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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

    • Tuesday, Jul 23, 2024

    Renown Health Launches Free Childbirth Classes for Expectant Parents

    Renown Health is excited to announce the launch of free pregnancy, childbirth and early parenthood and grandparent classes. Beginning this month, Renown’s comprehensive selection of childbirth education and support for expecting and new parents is now available to all in the community as a free resource, and as part of Renown’s community benefit mission.  “As Reno’s only not-for-profit, integrated academic health care organization we are constantly investing in essential community benefits and services. Our goal is to enhance access to prenatal care and childbirth education to help improve health outcomes for mothers and children in Washoe County,” said Brian Erling, MD, MBA, President & CEO for Renown Health. “By offering these free classes, we look to provide parents with the knowledge and support they need to confidently welcome their babies into the world, and to raise healthy children.”  "We are thrilled to offer childbirth classes to our community at no cost. We recognize the profound health benefits these classes provide, not only to expectant mothers, but to their families and the broader public,” says Jennifer Timmons, RN, Nursing Manager for Postpartum and the Newborn Nursery at Renown. “We want to promote healthier pregnancies and foster stronger, more resilient families. By removing financial barriers, we hope to reach and support every expecting parent in Washoe County.”  All Classes are now FREE including:  Pregnancy & Birth Class. An all-in-one day childbirth education course offered virtually or in-person, or a 7 Week in-person Thursday series childbirth preparation class, prepares mom and her partner for the many aspects of childbirth, postpartum, infant care and breastfeeding education. Certified instructors offer support and guidance to meet individual needs.  Comfort Measures for Birth Class. In this two-hour session, expecting parents learn labor coping skills including relaxation/meditation practice, breathing techniques, massage and acupressure.  Spinning Babies Parent Class. A four-hour class designed for expecting moms after the 20th week of pregnancy. This class highlights rotating the baby down and out of the pelvis. Preparing for Postpartum Virtual Class. This 2-hour class helps prepare mom and partner on what to expect after birth and the weeks that follow, the difference between postpartum blues and postpartum depression, mother’s warning signs and adjustments once you return home. Breastfeeding Basics and Beyond Class. In this class taught by an International Board-Certified Lactation Consultant, mothers get off to a better start with breastfeeding. Breastfeeding Circle Gathering encourages breastfeeding moms to find support, exchange experiences, and discuss any concerns. Popular topics include milk supply, pumping, returning to work, sleeping, or lack of sleep, weight and more. Nurturing Your Newborn. This 2 in 1 class includes the Newborn Care Class and Breastfeeding Basics and Beyond. The morning portion of this class includes breastfeeding benefits and techniques. The afternoon segment covers newborn appearances and behavior, daily care, signs of illness, and when to call the doctor. Tummy time, comfort and soothing techniques, how to keep your baby safe, newborn screenings are discussed. Partners are encouraged to attend.  Baby Safe Class. This class helps prepare parents for emergencies that may occur in baby’s first year. Along with car seat safety and basic baby proofing, discussion will include basic first aid, prevention and treatment of common injuries. Grandparents and other caregivers are welcome to attend. Infant & Child CPR Class; This course is ideal for schools and students, new parents, grandparents, babysitters, and others interested in learning how to save a life.  Baby and Family Suites Tour; and Tours for Siblings (ages 2-8). Join a childbirth educator to learn more about our Baby and Family Suites, labor and delivery rooms housed in the new Labor Assessment Area, and the William N. Pennington Nursery.  Virtual Grandparents Workshop. Grandparenting has changed a great deal over the last generation. Grandparents will learn about newborn care, safe sleep environments, breastfeeding, car seats, product safety and how to help support new parents.  For more information and to register online for any class free of charge, visit www.renown.org/events.  Free Childbirth Classes Are One More Way That Renown Gives Back to Create a Healthier Community for All  Renown Health is the only locally owned, not-for-profit, charitable healthcare network in Reno. Being not-for-profit, or a 501 © 3 organization means that all Renown’s income stays locally- and is reinvested in people, programs and technology to improve the health of the community. In fact, Renown’s name - besides being the aspiration for care, means "Reno's Own.” With community is at the center of the organization’s mission, and through the affiliation with the University of Nevada, Reno School of Medicine, Renown Health embraces a commitment to make a genuine difference in creating a healthier Nevada for all.  Maternal and Child Health: A Community Benefit Focus Area, 2025-2027 Renown Health’s Community Benefit Health Focus Areas are based on primary and secondary research collected as part of the 2023 Community Health Needs Assessment (CHNA). The CHNA includes input from community stakeholders representing the broad interests of the diverse communities served by Renown Regional Medical Center and Renown South Meadows Medical Center, including those stakeholders with expertise in community and public health. Health needs were identified in the CHNA and subsequently prioritized by community stakeholders.  From the prioritized health needs, Health Focus Areas were chosen based on criteria that consider the Renown Health’s team capacity to impact community needs, the strength of community partnerships and the alignment with Renown’s organizational strategic planning efforts. Through this Implementation Strategy, Renown Health is committed to identifying and closing health equity gaps in communities that are historically marginalized and vulnerable. Health Focus Areas for 2025-2027 are Mental Health; Access to Health Care and Community Services and Maternal and Child Health.  “Renown’s Community Benefit mission is to reduce health disparities, promote community wellness and improve access to care for vulnerable populations,” says Kerry Kelly, MPH, Manager of Community Health for Renown. “This includes offering free and discounted care to those unable to afford healthcare, and partnerships to address health and well-being. Our CHNA process showed Maternal and Child Health as a priority for the community. Improvements in healthcare services, better access to prenatal care, and free education on maternal and child health may help to decrease the infant mortality rate and improve the health outcomes for mothers and children in Washoe County. By working together, and offering free childbirth classes, we can help have a positive impact on the health and well- being of our community.” Secure a brighter future for local mothers and children by donating to the Renown Health Foundation at 775-982-5545 or at renown.org/About/Renown-Health-Foundation.   About Renown Health  Renown Health is the region’s largest, locally governed, not-for-profit integrated health care network serving Nevada, Lake Tahoe, and northeast California. With a diverse workforce of more than 7,500 employees, Renown has fostered a longstanding culture of excellence, determination, and innovation. The organization comprises a trauma center for adults and children, 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.

