RENOWN NEWSROOM

Treatment offers patients safe, non-drug and non-invasive repetitive transcranial magnetic stimulation (rTMS) therapy to treat symptoms of major depression. Renown Health is committed to improving access to vital mental health services in northern Nevada. Today, clinical leaders at the Stacie Mathewson Behavioral Health & Addiction Institute at Renown announced they will offer repetitive transcranial magnetic stimulation (rTMS) therapy for people experiencing Major Depressive Disorder (MDD) under the guidance of a Renown psychiatrist.  According to the National Institute of Mental Health, major depression is one of the most common mental disorders in the U.S. The disease causes people to experience sadness and helplessness, and in some cases, may prevent people from carrying out their daily routines.  “We at Renown are proud of our national reputation as an innovator in implementing new models, technology and systems of care for our community,” said Tony Slonim, MD, DrPH, President and CEO. “We are working to transform care and demonstrate value in a way that appeals to patients and helps clinicians improve outcomes and reduce costs. There is now a sufficient body of evidence to accept the analgesic and antidepressant effect of high-frequency rTMS, and we are pleased to offer this promising therapy.” rTMS is a non-invasive procedure that uses magnetic fields to stimulate nerve cells in the brain to improve symptoms of depression. It is typically used when other depression treatments haven't been effective. This treatment for depression involves delivering repetitive magnetic pulses, so it's called repetitive TMS or rTMS. “Depression can be treated; however, for some people, medications and talking with a behavioral health expert may not be enough,” said Renown’s Division Chief of Behavioral Health, Richard A. Charlat, M.D., M.P.H. “We are pleased to offer rTMS therapy for people looking for a new way to fight depression and for whom other treatments may not have given them relief. We are committed to working closely with our patients to find the treatment that works best for them, so they can live their best lives.” “Nevada has the highest prevalence of mental illness and substance use in the nation,” said Steve Shell, vice president of the Stacie Mathewson Behavioral Health & Addiction Institute. “Combine that with the added stress and isolation many are feeling with the COVID-19 pandemic, and we know that offering patients safe, non-drug and non-invasive treatments- as well as essential mental health and addiction services are more important than ever.”   How rTMS Works During an rTMS session, an electromagnetic coil is placed against the person’s scalp near their forehead. The electromagnet painlessly delivers a magnetic pulse that stimulates nerve cells in the region of the person’s brain involved in mood control and depression. It's thought to activate regions of the brain that have decreased activity in depression. Though the biology of why rTMS works isn't completely understood, the stimulation appears to impact how the brain is working, which in turn seems to ease depression symptoms and improve mood. There are different ways to perform the procedure, and techniques may change as experts learn more about the most effective ways to perform treatments. On average, patients undergo rTMS treatments for four to six weeks, five days a week for about 40 minutes a day. In all cases, a patient’s doctor will determine a treatment plan that’s best for the patient. This video shows what patients can expect during rTMS therapy.    What Does rTMS Feel Like? rTMS therapy is an easy, in-office experience designed to be positive for patients. During treatment, people are awake, alert, and comfortably reclined in a spa-like chair. The first few treatments may cause discomfort at or near the treatment site, however, this is unlikely to last beyond the first week of treatment.1, 2  “The effects of depression can be devastating for the people battling it, as well as for those who love them,” said Stacie Mathewson. “No matter how dark life may seem, always know, there are incredible behavioral health experts at Renown ready to support and empower you as you seek the help you deserve.”  Charles N. and Stacie L. Mathewson established the Stacie Mathewson Behavioral Health & Addiction Institute at Renown in 2018 to expand community access to prevention and intervention services for mental health disorders and alcohol and drug addiction. Renown is working to expand intensive outpatient treatment, partial hospitalization and medication-assisted treatment programs to better serve those struggling with mental illness and addiction. The Renown team is also passionate about prevention, mental wellness and is actively working to decrease stigma and encourage more people to seek the help they need. TMS therapy is cleared by the FDA and available by prescription only. It is commonly covered by most insurance plans. Patients must be referred by a behavioral expert to seek rTMS treatment. For more information and to make a patient referral, please call the Stacie Mathewson Behavioral Health & Addiction Institute at 775-982-5318.   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 Health, Neurosciences and Robotic Surgery. Renown is currently enrolling participants in the world’s largest community-based genetic population health study, the Healthy Nevada Project®.   Sources Trivedi MH, et al. (2006). Evaluation of Outcomes with Citalopram for Depression Using Measurement-Based Care in STAR*D Implications for Clinical Practice. Am J Psychiatry, 163(1):28-40 Rush AJ, et. al. (2006) Acute and longer-term outcomes in depressed outpatients requiring one or several treatment steps: a STAR*D report. Am J Psychiatry, 163(11):1905-1917.

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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

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