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    • Thursday, Jan 18, 2024

    Reno Home to "Great Psychiatry and Mental Health Program;" Renown and UNR School of Medicine Named to Becker's National List

    Becker’s list of Hospitals and Health Systems with Great Psychiatry and Mental Health Programs for 2023 has been published, recognizing professional healthcare leaders across the country.    Renown Health and the University of Nevada, Reno School of Medicine have been recognized among the top programs in the United States. This acknowledgement reflects a commitment from a dedicated team of experienced local professionals providing comprehensive mental health services and advancing the field of psychiatry.    In their announcement, Becker’s highlighted that, “In 2018, a $6 million donation (by the Stacie Mathewson Foundation), funded the creation of the Stacie Mathewson Behavioral Health & Addiction Institute at Renown Health. The institute was formed to address increased prescription drug-related mortality rates and suicide rates in northern Nevada. The department is now fully integrated with University of Nevada School of Medicine's psychiatry residency, child and adolescent psychiatry fellowship programs, and behavioral sciences and clinical psychiatry medical student training. The curriculum emphasizes the value of psychotherapy, psychopharmacology, and interventional psychiatry methods, along with primary care team integration.”   Becker’s editors noted that, “Innovative public and private partnerships with the state include the SOAR early intervention treatment program for those experiencing their first episode of psychosis. A 24-hour crisis stabilization center will open in 2024 for adults with mental health or substance use issues. The Connect Washoe County mental health collaborative, part of the hospital’s community benefit program, hosts the Youth Mental Health Summit, with a number of interventions resulting in reduced use of street and prescription drugs, lower hospitalization rates due to opioid overdose, and fewer cases of intentional suicide mortality in youth.”    “We are honored to be recognized as one of the top psychiatry and mental health programs in the U.S. This achievement reflects the dedication of our integrated team and our unwavering commitment to enhancing the lives of individuals and families affected by mental health challenges. We will continue to strive for excellence and address the diverse needs of individuals struggling with behavioral health issues, said Takesha Cooper, MD, Department Chair of Psychiatry and Behavioral Sciences. “Our team comprises skilled psychiatrists, psychologists, therapists and support staff who collaborate to provide holistic and integrated care for our patients. As the region’s only not-for-profit health system, together with the support of grateful donors like Stacie Mathewson, we will continue to actively engage in outreach initiatives to raise awareness about mental health, reduce stigma and create a community that fosters healing and support.”  Renown Health also earned Forbes' Best Healthcare Employer in Nevada for combatting burnout and ensuring well-being and safety of caregivers. 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 locally owned not-for-profit insurance company, Hometown Health. For more information, visit renown.org. About the University of Nevada, Reno School of Medicine The University of Nevada, Reno School of Medicine (UNR Med), Nevada’s first public medical school, is a community-based, research-intensive medical school with a statewide vision for a healthy Nevada. Since 1969, UNR Med has trained more than 3,900 students, residents and fellows. UNR Med continues to improve the health and well-being of all Nevadans and their communities through excellence in student education, postgraduate training and clinical care, research with local, national and global impact and a culture of diversity and inclusion. For more information, visit med.unr.edu.

    Read More About Reno Home to "Great Psychiatry and Mental Health Program;" Renown and UNR School of Medicine Named to Becker's National List

    • Wednesday, Mar 06, 2024

    Research Shows Genetic Approaches to Breast Cancer Screenings Yield More Accurate Results

