RENOWN NEWSROOM

(Pictured Above: Dr. Frieda Hulka, Pediatric Trauma Program Medical Director at Renown Children’s Hospital, helps announce pediatric trauma verification on Wednesday, Feb. 7, 2024) Renown Health, a locally governed, not-for-profit academic healthcare network serving northern Nevada, Lake Tahoe and northeast California and the teaching hospital for the University of Nevada, Reno School of Medicine, has been verified as the first level-2 pediatric trauma center in northern Nevada by the American College of Surgeons (ACS). This recognition is a historic first for children’s healthcare in northern Nevada. Renown Regional Medical Center is the region’s only Level II Trauma Center (adult) and one of the largest hospitals in the United States, with 826 licensed beds, providing care to approximately one million patients across 17 counties, across 100,000 square miles between Sacramento and Salt Lake City. Serving urban, suburban, and rural communities, Renown Health is one of the region’s only providers of neonatal care with both a pediatric intensive care unit (PICU) and the largest newborn intensive care unit (NICU) in the area. RENOWN ONLY ONE OF TWO IN NV; ONE OF 153 IN THE US The pediatric trauma verification by the ACS recognizes that the Renown team offers immediate, around-the-clock, emergency treatment for pediatric trauma patients. Renown is one of only two health systems to receive the designation of a Level II Pediatric Trauma Center in Nevada by the ACS; and the first in northern Nevada to earn this national distinction. To achieve verification, the hospital must meet rigorous standards for comprehensive care, staffing, facilities, research, and educational contributions. Nationwide, only 153 hospitals are pediatric trauma centers. The new status considers trauma treatment capabilities of Renown’s pediatric emergency department as well as the ability of Renown Children's Hospital to offer such services as pediatric surgery, pediatric intensive care unit stays and pediatric physical and occupational therapy to children recovering from traumatic injuries. EXTENSIVE ON-SITE REVIEW “This new achievement was granted after an extensive on-site review conducted by an expert team from the American College of Surgeons; a group dedicated to improving the care of surgical patients and safeguarding standards of care in a safe, optimal and ethical practice environment,” said Brian Erling, MD, MBA, President & CEO of Renown Health. “We are proud that Renown Regional Medical Center has earned the designation of being the only ACS verified Level 2 Trauma Center for adults in the region since 1984. This verification process, renewed every three years, was completed in late December 2023 alongside the new verification for Renown Children’s Hospital. Now with UNR Med, we celebrate serving our community with a robust Level 2 Pediatric Trauma Center; and have grown to become a nationally recognized children’s hospital with a robust academic department of pediatrics.” “The team at Renown Children’s Hospital consistently provides outstanding pediatric trauma care, and we are thrilled that the American College of Surgeons has awarded us with this official distinction,” said Dr. Frieda Hulka, Pediatric Trauma Program Medical Director at Renown Children’s Hospital. “This is particularly significant for families in northern Nevada, where trauma remains the leading cause of death in infants and children. Some nationwide studies show that children treated at pediatric trauma centers have a lower mortality risk compared to children treated at other facilities.” This year marked the first time the emergency department's pediatric capabilities were evaluated separately. To be a designated Level II Trauma Center, a hospital must have 24-hour immediate coverage by general surgeons and multiple specialties, such as orthopedic surgery, neurosurgery, and emergency medicine. In addition, the hospital must provide trauma prevention and ongoing education for its teams and incorporate a comprehensive quality assessment program. The emergency department did not meet the minimum volume of 200 pediatric trauma patients per year to qualify for the level-1 pediatric designation, but the Renown team anticipates with growing community support, combined with UNR Med’s research and residency programs, that they will pass this threshold in the future. “More than 100,000 children between the ages of zero and 17 live in Washoe County, and that number continues to grow,” said Nicholas Mannering, Trauma Program Manager at Renown Health. “Caring for our community’s children is a responsibility we take extremely seriously, and we are so grateful to our patients and the families for trusting us with their care.” “Both the pediatric and adult trauma verification honor the many pioneering trauma physicians, surgeons and clinical and support teams who have built a stellar reputation over the last 160 years for Renown; and align with our strategic vision for providing comprehensive and best-in-class healthcare for the people of northern Nevada for the next 160 years,” said Chris Nicholas, CEO of Renown Regional Medical Center. “These designations celebrate our team’s commitment to maintaining and exceeding the highest standards of care for our patients.” GRATEFUL DONORS INVEST IN NORTHERN NEVADA’S CHILDREN In 2016, The William N. Pennington Foundation recognized the need for enhanced care and expertise for pediatrics and donated $7.5 million to Renown Children’s Hospital to establish the William N. Pennington Fund for Advanced Pediatric Care. “Through these gifts,” adds Kristina Deeter, MD, MBA, FAAP, Chair of Pediatrics (UNR Med) and Physician-in-Chief, Renown Children’s Hospital, “100,000 area children now have access to more than 30 pediatricians, including general pediatricians and specializing specialists in oncology, orthopedics, pulmonology, emergency medicine, urology and many other subspecialties previously lacking in the community, as well as a pediatric emergency room, pediatric ICU and a dedicated pediatric floor at Renown Children’s Hospital. Prior to 2016, a significant percentage of pediatric patients requiring critical and specialty care had to be transferred outside of our region to receive the specialty care they needed. Now, thanks to donor support, Renown estimates that 97% of all pediatric patients and their families can receive both general and specialty pediatric care locally. The next nearest children’s hospital in the state is 7 hours or 438 miles away in Las Vegas.” In 2022, the hospital treated 82,544 patients, performed 26,388 inpatient and same-day surgeries, gave care to 37,380 children through its pediatric providers, and delivered 3,792 babies. In June 2023, Renown Regional Medical Center expanded its pediatric critical care services to the region with a New Neonatal Intensive Care Unit with advanced technology and trained healthcare professionals to give special care for women and babies. 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. In July 2023, The University of Nevada, Reno School of Medicine (UNR Med) and Renown Health welcomed members of the first resident class of the new UNR Med Pediatric Residency Program. Renown Health is a 501 c3 not for profit organization. Donations to the Children’s Hospital are needed and accepted here.   About Renown Health Renown Health is the region’s largest, locally governed, not-for-profit academic healthcare network serving Nevada, Lake Tahoe, and northeast California. Renown Regional Medical Center is the teaching hospital for the University of Nevada, Reno School of Medicine. 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 for both adults and children, 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.

