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Department Spotlight: Emergency
The emergency department is a central part of Renown Health’s hospitals. Serving patients in need of emergent attention, this team has an incredible level of dedication to not only tending to emergencies big and small, but also saving lives 24 hours a day and seven days a week. This critical work happens daily at Renown Regional, Renown South Meadows and Renown Children’s Hospital. Patients in Renown’s emergency rooms (ER) are in the best hands, and it is all thanks to the devoted, hard-working teams who run the show. Saving Lives Around the Clock As the only Level 2 trauma center between Sacramento and Salt Lake City, taking care of a constant stream of patients in the Renown Regional, Renown South Meadows and Renown Children’s ERs come naturally for these teams. Whether it be 3 a.m. or the lunch hour, this team is always ready to spring into action to attend to virtually any health emergency under the sun. According to Gabby, an RN in the Renown Regional ER, everyone in the ER must be ready for anything. “We are the first line of care that the patient receives before they are admitted or discharged,” which means the team sees a wide variety of emergency situations each day. Patients rely on the ER to protect them and help them heal from severe conditions. From head injuries and broken bones to heart attacks and strokes, this team has seen it all at every time of the day and night. “The ER is an uncontrolled, unpredictable environment,” said Miriam, an RN in the Renown Regional ER. “It’s essential that we all are ready to jump in and help at any time.” Beyond the general ER at Renown Regional, Renown Children’s Hospital is the only accredited Children’s Hospital Emergency Room in all northern Nevada. The first and only facility of its kind in the Reno-Tahoe region, this robust emergency department is equipped with pediatric specialists and child-sized equipment to give children the highest level of support. “We are proud to keep a fun atmosphere with vibrant colors to help our young patients ease their anxieties, making them as comfortable as possible while providing excellent care,” said Ginger, Manager of Nursing for Renown Children’s ER. While the majority of patients are treated onsite and discharged that same day, several ER patients get admitted to the hospital, when that happens, the emergency department works quickly with the Renown Transfer and Operations Center (RTOC) to get patients in a bed as soon as possible. All day and all night, ambulances and helicopters deliver members of our community in need of care. But never fear – our incredibly capable emergency department is here. Kicking off into immediate action is a core requirement for the emergency department, and it is a task the entire team has nailed down to a science. Team Tenacious When asked about their team, members of the emergency department echoed the same notion: “I am not alone.” The emergency department never leaves their colleagues out to dry, and in an emergency environment, always being able to lend a hand whenever needed is vital. For Ashley, an RN at Renown Regional, one of the main reasons why she continues to work at Renown is because of her colleagues, along with a myriad of resources and state-of-the-art technology that are at their disposal. She adds, “It is such a joy to come in to work alongside my team.” Amy, Supervisor of Nursing for the Renown South Meadows ER, feels the exact same way. “Being an emergency department, we sometimes see things you don’t always see every day,” said Amy. “It’s a relief for our patients to know that they are in the best place in the region for their care. I credit all of that to my team.” As our emergency room capabilities continue to grow, this also includes our Children’s Hospital ER. Last year, the William N. Pennington Foundation provided a $7.5 million gift to the Renown Health Foundation to keep pediatric care – including pediatric emergency care – closer to home and expand our availability to our youngest patients. As reported last year, Dr. Joseph Gassen, a pediatric emergency doctor with Children’s Hospital, was the only pediatric emergency physician in the region as of 2021. Thanks to this gift, he was able to move to Reno to provide care in the Children’s Hospital ER. “The hospital is dedicated to improving the care of children in northern Nevada, and I wanted to be a part of this amazing vision," said Dr. Gassen. “I would not have been able to relocate to Reno without the support from the hospital and the William N. Pennington gift.” Besides achieving optimal outcomes for their patients, their efforts also paid off in the form of awards and recognition. Internally, the emergency department recognizes Employees of the Month for their outstanding work. Recently, Renown Regional Emergency Physician Dr. Patrick Russell and Claire, an RN, were recognized with this honor. Outside organizations have also noticed these exceptional team