    Clinical researchers with the Healthy Nevada Project co-author research paper with findings that emphasize the need for a comprehensive approach to breast cancer risk assessment – including a focus on genetic medicine – to help ensure that individuals at high risk are identified and supported proactively rather than reactively.  Breast cancer is a leading cause of cancer death among women in the United States. According to the American Cancer Society, about 1 in 8 women will develop breast cancer and about 1 in 39 women will die from breast cancer. Breast cancer is associated with increased age, hereditary factors, obesity, and alcohol use. Since 1990, breast cancer death rates have declined progressively due to advancements in treatment and detection. In Nevada there are an estimated 2,310 new breast cancer cases a year, and genetic mutations such as in the genes BRCA1 or BRCA2 remain a top risk factor for this prevalent disease. Recognizing the urgency for progress in breast cancer research, a collaborative effort between physicians, advanced practice providers and scientists from the Healthy Nevada Project® (HNP) and Helix have unveiled groundbreaking research. This study explores how genetic screenings are a necessary supplement to traditional testing methods, together offering more accurate insights into a patient's likelihood of developing breast cancer in the future. HNP is operated by Renown Genomic Medicine and the Institute for Health Innovation and is one of the largest community-based population health studies in the country. Their team works in collaboration with Helix, a leader in precision health that delivers comprehensive genomic solutions. Together, this dynamic partnership aims to understand breast cancer risk factors and pave the way for more effective preventative measures. The combined research team studied 25,591 female HNP participants to evaluate the performance of different genetic screening approaches to identify women at high risk of breast cancer. The results of this research suggest that a combined monogenic, or single-gene, and polygenic, or multi-gene, approach to breast cancer screenings helped produce more accurate results and more closely identify study participants who have a high genetic risk of developing the disease. "Based on this research, we are advocating a shift in approach which would improve breast cancer risk assessment through a combination of effective family history ascertainment and genetic screening,” said Joseph Grzymski, PhD, principal investigator of the Healthy Nevada Project, research professor at the University of Nevada, Reno School of Medicine and co-author of the breast cancer research paper. “This tailored approach, founded on the assessment of individual genetic risk, not only intends to elevate patient well-being but also will improve efficiency and equity in healthcare." Complementing the team’s research on leveraging genetics to identify women at low genetic risk of breast cancer that could safely defer mammogram screenings by five to 10 years that was released in late 2023 in JAMA Oncology, the study suggests that incorporating genetic information can assist in personalizing breast cancer screenings and optimizing the use of screening resources. "Existing disparities persist across various facets of breast cancer screening and treatment; however, genetic screening is clearly a powerful tool to help facilitate early intervention for those at higher risk,” said Jamie Schnell Blitstein, APRN, a primary care nurse practitioner at Renown Health and co-author of the breast cancer research paper. “By placing a heightened focus on risk, we underscore the pivotal role of preventative breast cancer screening.” Despite the availability of effective methods for early screening, co-authors of this research found that 78 percent of women with a family history of breast cancer had their risk ascertained only after a breast cancer diagnosis. The findings emphasize the need for a comprehensive approach to breast cancer risk assessment – including a focus on genetic medicine – to help ensure that individuals at high risk are identified and supported proactively rather than reactively.  “These findings that can profoundly impact how healthcare is delivered were only made possible by all the participants who were willing to consent to research,” said Alex Bolze, PhD from Helix and co-author of the publication. “Broad-scale collaboration projects like these between Renown Health and UNR that engage large populations where participants share both their genetic information as well as electronic health records drive advancements in preventative medicine, as well as fundamental biological research.”   The research paper was officially accepted on Jan. 29, 2024, and will be published by Elsevier, Inc. on behalf of the American College of Medical Genetics and Genomics. The contents of the paper will appear in the international journal Genetics in Medicine Open. Read the full article by visiting sciencedirect.com. The Healthy Nevada Project is currently recruiting new study participants. Free to all Nevadans with a saliva sample or blood draw, participants and their referring providers receive access to whole-exome sequencing and clinical grade results that help provide insight into their unique genetic risks tied to heart disease and certain cancers. If you are interested in enrolling in the study, schedule a Virtual Consent Appointment through MyChart or contact the Renown Institute for Health Innovation at RenownIHI@renown.org or (775) 982-6914 to be connected to a Genomic Representative. 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 largest community-based genetic population health study, the Healthy Nevada Project®. To join the Renown Health team, visit renown.org/careers. About Helix Helix is the leading population genomics and viral surveillance company operating at the intersection of clinical care, research, and data analytics. Helix enables health systems, life sciences companies, payers, and government partners to accelerate the integration of genomic data into patient care and public health decision-making. Learn more at helix.com.

    Read More About Research Shows Genetic Approaches to Breast Cancer Screenings Yield More Accurate Results

    • Thursday, Feb 11, 2021

    Renown Children's Hospital Announces 2021 Children's Miracle Network Champion Child Ambassador