    Read More About Renown Health Launches Free Childbirth Classes for Expectant Parents

    • Monday, Jul 22, 2024

    Renown Health Awarded Prestigious ‘Gold Stars Level 10’ Designation for Implementing Most Advanced Patient Electronic Medical Record

    Level 10 is the highest level of recognition that can be reached, placing the health system in the top 3% percent of all Epic users internationally. For the first time, Renown Health has been awarded the designation of Epic Gold Stars Level 10 for exceptional utilization of the most advanced electronic medical records (EMR) technology available today.  The "Perfect 10" Gold Stars Level 10 designation is the highest level of recognition that can be reached, placing the health system in the top 3% percent of all Epic users internationally. “To have instant access to a patient’s comprehensive medical history and electronic medical record, allows for more informed decision-making and better care for patients,” says Brian Erling, MD, MBA, President & CEO of Renown Health. “This award for the highest level of adoption of the Epic/MyChart electronic medical record is a result of years of hard work, a substantial investment in technology and training, and a culture of collaboration among clinical, operations and technology team members to provide the highest level of care to our patients. We are very proud.” Renown’s Commitment to Patient Care and Safety Electronic Medical Records (EMRs) have revolutionized the way physicians and healthcare providers manage patient information, enhance the quality of care, and improve patient care and safety. Epic Systems Corporation (Epic) is a leading provider of EMR systems that are used by health care organizations across the globe. The Epic Gold Star Level 10 award represents the highest achievement for users of the software. The system stores patients’ personal health information including treatments, procedures, test results, allergies, medications and more. Patients and providers can access charts, view test results, and read after-visit summaries conveniently and securely. In addition to comprehensive medical records operability, the system makes it convenient for patients to schedule appointments, refill prescriptions and quickly contact their physicians and medical providers. Renown’s Commitment to Innovation “Achieving a Gold Stars Level 10 designation demonstrates Renown Health’s dedication to staying at the forefront of patient care technology,” says Chuck Podesta, Chief Information Officer for Renown Health. “I am so proud of our team’s commitment to collaboration and innovation. This award is a testament to the dedication of our physicians and clinicians who strive daily to deliver the highest standards of care for our patients.” The Epic’s Gold Stars Program provides a scorecard of how effectively an organization is using the system and provides a roadmap for improving clinical and financial outcomes. Gold Stars Level 10 reflects that Renown Health has adopted at least 95% of the Epic Gold Star features and is categorized as being a leading-edge practice in technology use. About Renown Health Renown Health is the region’s largest, locally governed, not-for-profit integrated health care network serving Nevada, Lake Tahoe, and northeast California. With a diverse workforce of more than 7,500 employees, Renown has fostered a longstanding culture of excellence, determination, and innovation. The organization comprises a trauma center, two acute care hospitals, a children’s hospital, a rehabilitation hospital, a medical group and urgent care network, and the locally owned not-for-profit insurance company, Hometown Health. For more information, visit renown.org.