members. The Reno Gazette Journal’s recognized the Renown Regional ER as the Best Emergency Room in the 2022 Best of Reno Awards, complimenting Renown Regional’s wins as the Best Hospital and Best Place to Have a Baby. The tenacity of the emergency department continues to surpass expectations, and their published achievements only scratch the surface of what is sure to come. A Growing Team of Heroes To continue meeting the growing need for emergency care regionally, especially when it comes to trauma and children’s services, the emergency department is looking forward to welcoming new team members. For those looking for a fast-paced, team-oriented atmosphere and the opportunity to be on the healthcare frontlines, the emergency department is a perfect fit. As teamwork is clearly essential, the emergency department is an ideal environment for someone who is “not afraid to ask questions and always eager to learn new things,” according to Miriam. While one staff member’s patients may be settled, staff one assignment over could be overwhelmed with patient volume, so it is an imperative skill for a colleague to be a self-starter and take the initiative to help wherever needed. Bryan, an emergency trauma technician at Renown Regional, emphasizes this point, adding, “A good colleague is one that knows you well and can infer your body language. They know how to read a situation and pre-plan for the next step. Being attentive, a valuable resource and knowledgeable about patient populations – that's the works!” Career growth and lifelong learning are important to this group, so career-minded individuals will be in good company in the emergency department. “I choose Renown so I can jumpstart my career as a nurse in the top ER in the region,” said Gabby. This team is always learning and always on top of the latest research – which only further solidifies Renown’s place as the preeminent ER in northern Nevada and northeastern California. If you take one thing from this article, let it be these parting words from Amy: “These are some of the smartest, most devoted individuals you will ever meet, and we are so lucky to have them serving our emergency department. You will only regret not working with this team.”
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A Q&A with Dr. Brian Erling, CEO & President of Renown Health
On behalf of Renown’s more than 7,000 employees, we are thrilled to introduce our healthcare system’s next CEO and President, Brian Erling, MD, MBA. Dr. Erling joins Renown after working for more than 20 years in Colorado, most recently as the CEO and President of Penrose-St. Francis Health System in Colorado Springs for Centura Health. “I am so excited to join Renown Health at this important time. Healthcare and our economy are amid a major transformation, and Renown Health is very well positioned for the future,” Dr. Erling said. “Our ongoing success will hinge on our ability to establish positive and productive relationships, maintain high-quality patient clinical outcomes and experiences, reduce healthcare costs, encourage innovation and improve access and affordability for patients and members.” Q: Let’s start at the beginning. When did your interest in healthcare first begin? A: Believe it or not, I started my healthcare career during high school in Minnesota when I worked as a nursing assistant. I then worked as a monitor tech while pursuing my undergraduate degree in biology from Drake University in Des Moines, Iowa. Q: Where did you go to medical school, and what was your first job after training? A: After graduating from The John Hopkins University School of Medicine and spending three years at the University of Virginia for my residency, I spent more than a decade in the emergency department at a level 1 trauma center. Q: Does your experience as a physician impact your approach to healthcare leadership? A: Yes, absolutely. I have worked my fair share of nights, weekends and holidays, and I know the sacrifices healthcare workers – and their families – make to care for our communities. I will never take it for granted. I also understand how complex healthcare organizations are, and I have experienced these complexities from both the clinical and non-clinical sides. I have provided clinical leadership for a large, regional health system and understand that quality, safety and innovation come from the people doing the work, not from a corporate office. But you also need strong managers and leaders to facilitate and prioritize the work while providing support and coaching. Q: What is the key to a successful healthcare system? A: Teamwork. In fact, being part of a high-performing, mission-driven team is my number one motivation. It’s what gets me up in the morning and why I work in healthcare. I view our greatest resource to be our people, meaning Renown’s more than 7,000 employees. Modern technologies – such as fancy robots and imaging equipment – are essential and pretty cool, but they are not why our patients choose us. They come for trusted