    Despite numerous medical challenges, Emmalee Sutton is a determined, bright and outgoing 14-year-old with a joy for life and passion for helping others. Renown Children’s Hospital and Children’s Miracle Network Hospitals (CMNH) are excited to announce Emmalee Sutton as the 2021 Champion Child Ambassador. A fighter from a very young age, 14-year-old Emmalee has been a source of hope and inspiration to everyone she meets, never letting her medical challenges slow her down.  A video introducing Emmalee and her journey can be found here.  Emmalee was diagnosed with autoimmune hepatitis at age 2, and she has endured a long road of illnesses and hospitalizations since. She also has Addison’s disease, which means her body under-produces critical hormones. She had her gallbladder removed at age 8, port surgery at 13, and has received several liver biopsies over the years.  Over time, heavy steroid use has stunted her growth — at 14 years old, she is 49 inches tall. It has also caused extreme weight gains and losses. She also faces daily issues with her calcium, potassium and sodium levels. Due to her lack of immunities, she is unable to attend school in-person but is on the home/hospital program through the Washoe County School District. Despite Emmalee’s medical challenges, her sheer joy and spark for life remains untouched.  “I am so honored to be chosen as the 2021 Champion Child Ambassador and represent all the kids at Renown Children’s Hospital. I hope my story can inspire other young patients to believe in themselves,” said Emmalee. “It can be hard dealing with health challenges, but I always think about those who have it worse than me. Instead of complaining about the things I can’t do, I celebrate all the things I can do.” “We can all learn from Emmalee’s enthusiasm, determination and positive outlook,” said Tony Slonim, MD, DrPH, President & CEO of Renown. “She has never met an obstacle too great or faced a challenge too difficult, and she effortlessly inspires others to view life through that same lens. Emmalee has already touched so many hearts here at Renown, and as our 2021 Champion Child Ambassador, her impact is sure to be incredible.”  Emmalee loves to talk to and help other children, especially when she visits Renown Children’s Hospital for treatments. One of her favorite things to do in the hospital is visit with other patients and try to make them feel better.  “Emmalee is very patient with all the doctors she sees, the medications she takes and the frequent lab testing and blood draws she receives,” said her mom, Ann Sutton. “She always remains positive and comforts those who think they are hurting her. This makes her quite the beloved patient at Renown Children’s Hospital!” Emmalee enjoys spending time with her four dogs and rabbit, and she also has an affinity for frogs, lizards and fish. She loves to sew and crochet, and for the past six years, she has held the title of top cookie-seller in her Girl Scout troop. When Emmalee grows up, she wants to be a pediatric nurse so she can help other kids who are going through what she has experienced. Her ultimate goal in life is to make the world a better place in many ways.  “From the moment I met Emmalee, I knew she was a champion,” said Kiemmy Thai, MBA, Foundation Manager of Children's Hospital at Renown. “Her courage and perseverance inspire so many pediatric patients with hope when they need it most. Her smile is contagious, and her words of wisdom at such a young age will have a great impact on our community. We are excited to work with Emmalee and help bring out the champion in others.” Emmalee will serve as Renown Children’s Hospital’s CMNH Champion Child for the next two years, acting as the face of the hospital in the community and sharing her heartwarming and inspiring story. Supporting Champions Like Emmalee Funds from the Children's Miracle Network Hospitals’ have helped purchase equipment for several of the subspecialists Emmalee needs to see. Additionally, Emmalee has benefited from equipment that CMNH has funded during her in-patient stays, such as distraction machines, iPads and CinemaVision goggles. You can support local champion children like Emmalee by visiting renown.childrensmiraclenetworkhospitals.org.   About Renown Children’s Hospital Renown Children’s Hospital is the only dedicated children’s hospital in northern Nevada, and offers a variety of programs and services designed specifically to care for the community's families. It has the region’s only Children’s ER and Pediatric ICU. Renown Children’s Hospital is the only hospital affiliated with Children’s Miracle Network Hospitals (CMNH) in the region and local CMN Hospitals' programs and events directly benefit children in the Truckee Meadows. It is also the only hospital in the region affiliated with CHA (Children’s Hospital Association). For more information, visit here. About Children’s Miracle Network Hospitals Children’s Miracle Network Hospitals® raises funds and awareness for 170 member hospitals that provide 32 million treatments each year to kids across the U.S. and Canada. Donations stay local to fund critical treatments and healthcare services, pediatric medical equipment and charitable care. Since 1983, Children’s Miracle Network Hospitals has raised more than $7 billion, most of it $1 at a time through the charity's Miracle Balloon icon. Its various fundraising partners and programs support the nonprofit's mission to save and improve the lives of as many children as possible. Find out why children's hospitals need community support, and learn about your member hospital, at CMNHospitals.org and facebook.com/CMNHospital.

    Read More About Renown Children's Hospital Announces 2021 Children's Miracle Network Champion Child Ambassador