    Read More About Renown Health Awarded Prestigious ‘Gold Stars Level 10’ Designation for Implementing Most Advanced Patient Electronic Medical Record

    • Monday, Sep 16, 2024

    UNR Med's Savitt Medical Library Expands with Additional Location at Renown Regional Medical Center

    The library will have 24/7 access for UNR Med students and Renown Health employees. Today, the University of Nevada, Reno School of Medicine (UNR Med) and Renown Health announced the opening of a new satellite location of the Savitt Medical Library at Renown Regional Medical Center. This new space will serve as a valuable resource for UNR Med students and Renown Health employees and physicians. The Savitt Medical Library's new satellite library will be accessible 24/7 to all Renown employees, physicians and UNR Med students who possess valid badges. The space features four computers—two connected to the Renown network and two to the UNR Med network—requiring appropriate credentials for login. “The Renown Health and UNR Med academic affiliation advances our mission of supporting the health of the people and communities we serve by advancing medical innovation, expanding upon clinical research and improving access to quality care,” said Brian Erling, MD, MBA, President & CEO, Renown Health. “The Savitt Medical Library at Renown Regional Medical Center highlights the value of the academic affiliation by providing Renown employees and physicians access to leading-edge resources and education within the heart of Renown Regional Medical Center.” In addition to its digital resources, the library offers a small collection of print books for in-library use. The facility will be staffed part-time by a librarian who is available to assist with reference questions and in-depth literature searching. These services are extended to all Renown employees, clinicians, and members of the Renown educational community. “We are thrilled to expand our resources with the opening of the Savitt Medical Library satellite at Renown Regional Medical Center,” said Paul J. Hauptman, M.D., Dean, UNR Med. “This new facility embodies our commitment to enhancing medical education and research while fostering collaboration between UNR Med and Renown Health. By providing 24/7 access to essential resources, we are ensuring that both our students and Renown Health professionals have the tools they need to advance medical knowledge and patient care.” For those times when a librarian is not present at the satellite library, patrons can email savitt@med.unr.edu to schedule an appointment at their convenience. The library's resources include access to freely available and credible online databases such as PubMed, ClinicalTrials.gov, Cancer.gov, and MedlinePlus. The Savitt Medical Library, established in 1978, is the academic medical library for the University of Nevada, Reno School of Medicine. In addition to the new satellite location at Renown Regional Medical Center, the library operates a second satellite at the UNR Med Moana Clinic. The main library, named in honor of Sol and Ella Savitt, was initially known as the Life and Health Sciences Library and has a long history of supporting medical education and research. 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 7,500 employees, Renown has fostered a longstanding culture of excellence, determination, and innovation. The organization comprises a trauma center, two acute care hospitals, a children’s hospital, a rehabilitation hospital, a medical group and urgent care network, and the locally owned not-for-profit insurance company, Hometown Health. For more information, visit renown.org. About UNR Med: 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 UNR Med's Savitt Medical Library Expands with Additional Location at Renown Regional Medical Center