care in their hometown. Q: Renown Health is going through a lot of exciting changes right now. What is one thing that excites you about joining this healthcare system in a rapidly expanding area of the country? A: I am very excited about the new partnership with Renown and the University of Nevada, Reno School of Medicine. While still in its infancy, it provides the platform for us to be the center for training, research and tertiary care for the region and beyond. Q: What is something you have learned from working with CEOs at other healthcare systems? A: Healthcare leaders often have a short half-life, but that is not me. I believe it is difficult to create and move an organization toward a unified vision when your leader changes every few years. As my track record will support, this is not my style. I have been in Colorado for over twenty years and now look forward to making Reno and Renown my home for years to come. Q: As you know, Hometown Health is Renown’s health insurance arm. How does equitable access to insurance fit into a person’s and a community’s overall well-being? A: Most health systems would love to have their own health plan. The reality is that you cannot meaningfully improve the health of the population without managing value and risk. We are fortunate to have Hometown Health as part of Renown Health, and in our community, and I am excited to work with Bethany and the team to fulfill the mission of the organization. Q: What does working at a not-for-profit healthcare system mean to you? How does it differ from the for-profit sector? A: I have worked in for-profit and not-for-profit healthcare. Renown is unique as the only not-for-profit health system in the market. What that means is that we invest every penny earned back into caring for our community. We don’t send money to shareholders in California or Pennsylvania, we invest it right here in Nevada. Not only is a not-for-profit healthcare organization where I want to work for, but it is where my family and I want to go for care. Q: What do you like to do for fun? A: I love spending time with my wife and three adult children. I met my wife, Jessica, while attending medical school in Baltimore. She was working as a nurse in the surgical ICU, and I was smitten. I offered to help her with a 3 a.m. bed linen change and bath for our trauma patient, and the rest was history. I also love exploring the outdoors, especially snowboarding!
Read More About A Q&A with Dr. Brian Erling, CEO & President of Renown Health
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Reno Home to 37 of the Nation's Best Patient Communicators
During National Healthcare Week, clinical providers who are “Best of the Best” being honored for demonstrating exceptional communications skills in their clinical practice, as awarded by you, their patients. “Amazing! Phenomenal! Thank you for always showing genuine concern. You are kind, considerate and caring. You are interested in me. You are the best doctor/nurse practitioner I have ever had. I trust you with my life. You act on things right away. You are awesome. You have saved my life, and my family. You are knowledgeable, thorough, intelligent, and compassionate. You are my favorite. You are my angel. You have made me better. You always make me feel like a success, even if I could have tried harder. I love you. I thank you.” These are some of the comments made by patients regarding their doctors and advanced practice providers who will be honored next week by the Patient & Family Advisory Council and Renown Health with a special breakfast celebration in south Reno. In honor of National Healthcare Week, Renown Medical Group, which offers primary and specialty care at locations in Reno, Sparks, Carson City, Fallon, Fernley, and Silver Springs will honor 37 physicians and advanced practice providers at the Dr. John Spellman Excellence in Patient Communications Award Celebration. This annual award, supported by the Renown Health Foundation and a donor family, honors clinicians who demonstrate exceptional communications skills in their clinical practice, as awarded by their patients. Recipients of this award are ranked in the top ten percent nationally in provider communication for 2022, as measured by over 11 thousand patients who responded nationally to the Centers for Medicare & Medicaid Services’ (CG-CAPHS) or Clinician and Group Consumer Assessment of Healthcare Providers and Systems and over 14,000 local patients who gave them top scores on the national patient experience survey. Patients were asked if their medical providers explained things in a way they could understand; if they listened carefully; if they showed respect for what they had to say; if they spent enough time with them; if they read their medical records; if they ordered tests and followed up with them on their results; and to give them a rating on a scale of 1 to 10, where 10 was the highest score. “These incredible medical providers set the gold standard for excellent communications with