing act of kindness for the third year in a row.”     Founded in 2012, Dreams Foundation is a non-profit created to meet the unmet dreams and aspirations of individuals, families, neighborhood churches, people-serving agencies and organizations, recognized charities, boys and girls clubs, and youth sports programs in communities. To learn more, visit dreamsfoundationinc.com.  Ways to Support the Miracles Made Possible at Renown Children’s Hospital Call Renown Health Foundation at 775-982-5545 Make a gift at renown.org/give Mail a check to Renown Health Foundation, 1155 Mill St., O2, Reno, NV 89502 Venmo: @RenownFoundation       About Renown Health Renown Health is the region’s largest, locally owned and 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 region’s largest, locally owned not-for-profit insurance company, Hometown Health. Renown’s institute model addresses social determinants of health and includes: Child Health, Behavioral Health & Addiction, Healthy Aging and Health Innovation. Clinical institutes include: Cancer, Heart and Vascular Heath, Neurosciences and Robotic Surgery. Renown is currently enrolling participants in the world’s largest community-based genetic population health study, the Healthy Nevada Project®. For more information, visit renown.org.

Read More About Dreams Foundation Makes $10,500 Donation Benefiting NICU Babies