    • Tuesday, Nov 23, 2021

    Renown Health Leads Nation With Focus on Clinician and Employee Wellness

    New mental health benefits and two leaders Top Women in Wellness and HR by Ragan Communications Concern about clinician well-being has been top of mind for years, but the pandemic has exacerbated stress and trauma and presented a unique opportunity to reframe core approaches to fostering a thriving workforce. More than ever, clinicians require compassionate, holistic support to ensure that they feel safe, valued and engaged,” begins the introduction to the 2022 Health Care Talent Scan from the American Hospital Association. In line with this new report, Renown Health President and CEO Tony Slonim, MD, D.Ph., and a newly appointed member of the American Hospital Association Board of Directors, has announced a number of additional benefits to address some of the physical and psychological impacts of chronic clinician workforce stressors and to promote rest-and-recuperation strategies, essential for sustaining high-performing clinical teams. In an enterprise-wide communication, Dr. Slonim wrote to Renown Health employees, “I often say good health is a positive connection of a person’s body, mind and spirit. To honor you this holiday season, we have added to your comprehensive benefits package to help you achieve well-being, realize greater financial security, advance your education, enjoy enhanced life balance, and when needed, face illnesses and setbacks with the greatest possible peace of mind.” In addition to offering a $100 cash holiday gift for all frontline employees (up to manager level), Renown leaders are working to remove the stigma and barriers to using mental health services when needed, and reinforcing that seeking help indicates strength, not weakness. “By listening, recognizing and honoring our team member’s emotional health, we are looking to help each other process these experiences, grow from them and emerge more resilient and available to our patients and families,” said Michelle Sanchez Bickley, MS, SPHR, SHRM-SCP, Chief Human Resources Officer. “This could include taking a day off to refresh and recharge or taking advantage of confidential, mental health counseling visits at no charge. We have updated our policy to include mental and emotional well-being as eligible for use of sick leave.” Sanchez-Bickley is the newest inductee to the HR Hall of Fame this week by Ragan Communications, for leading the charge for health care organizations across the United States in employee health, performance management, Diversity, Equity and Inclusion, training and development, and for implementing innovative employee benefits. She is the only health care HR leader named to the Hall of Fame this year. Also named to the national leadership list is Ann Beck, MBA, Chief Financial Officer, who, Ragan Communications noted, “despite being in the middle of a COVID pandemic and economic and financial down turn, was able to drive performance to secure Renown’s workforce and long-term financing to serve this generation and the next.” In addition, hospital staff will be offered free chair massages, courtesy of a local donor organization, MOBE. “Without a doubt, it’s the little things like this, free chair massages, food trucks at lunch time, a hot cup of coffee near the end of your shift, and a sincere “thank you” from a patient or family, that makes all the difference to us as nurses,” said Jana Elliott, DNP, RN, Associate Chief Nursing Officer Acute Services. Clinicians and employees are also encouraged to take vacation time away, and will continue to earn 10 paid holidays plus vacation time, employee recognition and rewards through the Everyday Amazing employee recognition program, enrollment in a free life insurance plan, and offered paid volunteer time and health insurance, 401k retirement planning, and education and tuition reimbursement. Dr. Slonim ended his communication by saying, “This year, as we readjust, realign and restore our way to a new world, I have never been prouder to ‘Be Renown.’ Thank you for standing by us, offering your time and expertise, and helping us emerge stronger people, and a stronger organization through a very challenging time. Please enjoy this holiday season with family and friends, and know you are appreciated.” Renown Health is currently hiring key roles to support the health and well-being of our community. The HR and Recruiting team are providing applicants with support during the application, interview and onboarding processes with a variety of digital and virtual tools. To join the Renown team to help Fight the Good fight, visit https://careers.renown.org.   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 Health Leads Nation With Focus on Clinician and Employee Wellness