    • Wednesday, Jun 19, 2024

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

    Northern Nevada Sierra Medical Center (Reno, NV) closed their inpatient pediatric unit for infants and children on June 1. This follows the 2022 decision by St Mary’s Medical Center (also in Reno) to close their 24-bed Neonatal Intensive Care Unit (NICU) and 18-bed pediatric floor in addition to eliminating maternity and birthing services. Why Are Hospitals Closing Pediatric Units? “Across the nation, pediatric units are being shuttered in favor of more lucrative units for adult care,” writes Brenna Miller, a Health Communications Specialist at the Lown Institute in her blog, Pediatrics and Profits: Why children’s hospital units are closing (Dec. 2022). “Why is pediatrics a drain on hospital finances? One reason is reimbursement. Medicaid, the state-run health insurance program for low-income patients, covers more than one third of children in the US, and Medicaid reimbursement rates are typically lower than those from other insurers.” The New York Times also reported a nationwide wave of hospitals shutting down their pediatric units in favor of more profitable adult units. “Adult beds are more lucrative than children’s beds. So as institutions look to boost profit margins, pediatrics is often among the first services to be cut,” said Emily Baumgaertner, Oct. 11, 2022. “The decline of local access to children’s inpatient care began over a decade ago and accelerated during the pandemic. Between 2008 and 2018 — the most recent national data available — pediatric inpatient units in the United States decreased almost 20 percent, and nearly a quarter of children found themselves farther from their nearest pediatric unit.” Northern Nevada Health System and St. Mary’s Medical Center are owned by for-profit investor companies, Universal Health Services, Inc., and Prime Healthcare. Renown Children’s is Here for You and Your Child “Renown is focused on meeting the community’s need for essential services, offering peace of mind knowing that any time, day or night, kids can get sick, and when they do, we are here to care for them, says Brian Erling, MD, MBA, president & CEO, Renown Health. “Renown is owned by our community, not by stockholders or private investors. We are a charitable, not-for-profit organization supported by grateful patients and donors. We are proud that 100% of our earnings are reinvested in programs, people, and equipment to improve the health of our community. We are investing in high quality health care for children; recruiting and training the next generation of physicians, nurses, and clinicians; and enhancing the quality of life for generations to come.” “At Renown Children’s, we offer a full range of pediatric services- both inpatient and outpatient,” says Kristina Deeter, MD, MBA, FAAP, Chair of Pediatrics (UNR Med) and Physician-in-Chief, Renown Children’s Hospital. “Our hospital services include a Level II Pediatric Trauma Center, Children’s Emergency Room (open 24/7), Pediatric ICU (PICU), children’s imaging center and a Level III neonatal ICU (NICU) within Renown Regional Medical Center. We also have a team of dedicated pediatricians who specialize in caring for children from birth to young adulthood. This includes preventative care such as annual checkups, immunizations, developmental screenings, and nutrition and physical activity counseling. Whether you're a new parent or an experienced caregiver, we're here to support you and your child every step of the way.” In addition to providing comprehensive OB/GYN and birthing services, Renown Health has invested in and expanded their team of dedicated pediatricians and support staff to ensure your child receives the best care possible in the highest quality facilities. New Neonatal Intensive Care Unit The Wilbur D. May Neonatal Intensive Care Unit (NICU) is located on the fifth floor of the Tahoe Tower at Renown Regional Medical Center. This special floor was designed to provide advanced care for 49 premature babies and newborns. As the only level III NICU in the region, Renown’s team of neonatologists, nurses, and specialists provides around-the-clock care for premature and sick infants, ensuring the highest standard of care.   New Pediatric Intensive Care Unit The Pediatric Intensive Care Unit (PICU) at the Children's Hospital provides specialized care for critically ill patients ranging from newborns to young adults, primarily those under eighteen. These team cares for a variety of conditions, including respiratory issues, infections, genetic and metabolic disorders, traumas, accidents, and post-surgical recovery. A dedicated team of pediatric intensivists, nurses, respiratory therapists, pharmacists, dietitians, and other professionals ensure that our most fragile children receive the attention and compassionate care they deserve. Pediatrics Specialties & Services  Over 50 Pediatricians and Pediatric Clinicians provide care in the following areas. Appointments can be scheduled via MyChart or by calling Renown at 775-982-5437.  Adolescent Medicine Child Life Program Children's Fractures Children's Hand Treatments Clubfoot & Foot Disorders Hip Disorders Limb Deformity Neuromuscular Diseases & Syndromes Pediatric Behavioral Health Pediatric Cardiology Pediatric Care Pediatric Endocrinology Pediatric Gastroenterology Pediatric Hematology/Oncology Pediatric Hospital Medicine Pediatric Intensive Care Unit (PICU) Pediatric Nephrology Pediatric Neurology Pediatric Ophthalmology Pediatric Orthopedics Pediatric Pulmonology Pediatric Sedation Services Pediatric Sports Medicine Pediatric Surgery Pediatric Urology Safe Kids Washoe County Scoliosis Neonatal Intensive Care Unit (NICU) Renown Children’s Hospital is supported by grateful patients and donors. Secure a brighter future for local children by donating to the Renown Health Foundation at 775-982-5545 or at renown.org/About/Renown-Health-Foundation.     About Renown Health Renown Health is the region’s largest, locally governed, not-for-profit integrated health care network serving Nevada, Lake Tahoe, and northeast California. With a diverse workforce of more than 7,500 employees, Renown has fostered a longstanding culture of excellence, determination, and innovation. The organization comprises a trauma center, two acute care hospitals, a children’s hospital, a rehabilitation hospital, a medical group and urgent care network, and the locally owned not-for-profit insurance company, Hometown Health.