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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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Under Steve Shell's leadership, the Institute will continue to expand community access to prevention and intervention services for mental health disorders and alcohol and drug addiction. Renown Health is excited to announce Steve Shell is joining the Stacie Mathewson Behavioral Health & Addiction Institute at Renown as its vice president. In this role, Shell will oversee the Institute, which provides intensive outpatient treatment, partial hospitalization programs and medication-assisted treatment to serve those struggling with mental illness and addiction in our community. “We are pleased to welcome such an experienced and talented leader like Steve to our organization,” said Tony Slonim, MD, DrPH, president and CEO, Renown Health. “As vice president of the Stacie Mathewson Behavioral Health & Addiction Institute at Renown, Steve will continue the Institute’s work to change the status of mental health and addiction in northern Nevada.” Shell comes to Renown after opening and serving as chief executive officer of Nevada’s two newest behavioral health hospitals since 2013. He was instrumental in establishing Reno Behavioral Healthcare Hospital in 2016 and helped to design, set up and manage operations for the 124-bed psychiatric and addiction treatment facility for all ages. He also launched the 152- bed Desert Parkway Behavioral Healthcare Hospital in Las Vegas in 2013, a psychiatric and addiction treatment facility for all ages. “Nevada has the highest prevalence of mental illness and substance use in the nation combined with limited access to treatment and a shortage of care providers,” said Steve Shell. “I am passionate about improving the health of our community and have dedicated my career to advocating for mental health, working diligently to further elevate the care offered in our state.”  Renown Health and Charles N. and Stacie L. Mathewson established the Stacie Mathewson Behavioral Health & Addiction Institute at Renown in to expand community access to prevention and intervention services for mental health disorders and alcohol and drug addiction.  The Institute is working to expand intensive outpatient treatment, partial hospitalization programs and medication-assisted treatment to better serve those struggling with mental illness and addiction and is working to decrease stigma and encourage more people to seek help. “Moving the needle and improving the heartbreaking statistics of our state is a key focus for the Institute,” said Stacie Mathewson, executive director at the Stacie Mathewson Foundation. “I believe Steve’s leadership will have a positive impact on our efforts to improve the care and treatment of mental illness and addiction.”      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®.

Read More About Steve Shell Joins Renown to Lead the Stacie Mathewson Behavioral Health & Addiction Institute