    • Thursday, Nov 12, 2020

    Renown Announces $469 Million in Planned Investments

    A major community investment in health care facilities to transform care, improve economy and enhance the quality of life for generations to come. Renown Health announced today $469 million in planned investments, including hospital campus improvements and new health care facilities across northern Nevada to meet the growing community need over the next three years. “Renown Health has a rich 158-year history in serving northern Nevada. Continuing our bold vision and legacy, Renown is making this investment to transform care in our community and improve the quality of life for generations to come. Nothing of its kind has been imagined or currently exists in our area,” says James DeVolld, Board Chair, “The transformation of our hospital campuses represents one of the single largest investments in health care facilities, services and programs in the state, and are a result of putting people first to enhance health care access, experiences, outcomes and affordability for everyone in our community. This will improve care and it will have a tremendous, positive effect on our local and statewide economy."  “Like those we serve, we have experienced many challenges in 2020,” says Tony Slonim, MD, DrPH, President and CEO, Renown Health. “These challenges confirmed the critical role that Renown plays as a locally-owned, not-for-profit integrated health network. We are passionate about stepping up to serve our community at all times, and especially when we are needed most. We are transforming to meet the needs of our growing community today- and for the future.” GROWING FOR THE COMMUNITY Over the last two years, given significant consumer demand for Renown providers and services, a master facilities planning process was undertaken to ensure that Renown has adequate bed and procedure capacity, spaces to accommodate new technology and services to meet the needs of a growing patient base and community.  “Renown’s campuses will be innovative, convenient, safe and compassionate places to provide and receive care, incorporating modern efficiencies in a healing environment, says Dawn D. Ahner, DSc, FACHE, Chief Operating Officer, Acute Services at Renown. “Designed for patients, visitors and team members, these spaces will showcase state-of-the-art technology, enhance patient safety and improve the hospital experience- including adding more private rooms; having flexible areas with room for growth; and healthy, sustainable buildings and interiors.” Today, the population of Washoe County, now at 473,156 people, has experienced staggering growth of 12.28% over the last 10 years, from 2010 to 2020. According to the U.S. Census Bureau, Nevada ranks as one of the top fastest-growing states in the country, with 15.21% growth over the last ten years. BENEFITS OF MASTER FACILITY PROJECT To alleviate current capacity constraints, allow for expansion and new services, a number of aging facilities will be replaced and new patient care areas will be constructed. Overall, the master facilities project enhances the clinical care model, enhances the experience for patients, families and staff and improves the infrastructure of the physical plant. COMPONENTS: RENOWN REGIONAL TAHOE TOWER BUILD OUT & RENOVATION; REGIONAL SIERRA RENOVATION Renown Children’s Hospital at Renown Regional Medical Center, 1155 Mill St., Reno, NV An expanded Neonatal Intensive Care Unit (NICU) with increased capacity from 39 current to 49 bassinets on Level 5 of Tahoe Tower of Renown Medical Center. An expanded Pediatric Intensive Care Unit (PICU) with increased capacity from 11 to 16 private patient and family rooms on Level 5 of the Tahoe Tower of Renown Regional Medical Center. A new Renown Children's Hospital in-patient floor with improvements, upgrades and increased capacity from 33 to 38 private patient and family rooms with a total capacity of 58 pediatric beds on Level 4 of Tahoe Tower of Renown Regional Medical Center. Renown Regional Medical Center, 1155 Mill St., Reno, NV Renown Regional Tahoe Tower Build Out & Renovation A new surgical trauma Intensive Care Unit (ICU) on Level 9 in the Tahoe Tower, increasing capacity to 34 private patient rooms. Improvements and upgrades for Levels 3, 6, 7, 8, of Tahoe Tower. Improvement of 'family zone' within patient rooms; addition of USB capabilities, furnishings. New Respite room for health care team. Upgraded technology/infrastructure to improve collaboration between caregivers and family members. Improvement in lighting, with dimmable options for patient rooms and LED/sustainable improvements. Renown Regional Sierra Tower Renovation Improvements and upgrades for the Sierra Tower Intensive Care Unit (ICU) Level 1, Sierra Tower. Improvements and upgrades for an Adult Transitional Care Unit and Medical/Surgical Unit on Level 4 of Sierra Tower. Renown Regional Material Management and Kitchen Building Renown Regional CUP (Central Utility Plant) Building RENOWN SOUTH MEADOWS RENOVATION & SPECIALTY CARE CENTER Renown South Meadows Medical Center, 10101 Double R Blvd, Reno, NV A new façade, entry canopy and upgrade of lobby and public spaces, including a new Family Lounge. Improvements and upgrades for Medical Center, Levels 1, 2, 3 with private patient/family rooms, USB capabilities, furnishings. Welcome Lounges for patients and families, Respite room for health care team. Expansion of surgery minor procedures room. Operating room enhancements, technology integration and lounges. Improvement in lighting, with dimmable options for patient room areas, LED/sustainable improvements. Improvements, upgrades and new services to the South Meadows Medical Office Building including imaging, surgical pre-admission lounge and expanded Outpatient Therapy space. A new Ambulatory Center adjacent to surgery for convenient procedural care. A new Specialty Care Center. Level 1 will feature kitchen/dining facilities, expanded laboratory and diagnostic services, including Interventional Radiology and a new Cardiac Catheterization Lab. Level 2 will feature an Ambulatory Surgery Center and expanded sterile processing department.  “Structural quality and resiliency are of utmost importance as we are designing our facilities for extreme weather conditions that our region may face,” says Steve Horn, Vice President, Real Estate and Facilities. “As environmental stewards, we are designing the rooms in ways that reduce energy needs, allow for natural light and comfortable temperatures. The interior design will have healing and comfort at the forefront with thoughtful places for reflection, architecture, healing art and views that inspire.” Sy Johnson, MBA, chief of staff for Renown added, “We are working tirelessly to improve the health- and the lives- of thousands of people for the better, to care for people both in sickness and in health, and to provide better quality health and healthcare services in modern, convenient and attractive facilities, at a lower cost and with improving access to services.”  THE TEAM The planning and design team for the Renown master facilities project includes a number of locally-owned businesses, as well as veteran and female-owned businesses.  Leading Architect: Perkins + Will, Chicago, IL For more than sixty-five years, Perkins and Will’s vision and compassion have helped shape many of the nation’s most progressive academic medical centers, research institutions, community hospitals, and clinics. The breadth and quality of their diverse, global portfolio have consistently placed them among the leading healthcare firms in the world. Leading Engineer: WSP, Montreal, CA WSP provides complete healthcare consulting services in the design of mechanical, electrical, plumbing, structural, building technology and fire protection systems; with a focus on sustainable and high performance building design.  Structural Engineer: Datum, San Antonio, TX Datum has an 80-year history providing engineering services for a large variety of projects types. Datum has an experienced team whose tenures with the firm averages more than 20 years.  Electrical Engineer: PK Electrical, Reno, NV, Female-Owned Business PK Electrical, Inc. is a self-performing, female-owned electrical engineering firm providing complete electrical and low voltage design for power, lighting, communications, medium voltage distribution, and emergency power systems. Mechanical Engineer: Ainsworth Associates, Reno, NV Representing a body of work spanning more than seven decades, Ainsworth Associates Mechanical Engineers has built a solid foundation for quality in design for even the most complex building requirements. Civil Engineer: Wood Rodgers, Reno, NV Wood Rodgers has a long standing history partnering with Renown Health. With just under 100 employees in their Reno office alone, they bring local expertise in land planning, civil and geotechnical engineering, surveying, and mapping to better the community we call home.  Traffic Study: Headway Transportation, Reno, NV Headway Transportation was founded in 2010 to provide clients exceptional service and value across all facets of transportation planning & traffic engineering. They have extensive experience across northern Nevada.  Medical Equipment: Covalus, Medical Equipment, Veteran-Owned Small Business Covalus is a veteran-owned small business (VOSB) specializing in healthcare construction management and initial outfitting and transition. In the past twenty years, Covalus has become one of the leading national firms in planning, budgeting, and executing healthcare and other facility projects, working for government, academic, and private institutions across 32 states and 5 countries. Renown has secured long-term financing for this master facilities project. Renown has engaged a firm to coordinate the bidding process in order to be transparent and unbiased in the selection process. Construction is slated to begin in spring 2021 with a majority of the project completed by fall 2023.   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® . For more information visit, www.renown.