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

    • 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

    • Monday, Apr 01, 2024

    Amy McGaha, MD, MPH, FAAFP Appointed Chair of Family and Community Medicine

    Amy McGaha, MD, MPH, FAAFP has joined the University of Nevada, Reno School of Medicine (UNR Med) and Renown Health as department chair of Family and Community Medicine. Dr. McGaha comes to Nevada from Omaha, Nebraska where she served as the Roland L. Kleeberger, MD professor and chair for the Creighton University School of Medicine, Department of Family Medicine.  Dr. McGaha previously served as the assistant director of medical education for the American Academy of Family Physicians (AAFP), the professional membership association for family physicians, working to develop family medicine workforce and medical education. She has also served on the Board of Trustees for the Society of Teachers of Family Medicine and on the board for CHI Health, the clinical partner of Creighton University School of Medicine. Prior to those appointments, Dr. McGaha provided inpatient and outpatient care for Freeman Health Systems in Missouri. Dr. McGaha completed her education at the University of Missouri School of Medicine in Columbia and completed her residency in family medicine in Tallahassee, Florida. Dr. McGaha also completed a Master of Public Health (MPH) degree at the Milken Institute School of Public Health at George Washington University. She is a fellow of the AAFP. Dr. McGaha will serve as the joint academic and administrative leader defining clinical operations to expand care, enhancing teaching and training programs vital to ambulatory and acute care medicine in northern Nevada and fostering clinical and translational research and diversity missions. “I am delighted to welcome Dr. McGaha,” said Paul J. Hauptman, MD, dean of UNR Med and chief academic officer for Renown Health. “As our new chair for Family and Community Medicine, she brings to us a wealth of experience, dedication and innovation that will continue to elevate the quality of care we provide to patients and the excellence in education we offer to students. Dr. McGaha has a strong background in academic medicine, distinction in clinical care, medical education, and research, and is universally respected as a compassionate physician leader. Dr. McGaha will do much to advance the mission of our Family Medicine Residency program and expand related Graduate Medical Education (GME) opportunities, shaping the future of family medicine in northern Nevada and beyond.” “Dr. McGaha will help bolster our commitment to providing exceptional primary care services to our community. With her guidance, we will advance patient-centered care, train the next generation of health care professionals and foster a culture of innovation within our academic health system,” said Brian Erling, MD, MBA, president and CEO of Renown Health. “This is an exciting time for Dr. McGaha to help craft our vision to offer more efficient and affordable care, elevate the patient experience and advance health equity across northern Nevada. We are fortunate to have her joining our team and our community.” Dr. McGaha will spearhead initiatives to enhance clinical outcomes, promote preventative health measures and foster collaboration among health care providers to optimize patient care delivery. In addition, Dr. McGaha will oversee the Family Medicine Residency, a full-scope, fully accredited program at UNR Med. Graduates practice in various settings, both rural and urban, solo family medicine and in large provider groups, traditional outpatient family medicine and as hospitalists or urgent care physicians. Dr. McGaha’s research has explored maternal health equity. She designed a Medical-Financial Collaborative Care Practice Model to address social determinants of health in patients with Type 2 diabetes. She has also presented nationally on diverse topics, such as “Advancing Inclusion and Belonging in Health Science Education” and “Innovating Interprofessional Collaboration in a Primary Care Setting.” An author of 25 academic papers, she has a long history of community service to schools, hospice organizations and neighborhood health clinics. Dr. McGaha has won many awards for her work in medical education, including the AIHC Interprofessional Practice Award, induction into the Gold Humanism Honor Society at Creighton University, the AAFP Foundation Pfizer Immunization Grant Award, the Physicians Recognition Award from the American Medical Association, and the Ellen Beck Faculty Award for Medical Staff Outstanding Commitment. 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. Renown Health is the region’s largest, locally governed, not-for-profit integrated health care network serving Nevada, Lake Tahoe, and northeast California. With a diverse workforce of more than 7,000 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.

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    • Thursday, Feb 25, 2021