patients, scoring in the top 10% nationally for compassion, caring, competency and communications,” said Brian Erling, MD, MBA, President & CEO of Renown Health. “We are extremely proud of them and their outstanding dedication to patients, families and our community.” The awards will be given by his family in remembrance of the late Dr. John W. Spellman, human rights advocate, scholar and professor. Dr. Spellman treasured kindness, scholarship, debate and medical providers who demonstrated exceptional communications skills and held their patients in the highest regard. The Recipients of the 2022 Dr. John Spellman Excellence in Patient Communications Award are: Christina Alsop, DNP, AOCNP, Oncology Nurse Practitioner, William N. Pennington Cancer Institute at Renown Pamela Burgio, APRN, Renown Primary Care Jennifer Brown, APRN, Pulmonary & Sleep Medicine Stephanie Carlesen, DNP, Renown Institute for Heart & Vascular Health Carolyn Dennehey, MD, Rheumatology Benjamin Ebner, MD, Renown Institute for Heart & Vascular Health Christopher Driscoll, MD, Pediatrics, Renown Children’s Hospital Kerac Falk, MD, FACOG, Renown Women’s Health Michael Hardacre, MD, Radiation Oncology, William N. Pennington Cancer Institute at Renown Robin Hollen, DNP, FNP-C, APRN, M.Ed., MSN, Breastfeeding Medicine Nurse Practitioner, Renown Women’s Health James Martin Johnston, MD, Pediatric Hematology/Oncology, Renown Children’s Hospital Stephanie Jones, DO, Physical Medicine/Rehabilitation Charlotte Kermode, APRN, Renown Primary Care Michele Kiser, MD, Renown Primary Care Matthew Klippenstein, MD, Renown Primary Care Anamarie Manea, MD, Pediatric Endocrinology, Renown Children’s Hospital Marie McCoramck, MD, Renown Primary Care Catherine Mindeguia, APRN, Renown Primary Care Dean Miyagawa, MD, Internal Medicine, Renown Primary Care Amanda Morgan, MD, Pulmonary Medicine, Renown Medical Group Cecelia O’Dowd, MD, Renown Primary Care Kasie Reynolds, APRN, Renown Children's Hospital, Behavioral Health Jocelyn Schneider, APRN, Renown Institute for Heart & Vascular Health Vanessa Slots, MD, Renown Pediatrics Daniel Spogen, MD, Renown UNR Primary Care, Sports Medicine Jennifer Simcox, APRN, Renown Primary Care Mark Stovak, MD, Renown UNR Primary Care, Sports Medicine Shining Sun, MD, Renown Institute for Heart & Vascular Health Jennifer Sutton, MD, Radiation Oncology, William N. Pennington Cancer Institute at Renown Robert Swackhamer, MD, Renown Institute for Heart & Vascular Health Carl Thomas, MD, Renown Primary Care Katherine Thyssen, DO, Geriatric Medicine, Renown Primary Care Ly Vu, MD, Renown Primary Care Scott Michael Wallace, MD, Renown Pediatrics Kristin Wilson, MD, Renown Pediatrics Bryan Young MD, Internal Medicine, Renown Primary Care Jacob Zucker, MD, Pediatric Hematology & Oncology, Renown Children’s Hospital Since 2018, Renown Medical Group has posted thousands of verified patient ratings and comments of their employed providers online and viewable by the public at renown.org. “Our goal is to consistently exceed customer expectations, every day, and with every encounter. At Renown, we embrace transparency and empower patients,” says Rahul Mediwala, MD, CEO of Renown Medical Group. Dr. Mediwala should know – he is also a highly rated physician by his patients, has practiced for more than 20 years, and sees the ratings program as another way to support employed physicians and providers at Renown Health. Only patients who’ve had an outpatient visit with a Renown Medical Group provider may be selected to receive a survey from CH-CAHPS. This way, Renown can confirm the results are from patients who have been seen by the provider. All comments are posted anonymously, and patients are asked for their permission to use their comments. Feedback is shared with every provider. Renown Health is integrated with the University of Nevada, Reno School of Medicine, Nevada’s first medical school, which serves to enhance the health of the community through increased access to care, innovative health care delivery, expansion of clinical research and training for the next generation of physicians and health care professionals. Almost 700 Renown Medical Group primary care and specialty providers are currently accepting new patients and accept most health insurance plans, including Renown’s not-for-profit insurance plan, Hometown Health. To find the doctor or provider that is best for you visit renown.org, self-schedule with your established provider at MyChart.Renown.org or schedule an appointment with a Renown Medical Group or University Health provider by calling our agents available by phone- Wed-Fri: 7 a.m. to 7 p.m., Sat-Sun: 7 a.m. to 6 p.m., at 775-982-5000. Renown Health is currently hiring in all areas. Search for a new career opportunity and apply online at careers.renown.org. 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 region’s largest, locally owned not-for-profit insurance company, Hometown Health.
Read More About Reno Home to 37 of the Nation's Best Patient Communicators