    Read More About Renown Announces $469 Million in Planned Investments

    • Tuesday, Nov 17, 2020

    Renown Health Welcomes New Vice President of Quality

    Amy McCombs, MSN, RN, CCRN, CNML is promoted to serve future generations and improve the health and well-being of Nevadans. Renown Health is excited to announce Amy McCombs, MSN, RN, CCRN, CNML has been promoted to vice president of Quality for Acute Services to lead clinical quality, risk management, infection prevention and patient safetyrelated activities within the hospital setting at Renown Health.  Ms. McCombs will also direct all performance improvement initiatives related to these areas, ensure compliance with regulatory standards and promote a culture of safety throughout Renown. Please join us in welcoming Amy McCombs, MSN, RN, CCRN, CNML who has been promoted from Director of Infection Prevention and Emergency Preparedness to Vice President of Quality, Acute Services.  “We are pleased to promote such a dedicated, experienced and passionate leader,” said Dawn D Ahner, DSc, FACHE, Chief Operating Officer, Acute Services, “Amy McCombs will continue to foster a culture of caring, clinical quality and excellence, while ensuring the highest level of clinical practice for both care providers and patients. Amy has demonstrated extraordinary leadership throughout this pandemic, throughout her career and has much to contribute to Renown and our community.”  Amy McCombs has dedicated her career to Renown, joining in 2002 as a Clinical Nurse Supervisor at Renown Regional Medical Center. Over the last 18 years, she has held positions of increasing responsibility including Director of Nursing for Critical Care, and Director of Infection Prevention and Emergency Preparedness. Ms. McCombs has both a Bachelors and Masters of Science in Nursing from the Orvis School of Nursing at the University of Nevada, Reno. Amy is also certified in Infection Control by the Board of Infection Control and Epidemiology. Amy has been a Northern Nevada Nurse of Achievement Nominee for six years, and was selected as a Woman of Achievement.  In U.S. News and World Report Best Hospital rankings, Renown South Meadows Medical Center was listed #1 in the State of Nevada. Renown Regional Medical Center was named #2 Best Hospital in Nevada. A hospital's score is based on multiple data categories, including patient outcomes, safety and volumes. Hospitals earning a high performing rating were significantly better than the national average. 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®. For more information visit, www.renown.org.

    Read More About Renown Health Welcomes New Vice President of Quality

    • Wednesday, Nov 25, 2020

    Renown Now Offering rTMS Treatment for Major Depression

    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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    • Wednesday, Jul 15, 2020

    Locally Owned Not-For-Profit Insurance Company, Hometown Health, Welcomes New CEO

    David Hansen, MBA, joins Hometown Health to continue to serve future generations and improve the health and well-being of Nevadans Renown Health and Hometown Health are excited to announce David Hansen, MBA, is joining Hometown Health as its Chief Executive Officer (CEO). In his role as CEO, Hansen will oversee Hometown Health, contributing to its growth to ensure the not-for-profit company is here for generations to come and to assist Renown in developing new care models that will deliver healthcare that is both accessible and affordable. “We are pleased to welcome such an experienced and talented leader like David to our organization and to northern Nevada,” said Tony Slonim, MD, D.Ph., President and CEO, Renown Health. “As CEO of Hometown Health, David will continue to foster a culture of caring and excellence, while ensuring wide-ranging medical coverage and great customer service to Hometown Health’s more than 138,000 members statewide.” Hansen has spent the previous twenty years of his career working for UnitedHealthcare, a health insurance company based out of Minnetonka, Minnesota. During his time at UnitedHealthcare, Hansen held various roles including chief financial officer of clinical & network services, west region president of network & provider services, chief executive officer of the California Health Plan and chief executive officer of the Pacific Northwest Health Plan. He has also served in executive roles with PacifiCare and TransAmerica Occidental Life and began his career in the audit and management consulting practice of Deloitte & Touche. “Choosing healthcare coverage is one of the most important decisions people make. I am excited to begin my work with Hometown Health and Renown to help our members receive the quality coverage to enhance their health and well-being,” said Hansen. “Hometown Health is such a community-focused organization and I look forward to being a part of a team that gives back to improve the health and wellbeing of the communities we serve. ”David has an MBA in Finance and Business Policy from the University of Chicago, and a BA in Economics and Business from the University of California, Los Angeles.     About Hometown Health Established in 1988, Hometown Health is the insurance division of Renown Health and is Northern Nevada’s largest locally-owned, not-for-profit health insurance company. Providing wide-ranging medical coverage and great service to members, Hometown Health represents a philosophy of health care that emphasizes active partnerships between members and physicians. For more information, call 775-982-3000 or visit www.hometownhealth.com. 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.