    A Year We Will Never Forget - COVID-19 at Renown Health

    A highlight of the hope and determination, including some of the most remarkable and meaningful milestones, that took place at Renown over the past year. On February 25, 2020, leaders at Renown Health stood up Renown’s Hospital Incident Command System (HICS), which is a standardized system used to organize response personnel and resources, and to manage response operations during emergencies and crises. This precautionary measure was established at Renown as the effects of the novel coronavirus devastated parts of the east coast and other hotspots around the world. While COVID-19 had yet to present itself in Washoe County at this time last year, Renown was prepared and ready for what would come next. “At Renown, our teams practice emergency preparedness 365 days a year,” said Tony Slonim, MD, DrPH, Renown’s President and CEO. “We had been steadfastly watching the impact COVID-19 was having across the world and knew based on our predictive analytics that the virus would impact communities closer to home. Our team took swift action to ensure Renown remained ready and prepared. I am incredibly proud of those who played a role on this emergency and crisis response team for almost a year, for it is their dedication, hard work, and leadership that continues to guide Renown’s ability to provide outstanding care to all in our community through this ongoing pandemic. Their efforts contribute to a safer and healthier Nevada for all of us.”  “2020 was a year no one will forget. For everyone- and for our healthcare workers at Renown, the year presented countless challenges and opportunities. Those of us who choose healthcare as our life’s work answer a true calling to serve others; this field requires a self-less commitment and a tireless dedication to caring for people when they are at their most vulnerable,” said Renown’s Chief of Staff, Sy Johnson. “I applaud the entire HICS team, as well as every Renown physician, nurse and health care hero for their valor, their strength and perseverance in serving our patients and community during these unprecedented times.”  What follows are highlights of some of the most remarkable moments and events that have taken place under the direction of Renown’s Health Incident Command team over the past year.  Temporary Deployable Medical Structure Outside Renown Regional Emergency Department On March 12, 2020, Renown erected a deployable medical facility to serve as a respiratory illness evaluation and screening center for Emergency Room patients at Renown Regional Medical Center. A similar tent was also set up outside the Emergency Room at South Meadows Medical Center. An additional layer of protection, this proactive measure helped to care for people with symptoms of respiratory illness, and to protect patients and staff in the Emergency Department and other areas of the hospital. The tents were dismantled on January 20, 2021 as the number of COVID cases in our community continued to decrease. (See photo here.) Alternate Care Site at Mill Street Parking Structure at Renown Regional As many communities across the nation experienced an increase in COVID-19 cases, including significant surges in hospitalized patients, Renown’s HICS team had the foresight to create an Alternate Care Site (ACS) in the Renown Regional Medical Center Mill Street Parking structure. The ACS served additional hospitalized patients and allowed caregivers to remain on campus and still have access to existing hospital infrastructure such as lab, pharmacy, imaging, food services and other critical services. This solution also supported an efficient level of care escalation and other emergent interventions as needed. After just 10 days of intricate construction, including flooring, electrical infrastructure, lighting, water, technology and wall partitions, the ACS was completed on April 3, 2020 with space to hold up to 1,400 patients. On Nov. 12, 2020, Renown opened the ACS to serve additional hospitalized patients diagnosed with COVID-19 who were clinically stable or improving. Healthcare workers at Renown cared for hundreds of patients in this site. In early Jan. 2021, the remaining patients returned home. The Site remains in place and will reopen if needed. (Alternate Care Site B-Roll.) “LOVE” Makes its Way to Renown On April 16, 2020, during a time of darkness and uncertainty, Artown loaned the “LOVE” sculpture, a one-ton, welded-aluminum artwork created by artist Laura Kimpton and fabricated by Jeff Schomberg to Renown, where it lit up Regional Medical Center’s main entrance on Mill St. The sculpture formerly debuted at Burning Man in 2019. On July 13, 2020, thanks to the support of former board chair and community supporter, Blake Smith and the Keyser Foundation, “LOVE” continues to glow in Renown’s signature purple every evening, shining brightly for patients, employees, visitors and passersby to enjoy. Throughout the pandemic, this sculpture has served as a source of inspiration, hope and positivity for our community. (LOVE sign B-Roll.) Evolving in an Ever-Changing World: Long-Term Remote Work for Renown Employees The COVID-19 pandemic pushed healthcare leaders throughout the world to determine how best to provide care in this ever-changing environment. Leaders in Renown’s Human Resources department evaluated the thoughts and opinions of employees working remotely throughout Renown Health. Due to the positive feedback from employees, including decreased commute times, fewer distractions, improved work-life balance and a reduced carbon footprint, over 700 Renown employees will continue working remotely. Renown Offers In-House COVID Testing In June 2020, the Renown Laboratory team sprang into action to help meet Washoe County residents and businesses’ growing demand for COVID-19 testing. Renown invested in expanded staffing and in-house testing capabilities to be able to swab and process up to 1,000 COVID tests for patients each day, with return of results within hours. Renown’s CEO, Dr. Tony Slonim also collaborated with the Mayor’s COVID-19 Task Force, local faith and community leaders beginning in Oct. of 2020 to address health equity by providing free COVID-19 testing for communities of color. (Lab B-Roll). Renown Administers COVID-19 Vaccines to Health Care Staff and Local Seniors On Dec. 17, 2020, in accordance with national, state and county health guidelines, Renown began to vaccinate its health care workers. Among those receiving the first vaccines were Luis Martinez, a technician on Renown’s Clinical Decision Unit who cared for patients recovering from COVID-19 in the Alternate Care Site field hospital; and many clinical leaders and partners. (Front-Line Staff Vaccination B-Roll.) After several weeks of successful employee and volunteer drive-thru vaccination events, Renown supported the Washoe County Health District and the state in vaccinating Washoe County’s first group of seniors aged 70+. To date, Renown has provided more than 30,000 seniors and health care heroes with their 2 dose vaccinations. (Community Vaccination B-Roll.) An Extraordinary Year of Service As our community experiences fewer COVID-19 hospitalizations and the vaccine is available to more individuals, Renown’s steadfast commitment to keeping our community safe remains the same. “We thank the community for standing by us and helping us all emerge as stronger people with hope for the future. We continue to fight the good fight,” said Dr. Slonim. “With COVID now imbedded into our daily lives, it’s remarkable to reflect on the progress we’ve made and the obstacles we’ve overcome. I will be forever grateful for the precautionary measures, innovation, and acts of service and love implemented by our dedicated team over the past 12 months. We hope by demonstrating our caring values and exhibiting hope and determination, we are inspiring others.”    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. Clinical institutes include: Cancer, Heart and Vascular Heath and Neurosciences. 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, Feb 26, 2021