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    • Wednesday, Jul 01, 2020

    Reno Home to Marketing Person of the Year

    Suzanne Hendery, MA, APR of Renown Health selected as 2020 Medigy HITMC Award Winner. Every year, the Healthcare and IT Marketing Community (HITMC) honors the individuals and organizations who distinguished themselves over the past year. Nominations for the Awards are reviewed by a selection committee made up of industry veterans and only three are chosen as Honorees in each category. A panel of judges then evaluates the Honorees and a winner is chosen. Suzanne Hendery, Chief Marketing, Public Affairs & Community Impact Officer for Renown Health has been selected as the 2020 ‘Marketing Person of the Year.” “Suzanne Hendery of Renown Health is a deserving winner of a 2020 Medigy HITMC Award” said John Lynn, Chief Editor and Founder at Healthcare Scene, the company behind HITMC. “Together, the 2020 Award Winners are a shining example of the best in healthcare marketing. It is truly inspiring to see what happens when bright, passionate people work together.” The 2020 Medigy HITMC Awards are a celebration of outstanding achievement in marketing, PR and communications for healthcare and Health IT. It is a chance for the Healthcare and IT Marketing Community (HITMC) to come together and acknowledge the hard work and efforts of individuals, Health IT companies, healthcare providers and agencies. “We at Renown Health are so proud of Suzanne and the entire Marketing & Communications team. They tell the stories of our health care heroes, engage with our community, and use communications to encourage people to improve their health and well-being,” said Tony Slonim, MD, DrPH, president and CEO of Renown Health. Ms. Hendery says, “Being able to distill the essence of our organization down to 2 words- ‘hope’ and ‘determination’-is something that brings me such pride. I feel honored – and humbled – that Jim DeVolld and Rob Winkel of the Renown Board of Trustees; Dr. Tony Slonim, our CEO; and our lead physicians, nurses, team members and partners, all came together with our community to build the “Fight the Good Fight” campaign. This work gives us all the inspirational message of hope and determination during such an important time in our history.” Suzanne Hendery is the Chief Marketing, Communications & Community Impact Officer for Renown Health in Reno. Ms. Hendery earned her MA from the University of Connecticut, is a lecturer at Harvard University, a member of the American Marketing Association Health Care Executive Board, a member of the Public Relations Society of America, and serves on the Board of the Society for Healthcare Strategy and Market Development.     About The HITMC Awards HITMC is a community – bound together by a passion for and a love of PR, communications and marketing in healthcare and Health IT. The central idea behind HITMC is to bring together all the smart, innovative and hard- working healthcare professionals so that we can learn from each other. We enable this by creating a culture where sharing, mutual respect and lifting each other up is the norm. The annual HITMC Awards are an embodiment of this ethos. They are meant to celebrate the best individuals and organizations who have elevated healthcare marketing, PR and communications in the past year. For more information, visit www.hitmc.com/awards   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.

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    • Friday, Jun 12, 2020

    Dr. Rahul Mediwala Promoted to Chief Medical Officer

    Dr. Mediwala’s leadership through challenging times helps Renown to thrive despite uncertainty ofCOVID-19 pandemic Rahul Mediwala, MD, CPE, has been promoted to Chief Medical Officer (CMO) of the Health Services Division at Renown Health after serving as interim CMO since the beginning of the COVID-19 pandemic, working tirelessly to lead a team on the frontlines who continued to provide quality and compassionate care to our community through the uncertainty and pressure of the pandemic. Dr. Mediwala has been with Renown for 11 years, originally joining Renown Medical Group to lead the nephrology program and as medical director for the dialysis unit. Over the years, he has taken on additional leadership roles for Renown Medical Group; serving as chair of Medical Specialties, and Chief Medical Officer for the Renown Accountable Care Organization. “I am thankful for our team of physicians, care providers, medical assistants, patient access representatives, administrators and all who have worked through change to continue to make a genuine difference in the health and well-being of the people and communities we serve,” said Dr. Mediwala. “I look forward to continuing to lead this talented team at Renown as we work to find how we can adapt to meet the changing needs of our health system and community to thrive into the future.” Dr. Mediwala has a bachelor’s degree from Texas A&M in biomedical engineering, his medical degree from Baylor College of Medicine in Texas and served as chief resident for Internal Medicine at University Hospitals in Cincinnati and subsequently completed a nephrology fellowship in Cincinnati. Prior to joining Renown, Dr. Mediwala practiced with a large nephrology specialty group in Ohio.     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, 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.