    Care At Your Fingertips: Renown Launches Virtual Symptom Checker

    New technology helps patients determine the best level of care for their health needs. Renown Health just announced a new, digital tool designed to keep our community safe and healthy. Symptom Checker, which launched today, is a user-friendly, web-based platform that assesses patients’ symptoms and seamlessly directs them to the appropriate level of care within the Renown network. Symptom Checker can be accessed 24/7 by visiting Renown Symptom Checker. From there, a patient can identify the area of the body responsible for their discomfort, and specify their symptoms. Upon entering their symptoms, patients receive a detailed health summary and care guide, which helps them determine the most appropriate action to take. Patients are able to schedule a visit at a Renown location directly through the Symptom Checker portal. Patients experiencing a medical emergency should not use Symptom Checker and instead call 911. “Thanks to Symptom Checker, our patients will have around-the-clock support at their fingertips to help them make informed decisions about their healthcare needs,” said Tony Slonim, MD, DrPH, President and CEO of Renown Health. “We understand that determining the right level of care for you or your loved ones may bring about some uncertainty, which is why we are proud to continuously offer new and innovative technologies that make it easier for our community members to live healthier lives.”  “As we continue experiencing cases of COVID-19 in Washoe County, many individuals with COVID are unsure when they should seek medical care, as well as the appropriate location to receive care,” said Melodie Osborn, RN, Chief Quality and Nursing Officer, Health Services. “With Symptom Checker, people can easily input their symptoms, and include the symptom severity, to be directed to the best level of care for their individual health needs—making it an extremely valuable tool as we fight to keep our community safe and healthy amidst this pandemic.”  Symptom Checker is free to use and does not require users to be Renown patients. In addition to nearly 200 children and adult symptom care guides, the platform also features 55 first-aid topics, 147 parenting-advice topics, and 25 over-the-counter drug dosage tables for children and adults. The Symptom Checker content is written by medical doctors, Barton Schmitt and David Thompson, who are nursing triage experts; and symptom care guides stem from clinical protocols used by doctors and nurses worldwide. 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 and Neurosciences. 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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    • Tuesday, Feb 02, 2021

    Reno Widow Inspires New Patient Supporter Visitor Policy

    Renown hospitals are among the first in the country to lift visitor restrictions for patients with COVID-19 and encourage family to be at the patient's bedside. True treasure hunters, Dr. Dave and Darlene found joy in exploring antique shops and garage sales to find damaged or discarded vintage pieces. After hauling the item home, Dave would spend many hours scraping it clean, sanding and refinishing it, until it gleamed and became a polished, functional and beautiful piece of furniture. Every piece in their home rekindles a memory and has a story to tell.  On Thanksgiving, when Dave was too ill to gather around their antique dining room table, Darlene called the ambulance. Dave had been ill with COVID-19 for two weeks and had not been improving. When the EMTs reached her home and asked Darlene what underlying conditions he had, she said, “all of them.” David was seriously ill. Hospitalized for COVID-19, their communications options were limited. The only way Darlene could communicate with Dave was on a video call, or by telephone. Dave spent 17 days hospitalized at Renown Regional Medical Center in Reno. Darlene spent 17 days waiting by the phone for more information. Darlene said he had “up days and down days,” but thought he might be home, sitting at their antique dinner table for Christmas.  David Ivan Randolph was born in Boston, MA on August 29, 1936. He grew up in Roxbury and graduated from the prestigious Boston Latin Boys School. He obtained a Bachelor of Arts in General Psychology, an MA in Experimental Psychology from Northeastern University and a PhD in Sensory Psychology & Physiology from the University of Massachusetts, Amherst. While in university he joined ROTC and upon graduation was commissioned as a First Lieutenant in the Army Medical Specialist Corp. After basic training at the Fort Sam Houston Medical Training School he was assigned as a Captain, Research Psychologist to the US Army at the Pioneering Research Division in Natick, MA. Over the next 30 years, he conducted vision research at Fort Knox, KY; Philadelphia, PA and then with the newly constructed Letterman Army Institute of Research (LAIR), Division of Ocular Hazards at the Presidio of San Francisco, CA. David continued his vision research at LAIR until his retirement in 1992 when the Presidio was decommissioned. Dr. Randolph’s research findings in flash blindness and night vision made him a sought-after presenter at research conferences in the US and abroad. In a PBS documentary he was interviewed as part of the team that developed goggles that protect soldiers from laser eye damage. Dr. David Randolph lost his battle with COVID-19 on December 13, 2020, and died as he slept in a hospital bed. When Darlene wrote his obituary for the newspaper, she gave thanks to the “tremendous nurses and doctors at Renown Regional Medical Center, for providing his care during a time when family could not be with him.” Darlene wished she could have been there. Over their 45-year marriage, she had always been there. Darlene said, “I had always been at his bedside, as his advocate, to help communicate and straighten things out.” As a registered dietician, she worked in hospitals and knew the protocol. She knew, like hospitals across the globe, Renown had restricted family members from visiting in order to stop the spread of the virus- to other patients, staff and their family members. Still, she wished she could have spent more time with him. On Christmas Eve, she sat down and wrote to Dr. Anthony Slonim, president and chief executive officer of Renown Health in Reno, NV. “Dear Doctor Slonim, as the wife of a COVID patient who recently passed away in your hospital, I want to express my thanks to you and your staff for the care he was given in the last days of his life. I am aware that the nurses and staff are working under dangerous conditions and risking their health and lives by caring for multiple COVID patients. The staff was gracious, concerned and did everything they could for my husband and myself.” She continued, “I know procedures are changing every hour to try to stay ahead of this dangerous virus and I am sharing my experiences hoping they will be helpful when establishing policies that impact families.” Darlene explained that despite receiving assurances that Dave’s nurse or even a doctor would call daily, sometimes they would forget. She explained in her letter, “how important it was, in these times when family cannot visit, and has only infrequent communication and is anxiously waiting at home for word of their loved one, how much it means to get a call from someone caring for him at the hospital.” Darlene asked, “If there is any way you can help to assure that nurses have time to make calls or assist patients to make calls, because it is an important part of patient care.”  After receiving her letter, Dr. Slonim called Mrs. David Randolph, to thank her, to offer his sympathies and to ask if Renown could help in any way. Darlene asked if he might reconsider allowing families to visit hospital patients being treated for COVID-19. Dr. Slonim, who had also lost his father to COVID-19 back in April at a hospital in New Jersey, asked his leadership team to review Mrs. Randolph’s request and make a recommendation. The hospital leadership team made a recommendation to Dr. Slonim that was immediately approved. As the COVID-19 situation has evolved, the policy has as well. With a high percentage of Renown hospital staff now vaccinated against COVID-19, declining hospitalizations of patients with COVID-19, and understanding that the best communications are in-person, as of Wednesday morning, Jan. 27, 2021, Renown hospitals and medical practices now encourage limited visitors for all patients, including those diagnosed with COVID-19. Renown continues to have extra safety measures in place to protect the health of patients, visitors and healthcare employees, and as the situation changes with COVID-19, these guidelines are subject to change. “As of today, one healthy adult Patient Supporter may now accompany every patient to their Renown medical visit or hospital stay,” Tony Slonim, MD, DrPH, President & CEO of Renown said, “We live by our values of caring, integrity, collaboration and excellence. We thank Darlene for reminding us that the best care is ‘person-centered care,’ an approach that embraces the perspective of the patient and their loved ones, while promoting a healthy, encouraging environment for caregivers and addressing the health needs of our community.”  “At Renown, the definition of "family" is defined by the patient,” says Debra Adornetto-Garcia, DNP, RN, NEA-BC, AOCN, Chief Nursing Officer, Acute Services. “Our patients may designate anyone they choose as their Patient Supporter. The Patient Supporter is incredibly important and part of the care team. The Patient Supporter will be asked to partner with the patient’s health care team to assist in communicating to other family members and friends, participating in training and education activities and assisting the patient with complying with care and medication instructions.” “When it comes to healing and recovery, everyone's role is important,” emphasizes Paul Sierzenski, MD, MSHQS, CPE, FACEP, Chief Medical Officer, Acute Services. “What we can do together to support patient care and excellent outcomes is greater than what any of us can do alone. This belief shapes our work, our services and the care we provide to patients, their families and friends at Renown.” “I am pleased that Renown Health has modified the visitation policies so that each patient can have a designated visitor. As a former ICU patient and current ICU physician, I know the importance of having a loved one’s support in the hospital and I am thrilled we are able to accommodate this incredibly important aspect of patient care,” says Jacob B Keeperman, MD, FACEP, FAAEM, FAEMS, FCCM, Medical Director, Renown Regional Transfer and Operations Center, Intensivist. When Darlene was told that her letter inspired this shift in visitor policies for patients with COVID-19, she was very pleased and said, “I have always tried to think of ways I could help other families, especially those senior couples where one has been hospitalized and the other is home. My wish is to help others.” In alignment with the national guidelines, as of 1/27/2021, one Patient Supporter per patient will be able to access Renown Regional Medical Center and Renown South Meadows Medical Center as noted: Visiting hours for all patients, including those diagnosed with COVID-19 will be extended to 8 am - 8 pm (previously 3-8 pm). All patients are now encouraged to designate up to two Patient Supports. Due to space constraints, we ask that Patient Supports visit one at a time. Patients will provide Names of up to two Patient Supporters during patient admission/registration. Patient Supporter names will be entered into the patient's electronic medical record for patient privacy and security. Renown Children’s Hospital: Open access. (Two parents and/or guardians may be designated as Patient Supporters, however, due to current space constraints, we ask that you visit one at a time). For more detailed information on the Patient Supporter program visit https://www.renown.org/interact/.   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 and Neurosciences. 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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