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    • Wednesday, Jun 10, 2020

    Elementary Schoolers: Take Part in Free Virtual Vision Screening

    Renown Children’s Hospital pediatric ophthalmologist Dr. Mitchell Strominger hosts state-wide virtual event to provide routine vison screenings for children and Walk with a Doc. Renown Children’s Hospital pediatric ophthalmologist Dr. Mitchell Strominger is set to host a virtual Walk with a Doc event on Sunday, June 14 at 10 a.m. for elementary school children and their parents. During this free event, Dr. Strominger will give a brief, kid-friendly talk about the importance of routine vision screenings and show parents how to conduct a vision screening with their kids at home. He will close out the morning session with a live Q&A. Following the event, families are encouraged to get outside and enjoy a walk in the great outdoors. The event is sponsored by Renown Children’s Hospital and free to participants, however you must register to receive the link to attend. “Vision is important for learning, experiencing new things and interacting with others, which is why it’s critical for children to get vision screenings early and routinely,” said Dr. Strominger. “The best time to screen a child’s vision is kindergarten through third grade as the cells in the brain responsible for vision are continuously developing up until age eight. If we detect vision problems early, we here at Renown Children’s Hospital have the expertise and technology to correct these vision problems and enable children to live healthy, productive lives.” Individuals who register for this event will be emailed a vision-screening sheet to help facilitate an at-home screening, as well as a form to send back to their child’s pediatrician or pediatric ophthalmologist upon completion to determine the best course of action. Dr. Strominger added, “Many parents and schools have put off vision screenings due to COVID- 19 school closings, hesitations of safely leaving their homes or potential financial costs. I am pleased to host this virtual event on behalf of Renown Children’s Hospital, to engage kids and parents in a conversation on the importance of vision and to remind the community that we are here to help and provide the care they need, both in-person and virtually—be it over a smart phone, tablet or computer screen.” This virtual event will take place in the newly renovated Fianna’s Healing Garden which re-opens later this month and has been funded 100% by donations through the Renown Health Foundation. Located in the heart of Renown Regional Medical Center, the healing garden serves as place to enjoy the serenity and beauty of the outdoors. Dr. Strominger is one of 26 pediatric subspecialists recruited to Renown Children’s Hospital since 2016, thanks to the Pennington Foundation's $7.5 million donation made to the non-profit Renown Health Foundation to expand children’s health services. June marks the four-year anniversary of the Nevada Chapter of the American Academy of Pediatrics’ (Nevada APP) participation in the national Walk with A Doc event. Dr. Strominger is the secretary and treasurer for the Nevada AAP. From pediatric specialties, 24/7 ER care and surgery, to imaging, pediatric ICU and child life specialists, Renown Children’s Hospital is dedicated to helping kids feel welcome, safe and well cared for. Through each visit, parents can expect the highest level of care for their child’s health and well-being from birth and beyond. To support Renown Children’s Hospital and help local children in need get access to vital health services like routine vision screenings, please visit the Renown Health Foundation.     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.

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    • Tuesday, Jun 16, 2020

    Renown Celebrates Pride Month and LGBTQ+ Communities with Love

    Rainbow lights illuminate Renown’s iconic “LOVE” sculpture, and powerful employee stories shared during Pride Month. Reno, Nev. (June 16, 2020) –In celebration of Pride Month and Reno’s LGBTQ+ communities, Renown’s LOVE sculpture, a one-ton, welded aluminum artwork with letters 10-feet tall and eight-feet wide, will be illuminated by rainbow LED lights throughout the month of June. LOVE is located at Renown Regional Medical Center’s main entrance at 1155 Mill Street in Reno, Nev. and visible to vehicular and pedestrian traffic along the Mill Street and Ryland Street corridors. Dr. Tony Slonim, president and CEO of Renown says, “At Renown, we are proud to support our LGBTQ+ communities. During Pride Month and beyond, we are honored to offer an inclusive, safe environment for our staff and patients—one that celebrates diversity in all its forms. The LOVE sculpture has already brought a bright light into our world, and I look forward to the joy it will bring to everyone who gets to see it in rainbow colors.”    In commemoration of Pride Month, Renown is committed to highlighting some of the LGBTQ+ individuals who make up a portion of its 7,000 employees. Sean Savoy, Renown’s manager of spiritual care, shares how his experiences as a gay man positively affect his career in spiritual healing and the compassion he shows others.     "The foundation of spiritual care is compassion – being with people in need by caring, supporting, and showing empathy, and promoting a sense of well-being,” said Savoy. Being a member of the LGBTQ+ community informs that deep sense of compassion and empathy in a very special and unique way.I have found the intersectionality of my gay and spiritual selves has been a blessing in my life."  Created by artist Laura Kimpton and fabricated by Jeff Schomberg, the LOVE sculpture first appeared at Burning Man in 2019. Thanks to a partnership with non-profit Artown, the sculpture debuted at Renown in April of 2020, and since served as a symbol of hope and determination for hospital staff, patients and community members amid the COVID-19 pandemic. Generous donors and the Renown Health Foundation funded the sculpture’s instillation.   ###   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, 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. Media Contact: Public Relations M: 775-691-7308 E: news@renown.org

    Read More About Renown Celebrates Pride Month and LGBTQ+ Communities with Love

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